Ðe viwò sue la dze dɔ le mɔ wɔnuku aɖe nu le COVID megbea? Mina míanya nu tso (MIS-C) nɔnɔme sia si me afɔku le ŋu!

Mí katã míenya alesi gbegbe COVID-19 dɔvɔ̃a trɔ míaƒe agbenɔnɔe. Zi geɖe la, ne ɖevi suewo xɔ COVID la, míesusuna be masesẽ abe ame tsitsiwo ene o. Ke hã, ɖevi aɖewo, le kwasiɖa ʋee aɖewo le woƒe hayahaya tso COVID-19 me megbe la, dzea dzesi yeye siwo nu sẽ wu la kpɔkpɔ gɔme. Esiae nye nusi ɖɔktawo yɔna be MIS-C, alo Multisystem Inflammatory Syndrome in Children. Eŋutinunyalawo gale numekuku wɔm tso alesi wòdo ƒome kple COVID-19 ŋutɔŋutɔ kple nusita ɖevi aɖewo koe xɔae ŋu.

Nukae `(MIS-C)` fia? Mina míase egɔme nyuie, alo?

Kpuie ko la, `(MIS-C)` nye nɔnɔme si me ɖoɖo geɖe siwo le ɖevi ƒe ŋutilã me, abe dzi, lãkusi, ayiku, ahɔhɔ̃, ŋutigbalẽ, kple ŋkuwo ene, xɔa abi, alo vuvu, zi ɖeka. Bu eŋu kpɔ, abe ɖe ŋutilã bliboa le dzo dam eye wòvuvu tso ememe ene. Ðɔktawo xɔe se fifia be esia ateŋu adzɔ ne `(COVID-19)` dɔlékui la ge ɖe ŋutilã me eye míaƒe ŋutilã ƒe ametakpɔnu (immune system) wɔ nu ɖe ​​eŋu le mɔ si gbɔ eme, si na vɔvɔ̃ vie. Woyɔa esia ɣeaɖewoɣi be `(PMIS)` alo `(PIMS)`, gake ŋkɔ `(MIS-C)` ye wozãna wu.

Nukae nye ɖevi si ŋu `(MIS-C)` le ƒe dzesiwo?

Azɔ mina míalé ŋku ɖe dzesi siwo ɖevi si ŋu `(MIS-C)` le ate ŋu aɖe afia ŋu. Esiawo ate ŋu ato vovo vie tso ɖevi ɖeka gbɔ yi bubu gbɔ, gake dzesi siwo bɔ wue nye:

• Asrã si nɔa anyi ɖaa: Esia fia asrã si nɔa anyi ŋkeke geɖe evɔ meɖiɖina o. Ðewohĩ dzoxɔxɔ si nu sẽ wu Celsius 38 (Fahrenheit 100.4).
• Dɔgbo ƒe vevesese sesẽ : Ðevia ate ŋu ase dɔgbo ƒe vevesese si womate ŋu ado dzi atsɔ o.
• Aɖuɖɔtoe alo aɖuɖɔtoe : Ele be nàtsi dzi ne èle aɖuɖɔ ɖum atraɖii alo ne èle aɖuɖɔ si me tsi le tom.
• Ŋutilã ƒe ʋuʋu: Ʋuʋudedi suesuesue siwo le abe ʋuʋudedi ene ɣeaɖewoɣi ate ŋu adze le ŋutilã ƒe akpa vovovowo.
• Nuyiwo dzena biã eye wogbãna: Nuyiwo ate ŋu abiã le mɔ si mebɔ o nu, woaƒu, eye woagbã. Ɣeaɖewoɣi la, aɖe hã ate ŋu adze dzĩ abe strawberry ene.
• Ŋkuwo ƒe biã: Ŋkuawo ƒe ɣiwo ate ŋu abiã, abe ɖe ŋkudɔlékui aɖe le wo ŋu ene. Gake aɖatsiwo dodo mebɔ boo o.
• Asibidɛwo kple asibidɛwo ƒe biã kple vuvu: Asiwo kple afɔwo, vevietɔ asibidɛwo kple afɔkpodziwo, ate ŋu abiã eye woavuvu.

Tsɔ kpe ɖe dzesi siawo ŋu la, ɖevi aɖewo hã ate ŋu axɔ ʋuka siwo vuvu le kɔ me (si sɔ kple ŋɔti me veve). Wokpɔa taɖuame sesẽ , ŋutilã ƒe veve, gbɔgbɔ sesẽ , kple akɔtave hã ɣeaɖewoɣi.

Ɣekaɣie wòle be míayi ɖɔkta gbɔ? Ɣekaɣie wòle be míayi kɔdzi kpata?

Ne viwòa xɔ asrã ŋkeke geɖe eye dzesi siwo le etame wu ɖeka le eŋu la, ele be nàyi ɖɔkta gbɔ enumake godoo . Esia le alea elabena ɖevi siwo ŋu `(MIS-C)` nɔnɔme sia le ƒe nɔnɔme ate ŋu agblẽ ɖe edzi zi ɖeka. Eyata anyo wu be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo evɔ màgblẽ ɣeyiɣi o. Vevietɔ ne dzesi siwo gbɔna dometɔ aɖe dze la, ele be nàtsɔe ayi kɔdzi ƒe dɔwɔƒe si te ɖe ŋuwò kpata (ETU) kaba madzudzɔmadzudzɔe:

• Ne edze abe ɖevia le avu wɔm vevie ene eye wògbɔdzɔ akpa be wòate ŋu akpɔe gɔ̃ hã .
• Ne èse le ɖokuiwò me be gbɔgbɔ le sesẽm na ye , kɔdzi, alo nèle gbɔgbɔm kabakaba.
• Ne èle nu ƒom tso akɔtave , alo ne èle nu ƒom tso akɔta ƒe tete ŋu.
• Ne dɔgbo ƒe vevea nu sẽ alea , ɖevia mate ŋu atsi tre dzɔdzɔe gɔ̃ hã o.
• Ne wò nuyiwo alo mo dze blɔ (esia fia be wò ŋutilã mele oxygen si sɔ xɔm o).
• Ne ɖevia le alɔ̃ dɔm ŋutɔ , alo edze abe eƒe susu tɔtɔ ene , eƒe dzi gbã, alo edze abe mese nya si gblɔm nèle gɔme o ene.

Ele be nàgblɔe na ɖɔkta hã nenye be COVID-19 xɔ viwòa va yi , alo ne wodo ka kple ame aɖe si ŋu COVID-19 le. Nyatakaka ma kpena ɖe ame ŋu ŋutɔ le dɔlélea didi me.

Kuxi kawoe ateŋu ado mo ɖa le `(MIS-C)` ta?

Nɔnɔme sia si woyɔna be `(MIS-C)` ate ŋu ahe kuxi vovovowo vɛ tso ɖevi dzi yi ɖevi dzi. Elabena menye ŋutilã ƒe akpa ɖeka ko ŋue wògblẽa nu le o. Vevietɔ la, dɔdzẽ sia ate ŋu adze ŋutilã ƒe akpa geɖe dzi, abe dzi, ʋu, ʋukawo, ŋutigbalẽ, dɔgbo (nuɖuɖumeŋusẽ), ŋku, ayiku, kple ahɔhɔ̃ ene. Ɣeaɖewoɣi la, esia ate ŋu agblẽ nu le ŋutinu mawo ŋu hena ɣeyiɣi aɖe alo ɣeyiɣi didi. Ðɔktawo tsia dzi ɖe ŋusẽ si wòakpɔ ɖe dzia dzi ŋu vevietɔ. Esi wònye be dzitodzito me lãmeka ate ŋu abi ta la, nusi ƒo xlã dzia ate ŋu abi, alo kuxiwo ate ŋu ado mo ɖa le ʋuka siwo naa ʋu yia dzia me la me.

Aleke ɖɔktawo wɔa dea dzesi `(MIS-C)`?

Fifia ɖewohĩ ànɔ ɖokuiwò biam be aleke ɖɔktawo ate ŋu anya nenye be MIS-C ye nye esia hã. MIS-C ƒe dzesiwo ate ŋu asɔ kple ɖeviwo ƒe dɔléle bubuwo, abe Kawasaki dɔléle, si nye nɔnɔme sesẽ aɖe si dɔlékui ƒe dɔléle si woyɔna be toxic shock syndrome, alo dɔlékui bubuwo hena vɛ ene. Eyata ne ɖɔkta aɖe susu be MIS-C le ɖevi aɖe ŋu la, woadoe kpɔ gbã be ɖevia xɔ COVID-19 alo exɔ dɔa nyitsɔ laa hã. Tsɔ kpe ɖe eŋu la, woawɔ dodokpɔ vovovowo atsɔ akpɔ alesi gbegbe dɔdzẽ le ŋutilãa me. Woadoe kpɔ hã be nu gblẽ le ŋutilãa ƒe ŋutinu vovovowo ŋu, vevietɔ dzia hã. Zi geɖe la, esiawo dometɔ aɖewoe nye:

• Ʋudodokpɔ kple aɖuɖɔ dodokpɔ: Esiawo ate ŋu ana nànya nu geɖe tso dɔdzẽ si le ŋutilãa me, ŋutinu vovovowo ƒe dɔwɔwɔ, kple nenye be ʋu ƒe sisi ƒe kuxi aɖewo li ŋu.
• Akɔta ƒe X-ray: Kpɔ alesi lãkusiwo le ɖa.
• Dodokpɔ tɔxɛ siwo wowɔna tsɔ léa ŋku ɖe dzia ŋu :
• ``ECG - electrocardiogram'': Esia léa ŋku ɖe dzi ƒe elektrikŋusẽ ƒe dɔwɔwɔ ŋu, i.e. dzi ƒe tsotso ƒe tsɔtsɔme.
• ``Echocardiogram``: Esia le abe dzia ƒe ``ultrasound`` scan ene. Ate ŋu alé ŋku ɖe nu vevi geɖewo ŋu, abe dzia ƒe wɔwɔme, lãmekawo, ʋukawo, kple alesi dzia le ʋu ƒom nyuie ene.
• Abdominal ultrasound scan: Be woatsɔ akpɔe ɖa be dɔdzẽ alo kuxi bubuwo le ŋutinu siwo le ƒodoa me ŋu hã.

Ɣeaɖewoɣi la, ɖɔktawo adi kpekpeɖeŋu tso eŋutinunyala vovovowo gbɔ be woakpɔ `MIS-C` nɔnɔme sia nyuie ahadae. Esia lɔ dɔléle siwo xɔa ame me ŋuti nunyala bibiwo, dzidɔŋutinunyalawo, ƒunukpeƒetetedɔŋutinunyalawo (amesiwo daa ƒuwo, ƒunukpeƒewo, kple dɔlélenutsiŋutete), ʋumenugbagbeviɣidɔŋutinunyalawo, kple dɔnɔdzikpɔƒe veviwo ŋuti nunyala bibiwo ɖe eme. Wowɔa dɔ ɖekae wɔa ɖoɖo ɖe atikewɔwɔ nyuitɔ kekeake si woawɔ na viwòa ŋu.

Nukae nye atikewɔwɔ na `(MIS-C)`?

Atikewɔwɔ na ɖevi si ŋu `(MIS-C)` le nɔ te ɖe ɖevia ƒe dzesiwo, dodokpɔ me tsonu, kple nɔnɔmea ƒe sesẽ dzi. Menye ɖevi ɖesiaɖee wowɔa nu ɖekae o. Zi geɖe la, ɖɔktawo dzea agbagba be yewoaɖe abi si le ŋutilãa me dzi akpɔtɔ, yewoaxe mɔ ɖe ʋu ƒe sisi nu (ɖevi aɖewo ate ŋu anɔ afɔku me be ʋu natsi), eye yewoakpɔ ŋutinu siwo ŋu dɔlélea le ta be woagagblẽ nu le wo ŋu o. Esia lɔ:

• Oxygen: Ne gbɔgbɔ le sesẽm na wò la, na oxygen agbɔsɔsɔme si wò ŋutilã hiã.
• Tsi siwo wodona ɖe ʋuka me (IV fluids): Esia fia be woatsɔ nuwo abe saline ene ade ʋuka me. Esia kpena ɖe ame ŋu wòɖua tsi ƒe agbɔsɔsɔ le ŋutilãa me dzi eye wònana ʋu ƒe sisi nɔa te.
• Atike ƒomevi vovovowo (atikewo):
• Woate ŋu ana atikewo abe steroid alo dɔlékuiwutike tɔxɛ aɖe si woyɔna be Intravenous Immunoglobulin (IVIG) ene be woatsɔ aɖe abi dzi akpɔtɔ eye woatsɔ akpɔ dɔlélenutsiŋutete ƒe dɔwɔwɔ fũu akpa dzi.
• Woate ŋu ana atikewo abe aspirin ene ƒe agbɔsɔsɔ sue aɖe be woaxe mɔ ɖe ʋu ƒe sisi nu.
• Ne dzia gblẽ la, woate ŋu ana atike tɔxɛwo.
• Ne ɖevi aɖewo ƒe dɔlélea nu sẽ la, ahiã be woaxɔ wo ɖe kɔdzi ƒe dɔnɔdzikpɔƒe si wokpɔa dɔnɔwo gbɔ vevie (ICU) eye woawɔ atike tɔxɛ na wo le ŋkuléle ɖe wo ŋu ɣesiaɣi me.

Nukae wòle be míanya tso `(MIS-C)` ŋu? (Nyateƒenya veviwo)

Ele vevie ŋutɔ be nànya nyateƒenya ʋɛ bubuwo tso nɔnɔme sia ŋu.

Hayahaya kple edziyiyi

Zi geɖe la, ɖevi siwo ŋu `(MIS-C)` le la hayana ne woda dɔ na wo le kɔdzi vɔ. Nya nyui aɖee nye ema vavã. Ke hã, kuxi siwo nɔa anyi didi ate ŋu anɔ ɖevi aɖewo ŋu, vevietɔ amesiwo ŋu dzidɔ le. Eyata ele be eŋutinunyalawo nayi edzi anɔ ŋku lém ɖe wo ŋu ne woyi aƒeme gɔ̃ hã (beléle si woatsɔ akplɔ wo ɖo) .

• Le kpɔɖeŋu me, ahiã be ɖevi si ŋu MIS-C le si ƒe dzi gblẽ vie la nayi dzidɔŋutinunyala gbɔ eye woawɔ dodokpɔwo abe echocardiogram ene. Ðewohĩ ahiã be woadzudzɔ kamedede, duƒuƒu, kple kamedefefe hena ɣeyiɣi aɖe va se ɖe esime ɖɔktaa nagblɔe.
• Azɔ hã, ate ŋu ahiã be ɖevi siwo noa atike aɖewo (abe steroid be woatsɔ aɖe abi dzi akpɔtɔ ene) nayi lãmekaŋutinunyala alo lãmenugbagbeviwo ƒe dɔwɔwɔ ŋuti nunyala gbɔ be wòaɖe atikeawo ƒe agbɔsɔsɔ dzi akpɔtɔ vivivi eye wòatrɔ asi le wo ŋu alesi wòhiã.

Esia nye nɔnɔme si mebɔ kura o.

Ele be woagblɔ hã be `(MIS-C)` nye nɔnɔme si mebɔ kura o. Ema fia be menye ɖevi ɖesiaɖe si xɔa `(COVID-19)` lae xɔa esia o. Ne ɖevi akpe alafa geɖewo xɔ COVID la, wo dometɔ ʋɛ aɖewo koe axɔ `(MIS-C).` Eyata mègatsi dzi alo nàvɔ̃ dzodzro o. Ke hã, ele vevie be nànya dzesiawo.

Mɔxexe ɖe enu nyo wu!

Mɔ nyuitɔ si dzi woato aƒo asa na `(MIS-C)` nɔnɔme sia enye be woaxe mɔ ɖe `(COVID-19)` ƒe kaka nu. Woyɔa ema be:

• Ele be amesiame si xɔ wu ɣleti 6 naxɔ `(COVID-19)` ƒe atike la ɖe game dzi. Atike yeye siwo li fifia kpɔa ame ta nyuie tso dɔlékui vovovo siwo bɔ wu gɔ̃ hã si me. Atikewɔmɔnu ateŋu aɖe kuxi sesẽ siwo tso `(COVID-19)` kpakple `(MIS-C)` gbɔ ƒe afɔkua dzi akpɔtɔ. (Alesi míenya nu la, esia mele dziɖuɖu ƒe kɔdziwo me le Sri Lanka o, eye nyemenya nenye be ele dɔwɔƒe siwo menye dziɖuɖu tɔ o)

Gakpe ɖe eŋu la, be nànɔ dedie tso dɔlélewo me la, anyo be nàwɔ nusiawo gbesiagbe, alo?

• Klɔ asi nyuie kple adzalẽ kple tsi sɛkɛnd 20 ya teti. Zã adzalẽ alo asikɔklɔtike si me aha 60% ya teti le.
• Te ɖa tso amesiwo dze abe ɖe wole dɔ lém ene, vevietɔ amesiwo ŋu kɔdzi kple dzamezã le gbɔ.
• Na teƒe siwo ŋu nèka asi enuenu le (ʋɔtruwo, kplɔ̃wo, kplɔ̃wo, telefonwo, kple bubuawo) nanɔ dzadzɛ alesi nàte ŋui.
• Dze agbagba nàgbɔ ya nyui alesi nàte ŋui. Esia fia be woaʋu ʋɔtruwo kple fesrewo be ya nate ŋu age ɖe eme nyuie, eye woazã ɣeyiɣi le gota.

Nu vevitɔ kekeake si dzi wòle be mí katã míaɖo ŋkui! (Gbedasi si Wotsɔ Yi Aƒeme)

Eyata, mele mɔ kpɔm be fifia miese nusi ŋu míeƒo nu tsoe, `(MIS-C)` gɔme nyuie wu. Nu vevitɔ si dzi wòle be míaɖo ŋkui enye be `(MIS-C)` nye nɔnɔme sesẽ aɖe, gake ƒã ŋutɔ , si ɖevi aɖewo ate ŋu axɔ le `(COVID-19)` xɔxɔ vɔ megbe.

Ne ède dzesi dzesiawo nyuie, mètsi dzodzodzoe o, eye nètsɔ wo fia ɖɔkta kaba la, àte ŋu ana atike si hiã viwòa eye wòana wòahaya. Azɔ hã, mɔxexe ɖe `(COVID-19)` nu nye mɔ nyuitɔ si dzi woato axe mɔ ɖe `(MIS-C)` nu. Eyata mina mí katã míawɔ ɖe lãmesẽmenɔnɔmewo dzi, akpɔ mía viwo kple mía ɖokui ta! Ne ɖikeke aɖe le mewò la, bia wò ƒomea ƒe ɖɔkta alo ɖeviwo ƒe dɔdala.