Mukati
Basa rinoramba richitsvaga chikonzero chezvisinganzwisisike zvehepatitis, iyo inobata vana pasi rose vachiri vatano. Parizvino, anopfuura mazana mana nemakumi mashanu emakesi aonekwa, ayo anenge mazana maviri nemakumi matatu muEurope chete. Etiology yechirwere inoramba isingazivikanwi, asi masayendisiti ane mamwe mafungiro. Pane zvakawanda zvinoratidza kuti kuzvimba kwechiropa idambudziko mushure meCOVID-450.
- Kekutanga, UK yakatanga kushushikana nezvekuwedzera kwekuoma-kunongedza hepatitis muvana. Pakutanga kwaApril, zvakashumwa kuti zvinopfuura makumi matanhatu ezvirwere zvechirwere zvakadzidzwa. Izvi zvakawanda, tichitarisa chokwadi chekuti kusvika pari zvino vangangosvika vanomwe vavo vakaongororwa gore rese
- Mune vamwe vana, kuzvimba kwacho kwakakonzera shanduko yakadaro zvekuti kuisirwa chiropa kwaidiwa. Kwave zvakare kufa kwekutanga nekuda kwekuzvimba
- Pakati pedzidziso dzakatorwa mukuongororwa kwezviitiko zvechirwere, hutachiona hwehutachiona ndiyo hune simba. Adenovirus pakutanga yaifungidzirwa, asi ikozvino anti-SARS-CoV-2 masoja ekudzivirira chirwere ari kuonekwa muvana vakawanda.
- Mhosva zhinji dzinoonekwa muvana vadiki vasina kubaiwa, saka vangangove vaine COVID-19 uye kuzvimba kwechiropa kunogona kuve dambudziko zvichitevera hutachiona.
- Rumwe ruzivo runogona kuwanikwa pane iyo Onet peji rekutanga
Kusaziva chikonzero kunonyanya kushungurudza kupfuura chirwere chacho pachacho
Hepatitis hachisi chirwere chisingawanikwi nevana zvachose. Saka nei zviitiko zvitsva zvehosha zvakamutsa kufunganya kwakanyanya munyika? Mhinduro yacho iri nyore: hapana yemhando dzehutachiona dzinowanzokonzera hepatitis, kureva A, B, C uye D dzakaonekwa muropa revana vanorwara. Uyezve, muzviitiko zvakawanda hapana chaigona kukonzera kuzvimba chakaonekwa. Icho chisingazivikanwi etiology, uye kwete chirwere chacho pachacho, chinotyisa. Kusvikira ikozvino vana vane hutano vanongoerekana varwara, uye vakaoma zvikuru nokuda kwechikonzero chisingazivikanwi, chiitiko chisingagoni kuregererwa.
Ndosaka vanachiremba, vesainzi nevakuru vehutano pasi rese vave nemavhiki vachiongorora nyaya, vachitsvaga zvingangokonzeresa. Sarudzo dzakasiyana-siyana dzakatariswa, asi mbiri dzakabva dzangobviswa.
Chekutanga ndiko kukanganisa kwezvirwere zvisingaperi uye autoimmune zvirwere izvo "zvinoda" kukonzera kana kuwedzera kuzvimba. Iyi dzidziso yakakurumidza kurambwa, zvisinei, nekuti vana vakawanda vaiva noutano hwakanaka vasati vaita hepatitis.
Chechipiri dzidziso ndeye mhedzisiro yeinoshanda yekudzivirira yekurwisa COVID-19. Zvisinei, tsananguro iyi yakanga isina musoro - chirwere chacho chakabata vana vari pasi pemakore gumi, uye boka guru revanhu vane makore akawanda (pasi pemakore mashanu). Ava ndivo vana avo, muhuwandu hwakawanda hwezviitiko, havana kubaiwa, nekuti havana kukodzera kuwana majekiseni ekudzivirira kubva kuCOVID-10 (muPoland, vaccine yevana vane makore mashanu ekuberekwa inogoneka, asi munyika zhinji pasi rese. , vana vane makore gumi nemaviri chete vanogona kusvika kubayiwa).
Zvisinei, kwete adenovirus?
Pakati pedzidziso dzinonyanya kuve nehutachiona. Sezvo zvakaonekwa kuti yakakurumbira HAV, HBC kana HVC yakanga isiri iyo inokonzera hepatitis muvana, varwere vaduku vakaongororwa kuvapo kwemamwe utachiona. Zvakaitika kuti nhamba huru yavo yakaonekwa adenoviruses (rudzi 41F). Iro utachiona hunozivikanwa hunokonzera gastroenteritis, hunenge huchienderana nezviratidzo zvinowanzoitika zvehepatitis muvana (kusanganisira kurwadziwa mudumbu, kurutsa, kurutsa, manyoka, kuwedzera kwekushisa).
Dambudziko nderokuti adenoviruses inowanzokonzera zvirwere zvinyoro, uye kunyange kana chirwere chacho chichinyanya kunetsa uye mwana ari muchipatara, inowanzokonzerwa nekuderera kwemvura panzvimbo yekuchinja kukuru munhengo dzomukati, sezvinoitika kune isingazivikanwi hepatitis. .
Zvimwe zvinyorwa pasi pevhidhiyo.
Chechipiri chinogona kuitika hutachiona nemhando yakasiyana yehutachiwana. Munguva yedenda, zvakange zvisingaite kudzivirira kushamwaridzana neSARS-CoV-2, kunyanya sezvo COVID-19 muvana - kutanga kubva pakuongororwa, kuburikidza nekosi uye kurapwa, kusvika kumatambudziko - ichiri chinozivikanwa chemushonga. Zvisinei, matambudziko akasanganawo munyaya iyi.
Kutanga, haasi mwana wose ane hepatitis ane nhoroondo yechirwere chacho. Izvi zvaive nekuda kwekuti varwere vazhinji vevana, kunyanya pakutanga kwedenda, apo misiyano yeAlpha neBeta yaive yakanyanya, vaive vasina zviratidzo. - saka, vabereki (uye kunyanya chiremba wevana) vanogona kunge vasingazive nanhasi kuti vakaita COVID-19. Zvakare, kuyedzwa hakuna kuitwa pamwero mukuru semafungu akateedzana akakonzerwa neDelta neOmikron akasiyana, saka pakanga pasina "mikana" yakawanda yekuziva hutachiona.
Chechipiri, kunyangwe mwana wako aine COVID-19, masoja ekudzivirira chirwere haafanire kuonekwa muropa rake (kunyanya kana nguva yakareba yapfuura kubva pakutapukirwa) Naizvozvo hazvigoneke muvarwere vechidiki vese vane hepatitis kuti vaone kana hutachiona hwekoronavirus hwaitika. Panogona kunge paine zviitiko apo mwana anga achirwara uye COVID-19 yakave nemhedzisiro pakukura kwekuzvimba kwechiropa, asi hapana nzira yekuratidza izvi.
Iyo "superantigen" inokurudzira immune system
Tsvagiridzo yazvino pamusoro pemhedzisiro yeCCIDID-19 pachiropa chevana inoratidza kuti haisi SARS-CoV-2 yega inogona kukonzera kuzvimba kwenhengo. Vanyori vebhuku mu "The Lancet Gastroenterology & Hepatology" vanoratidza chikonzero-uye-mhedzisiro kutevedzana. Zvimedu zveCoronavirus zvinogona kunge zvakawana nzira yekugaya muvana uye zvakapesvedzera immune system nekuita kuti iwedzere kuadenovirus 41F. Chiropa chakakuvadzwa semugumisiro wekugadzirwa kwehuwandu hwemapuroteni anopisa.
“Journal of Pediatric Gastroenterology and Nutrition” yakarangarira nhau yomusikana ane makore matatu okukura uyo akaonekwa kuti ane hosha yechiropa yakakomba. Munguva yehurukuro nevabereki zvakaonekwa kuti mwana anga aine COVID-19 masvondo mashoma apfuura. Mushure mekuongororwa kwakadzama (kuongororwa kweropa, chiropa biopsy), zvakazoitika kuti chirwere ichi chine autoimmune kumashure. Izvi zvinogona kuratidza kuti SARS-CoV-2 yakatungamira kune isingaite immune immune mhinduro uye zvakakonzera kutadza kwechiropa.
"Isu tinokurudzira kuti vana vane acute hepatitis vaongororwe kusamira kweSARS-CoV-2 muchituru uye zvimwe zviratidzo zvekuti chiropa chakakuvara. Iyo coronavirus spike protein ndeye "superantigen" iyo inowedzera-sensitize immune system»- taura vanyori vekudzidza.
Iwe unoda here kuita bvunzo dzekudzivirira kune njodzi yechirwere chechiropa? Medonet Market inopa mail-odha kuyedzwa kwealpha1-antitrypsin protein.
Ko vana vakatorwara gore rakapera here?
Prof. Agnieszka Szuster-Ciesielska, virologist uye immunologist paMaria Curie-Skłodowska University muLublin. Nyanzvi yakataura nezvekucherechedza kwevanachiremba kubva kuIndia, uko gore rapfuura (pakati paApril naChikunguru 2021) pakanga paine zviitiko zvisina kutsanangurwa zvechirwere chehepatitis chakanyanya muvana. Kare ikako, varapi, kunyange hazvo vainetsekana nemamiriro ezvinhu, havana kuridza mhere nekuti hapana anga ataura nyaya dzakadai kune dzimwe nyika. Ikozvino vabatanidza nyaya idzi uye vasvitsa zvavakawana.
Nekuda kwekuongorora vana 475 vane hepatitis, zvakazoitika kuti chinhu chakajairika mune yavo yaive hutachiona neSARS-CoV-2 (vakawanda se47 vakagadzira hepatitis yakaoma). Vatsvakurudzi veIndia havana kuwana kushamwaridzana nemamwe mavhairasi (kwete chete ayo anokonzera hepatitis A, C, E, asiwo varicella zoster, herpes uye cytomegalovirus zvakaongororwa), kusanganisira adenovirus, iyo yaingovapo mumasampuli mashoma.
– Zvinofadza, pakanga paine kuderera kwehuwandu hwenyaya dzehepatitis muvana apo SARS-CoV-2 yakamira kutenderera mudunhu uye nekuwedzerazve apo huwandu hwenyaya hwakanga hwakanyanya. - inosimbisa muongorori.
Maererano naProf. Szuster-Ciesielska, panguva ino yekutsvakurudza pamusoro peetiology yehepatitis muvana, chinhu chinonyanya kukosha ndechekuchenjerera.
-Zvakakosha kuti varapi vazive kuti hepatitis haiwanzo uye inogona [kukura] panguva yekutapukirwa neSARS-CoV-2 kana mushure mekurwara neCOVID-19. Zvakakosha kuita zviedzo zvekushanda kwechiropa kune varwere vasiri kuvandudza sezvinotarisirwa. Vabereki havafanire kuvhunduka, asi kana mwana wavo akarwara, zvingave zvakakosha kuti uone chiremba wevana kuti anoongororwa. Kuongororwa panguva ndiyo kiyi yekupora - virologist inopa zano.
Ndezvipi zviratidzo zvehepatitis nevana?
Zviratidzo zvehepatitis mumwana hunhu, asi zvinogona kuvhiringidzwa nezviratidzo zve "ojairika" gastroenteritis, yakakurumbira "intestine" kana gastric flu. Zvikurukuru:
- nausea,
- marwadzo emudumbu,
- kurutsa,
- manyoka,
- kurasikirwa nechido
- kupindwa nechando,
- kurwadziwa mumhasuru nemajoini,
- kupera simba, kuneta,
- yellowish discoloration yeganda uye / kana eyeballs,
Chiratidzo chekuzvimba kwechiropa chinowanzo shanduka weti (inova yakasviba kupfuura nguva dzose) uye chituru (chakacheneruka, greyish).
Kana mwana wako akaita chirwere cherudzi urwu, unofanira kubva waona chiremba wevana kana chiremba mukuruuye, kana izvi zvisingaiti, enda kuchipatara, uko murwere muduku achaongororwa zvakadzama.
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