Kufuridzira syncytial virus ( RSV ) inowanzokonzera zvirwere kune vanhu vezera rose. Kunyange zvazvo inowanzokonzera zviratidzo zvakafanana nehuwandu hwevana vakuru nevakuru, mucheche nevana vaduku, zvinogona kukonzera bronchiolitis , chirwere chakakomba zvikuru, chinokonzerwa nekuputira mumapapu, kuputika uye kufema kunetseka.
RSV inogona kukonzera kukonzera, utachiona hwekunzwa , uye pneumonia.
RSV Mwaka
SVV zvirwere ndezvenguva, uye muUnited States, zvirwere zvakawanda zvinotanga munaNovember kana December uye zvinopfuurira kusvika munaMarch kusvika May. Saka, nguva yeRVV inotanga kubva munaNovember kusvika paMay.
Mishonga yeRVV inowanzoshamisa zvokuti inenge zvikamu zviviri kubva muzvitatu zvevana vanotapukirwa mugore ravo rokutanga rehupenyu uye vanenge vana vose vave neutachiona hweRVV panguva yavava nemakore maviri. Zvizhinji zveizvozvi zvirwere zvishoma, asi RSV inotungamirira kune 125 000 chirwere chepachipatara chechipatara gore roga roga uye 1-2% yezvipatara izvi vana vanofa.
Vana vanowanzotanga zviratidzo zvemazuva 2-8 mushure mokunge vazarurirwa kune mumwe munhu ane chirwere che RSV (iyo incubation period). Zviratidzo izvi zvinotanga kusanganisira mutsara wakajeka, asi sezvo utachiona hunopararira, zviratidzo zvinogona kuwedzera uye zvinogona kusanganisira kuokora, kurutsa, fivha (iyo inogona kubva kubva pasi kusvika kusvika kune yakakwirira), kufema nokukurumidza nekudzoka uye kupera, kuputika, uye kudya zvakashata.
Mumatambudziko akaoma, vana vanogona kunge vane apnea uye kupera simba.
Kurapa zvirwere zveRVV
Kufanana nehutachiona hwehutachiona hwehutachiona, kurapwa kwezvipatara zveRVV zvinowanzoratidza zviratidzo. Mune vana vane mavhiri uye kufema kwakaoma, mishonga ye-nebulized ne albuterol yaimbofungidzirwa kuti inobatsira asi iye zvino haisati yakurudzirwa.
Zvimwe zvirwere zvinogona kusanganisira kuwedzera oksijeni uye mvura inopisa kana mwana wako asingakwanisi kudya nokunwa zvakanaka. Kurapa kwebronchiolitis ne-steroid inokakavadzana uye kazhinji haifungi kuti inobatsira. Sezvo iine hutachiona, kurapwa nemishonga inorwisa mabhakitiriya zvakare hazviwanzobatsira, kunze kwekuti mwana wako atange chirwere chechipiri chekubhakitiriya.
Kunyange zvazvo vana vazhinji vane HIVV zvirwere zvinogona kuchengetedzwa kumba, vanenge 1% yevana, zvikurukuru vacheche kana avo vane chirwere chisingaperi, vanoda kupinda muchipatara uye kunyatsoongororwa. Dzimwe nguva, vana vane zvakaoma kufema nekufema uye / kana apnea vanofanira kuiswa pavheti kuti vavabatsire kufema. RSV inogonawo kuuraya kune vamwe vana.
Kuchengetedza RSV Zvirwere
Vana vakawanda vari pangozi yezvinetso zvakakomba zvehutachiona hweRVV vanosanganisira vacheche vasati vasvika kana kuti vasina chirwere chisingaperi chemapapu uye vacheche vacheche vane chirwere chisingaperi chemapapu. Nenzira yakanaka, mishonga inowanikwa kuti inodzivirira RSV zvirwere kune avo vane ngozi zvikuru.
RespiGam (RSV-IVIG) yakabvumirwa muna 1996 kuti kudzivirira zvirwere zveRIV muvanhu vane ngozi. Inowanikwa sekudzivirira kwemazuva ose uye inopa vana vane zvirwere zvinorwisana neRVV uye zvimwe zvirwere zvinoputika kuti zvidzivirire pakurwara.
Synagis (palivizumab), a monoclonal antibody against RSV, yakavapo makore mashoma gare gare, muna 1998.
Kunyange zvazvo iyo inopiwawo mwedzi wose, Synagis inowanikwa sejinga remukati. Uye kusiyana neReppiGam, Synagis haisi chigadzirwa cheropa uye haichazovhiringidzi nekuzvidzivirira kwevana vako (vana havagoni kugamuchira MMR kana chickenpox vaccine kusvikira mushure memwedzi 9 yekupedzisa RespiGam infusions).
IAmerican Academy of Pediatrics yakarongedza mirayiridzo yavo iyo vana vanofanira kuwana RSV prophylaxis neSinagis muna 2014. Vacheche vasati vasvika vasati vasvika vacheche vakaberekwa pakati pemasvondo 32-35 uye vasina makore anopfuura matatu panguva yekutanga kweRVV uye avo vane ingano imwe chete yezvipingamupinyi vangave vakakodzera Synagis, mazano ekupedzisira ndeokuti Synagis inokurudzirwa:
- Kutanga kuve vacheche vakaberekerwa mushure memasvondo makumi maviri nemasere uye vari pasi pemwedzi gumi nemaviri panguva yekutanga kweRVV (nguva yaOctober kusvika March).
- Vamwe vana vane hutano hwemwoyo hunokosha hunenge huri pasi pemwedzi gumi nemaviri pakutanga kweRVV, nguva yakawanda vana vane acyanotic inorwara yemoyo vari kugamuchira mishonga yekudzivirira kupera kwepfungwa kwemoyo uye zvinoda kurapwa kwemwoyo uye nevana vane mwero wakakura kusvika kune zvakanyanya kupemha chirwere chepfungwa .
- Kutanga kuve vacheche vane chirwere chisingaperi chemapapu, avo vakazvarwa mumasvondo mashoma makumi matatu nemaviri, avo vari pasi pemwedzi gumi nemaviri ekutanga kweRVV, uye vaine zvinodiwa> 21% okisijeni kwemazuva makumi matatu nemashure mokuberekwa.
- Vana vaduku vasati vava nemakore maviri avo vanonyatsodzivirirwa panguva yeRVV.
- Vamwe vana vari vaduku kupfuura makore maviri vane chirwere chisingaperi chemapapu vanoramba vachida kuwedzera oxygen, chisingarapiki corticosteroids, kana kuti chirwere chinonzi diuretic therapy, nezvimwewo.
- Vamwe vana vane utachiona husina kunaka kana chirwere chinonzi neuromuscular chinokanganisa kukwanisa kwavo kubvisa zvipfeko kubva kumhepo yavo yepamusoro vari pasi pemwedzi gumi nemaviri pakutanga kweRVV.
Sezvo RSV zvirwere zvakanyanya uye zviratidzo zvinogona kuva zvakanyanya, sei vanhu vose vasina Synagis? Chimwe chezvikonzero ndezvekuti vana vaduku zvikuru, kunyanya kana vakaberekwa vasati vasvika, vari pangozi yezvinetso zvakakomba zvezvirwere zveRVV. Chimwe chikonzero ndiyo mari. Synagis injections inodhura madhora mazana 900 pamwedzi uye inoda kujovedwa kwemwedzi pamwedzi munguva yeRVV.
Kazhinji ndeyekuti zvidzidzo zvakawanda zvinoona kuti pane "kukwana kliniki inobatsira yakabva panevizumab prophylaxis." Kunyange zvakadaro, zviri nani kupfuura chinhu kusvikira tawana gwaro rechokwadi ra RSV.
Kuwana Synagis Shots
Unowanapi majojo eSinagis?
Munharaunda yedu, Synagis inowanzowanika kubva kumwana wepachipatric Pulmonologists (vadzidzisi vemapapu), kana kubva kuSinagis makliniki kune zvipatara zvepamunharaunda, kunyanya avo vane Neonatal Intensive Care Unit. Kana iwe une preemie iyo ichazobudiswa mukati memhara ye RSV, ipapo vanachiremba vako vangangokutaurira nezve Synagis vasati vabuda uye vangave vakapa pfumo rokutanga vasati vatumirwa kumba.
Vana vanowanzowana zviyero zvishanu zvekupedza nguva yavo kuburikidza neRVV.
Zvichida kana kuti kwete mwana wako ari pangozi yakakura yekuve nematambudziko kubva kuhutachiona hweRVV, kune dzimwe nzira dzekudzikisa mikana yokuti mwana wako atapukirwa. Izvi zvinosanganisira:
- kudzidzisa vana vako uye vanopa vachengeti kuti vadzidze kazhinji kuswa maoko, kunyanya mushure mekushandisa shambiso (kusanganisira diaper kuchinja) uye vasati vadya. Iwe unofanirwawo kugara uchigeza zvishandiso nezvimwe zvinhu izvo vana vako vanoisa mumuromo mavo nemamwe mativi ose uye varasa matukisi mushure mekupukuta kana kuputira mhino yemwana wako.
- kudzivisa kushamwaridzana nevamwe vanhu vanorwara. Iva nechokwadi chekuti kuchengetwa kwako kwezuva kune hurongwa hwakasimba hwekusabvisa vana vane zvirwere zvinopararira. uye musarega chero munhu achisvuta vachipoteredza mwana wenyu. Kana iwe utsi, kusvuta fodya kunze hakuwanzokwanisa kuderedza dambudziko remwana wako wezvinetso.
Taura nevana vako kana iwe uchifunga kuti mwana wako anoda Synagis kana iwe unonetseka neRSV.
Sources:
American Academy of Pediatrics Policy Statement. Kugadziriswa Nhungamiro ye Palivizumab Prophylaxis Pakati pevana nevana vaduku paIndodzi inowedzera yezvipatara zvekuporesa Syncytial Virus Infection. PEDIATRICS Bhuku 134, Nhamba 2, August 2014.