ʻO kahi hui kīnā ʻole o nā keiki 8 me ka haʻalulu hoʻohālikelike i ka like me ka maʻi maʻi ʻo ka Kawasaki i hoʻopaʻa ʻia ma Lākana. Hiki paha iā lākou he mau maʻi maʻi pediatric Covid-19 hou aku? I kēia manawa, aia no kēia keʻe he maka ala ʻōiwi ma UK.

Wahi a ka puke ʻōlelo Pelekānia hilinaʻi nui ʻo The Lancet, I ka manawa o 10 mau lā ma ka waena o ʻApelila, 2020, ʻewalu mau keiki me ka hoʻohālikelike ʻana o ka hyperinflamerian, ua ʻike ʻia. Ke hōʻike nei lākou i nā hiʻohiʻona e like me ke maʻi Kawasaki atypical. Ma ke ʻano kūikawā, ka South Thames Retrieval Service ma Ladana, UK, e hāʻawi ana i ka kākoʻo pediatric intensive care a me ka loaʻa hou ʻana i 2 miliona mau keiki ma South East England, ua hiki ke hoʻopaʻa inoa i kēlā mau keiki. hiki ke manaʻo e like me nā maʻi maʻi pediatric Covid-19 hou?

Kūkulu - Hyperinflam inflammatory shock hōʻailona a me Covid-19 i nā keiki. Kahi klau maʻi hou i loko o Ladana?

Hōʻalo kēia phoenomenon i nā keiki olakino ma mua. ʻAʻole kākau ʻia kekahi o kēia mau ʻōuli. He ʻeono o lākou no ka Afro-Caribbean Caribbean, a he ʻelima mau keiki kāne. Ma waho o kahi hoʻokahi, aia nā keiki a pau ma luna o ka 75th keneta no ka paona, ʻoiai ʻehā ua ʻike i ka ʻike ʻohana no ka maʻi coronavirus (Covid-19). Hiki ke kūkā ka papa o kēia noiʻi Eia.

 

Nā hihia - Nā keiki me ka haʻalulu hoʻohālikelike. Hiki iā lākou ke loaʻa kahi maʻi Covid-19 hou?

Ua hōʻike nā keiki āpau i nā hōʻailona like a he like nō hoʻi kā lākou mauʻike maʻi. Hōʻike i nā hihia i ka pili ʻole ʻana i ka maʻi ma waena o ka 38-40 ° C, ka wikiwiki, ka pīpī, conjunctivitis, peripheral edema, a me ka maʻi nui o ka hōʻeha ʻana me nā hōʻailona gastrointestinal nui.

E like me Lancet e hoʻomau i ka hōʻike ʻana, "holomua ka mea i ka mahana, me ka pīhoihoi vasoplegic, ka hoʻihoʻi ʻana i ka helu resuscitation a me ka hopena no ka makemake ʻana iā noradrenaline a me milrinone no ke kākoʻo haemodynamic. ʻO ka hapa nui o nā keiki, ʻaʻohe ʻeha o ka huhū o ka hanu, ʻoiai ʻo ʻehiku o nā keiki e koi ana i ka pono ʻana o ka pono o ka cardiovascular stabilization. ʻO nā hiʻohiʻona kaulana ʻē aʻe (ma waho o ke ʻano mau loa a me ka wikiwiki) i komo i ka hoʻomohala ʻana o ka pleural liʻiliʻi, pericardial, a me nā hopena ascitic, e hōʻike ana i kahi kaʻina maʻi palahalaha. "

Eia nō naʻe, ua hōʻoia nā keiki āpau i nā hewa no ka ʻeha ʻana o ka ʻōpū o ka ʻeha o ka ʻōpū o ka maʻi coronavirus 2 (SARS-CoV-2 a i ʻole Covid-19) ma ka broncho-alveolar lavage a i ʻole nā ​​manaʻo nasopharyngeal. Ke hoʻomau nei ka hōʻike, "Ma muli o ka hoʻomaʻemaʻe ʻole ʻana o ka maʻi, me nā hōʻike no ka maʻi a me ka hōʻeha ʻana, me nā ʻano koikoi nui o C-reactive protein, procalcitonin, ferritin, triglycerides, a me D-dimers, ʻaʻohe mākaola pathological i hōʻike ʻia i ʻehiku o nā keiki. Hoʻokaʻawale ʻia ʻo Adenovirus a me enterovirus i hoʻokahi keiki. "

Hoʻohālikelike - Hiki i ke kiʻi haukapila o ka haʻalulu hyperinflamothing ke kuhikuhi i kahi maʻi hou o Covid-19

Ua hōʻike ʻia e ka Lancet "he hōʻike i kēia kiʻi lapaʻau i kahi hanana hou e pili ana i nā keiki asymptomatic ma mua o ka maʻi SARS-CoV-2 e hōʻike nei ma kahi maʻi maʻi maʻi maʻi maʻi me ka pili o multiorgan e like me nā maʻi pīhoihoi o Kawasaki. ʻO ke ʻano multifaceted o ke papa maʻi i lalo ka pono o ke komo ʻana i ka multispecialty (ma ka nānā ʻana o ka naʻau, cardiology, maʻi maʻi o ka maʻi immunology, a me ka rheumatology). "

 

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