Arotake oPepa Rangahau Matarohia
Ko te Huaketo Hinengaro Manawa (RSV) me te Huaketo Metapneumovirus Tangata (HMPV) he te rua ngā mate pāwera e pā tata ana ki roto i tePneumoviridaewhānaue maha ana te whakapoauau i roto i ngā take o te mate manawa whakapeka o ngā tamariki. Ahakoa e taupatupatu ana ō rātou whakaaturanga haumanu, ko ngā raraunga tirotiro matapae (2016–2020) mai i ngā hōhipera tamariki e 7 o US—e 8,605 ngā tūroro—e whakaatu ana i ngā rerekētanga nui i roto i ō rātou taupori mōrearea nui, te kaha o te mate, me te whakahaere haumanu. I whakamahia e tēnei rangahau he hoahoa kaha, matapae me te kohikohinga swab nasopharyngeal pūnaha me te whakamātautau mō ngā huaketo manawa e 8, e whakarato ana i te whakataurite nui tuatahi, ao tūturu mō ngā tākuta tamariki. Mā te tātari i ngā reiti hōhipera, ngā whakaurunga ICU, te whakamahinga manawa miihini, me te noho hōhipera roa (≥3 rā), ka whakatūhia he turanga mate urutā nui i mua i te wawaotanga mō te wā o ngā werohanga RSV hou (hei tauira, ngā kano kano whaea, ngā paturopi monoclonal roa-mahi) me te hanga i tētahi anga mō te whanaketanga kano kano HMPV a meake nei.
Kimi Matua 1: Ngā Kōtaha Mōrearea-Tiketike Motuhake
-Ko te RSV te mea nui ka pā ki ngā pēpi nohinohi:Ko te tau toharite i noho ai ki te hōhipera he 7 marama noa iho, ā, 29.2% o ngā tūroro i whakaurua he pēpi hou (0–2 marama). Ko te RSV tētahi o ngā tino take o te noho hōhipera i roto i ngā pēpi kei raro iho i te 6 marama te pakeke, ā, he rerekē te kaha o te hōhipera ki te tau.
-Ko te HMPV e aro ana ki ngā tamariki pakeke me te hunga whai mate tāpiri:Ko te tau toharite i noho ai rātou ki te hōhipera he 16 marama, ā, he nui ake te pānga ki ngā tamariki neke atu i te 1 tau te pakeke. He mea nui, ko te horapa o ngā mate hauora (hei tauira, te mate ngakau, te mate pūnaha io, te mate manawa) he nui ake i te rua ngā wā i roto i ngā tūroro HMPV (26%) i whakaritea ki ngā tūroro RSV (11%), e whakaatu ana i te kaha ake o tō rātou ngoikore.
Pikitia 1. Te tohatoha tau o ngā haerenga ki te tari whāngai mate me ngā whakaurunga hōhiperae pā ana ki te RSV, ki te HMPV rānei
i roto i ngā tamariki kei raro iho i te 18 tau te pakeke.
Te Kitenga Matua 2: Te Whakarerekē i ngā Whakaaturanga Hauora
-Ka puta te RSV me ngā tohu nui o te manawa o raro:He hononga kaha tēnei ki te bronchiolitis (76.7% o ngā take i te hōhipera). Ko ngā tohu matua ko:ngā hoki whakamuri o te pakitara o te uma (76.9% o ngā tūroro noho; 27.5% ED)mete manawa pāpaku (91.8% tūroro noho; 69.8% ED), he nui ake te auau o ēnei e rua i tō te HMPV.
-Ka puta te HMPV me te mōrearea nui ake o te kirika me te niumōnia:I kitea te niumōnia i roto i te 35.6% o ngā tūroro HMPV i te hōhipera—e rua te maha o ngā wā ka pāngia e te RSV.Ko te kirika te āhuatanga matua (83.6% tūroro i roto i te hōhipera; 81% ED)Ahakoa ka puta ngā tohu manawa pēnei i te wheezing me te tachypnea, he iti ake te kino o ēnei i te RSV.
Pikitia 2.Ngā āhuatanga whakatairite me ngā āhuatanga haumanuakorangao te RSV me te HMPV i roto i ngā tamariki kei raro iho i te 18 tau te pakeke.
Whakarāpopototanga: RSVKo te nuinga o te wā ka puta he mate kino i roto i ngā pēpi nohinohi, e tohuhia ana e te uaua o te manawa (te wheezing, te hoki whakamuri) me te bronchiolitis.HMPVhe nui ake te pānga ki ngā tamariki pakeke ake me ngā mate tāpiri, ka puta he kirika nui, he nui ake te mōrearea o te niumōnia, ā, he maha ngā wā ka puta he urupare mumura whānui.
Kimi Matua 3: He Mea Hira ngā Tauira o te Wā
-He tihi wawe, he tihi matapae tō te RSV:He tino kaha te mahi, ā, ko tōna taumata teitei rawa i waenganui iWhiringa-ā-rangi me Hānuere, ā, koinei te tūmomo mate urutā matua e pāngia ai ngā pēpi i te ngahuru me te hotoke.
-Ka piki ake te HMPV i muri mai me te nui ake o te rerekētanga:Ka tae mai tōna wā i muri mai, ko te nuinga o te wā ka tino eke ki te taumata teiteiMaehe me Āperira, ā, e whakaatu ana i ngā rerekētanga nui i ia tau me ia rohe, e puta pinepine ana hei "ngaru tuarua" i muri i te hekenga o te RSV.
Pikitia 3.PCR whānui me te PCR motuhake-wāhiengā reiti mō te RSV me te HMPV i roto i ngā tamariki kei raro iho i te 18 tau te pakeke e pāngia ana e te mate manawa whakapeka (ARI) me ngā whakaurunga ki te hōhipera.
Te Ārai me te Manaaki: He Mahere Mahi e Hangai ana ki ngā Taunakitanga
-Te ārai i te RSV:Kei te wātea ngā rautaki ārai ināianei. I te tau 2023, i whakaaetia e te US FDA tētahi paturopi monoclonal roa-mahi (Nirsevimab), ka taea te tiaki i ngā pēpi mō ā rātou marama tuatahi e 5. Hei tāpiri, ka tukuna e te werohanga RSV a te whaea ngā paturopi tiaki ki ngā pēpi hou.
-Te ārai i te HMPV:Kāore anō kia whakaaetia he rongoā ārai mate i tēnei wā. Heoi, kei roto i ngā whakamātautau haumanu ētahi o ngā kano ārai mate (hei tauira, te kano ārai mate RSV/HMPV a AstraZeneca). Me noho mōhio tonu ngā mātua ki ngā whakahōutanga mai i ngā mana hauora tūmatanui.
Rapua he awhina hauora tonu mō tētahi o ēnei "haki whero":
-Te kirika i roto i ngā pēpi:Te pāmahana ≥38°C (100.4°F) i roto i tētahi pēpi kei raro iho i te 3 marama te pakeke.
-Te tere o te manawa teitei:Neke atu i te 60 ngā manawa ia meneti mō ngā pēpi 1-5 marama te pakeke, 40 rānei ngā manawa ia meneti mō ngā tamariki 1-5 tau te pakeke, e tohu ana tēnei i te uauatanga o te manawa.
-Te iti o te mākū o te hāora:Ka heke te mākū o te hāora (SpO₂) ki raro iho i te 90%, he tohu nui tēnei o te mate kino i kitea i roto i te 30% o ngā mate RSV me te 32.1% o ngā mate HMPV i te hōhipera i roto i te rangahau.
-Ngā uauatanga o te whāngai, te ngenge rānei:Te ngenge nui, te hekenga rānei o te miraka e kainga ana e te neke atu i te kotahi hautoru i roto i ngā haora 24, ka waiho pea tēnei hei tohu mō te matewai.
Ahakoa he rerekē te mate urutā me te whakaaturanga haumanu, he uaua tonu te wehewehe tika i waenga i te RSV me te HMPV i te wāhi tiaki. Hei tāpiri, kei tua atu i ēnei huaketo e rua te riri haumanu, me ngā mate pēnei i te rewharewha A me te whānuitanga o ētahi atu mate huaketo me ngā kitakita e whakawehi ana i te hauora o te taupori i te wā kotahi. Nō reira, he mea nui te tautuhi i te takenga tika me te tika mō te whakahaere tautoko tika, te wehenga whai hua, me te tohatoha rauemi whaitake.
Te whakauru atu i te Kete Kimi Whakakotahi AIO800 + 14-Pathogen (Fluorescence PCR)(NMPA, CE, FDA, SFDA whakaaetia)
Hei whakatutuki i tēnei hiahia, ko tePūnaha Kimi Waikawa Karihi Aunoa Katoa a Eudemon™ AIO800, i honoa ki tētahiPapa manawa 14-mate huaketo, e tuku ana i tētahi otinga whakarerekētanga — e tuku ana i te pono"whakamātautau ki roto, whakautu ki waho"te tātaritanga i roto i te 30 meneti noa iho.
Ka kitea e tēnei whakamātautau manawa whānuingā huaketo me ngā huakitamai i te tauira kotahi, e āhei ai ngā kaiwhakarato hauora o te rārangi mua ki te whakatau kaupapa maimoatanga māia, wā tika, me te whai kiko.
Ngā Āhuatanga Matua o te Pūnaha e Hiranga ana ki ō Kiritaki
Rerenga Mahi Aunoa Katoa
I raro iho i te 5 meneti te roa o te mahi ā-ringa. Kāore e hiahiatia he kaimahi ngota ngota mohio.
- Ngā Hua Tere
E 30 meneti te roa o te wā e hiahiatia ana hei tautoko i ngā āhuatanga haumanu ohorere.
- 14Te Kimi i ngā Mate Tukutuku
Te tautuhi i te wā kotahi o:
Ngā huaketo:COVID-19, Rewharewha A & B, RSV, Adv, hMPV, Rhv, Momo Parainfluenza I-IV, HBoV, EV, CoV
Ngā huakita:MP,Cpn,SP
-Ngā Tauhohenga Kua Whakakīia ki te Riopiripiri, Ka Pumau i te Pāmahana Rūma (2–30°C)
Ka māmā ake te rokiroki me te kawe, ka kore ai e whakawhirinaki ki te mekameka makariri.
Pūnaha Ārai Parahanga Pakari
Ngā mahi ārai-parahanga 11-paparanga tae atu ki te whakahoromata UV, te tātari HEPA, me te tukanga rerema kati-kāri, me ētahi atu.
Ko te tautuhi tere me te whānui i ngā mate urutā he mea nui ki te whakahaere hou i ngā mate manawa o ngā tamariki. Mā te pūnaha AIO800, me tana papaaho PCR maha-aunoa, 30-meneti te roa, ka whakaratohia he otinga whai hua mō ngā tautuhinga o mua. Mā te whakahohe i te kitenga wawe me te tika o te RSV, HMPV, me ētahi atu mate urutā matua, ka whakamanahia e ia ngā tākuta ki te whakatau i ngā whakatau maimoatanga kua tohua, te arotau i te whakamahinga o ngā paturopi, me te whakatinana i te whakahaere mate whai hua—arā, ka whakapai ake i te tiaki tūroro me te whai huatanga o te hauora.
#RSV #HMPV #Tere #Tautuhi #Manawa #Patūkino #Tauira-ki-te-Whakautu#WhakamātautauMacroMicro
Wā tuku: Hakihea-02-2025