Hoʻopili nui ka coronavirus i ka poʻe ʻelemākule a me nā mea maʻi nāwaliwali e nā maʻi maʻi e kū nei. Eia nō naʻe nā pilikia o ka haumia e Covid-19 no nā keiki ʻōpio, ʻoiai inā ʻaʻole ʻo kēia heluna ka nui o ka hopena. ʻO ia ke kumu i hāmama nā kula i ka wā o ka laka ʻelua. He aha nā hōʻailona a me nā pilikia no nā pēpē a me nā keiki? 

I ʻApelila 2020, ua kani ka leo o Pelekane e pili ana i ka hoʻonui ʻia o nā hihia o nā keiki i ka haukapila me nā ʻōuli e like me ka maʻi ʻo Kawasaki kokoke iā MIS-C (multisystemic inflammatory syndrome) a i kapa ʻia paha PIMS no ka mea, pediatric multisystem inflammatory syndrome. Ua haʻi pū nā kauka ma ka Halemai ʻo Necker ma Palisa i kahi maʻi mumū ma 25 mau maʻi i emi ma mua o 15 mau makahiki. ʻO kēlā mau keiki a i hōʻikeʻia nā hōʻailona hōʻeha i ka puʻuwai, māmā, a ʻōnaehana digestive paha. Ua hōʻike pū ʻia kekahi mau hihia like ma ʻItalia a me Pelekiuma. I ka Mei 2020, ua helu ʻia e ka lehulehu ʻo Palani he 125 mau hihia o nā keiki e hōʻike mai ana i nā hōʻailona maʻi e like me kēia maʻi maʻamau. I waena o kēia mau keiki, 65 ua hōʻoia maikaʻi no Covid-19. Manaʻo ʻia ʻo kekahi ua loaʻa i ka maʻi. Hoʻomaopopo kēia i kahi loulou ʻoi aku ma waena o ka PIMS a me Covid-19 i nā keiki. ka loulou ua hoʻokūpaʻa i kēia mau lā "ʻo ka ʻikepili i hōʻiliʻili ʻia e hōʻoia i ke ola ʻana o kahi Synisystem inflammatory syndrome he nui loa i nā keiki me ka hoʻopili pinepine ʻana o ka naʻau, pili i ka maʻi COVID-19. ". Eia hou, e like me ka UK's National Health Service, ka MIS-C ua pili mua ma mua o hoʻokahi tausani mau keiki a me nā ʻōpio ʻōpio a puni ka honua mai ka hopena o ʻApelila. Aia ma kahi o 551 ma Palani.

ʻO ke kaumaha, ua make kahi keikikāne 9 mau makahiki mai Marseille. Ua loaʻa iā ia ka ukali olakino no 7 mau lā i kahi nohona haukapila. Ua pilikia kēia keiki i ka maʻi nui a me ka hopu ʻia o ka naʻau i kona home. Ua maikaʻi kāna serology no Covid-19 a ke ʻeha nei ʻo ia i ka co-morbidity “neuro-developpemental". I nā keiki, E hōʻike ʻia ʻo MIS-C ma kahi o 4 mau pule ma hope o ka maʻi ʻana me ka maʻi Sars-Cov-2. 

Ua makemake nā kauka e hoʻomaopopo i nā luna olakino, nāna i lawe ka ʻike i ka lehulehu. He mea nui e hoʻomau i ka lawe i nā ʻano like a mai hāʻawi i ka hopohopo. Ke waiho nei kēia i kahi mahele haʻahaʻa loa o nā keiki i hoʻopilikia ʻia. Ke kūpaʻa maikaʻi nei ke kino o nā keiki, mahalo i ka nānā pono ʻana a me ka mālama ʻana. Ua hoʻomaikaʻi wikiwiki ʻia ko lākou olakino.

Wahi a Inserm, ʻo ka poʻe ma lalo o 18 mau makahiki ma lalo o 10% o nā hihia āpau o Covid-19 i ʻike ʻia. No nā keiki me nā syndrome inflammatory multisystem, kahi e hoʻopili ai i ke kino holoʻokoʻa, ʻo ka hopena o ka make e pili ana ma lalo o 2%. Kūleʻa ka make ma waena o nā keiki ma lalo o 15 a hōʻike i 0,05% (ma waena o 5-17 mau makahiki). Hoʻohui ʻia, ʻo nā keiki me ka maʻi hanu mau (ka hānō nui), nā maʻi puʻuwai congenital, maʻi neurological (epilepsy), a i ʻole ka maʻi ʻaʻai ʻekolu mau manawa e ʻae ʻia e mālama nui inā loaʻa Covidien-19 ia lakou keiki a i ke olakino maikaʻi. Hoʻohui ʻia, ka hōʻike nā keiki ma lalo o 1% o nā haukapila a pau a me nā make me ka ʻōlelo o Covid-19.

Kahi i ka honua

Kakaikahi nā pēpē a me nā keiki liʻiliʻi e hōʻike nā ʻōuli e pili ana iā Covid-19. Eia nō naʻe, ʻaʻohe mea e like me ka ʻole o ka makaʻu: no laila pono mākou e makaʻala. Ma ke ao holoʻokoʻa, ma lalo o 10% o ka poʻe i loaʻa i ka coronavirus hou he mau keiki a ʻōpio ʻōpio paha ma lalo o ka makahiki 18. Covidien-19. ʻO nā make pēpē, maikaʻi no Covid-19, he ʻokoʻa ma ka honua holoʻokoʻa.

Kahi i ʻEulopa

Ma nā wahi ʻē aʻe, ʻaʻole ka pilikia me ka hāʻawi ʻole i kekahi hopohopo i nā mākua o nā keiki liʻiliʻi. Ma ʻItalia, kokoke 600 mau hihia o nā keiki i wehewehe ʻia. Ua hōʻola ʻia lākou i ka haukapila, akā ʻaʻole i hōʻemi ko lākou kūlana. ʻO nā hihia o nā keiki a me nā ʻōpio ma lalo o ka makahiki 18 i hōʻike ʻia ma ʻEulopa (Pokukala, Pelekane Nui, Pelekiuma a me Palani). Wahi a ka Public Health France hōʻike, i kākau ʻia ma ʻAukake 17, 2020, ma lalo o 5% o nā hihia o nā keiki i loaʻa i ka maʻi Covid-19 i hōʻike ʻia i ka European Union. ʻO nā keiki (ma lalo o ka makahiki 18) e emi iki ana paha ka hoʻomohala ʻana i kahi ʻano koʻikoʻi o Covid-19. I loko o lākou, hōʻike liʻiliʻi ka maʻi iā ia iho, ʻo ia hoʻi, ʻaneʻane asymptomatic. Eia kekahi, e nā keiki "E hoʻokuʻu i ka nui o ka maʻi e like me nā mākua a no laila haumia nā kānaka makua". 

Nā hihia o ka coronavirus i nā keiki ma Palani

Ua hōʻoia ka ʻepekema ʻepekema, i kahi Manaʻo o ʻOkakopa 26, e ” ʻo nā keiki mai 6 a 11 mau makahiki ʻike ʻia ka liʻiliʻi o ka maʻalahi, a ʻoi aku ka liʻiliʻi, ke hoʻohālikelike ʻia i nā mākua. Loaʻa iā lākou nā ʻano palupalu o ka maʻi, me ka mahele o nā ʻano asymptomatic ma kahi o 70% ".

I loko o kahi hōʻike mai Public Health France, ua ʻike ʻia nā ʻike kiaʻi no ka maʻi i nā keiki e hōʻemi iki ʻia ana: 94 mau keiki (0 a 14 mau makahiki) i ka haukapila a 18 i ka mālama nui. Mai Malaki 1, 3 mau keiki make i hoʻopaʻa ʻia no Covid-19 ma Palani. Eia nō naʻe, noho kaʻawale nā ​​hihia o nā keiki i hoʻopilikia ʻia e Covid-19 a kū i lalo o 1% o nā mea maʻi a me nā mea i hōʻemi ʻia ma ka haukapila a ma lalo o 5% o nā hihia i hōʻike ʻia ma ka European Union a me ka United Kingdom. Eia kekahi, ” ʻaʻole e hōʻemi ʻia nā keiki i ka haukapila a i ʻole hopena hopena make ma mua o ka poʻe mākua ”. 

Hōʻike hōʻike loiloi coronavirus kamaliʻi

Le hoʻāʻo salivary hoʻouka i loko nā kula hoʻonaʻauao. Mai Mei 10 a 17:

• Ua hāʻawi ʻia nā hoʻāʻo 255 Covid-861;
• Ua hana ʻia he 173 mau hoʻāʻo;
• 0,17% nā hoʻokolohua i maikaʻi.

ʻO nā kūlana no ka hana ʻana i kahi hōʻike PCR i nā keiki e like loa me nā mākua. Inā ʻaʻohe mea i manaʻo ʻia ʻo Covid hihia i ka entourage, hōʻike wale ʻia ka hōʻike no nā keiki o 6 a ʻoi paha mau makahiki, a i ʻole me nā ʻōuli e mau ana ma mua o 3 mau lā. Ma ka ʻaoʻao ʻē aʻe, i ka hanana o ka kānalua i ka entourage a inā hōʻike ke keiki i nā ʻōuli, pono e hana i kahi hoʻokolohua loiloi. Pono nā mākua e koho i kahi manawa i ke keʻena hoʻokolohua a i ʻole me ka pediatrician o ke keiki. ʻOiai ke kali nei i nā hopena o ka hoʻāʻo, pono ke keiki e noho ma ka home a pale i ka hoʻopili ʻana me ka hoʻomau ʻana e noi i nā ʻano ālai. Inā maikaʻi ka hōʻoia, pono ʻo ia e noho kaʻawale no 7 mau lā.

Ma Nowemapa 28, 2021, ua hōʻoia ʻia ka hōʻike lawaie EasyCov e ka French National Authority for Health. He kūpono ia no keiki a ʻo kēia manawa nā ʻōuli o Covid-19. Ma ka ʻaoʻao ʻē aʻe, ʻaʻole lawa ka maikaʻi (92% e kūʻē i ka 99% e pono ai), i ka hihia o kahi maʻi asymptomat.

Mai Pepeluali, ua hoʻokumu ʻo Jean-Michel Blanquer, ke Kuhina o ka Hoʻomaʻamaʻa Aupuni, i ka hoʻoili māka nui i nā kula. No ka hoʻokō ʻana, hāʻawi ʻia nā hōʻike lawai i nā haumāna a koi i ka ʻae a nā mākua. Ma ka ʻaoʻao ʻē aʻe, ka ʻAʻole hōʻike ʻia ka hoʻāʻo PCR i nā keiki ma lalo o 6 mau makahiki.

He aha e hana ai i kēlā me kēia lā?

ʻOiai ʻoi aku ka nui o ka hopena o nā keiki a me nā pēpē e ka coronavirus ma mua o nā mākua a me nā ʻelemākule, he mea nui e hāhai i nā ʻōlelo i hāʻawi ʻia i nā mākua a hoʻopili ʻia i nā keiki: 

• E holoi pinepine i kou mau lima me ke kopa a me ka wai ma mua a ma hope o ka pā ʻana i kāu pēpē
• Mai hoʻokomo i ka pacifier o ka pēpē i ka waha, holoi iā ia me ka wai maʻemaʻe 
• Inā maʻi nā mākua a i ʻole he mau ʻōuli, e kau i kahi pale maka 
• Alakaʻi e ka laʻana me ke noi ʻana i nā ʻōniu kūpono e ʻapo a paipai i nā keiki e hana iā lākou: puhi i ko lākou ihu i kahi mea hiki ke hoʻohana ʻia, sneeze a i ʻole ka huʻu i ko lākou kuʻe lima, holoi pinepine i ko lākou mau lima me ka wai kopa.
• Hōʻalo i nā hale kūʻai a me nā wahi lehulehu i ka mea hiki a ma loko o nā palena o nā hoʻokumu ʻae ʻia

I Palani, pono nā keiki mai ka makahiki ʻeono e ʻaule Māhele I ʻoki kino a i ʻole ka pale maka lole ma ke kula haʻahaʻa. Ma nā kula waena a me nā kula kiʻekiʻe, koi ia no nā haumāna āpau. I Italia, kahi ʻāina i loli nui ʻia e ka coronavirus, nā keiki mai nā makahiki 6 e komo i ka pale maka. 

He aha nā hōʻailona o Covid-19 i nā keiki?

I ʻOkakopa, nā ʻōuli o Covidien-19 ua hōʻike ʻia i nā keiki e kahi noiʻi Pelekane. ʻO ka hapa nui asy asymatic. No nā poʻe ʻē aʻe, ke kuni, ka luhi a me nā poʻo poʻo ke hōʻailona hōʻailona ʻoi loa ma keiki a. Loaʻa paha lākou i ka maʻi kuni kuni, ka pau ʻole o ka makemake, pehu, pākī, a hoʻonāukiuki paha.

Nā ʻōuli o Covid-19 i nā mākua like no nā keiki a me nā pēpē. Hoʻomaka ia me ka puʻu, ka ihu me ka ʻole o ke kuni. Hiki ke ʻike ʻia ka pehu, a pēlā pū me nā poʻo poʻo. ʻO ka nā ʻōuli o ka coronavirus , i ka wā ma mua, like me nā maʻi o ke anu a i ʻole ka maʻi palū kau. E makaʻala nā mākua e pili ana i nā maʻi ʻē aʻe i hiki i nā keiki ke ulu. ʻAʻole ʻo Covid-19 wale nō ka maʻi i hiki i nā keiki ke loaʻa.

He aha e hana ai inā loaʻa nā hōʻailona?

Inā hōʻike ka pēpē a ʻōpio paha i nā ʻōuli o Covid-19, pono ʻoe e kāhea i ke kauka a mai hele i kāna keʻena. Hōʻike paha ke kauka i kahi koho kelepona wikiō e hāʻawi i kāna ʻike. E hiki iā ia ke haʻi inā he haumia e ka coronavirus hou ʻaʻole paha. Hiki iā ia ke maʻalahi ma ke ʻano he virus kau. I kekahi hihia, ʻaʻole pono mākou e makaʻu. Paipai ʻia ka nānā ʻana i ke kūlana olakino o ke keiki, ʻo ia hoʻi ma ka lawe ʻana i ka mahana i ʻelua mau lā i ka lā.

I nā hanana o ke koʻikoʻi, e like me nā pilikia hanu e pili ana i ka cyanosis, mottling a i ʻole tachycardia, pono e hoʻopili koke ʻia ke kauka, a i ʻole Samu ma 15.