Kwiiveki ezininzi ngoku, abagqirha bezilwanyana kunye neengcali zesayensi bejonge ikhonkco phakathi kweSawasaki syndrome kunye nokwanda kokosuleleka sisifo kweCOVID-19 ebantwaneni. Ngoku, kwakhona Istituto Superiore Sanità (ISS) ibonise ukuxhalaba kwayo kwaye ithatha indawo ecacileyo kwesi sihloko.

Ngaba kukho unxibelelwano phakathi kwesifo seKawasaki kunye ne-COVID-19 ebantwaneni? Ngoku, i-Istituto Superiore di Sanità (ISS) ithatha indawo ecacileyo kwesi sihloko, ngenqaku elisemthethweni.

Isifo se-Kawasaki kunye ne-COVID-19 ebantwaneni: ngaba ikhona ikhonkco ngokwenene?

Umbuzo osisiseko ngulo: ngaba ngokwenene kukho unxibelelwano phakathi kwe-Kawasaki syndrome, okanye i-acute multisystem immune syndrome, kunye ne-positivity kwi-COVID-19? Isifo sikaKawasaki sisifo esinokuthi sihlasele ulutsha kunye nabantwana abakwiminyaka yobudala. Olunye upapasho lwenzululwazi lwakutsha nje lubonakala ngathi lucacisa unxibelelwano olukhoyo.

Ngokwemiqondiso yeziko laseYurophu lokuthintela izifo kunye nolawulo (i-ECDC, ikhonkco lewebhusayithi esemthethweni ekupheleni kwenqaku) kunye ne-World Health Organisation (WHO), yifom yekliniki ekufuneka yahluliwe kwisifo seKawasaki kwaye isachazwa.

Ngokuphathelele koku, i-ISS yapapasha ingxelo ye-COVID-19 "Izalathiso ngesi sifo seKawasaki kunye ne-acute multisystem immune syndrome ebantwaneni kunye nolutsha kwisimo sengxakeko sosulelo lwe-SARS-CoV-2" (ikhonkco lombhalo opheleleyo osesiphelo yenqaku). Ingxelo epheleleyo ikwi-intanethi kwaye isesidlangalaleni.

“Yimeko enzulu, ngamanye amaxesha enqabileyo, efanele ukuba iqwalaselwe ngoogqirha babantwana, iingcali zezifo ezosulelayo, iingcali zamathambo, iingcali zeentliziyo kunye nezinye iingcali kwezempilo, ngakumbi xa kuthathelwa ingqalelo umanyano lobhubhane we-COVID-19 usaqhubeka. Kubalulekile ukuba uchonge izigulana kwangethuba, uzilalise esibhedlele ngokukhawuleza kwaye wenze uvavanyo oluchanekileyo lokuchonga ukuze uzithumele kunyango olufanelekileyo ”, uqinisekisa uDomenica Taruscio, uMlawuli weZiko leSizwe lezifo ezinqabileyo ze-ISS kunye nomququzeleli we" COVID-19 Nezifo ezinqabileyo ”iqela elisebenzayo.

 

Isifo sokudumba esibuhlungu kakhulu kubantwana: ikhonkco phakathi kwesifo seKawasaki kunye ne-COVID-19

I-ECDC yapapasha uvavanyo lomngcipheko okhawulezayo kwizifo zabantwana nezifo zesifo sokufikisa kwi-SARS-CoV-2 nge-15 kaMeyi ka-2020. Apho, sifumana amatyala ayi-230 akrokrelwe kwi-European Union nase-United Kingdom, ngokusweleka kwababini. Ikhonkco lisisiphelo sesicatshulwa, phakathi kwemithombo.

Abo bachaphazelekayo baneminyaka yobudala eyi-7-8, ukuya kuthi ga kwi-16 leminyaka. Banikezela ngokubandakanyeka okunzima kweenkqubo ezininzi, ngamanye amaxesha kufuna ukhathalelo olunzulu. Inani lokwenyani lezi zifundo lisephantsi kovavanyo, kunye nokuhlelwa ngokuchanekileyo kwale meko, ngoku ibizwa ngokuba yi "multisystem acute acute syndrome"

Olu phawu lweempawu lubandakanya impendulo engapheliyo yokuvuvukala, umkhuhlane omkhulu, ukungcangcazela kunye nokuxhaphaka okuxhaphakileyo kwe-myocardial kunye / okanye ukubandakanyeka esiswini. Ukhetho lokukhathalela lubandakanya ii-immunoglobulins, ii-steroid, iziyobisi ezichasene ne-cytokine. Olu xwebhu lubalaselisa ukuba, ngalo mzuzu, nokuba kungabikho nkcazo yamatyala kwinqanaba laseYurophu, unxibelelwano phakathi kokosuleleka yi-COVID-19 kunye nokuqala kwesifo kuyaqondakala, nokuba kubukho ubungqina obunqamlezileyo bekhonkco.

 

I-COVID-19 kunye ne-Kawasaki syndrome, ngaba ikhona ikhonkco? Funda ngononophelo kwezi zifundo zingezantsi:

I-China yaqhuba uphando olupapashwe kwi "Pediatrics" kubantwana abangama-2135. Aba bantwana bafunyaniswa okanye bakrokrelwa ukuba banesifo i-COVID-19, kuxelwa kwiZiko laseTshayina loLawulo lweSifo kuThintelo oluphakathi kwe-16 kaJanuwari ukuya nge-8 kaFebruwari 2020. I-112 (5.2%) yamatyala okuhlola aphuhlisa uhlobo olunobunzima besi sifo. ngokuqala ngokukhawuleza kwedyspnoea, hypoxia, umkhuhlane, ukukhohlela kunye neempawu zesisu, kubandakanya urhudo.

Abanye abantwana abali-13 (0.6%) bebegula kakhulu kwaye bakhawuleza baphathwa ngokuqatha uxinzelelo lokuphefumla okanye isifo sokungaphumeleli kokuphefumula; kwezi meko, baye baxela ukothuka, encephalopathy, umonakalo myocardial okanye ukusilela intliziyo, coagulopathy kunye nomonakalo ezintsonkothileyo.

Nge-2020 ka-Epreli- 149,760, iwebhusayithi esemthethweni yeZiko lase-US lokuLawulwa kwezifo (i-CDC) yapapasha iNgxelo yeVeki yokuThintela ukuBhubha kunye nokuFa, apho iimeko ezili-19 zavavanywa zinesimo seCOVID-2,572. Phakathi kwabo, amatyala ayi-1 (7, 18%) ayephantsi kweminyaka eli-12 kwisithuba esiphakathi koFebruwari nge-2 kuye ku-Epreli.

Kwiipesenti ezingama-73 zabantwana abane-SARS-CoV-2 abantwana abanomdla, ubuncinci beempawu zekliniki ezibangela ukurhanelwa (umkhuhlane, ukukhohlela kunye nedyspnoea) bezikhona, ngelixa kubantu abadala le pesenti yayingu-93%. Uxwebhu olufanayo laxela umyinge wokungeniswa esibhedlele kwinqanaba eliqikelelweyo phakathi kwe-5.7% ne-20%, kunye ne-ICU yokwamkelwa kwinqanaba phakathi kwe-0.6% ne-2%.

Inqanaba lokulaliswa esibhedlele laliphezulu kakhulu phakathi kwabantwana abangaphantsi konyaka ubudala (uqikelelo kuluhlu lwe-15% -62%) ngelixa kwiqela labadala eliqikelelweyo kuluhlu oluyi-4.1-14%. Phantse i-77% (i-28 kuma-37 amatyala) ezigulana ezibhedlele zine-pathologies enye okanye ezingaphezulu, ngelixa ezinye zezigulana ezingama-258 ezazingafuni kulaliswa esibhedlele, ezingama-30 (12%) zazo zazinezinye izifo.

 

Ikhonkco phakathi kwe-COVID-19 kunye ne-Kawasaki syndrome: Idatha yase-Italy kunye nesifundo eSpain

Istituto Superiore di Sanità (ikhonkco le-ISS ngasekupheleni kwenqaku) laxela ukuba e-Itali, kude kube nge-14 kaMeyi, 2020, phakathi kwabangama-29,692 19 ababhubhileyo abasulekileyo ngenxa yosulelo lwe-COVID-3, amatyala ama-0 ukusukela kwiminyaka eli-19 ukuya kweli-XNUMX ubudala.

Kwimeko yokufunda, epapashwe kwi "Jama Pediatrics", phakathi kwabaguli abangama-41 baseSpain abane-COVID-19 yosulelo, ama-60% (abantwana abangama-25) kufuneka alaliswe esibhedlele. Iimeko ezi-4 kubo bangeniswe esibhedlele kukhathalelo olunzima kunye nezinye i-4 ezifunekayo zomoya ongena kwi-air.

Ngokwengxelo yeEuropean Surveillance System ye-13 kaMeyi, 2020, abantwana bamele ipesenti ephantsi kakhulu yamatyala ayi-193,351 e-COVID-19 aqinisekiswe e-Italiya; kuluhlu phakathi kweminyaka engama-0 ukuya kwengama-10, iimeko ezixeliweyo zaziyi-1.1% ne-1% phakathi kweminyaka eli-10 ukuya kweli-19.

Isalathiso sokufa kwe-COVID-19 ke siyalingana ne-0.06% kwiqela leminyaka eyi-0-15, xa kuthelekiswa ne-16.9% kwiqela labantwana abaneminyaka engaphezulu kweshumi elinesihlanu.

I-3 abantwana abaye basweleka e-Itali bachukunyiswa zi-pathologies ezibalulekileyo kunye nezibi (isifo se-metabolic, isifo sentliziyo, umhlaza). Kwiqela labantwana abayi-100 abane-SARS-CoV-2 ene-swab ethembekileyo engena kwizibhedlele ezi-17 zase-Italiyane, yi-52% kuphela yabantwana abanomkhuhlane abaneempawu ezimbini ezinokubanjwa kwi-COVID-19 (ukukhohlela kunye nedyspnoea).

Iipesenti ezingama-38 zabantwana, ngokutsho kwesifundo sase-Italy esapapashwa kwi I-New England Journal of Medicine, ukulala esibhedlele, abangama-9 kubo bafuna inkxaso yokuphefumla (aba-6 abanezifo esele zikho). Bonke abo bantwana (ngokupheleleyo abali-100) kolu luhlu baphilisiwe. Ezi datha zibonakala ziqinisekisa malunga nemeko ye-COVID-19 yabantwana.

Nangona kunjalo, kufuneka banike ukhathalelo olukhulu xa abantwana abaneminyaka eyi-1 ubudala babonisa iimpawu zesifo se-COVID-19. Izifundo ezenziwe ngoososayensi baseTshayina nezapapashwa eJama koomama abakhulelweyo abane-SARS-CoV-2 isifo baphande ubudlelwane phakathi kokungakhuselekanga kwabakhulelweyo kunye nokukhusela usana kusulelo, ngaphandle kokufumana iziphumo eziqinisekileyo.

Iziphumo ke ngoko, kubantwana abasandul 'ukuzalwa bomama onomdla we-SARS-CoV-2, iimpawu ezibonakalayo ezinjengomkhuhlane, ubunzima bokuphefumla, ukukhohlela, iimpawu zesisu kunye nokuthanda ukulala, kufuneka babalumkise abazali kunye nomntwana.

 

Ikhonkco phakathi kwe-COVID-19 kunye ne-Kawasaki syndrome - FUNDA UVIWO LWE-ITALIAN

 

FUNDA KUNYE

I-Acute hyperinfigueatory yothusa ifumaneka kubantwana baseBritane. Iimpawu ezintsha zesifo se-Covid-19?

Ngaba i-hydroxychloroquine ikonyusa ukusweleka kwezigulana ze-COVID-19? Isifundo kwi-Lancet iqala ukulumkisa nge-arrhythmia

Imibuzo malunga novavanyo lweNovel Coronavirus? Uphendule iYunivesithi yaseJohn Hopkins

Ii-ERs ezihlala zihlala zigcwele izigulana ze-COVID-19, ukhetho oluninzi lokhathalelo lweTexas Medicaid kunye neMedicare

I-COVID-19 eseMexico, ii-ambulensi zothumela abantu kwizifo ze-coronavirus

I-COVID-19: bambalwa kakhulu abagqithisi e-Gaza, Syria nase Yemen, Gcina abantwana balumkisa

SOURCES

Ingxelo ye-ISS COVID-19

I-ISS -impawu kwi-SARS-CoV-2 yezigulana ezifa kwiNgxelo ye-Itali

I-ECDC-Isifo sokudumba kwabantwana kwi-multisystem syndrome kunye nosulelo lwe-SARS-CoV-2 ebantwaneni

 

IZALATHISO

Iziko laseTshayina loLawulo lweSifo kunye nokuThintela iwebhusayithi ngokusemthethweni

Iwebhusayithi ye-CDC yaseburhulumenteni yase-US

INgxelo ye-COVID-19 ye-Morbidity and Mortality Weekly Report (MMWR)

I-ISS iwebhusayithi esemthethweni