I-Covid-19 ingane nengane: izimpawu, ukuhlolwa kanye nemigomo

I-Covid-19: siyini "isikweletu sokuzivikela komzimba", izingane ezingase zihlupheke?

Odokotela bezingane baxwayisa ngomphumela osekukhulunywe ngawo kuze kube manje wobhubhane lwe-COVID-19 empilweni yezingane. Into ebizwa ngokuthi "isikweletu sokuzivikela komzimba", lapho ukwehla kwezimo zezifo eziningi zegciwane kanye nebhaktheriya kubangela ukuntuleka kokuvuselela umzimba.

Umqedazwe we-COVID-19 kanye nezinhlobonhlobo inhlanzeko kanye nezinyathelo zokuqhela ngokomzimba ukuqaliswa ezinyangeni ezimbalwa kuzokwenza okungenani kube nokwenzeka ukunciphisa isibalo sezifo ezaziwayo ezithathelwanayo ezibangelwa amagciwane uma kuqhathaniswa neminyaka edlule: umkhuhlane, inkukhu, isimungumungwane… Kodwa ingabe lokhu kuyinto enhle ngempela? Akunjalo, ngokocwaningo olwanyatheliswa odokotela bezingane baseFrance ephephabhukwini lesayensi elithi “Science Direct”. Laba bagomela ngokuthi ukuntuleka kokuvuselela umzimba ngenxa yokuncipha kokusatshalaliswa kwama-microbial agents phakathi kwabantu kanye nokubambezeleka okuningi kwezinhlelo zokugoma kuholele “esikweletini sokuzivikela komzimba”, ngenani elandayo labantu abathintekayo, ikakhulukazi izingane.

Kodwa-ke, lesi simo “singaholela ezifweni eziwumshayabhuqe ezinkudlwana lapho kufakwa ukungenelela okungezona ezemithi. ngobhubhane lwe-SARS-CoV-2 ngeke kusadingeka. “, Yesaba odokotela. Lo mphumela ube muhle esikhathini esifushane, njengoba kwenze kwaba nokwenzeka ukugwema ukugcwala ngokweqile kwezinsiza zasesibhedlela phakathi nenhlekelele yezempilo. Kodwa ukungabikho ukuvuselela umzimba ngenxa yokuncipha kokusatshalaliswa kwamagciwane kanye namagciwane, kanye nokwehla kokufakwa kokugoma, kuholele “esikweletini samasosha omzimba” esingaba nemiphumela emibi kakhulu uma ubhubhane selulawulekile. “Uma lezi zikhathi 'zokwanda okuphansi kwegciwane noma amagciwane' ziba zinde, kuyanda amathuba okuba nezifo eziwumshayabhuqe zesikhathi esizayo mude. “, Xwayisa ababhali bocwaningo.

Zimbalwa izifo ezithathelwanayo zezingane, imiphumela ezinganeni?

Ngokuqondile, ezinye izifo eziwumshayabhuqe zingaba zimbi nakakhulu eminyakeni ezayo. Odokotela bezingane besaba ukuthi lokhu kungase kube njalo izifo ezithathelwanayo zezingane zomphakathi, okuhlanganisa nenani lokuvakashela izimo eziphuthumayo ezibhedlela kanye nezinqubo zehle kakhulu ngesikhathi sokuvalelwa, kodwa nangaphezulu naphezu kokuvulwa kabusha kwezikole. Phakathi kwalokhu: i-gastroenteritis, i-bronchiolitis (ikakhulukazi ngenxa yegciwane le-sycytial yokuphefumula), i-chickenpox, i-acute otitis media, izifo ezingaqondile eziphezulu neziphansi zokuphefumula, kanye nezifo ezibangelwa amagciwane. Ithimba likhumbula ukuthi “izimbangela zazo izifo zezingane, ngokuvamile ezibangelwa amagciwane, cishe akunakugwenywa iminyaka yokuqala yokuphila. "

Noma kunjalo, kwezinye zalezi zifo, imiphumela emibi ingaba kunxeshezelwe ngemigomo. Yingakho odokotela bezingane befuna ukuthi kukhuliswe ukulandelwa kwezinhlelo zokugoma ezikhona, ngisho nokwandiswa kwenani labantu okuhlosiwe. Qaphela ukuthi ngoJulayi odlule, i-World Health Organization (WHO) kanye ne-Unicef ​​​​babevele bexwayisa ngokwehla "okwethusayo" kwenani lezingane. ukuthola imithi yokugoma esindisa impilo emhlabeni. Isimo ngenxa yokuphazamiseka ekusetshenzisweni kwezinsiza zokugoma ngenxa yobhubhane lwe-COVID-19: izingane eziyizigidi ezingama-23 azizange ziyithole imithamo emithathu yomgomo wokugomela i-diphtheria, i-tetanus kanye ne-pertussis ngo-2020. bangela ukuqubuka okusha eminyakeni elandelayo.

Nokho, ezinye izifo ezibangelwa amagciwane aziyona indaba yohlelo lokugoma. Njengenkukhu : bonke abantu bayayithola ngesikhathi sokuphila kwabo, ngokuvamile ngesikhathi sobuntwana, ukugoma ngakho-ke kuhloselwe kuphela abantu abasengozini yezinhlobo ezinzima. Ngo-2020, kwabikwa amacala angama-230, ukwehla ngo-000%. Ifuneka ukuntuleka kwe-chickenpox, "Izingane ezincane okufanele ngabe zithole inkontileka ngo-2020 zingase zibe nomthelela ekukhuleni kwezigameko eminyakeni ezayo," kusho abacwaningi. Ngaphezu kwalokho, lezi zingane zizoba “neminyaka yobudala” okungaholela enanini elikhulu lamacala abucayi. Ngibhekene nalo mongo ingozi yobhubhane iphinde ibuyele emuva, laba bafisa ukukhulisa izincomo zokugoma inkukhu, ngakho-ke, kodwa futhi ne-rotavirus kanye i-meningococci B kanye ne-ACYW.

I-Covid-19 ingane nengane: izimpawu, izivivinyo, imigomo

Yiziphi izimpawu ze-Covid-19 entsheni, ezinganeni nasezinsaneni? Ingabe izingane ziyathelelana kakhulu? Ingabe bayayidlulisela i-coronavirus kubantu abadala? I-PCR, amathe: yikuphi ukuhlola okuhlonza ukutheleleka kwe-Sars-CoV-2 komncane? Sihlola ulwazi kuze kube manje nge-Covid-19 entsheni, izingane kanye nezinsana.

I-Covid-19: Izingane ezincane zitheleleka kakhulu kunentsha

Izingane zingabamba i-SARS-CoV-2 coronavirus futhi ziyidlulisele kwezinye izingane kanye nabantu abadala, ikakhulukazi endlini eyodwa. Kepha abacwaningi bebefuna ukwazi ukuthi ngabe lobu bungozi bukhulu yini ngokweminyaka, futhi kwavela ukuthi izingane ezineminyaka engaphansi kwemi-3 yizona okungenzeka ukuthi zithelele labo abaseduze kwazo.

Nakuba ucwaningo luye lwabonisa ukuthi izingane ngokuvamile zinakho izinhlobo ezinzima kancane ze-COVID-19 kunabantu abadala, lokhu akusho ukuthi laba basakaza kancane i-coronavirus. Ngakho-ke umbuzo wokwazi ukuthi ungcolisekile yini noma kancane kunabantu abadala, ikakhulukazi njengoba kunzima kudatha etholakalayo ukuhlola indima yabo ngokunembile. ekuguquguqukeni kwalolu bhubhane. Ocwaningweni olusha olushicilelwe kujenali "JAMA Pediatrics", abacwaningi baseCanada bafuna ukwazi ukuthi ngabe ukhona yini umehluko ocacile emathubeni okudluliselwa kwe-SARS-CoV-2 ekhaya. ngezingane ezincane uma kuqhathaniswa nezingane ezindala.

Ngokwemiphumela yocwaningo edluliselwe yi-New York Times, izingane ezinegciwane kanye nojahidada kungenzeka kakhulu ukusabalalisa i-COVID-19 kwabanye emakhaya abo kunentsha. Kodwa ngokuphambene, izingane ezincane kakhulu mancane amathuba okuthi zilethe leli gciwane kunentsha. Ukuze bafinyelele kulesi siphetho, abacwaningi bahlaziya idatha ekuhlolweni okuhle futhi amacala e-COVID-19 esifundazweni sase-Ontario phakathi kukaJuni 1 noDisemba 31, 2020, futhi sebehlonze amakhaya angaphezu kwesi-6 lapho umuntu wokuqala onaleli gciwane ayengaphansi kweminyaka engama-200 ubudala. ukuhlolwa okuqondile kwengane yokuqala.

Izingane ezincane zithathelwana kakhulu ngoba kunzima kakhulu ukuzihlukanisa

Kuvele ukuthi zingu-27,3% izingane ezinazo utheleleke okungenani omunye umuntu oyedwa emndenini ofanayo. Intsha ibalwa ku-38% wazo zonke izigameko zokuqala emakhaya, uma kuqhathaniswa no-12% wezingane ezineminyaka engu-3 nangaphansi. Kodwa ingozi yokudluliselwa kwamanye amalungu omndeni yayiphezulu ngama-40% lapho ingane yokuqala eyayinegciwane yayineminyaka engu-3 ubudala noma ngaphansi kunangenkathi eneminyaka eyi-14 kuya kweyi-17. Le miphumela ingase ichazwe yiqiniso lokuthi izingane ezincane kakhulu zidinga ukunakekelwa okuningi okungokoqobo futhi azikwazi ukuhlukaniswa uma zigula, abacwaningi basikisela. Ngaphezu kwalokho, eminyakeni lapho izingane "zingama-jack-of-all-trades", kunzima ukuzenza thatha ukuthinta kwesithiyo.

“Abantu abakhuphukile izingane ezincane bajwayele ukuba nesikhwehlela nokuconsa ehlombe. “UDkt. USusan Coffin, uchwepheshe wezifo ezithathelwanayo esibhedlela Sezingane ePhiladelphia, utshele iNew York Times. “Akukho ukuzulazula ngakho. Kodwa sebenzisa izicubu ezilahlwayo, geza izandla zakho masinyane ngemva kokubasiza basule amakhala yizinto umzali wengane enaleli gciwane angayenza ukuze anciphise ukusabalala kwegciwane ekhaya. Uma ucwaningo lungayiphenduli imibuzo yokuthi izingane ezingenwe yilesi sifo nazo esithathelwanayo kunabantu abadala, lokhu kubonisa ukuthi ngisho nezingane ezincane zidlala indima ekhethekile ekusakazeni izifo.

“Lolu cwaningo luveza ukuthi izingane ezincane zingase zibe ngcono ukudlulisa ukutheleleka kuzingane ezindadlana, ingozi enkulu yokutheleleka iye yabonwa kulabo abaneminyaka engu-0 kuya kwemi-3 ubudala. », Phetha abacwaningi. Lokhu kutholakala kubalulekile, njengoba ukuqonda kangcono ingozi yokudluliselwa kwegciwane ngokusho amaqembu yobudala bezingane luwusizo ekuvimbeleni ukutheleleka phakathi nokuqubuka. Kodwa futhi ezikoleni nasezinkulisa, ukuze kuncishiswe ubungozi bokudluliselwa kwesibili emindenini. Ithimba lesayensi lifuna ukuqhubeka nezifundo eqenjini elikhulu wezingane ezineminyaka eyahlukene ukusungula le ngozi ngokunembe nakakhulu.

I-Covid-19 kanye nesifo sokuvuvukala ezinganeni: ucwaningo luchaza lo mkhuba

Ezimweni ezingavamile kakhulu ezinganeni, i-Covid-19 iholele ku-multisystem inflammatory syndrome (MIS-C noma i-PIMS). Ocwaningweni olusha, abacwaningi banikeza incazelo yalesi simo esingaziwa sokuzivikela komzimba.

Ngenhlanhla, iningi lezingane ezingenwe yi-Sars-CoV-2 coronavirus ziba nezimpawu ezimbalwa, noma azibonakali kahle. Ukolweni ezimeni ezingavamile kakhulu, i-Covid-19 ezinganeni iguqukela ku-multisystemic inflammatory syndrome (MIS-C noma i-PIMS). Uma siqale sakhuluma ngesifo se-Kawasaki, empeleni yisifo esithile, esifana nezici ezithile nesifo se-Kawasaki kodwa esehlukile.

Njengesikhumbuzo, i-multisystem inflammatory syndrome ibonakala ngokuthi izimpawu ezinjengomkhuhlane, ubuhlungu besisu, ukuqubuka, izinkinga zenhliziyo nemithambo yegazi ezenzeka emavikini ama-4 kuye kwayi-6 kamuva. ukutheleleka nge-Sars-CoV-2. Uma itholakala kusenesikhathi, lesi sifo singelapheka kalula ngosizo lwama-immunosuppressants.

Ocwaningweni olusha lwesayensi olushicilelwe ngoMeyi 11, 2021 kujenali amasosha omzimba, abacwaningi baseYale University (Connecticut, USA) bazama ukukukhanyisela lesi simo sokusabela okweqile kwamasosha omzimba.

Ithimba labacwaningi lapha lihlaziye amasampula egazi ezinganeni ezine-MIS-C, abantu abadala abanohlobo olunzima lwe-Covid-19, kanye nezingane ezinempilo kanye nabantu abadala. Abacwaningi bathola ukuthi izingane ezine-MIS-C zazinokusabela komzimba okuhlukile kwamanye amaqembu. Babenamazinga aphezulu ama-alamu, ama-molecule esimiso somzimba sokuzivikela ezifweni, esihlanganiswa ngokushesha ukuze siphendule kuzo zonke izifo.

« Ukuzivikela okungazelelwe kungase kusebenze kakhulu ezinganeni ezingenwe yileli gciwane ”kusho uCarrie Lucas, uprofesa we-immunology kanye nombhali-ndawonye wocwaningo. ” Kodwa ngakolunye uhlangothi, ezimweni ezingavamile, kungase kujabule kakhulu futhi kube nomthelela kulesi sifo sokuvuvukala. », Wengeze ku kwazisiwe.

Abacwaningi baphinde bathola ukuthi izingane ezine-MIS-C zikhombisa ukuphakama okumakiwe ezimpendulweni ezithile zokuzivikela eziguquguqukayo, izivikelo zokulwa namagciwane athile - afana nama-coronavirus - futhi ngokuvamile anikeza inkumbulo ye-immunological. Kodwa esikhundleni sokuzivikela, izimpendulo zokuzivikela kwezinye izingane zibonakala zihlasela izicubu emzimbeni, njengasendabeni yezifo ezizimele.

Ngakho, ezimweni ezingavamile kakhulu, ukusabela kokuzivikela komzimba kwezingane kudala uchungechunge lokusabela okulimaza izicubu ezinempilo. Bese baba sengozini enkulu yokuhlaselwa kwama-autoantibody. Abacwaningi banethemba lokuthi le datha entsha izofaka isandla ekuxilongweni kusenesikhathi nasekuphathweni okungcono kwezingane ezisengozini enkulu yokuthola le nkinga ye-Covid-19.

I-Covid-19: ukuhlolwa kwe-nasal swab okugunyazwe izingane

I-Haute Autorité de Santé inikeze ukukhanya okuluhlaza ekusetshenzisweni kokuhlolwa kwe-antigenic nge-swab yamakhala yezingane ezingaphansi kweminyaka engu-15 ubudala. Lesi sandiso esiya kwabancane kufanele sikhulise kakhulu ukuhlolwa ezikoleni, kusukela enkulisa.

Ukuhlolwa kwe-Antigenic nge-swab yamakhala, nemiphumela esheshayo, manje sezivunyelwe izingane ezingaphansi kweminyaka engu-15. Yilokhu i-Haute Autorité de Santé (HAS) esanda kumemezela esikhishwe kwabezindaba. Ngakho-ke lezi zivivinyo zizosetshenziselwa ukuhlolela i-Covid-19 ezikoleni, kanye nokuhlolwa kwamathe, okumele ithuluzi elengeziwe lokuhlolelwa i-Covid-19 kwabancane kunabo bonke.

Kungani lolu shintsho kuhlelo?

USeloni we-HAS, "Ukuntuleka kwezifundo ezinganeni kuye kwaholela ekutheni i-HAS ilinganisele (ukusetshenziswa kokuhlolwa kwe-antigenic kanye nokuzihlola) kulabo abangaphezu kweminyaka engu-15 ubudala". Kodwa-ke, njengoba ucwaningo olwengeziwe lwenziwe, isu lokuhlola liyathuthuka. “I-meta-analysis eyenziwa yi-HAS ikhombisa imiphumela ekhuthazayo ezinganeni, manje esezenza kube nokwenzeka ukunweba izinkomba futhi kubhekwe ukusetshenziswa kokuhlolwa kwe-antigenic kumasampula ekhala ezikoleni. Ngomphumela emizuzwini eyi-15 kuye kwengama-30, bakha ithuluzi elihambisanayo nokuhlolwa kwamathe kwe-RT-PCR ukugqabula amaketango okungcola ngaphakathi kwamakilasi ”, kubika i-HAS.

Ngakho-ke ukuhlolwa kwe-nasal swab kufanele kusetshenziswe ngezinga elikhulu ezikoleni "Ngaphakathi kwe-nursery kanye nezikole zamabanga aphansi, amakolishi, izikole eziphakeme namanyuvesi, phakathi kwabafundi, othisha kanye nabasebenzi bexhumana nabafundi", icacisa i-HAS.

Icilongo yalezi zivivinyo ze-antigenic: azithunyelwa elabhorethri, futhi zivumela ukuhlolwa okusheshayo, esizeni, phakathi kwemizuzu eyi-15 kuya kwengama-30. Aphinde ahlasele futhi abuhlungu kakhulu kunokuhlolwa kwe-PCR.

Ukuhlolwa kwe-Antigenic kusuka enkulisa

Ngokuqondile, kuzokwenzeka kanjani lokhu? Ngokwezincomo ze-HAS, “Abafundi, abafundi basezikoleni zamabanga aphakeme kanye nabafundi basekolishi bangakwazi ukuzihlola ngokuzimela (ngemuva kokusebenza okokuqala ngaphansi kokugadwa umuntu omdala onekhono uma kunesidingo). Kubafundi besikole samabanga aphansi, Ukuzisampula ngokwakho okugadiwe ekuqaleni nakho kungenzeka, kodwa kungcono ukuthi ukuhlolwa kwenziwe ngabazali noma abasebenzi abaqeqeshiwe. Okwezingane ezisenkulisa, amasampula kanye nokuhlolwa kumele kwenziwe yibo abalingisi abafanayo. “ Khumbula ukuthi esikoleni sasenkulisa, ukuhlolwa kwamathe zibuye zenziwe.

Noma yikuphi ukuhlolwa kokuhlolwa okwenziwayo, kuhlala kunjalo ngaphansi kokugunyazwa ngabazali kwabancane.

Umthombo: Ukukhishwa kwabezindaba: “I-Covid-19: i-HAS iphakamisa umkhawulo weminyaka wokusetshenziswa kwezivivinyo ze-antigenic ku-swab yamakhala ”

Ukuzihlolela i-Covid-19: konke mayelana nokusetshenziswa kwazo, ikakhulukazi ezinganeni

Singazisebenzisa yini ukuzihlola ukuze sithole i-Covid-19 enganeni yethu? Zisebenza kanjani izivivinyo? Ungayitholaphi? Sithatha isitoko.

Ukuzihlola kuthengiswa emakhemisi. Njengoba ubhekene nokukhuphuka kobhubhane, kungase kulinge ukwenza eyodwa noma ngaphezulu, ikakhulukazi ukuze uziqinisekise.

Ukuzihlolela i-Covid-19: kusebenza kanjani?

Izivivinyo zokuzihlola ezithengiswa eFrance ziyizivivinyo ze-antigenic, lapho isampula nokufunda umphumela kungenziwa yedwa, ngaphandle kosizo lwezokwelapha. Lezi zivivinyo zenziwa nge ukuzisampula emakhaleni. Imiyalo icacisa ukuthi kungumbuzo wokwethula i-swab iqonde ekhaleni ngaphezu kuka-2 kuya ku-3 cm ngaphandle kokuphoqelela, bese uyitshekisela ngokuvundlile futhi uyifake kancane ize ihlangabezane nokuphikiswa okuncane. Lapho-ke kuyadingeka zungeza ngaphakathi ekhaleni. Isampula ayishoni kakhulu kunesampula ye-nasopharyngeal eyenziwa ngesikhathi sokuhlolwa kwe-PCR evamile kanye nokuhlolwa kwe-antigen, okwenziwa elabhorethri noma ekhemisi.

Umphumela uyashesha, futhi ubonakala njengokuhlolwa kokukhulelwa, ngemva kwemizuzu eyi-15 kuya kwengama-20.

Kungani uzihlolela i-Covid?

I-nasal self-test isetshenziselwa ukubona abantu abangenazo izimpawu futhi abangebona abathintwayo. Kukuvumela ukuthi wazi ukuthi ungumuntu ophethe i-Sars-CoV-2 noma cha, kodwa kuzoba nentshisekelo kuphela uma kwenziwa njalo, njalo ezinsukwini ezimbili kuya kwezintathu, kucacisa imiyalelo.

Uma unezimpawu noma uma uthintana nomuntu okutholakale ukuthi une-HIV, kutuswa ukuthi esikhundleni salokho usebenzise ukuhlolwa kwe-PCR okuvamile, okuthembeke kakhulu. Ikakhulukazi njengoba ukuthola umphumela omuhle ekuzihloleni kudinga ukuqinisekiswa kokuxilongwa yi-PCR.

Ingabe ukuzihlola kungasetshenziswa ezinganeni?

Ngokombono okhishwe ngo-April 26, i-Haute Autorité de Santé (HAS) manje incoma ukusetshenziswa kokuzihlola nakulabo abangaphansi kweminyaka engu-15 ubudala.

Uma kunezimpawu eziphakamisa i-Covid-19 futhi ziphikelela enganeni, ikakhulukazi uma inomkhuhlane, kutuswa ukuba ingane ihlukaniswe futhi ibonane nodokotela noma udokotela wezingane, ozokwahlulela isidingo sokuhlola. ukuhlolelwa i-Covid-19 (i-PCR noma i-antigen, noma ngisho namathe uma ingane ingaphansi kweminyaka engu-6 ubudala). Ukuhlola umzimba kubalulekile ukuze ungaphuthelwa isifo esingase sibe yingozi kakhulu enganeni, njenge-meningitis.

Ngakho-ke kungcono ukugwema ukuzihlola ngazo zonke izindlela, okungenani ezinganeni. Phela, ukuthinta kwesampula kuhlala kungenasidingo futhi kungase kube nzima ukwenza ngendlela efanele ezinganeni ezincane.

[Ngokufigqiwe]

• Sekukonke, izingane nezinsana zibonakala zingathinteki kangako yi-Sars-CoV-2 coronavirus, futhi uma zithintekile, ziyakhula. amafomu anzima kakhulu kunabantu abadala. Imibiko yezincwadi zesayensi i-asymptomatic noma ingenazo izimpawu kakhulu ezinganeni, ngokuvamile, nge izimpawu ezincane (umkhuhlane, imfiva, ukuphazamiseka kokugaya ukudla ikakhulukazi). Ezinganeni, ikakhulukazi imfivaokuyinto ebusayo, lapho behlakulela isimo esinezimpawu.
• Ezimweni ezingavamile kakhulu, i-Covid-19 ezinganeni ingadala i-multisystem syndrome yokuvuvukala, MIS-C, uthando eduze nesifo se-Kawasaki, okungase kuthinte imithambo yenhliziyo. Kakhulu, lesi sifo singakwazi ukulawulwa ekunakekelweni okujulile futhi kuholele ekwelapheni okuphelele.
• Udaba lokudluliswa kwe-coronavirus ye-Sars-CoV-2 ezinganeni kube yinkulumo-mpikiswano kanye nezifundo ezimbalwa ezinemiphumela engqubuzanayo. Nokho, kubonakala sengathi kuvela ukuvumelana kwesayensi, futhi lokhoa priori izingane zisakaza igciwane kancane kunabantu abadala. Zizophinde zitheleleke kakhulu emkhakheni ozimele kunasesikoleni, ikakhulukazi njengoba imaski nezimpawu zokuthiya ziyimpoqo ezikoleni.
• Ngokuqondene ukuhlolwa ukubona ubukhona be-coronavirus, i ukuhlolwa kwe-antigen manje isigunyazwe ezinganeni ezingaphansi kweminyaka engu-15 ubudala, kuzo kanye nokuhlolwa kwamathe,  
• I-priori engapheli akukho contraindication ekugomeni izingane. Ukuhlolwa okwenziwa yi-Pfizer kanye ne-BioNTech kuthola ukuvikeleka okusebenzayo ku-coronavirus ezinganeni. Ngaphambi kokugonywa kwezingane, amalabhorethri kuyodingeka athole isivumelwano seziphathimandla ezihlukahlukene zokulawula emhlabeni jikelele.

I-AstraZeneca Imisa Isivivinyo Sokugomela I-Covid Ezinganeni

Uma i-Pfizer ne-BioNTech imemezela ukusebenza ngempumelelo okungu-100% komgomo wayo kubantu abasha kusukela eminyakeni eyi-12 kuye kweyi-15 ubudala, okwamanje i-AstraZeneca imisa izivivinyo zayo kwabancane. Sithatha isitoko.

Izivivinyo zomtholampilo, ezenziwa ngaphezu kwalokho 2 200 intsha e-United States, khombisa ukusebenza ngempumelelo okungu-100% komgomo we-Pzifer-BioNTech kwabaneminyaka engu-12-15 ubudala. Ngakho-ke bangagonywa ngaphambi kokuqala konyaka wesikole ngoSepthemba 2021.

Ukuqala ngoFebhuwari

Ngalokhu, Ama-laboratories e-AstraZeneca yayisiqalile futhi ukuhlolwa kwemitholampilo ngoFebhuwari odlule, e-United Kingdom, ezinganeni ezingu-240 ezineminyaka engu-6 kuya kwengu-17 ubudala, ukuze zikwazi ukuqala umuthi wokugomela i-Covid komncane kunabo bonke ngaphambi kokuphela kuka-2021.

Izivivinyo ezimisiwe

Kusukela ngoMashi 24, e-United Kingdom, izehlakalo ezingama-30 ze-thrombosis zenzeka kubantu abadala kulandela ukugonywa nge-AstraZeneca. Kulezi zimo, kwashona abantu abangu-7.

Kusukela lapho, amanye amazwe akumise ngokuphelele ukugoma ngalo mkhiqizo (Norway, Denmark). Abanye abafana neFrance, iJalimane, iCanada, bayinikeza kuphela kusukela eminyakeni engu-55 noma engu-60, kuye ngezwe.

Kungakho ukuhlolwa komtholampilo ezinganeni zaseBrithani kusamisiwe. Inyuvesi yase-Oxford, lapho lezi zivivinyo bezenzeka khona, ilinde isinqumo seziphathimandla sokwazi ukuthi kungenzeka yini ukuthi ziphinde ziqale kabusha noma cha.

Okwamanje, izingane ezibambe iqhaza ocwaningweni lomtholampilo lwe-AstraZeneca kufanele ziqhubeke nokuhambela ukuvakasha okuhleliwe.

I-Covid-19: I-Pfizer ne-BioNTech bamemezela ukuthi umuthi wabo wokugoma usebenza ngo-100% kwabaneminyaka engu-12-15 ubudala

Ilabhorethri yakwa-Pfizer kanye ne-BioNTech bathi umuthi wabo wokugoma unikeza izimpendulo eziqinile zamasosha omzimba ngokumelene ne-Covid-19 entsheni eneminyaka engu-12 kuya kwengu-15. 

Le Umuthi wokugoma i-Pfizer ne-BioNTech bekuwumuthi wokuqala wokugomela i-Covid-19 ukugunyazwa ekupheleni kuka-2020. Kuze kube manje, ukusetshenziswa kwawo kugunyazwe kubantu abaneminyaka engu-16 nangaphezulu. Lokhu kungase kushintshe ngemva kwesigaba sesi-3 sokuhlolwa komtholampilo okusanda kwenzeka.

100% ukusebenza kahle

izinzuzo ukuhlolwa kwemitholampilo empeleni kwenziwe 2 260 intsha e-USA. Bebezokhombisa a 100% ukusebenza kahle umuthi wokugomela i-Covid-19, okuhlanganisa nokuhluka kwegciwane laseBrithani.

Ugonywe ngaphambi kukaSepthemba?

Ngemuva kweminyaka eyi-12-15, i-laboratory yethulwa izilingo ezinganeni ezincane: iminyaka emi-5 kuye kweyi-11. Futhi kusukela ngesonto elizayo, kuzoba yithuba labancane: kusukela eminyakeni emi-2 kuye kwemi-5.

Ngakho-ke, i-Pfizer-BioNTech inethemba lokuthi izokwazi ukuqala ukugonywa kwezingane kanye nentsha ngaphambi konyaka wesikole olandelayo ngoSepthemba 2021. Ukuze benze lokhu, kufanele bathole kuqala isivumelwano seziphathimandla ezihlukahlukene zokulawula emhlabeni jikelele.

Mingaki imithi yokugoma?

Kuze kube manje, i-Pfizer-BioNTech isabalalise imithamo eyizigidi ezingama-67,2 yomgomo wayo eYurophu. Bese, engxenyeni yesibili, kuzoba imithamo eyizigidi ezingama-200.

I-Covid-19: kufanele ngiyohlolwa nini ingane yami?

Ngenkathi ubhubhane lwe-Covid-19 lungapheli, abazali bayazibuza. Ingabe kufanele ingane yakho ihlolelwe umkhuhlane omncane? Yiziphi izimpawu okufanele zenze umuntu acabange nge-Covid-19? Nini ukubonisana nomkhuhlane noma ukukhwehlela? Buyekeza ngoSolwazi Delacourt, pumhleli esibhedlela i-Necker Sick Children Hospital kanye noMongameli weFrench Pediatric Society (SFP).

Akulula ngaso sonke isikhathi ukuhlukanisa izimpawu zomkhuhlane, i-bronchitis, kulezo ze-Covid-19. Lokhu kubangela ukukhathazeka kwabazali, kanye nokuxoshwa okuningi kwezingane ezikoleni.

Ukukhumbula ukuthi izimpawu zokutheleleka nge-coronavirus entsha (Sars-CoV-2) ngokuvamile zinesizotha kakhulu ezinganeni, lapho sibona khona. amafomu ambalwa anzima kanye namafomu amaningi angenayo izimpawu, UProfesa Delacourt wabonisa lokho imfiva, ukuphazamiseka kokugaya ukudla futhi ngezinye izikhathi izinkinga zokuphefumula kwakuyizimpawu eziyinhloko zokutheleleka enganeni. “Uma kunezimpawu (umkhuhlane, ukungaphatheki kahle kokuphefumula, ukukhwehlela, izinkinga zokugaya ukudla, inothi lomhleli) futhi sekukhona ukuthintana necala eliqinisekisiwe, ingane kufanele ithintwe futhi ihlolwe.”, Kubonisa uSolwazi Delacourt.

Uma kunezimpawu, "Better ukuhoxisa ingane emphakathini (esikoleni, enkulisa, enkulisa) ngokushesha nje lapho kunokungabaza, futhi ufune iseluleko sezokwelapha. “

I-COVID-19: amasosha omzimba ezingane angazivikela ekuthelelekeni okunzima

Ucwaningo olushicilelwe ngoFebhuwari 17, 2021 luveza ukuthi izingane zivikeleke kangcono ku-COVID-19 enzima kunabantu abadala ngoba amasosha omzimba azalwa nawo ahlasela ngokushesha i-coronavirus ngaphambi kokuthi iphindaphindeke emzimbeni.

Ngenxa yokuthi abathinteki kaningi futhi abathinteki kakhulu yi-SARS-CoV-2 kunabantu abadala, ukuthola ulwazi nge-Covid-19 ezinganeni kuhlala kunzima. Imibuzo emibili ivela kulokhu kubhekwa kwe-epidemiological: kungani izingane zingathinteki kangako et ivelaphi le mininingwane? Lokhu kubalulekile njengoba ucwaningo lwezingane luzovumela intuthuko kubantu abadala: kungokuqonda ukuthi yini ehlukanisa ukuziphatha kwegciwane noma impendulo yomzimba ngokuya ngeminyaka lapho uzokwazi ” ukuhlonza izindlela ongaziqondisa. Abacwaningi e-Murdoch Institute for Research on Children (Australia) babeka phambili umbono.

Ucwaningo lwabo, oluhlanganisa ukuhlaziya amasampula egazi ezinganeni ezingu-48 nakubantu abadala abangu-70, futhi lwanyatheliswa kumagazini wesayensi i-Nature Communications, luthi izingane ivikelwe kangcono ezinhlotsheni ezinzima ze-COVID-19 ngoba amasosha omzimba azalwa nawo ihlasela igciwane ngokushesha. Ngamagama aphathekayo, amaseli akhethekile amasosha omzimba wengane aqondise i-SARS-CoV-2 coronavirus ngokushesha okukhulu. Abacwaningi bakholelwa ukuthi izizathu zokuba izingane zibe nokutheleleka kwe-COVID-19 okuncane uma kuqhathaniswa nabantu abadala kanye nezindlela zokuzivikela ezingaphansi kwalokhu kuvikelwa bezingaziwa kuze kube yilolu cwaningo.

Izimpawu zivame ukuba buthakathaka ezinganeni

« Izingane mancane amathuba okuthi zingenwe yileli gciwane futhi ingxenye eyodwa kwezintathu yazo ayinazimpawu, ezehluke kakhulu emazingeni aphezulu kanye nokuqina okubonakala kwamanye amagciwane amaningi okuphefumula.kusho uDkt Melanie Neeland, owenza ucwaningo. Ukuqonda umehluko oyisisekelo ohlobene nobudala ngobunzima be-Covid-19 kuzohlinzeka ngolwazi olubalulekile kanye namathuba okuvimbela nokwelashwa, kwe-Covid-19 kanye nobhubhane olungaba khona lwesikhathi esizayo. Bonke ababambiqhaza batheleleka noma bavezwa i-SARS-CoV-2, futhi izimpendulo zabo zokuzivikela komzimba zazibhekwa ngesikhathi sesigaba esibi sokutheleleka futhi kuze kube yizinyanga ezimbili kamuva.

Sithatha njengesibonelo umndeni onezingane ezimbili, one-coronavirus, abacwaningi bathole lokho amantombazane amabili, eneminyaka engu-6 neneminyaka engu-2, ayenekhala elincane kuphela, kuyilapho abazali bebhekana nokukhathala okudlulele, ubuhlungu bekhanda, ubuhlungu bemisipha, futhi belahlekelwa isifiso sokudla nokunambitha. Kwabathatha amasonto amabili ukuthi balulame ngokugcwele. Ukuchaza lo mehluko, abacwaningi bathola ukuthi ukutheleleka ezinganeni kubonakala ngokuthi ukusebenza kwe-neutrophils (amangqamuzana amhlophe egazi asiza ukuphulukisa izicubu ezilimele futhi axazulule izifo), futhi ngokunciphisa amangqamuzana omzimba asabela ngokushesha, njengamaseli abulalayo emvelo egazini.

Ukusabela okunamandla kokuzivikela komzimba

« Lokhu kuphakamisa ukuthi lawa maseli omzimba alwa nokutheleleka athuthele ezindaweni zokutheleleka, aqede ngokushesha igciwane ngaphambi kokuba libe nethuba lokulibamba. Kwengeza uDkt Melanie Neeland. Lokhu kukhombisa ukuthi amasosha omzimba, umugqa wethu wokuqala wokuzivikela kumagciwane, ubalulekile ekuvimbeleni i-COVID-19 enzima ezinganeni. Okubalulekile, lokhu kusabela komzimba akuzange kuphindaphindwe kubantu abadala ocwaningweni. Ithimba lesayensi liphinde lahlabeka umxhwele ngokuthola ukuthi nasezinganeni nakubantu abadala abavezwe yi-coronavirus, kodwa ukuhlolwa kwabo kwabonakala kubi, izimpendulo zokuzivikela komzimba nazo zashintshwa.

Ngokusho kwabacwaningi, “ izingane kanye nabantu abadala babenesibalo esiphezulu se-neutrophil kuze kufike emasontweni ayisikhombisa ngemva kokuchayeka kuleli gciwane, okwakungase kunikeze izinga lokuvikela lesi sifo. “. Lokhu okutholakele kuqinisekisa imiphumela yocwaningo lwangaphambilini olwenziwe yiqembu elifanayo olwakhombisa ukuthi izingane ezintathu zomndeni waseMelbourne zithole ukusabela okufanayo kokuzivikela komzimba ngemuva kokuchayeka isikhathi eside ku-coronavirus kubazali bazo. Yize lezi zingane zangenwa yi-SARS-CoV-2, zithole impendulo esebenza ngempumelelo yokuvikela igciwane ukuthi lingaziphindaphinda, okusho ukuthi abakaze bahlolwe ukuthi bane-positive.

Izimpawu zesikhumba zibikwa ezinganeni

I-National Union of Dermatologists-Venereologists ikhuluma ngokubonakaliswa okungenzeka esikhumbeni.

« Okwamanje, sibona ezinganeni nakubantu abadala ukubomvu komkhawulo futhi ngezinye izikhathi amabhamuza amancane ezandleni nasezinyaweni, ngesikhathi sobhadane lwe-COVID. Lokhu kuqubuka kokubukeka njengesithwathwa akujwayelekile futhi kuhambisana nenkinga yobhubhane lwe-COVID. Kungaba uhlobo oluncane lwesifo se-COVID, okungaba ukubonakala sekwephuzile ngemva kokutheleleka obekungeke kubonwe, noma igciwane ngaphandle kwe-COVID elalizofika ngesikhathi esifanayo nobhadane lwamanje. Sizama ukuqonda lesi simo », Kuchaza uSolwazi Jean-David Bouaziz, udokotela wesikhumba esibhedlela saseSaint-Louis.

ICoronavirus: yiziphi izingozi kanye nezinkinga zezingane?

Ngaphandle kweziguli okungenzeka ukuthi zinaleli gciwane futhi eseluleme, akekho noyedwa ongagonyelwe ukutheleleka nge-coronavirus entsha. Ngamanye amazwi, bonke abantu, okuhlanganisa izingane, izingane kanye nabesifazane abakhulelwe, basengozini yokuthola igciwane.

Kodwa-ke, ngokusho kwedatha ekhona, izingane zibonakala zisindisiwe. Abathinteki kangako, futhi lapho bengenwe yi-Covid-19, bavame ukuba nayo amafomu amahle. Lapho izinkinga zenzeka entsheni, ngokuvamile zihlobene nezinye izimbangela. Yilokhu odokotela abakubiza ngokuthi "i-comorbidity", okungukuthi, ukuba khona kwezinto eziyingozi ezixhunywe kwenye i-pathology.

Izinkinga ezinkulu ezihlobene ne-Covid-19 ziyi akuvamile kakhulu ezinganeni nasebancane. Kepha abakhishwanga ngaphandle ngokuphelele, njengoba ukufa okwenzeka kwabaningana kubo kusukela kwaqala lolu bhubhane kuyizikhumbuzo ezibuhlungu.

Esihlokweni se-Le Parisien, uDkt. Robert Cohen, udokotela wezingane, ukhumbula ukuthi unyaka ngamunye, “oAkwaziwa ukuthi kungani kwezinye lezi zifo ziqhubeka ngendlela engafanele. Izifo ezithathelwanayo ngezinye izikhathi azibikezeli kodwa azivamile. Uyazi njalo ngonyaka izingane zibulawa umkhuhlane, isimungumungwane kanye nenkukhu ".

Iyini i-MIS-C, isifo esisha esixhumene ne-Covid-19 esithinta izingane?

Lapho kuqala i-Covid-19, kwavela esinye isifo, esithinta izingane. Eduze kwe-Kawasaki syndrome, yehlukile nokho.

Kwesinye isikhathi kubizwa nge-PIMS, kwesinye isikhathi i-MISC… Sikhumbula isifo se-Kawasaki, lesi sifo esithinte okungenani izingane eziyinkulungwane emhlabeni jikelele njengoba ubhubhane lwe-Covid lungabaphenyi abamangalisayo. Manje useqanjwe ngaye i-multisystem inflammatory syndrome ezinganeni, noma i-MIS-C.

I-MIS-C izovela cishe inyanga engu-1 ngemuva kokutheleleka nge-Covid-19

Ngokwezifundo ezimbili, ezishicilelwe ngoMsombuluko, Juni 29, 2020 ku- " I-New England Journal of Medicine », Izimpawu zalesi sifo zivela emasontweni ambalwa ngemuva kokutheleleka ngegciwane le-SARS-CoV-2, isilinganiso sezinsuku ezingama-25 ngokusho kocwaningo lokuqala lukazwelonke lwaseMelika. Olunye ucwaningo olwenziwa eNew York luyama isikhathi esingangenyanga ngemva kokungcoliswa kokuqala.

I-MIS-C ngenxa ye-Covid-19: ingozi enkulu ngokobuzwe?

Lesi sifo sisaqinisekiswa njengesiyivelakancane kakhulu: amacala angu-2 kubantu abangu-100 abaneminyaka engaphansi kuka-000. Abacwaningi kuzo zombili izifundo bathola ukuthi izingane ezithintekile zaziningi kakhulu izingane ezimnyama, zaseSpanishi, noma ezizalwa eNdiya, uma ziqhathaniswa nezingane ezimhlophe.

Yiziphi izimpawu ze-MIS-C?

Uphawu oluvame kakhulu kulolu cwaningo ezinganeni ezithintekile akukona ukuphefumula. Izingane ezingaphezu kuka-80% zihlushwa ukuphazamiseka kwamathumbu (ubuhlungu besisu, isicanucanu noma ukuhlanza, isifo sohudo), futhi abaningi baba nakho ukuqubuka kwesikhumba, ikakhulukazi abangaphansi kweminyaka emihlanu. Bonke babenomkhuhlane, isikhathi esiningi isikhathi esingaphezu kwezinsuku ezine noma ezinhlanu. Futhi ku-80% wabo, uhlelo lwenhliziyo nemithambo yegazi lwathinteka. I-8-9% yezingane yenze i-coronary artery aneurysm.

Ngaphambili, iningi lezingane lalinempilo enhle. Abazange balethe noma iyiphi ingozi engozini, nanoma yisiphi isifo esasivele sikhona. Ama-80% angeniswe ekunakekelweni okukhulu, ama-20% athola ukwesekwa kokuphefumula okuhlaselayo, kwathi ama-2% ashona.

I-MIS-C: ihlukile ku-Kawasaki syndrome

Lapho lesi sifo siqala ukuvela, odokotela baphawula ukufana okuningi nesifo isifo sikawasaki, isifo esihlasela kakhulu izinsana nezingane ezincane kakhulu. Lesi simo sakamuva sidala ukuvuvukala kwemithambo yegazi okungadala izinkinga ngenhliziyo. Idatha emisha iqinisekisa ukuthi i-MIS-C ne-Kawasaki zinezinto ezifanayo, kodwa ukuthi isifo esisha ngokuvamile sithinta izingane ezindala, futhi sibangele ukuvuvukala okukhulu kakhulu.

Imfihlakalo isazocaciswa ngezimbangela zalolu thando olusha. Kungaxhunyaniswa nokusabela okunganele kwamasosha omzimba.

Izingane, "abathwali abanempilo", noma abasindisiwe ku-coronavirus?

Ekuqaleni kobhubhane lwe-coronavirus, kwacishe kwathathwa kalula ukuthi izingane zazingabathwali abanempilo: okungukuthi, babengakwazi. ukuthwala igciwane ngaphandle kokuba nezimpawu zesifo, beludlulisela kalula phakathi kwemidlalo yabo phakathi kwabo, nasezihlotsheni zabo. Lokhu kuchaze isinqumo sokuvala izikole nezindawo zokufundela izingane, ukuze kunqandwe ukubhebhetheka kobhubhane lwe-coronavirus. 

Kodwa lokho esikuthathe ngokuqinisekile kuyangabazeka namuhla. Ucwaningo lwakamuva luvame ukufakazela ukuthi, ekugcineni, izingane zidlulisela kancane i-coronavirus. “Kungenzeka ukuthi izingane, ngenxa yokuthi azinazo izimpawu eziningi futhi zine umthamo wegciwane egazini ophansi idlulise kancane le coronavirus entsha ", uKostas Danis, udokotela wezifo eziwumshayabhuqe ePublic Health France nongumbhali oholayo walolu cwaningo, utshele abe-AFP.

I-Covid-19, umkhuhlane, i-bronchitis: uzilungisa kanjani izinto?

Njengoba kusondela ubusika futhi ngenkathi ubhubhane lwe-Covid-19 lunganciphi, abazali bayazibuza. Ingabe kufanele ingane yakho ihlolelwe umkhuhlane omncane? Yiziphi izimpawu okufanele zenze umuntu acabange nge-Covid-19? Nini ukubonisana nomkhuhlane noma ukukhwehlela? Buyekeza ngoProf. Delacourt, udokotela wezingane esibhedlela i-Necker Children Sick Hospital kanye noMongameli we-French Pediatric Society (SFP).

Akulula ngaso sonke isikhathi ukuhlukanisa izimpawu zomkhuhlane, i-bronchitis, kulezo ze-Covid-19. Lokhu kubangela ukukhathazeka kwabazali, kanye nokuxoshwa okuningi kwezingane ezikoleni.

I-Covid-19: yini okufanele uyenze uma kunezimpawu ezinganeni?

Ekhumbula ukuthi izimpawu zokutheleleka nge-coronavirus entsha (Sars-CoV-2) ngokuvamile zinesizotha kakhulu ezinganeni, lapho kunezinhlobo ezimbalwa ezinzima kanye nezinhlobo eziningi ze-asymptomatic, uSolwazi Delacourt uveze lokho. imfiva, ukuphazamiseka kokugaya ukudla futhi ngezinye izikhathi ukuphazamiseka kokuphefumula kwakuyizimpawu eziyinhloko zokutheleleka enganeni. "Uma kunezimpawu (imfiva, ukungakhululeki kokuphefumula, ukukhwehlela, izinkinga zokugaya ukudla, inothi lomhleli) futhi sekukhona ukuthintana necala elifakazelwe, kufanele kukhulunywe nengane futhi ihlolwe ”, kukhombisa uProfessor Delacourt.

Uma kunezimpawu, ” kungcono ukuhoxisa ingane emphakathini (esikoleni, enkulisa, enkulisa) ngokushesha nje lapho kukhona ukungabaza, futhi ufune iseluleko sezokwelapha. »

ICoronavirus: izimpawu ezimbalwa ezinganeni ngaphandle komkhuhlane

Abaphenyi baseMelika bathi ocwaningweni olwanyatheliswa ngoSepthemba 2020 ukuthi izingane ezine-COVID-19 zivame ukuhlushwa ukugula okuncane, okuhambisana nomkhuhlane. Futhi lokhu naphezu kweqiniso lokuthi izivivinyo zokuhlola ziqinisekisa ubukhona bomthamo wegciwane egazini.

Kusukela ekuqaleni yobhubhane lwe-COVID-19, ukutheleleka akubonakali kuzithinti kakhulu izingane ezisacathula, ngakho ososayensi banedatha encane yokufunda umphumela we-SARS CoV-2 kulesi sibalo. Kepha ucwaningo oluncane lwezingane eziyi-18 ezingenawo umlando obalulekile wezokwelapha futhi olushicilelwe ku- " I-Journal of Pediatrics Inikeza imininingwane eqinisekisayo. Odokotela basesibhedlela i-Ann & Robert H. Lurie Pediatric e-Chicago basho lokho izingane ezingaphansi kwezinsuku ezingama-90 zatholakala zinegciwane I-COVID-19 ivame ukwenza kahle, ngokubandakanyeka okuncane noma okungekho nhlobo kokuphefumula, futhi umkhuhlane wawuvame ukubhekwa njengophawu oluyinhloko noma okuwukuphela kwalo.

« Nakuba sinedatha encane kakhuluizingane ezine-Covid-19e-United States, imiphumela yethu ibonisa ukuthi iningi lalezi zingane linazo izimpawu ezincane futhi ingase ingabi sengozini enkulu yokuthola uhlobo olubi lwesifo njengoba kwaxoxwa ngakho ekuqaleni eShayina Kusho uDkt. Leena B. Mithal, umbhali oholayo wocwaningo. “ Iningi lezingane ezisanda kuzalwa ocwaningweni lwethu liphethwe umkhuhlane, okuphakamisa ukuthi ezinganeni ezincaneababonisana ngenxa yomkhuhlane, I-Covid-19 ingaba yimbangela ebalulekile, ikakhulukazi ezifundeni lapho umsebenzi womphakathi uthuthukiswa khona. Kodwa-ke, kubalulekile ukucabangela ukutheleleka kwamagciwane ezinsaneni ezincane ezinomkhuhlane. »

Umkhuhlane, ukukhwehlela kanye nezimpawu zesisu, izimpawu ezisikiselayo

Ucwaningo lucacisa ukuthi eziyisi-9 zalokhuizinsana zangeniswa esibhedlela kodwa wayengadingi usizo lokuphefumula noma ukunakekelwa okukhulu. Laba bakamuva bangeniswa ikakhulukazi ukuze babhekwe emitholampilo, kuqashwe ukubekezelelana kokudla, kukhishwe ukutheleleka kwamagciwane ngemithi elwa namagciwane ezinsaneni ezingaphansi kwezinsuku ezingu-60 ubudala. Kulezi zinsana ezingu-9, eziyisi-6 kuzo zethuliwe izimpawu zesisu (ukungathandi ukudla, ukuhlanza, isifo sohudo) kwandulelwa ukukhwehlela nokuminyana komgudu wokuphefumula ophezulu. Nabo bebeyisishiyagalombili bazokwethula umkhuhlane kuphela, futhi ezine ngokukhwehlela noma umoya onamandla wamaphaphu.

Ngemva kokwenza izivivinyo zokuhlonza ukutheleleka ngokuqondile kusetshenziswa indlela ye-PCR (kusuka kusampula yezinto eziphilayo, ngokuvamile i-nasopharyngeal), odokotela baqaphela ukuthiizingane ezincane babenenqwaba yegciwane egazini kumasampuli abo, naphezu kokugula okungatheni komtholampilo. ” Akucaci ukuthi ngabe izingane ezincane ezinomkhuhlane kanyekwatholakala ukuthi une-SARS-CoV-2kumele alaliswe esibhedlela Kwengeza uDkt Leena B. Mithal. ” Isinqumo sokungenisa isiguli esibhedlela sisekelwe eminyakeni yobudala, isidingo sokwelashwa kokuvimbela ukutheleleka kwamagciwane, ukuhlolwa komtholampilo, nokubekezelela ukudla. »

Into eyodwa eqinisekile, nokho: ithimba lesayensi lincoma ukusetshenziswa ukuhlolwa okusheshayo kwe-SARS-CoV-2kulezo zimo lapho izinsana ziphila kahle emtholampilo kodwa ezinomkhuhlane. Kumele kuqashelwe ukuthi kuseshwa okuningi kuyenziwa ukuze kutholwe ukuthi kukhona yini ukuxhumana phakathi kwe Isifo se-Kawasaki kanye ne-Covid-19 njengoba ukunqwabelana kwamacala okungavamile kwabonwa eFrance nakwamanye amazwe. Ngokusho kwe-Academy of Medicine, lokhu kuyi-pathology ehlukile, njengoba izimpawu eziphawulwe (ubuhlungu obukhulu besisu, izimpawu zesikhumba) zihlelwe ngaphansi kwegama elithi "i-pediatric multisystem inflammatory syndrome" kanye neminyaka yezingane ezithintekile (9 eneminyaka engu-17 ubudala). iphakeme kunendlela evamile yesifo se-Kawasaki.

I-Covid-19: izinsana ezithinteke kancane ngenxa yalesi sifo

Ucwaningo lwaseCanada olwanyatheliswa ngoDisemba 2020 luhlola izici zomtholampilo kanye nobukhulu be-Covid-19 lukhombisa ukuthi izinsana ezithola lesi sifo zenza kahle ngendlela emangalisayo. Impela, iningi lezingane ezihloliwe ikakhulukazi linikezwe imfiva, ukugula okuncane futhi lalingadingi ukushaywa umoya ngemishini noma ukwelashwa kokunakekelwa okukhulu.

I-Covid-19 yisifo esithinta ngendlela ehluke kakhuluabadala, izingane ... kanye nezinsana. Ucwaningo olwenziwa abacwaningi eNyuvesi yaseMontreal futhi lwashicilelwa ku I-JAMA Network ivuliwe kuveza ukuthi laba bakamuva, uma kuqhathaniswa nabantu abadala, benza kahle kakhulu lapho bengenwe yi-SARS-CoV-2. Nakuba izingane zisengozini enkulu yokuthola ukugula okungathi sína kanye nezinkinga ezivela kwamanye amagciwane avamile (umkhuhlane, igciwane le-syncytial virus yokuphefumula), kuthiwani ngobhadane lwamanje?

Ucwaningo, olwenziwa e-CHU Sainte-Justine ezinganeni (ezingaphansi konyaka owodwa ubudala) ezithole inkontileka ye-Covid-1 ngesikhathi sokuqubuka kwalolu bhubhane phakathi maphakathi noFebhuwari nokuphela kukaMeyi 19, lukhombisa ukuthi abaningi balulama ngokushesha futhi. babenezimpawu ezithambile kuphela.Ucwaningo lucacisa ukuthi eQuebec naseCanada yonkana, izinsana zinezinga eliphezulu lokulaliswa esibhedlela ngenxa ye-Covid-19 kunamanye amaqembu ezingane. Abacwaningi baveza ukuthi enganeni eyodwa eyahlolwa, engu-1 (165%) yayo kumenyezelwe ukuthi une-Covid-19 futhi phakathi kwalaba abangaphansi kancane kwengxenye yesithathu (izinsana eziyi-8) kwadingeka balaliswe esibhedlela, lezi zinsuku zokuhlala kube izinsuku ezimbili ngokwesilinganiso.

Izinga eliphezulu lokulaliswa esibhedlela kodwa…

Ngokusho kwethimba lesayensi, "lokhu kulaliswa esibhedlela okufushanengokuvamile kubonisa umkhuba wokwelapha ovamile wokuthi zonke izingane ezisanda kuzalwa ezinomkhuhlane zingeniswe ukuze zibhekwe, zihlolwe ukutheleleka futhi zithole ama-antibiotics asalindile. Ezimweni ezingu-19%, ezinye izifo, ezifana ne-urinary tract infections, zazibangela umkhuhlane kusana. Okubaluleke nakakhulu, ku-89% wamacala, ukutheleleka kwe-coronavirus yayilungile futhi akukho neyodwa yezingane eyayidinga umoya-mpilo noma umoya omncane. Izimpawu ezivame kakhulu kwakuyizimpawu emgudwini wamathumbu, kulandelwa umkhuhlane kanye nokubonakaliswa kwepheshana eliphezulu lokuphefumula.

Ngaphezu kwalokho, awukho umehluko obalulekile esenzeka emtholampilo phakathi kwabadala (izinyanga ezi-3 kuya kweziyi-12) nezincane (ezingaphansi kwezinyanga ezi-3) wabonwa. “ Izimpawu zomtholampilo kanyeubunzima besifoezinsaneni ochungechungeni lwethu zihlukile kulezo ezibikwa ezinganeni nakubantu abadala. Iziguli zethu ziveze izimpawu eziningi ze-gastrointestinal, ngisho nalapho kungekho umkhuhlane, kanye nokugula okungatheni. », Bangeza. Nakuba ucwaningo lunqunyelwe usayizi walo omncane wesampula, abacwaningi bakholelwa ukuthi abakutholile kufanele kuqinisekise abazali ngemiphumela. ukutheleleka nge-coronavirus ezinganeni.

Kuzokwenziwa ucwaningo olusha e-CHU Sainte-Justine ukuze kuqondwe umehluko wempendulo ye-immunological ku-SARS-CoV-2.ezinsaneni nabazali bazo.Umsebenzi owengeziwe uyadingeka futhi ukuze uqonde kangcono izindlela ze-pathophysiological ezingaphansi kokusabela kwamasosha omzimba ekuthelelekeni kwezinsana. Ngoba kusasele umbuzo obalulekile: kungani izimpawu zomtholampilo kanye nokuqina kwesifo ezinganeni zihluke kulezo ezibikwa ezinganeni nakubantu abadala? ” Lokhu kungaba yisici esibalulekile ekubhekaneni nokugula okucashile okuhambisana nasoukutheleleka nge-SARS-CoV-2kubantu abadala », Phetha abacwaningi.