Isifo seKawasaki, i-PIMS ne-covid-19: yiziphi izimpawu nobungozi ezinganeni?

Isifo seKawasaki, i-PIMS ne-covid-19: yiziphi izimpawu nobungozi ezinganeni?

 

Ithimba lePasportportSanté lisebenza ukukunikeza imininingwane ethembekile futhi esesikhathini nge-coronavirus. 

Ukuthola okuningi, thola: 

  • Ishidi lethu lesifo ku-coronavirus 
  • Udaba lwethu lwezindaba olusha nsuku zonke oludlulisa izincomo zikahulumeni
  • I-athikili yethu ngokuvela kwe-coronavirus eFrance
  • Ingosi yethu ephelele ku-Covid-19

 

izinzuzo izingane kanye ukwethula I-Pediatric Multisystem inflammatory syndromes (PIMS), bangeniswe esibhedlela. Amacala abikwe okokuqala kwiziphathimandla zezempilo yi-United Kingdom. Amanye amazwe aye aqaphela okufanayo, njenge-Italy neBelgium. EFrance, isibhedlela iNecker eParis, sibike izehlakalo eziyi-125 zezingane ezilaliswe esibhedlela ngo-Ephreli 2020. Kuze kube manje, ngoMeyi 28, 2021, sekuhlonzwe amacala angama-563. Ziyini izimpawu ? Yini ukuxhumana phakathi kwe-PIMS ne-Covid-19? Yiziphi izingozi ezinganeni?

 

Isifo se-Kawasaki kanye ne-Covid-19

Incazelo kanye nezimpawu zesifo se-Kawasaki

Isifo sikaKawasaki yisifo esingajwayelekile. Itholwe eJapan, ngodokotela wezingane uDkt Tomisaku Kawasaki ngo-1967, ngokusho kukaDkt. ukuhlangana kwe-vasculitis. Lesi sifo singesinye sezifo zezintandane. Sikhuluma ngesifo sezintandane lapho ukusabalala kungaphansi kwezigameko ezi-5 kubantu abayi-10. Isifo sikaKawasaki ibonakala nge-acute systemic vasculitis; kuwukuvuvukala kwezindonga zemithambo yegazi. Kubonakaliswa umkhuhlane ophakeme kakhulu, ophikelela okungenani izinsuku ezingu-5. Ayibekezelelwa kahle ingane. Ukuthi ingane inakho Isifo sikaKawasaki, umkhuhlane kufanele ube okuhlobene okungenani nezimpawu ezi-4 zalezi ezilandelayo : 

  • Ukuvuvukala kwama-lymph nodes; 
  • Ukuqubuka kwesikhumba;
  • Ukuhlangana; 
  • Ulimi olusajingijolo nezindebe eziqhekekile; 
  • Ukushisa kokuphela kwesikhumba okuhambisana nokubomvu kanye ne-edema. 

Ezimweni eziningi, lesi sifo sincane futhi izingane azinazo zonke izimpawu; lokhu kubizwa ngokuthi isifo esingajwayelekile noma esingaphelele. Ingane idinga ukulandelwa futhi igadwe umkhakha wezokwelapha. Unikezwa ukwelashwa futhi umzimba wakhe ngokuvamile usabela kahle. Ingane ilulama ngokushesha kulesi sifo lapho inakekelwa kusenesikhathi. Isifo se-Kawasaki asithelelaninoma ifa. 

Ezimweni ezingavamile, Isifo se-Kawasaki singaholela ezinkingeni ezithile zenhliziyo : 

  • Ukunwebeka kwemithambo;
  • Ukungajwayelekile kwe-valve yenhliziyo (ukububula);
  • Ukuphazamiseka kwesigqi senhliziyo (arrhythmia);
  • Ukulimala odongeni lwemisipha yenhliziyo (myocarditis);
  • Ukulimala kolwelwesi lwenhliziyo (pericarditis).

Kusukela ekupheleni kuka-April 2020, i-Santé Publique France, ngokubambisana nezinhlangano ezifundela izingane, isungule ukubhekwa okusebenzayo kwamacala abikiwe ezingane ezithole i-myocarditis ngokushaqeka (i-pediatric multisystem inflammatory syndromes noma i-PIMS).

Kwangathi i-28: 

  • Amacala angama-563 e-PIMS abikiwe;
  • U-44% wabo ngamantombazane;
  • iminyaka emaphakathi yamacala yiminyaka eyi-8;
  • ngaphezu kwezingxenye ezintathu kwezine, noma u-79% wezingane uqinisekiswe ukuhlolwa kwe-PCR kanye / noma i-serology eqondile ye-Sars-Cov-2;
  • ezinganeni ezingama-230, ukuhlala endaweni yokunakekelwa kwabagula kakhulu kwakudingeka futhi kwabangu-143, ukungeniswa egunjini labagula kakhulu; 
  • I-PIMS yenzeka phakathi nesilinganiso samasonto ama-4 kuya kwayi-5 ngemva kokutheleleka nge-Sars-Cov-2.


Isikhumbuzi sezimpawu nobungozi be-coronavirus ezinganeni

Buyekeza ngoMeyi 11, 2021 - I-Santé Publique France iyasazisa ukuthi izingane ezilaliswe esibhedlela, ezingeniswe ekunakekelweni okubucayi noma ezishonile ngenxa ye-Covid-19 zimele ngaphansi kwe-1% yenani leziguli ezilaliswe esibhedlela noma ezishonile. Kusukela ngoMashi 1, izingane ezingu-75 zingeniswe esibhedlela kanti ezingu-17 zisesimweni esibucayi. EFrance, ukufa kwezingane eziyisi-6 ezineminyaka ephakathi kuka-0 no-14 kuzodabukisa.

Ngokusho kwedatha evela kuPublic Health France, " izingane azimelwe kahle kakhulu phakathi kweziguli ezilaliswe esibhedlela ngenxa ye-COVID-19 naphakathi kokufa (ngaphansi kwe-1%) “. I-Inserm iphinde ikhombise, emafayeleni ayo olwazi, ukuthi labo abangaphansi kweminyaka engu-18 bamele ngaphansi kuka-10% wabantu abaxilongwayo. Izingane, ngokwengxenye enkulu, azibonakali futhi zinezinhlobo ezilinganiselwe zesifo. Kodwa-ke, i-Covid-19 ingabonakala njengophawu olulodwa. Ukuphazamiseka kokugaya ukudla kuvame ukubonakala kubantu abasha kunabantu abadala.


Ngokocwaningo lwe-Ped-Covid, oluholwa yisibhedlela i-Necker (AP-HP) kanye ne-Institut Pasteur, izingane azinazo izimpawu kakhulu cishe ku-70% wamacala. Ucwaningo luthinta izingane ezingu-775 ezineminyaka engu-0 kuya ku-18. Ngakolunye uhlangothi, izimpawu zesici ezibonwa ezinganeni umkhuhlane ohambisana nokucasuka okungavamile, ukukhwehlela, isifo sohudo ngezinye izikhathi esihambisana nokuhlanza kanye namajaqamba esiswini. Amacala ohlobo olunzima lwesifo se-Covid-19 ajwayelekile ezinganeni. Izimpawu okufanele ziqaphele ukuphefumula kanzima, i-cyanosis (isikhumba esiluhlaza okwesibhakabhaka) noma ukucindezeleka kokuphefumula okukhulu. Ingane izofaka izikhalazo futhi yenqabe ukondla. 

Ekuqaleni kwe- ubhubhane lwe-Covid-19, izingane zazibonakala zingathinteki kangako coronavirus entsha. Kuhlale kunjalo. Eqinisweni, izingane zingangenwa i-Covid-19, kodwa azinazo izimpawu, noma azinazo nhlobo izimpawu. Yingakho kunzima ukuzicabangela kudatha ye-epidemiological. Ngaphezu kwalokho, kusho ukuthi bangadlulisela igciwane. Ngokuqondene izimpawu ze-coronavirus entsha, ziyafana kubantu abadala nasezinganeni. Lezi izimpawu zomtholampilo ezifana nomkhuhlane noma umkhuhlane.

Ukuvalelwa kwesibili kanye nezingane

Izinyathelo zokuvikela eziqinile zisusiwe kusukela ngoDisemba 15.

Ngemuva kwezimemezelo zika-Emmanuel Macron, inani labantu baseFrance livalelwe okwesibili, kusukela ngo-Okthoba 30 futhi okungenani kuze kube nguDisemba 1. Kodwa-ke, isikole siyagcinwa (kusukela enkulisa kuya esikoleni samabanga aphezulu) futhi izinkulisa zihlala zivulekile, ngenqubo yezempilo eqinisiwe. Ukugqoka imaskhi manje kuyimpoqo ezinganeni ezineminyaka engu-6 ubudala, esikoleni. Ngakolunye uhlangothi, njengaphakathi kokuvalelwa kokuqala, isakhamuzi ngasinye kufanele silethe a isitifiketi sokuhamba esihlambalazayo. Umehluko uwukuthi ubufakazi obuhlala njalo besikole buyatholakala ohambweni lwabazali, phakathi kwekhaya nendawo yokwamukela ingane. 

Buyela esikoleni kanye ne-coronavirus

Ngaphezu kwalokho, izindlela zokuhlanzeka zihlonishwa ngokucophelela, ngenxa yokugeza izandla okwenziwa izikhathi eziningana ngosuku kanye nokukhishwa kwamagciwane nsuku zonke kwezindawo nemishini esetshenziswayo. Kuye kwanqunywa imithetho eqinile, njengokugqoka imaski yibo bonke abantu abadala ngaphandle kokukhetha ngaphakathi nangaphandle kwezikhungo. Abafundi abaneminyaka engu-6 kumele nabo bagqoke imaski, ngaphansi kwalezi zimo ezifanayo. Izincomo ku-“ukuhlanganisa abafundiZikhishelwa ukuvimbela amaqembu ekuweleni izindlela. Ekantini, ibanga lemitha elingu-1 phakathi komfundi ngamunye kufanele lihlonishwe.

Buyekeza ngo-Ephreli 26, 2021 - Icala elilodwa le-Covid-19 liholela ekuvaleni amakilasi ezikoleni ezisukela enkulisa kuya ezikoleni zamabanga aphezulu. Uhlelo lwezempilo luyaqiniswa ezikoleni futhi abafundi kufanele bagqoke a imaski yesigaba 1, ikakhulukazi ukuvikela ngokumelene okuhlukile. The ngibuyele esikoleni ngo-April kwenzekile. UMnyango wezeMfundo ubika ngokuvalwa kwezikole zasenkulisa ezingu-19 kanye nezikole zamabanga aphansi kanye nekilasi elilodwa kulezi zinsuku eziyisikhombisa ezedlule. Angaphezu kuka-1 amacala aqinisekisiwe phakathi kwabafundi.

Kungani wenze isixhumanisi phakathi kwe-Covid-19 ne-PIMS?

Isixhumanisi esiqinisekisiwe phakathi kwe-PIMS ne-Covid-19

Ngo-May 25, i-2021, i-izigameko ze-PIMS mayelana ne-Covid-19 ilinganiselwa ku-33,8 izigameko ngesigidi sabantu abaneminyaka engaphansi kwe-18.

Ngaphambi kokuqala kwenqubo ubhubhane oluxhumene negciwane leSars-Cov-2, ososayensi babenze ukuxhumana, phakathi nezifundo ze-virological, phakathi izingane kanye ukwethula Izimpawu ezifana ne-Kawasaki kanye nama-coronavirus (ehlukile ku-Covid-19). I-ejenti ethathelwanayo itholwe ku-7% weziguli ezinalesi sifo. Ukuqaphela okulandelayo kuyasungulwa: “Ukuba khona kwabo akubakhombi njengembangela eqondile yalesi sifo kodwa, nokho, kungabhekwa njengokubangela impendulo engafanele yokuvuvukala ezinganeni okungenzeka ukuthi zicatshangelwe kusengaphambili”, ngokusho kwenhlangano ye-vasculitis. Kuvele namuhla ukuthi amacala ezingane abikiwe abephethwe yiwo IZIMPILO, ngenxa ye-syndromes yokuvuvukala kwesistimu ye-multisystem. Izimpawu zomtholampilo ze Ama-PIMS asondelene kakhulu nalawo esifo i-Kawasaki. Umehluko wukuthi IZIMPILO kuzothinta izingane ezindala kancane, kuyilapho isifo se-Kawasaki sithinta izingane ezincane kakhulu nezinsana. Izilonda zenhliziyo ezibangelwa i-PIMS kuthiwa ziqine kakhulu kunezifo ezingavamile.

Embikweni wangoJuni 16, 2020, ezinganeni eziyi-125 eziqale zalaliswa esibhedlela ngenxa ye-PIMS, ezingama-65 kuzo uhlolwe ukuthi une-Covid-19. Isixhumanisi sasingenzeka ngaleso sikhathi, kodwa sasingakaqinisekiswa.

NgoDisemba 17, 2020, I-Public Health France ikhombisa embikweni wayo ukuthi “ idatha eqoqiwe iqinisekisa ukuba khona kwesifo esingajwayelekile sokuvuvukala kwezingane ezinganeni ezibandakanya inhliziyo njalo, esixhunyaniswe nobhubhane lwe-COVID-19 “. Eqinisweni, kusukela ngoMashi 1, 2020, iSanté Publique France isungule uhlelo lokugada izingane ezine-PIMS. Kusukela ngalolo suku, Amacala angu-501 ezingane athintekile eFrance. Cishe izingxenye ezintathu kwezine zazo, noma u-77%, wethuliwe I-serology enhle ye-Covid-19. Bangaphezu kwenkulungwane emhlabeni wonke, ngokusho kweNational Health Service yase-UK.

NgoMeyi 16, 2020, iSanté Publique France yamemezela ukushona komfana oneminyaka engu-9 waseMarseille. Ingane yethula Izimpawu ezifana ne-Kawasaki. Ngaphezu kwalokho, serology yakhe kwaba omuhle maqondana ne-Covid-19. Isiguli esincane sasine-“ukungakhululeki okukhulu ngokuboshwa kwenhliziyo"Ekhaya lakhe, nakuba abelaliswe esibhedlela izinsuku ezingu-7 ngaphambili. Wethula “i-neuro-developmental co-morbidity“. Izimpawu zomtholampilo, ezifana nalezi zesifo esingajwayelekile, zingavela cishe amasonto ama-4 ingane ihlangane ne-coronavirus entsha. 

Yikuphi ukwelashwa kwalezi ziguli ezincane? 

Buyekeza ngoMashi 31, 2021 - Inhlangano Yezingane YaseFrance incoma ukuqaliswa kwephrothokholi yokunakekelwa eqinile. Ukwelashwa kungase kusekelwe ukwelashwa kwe-corticosteroid, ukubamba kwemithi elwa namagciwane ou ama-immunoglobulins. 

EFrance, ngemuva kwenani eliphakeme elibonwe phakathi nesonto lika-Ephreli 27 kuya kuMeyi 3, isibalo samacala amasha sehle kakhulu kusukela ngaleso sikhathi. 

Uma ungabaza, thintana nodokotela. Ngemva kokuxilongwa, uzonikeza ukwelashwa okufanelana nengane futhi uzonquma ngezinyathelo okufanele zithathwe. Ngokuvamile, ingane kufanele ilaliswe esibhedlela ukuze kuqinisekiswe ukulandelwa kanye kanjalo gwema ingozi yezinkinga. Ukwelashwa kwezidakamizwa kuzonikezwa yena. Ukuhlolwa kuzoyalwa, njenge-ultrasound, ukuze kufundwe okwengeziwe ngesimo sempilo yengane. Umzimba omncane uyakwamukela futhi ululama ngokushesha. Ngaphansi kwezimo ezinhle zokulandelela, ingane iyalulama. 

Isikhumbuzi semikhuba emihle yokuziphatha

Ukuze silwe nokubhebhetheka kwegciwane leSars-Cov-2, kufanele sithathe isinyathelo sokuvikela ukuvikela abasengozini kakhulu. I-UNICEF (United Nations Children’s Fund) itusa ukuba abazali bakhulume ngokucacile ngaleli gciwane, ngokusebenzisa izinkundla zokucobelelana ngolwazi noma ngokusebenzisa amagama alula. Kufanele ubekezele futhi ube uthisha. Izinyathelo zokuhlanzeka kufanele zibhekwe, njengokugeza izandla njalo noma ukuthimula endaweni yendololwane. Ukuze baqinisekise izingane ezibuyela esikoleni, abazali kumelwe baqaphele ukuthi izingane ngeke zibe nokukhubazeka kwengqondo. Zonke izingane zisesimweni esifanayo. Echaza imizwa yakhe, ukwethembeka enganeni yakhe kungcono kunokumqambela amanga ezama ukuyiqinisa idolo. Kungenjalo, izozizwa izinkathazo zabazali bayo bese yona ikhathazeke ngokubuyela esikoleni. Ingane kufanele futhi ikwazi ukuveza imizwa yayo futhi iqonde ukuthi kwenzekani. Uzothambekela kakhulu ekuhlonipheni imithetho, azivikele yena namaqabane akhe. 

 

shiya impendulo