Okuqukethwe
Umsebenzi uyaqhubeka ukuthola imbangela yesifo sokusha kwesibindi esingaqondakali, esihlasela izingane emhlabeni wonke ezisenempilo. Kuze kube manje, sekutholakele amacala angaphezu kuka-450, okuthi kuwo angaba ngu-230 eYurophu kuphela. I-etiology yalesi sifo iseyimpicabadala, kodwa ososayensi banokuqagela okuthile. Kunezinkomba eziningi zokuthi ukuvuvukala kwesibindi kuyinkinga ngemuva kwe-COVID-19.
- Ngokokuqala ngqa, i-UK iqale yaveza ukukhathazeka ngokwanda kwesifo sokusha kwesibindi kokuqina kwezingane. Ekuqaleni kuka-Ephreli, kwabikwa ukuthi zingaphezu kuka-60 izehlakalo zalesi sifo. Kuningi lokhu, uma kucatshangelwa iqiniso lokuthi kuze kube manje cishe abayisikhombisa kubo asebetholwe unyaka wonke
- Kwezinye izingane, ukuvuvukala kwabangela izinguquko ezinjalo kangangokuthi kwakudingeka ukufakelwa kwesibindi. Kuphinde kwaba khona abantu bokuqala abashona ngenxa yokuvuvukala
- Phakathi kwemibono ecatshangelwe ekuhlaziyeni izimo zezifo, isisekelo segciwane yisona esivelele. I-Adenovirus yayisolwa ekuqaleni, kodwa manje amasosha omzimba alwa ne-SARS-CoV-2 asetholwa ezinganeni eziningi ngokwengeziwe.
- Amacala amaningi atholakala ezinganeni ezincane ezingakagonywa, ngakho-ke kungenzeka ukuthi zibe ne-COVID-19 futhi ukuvuvukala kwesibindi kungaba yinkinga kulandela ukutheleleka.
- Ulwazi olwengeziwe lungatholakala ekhasini eliyisiqalo le-Onet
Ukungazi imbangela kuphazamisa kakhulu kunesifo ngokwaso
I-Hepatitis ayisona isifo izingane ezingasitholi nhlobo. Pho kungani izifo ezintsha ziye zaphakamisa ukukhathazeka okungaka emhlabeni? Impendulo ilula: azikho izinhlobo zegciwane ezivame ukubangela isifo sokusha kwesibindi kohlobo, okungukuthi, A, B, C no-D ezitholakele egazini lezingane ezigulayo. Ngaphezu kwalokho, ezimweni eziningi akukho lutho olungabangela ukuvuvukala alutholakalanga. Yi-etiology engaziwa, hhayi isifo ngokwaso, esabisayo. Kuze kube manje izingane ezinempilo ezigula ngokuzumayo, futhi kanzima kakhulu ngesizathu esingaziwa, kuyisimo esingenakunakwa.
Kungakho odokotela, ososayensi kanye nezikhulu zezempilo emhlabeni wonke sekuphele amasonto becubungula amacala, befuna izimbangela ezingase zibe khona. Kucatshangelwe izinketho ezihlukahlukene, kodwa ezimbili zakhishwa ngokushesha.
Owokuqala umthelela wezifo ezingapheli kanye nezifo ezizimele "ezithanda" ukubangela noma ukuvuvukala okubi kakhulu. Lo mbono waphikiswa ngokushesha, nokho, ngoba izingane eziningi zazinempilo enhle ngaphambi kokuba zibe ne-hepatitis.
Ithiyori yesibili umphumela wesithako esisebenzayo somuthi wokugomela i-COVID-19. Kodwa-ke, le ncazelo yayingenangqondo - lesi sifo sithinte izingane ezingaphansi kweminyaka engu-10, futhi iqembu elivelele lineminyaka eminingana (abangaphansi kweminyaka engu-5). Lezi yizingane okuthe, esikhathini esiningi, azikagonywa, ngoba bezingafaneleki ukuthola imigomo yokuvikela i-COVID-19 (ePoland, ukugonywa kwezingane ezineminyaka engu-5 kungenzeka, kodwa emazweni amaningi emhlabeni jikelele. , izingane ezineminyaka engu-12 kuphela ezingasondela kumjovo).
Nokho, hhayi i-adenovirus?
Phakathi kwemibono okungenzeka kakhulu ukuthi imvelaphi yegciwane. Njengoba kwatholakala ukuthi i-HAV ethandwayo, i-HBC noma i-HVC ayinacala ngesifo sokusha kwesibindi kohlobo ezinganeni, iziguli ezisencane zahlolelwa ukuba khona kwamanye amagciwane. Kuvele ukuthi inqwaba yabo itholakele i-adenovirus (uhlobo 41F). Kuyi-microorganism ethandwayo ebhekene ne-gastroenteritis, engahambisana nezimpawu ezivame kakhulu ze-hepatitis ezinganeni (kuhlanganise nobuhlungu besisu, isicanucanu, ukuhlanza, isifo sohudo, izinga lokushisa elikhulayo).
Inkinga yayiwukuthi i-adenoviruses ivame ukubangela izifo ezincane, futhi ngisho noma inkambo yalesi sifo inzima kakhulu futhi ingane ilaliswa esibhedlela, ngokuvamile ngenxa yokuphelelwa amanzi emzimbeni kunokuba kube noshintsho olukhulu ezithweni zangaphakathi, njengoba kwenzeka nge-hepatitis engaqondakali. .
Wonke umbhalo ngezansi kwevidiyo.
Okwesibili okungenzeka ukutheleleka ngegciwane elihlukile. Ngesikhathi sobhubhane, bekungenakwenzeka ukugwema ukuzihlanganisa ne-SARS-CoV-2, ikakhulukazi njengoba i-COVID-19 ezinganeni - kusukela ekuxilongweni, ngenkambo nokwelashwa, kuya ezinkingeni - kuseyinto enkulu eyaziwa ngemithi. Nokho, kuye kwahlangatshezwana nezinkinga kulo mongo.
Phakathi kokunye, akuzona zonke izingane ezine-hepatitis ezinomlando walesi sifo. Lokhu kwakungenxa yokuthi iziguli eziningi zezingane, ikakhulukazi ekuqaleni kwalolu bhubhane, lapho okuhlukile kwe-Alpha ne-Beta kwakunamandla, zazingenazo izimpawu. - ngakho-ke, abazali (futhi ngisho nakakhulu nodokotela wezingane) bangase bangazi kuze kube namuhla ukuthi bane-COVID-19. Futhi, ukuhlolwa akuzange kwenziwe ngezinga elikhulu kangako ngaleso sikhathi njengamaza alandelanayo abangelwa ukwahluka kwe-Delta ne-Omikron, ngakho-ke awekho “amathuba” amaningi okubona ukutheleleka.
Okwesibili, noma ngabe ingane yakho ibe ne-COVID-19, amasosha omzimba ngeke atholakale egazini layo (ikakhulukazi uma sekudlule isikhathi eside kusukela ekuthelelekeni) Ngakho-ke akunakwenzeka kuzo zonke iziguli ezisencane ezine-hepatitis ukunquma ukuthi ukutheleleka nge-coronavirus kwenzeke yini. Kungase kube nezimo lapho ingane ibigula futhi i-COVID-19 ibe nomthelela othile ekukhuleni kokuvuvukala kwesibindi, kodwa ayikho indlela yokufakazela lokhu.
"Iyi-superantigen" eyenza amasosha omzimba azwela
Ucwaningo lwakamuva ngomthelela we-COVID-19 esibindini sezingane lukhombisa ukuthi akuyona i-SARS-CoV-2 yodwa engadala ukuvuvukala kwesitho. Ababhali bokushicilelwe kokuthi “The Lancet Gastroenterology & Hepatology” baphakamisa ukulandelana kwembangela-nomphumela. Izinhlayiya zeCoronavirus kungenzeka ukuthi zithole indlela yazo emgudwini wokugaya ukudla ezinganeni futhi zaba nomthelela kumasosha omzimba ngokuwenza asabela ngokweqile ku-adenovirus 41F. Isibindi sonakalisiwe ngenxa yokukhiqizwa kwenani elikhulu lamaprotheni avuthayo.
I-“Journal of Pediatric Gastroenterology and Nutrition” yakhumbula indaba yentombazane eneminyaka emithathu ubudala okwatholakala ukuthi inesifo sokusha kwesibindi esinamandla. Ngesikhathi kuxoxwa nabazali kwatholakala ukuthi ingane yayine-COVID-19 emasontweni ambalwa edlule. Ngemuva kokuhlolwa okuningiliziwe (ukuhlolwa kwegazi, i-biopsy yesibindi), kwavela ukuthi lesi sifo sinesizinda se-autoimmune. Lokhu kungase kuphakamise ukuthi i-SARS-CoV-2 iholele ekuphenduleni okungavamile kwamasosha omzimba futhi yaholela ekuhlulekeni kwesibindi.
«Siphakamisa ukuthi izingane ezine-hepatitis eyingozi zihlolelwe ukuphikelela kwe-SARS-CoV-2 esitulweni kanye nezinye izimpawu zokuthi isibindi silimele. Iprotein ye-coronavirus spike "yi-superantigen" eyenza amasosha omzimba azwela ngokweqile»- kusho ababhali bocwaningo.
Ingabe uyafuna ukwenza izivivinyo zokuvimbela ubungozi besifo sesibindi? IMakethe ye-Medonet inikeza ukuhlolwa kwe-imeyili kwe-alpha1-antitrypsin amaprotheni.
Ingabe izingane zivele zagula ngonyaka odlule?
UProf. Agnieszka Szuster-Ciesielska, isazi segciwane kanye nesazi sokugonywa kwezifo eNyuvesi yase-Maria Curie-Skłodowska e-Lublin. Lo chwepheshe udonse ukunaka ekubonweni kodokotela baseNdiya, lapho ngonyaka odlule (phakathi kuka-Ephreli noJulayi 2021) kwaba nezigameko ezingachazwanga zesifo sokusha kwesibindi esinamandla ezinganeni. Ngaleso sikhathi odokotela, nakuba bekhathazekile ngalesi simo, abazange bahlabe umkhosi ngoba akekho oseke wabika amacala afana nalawa kwamanye amazwe. Manje sebewaxhumanise la macala futhi bethula abakutholile.
Njengomphumela wokuhlola izingane ezingama-475 ezine-hepatitis, kwavela ukuthi into evamile ezimweni zazo kwakuwukutheleleka nge-SARS-CoV-2 (eziningi ezifika ku-47 zaba nesifo sokusha kwesibindi kokuqina). Abacwaningi baseNdiya abatholanga ukuhlangana namanye amagciwane (hhayi kuphela lawo abangela i-hepatitis A, C, E, kodwa futhi i-varicella zoster, i-herpes ne-cytomegalovirus yaphenywa), kuhlanganise ne-adenovirus, eyayikhona kumasampula ambalwa kuphela.
- Kuyathakazelisa, kube nokwehla kwenani lamacala e-hepatitis ezinganeni lapho i-SARS-CoV-2 iyeka ukuzungeza esifundeni futhi yaphinda yanda lapho inani lamacala liphezulu – kugcizelela umcwaningi.
Ngokusho kukaProf. Szuster-Ciesielska, kulesi sigaba socwaningo mayelana ne-etiology ye-hepatitis ezinganeni, into ebaluleke kakhulu ukuqapha.
- Kubalulekile ukuthi odokotela baqaphele ukuthi isifo sokusha kwesibindi kohlobo siyivelakancane futhi singakhula ngesikhathi sokutheleleka nge-SARS-CoV-2 noma ngemva kokuphathwa yi-COVID-19. Kubalulekile ukwenza ukuhlolwa kokusebenza kwesibindi ezigulini ezingathuthuki njengoba kulindelekile. Abazali akufanele bethuke, kodwa uma ingane yabo igula, kungase kube kuhle ukubona udokotela wezingane ukuze ayohlolwa. Ukuxilongwa ngesikhathi kuyisihluthulelo sokululama – i-virologist iyaluleka.
Yiziphi izimpawu ze-hepatitis kanye nezingane?
Izimpawu ze-hepatitis enganeni ziyisici, kodwa zingadideka nezimpawu ze-gastroenteritis "evamile", "amathumbu" athandwayo noma umkhuhlane wesisu. Ngokuyinhloko:
- isicashunwe,
- ubuhlungu besisu,
- ukuhlanza,
- isifo sohudo,
- ukulahlekelwa ukudla
- imfiva,
- ubuhlungu emisipheni nasemalungeni,
- ubuthakathaka, ukukhathala,
- umbala ophuzi wesikhumba kanye / noma ama-eyeballs,
Uphawu lokuvuvukala kwesibindi ngokuvamile ukushintsha umbala womchamo (uba mnyama kunokuvamile) kanye nendle (iphaphathekile, impunga).
Uma ingane yakho iba nalolu hlobo lokuphazamiseka, kufanele ngokushesha uthintane nodokotela wezingane noma udokotela ojwayelekilefuthi, uma lokhu kungenakwenzeka, hamba esibhedlela, lapho isiguli esincane sizohlolwa ngokuningiliziwe.
Sikukhuthaza ukuthi ulalele isiqephu sakamuva se-podcast ye-RESET. Lesi sikhathi siyinikela ekudleni. Ingabe kufanele unamathele kukho ngo-100% ukuze uhlale unempilo futhi uzizwe ulungile? Ingabe kufanele ngempela uqale nsuku zonke ngesidlo sasekuseni? Kunjani ngokuqhabula ukudla nokudla izithelo? Lalela: