
Sarah lallaman, ua, pediatrics / hluas
Raws li tej zaum koj twb paub lawm, cov tshuaj tiv thaiv COVID-19 tam sim no tau pom zoo rau cov hnub nyoog 12 thiab laus dua. Nws tsis paub meej txog lub sijhawm teem sijhawm rau kev pom zoo rau ib qho tshuaj tiv thaiv rau cov menyuam yaus. Nrog rau cov hnub pib rov qab mus kawm ntawv tsuas yog nyob ib ncig ntawm lub ces kaum, yog tias koj tseem tsis tau, tam sim no yog lub sijhawm kom koj tus menyuam 12 xyoos thiab laus dua txhaj tshuaj tiv thaiv kom ntseeg tau tias lawv muaj kev tiv thaiv thiab tuaj yeem pab tiv thaiv lwm tus. Peb txhua tus cia siab tias yuav muaj xyoo kawm ntawv ib txwm muaj ntau dua thiab nrog qhov nce ntawm Delta qhov sib txawv ntawm COVID-19 twb tshwm sim lawm, peb yuav tsum tuav peb tus kheej los ntawm txhua qhov ua tau los pab ua qhov ntawd. Rau cov uas tseem muaj lus nug txog COVID-19, kuv vam tias cov ntaub ntawv tshiab no, nyob rau hauv cov lus nug uas peb tau hnov los ntawm niam txiv, yuav pab tau rau koj.
Q: Kuv tau hnov tias COVID-19 tsis tshua muaj mob hnyav rau menyuam yaus. Vim li cas kuv tus menyuam yuav tsum tau txhaj tshuaj tiv thaiv COVID-19? A: Cov menyuam yaus tau muaj hmoo heev thaum nws los txog rau tus tshiab SARS-CoV-2 los yog hu ua COVID-19, tab sis qhov no tsis yog vim li cas thiaj ua rau peb cov neeg saib xyuas poob qis, so lossis so yooj yim thaum nws los txog rau menyuam yaus. Muaj cov xwm txheej ntawm kev puas tsuaj loj los ntawm COVID-19 hauv cov menyuam yaus, ob qho tib si los ntawm kev mob hnyav thiab los ntawm cov teeb meem tom qab. Hauv chaw ua haujlwm, kuv tau koom nrog cov niam txiv suav ntau zaus uas feem ntau tsis yog qhov mob tiag tiag uas kuv ntshai rau menyuam yaus, tab sis qhov tsis paub txog muaj COVID-19 uas cuam tshuam rau kuv - txhais tau tias muaj teeb meem mus ntev xws li mob ntsws, ua rau ntshav txhaws lossis vasculitis (mob cov hlab ntsha thoob plaws lub cev) lossis cov txheej txheem hu ua MIS-C (multisystem inflammatory mob hnyav heev rau cov menyuam yaus). MIS-C tuaj yeem ua rau tuag taus lossis muaj mob plawv mus ntev. Peb tab tom nkag mus rau theem tshiab ntawm kev sib kis. Qhov peb paub txog thawj ob peb qhov nce ntxiv ntawm COVID-19 tsis zoo ib yam nrog Delta variant thiab zoo li muaj ntau yam tsis paub. Peb feem ntau ua tau zoo nrog kev sib txawv ntawm kev sib raug zoo thiab kev npog ntsej muag ua ntej, tab sis kev txwv tsis pub muaj teeb meem, tib neeg tau so, thiab tam sim no peb tab tom cuam tshuam nrog qhov sib txawv uas sib kis tau ntau dua. Cov tshuaj tiv thaiv muaj qhov tshwm sim, txog 0.01%. Cov mob no tsis tshua muaj thiab zoo li mob me me, zoo ib yam li qhov peb pom nrog kev sib kis ntawm cov tshuaj tiv thaiv kab mob khaub thuas.
Q: Kuv tus menyuam yuav muaj kev phiv dab tsi los ntawm kev txhaj tshuaj? A: Qee tus neeg muaj cov tsos mob ntau dua li lwm tus thiab qee tus neeg tsis muaj tsos mob dab tsi. Cov kev mob tshwm sim rau cov menyuam yaus yuav tsum zoo ib yam li cov neeg laus thiab yuav muaj xws li mob caj npab, ua npaws, qaug zog, ua daus no, mob taub hau lossis xeev siab. Raws li kev sim tshuaj tiv thaiv txuas ntxiv thiab xaus rau cov menyuam yaus, peb yuav paub yog tias muaj lwm yam kev mob tshwm sim. Kuv ib txwm ceeb toom rau tib neeg tias cov menyuam yaus muaj lub siab tawv thiab nyiam ua kom tsis xis nyob thiab cov tsos mob zoo dua li peb ua raws li cov neeg laus!
Q: Yuav ua li cas txog kev txhawj xeeb mob plawv lossis myocarditis uas tuaj yeem los ntawm cov tshuaj tiv thaiv? A: Nws yog qhov tseeb tias muaj qhov paub zoo, tab sis tsis tshua muaj tsawg - tsawg dua 0.01%, cov kev mob tshwm sim lossis teeb meem los ntawm cov tshuaj tiv thaiv. Cov kab mob myocarditis los ntawm cov tshuaj tiv thaiv yog me me los yog tsawg dua piv rau cov kab mob plawv pom nrog tus kab mob COVID-19 tiag tiag thaum cov tshwm sim. Kev txhaj tshuaj tiv thaiv kab mob myocarditis yog kho tau thiab feem ntau hnov zoo sai sai nrog kev kho mob thiab so. Nkag siab, txhua tus niam txiv yuav xav tias txaus ntshai yog tias lawv tus menyuam raug mob hnyav los ntawm kev txhaj tshuaj. Ib yam li ntawd, nws yuav hnyav rau niam txiv lub siab yog tias lawv tus menyuam yuav muaj qhov tshwm sim tsis zoo los ntawm tus kab mob COVID-19 uas tej zaum yuav raug tiv thaiv lossis txo qis los ntawm cov tshuaj tiv thaiv uas lawv xaiv tseg.
Q: Koj paub li cas cov tshuaj tiv thaiv muaj kev nyab xeeb rau menyuam yaus? A: Txhua lub sijhawm muaj cov tshuaj tiv thaiv "tshiab", ib txwm muaj qee qhov tsis txaus ntseeg vim muaj coob tus xav tias lawv tsis tuaj yeem txiav txim siab rov qab. Kuv tau ua pov thawj rau cov niam txiv tag nrho tias kev tshawb fawb tom qab txhaj tshuaj tiv thaiv no tsis yog tshiab thiab tau kawm ntau xyoo nrog kev siv hauv lwm yam xws li kev kho mob qog noj ntshav. Muaj peev xwm txaus ntshai nrog cov tshuaj tiv thaiv, lossis nrog rau ib qho tshuaj tiv thaiv, tab sis kuv xav ua qhov txaus ntshai uas kuv paub nrog cov tshuaj tiv thaiv piv rau cov kev pheej hmoo uas kuv tsis paub nrog tus kab mob - tshwj xeeb tshaj yog thaum nws hloov mus.
Q: Kuv tau hnov tias cov tshuaj tiv thaiv COVID-19 mRNA tuaj yeem hloov kuv DNA, thiab qhov ntawd tuaj yeem ua rau menyuam yaus. Puas muaj tseeb? A: Nws tsis muaj peev xwm txhaj tshuaj tiv thaiv hloov koj lossis koj tus menyuam DNA. Xav txog mRNA yog daim pib rau cov tshuaj tiv thaiv kom tau mus rau lub cev tiv thaiv kab mob los tiv thaiv kab mob. Cov tshuaj tiv thaiv tau caij mRNA mus rau hauv lub cev tiv thaiv kab mob tab sis muaj qhov sib txawv "chaw." Ib zaug hauv lub xovtooj ntawm tes, cov tshuaj tiv thaiv pib ua txoj haujlwm uas nws yuav tsum ua thiab ua rau cov cim protein kom paub tias nws tus kheej yog "tus neeg ua phem" kom lub cev tuaj yeem ua rau lub cev tiv thaiv kab mob rau nws. Cov tshuaj tiv thaiv mRNA tom qab ntawd tawg vim nws ua tsis tau lwm yam thiab nws tsis tuaj yeem nkag mus rau lwm qhov chaw ntawm lub hlwb - thiab lwm qhov chaw yog qhov chaw koj cov caj ces DNA nyob. Yog li ntawd, tsis muaj txoj hauv kev uas koj DNA tuaj yeem hloov pauv.
Q: Kuv kuj tau hnov tias cov tshuaj tiv thaiv COVID-19 tuaj yeem cuam tshuam rau kev muaj menyuam rau cov poj niam thiab ua rau kuv ntshai. Puas muaj tseeb? A: Qhov no tsuas yog tsis muaj tseeb. Cov lus xaiv cuav no tau pib los ntawm cov xov xwm tsis zoo uas tau hais tias cov tshuaj tiv thaiv yog coding rau cov protein ntau zoo ib yam li ib qho xav tau rau lub qe fertilized rau cog ua tiav hauv tsev menyuam. Tab sis hais tias cov tshuaj tiv thaiv yuav tawm tsam cov protein fertility no yuav sib npaug rau koj hu xov tooj rau qhov koj paub yog tus lej tsis raug hauv tsev thiab xav tias yuav tham nrog koj tsev neeg. Kev tshawb fawb, nws tsis tuaj yeem tshwm sim. Tsis tas li ntawd, thaum lub sijhawm sim tshuaj tiv thaiv thaum ntxov, 12 tus poj niam cev xeeb tub thiab tsuas yog ib qho uas tsis muaj kev poob cev xeeb tub nyob hauv pawg tswj hwm thiab tsis tau txais cov tshuaj tiv thaiv.
Q: Yuav ua li cas yog kuv tus menyuam ntshai mus txhaj tshuaj tiv thaiv? A: Qhov no yuav tsis xav tsis thoob! Hauv kev kho menyuam yaus, peb muab cov tshuaj tiv thaiv txhua hnub thiab nws yog qhov tsis tshua muaj tshwm sim los hla tus menyuam uas tos ntsoov yuav tau txais tshuaj tiv thaiv. Kuj tseem muaj ntau qhov hype nyob ib puag ncig cov tshuaj tiv thaiv no, ob qho tib si zoo thiab tsis zoo. Feem ntau tau pom tias lawv nyuam qhuav hnov qhov kev txhaj tshuaj ntawm qhov tshuaj tiv thaiv no - thiab kuv yuav ua kom koj tus menyuam nkag siab qhov ntawd! Kuv kuj yuav ua kom paub tseeb tias yuav tham txog qhov tseem ceeb ntawm cov tshuaj tiv thaiv no ua kom lawv muaj kev nyab xeeb los ntawm kev kis mob hnyav thiab mus pw hauv tsev kho mob los ntawm COVID-19.
Q: Koj puas xav kom koj tus menyuam tau txais cov tshuaj tiv thaiv no? A: ! Ib qho ntawm kuv tus kheej mottos hauv pediatrics yog tias "Kuv yuav tsis muaj koj ua ib yam dab tsi rau koj tus menyuam uas kuv yuav tsis ua rau kuv tus kheej." Kuv feem ntau tham txog kuv cov ntxhais, Elliott thiab Emerson, thiab lawv tsis yog cov kiv cua loj ntawm kev txhaj tshuaj tiv thaiv kab mob khaub thuas txhua xyoo. Txawm li cas los xij, lawv tau nug thaum lawv tuaj yeem tau txais lawv cov tshuaj tiv thaiv COVID-19. Lawv xav pab kom lawv niam tais yawm txiv muaj kev nyab xeeb thiab rov qab mus rau lub neej uas lawv tau paub. Tej zaum tseem ceeb dua, raws li lawv niam, kuv xav paub tias yog lawv raug, lawv yuav muaj tsawg kawg yog 95% txoj hauv kev tiv thaiv tus kab mob no uas tuaj yeem hloov pauv lawv lub neej mus ib txhis thiab, ntawm qhov tod tes, kuv. Pib hnub Wednesday, Lub Yim Hli 18, cov neeg uas xav txhaj tshuaj tiv thaiv COVID-19 tuaj yeem taug kev hauv hnub Monday txog Friday, 7 teev sawv ntxov txog 5 teev tsaus ntuj mus rau Parkview Office Building, 825 Mankato Avenue uas nyob ib sab ntawm Winona Health hauv Winona, Minnesota. Yog xav paub ntxiv, mus saib Winona Health lub vev xaib:
www.winonahealth.org.