Afrilu 06, 2025 – Lubbock Texas, 6:00 na yamma EST
Wani Yaron Texas Ya Mutu Mummunan Mutuwa Bayan Murmurewa Daga Cutar kyanda
Wani Likitan Texas mai lasisi tare da gogewa mai mahimmanci ya sami nasarar magance cutar kyanda a lokacin barkewar cutar a halin yanzu yana ba da rahoton mutuwar wani yaro mai rauni na biyu wanda a baya ya kamu da cutar kyanda a wani asibitin Texas. Kwatankwacin mutuwar rashin jin daɗi na baya-bayan nan da aka yaɗa amma ba a ba da rahoton ba kamar yadda cutar kyanda ke haifarwa maimakon cutar kyanda mai rikitarwa, wannan kuma wani lamari ne na yarinyar da ke fama da yanayin da aka rigaya ya kasance wanda ba a gano shi ba, kuma yana iya yiwuwa ba a kula da ita ba ta hanyar likita ba.
A cikin wannan yanayi na biyu, wata yarinya da a baya ta kamu da cutar amma ta warke daga cutar kyanda ta sami ciwon jini (sepsis) bayan ta yi fama da cutar tonsillitis mai rikitarwa ta mononucleosis na kullum. Cutar mononucleosis (IM, mono), wanda kuma aka sani da zazzabin glandular, kamuwa da cuta ne da ke haifar da cutar Epstein-Barr (EBV). Babu maganin alurar riga kafi don EBV, kuma a mafi yawan lokuta yaran da suka kamu da wannan kamuwa da cuta na yau da kullun suna farfadowa tare da kulawa. A wannan yanayin, duk da cewa ta tashi kuma ta warke daga cutar kyanda, yarinyar ta shafe watanni tana fama da rashin lafiya na mononucleosis mai rikitarwa wanda ya haifar da ciwon tonsillitis, kuma iyayenta sun shirya don cire mata tonsils, hanyar da ake kira tonsillectomy.
Abin baƙin ciki shine, yaron ya sami sepsis, ciwon jini na kwayan cuta, wanda ya ci gaba zuwa ciwo mai tsanani na numfashi (ARDS). A wannan yanayin, al'adun jini sun gano cocci mai gram-tabbatacce a cikin jininta, yana nuna cewa mai yiwuwa sepsis da ARDS sun haifar da ko dai Staphylococcus aureus ko Streptococcus pneumoniae kwayan cuta.
Iyayenta sun kawo ta Cibiyar Kiwon Lafiya ta Jami'ar Texas da ke Lubbock, Texas don jinyar cutar sankarau na kwayan cuta saboda rashin lafiya na tonsillitis da mononucleosis na yau da kullun. A lokacin da aka shigar da ita, mahaifin yarinyar ya bukaci musamman da a yi mata maganin budesonide ta nebulizer. Ma’aikatan Asibitin UMC sun ki yarda da wannan bukatar, kuma da alama sun yi mata kamar tana fama da Covid maimakon ARDS, kuma sun ba da jiko na intravascular na steroids. IV steroids yana hana tsarin rigakafi na iya yaki da cututtuka na kwayan cuta, kuma uban ya san cewa Budesonide inhaled yana da tasiri, ƙananan haɗari dangane da IV steroids lokacin da ake magance ARDS.
Don taƙaitaccen taƙaitaccen gwajin gwaji na asibiti wanda ya rubuta "Tasirin budesonide nebulized akan injiniyoyin numfashi da oxygenation a cikin mummunan rauni na huhu / matsananciyar damuwa na numfashi” don Allah a duba wannan wallafe-wallafen da aka duba.
Maimakon samun ingantaccen tsarin kulawa na asibiti tare da Budesonide nebulized bisa ga burin dangi, yarinyar an ba ta maganin steroids na IV kuma an kwantar da ita tare da magungunan da ke hana motsin numfashi da zurfin numfashi, yana kara yuwuwar rugujewa ko rufe huhun ta (wani matsalar likita da aka sani da atelectasis), wanda ke rage karfin iskar oxygen don dawo da ita daga huhu. ciwon huhu na kwayan cuta da sepsis. A sakamakon haka, ta mutu saboda sepsis sakamakon ciwon tonsillitis na yau da kullum da kuma mononucleosis na kullum, mai rikitarwa ta hanyar rashin kulawar likita.
A cikin al'amarin da ya gabata wanda kafofin watsa labarai na yau da kullun suka yi kuskure, wani 'kuskuren likitanci' da wani asibitin Texas ya yi ya kai ga mutuwar wani yaro dan shekara 6 wanda ya kamu da ciwon huhu na mycoplasma bayan ya kamu da cutar kyanda. A wannan yanayin, kurakurai na likita sun haɗa da gazawar yin amfani da maganin rigakafi daidai a cikin lokaci, a cewar likitocin da suka bincika bayanan lafiyar yaron da aka raba tare da izini daga dangi. Cikakkun bayanai na waɗancan bayanan da nazarin likita mai zaman kansa za'a iya samuwa a nan.
The Sashen Lafiya na Jihar Texas A halin yanzu an ba da rahoton bullar cutar kyanda 481 da ke faruwa tun daga karshen watan Janairu a lokacin barkewar cutar kyanda a yankunan Kudu Plains da Panhandle na Texas. Daga cikin wadannan, an kwantar da hamsin da shida daga cikin majinyatan a asibiti.
Cutar kyanda na daga cikin cututtukan da mutum ya sani. Barkewar cutar kyanda ya zama ruwan dare, a yankunan da aka yi wa alurar riga kafi da kuma wadanda ba a yi musu allurar ba. Hukumar Lafiya ta Duniya ta ba da shawarar balaguro ga Amurka sakamakon barkewar cutar Texas, kodayake ba ta ba da shawarar balaguro ba game da barkewar cutar kyanda 572 a halin yanzu a Ontario, Kanada. Babban jami'in kula da lafiyar jama'a na Ontario Dr. Kieran Moore baya bada shawarar yin rigakafin dole kuma ya ce daidaitattun matakan kiwon lafiyar jama'a don takaita yaduwar suna aiki. Yankin Turai da WHO ta ayyana yana da kusan mutane miliyan 745 kuma an ba da rahoto game da su Cutar kyanda 127,350 a bara, ko kuma 1 cikin mutane 5,850. Yawancin yaran da ke kamuwa da cutar kyanda da cuta suna warkewa tare da kulawa, kuma mutuwar cutar kyanda ba ta da yawa a cikin yaran da ba su da lafiya.
M ciwon numfashi na numfashi (ARDS) a cikin yara yana da alaƙa da yawan mace-mace. Dangane da jagororin asibitin Royal na Yara, Glasgow, Yawan mace-mace na ARDS mai sauƙi zuwa matsakaici yana kusa da 10-12%, yayin da yake 33% na lokuta masu tsanani.. Wani bincike daga Asibitin Mata da Yara na KK ya ba da rahoton adadin mace-mace na kashi 63 cikin ɗari a tsakanin yaran da ke da ARDS.
Wani bincike da aka yi a baya-bayan nan da aka gudanar a wani babban asibitin neman ilimi ya gano cewa yawan mace-macen yara da ke da ARDS ya kai kashi 33%, tare da fiye da rabin mutuwar da ke faruwa a cikin rukunin ARDS mai tsanani.5 Wani bincike ya nuna cewa yaran da ke da neoplasms na hematological masu rikitarwa tare da ARDS suna da yawan mace-mace gabaɗaya, kama daga 56% zuwa 77%.
A taƙaice, ba kamar kyanda ba, yawan mace-macen yara masu fama da ARDS na iya bambanta dangane da tsananin yanayin da kuma matsalolin kiwon lafiya amma gabaɗaya ya yi yawa, kama daga. 10-77%.
Kuskuren likita shine sanadin mutuwa na uku a Amurka, bisa ga wani bincike na 2016 da masu bincike na Jami'ar Johns Hopkins, ciki har da Dr. Marty Makary, kwanan nan da aka tabbatar da Kwamishinan Kula da Abinci da Magunguna na Amurka.
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