Covid-19 tus menyuam thiab tus menyuam mos: cov tsos mob, kuaj thiab tshuaj tiv thaiv

Covid-19: Dab tsi yog "cov nuj nqis tiv thaiv kab mob", uas cov menyuam tuaj yeem raug kev txom nyem?

Cov kws kho mob tau ceeb toom txog tam sim no me ntsis hais txog qhov tshwm sim ntawm COVID-19 kis thoob plaws rau menyuam yaus txoj kev noj qab haus huv. Ib qho tshwm sim hu ua "cov nuj nqis tiv thaiv kab mob", thaum qhov txo qis ntawm ntau tus kab mob thiab kab mob ua rau tsis muaj zog tiv thaiv kab mob.

Tus kab mob COVID-19 thiab lwm yam kev tu cev thiab ntsuas lub cev nyob deb Kev siv ntau lub hlis yuav tsawg kawg tau ua kom txo tau tus naj npawb ntawm cov kab mob kis tau zoo tshaj plaws piv rau xyoo dhau los: mob khaub thuas, kab mob qhua pias, qhua pias… Tab sis qhov no puas yog qhov zoo? Tsis tas li, raws li kev tshawb fawb luam tawm los ntawm Fab Kis cov kws kho mob hauv phau ntawv xov xwm tshawb fawb "Science Direct". Tom qab hais tias tus tsis muaj kev tiv thaiv kab mob stimulation vim qhov txo qis ntawm cov kab mob microbial nyob rau hauv cov pej xeem thiab ntau qhov kev ncua sij hawm ntawm kev txhaj tshuaj tiv thaiv tau ua rau "cov nuj nqis tiv thaiv kab mob", nrog rau kev nce ntxiv ntawm cov neeg raug tsim txom, tshwj xeeb yog menyuam yaus.

Txawm li cas los xij, qhov xwm txheej no "yuav ua rau muaj kev sib kis loj dua thaum muaj kev cuam tshuam tsis yog tshuaj kho mob. by SARS-CoV-2 epidemic yuav tsis xav tau lawm. “, Ntshai cov kws kho mob. Qhov kev mob tshwm sim no tau zoo nyob rau lub sijhawm luv luv, vim nws tau ua kom tsis txhob muaj kev pabcuam hauv tsev kho mob ntau dhau thaum muaj teebmeem kev noj qab haus huv. Tab sis qhov tsis muaj tiv thaiv kab mob stimulation vim qhov txo qis ntawm cov kab mob microbes thiab cov kab mob, thiab kev txo qis hauv kev txhaj tshuaj tiv thaiv, tau ua rau "cov nuj nqis tiv thaiv kab mob" uas tuaj yeem ua rau muaj kev cuam tshuam tsis zoo thaum muaj tus kabmob kis thoob qhov txhia chaw. "Lub sijhawm ntev ntawm 'cov kab mob qis lossis kab mob kis', ntau dua qhov yuav muaj kev kis kab mob yav tom ntej yog siab. “, Ceeb toom cov kws sau ntawv ntawm kev kawm.

Cov kab mob me me tsawg dua, qhov tshwm sim rau cov menyuam yaus?

Tseeb tiag, qee qhov kev kis mob tuaj yeem mob hnyav dua nyob rau xyoo tom ntej. Paediatricians ntshai qhov no tej zaum yuav muaj teeb meem nrog zej zog pediatric kis kab mob, suav nrog tus naj npawb ntawm kev mus ntsib tsev kho mob xwm txheej ceev thiab kev coj ua tau txo qis thaum lub sijhawm kaw, tab sis kuj dhau mus txawm tias rov qhib tsev kawm ntawv. Ntawm cov no: gastroenteritis, bronchiolitis (tshwj xeeb tshaj yog vim tus kab mob ua pa syncytial), mob khaub thuas, mob otitis media, nonspecific kab mob sab sauv thiab sab sauv, nrog rau cov kab mob invasive. Pab neeg rov qab hais tias "lawv qhov tshwm sim yog kab mob thaum yau, feem ntau kis kab mob, yuav luag tsis muaj nyob hauv thawj xyoo ntawm lub neej. "

Tseem, rau qee qhov ntawm cov kab mob no, qhov tshwm sim tsis zoo tuaj yeem yog them nyiaj los ntawm kev txhaj tshuaj. Qhov no yog vim li cas cov kws kho mob hu rau kev ua raws li cov kev pab cuam txhaj tshuaj tiv thaiv ntau ntxiv, thiab txawm tias muaj kev nthuav dav ntawm cov neeg lub hom phiaj. Nco ntsoov tias lub Xya Hli dhau los, Lub Koom Haum Saib Xyuas Kev Noj Qab Haus Huv Ntiaj Teb (WHO) thiab Unicef ​​​​ twb tau ceeb toom rau "kev ceeb toom" poob ntawm cov menyuam yaus. tau txais cov tshuaj tiv thaiv txoj sia hauv ntiaj teb no. Ib qho xwm txheej vim muaj kev cuam tshuam ntawm kev siv tshuaj tiv thaiv vim yog COVID-19 kis thoob qhov txhia chaw: 23 lab tus menyuam yaus tsis tau txais peb koob tshuaj tiv thaiv kab mob diphtheria, tetanus thiab pertussis hauv 2020, qhov no leej twg tuaj yeem ua rau muaj kev sib kis tshiab hauv cov xyoo tom ntej no.

Txawm li cas los xij, qee cov kab mob kis tsis yog qhov kev pab cuam txhaj tshuaj. Zoo li kab mob qhua pias : Txhua tus neeg tau cog lus rau lawv lub neej, feem ntau thaum yau, kev txhaj tshuaj tiv thaiv tsuas yog rau cov tib neeg uas muaj kev pheej hmoo ntawm cov mob hnyav. Hauv 2020, 230 tus neeg mob tau tshaj tawm, txo qis ntawm 000%. Vim inevitability ntawm kab mob khaub thuas, "Cov menyuam yaus uas yuav tsum tau cog lus rau xyoo 2020 tuaj yeem ua rau muaj qhov tshwm sim ntau dua nyob rau xyoo tom ntej," cov kws tshawb fawb hais. Tsis tas li ntawd, cov menyuam yaus no yuav muaj "hnub nyoog" uas tuaj yeem ua rau muaj tus kabmob hnyav dua. Tau ntsib nrog cov ntsiab lus no kev pheej hmoo ntawm kev kis mob rov qab, tom kawg xav kom nthuav dav cov lus pom zoo tshuaj tiv thaiv kab mob khaub thuas, yog li ntawd, tab sis kuj rotavirus thiab meningococci B thiab ACYW.

Covid-19 tus menyuam mos thiab menyuam yaus: tsos mob, kuaj, tshuaj tiv thaiv

Cov tsos mob ntawm Covid-19 yog dab tsi hauv cov tub ntxhais hluas, menyuam yaus thiab menyuam yaus? Cov menyuam puas kis tau zoo? Lawv puas kis tus kabmob coronavirus rau cov neeg laus? PCR, qaub ncaug: qhov kev kuaj twg los kuaj xyuas tus kab mob Sars-CoV-2 hauv tus yau? Peb khaws cov kev paub txog niaj hnub rau Covid-19 hauv cov tub ntxhais hluas, menyuam yaus thiab menyuam mos.

Covid-19: Cov menyuam yaus kis tau ntau dua li cov tub ntxhais hluas

Cov menyuam yaus tuaj yeem ntes tus kabmob SARS-CoV-2 thiab kis mus rau lwm tus menyuam yaus thiab cov neeg laus, tshwj xeeb hauv tib tsev neeg. Tab sis cov kws tshawb fawb xav paub seb qhov kev pheej hmoo no puas loj dua raws li lub hnub nyoog, thiab nws hloov tawm tias cov menyuam yaus hnub nyoog qis dua 3 xyoos yuav kis tau rau cov neeg nyob ib puag ncig lawv.

Thaum cov kev tshawb fawb tau pom tias cov me nyuam feem ntau muaj tsawg dua cov qauv ntawm COVID-19 tshaj li cov neeg laus, qhov no tsis tas txhais tau tias tom kawg kis tus kabmob coronavirus tsawg dua. Cov lus nug ntawm kev paub seb lawv puas yog cov kab mob tsawg dua li cov neeg laus yog li ntawd tseem nyob, tshwj xeeb tshaj yog vim nws nyuaj los ntawm cov ntaub ntawv muaj los ntsuas lawv lub luag haujlwm kom meej. nyob rau hauv dynamics ntawm kev sib kis. Hauv kev tshawb fawb tshiab tau tshaj tawm hauv phau ntawv xov xwm "JAMA Pediatrics", Canadian cov kws tshawb fawb xav paub seb puas muaj qhov sib txawv ntawm qhov tshwm sim ntawm kev sib kis ntawm SARS-CoV-2 hauv tsev. los ntawm cov menyuam yaus piv rau cov menyuam yaus.

Raws li kev tshawb fawb cov txiaj ntsig tau tshaj tawm los ntawm New York Times, cov menyuam mos thiab cov menyuam yaus muaj feem yuav muaj mob ntau dua kom kis tus kab mob COVID-19 rau lwm tus hauv lawv tsev dua li cov hluas. Tab sis qhov tsis sib xws, cov menyuam yaus muaj feem tsawg dua li cov tub ntxhais hluas los qhia tus kabmob. Los rau qhov xaus no, cov kws tshawb fawb tau txheeb xyuas cov ntaub ntawv ntawm cov kev ntsuam xyuas zoo thiab ntawm cov kab mob COVID-19 hauv lub xeev Ontario thaum Lub Rau Hli 1 txog rau Lub Kaum Ob Hlis 31, 2020, thiab tau txheeb xyuas ntau dua 6 tsev neeg uas thawj tus neeg muaj hnub nyoog qis dua 200 xyoo. Lawv tau tshawb nrhiav cov kis mob ntxiv nyob rau hauv ob lub lis piam. qhov kev xeem zoo ntawm thawj tus menyuam.

Cov menyuam yaus kis tau ntau dua vim lawv nyuaj rau cais tawm

Nws hloov tawm tias 27,3% ntawm cov menyuam muaj kis tsawg kawg yog ib tus neeg los ntawm tib tsev neeg. Cov tub ntxhais hluas suav txog 38% ntawm thawj kis hauv tsev, piv rau 12% ntawm cov menyuam yaus hnub nyoog qis dua 3 xyoos. Tab sis qhov kev pheej hmoo kis mus rau lwm tus neeg hauv tsev neeg yog 40% siab dua thaum thawj tus menyuam muaj mob yog 3 xyoos los yog hluas dua thaum nws muaj hnub nyoog 14 txog 17 xyoo. Cov txiaj ntsig no tuaj yeem piav qhia los ntawm qhov tseeb tias cov menyuam yaus xav tau ntau yam kev saib xyuas thiab tsis tuaj yeem raug cais tawm thaum lawv muaj mob, cov kws tshawb fawb pom zoo. Ntxiv mus, thaum muaj hnub nyoog thaum cov menyuam yaus yog "jack-of-tag nrho-kev lag luam", nws nyuaj rau ua rau lawv txais yuav barrier gestures.

“Cov neeg uas tau tsa cov menyuam yaus yog siv los muaj hnoos qeev thiab poob dej ntawm lub xub pwg nyom. “Dr. Susan Coffin, tus kws kho mob tshwj xeeb ntawm Children's Hospital hauv Philadelphia, hais rau New York Times. “Tsis muaj leej twg mus ncig nws. Tab sis siv cov ntaub so ntswg pov tseg, ntxuav koj txhais tes tam sim ntawd tom qab pab lawv so lawv lub qhov ntswg yog yam uas niam txiv ntawm tus menyuam muaj tus kabmob tuaj yeem ua kom txwv tsis pub kis tus kabmob hauv tsev. Yog tias txoj kev tshawb no tsis teb cov lus nug ntawm seb cov menyuam yaus puas yog thiab kis tau tshaj cov laus, qhov no qhia tau hais tias txawm tias cov menyuam yaus ua lub luag haujlwm tshwj xeeb hauv kev kis tus kabmob.

“Qhov kev tshawb fawb no qhia tias cov menyuam yaus yuav muaj feem ntau dua kis tus kab mob tshaj li cov menyuam yaus, qhov kev pheej hmoo siab tshaj ntawm kev sib kis tau raug pom hauv cov hnub nyoog 0 txog 3 xyoos. », Xaus cov kws tshawb fawb. Qhov kev tshawb pom no yog qhov tseem ceeb, txij li kev nkag siab zoo dua qhov kev pheej hmoo ntawm kev kis tus kabmob raws li pab pawg neeg hnub nyoog muaj txiaj ntsig zoo rau kev tiv thaiv kab mob hauv cov kab mob. Tab sis kuj tseem nyob hauv tsev kawm ntawv thiab chaw zov me nyuam, txhawm rau txo qhov kev pheej hmoo ntawm kev kis tus kab mob thib ob hauv tsev neeg. Pab pawg kws tshawb fawb hu rau kev tshawb fawb ntxiv ntawm ib pab pawg loj ntawm cov me nyuam muaj hnub nyoog sib txawv los tsim kom muaj kev pheej hmoo no ntau dua precisely.

Covid-19 thiab inflammatory syndrome nyob rau hauv cov menyuam yaus: ib txoj kev tshawb no piav qhia qhov tshwm sim

Muaj tsawg zaus hauv cov menyuam yaus, Covid-19 tau ua rau muaj ntau yam kab mob sib kis (MIS-C lossis PIMS). Hauv txoj kev tshawb fawb tshiab, cov kws tshawb fawb tau piav qhia txog qhov no tseem tsis tau paub txog kev tiv thaiv kab mob.

Hmoov zoo, feem ntau ntawm cov menyuam yaus kis tus kabmob Sars-CoV-2 muaj qee yam tsos mob, lossis txawm tias tsis muaj tsos mob. Pob kws Hauv cov xwm txheej tsis tshua muaj, Covid-19 hauv cov menyuam yaus hloov mus rau hauv ntau lub cev inflammatory syndrome (MIS-C lossis PIMS). Yog hais tias peb thawj zaug hais txog tus kab mob Kawasaki, nws yog qhov tseeb ib qho mob tshwj xeeb, uas qhia qee yam ntxwv nrog tus kab mob Kawasaki tab sis qhov twg yog qhov txawv.

Raws li kev ceeb toom, multisystem inflammatory syndrome yog tus cwj pwm los ntawm Cov tsos mob xws li kub taub hau, mob plab, ua pob liab liab, mob plawv thiab paj hlwb tshwm sim 4 mus rau 6 lub lis piam tom qab infection with Sars-CoV-2. Thaum kuaj pom ntxov, tus mob no yog kho tau yooj yim nrog kev pab los ntawm cov tshuaj tiv thaiv kab mob.

Nyob rau hauv ib txoj kev tshawb fawb tshiab luam tawm rau lub Tsib Hlis 11, 2021 hauv phau ntawv journal tiv thaiv, cov kws tshawb fawb ntawm Yale University (Connecticut, USA) tau sim ua kom pom kev no phenomenon ntawm kev tiv thaiv overreaction.

Pab pawg tshawb fawb ntawm no tau tshuaj xyuas cov ntshav kuaj los ntawm cov menyuam yaus uas muaj MIS-C, cov neeg laus uas muaj mob hnyav ntawm Covid-19, nrog rau cov menyuam yaus noj qab haus huv thiab cov neeg laus. Cov kws tshawb fawb pom tias cov menyuam yaus uas muaj MIS-C muaj kev tiv thaiv kab mob sib txawv ntawm lwm pab pawg. Lawv muaj qib siab dua ntawm alarmines, cov molecules ntawm lub cev tiv thaiv kab mob hauv lub cev, uas tau nthuav tawm sai sai los teb rau txhua yam kab mob.

« Kev tiv thaiv kab mob hauv lub cev tuaj yeem ua haujlwm ntau dua rau cov menyuam yaus kis tus kabmob ”hais tias Carrie Lucas, tus xibfwb ntawm kev tiv thaiv kab mob thiab tus kws sau ntawv ntawm txoj kev tshawb no. ” Tab sis ntawm qhov tod tes, muaj tsawg zaus, nws tuaj yeem tau txais kev zoo siab heev thiab ua rau tus kab mob inflammatory no. », Nws ntxiv rau hauv a txuas lus tau.

Cov kws tshawb fawb tseem pom tau tias cov menyuam yaus uas muaj MIS-C nthuav qhia qhov kev nce siab hauv qee qhov kev hloov pauv lub cev tiv thaiv kab mob, kev tiv thaiv los tiv thaiv cov kab mob tshwj xeeb - xws li tus mob coronaviruses - thiab feem ntau ua rau kev nco txog kev tiv thaiv kab mob. Tab sis tsis yog kev tiv thaiv, kev tiv thaiv kab mob ntawm qee cov menyuam yaus zoo li tua cov ntaub so ntswg hauv lub cev, xws li cov kab mob autoimmune.

Yog li ntawd, nyob rau hauv tsawg heev, cov menyuam yaus lub cev tiv thaiv kab mob ua rau muaj kev cuam tshuam los ntawm kev ua phem rau cov nqaij mos noj qab haus huv. Tom qab ntawd lawv dhau los ua qhov yooj yim dua rau kev tawm tsam autoantibody. Cov kws tshawb fawb vam tias cov ntaub ntawv tshiab no yuav ua rau muaj kev kuaj mob ntxov thiab kev tswj xyuas zoo dua ntawm cov menyuam yaus uas muaj kev pheej hmoo siab los tsim qhov teeb meem ntawm Covid-19.

Covid-19: kuaj qhov ntswg qhov ntswg tso cai rau menyuam yaus

Lub Haute Autorité de Santé tau muab lub teeb ntsuab rau kev xa cov tshuaj tiv thaiv kab mob los ntawm qhov ntswg qhov ntswg rau cov menyuam yaus hnub nyoog qis dua 15 xyoos. Qhov kev txuas ntxiv mus rau cov tub ntxhais hluas tshaj plaws no yuav tsum muaj kev tshuaj xyuas ntau hauv cov tsev kawm ntawv, txij li qib kindergarten.

Antigenic kuaj los ntawm qhov ntswg swab, nrog cov txiaj ntsig sai, tam sim no tso cai rau cov menyuam yaus hnub nyoog qis dua 15 xyoos. Nov yog qhov Haute Autorité de Santé (HAS) nyuam qhuav tshaj tawm hauv xov xwm tshaj tawm. Yog li ntawd, cov kev sim no yuav raug siv los tshuaj xyuas Covid-19 hauv tsev kawm ntawv, suav nrog kev ntsuas qaub ncaug, uas sawv cev rau cov cuab yeej ntxiv rau kev tshuaj xyuas Covid-19 ntawm cov menyuam yau.

Vim li cas qhov kev hloov pauv hauv lub tswv yim?

Selon the HAS, "Qhov tsis muaj kev tshawb fawb hauv cov menyuam yaus tau ua rau HAS txwv (kev siv cov tshuaj tiv thaiv kab mob thiab kuaj tus kheej) rau cov hnub nyoog qis dua 15 xyoos". Txawm li cas los xij, raws li kev tshawb fawb ntxiv tau ua tiav, kev tshuaj ntsuam xyuas lub tswv yim tau hloov zuj zus. "Ib qho kev tshuaj ntsuam meta-ua los ntawm HAS qhia tau hais tias txhawb nqa cov txiaj ntsig hauv cov menyuam yaus, uas tam sim no ua rau nws muaj peev xwm txuas ntxiv cov lus qhia thiab xav txog kev siv cov tshuaj tiv thaiv kab mob ntawm cov qog nqaij hlav hauv tsev kawm ntawv. Nrog rau qhov tshwm sim hauv 15 mus rau 30 min, lawv tsim cov cuab yeej ntxiv rau cov kua qaub RT-PCR txhawm rau rhuav tshem cov kab mob sib kis hauv cov chav kawm ", qhia HAS.

Yog li ntawd, kev kuaj qhov ntswg qhov ntswg yuav tsum tau muab tso rau ntawm qhov loj me hauv tsev kawm ntawv "Nyob rau hauv kindergartens thiab cov tsev kawm ntawv theem pib, tsev kawm qib siab, tsev kawm theem siab thiab tsev kawm qib siab, ob qho tib si ntawm cov tub ntxhais kawm, cov kws qhia ntawv thiab cov neeg ua haujlwm sib cuag nrog cov tub ntxhais kawm", qhia HAS.

Lub Trump ntawm cov tshuaj tiv thaiv kab mob no: lawv tsis raug xa mus rau chav kuaj, thiab tso cai rau kev tshuaj xyuas sai, ntawm qhov chaw, hauv 15 mus rau 30 feeb. Lawv kuj tsis tshua muaj kev cuam tshuam thiab mob tsawg dua li kev kuaj PCR.

Antigenic xeem los ntawm kindergarten

Qhov tseeb, qhov no yuav tshwm sim li cas? Raws li HAS cov lus pom zoo, "Cov tub ntxhais kawm, tsev kawm theem siab thiab tsev kawm qib siab tuaj yeem ua qhov ntsuas tus kheej ntawm nws tus kheej (tom qab thawj qhov kev ua tau zoo nyob rau hauv kev saib xyuas ntawm tus neeg laus muaj peev xwm yog tias tsim nyog). Rau cov tub ntxhais kawm theem pib, thawj zaug saib xyuas tus kheej kuj tseem ua tau, tab sis nws yog qhov zoo dua uas qhov kev xeem no yog ua los ntawm cov niam txiv lossis cov neeg ua haujlwm raug cob qhia. Rau cov menyuam yaus hauv kindergarten, cov qauv thiab kev xeem yuav tsum tau ua los ntawm cov tib neeg ua yeeb yam. “ Nco ntsoov tias nyob rau hauv lub tsev kawm ntawv kindergarten, kuaj qaub ncaug kuj xyaum.

Txawm qhov kev ntsuam xyuas tau ua, nws tseem nyob raws li kev tso cai niam txiv rau cov menyuam yaus.

Source: Xovxwm Tshaj Tawm: “Covid-19: HAS tshem lub hnub nyoog txwv rau kev siv cov tshuaj tiv thaiv kab mob ntawm lub qhov ntswg ”

Covid-19 kev kuaj tus kheej: txhua yam hais txog lawv siv, tshwj xeeb tshaj yog rau cov menyuam yaus

Peb puas tuaj yeem siv qhov ntsuas tus kheej txhawm rau kuaj Covid-19 hauv peb tus menyuam? Cov kev ntsuam xyuas tus kheej ua haujlwm li cas? Yuav tau qhov twg? Peb muab cov Tshuag.

Kev kuaj tus kheej yog muag hauv khw muag tshuaj. Tau ntsib nrog kev kis tus kabmob kis mus ntxiv, nws yuav yog qhov kev ntxias kom ua tiav ib lossis ntau dua, tshwj xeeb kom rov ua kom koj tus kheej.

Covid-19 kev kuaj tus kheej: nws ua haujlwm li cas?

Kev kuaj tus kheej ua lag luam hauv Fab Kis yog cov kev sim tshuaj tiv thaiv kab mob, uas cov qauv thiab nyeem cov txiaj ntsig tuaj yeem ua tiav ib leeg, yam tsis muaj kev pab kho mob. Cov kev ntsuam xyuas no yog ua los ntawm qhov ntswg tus kheej-sampling. Cov lus qhia hais tias nws yog ib lo lus nug ntawm kev qhia lub swab vertically rau hauv lub qhov ntswg tshaj 2 mus rau 3 cm yam tsis tau yuam, ces maj mam tilting nws horizontally thiab ntxig nws me ntsis kom txog rau thaum ntsib ib tug me ntsis kuj. Nyob ntawd, nws yog qhov tsim nyog tig rau hauv lub qhov ntswg. Cov qauv no yog qhov ntiav dua li cov qauv nasopharyngeal ua tau raws li cov qauv PCR thiab cov tshuaj antigen, uas tau ua hauv chav kuaj lossis hauv lub tsev muag tshuaj.

Cov txiaj ntsig tau nrawm, thiab zoo li zoo li kev kuaj cev xeeb tub, tom qab 15 mus rau 20 feeb.

Vim li cas Covid tus kheej kuaj?

Kev kuaj qhov ntswg tus kheej yog siv los kuaj xyuas cov neeg uas tsis muaj tsos mob thiab tsis muaj kev sib cuag. Nws tso cai rau koj paub seb koj puas yog tus neeg nqa khoom ntawm Sars-CoV-2, tab sis tsuas yog txaus siab yog tias nws ua tsis tu ncua, txhua ob mus rau peb hnub, qhia cov lus qhia.

Yog tias koj muaj cov tsos mob lossis yog tias koj tau ntsib nrog tus neeg uas kuaj pom qhov zoo, nws raug nquahu kom koj hloov mus rau qhov kev ntsuam xyuas PCR zoo dua. Tshwj xeeb tshaj yog txij li tau txais qhov txiaj ntsig zoo hauv kev kuaj tus kheej yuav tsum tau lees paub qhov kev kuaj mob los ntawm PCR.

Kev ntsuas tus kheej tuaj yeem siv rau cov menyuam yaus?

Hauv kev xav tawm rau lub Plaub Hlis 26, Haute Autorité de Santé (HAS) tam sim no pom zoo kom siv cov kev ntsuas tus kheej rau cov hnub nyoog qis dua 15 xyoo.

Thaum muaj cov tsos mob qhia txog Covid-19 thiab pheej nyob hauv tus menyuam, tshwj xeeb tshaj yog thaum kub taub hau, nws raug nquahu kom cais tus menyuam thiab sab laj nrog kws kho mob lossis kws kho menyuam yaus, uas yuav txiav txim siab qhov yuav tsum tau ua qhov kev sim. Kev tshuaj xyuas Covid-19 (PCR lossis antigen, lossis txawm tias qaub ncaug yog tias tus menyuam muaj hnub nyoog qis dua 6 xyoos). Kev kuaj lub cev yog ib qho tseem ceeb kom tsis txhob nco txog tus kab mob uas muaj peev xwm loj dua rau tus menyuam, xws li mob meningitis.

Yog li ntawd nws yog qhov zoo dua kom tsis txhob ua qhov ntsuas tus kheej ntawm txhua tus nqi, tsawg kawg hauv cov menyuam yaus. Tom qab tag nrho, tus cwj pwm ntawm kev coj tus cwj pwm tseem cuam tshuam thiab tej zaum yuav nyuaj ua kom raug rau cov menyuam yaus.

[In summary]

• Zuag qhia tag nrho, cov menyuam yaus thiab cov menyuam mos zoo li tsis tshua muaj kev cuam tshuam los ntawm Sars-CoV-2 tus kabmob coronavirus, thiab thaum lawv nyob, lawv loj hlob. tsawg dua cov qauv tshaj cov laus. Cov ntaub ntawv qhia txog kev tshawb fawb asymptomatic lossis tsis mob heev hauv cov menyuam yaus, feem ntau, nrog cov tsos mob me me (mob khaub thuas, ua npaws, plab zom mov feem ntau). Hauv cov menyuam yaus, nws yog qhov tshwj xeeb tshaj yog ua npawsuas dominates, thaum lawv tsim ib tug symptomatic daim ntawv.
• Muaj tsawg zaus, Covid-19 hauv cov menyuam yaus tuaj yeem ua rau multisystem inflammatory syndrome, MIS-C, kev hlub ze rau Kawasaki kab mob, uas tuaj yeem cuam tshuam cov hlab ntsha. Qhov hnyav, qhov mob no tseem tuaj yeem tswj tau hauv kev saib xyuas hnyav thiab ua rau muaj kev kho tiav.
• Qhov teeb meem ntawm Sars-CoV-2 tus mob coronavirus kis tau rau cov menyuam yaus yog qhov kev sib cav thiab ntau qhov kev tshawb fawb nrog cov txiaj ntsig tsis sib haum. Zoo li, txawm li cas los xij, qhov kev pom zoo ntawm kev tshawb fawb tau tshwm sim, thiab qhov ntawdib tug priori cov menyuam kis tus kabmob tsawg dua tshaj cov laus. Lawv kuj tseem yuav kis kab mob ntau dua hauv qhov chaw ntiag tug dua li hauv tsev kawm ntawv, tshwj xeeb tshaj yog txij li lub qhov ncauj qhov ntswg thiab kev taw qhia kev thaiv yog qhov yuav tsum tau ua hauv tsev kawm.
• Ua li kev ntsuam xyuas txhawm rau txheeb xyuas qhov muaj tus kabmob coronavirus, lub antigen kuaj tam sim no tau tso cai rau cov menyuam yaus hnub nyoog qis dua 15 xyoos, nrog rau kev kuaj qaub ncaug,  
• N'existe a priori tsis muaj contraindication rau txhaj tshuaj tiv thaiv menyuam yaus. Kev sim ua los ntawm Pfizer thiab BioNTech pom muaj txiaj ntsig zoo tiv thaiv tus kabmob coronavirus hauv menyuam yaus. Ua ntej txhaj tshuaj tiv thaiv menyuam yaus, cov chaw kuaj mob yuav tsum tau txais kev pom zoo los ntawm ntau tus neeg tswj hwm thoob ntiaj teb.

AstraZeneca ncua kev sim tshuaj tiv thaiv Covid hauv menyuam yaus

Yog tias Pfizer & BioNTech tshaj tawm 100% kev ua tau zoo ntawm nws cov tshuaj tiv thaiv rau cov tub ntxhais hluas hnub nyoog 12 txog 15 xyoos, rau lub sijhawm AstraZeneca nres nws cov kev sim hauv cov menyuam yau. Peb muab cov Tshuag.

Kev sim tshuaj kho mob, ua rau ntau tshaj 2 200 cov tub ntxhais hluas Hauv Tebchaws Meskas, qhia txog kev ua tau zoo 100% ntawm cov tshuaj tiv thaiv Pzifer-BioNTech hauv cov menyuam hnub nyoog 12-15 xyoo. Yog li lawv tuaj yeem txhaj tshuaj tiv thaiv ua ntej pib xyoo kawm ntawv thaum lub Cuaj Hlis 2021.

Ib qho pib thaum Lub Ob Hlis

Rau nws qhov, AstraZeneca Laboratories kuj tau pib kev kuaj mob Lub Ob Hlis dhau los, hauv tebchaws United Kingdom, ntawm 240 cov menyuam yaus hnub nyoog 6 txog 17 xyoo, txhawm rau kom muaj peev xwm pib ua haujlwm. txhaj tshuaj tiv thaiv covid ntawm tus yau tshaj ua ntej kawg ntawm 2021.

Ncua kev sim siab

Raws li lub Peb Hlis 24, hauv tebchaws United Kingdom, 30 tus neeg mob thrombosis tau tshwm sim rau cov neeg laus tom qab txhaj tshuaj tiv thaiv AstraZeneca. Ntawm cov xwm txheej no, 7 tus neeg tuag.

Txij thaum ntawd los, qee lub tebchaws tau txwv tsis pub txhaj tshuaj tiv thaiv nrog cov khoom no (Norway, Denmark). Lwm tus zoo li Fabkis, Lub Tebchaws Yelemees, Canada, tsuas yog muab los ntawm hnub nyoog 55 lossis 60 xyoo, nyob ntawm lub tebchaws.

Qhov no yog vim li cas kev sim tshuaj hauv cov menyuam yaus hauv tebchaws Askiv tau tuav tseg. Lub Tsev Kawm Ntawv Qib Siab Oxford, qhov twg cov kev sim no tau tshwm sim, tab tom tos cov tub ceev xwm kev txiav txim siab kom paub seb puas muaj peev xwm rov pib dua lawv.

Nyob rau lub sijhawm no, cov menyuam yaus uas tau koom nrog AstraZeneca kev sim tshuaj yuav tsum tau mus txuas ntxiv mus mus ntsib.

Covid-19: Pfizer thiab BioNTech tshaj tawm tias lawv cov tshuaj tiv thaiv yog 100% siv tau rau cov menyuam hnub nyoog 12-15 xyoo

Pfizer thiab BioNTech cov chaw soj nstuam hais tias lawv cov tshuaj tiv thaiv muaj cov tshuaj tiv thaiv kab mob tiv thaiv Covid-19 hauv cov tub ntxhais hluas hnub nyoog 12 txog 15 xyoo. Cov ntsiab lus. 

Le Pfizer & BioNTech tshuaj tiv thaiv yog thawj zaug txhaj tshuaj tiv thaiv Covid-19 kom pom zoo thaum kawg ntawm 2020. Txog tam sim no, nws tau tso cai siv rau cov neeg muaj hnub nyoog 16 xyoo thiab tshaj saud. Qhov no tuaj yeem hloov pauv tom qab theem 3 kev sim tshuaj uas nyuam qhuav tshwm sim.

100% efficiency

cov kev pab cuam kev kuaj mob muaj qhov tseeb tau ua rau 2 260 cov tub ntxhais hluas hauv teb chaws USA. Lawv yuav tau qhia ib 100% efficiency tshuaj tiv thaiv Covid-19, suav nrog Askiv tus kab mob sib txawv.

txhaj tshuaj tiv thaiv ua ntej lub Cuaj Hli?

Tom qab 12-15 xyoo, lub chaw kuaj tau pib hauv Kev sim rau cov menyuam yaus: hnub nyoog 5 txog 11 xyoos. Thiab txij li lub lim tiam tom ntej, nws yuav yog qhov tig ntawm cov me me: los ntawm 2 mus rau 5 xyoo.

Yog li, Pfizer-BioNTech vam tias yuav muaj peev xwm pib txhaj tshuaj tiv thaiv menyuam yaus thiab cov tub ntxhais hluas ua ntej xyoo kawm ntawv tom ntej hauv lub Cuaj Hli 2021. Txhawm rau ua qhov no, lawv yuav tsum xub tau txais kev pom zoo los ntawm ntau lub koom haum tswj hwm thoob ntiaj teb.

Muaj pes tsawg cov tshuaj tiv thaiv?

Txog hnub tim, Pfizer-BioNTech tau faib 67,2 lab koob tshuaj ntawm nws cov tshuaj tiv thaiv hauv Tebchaws Europe. Tom qab ntawd, hauv lub quarter thib ob, nws yuav yog 200 lab koob tshuaj.

Covid-19: Thaum twg kuv yuav tsum tau kuaj kuv tus menyuam?

Thaum Covid-19 kev sib kis tsis muaj zog, cov niam txiv xav tsis thoob. Koj puas yuav tsum tau kuaj koj tus menyuam rau qhov txias me ntsis? Dab tsi yog cov tsos mob uas yuav tsum ua rau ib tus xav txog Covid-19? Thaum twg los tham nrog kub taub hau lossis hnoos? Hloov tshiab nrog xibfwb Delacourt, peditor ntawm Necker Sick Children Hospital thiab Thawj Tswj Hwm ntawm Fabkis Pediatric Society (SFP).

Nws tsis yog ib txwm yooj yim kom paub qhov txawv cov tsos mob ntawm tus mob khaub thuas, mob ntsws, los ntawm cov Covid-19. Qhov no ua rau muaj kev txhawj xeeb ntawm cov niam txiv, nrog rau ntau qhov kev tshem tawm tsev kawm ntawv rau cov menyuam yaus.

Nco qab tias cov tsos mob ntawm tus kab mob tshiab coronavirus (Sars-CoV-2) feem ntau yog me me rau cov menyuam yaus, qhov chaw peb saib. tsawg daim ntawv hnyav thiab ntau yam asymptomatic, xibfwb Delacourt tau qhia tias ua npaws, digestive disorders thiab tej zaum ua pa nyuaj yog cov cim tseem ceeb ntawm kev kis tus menyuam. “Thaum muaj cov tsos mob (ua npaws, ua pa tsis xis nyob, hnoos, digestive teeb meem, editor's note) thiab tau ntsib nrog cov ntaub ntawv pov thawj, tus me nyuam yuav tsum tau sab laj thiab kuaj.”, Qhia txog xibfwb Delacourt.

Hauv cov tsos mob, "zoo tshem tus menyuam tawm ntawm lub zej zog (tsev kawm ntawv, chaw zov menyuam, tus pab zov menyuam) sai li sai tau thaum muaj kev tsis ntseeg, thiab nrhiav kev kho mob. “

COVID-19: Lub cev tiv thaiv kab mob ntawm cov menyuam yaus yuav tiv thaiv lawv los ntawm kev kis mob hnyav

Ib txoj kev tshawb fawb luam tawm thaum Lub Ob Hlis 17, 2021 qhia tias cov menyuam yaus muaj kev tiv thaiv zoo dua tiv thaiv COVID-19 hnyav dua li cov neeg laus vim lawv lub cev tsis muaj zog tiv thaiv kab mob sai dua tus mob coronavirus ua ntej nws rov ua dua hauv lub cev.

Vim tias lawv tsawg dua thiab tsis tshua muaj kev cuam tshuam los ntawm SARS-CoV-2 ntau dua li cov neeg laus, kev paub txog Covid-19 hauv cov menyuam yaus tseem nyuaj. Ob lo lus nug tshwm sim los ntawm cov kev soj ntsuam kab mob sib kis: vim li cas cov me nyuam tsis tshua muaj kev cuam tshuam et Qhov tshwj xeeb no tuaj qhov twg? Cov no yog qhov tseem ceeb vim tias kev tshawb fawb hauv cov menyuam yaus yuav tso cai rau kev nce qib hauv cov neeg laus: nws yog los ntawm kev nkag siab txog qhov sib txawv ntawm tus cwj pwm ntawm tus kab mob lossis lub cev cov lus teb raws li hnub nyoog uas nws yuav muaj peev xwm " txheeb xyuas cov txheej txheem rau lub hom phiaj. Cov kws tshawb fawb ntawm lub koom haum Murdoch rau Kev Tshawb Fawb Txog Menyuam Yaus (Australia) tau tso tawm qhov kev xav.

Lawv txoj kev tshawb nrhiav, uas suav nrog kev tshuaj ntsuam ntshav kuaj ntshav los ntawm 48 tus menyuam yaus thiab 70 tus neeg laus, thiab luam tawm hauv phau ntawv xov xwm tshawb fawb Nature Communications, hais tias cov menyuam yaus yuav yog. Kev tiv thaiv zoo dua rau cov qauv hnyav ntawm COVID-19 vim lawv lub cev tsis muaj zog tawm tsam tus kab mob sai. Hauv cov ntsiab lus tseem ceeb, cov hlwb tshwj xeeb ntawm tus menyuam lub cev tiv thaiv kab mob tsom rau SARS-CoV-2 tus kabmob coronavirus sai dua. Cov kws tshawb fawb ntseeg tias yog vim li cas cov menyuam yaus muaj tus kab mob COVID-19 me me piv rau cov neeg laus thiab cov txheej txheem tiv thaiv kab mob hauv qab kev tiv thaiv no tsis paub txog txog qhov kev tshawb fawb no.

Cov tsos mob feem ntau mob me me rau cov me nyuam

« Cov menyuam yaus tsis tshua kis tus kab mob no thiab txog li ib feem peb ntawm lawv yog asymptomatic, uas txawv ntawm qhov muaj ntau dua thiab qhov hnyav pom rau feem ntau lwm cov kab mob ua pa.hais tias Dr Melanie Neeland, uas tau ua txoj kev tshawb no. Kev nkag siab txog qhov sib txawv ntawm lub hnub nyoog nyob rau hauv qhov hnyav ntawm Covid-19 yuav muab cov ntaub ntawv tseem ceeb thiab muaj peev xwm los tiv thaiv thiab kho, rau Covid-19 thiab muaj peev xwm kis tau mus rau yav tom ntej. Txhua tus neeg koom tau kis tus kab mob los yog kis tus kab mob SARS-CoV-2, thiab lawv cov lus teb tiv thaiv kab mob tau raug saib xyuas thaum lub sij hawm mob hnyav thiab mus txog ob lub hlis tom qab ntawd.

Ua piv txwv ib tsev neeg nrog ob tug menyuam, zoo rau tus kabmob coronavirus, cov kws tshawb fawb pom tias ob tug ntxhais, hnub nyoog 6 thiab 2, tsuas muaj qhov ntswg me ntsis, thaum cov niam txiv muaj kev qaug zog heev, mob taub hau, mob nqaij, thiab raug kev txom nyem los ntawm kev qab los noj mov thiab saj. Nws siv lawv ob lub lis piam kom rov zoo tag nrho. Txhawm rau piav qhia qhov txawv no, cov kws tshawb fawb pom tias kev kis kab mob hauv cov menyuam yaus yog tus cwj pwm los ntawm activation ntawm neutrophils (cov qe ntshav dawb uas pab kho cov ntaub so ntswg puas thiab daws cov kab mob), thiab los ntawm kev txo cov tshuaj tiv thaiv kab mob thaum ntxov, xws li cov tshuaj tua kab mob hauv cov ntshav.

Kev tiv thaiv kab mob zoo dua

« Qhov no qhia tau tias cov kab mob tiv thaiv kab mob no tsiv mus rau qhov chaw kis kab mob, tshem tawm tus kab mob sai sai ua ntej nws muaj sijhawm los tuav. Ntxiv Dr Melanie Neeland. Qhov no qhia tau tias lub cev tiv thaiv kab mob hauv lub cev, peb thawj kab ntawm kev tiv thaiv kab mob, yog qhov tseem ceeb hauv kev tiv thaiv COVID-19 hnyav rau cov menyuam yaus. Qhov tseem ceeb, qhov kev tiv thaiv kab mob no tsis tau rov ua dua hauv cov neeg laus hauv txoj kev tshawb no. Pab pawg kws tshawb fawb tseem xav paub ntxiv los ntawm kev tshawb pom tias txawm tias cov menyuam yaus thiab cov neeg laus raug tus kabmob coronavirus, tab sis nws qhov kev tshuaj xyuas tsis zoo, cov lus teb tiv thaiv kab mob kuj tau hloov kho.

Raws li cov kws tshawb fawb, " Cov menyuam yaus thiab cov neeg laus muaj qhov nce neutrophil suav txog li xya lub lis piam tom qab kis tus kab mob, uas tuaj yeem muab qib kev tiv thaiv tus kabmob. ". Cov kev tshawb pom no tau lees paub cov txiaj ntsig ntawm kev tshawb fawb yav dhau los ua los ntawm tib pab pawg uas pom tias peb tus menyuam los ntawm tsev neeg Melbourne tau tsim cov tshuaj tiv thaiv kab mob zoo sib xws tom qab kis tus kabmob coronavirus ntev los ntawm lawv niam lawv txiv. Txawm hais tias cov menyuam yaus no tau kis tus kabmob SARS-CoV-2, lawv tau tsim lub cev tiv thaiv kab mob zoo heev los tiv thaiv tus kabmob los ntawm kev rov ua dua, uas txhais tau tias lawv. yeej tsis tau muaj qhov kev ntsuam xyuas zoo.

Cov tsos mob ntawm daim tawv nqaij qhia nyob rau hauv cov me nyuam

National Union of Dermatologists-Venereologists hais txog qhov ua tau tshwm sim ntawm daim tawv nqaij.

« Txog tam sim no, peb pom hauv cov menyuam yaus thiab cov neeg laus redness ntawm extremities thiab qee zaum hlwv me me ntawm ob txhais tes thiab ko taw, thaum muaj tus kab mob COVID. Qhov kev tshwm sim ntawm qhov zoo li frostbite yog qhov txawv txav thiab ua ke nrog COVID kev sib kis. Nws tuaj yeem yog ib qho me me ntawm tus kab mob COVID, txawm tias qhov tshwm sim lig tom qab kis tus kab mob uas yuav ploj mus tsis tau pom dua, lossis tus kab mob uas tsis yog COVID uas yuav tuaj txog tib lub sijhawm raws li kev sib kis tam sim no. Peb tab tom sim nkag siab qhov tshwm sim no », Piav qhia xibfwb Jean-David Bouaziz, kws kho mob dermatologist ntawm Saint-Louis Tsev Kho Mob.

Coronavirus: Dab tsi txaus ntshai thiab teeb meem rau menyuam yaus?

Ntxiv nrog rau cov neeg mob uas tau kis tus kab mob thiab tau zoo, tsis muaj leej twg muaj kev tiv thaiv tiag tiag los ntawm kev kis tus kabmob tshiab. Hauv lwm lo lus, txhua tus pej xeem, suav nrog menyuam mos, menyuam yaus thiab cov poj niam cev xeeb tub, muaj feem cuam tshuam rau tus kabmob.

Txawm li cas los xij, raws li cov ntaub ntawv uas twb muaj lawm, cov menyuam yaus zoo li tsis muaj kev cia siab. Lawv kuj tsis cuam tshuam, thiab thaum kis Covid-19, lawv zoo li muaj cov ntaub ntawv zoo. Thaum muaj teeb meem tshwm sim hauv cov tub ntxhais hluas, lawv feem ntau cuam tshuam nrog lwm yam ua rau. Qhov no yog qhov kws kho mob hu ua "comorbidity", uas yog, muaj cov xwm txheej txaus ntshai txuas rau lwm yam pathology.

Cov teeb meem loj ntsig txog Covid-19 yog tsawg heev nyob rau hauv cov menyuam yaus thiab cov tub ntxhais hluas. Tab sis lawv tsis suav nrog tag nrho, vim tias kev tuag uas tau tshwm sim nyob rau hauv ntau ntawm lawv txij li thaum pib muaj kev sib kis yog kev ceeb toom mob.

Nyob rau hauv ib tsab xov xwm nyob rau hauv Le Parisien, Dr. Robert Cohen, kws kho mob ntawm pediatrics, nco qab tias txhua xyoo, “oNws tsis paub tias yog vim li cas hauv qee qhov kev kis kab mob no ua rau tsis zoo. Cov kab mob kis tau qee zaum tsis tuaj yeem kwv yees tab sis nws tsis tshua muaj. Koj paub txhua xyoo cov menyuam yaus kuj tuag los ntawm tus mob khaub thuas, qhua pias thiab kab mob qhua pias ".

MIS-C yog dab tsi, tus kab mob tshiab txuas rau Covid-19 uas cuam tshuam rau menyuam yaus?

Nrog rau qhov pib ntawm Covid-19, lwm yam kab mob, cuam tshuam rau menyuam yaus, tshwm sim. Ze rau Kawasaki syndrome, txawm li cas los xij txawv.

Nws yog qee zaum hu ua PIMS, qee zaum MISC… Rov qab nco txog tus kab mob Kawasaki, tus mob no uas tau cuam tshuam tsawg kawg ib txhiab tus menyuam yaus thoob ntiaj teb txij li Covid kis tau zoo rau cov kws tshawb fawb. Tam sim no nws muaj npe multisystem inflammatory syndrome nyob rau hauv cov me nyuam, los yog MIS-C.

MIS-C yuav tshwm sim li 1 lub hlis tom qab kis tus kab mob Covid-19

Raws li ob txoj kev tshawb fawb, luam tawm hnub Monday, Lub Rau Hli 29, 2020 hauv " Tshiab hais Journal ntawm cov tshuaj », Cov tsos mob ntawm tus kab mob no tshwm sim ob peb lub lis piam tom qab kis tus kab mob SARS-CoV-2, qhov nruab nrab ntawm 25 hnub raws li kev tshawb fawb thawj zaug hauv tebchaws Asmeskas. Lwm qhov kev tshawb fawb tau ua nyob rau hauv New York nres rau ib lub hlis tom qab thawj zaug kis kab mob.

MIS-C vim yog Covid-19: muaj kev pheej hmoo ntau dua raws li haiv neeg?

Tus kab mob tseem tau lees paub tias tsis tshua muaj: 2 tus neeg mob ntawm 100 tus neeg muaj hnub nyoog qis dua 000. Cov kws tshawb fawb hauv ob qho kev tshawb fawb pom tias cov menyuam yaus muaj kev cuam tshuam ntau dua dub, Mev, lossis cov menyuam yug los ntawm Indian, piv rau cov menyuam dawb.

Cov tsos mob ntawm MIS-C yog dab tsi?

Cov cim tshaj plaws hauv qhov kev tshawb fawb no hauv cov menyuam yaus uas cuam tshuam tsis yog ua pa. Ntau tshaj 80% ntawm cov me nyuam raug kev txom nyem los ntawm lub plab zom mov ntshawv siab (mob plab, xeev siab lossis ntuav, raws plab), thiab ntau yam kev paub daim tawv nqaij ua pob, tshwj xeeb tshaj yog cov qis dua tsib. Txhua tus tau ua npaws, feem ntau ntau tshaj plaub lossis tsib hnub. Thiab hauv 80% ntawm lawv, cov kab mob plawv tau cuam tshuam. 8-9% ntawm cov menyuam yaus tau tsim cov hlab ntsha coronary aneurysm.

Yav dhau los, feem ntau ntawm cov menyuam yaus muaj kev noj qab haus huv. Lawv tsis tau nthuav tawm ib qho kev pheej hmoo, thiab tsis muaj kab mob ua ntej. 80% tau txais kev saib xyuas hnyav, 20% tau txais kev txhawb nqa ua pa, thiab 2% tuag.

MIS-C: txawv ntawm Kawasaki syndrome

Thaum tus kab mob tshwm sim thawj zaug, cov kws kho mob tau sau tseg ntau qhov zoo sib xws nrog cov kab mob kawasaki, kab mob uas feem ntau cuam tshuam rau cov me nyuam mos thiab cov me nyuam yaus heev. Cov mob tom kawg ua rau mob ntawm cov hlab ntsha uas tuaj yeem ua rau muaj teeb meem nrog lub plawv. Cov ntaub ntawv tshiab tau lees paub tias MIS-C thiab Kawasaki muaj cov khoom sib xws, tab sis qhov mob tshiab feem ntau cuam tshuam rau cov menyuam yaus, thiab ua rau mob hnyav dua.

Qhov paub tsis meej tseem yuav qhia meej txog qhov ua rau ntawm qhov kev hlub tshiab no. Nws yuav txuas mus rau qhov tsis txaus cov lus teb ntawm lub cev tiv thaiv kab mob.

Cov menyuam yaus, "cov neeg nqa khoom noj qab haus huv", lossis tiv thaiv tus kabmob coronavirus?

Thaum pib ntawm tus kabmob coronavirus, nws yuav luag tau lees paub tias cov menyuam yaus feem ntau yog cov neeg nqa khoom noj qab haus huv: uas yog, lawv tuaj yeem ua tau. nqa tus kab mob yam tsis muaj cov tsos mob ntawm tus kab mob, kis tau yooj yim dua thaum lawv ua si ntawm lawv, thiab rau lawv cov txheeb ze. Qhov no tau piav qhia qhov kev txiav txim siab kaw tsev kawm ntawv thiab chaw zov me nyuam, txhawm rau tiv thaiv kev kis tus kabmob coronavirus. 

Tab sis qhov peb tau ua kom paub tseeb yog hnub no hu ua lus nug. Kev tshawb fawb tsis ntev los no nyiam ua pov thawj tias, thaum kawg, cov menyuam yaus kis tus kabmob coronavirus me ntsis. “Nws yog qhov ua tau tias cov menyuam yaus, vim lawv tsis muaj ntau yam tsos mob thiab muaj tsawg kis kab mob me me kis tus kabmob tshiab no ", Kostas Danis, kws kho mob kis mob ntawm Public Health France thiab tus thawj coj ntawm txoj kev tshawb no, hais rau AFP.

Covid-19, mob khaub thuas, mob ntsws: koj ua li cas kho cov khoom?

Thaum lub caij ntuj no los txog thiab thaum Covid-19 kev sib kis tsis zoo, cov niam txiv xav tsis thoob. Koj puas yuav tsum tau kuaj koj tus menyuam rau qhov txias me ntsis? Dab tsi yog cov tsos mob uas yuav tsum ua rau ib tus xav txog Covid-19? Thaum twg los mus sab laj ua npaws lossis hnoos? Hloov tshiab nrog Prof. Delacourt, kws kho mob menyuam yaus ntawm Necker Children Sick Hospital thiab Thawj Tswj Hwm ntawm Fab Kis Pediatric Society (SFP).

Nws tsis yog ib txwm yooj yim kom paub qhov txawv cov tsos mob ntawm tus mob khaub thuas, mob ntsws, los ntawm cov Covid-19. Qhov no ua rau muaj kev txhawj xeeb ntawm cov niam txiv, nrog rau ntau qhov kev tshem tawm tsev kawm ntawv rau cov menyuam yaus.

Covid-19: yuav ua li cas rau cov tsos mob ntawm cov menyuam yaus?

Rov qab hais tias cov tsos mob ntawm tus kab mob tshiab coronavirus (Sars-CoV-2) feem ntau yog me me hauv cov menyuam yaus, qhov twg muaj tsawg dua cov ntaub ntawv hnyav thiab ntau hom asymptomatic, xibfwb Delacourt tau qhia tias. ua npaws, plab zom mov thiab qee zaum ua pa nyuaj yog cov cim tseem ceeb ntawm tus menyuam. "Thaum muaj cov tsos mob (ua npaws, ua pa tsis xis nyob, hnoos, digestive teeb meem, editor's note) thiab tau ntsib nrog cov ntaub ntawv pov thawj, tus me nyuam yuav tsum tau sab laj thiab kuaj ”, qhia xibfwb Delacourt.

Hauv cov tsos mob, ” Nws yog qhov zoo dua los rho menyuam tawm ntawm lub zej zog (tsev kawm ntawv, chaw zov me nyuam, tus pab zov me nyuam) sai li sai tau thaum muaj kev tsis ntseeg, thiab nrhiav kev kho mob. »

Coronavirus: Qee cov tsos mob hauv cov menyuam mos tsuas yog ua npaws

Cov kws tshawb fawb Asmeskas tau hais hauv kev tshawb fawb luam tawm thaum lub Cuaj Hlis 2020 tias cov menyuam mos uas muaj COVID-19 zoo li mob me me, feem ntau nrog kub taub hau. Thiab qhov no txawm tias qhov tseeb tias kev tshuaj ntsuam xyuas paub meej tias muaj tus kab mob kis.

Los ntawm qhov pib ntawm tus kab mob COVID-19, tus kab mob no tsis zoo li cuam tshuam rau cov menyuam yaus me me, yog li cov kws tshawb fawb muaj cov ntaub ntawv me me los kawm txog cov txiaj ntsig ntawm SARS CoV-2 hauv cov neeg no. Tab sis kev tshawb fawb me me ntawm 18 tus menyuam mos uas tsis muaj keeb kwm kho mob tseem ceeb thiab luam tawm hauv " Cov Phau Ntawv Teev Tseg Pediatrics Muab cov ntsiab lus kom ntseeg tau. Cov kws kho mob ntawm Ann & Robert H. Lurie Pediatric Hospital hauv Chicago hais tias cov menyuam mos hnub nyoog qis dua 90 hnub kuaj pom qhov zoo COVID-19 zoo li ua tau zoo, nrog me me lossis tsis muaj kev cuam tshuam ua pa, thiab ua npaws feem ntau suav hais tias yog qhov tseem ceeb lossis tsuas yog cov tsos mob.

« Txawm hais tias peb muaj cov ntaub ntawv tsawg heev ntawmcov menyuam mos nrog Covid-19Hauv Tebchaws Meskas, peb cov txiaj ntsig tau pom tias feem ntau ntawm cov menyuam mos no muaj cov tsos mob me me thiab tej zaum yuav tsis muaj kev pheej hmoo ntau dua ntawm kev tsim tus kab mob hnyav raws li tau tham hauv thawj zaug hauv Suav teb Hais tias Dr. Leena B. Mithal, tus thawj coj ntawm txoj kev tshawb no. “ Feem ntau ntawm cov me nyuam mos nyob rau hauv peb txoj kev tshawb fawb raug mob kub taub hau, qhia hais tias nyob rau hauv cov me nyuam mosleej twg sab laj vim kub taub hau, Covid-19 tuaj yeem yog qhov laj thawj tseem ceeb, tshwj xeeb tshaj yog nyob hauv thaj chaw uas muaj kev ua haujlwm hauv zej zog. Txawm li cas los xij, nws tseem ceeb heev uas yuav tau xav txog kev kis kab mob hauv cov me nyuam mos uas kub taub hau. »

Ua npaws, hnoos thiab mob plab hnyuv, cov cim qhia

Txoj kev tshawb fawb qhia tias 9 ntawm cov nocov menyuam mos tau mus pw hauv tsev kho mob tab sis tsis xav tau kev pab ua pa lossis kev saib xyuas hnyav. Cov tom kawg tau txais kev tso cai tsuas yog rau kev soj ntsuam, saib xyuas kev noj qab haus huv ntawm cov zaub mov, txiav txim siab tawm cov kab mob nrog cov tshuaj tua kab mob hauv cov menyuam mos hnub nyoog qis dua 60 hnub. Ntawm 9 tus menyuam mos, 6 ntawm lawv tau nthuav tawm cov tsos mob plab (tsis qab los noj mov, ntuav, raws plab) ua ntej los ntawm hnoos thiab congestion ntawm lub Upper ua pa ib ntsuj av. Lawv kuj muaj yim rau tam sim no tsuas yog kub taub hau, thiab plaub nrog hnoos lossis muaj zog pulmonary ua pa.

Tom qab ua qhov kev ntsuam xyuas rau kev kuaj pom tus kab mob ncaj qha siv cov txheej txheem PCR (los ntawm cov qauv tshuaj lom neeg, feem ntau yog nasopharyngeal), cov kws kho mob tau pom tias.cov me nyuam mos muaj cov kab mob tshwj xeeb hauv lawv cov qauv, txawm tias mob me me. ” Nws tsis paub meej tias cov menyuam mos uas ua npaws thiabtested positive for SARS-CoV-2yuav tsum tau pw hauv tsev kho mob Ntxiv Dr Leena B. Mithal. ” Qhov kev txiav txim siab lees txais tus neeg mob mus rau tsev kho mob yog nyob ntawm lub hnub nyoog, qhov xav tau ntawm kev tiv thaiv kev tiv thaiv kab mob, kev soj ntsuam kev soj ntsuam, thiab kev noj zaub mov zoo. »

Ib yam yog qhov tseeb, txawm li cas los xij: pab pawg kws tshawb fawb pom zoo siv quick screening for SARS-CoV-2nyob rau hauv cov rooj plaub uas cov me nyuam mos tau kho zoo tab sis kub taub hau. Nws yuav tsum tau muab sau tseg tias ntau yam kev tshawb fawb tau ua nyob rau hauv thiaj li yuav paub seb puas muaj kev sib txuas ntawm cov Kab mob Kawasaki thiab Covid-19 txij li thaum muaj qhov txawv txav ntawm cov xwm txheej tau pom nyob hauv Fabkis thiab txawv teb chaws. Raws li lub Academy ntawm Tshuaj, qhov no yog ib tug cais pathology, raws li cov tsos mob tau sau tseg (mob plab mob, cov tsos mob ntawm daim tawv nqaij) yog pab pawg nyob rau hauv lub npe ntawm "pediatric multisystem inflammatory syndrome" thiab lub hnub nyoog ntawm cov me nyuam muaj kev cuam tshuam (9 thaum muaj hnub nyoog 17). yog siab dua nyob rau hauv daim ntawv ntawm tus kab mob Kawasaki.

Covid-19: me nyuam mos cuam tshuam los ntawm tus kab mob

Kev tshawb fawb Canadian luam tawm thaum Lub Kaum Ob Hlis 2020 tshuaj xyuas cov yam ntxwv kho mob thiab qhov hnyav ntawm Covid-19 qhia tau tias cov menyuam mos uas kis tus kab mob no ua tau zoo kawg nkaus. Qhov tseeb tiag, feem ntau ntawm cov menyuam yaus kuaj mob feem ntau yog ua npaws, mob me me thiab tsis xav tau qhov cua tshuab lossis kev kho mob hnyav.

Covid-19 yog ib yam kab mob uas cuam tshuam ntau yam sib txawvcov laus, cov me nyuam... thiab cov me nyuam mos. Ib txoj kev tshawb fawb los ntawm cov kws tshawb fawb ntawm University of Montreal thiab luam tawm hauv JAMA Network Qhib qhia tias qhov kawg, piv rau cov neeg laus, ua tau zoo heev thaum kis tus kab mob SARS-CoV-2. Txawm hais tias cov menyuam yaus muaj kev pheej hmoo siab dua los ntawm kev mob hnyav thiab muaj teeb meem los ntawm lwm yam kab mob (fluenza, tus kab mob ua pa syncytial), ua li cas txog kev kis mob tam sim no?

Txoj kev tshawb no, ua ntawm CHU Sainte-Justine rau cov menyuam mos (tsawg dua 1 xyoos) uas tau cog lus Covid-19 thaum thawj nthwv dej ntawm tus kabmob kis thoob plaws nruab nrab Lub Ob Hlis mus txog rau lub Tsib Hlis 2020, qhia tias ntau tus neeg tau rov zoo sai sai thiab tsuas muaj cov tsos mob me heev.Txoj kev tshawb no qhia meej tias hauv Quebec thiab thoob plaws tebchaws Canada, cov menyuam mos muaj tus nqi pw hauv tsev kho mob ntau dua vim yog Covid-19 ntau dua li lwm pawg hnub nyoog menyuam yaus. Cov kws tshawb fawb qhia tias tawm ntawm 1 tus menyuam yaus kuaj, 165 ntawm lawv (25%) yog tshaj tawm tias qhov zoo rau Covid-19 thiab ntawm cov no tsawg dua ib feem peb (8 tus menyuam mos) yuav tsum tau mus pw hauv tsev kho mob, cov no nyob ntawm ob hnub nyob rau nruab nrab.

Tus nqi pw hauv tsev kho mob ntau dua tab sis…

Raws li pab neeg tshawb fawb, "cov tsev kho mob luv luv noFeem ntau tau qhia txog qhov kev coj ua niaj hnub kho mob uas txhua tus menyuam mos liab uas ua npaws tau txais kev soj ntsuam, raug kuaj xyuas kab mob thiab tau txais cov tshuaj tua kab mob tseem tos. Hauv 19% ntawm cov neeg mob, lwm yam kab mob, xws li cov kab mob urinary, yog lub luag haujlwm ua npaws hauv tus menyuam mos. Qhov tseem ceeb tshaj, hauv 89% ntawm cov neeg mob, mob coronavirus yog benign thiab tsis muaj ib tug me nyuam mos yuav tsum tau pa oxygen los yog txhua yam ua pa. Cov tsos mob tshwm sim feem ntau yog cov tsos mob hauv plab hnyuv, ua rau kub taub hau thiab ua pa sab sauv.

Tsis tas li ntawd, tsis muaj qhov sib txawv tseem ceeb hauv kev kho mob ntawm cov laus (3 mus rau 12 lub hlis) thiab cov hluas (tsawg dua 3 lub hlis) tau pom. “ Clinical signs thiabqhov mob hnyavnyob rau hauv cov me nyuam mos nyob rau hauv peb series txawv ntawm cov uas qhia nyob rau hauv cov me nyuam thiab cov laus. Peb cov neeg mob tau nthuav tawm cov tsos mob ntawm plab hnyuv loj, txawm tias thaum tsis ua npaws, thiab feem ntau mob me. », Lawv ntxiv. Txawm hais tias txoj kev tshawb fawb no txwv los ntawm nws cov qauv me me, cov kws tshawb fawb ntseeg tias lawv qhov kev tshawb pom yuav tsum rov hais dua cov niam txiv txog qhov tshwm sim. ntawm tus mob coronavirus nyob rau hauv cov me nyuam mos.

Ib txoj kev tshawb fawb tshiab yuav raug ua ntawm CHU Sainte-Justine kom nkag siab txog qhov sib txawv ntawm cov tshuaj tiv thaiv kab mob rau SARS-CoV-2.nyob rau hauv cov me nyuam mos thiab lawv niam lawv txiv.Kev ua haujlwm ntxiv kuj tseem xav tau kom nkag siab zoo dua cov txheej txheem pathophysiological hauv qab lub cev tiv thaiv kab mob rau cov menyuam mos. Vim tias cov lus nug tseem ceeb tseem ceeb: vim li cas cov tsos mob thiab qhov mob hnyav ntawm cov menyuam mos txawv ntawm cov lus qhia hauv cov menyuam yaus thiab cov neeg laus? ” Qhov no tuaj yeem yog lub hauv paus tseem ceeb hauv kev hais txog qhov mob tshwm sim uas cuam tshuam nrogto infection with SARS-CoV-2rau cov laus », Xaus cov kws tshawb fawb.