Cov menyuam yaus 'Covid pw hauv tsev kho mob ua rau muaj kev sib kis loj heev, txhawj xeeb cov kws kho mob thiab cov niam txiv

Trisha DeGroot tus ntxhais 10-xyoo-laus, Rainey, rov qab los rau hauv nws lub tsev Houston tom qab lub koom txoos hu nkauj ua yeeb yam thaum lub Cuaj Hli saib tsis zoo.

Rainey tab tom ua npaws, yog li DeGroot tau sim nws rau Covid-19 kom ceev faj. Thaum cov txiaj ntsig tau rov qab zoo, DeGroot xav tias Rainey yuav rov zoo sai, zoo li nws tus tub muaj 13 xyoos, Sam, uas tau ntes Covid thaum Lub Ob Hlis.

Rainey muaj mob plab, mob taub hau, xeev siab thiab ntuav. Tab sis tom qab kwv yees li 10 hnub, nws tus cwj pwm rov qab los thiab zoo li nws tau tig lub ces kaum, DeGroot tau hais.

Tom qab ntawd Rainey tus mob tau tig mus rau qhov tsis zoo. Nws muaj teeb meem noj. Mob plab thiab mob taub hau zuj zus. Tab sis tsev neeg kws kho mob tsis tuaj yeem txheeb xyuas tias vim li cas Rainey mob. Tus kws kho mob gastroenterologist hais rau DeGroot tias qee tus menyuam lub cev ua rau Covid. Nws tau sau tshuaj hu ua cyproheptadine kom txo tau qhov mob plab thiab pab nws pib noj dua. Nws tsis ua haujlwm, DeGroot hais.

DeGroot, uas kawm kev saib xyuas neeg mob, coj nws tus ntxhais mus rau ib lub tsev kho mob hauv Texas Children's Hospital hauv Houston uas tshwj xeeb hauv cov tsos mob tom qab-Covid. Rainey tau kuaj pom tias muaj Covid thiab dysautonomia ntev, qhov tsis ua haujlwm ntawm lub paj hlwb, uas tswj hwm lub cev lub luag haujlwm, xws li kev zom zaub mov.

Thaum Lub Kaum Ob Hlis, Rainey tau xeev siab los ntawm qhov tsis hnov ​​​​tsw ntawm cov zaub mov thiab hais tias txhua yam saj zoo li nws rotting, DeGroot hais. Nws coj Rainey rov qab mus rau Texas Children's Tsev Kho Mob, qhov chaw nws tau txais thiab kho tau ob lub lis piam.

Rainey tau muab tso rau ntawm lub raj mis pub, uas tseem yog tib txoj kev uas nws noj tau. Tam sim no nws tau kawm hauv tsev, tab sis nws nyuaj nyeem ntawv thiab nws nyuaj rau nws khaws cia, DeGroot tau hais.

Thaum lub sijhawm Rainey tus kab mob, cov menyuam yaus hnub nyoog 10 xyoo tsis tau txais kev txhaj tshuaj. Lub Chaw Tswj Xyuas Khoom Noj thiab Tshuaj yuav tso cai rau cov tshuaj tiv thaiv Pfizer thiab BioNTech rau cov menyuam hnub nyoog 5 txog 11 xyoos thaum Lub Kaum Hli. DeGroot, nws tus txiv, David, thiab Sam tau txhaj tshuaj tiv thaiv. Nws tus ntxhais 4 xyoos Helen tseem tsis tau tsim nyog.

Rainey tau kis tus kab mob thaum lub sij hawm surge los ntawm delta variant. Cov kab mob sib kis tau zoo heev yog tam sim no ua rau muaj kev sib kis loj tshaj plaws ntawm kev kis tus kab mob thoob plaws ntiaj teb. Raws li cov kab mob tshiab tau nce siab, tus naj npawb ntawm cov menyuam nyob hauv tsev kho mob hauv Asmeskas nrog Covid tsis ntev los no tau ntaus cov ntaub ntawv siab.

Cov kws tshaj lij kis mob ntawm cov tsev kho mob menyuam yaus hauv Atlanta, Chicago, Cleveland, Denver thiab Washington, DC, txhua tus tau hais rau CNBC tias lawv tab tom pom cov menyuam yaus pw hauv tsev kho mob Covid ntau dua li lub sijhawm dhau los nthwv dej - txawm tias tus lej sawv cev qis dua feem pua ​​​​ntawm tag nrho cov mob.

Tus kws kho mob kis mob rau menyuam yaus Dr. Roberta DeBiasi tau hais tias ntawm omicron lub ncov siab 67 cov menyuam yaus tau mus pw hauv tsev kho mob nrog Covid ntawm Children's National Tsev Kho Mob hauv Washington, DC - tus kabmob kis loj thiab yuav luag peb npaug siab dua li qhov siab tshaj delta. Txog 45 tus menyuam yaus tam sim no tau mus pw hauv tsev kho mob nyob ntawd, nws hais.

Ntawm lub Tsev Kho Mob Comer Children's Hospital hauv Chicago, 15 tus menyuam tau pw hauv tsev kho mob nrog Covid nyob rau ib hnub twg, Dr. Allison Bartlett, tus kws tshaj lij kis mob rau menyuam yaus. Qhov ntawd yog hais txog ob zaug ntawm qhov siab kawg dhau los, uas tau tshwm sim rau lub Cuaj Hli.

Bartlett tau hais tias "Xov xwm zoo yog hais txog cov menyuam yaus uas nyob hauv peb chav saib xyuas mob hnyav ntawm lub tshuab ua pa, tus lej ntawd yog ib yam li nws tau nyob ntawm peb lub siab kawg," Bartlett tau hais. "Raws li peb tsis muaj ntau tus menyuam mob hnyav li peb tau ua dhau los."

Thaum ntau tus menyuam tau pw hauv tsev kho mob nrog Covid, vim yog omicron qhov kev kis tau zoo, lawv tsis zoo li mob hnyav dua li lawv tau ua nrog cov kab mob yav dhau los, cov kws kho mob hais.

Ntau tshaj 80 tus menyuam yaus tam sim no tau mus pw hauv tsev kho mob nrog Covid hauv Cov Menyuam Kev Noj Qab Haus Huv ntawm Atlanta system, uas muaj peb lub tsev kho mob, piv nrog 15 tus menyuam yaus nyob rau ib hnub twg thaum lub Kaum Hli thiab Kaum Ib Hlis, thaum delta yog qhov txawv txav.

Txawm li cas los xij, feem pua ​​​​ntawm cov menyuam yaus hauv ICU - kwv yees li 10% mus rau 15% ntawm cov neeg nyob hauv tsev kho mob - tej zaum yuav qis dua li lub tsev kho mob pom thaum lub sij hawm delta nthwv dej siab kawg, hais tias Dr. Andi Shane, tus thawj coj ntawm kev faib kab mob sib kis ntawm Children's Healthcare. ntawm Atlanta.

FDA tau tshem Pfizer's Covid txhaj tshuaj rau 12- rau 15-xyoo-laus thaum lub Tsib Hlis 10 thiab 5- rau 11-xyoo-laus thaum Lub Kaum Hli 29, muab ntau feem ntawm cov menyuam yaus tiv thaiv omicron. Kwv yees li ntawm 55% ntawm cov menyuam hnub nyoog 12 txog 17 xyoo thiab 19% ntawm cov menyuam yaus hnub nyoog 5 txog 11 xyoos tau txhaj tshuaj tiv thaiv tam sim no, raws li Lub Chaw Tiv Thaiv thiab Tiv Thaiv Kab Mob.

Cov kws kho mob tshwj xeeb kis mob rau menyuam yaus tau hais tias feem ntau ntawm cov menyuam yaus nyob hauv tsev kho mob nrog Covid tsis tau txhaj tshuaj. Shane tau hais tias cov menyuam yaus uas muaj cov kab mob hauv qab uas tau txhaj tshuaj tiv thaiv tab sis tau txais kev sib kis tau muaj cov tsos mob tsawg dua li cov uas tsis tau txhaj tshuaj thiab lawv tsis tau mus pw hauv tsev kho mob nrog cov teeb meem cuam tshuam txog Covid.

Dr. Sean O'Leary, tus kws kho mob tshwj xeeb ntawm cov menyuam yaus hauv Tsev Kho Mob Colorado tau hais tias "Qhov kev pheej hmoo loj tshaj plaws ntawm lub sijhawm no yog tsis tau txhaj tshuaj tiv thaiv."

CDC Tus Thawj Coj Dr. Rochelle Walensky tau hais rau cov neeg sau xov xwm ua ntej lub hli no tias tsis tau txhaj tshuaj tiv thaiv cov menyuam hnub nyoog 12 txog rau 15 xyoo yog 11 npaug ntau dua yuav xaus rau hauv tsev kho mob nrog Covid ntau dua li cov menyuam txhaj tshuaj hauv tib pab pawg hnub nyoog. Txawm li cas los xij, cov menyuam yaus hnub nyoog qis dua 5 xyoos yog qhov muaj kev pheej hmoo tshwj xeeb tam sim no vim lawv tseem tsis tau txais kev txhaj tshuaj.

"Thiab, peb tab tom pom tus nqi pw hauv tsev kho mob nce ntxiv rau cov menyuam yaus xoom rau 4, cov menyuam yaus uas tseem tsis tau tsim nyog rau kev txhaj tshuaj tiv thaiv-19 tam sim no," Walensky hais rau cov neeg sau xov xwm.

O'Leary, uas kuj yog tus lwm thawj coj ntawm American Academy of Pediatrics 'committee ntawm cov kab mob sib kis, hais tias txog ib feem peb ntawm cov menyuam yaus hauv nws lub tsev kho mob nrog tus kab mob no tau txais rau lwm yam, tab sis lwm ob feem peb ntawm lawv xav tau tsev kho mob. tu siab vim covid.

"Yog lawm, peb yuav pom ntau tus menyuam pw hauv tsev kho mob nrog lwm yam uas tseem muaj Covid, vim tias qhov no yog qhov sib kis sib kis thiab kis tau ntau heev tam sim no. Tab sis peb kuj tau pom ntau tus menyuam yaus pw hauv tsev kho mob nrog Covid, "O'Leary hais.

Qhov nruab nrab ntawm kwv yees li 5,100 tus menyuam yaus, txij li cov menyuam mos mus txog rau 17 xyoo, tau pw hauv tsev kho mob nrog Covid thaum Lub Ib Hlis 20, raws li qhov nruab nrab xya hnub ntawm cov ntaub ntawv los ntawm Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg, nce 26% dhau los. ob lub lis piam.

Txawm hais tias kev mus pw hauv tsev kho mob ntawm cov menyuam yaus nrog Covid tau nce siab mus rau kev sib kis thoob plaws lub hlis no, cov menyuam yaus tseem muaj tus nqi pw hauv tsev kho mob qis tshaj plaws ntawm txhua pab pawg, raws li CDC.

DeGroot tau hais tias "Kuv tau txais qhov muaj feem tsawg tsawg - tab sis nws tsis yog xoom," DeGroot hais txog qhov pheej hmoo Covid ua rau menyuam yaus. “Nws yog kev nyuaj siab kawg. Nws yuav siv sij hawm rau txhua tus neeg, tshwj xeeb tshaj yog koj tus menyuam. Koj tsis xav tau qhov no. "

Tsawg kawg yog 1,000 tus menyuam yaus tau tuag los ntawm Covid txij li kev kis kabmob kis thoob qhov txhia chaw, raws li CDC cov ntaub ntawv. Tus kab mob no tau kis ntau dua lab tus menyuam yaus, suav txog 17% ntawm txhua tus neeg mob hauv Asmeskas, raws li cov ntaub ntawv los ntawm American Academy of Pediatrics.

Hauv tag nrho, cov tsev kho mob tau pom ntau dua 94,000 qhov kev lees paub ntawm cov menyuam yaus nrog Covid thaum muaj kev sib kis, raws li CDC. Txawm li cas los xij, nws yuav yog qhov tsis suav vim tias cov ntaub ntawv tsuas yog rov qab mus rau Lub Yim Hli 2020.

Bartlett tau hais tias ntau tus menyuam yaus pw hauv tsev kho mob nrog Covid ntawm Comer hauv Chicago kuj rog.

Dr. Camille Sabella, tus kws kho mob tshwj xeeb ntawm Cleveland Clinic Children's, hais tias mob hawb pob hnyav yog lwm qhov kev pheej hmoo loj. Sabella tau hais tias lub tsev kho mob menyuam yaus muaj li ntawm 15 thiab 20 tus neeg mob menyuam yaus kis tus kabmob Covid nyob rau ib hnub twg, piv nrog tsawg dua tsib hauv lub Cuaj Hli thiab Lub Kaum Hli. Nws kwv yees tias kwv yees li 70% ntawm lawv tau pw hauv tsev kho mob vim yog Covid.

CDC pom tias ob feem peb ntawm cov menyuam nyob hauv tsev kho mob nrog Covid muaj ib lossis ntau qhov teeb meem kev noj qab haus huv, nrog kev rog rog feem ntau, raws li kev tshawb fawb ntawm cov neeg mob menyuam yaus ntawm rau lub tsev kho mob thaum Lub Xya Hli thiab Lub Yim Hli thaum lub delta variant yog qhov tseem ceeb.

O'Leary thiab DeBiasi tau hais txog ib feem peb ntawm cov menyuam yaus tau pw hauv tsev kho mob vim Covid thaum kawg xav tau kev saib xyuas hnyav thiab kev txhawb nqa oxygen vim ua pa tsis ua haujlwm.

Raws li tus naj npawb ntawm cov menyuam mus pw hauv tsev kho mob thiab kis kab mob nce, qhov tshwm sim mus sij hawm ntev rau lawv txoj kev noj qab haus huv tsis meej. Dr. Grace Lee, tus xibfwb ntawm kws kho menyuam yaus ntawm Stanford University, tau hais tias tus kabmob kis kabmob kis tau ua rau tag nrho cov menyuam yaus.

"Kuv kuj ntseeg tiag tiag peb tseem tsis tau hais txog qhov cuam tshuam mus ntev ntawm Covid kev kis mob hauv cov menyuam yaus," Lee hais rau CDC pawg neeg tawm tswv yim ywj pheej ntawm cov kws tshaj lij tshuaj tiv thaiv, uas nws tau tuav, ua ntej lub hlis no ua ntej lub koom haum tshem tawm Pfizer boosters rau 12-rau. Cov menyuam yaus hnub nyoog 15 xyoos.

Lee hais tias "Kuv xav tias peb tseem tsis tau khawb qhov chaw ntawm qhov peb yuav pom," Lee hais.

Qee cov menyuam yaus uas ntes Covid tsis tau mus pw hauv tsev kho mob kom txog rau lub hlis tom qab lawv pib kis mob thaum lawv pib muaj teeb meem loj.

Janelle Bardon tus ntxhais, Taylor, muaj hnub nyoog 17 xyoo noj qab nyob zoo hauv Louisville, Kentucky, txog thaum nws ntes Covid thaum lub caij ntuj sov 2020. Taylor tsis muaj mob hauv qab thiab ua si hockey. Nws poob nws qhov hnov ​​​​qab thiab hnov ​​tsw tom qab kis kab mob tab sis tsis muaj lwm yam tsos mob thiab kuaj pom tsis zoo plaub lub lis piam tom qab, Bardon tau hais.

Thaum Taylor rov qab mus rau qhov chaw hockey, nws xav tias ua tsis taus pa thiab kiv taub hau thiab tawm tsam nrog kev ua siab ntev. Bardon, tus kws saib xyuas neeg mob sau npe nrog 20 xyoo ntawm kev paub, coj Taylor mus rau kws kho plawv, uas pom tias nws muaj lub plawv thib ob, lossis lub plawv dhia tsis zoo.

Taylor tus mob tsis zoo thaum lub sij hawm tsev neeg mus ncig rau Disney World lub caij nplooj zeeg. Nws tau tsim muaj kub taub hau 104-degree, ua pob khaus zoo li tshav ntuj thiab mob caj pas txaus ntshai thiab tsis tuaj yeem taug kev, Bardon tau hais. Taylor muaj cov tsos mob zoo ib yam li kev poob siab hypovolemic, uas lub plawv dhia siab, ntshav siab qis thiab xa oxygen mus rau hauv nruab nrog cev.

Taylor raug coj mus rau chav xwm txheej ceev, uas tsev neeg tau hais los ntawm tus kws kho mob ER tias Taylor muaj ntau yam kab mob inflammatory hauv menyuam yaus, lossis MIS-C. Nws raug xa mus rau ICU, qhov chaw nws tau muab cov tshuaj steroids thiab cov tshuaj tiv thaiv kab mob hauv cov hlab ntsha. Nws tus mob tau txhim kho txaus uas tsev neeg muaj peev xwm ya rov qab mus rau Kentucky.

Txij li thaum pib muaj kev sib kis, ntau dua 6,000 tus menyuam yaus tau tsim MIS-C, qhov tsis tshua muaj tab sis mob hnyav cuam tshuam nrog Covid, raws li CDC. MIS-C yog tus cwj pwm los ntawm kev mob ntawm ntau lub cev. Tsawg kawg yog 55 tus menyuam yaus tau tuag los ntawm tus mob, raws li CDC.

Tam sim no Taylor muaj 18 xyoo thiab tseem muaj cov tsos mob. Cov qog nqaij hlav hauv nws caj pas yog o, nws tau tsim cov hlwv ntawm nws lub dab teg thiab mob pob qij txha, Bardon tau hais. Cov menyuam yaus feem ntau rov zoo los ntawm MIS-C tom qab kev kho mob, nrog rau ib txoj kev tshawb fawb qhia tias qhov mob feem ntau daws tau tom qab rau lub hlis. Txawm li cas los xij, muaj cov cim qhia tias MIS-C zoo ib yam li cov kab mob autoimmune, qhia tias cov tsos mob tuaj yeem rov zoo.

Bardon tau hais tias "Tam sim no nws tau nyam nrog kev mob nkeeg mus ib txhis," Bardon hais. Taylor yuav tsum tau noj colchicine, tshuaj tiv thaiv kab mob ib txwm siv los kho tus mob gout, lossis txhaj tshuaj anakinra, uas yog siv los kho mob rheumatoid mob caj dab, Bardon tau hais.

O'Leary, tus kws kho mob menyuam yaus hauv Colorado, tau hais tias MIS-C feem ntau txhim kho ob mus rau rau lub lis piam tom qab kis tus kab mob, uas yuav qhia txog nthwv dej ntawm cov neeg mob hauv lub lis piam tom ntej. Txawm li cas los xij, O'Leary tau hais tias nws ntxov dhau los txiav txim siab txog omicron variant txoj kev koom tes nrog MIS-C.

CDC, hauv kev tshawb fawb tsis ntev los no, pom tias kev txhaj tshuaj nrog ob koob tshuaj Pfizer yog 91% zoo ntawm kev tiv thaiv cov tub ntxhais hluas 12 txog 18 tiv thaiv MIS-C. Taylor tau txhaj tshuaj tiv thaiv lub caij ntuj sov dhau los.

Megean Naughton tsev neeg tuaj nrog Covid tom qab nws tus txiv, Patrick, tus neeg tua hluav taws, tau kis tus kab mob thaum lub caij ntuj sov xyoo 2020. Nws tus ntxhais Zoe, uas tam sim no muaj 14 xyoos, tau mob hauv txaj rau plaub lub lis piam. 

“Nws zoo lawm, thiab nws zoo li tsib lub hlis. Thiab tom qab ntawd muaj ib hnub nws tau mob thiab tom qab ntawd nws txhais tau tias sawv tsis tau, ”Naughton, niam nyob hauv tsev uas muaj tsib tus menyuam. Zoe yog ib tug menyuam noj qab nyob zoo uas ua si lacrosse ua ntej Covid, Naughton tau hais.

Zoe tau pw hauv txaj tau tsib lub hlis, thiab Naughton yuav tsum coj nws tawm hauv tsev kawm ntawv ntawm kev tshem tawm kev kho mob. Zoe tau pw hauv tsev kho mob tau plaub hnub tom qab muaj lub cev qhuav dej thiab mob migraines hnyav, Naughton tau hais.

Naughton tau teem caij ntsib kev noj qab haus huv nrog Norton Children's Tsev Kho Mob hauv Louisville, Kentucky, uas khiav lub tsev kho mob tshwj xeeb rau cov menyuam yaus uas muaj cov tsos mob ntawm Covid. Qhov ntawd yog thaum Zoe tau kuaj pom Covid ntev, Naughton tau hais.

Zoe nco tag nrho lub semester thib ob ntawm qib yim thiab tam sim no nyob rau hauv kev kho lub cev. Nws tseem muaj kiv taub hau thiab mob taub hau thiab mob tas li, Naughton tau hais.

"Txhua tus neeg muaj kev pheej hmoo los ntawm Covid," Naughton tau hais. "Koj tsis paub tias Covid yuav ua li cas rau koj hauv lub qhov rais ntawm kev kis tus kab mob lossis lub sijhawm ntev ntawm kev muaj Covid - koj tsuas yog tsis paub."

- CNBC's Nate Rattner tau pab txhawb rau tsab ntawv ceeb toom no