Anɔ eme be èse COVID-19 dɔlékuia ŋu nya kpɔ. Míenya be zi geɖe la, ne ɖevi suewo xɔe la, mekpɔa ŋusẽ gbegblẽ ɖe wo dzi abe alesi wògblẽa nu le ame tsitsiwo ŋu ene o. Ke hã, ɖevi aɖewo ate ŋu adze dzesi siwo nu sẽ wu le kwasiɖa ʋee aɖewo megbe le COVID-19 xɔxɔ vɔ megbe. Emae nye nusi ɖɔktawo yɔna be Multisystem Inflammatory Syndrome in Children , alo MIS-C kpuie. Eŋutinunyalawo gakpɔtɔ le nusi wònye kple nusita ɖevi aɖewo ko dzie wòdzɔna ɖo la ŋu bum. Gake ele vevie be nànɔ ŋudzɔ ɖe eŋu.
Nuka tututue nye MIS-C, si nye atikewɔwɔ ƒe nɔnɔme sia?
Kpuie ko la, MIS-C nye nɔnɔme si me ɖevi ƒe ŋutilã ƒe ɖoɖo, alo ŋutinu geɖe, xɔa abi le ɣeyiɣi ɖeka me. Bu eŋu kpɔ, ne míaƒe ŋutilã le avu wɔm kple dɔlékui aɖe la, míaƒe dɔlélenutsiŋutete va wɔa dɔ akpa. Ɣeaɖewoɣi, le COVID-19 dɔlékui aɖe xɔxɔ vɔ megbe la, dɔlélenutsiŋutete sia megate ŋu ɖua eɖokui dzi o eye wòdzea ŋusẽkpɔkpɔ ɖe ŋutilã ƒe akpa vovovowo dzi. Emae nye nusi dzɔna koŋ le MIS-C.
Esia menye nusi dzɔna le ŋkeke eve alo etɔ̃ me tso esime woxɔ COVID-19 o. Zi geɖe la, exɔa kwasiɖa eve va ɖo ade le COVID-19 xɔxɔ vɔ megbe hafi MIS-C ƒe dzesi siawo dzena. Eyata, ne viwò xɔ COVID-19 nyitsɔ laa, alo enɔ kadodo kplikplikpli me kple ame aɖe si ŋu COVID-19 le la, anyo be nànɔ ŋudzɔ vie le esia ŋu.
Nukae nye MIS-C ƒe dzesiwo? Aleke míewɔna dea dzesii?
Dzesi vovovowo ate ŋu anɔ ɖevi si ŋu MIS-C le ŋu elabena woƒe ŋutilã katã xɔa abi. Menye ɖevi ɖesiaɖee akpɔ dzesi siawo katã o, eye dzesiawo ƒe sesẽ ate ŋu ato vovo. Gake dzesi aɖewo li siwo bɔ siwo woate ŋu akpɔ:
- Asrã si nɔa anyi ɖaa: Ate ŋu adzɔ be asrã si meɖiɖina o ŋkeke geɖe.
- Dɔgbo ƒe veve: Dzesiawo ate ŋu anye dɔgbo ƒe veve sesẽ, ʋuʋudedi, ʋuʋudedi, alo aɖuɖɔtoe.
- Ŋutilã ƒe ʋuʋudedi: Ʋuʋudedi dzĩ siwo le ʋuʋum ate ŋu adze le ŋutilã ƒe akpa vovovowo.
- Nuyiwo ƒe biã kple woƒe gbagbã: Nuyiwo ate ŋu aƒu, abiã, eye ɖewohĩ woagbã. Ele abe gbɔgblɔ be "nuyiwo le dzo dam ene."
- Ŋku dzĩwo: Ŋkuawo ƒe ɣiwo ate ŋu abiã eye wòadze abe ʋu le wo ŋu ene. Míegblɔna be "ŋku siwo me ʋu le."
- Asiwo kple afɔwo ƒe vuvu kple wo biã: Afɔwo ƒe asibidɛwo kple afɔkpodziwo ate ŋu abiã eye woavuvu.
Esi dzesi siawo dometɔ ɖeka alo eve le ŋuwò ta la, mefia be MIS-C le ŋuwò o. Woate ŋu akpɔ dzesi siawo le dɔléle bubu siwo bɔ hã me. Gake ne asrã le viwòa ŋu atraɖii eye dzesi siawo dometɔ siwo wu ɖeka le eŋu (le kpɔɖeŋu me, asrã si me dɔgbo le veve sem eye ŋutilã le vevem) la, ele be nàyi ɖɔkta gbɔ godoo.
Dzesi siwo hiã be woalé ŋku ɖe wo ŋu kpata!
Ɣeaɖewoɣi la, ɖevi siwo ŋu MIS-C le ƒe nɔnɔmea ate ŋu agblẽ ɖe edzi kaba ŋutɔ. Eyata ele be woalé ŋku ɖe nuxlɔ̃amedzesi siwo gbɔna ŋu:Ne viwòa ɖe nusiawo dometɔ aɖe fia la, ele be nàtsɔe ayi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake :
- Ne edze abe ɖevia le veve sem vevie ene, alo edze abe ɖe wòdɔ alɔ̃ akpa alo tɔtɔ ene.
- Ne èse le ɖokuiwò me be gbɔgbɔ le sesẽm na ye, alo ne edze abe wò gbɔgbɔ le dzidzim ɖe edzi ene.
- Ne èle nu ƒom tso akɔtave ŋu.
- Ne dɔgbo le veve sem vevie.
- Ne wò nuyiwo alo mo dze blɔ (esia fia be ŋutilãa mele oxygen si sɔ xɔm o).
Le ɣeyiɣi sia me la, mègaŋlɔ be be yeagblɔe na ɖɔkta nenye be COVID-19 xɔ viwò nyitsɔ laa alo edo go ame aɖe si ŋu COVID-19 le o.
Kuxi bubu kawoe ate ŋu ado mo ɖa le MIS-C ta?
MIS-C nye nɔnɔme si ate ŋu adze ɖevi ɖeka dzi le mɔ bubu nu. Dzoxɔxɔ sia si le ŋutilãa me ate ŋu agblẽ nu le ŋutinu vovovowo ŋu. Nu vevi siwo wòagblẽ le ame ŋu ate ŋu anye:
- Dzi: Dzi ƒe lãmeka ate ŋu agbɔdzɔ eye dzia ƒe dɔwɔwɔ ate ŋu agblẽ.
- Ʋumenugbagbeviwo kple ʋukawo: Ʋu ƒe sisi ƒe kuxiwo kple ʋukawo ƒe dɔdzẽ ate ŋu ado mo ɖa.
- Ŋutilã: Nuwo abe nusiwo dome gblẽ si ŋu míeƒo nu tsoe va yi ene.
- Nuɖuɖumeŋusẽ: Nuwo abe dɔgbo ƒe veve kple aɖuɖɔtoe ene ate ŋu asẽ.
- Ŋkuwo: Dzesiwo abe ŋkuwo ƒe biã ene.
Ɣeaɖewoɣi la, nugbegblẽ sia, vevietɔ na dzia, ate ŋu agblẽ nu le ame ŋu ɣeyiɣi didi. Esia tae wòle vevie be woade dzesi dɔlélea kaba eye woadze edada gɔme.
Aleke woawɔ anya MIS-C dɔlélea nyuie?
MIS-C ƒe dzesiwo ate ŋu asɔ kple dɔléle bubuwo tɔ. Le kpɔɖeŋu me, nɔnɔmewo abe Kawasaki dɔléle alo aɖi ƒe ʋuʋudedi ene hã ate ŋu ahe dzesi mawo tɔgbe vɛ. Eyata ne ɖɔkta aɖe do ɖevi aɖe kpɔ eye wòsusu be MIS-C le eŋu la, woawɔ dodokpɔ geɖe atsɔ aɖo kpe dɔlélea dzi.
Dodokpɔ kawoe wole wɔwɔm na esia?
COVID-19 dodokpɔa koŋue wozãna tsɔ dea dzesii nenye be ɖevia xɔ COVID-19 alo ekpɔ dɔlékuiwutikewo tso dɔlékui aɖe si wòxɔ va yi me. Tsɔ kpe ɖe eŋu la, wozãa dodokpɔwo tsɔ nyaa afisi dɔdzẽ le le ŋutilãa me kple nenye be nu gblẽ le ŋutinu vovovowo ŋu. Esiawo ate ŋu anye:
- Ʋudodokpɔ kple aɖuɖɔ dodokpɔ: Esiawo ate ŋu alé ŋku ɖe nu geɖe ŋu, abe alesi gbegbe dɔdzẽ le ŋutilãa me (dɔdzẽ ƒe dzesiwo), ŋutinu vovovowo ƒe dɔwɔwɔ, kple ʋumenugbagbeviwo ƒe nɔnɔme ene.
- Akɔta ƒe X-ray: Kpɔ nuwo abe lãkusi ƒe nɔnɔme kple dzi ƒe lolome ene ɖa.
- Dodokpɔ tɔxɛ siwo doa dzia kpɔna:
- ECG (electrocardiogram): Esia doa dzia ƒe elektrikŋusẽ ƒe dɔwɔwɔ kpɔna.
- Echocardiogram (dzi ƒe gbeɖiɖi sesẽ): Esia le abe dzi ƒe gbeɖiɖi sesẽ ene. Ate ŋu alé ŋku ɖe nu vevi geɖe abe dzia ƒe wɔwɔme, lãmekawo ƒe dɔwɔwɔ, kple ʋukawo ƒe nɔnɔme ŋu.
- Abdominal ultrasound: Be woatsɔ akpɔ ŋutinu siwo le ƒodoa me, abe aklã kple dɔgbo ene, ƒe nɔnɔme.
Kpekpeɖeŋu si tso ɖɔkta bibiwo gbɔ
Esi wònye be MIS-C nye dɔléle sesẽ aɖe ta la, zi geɖe la, elɔa eŋutinunyala bibiwo ƒe ƒuƒoƒo aɖe si tso dɔ vovovowo me ɖea dɔlélea didi kple edada ŋu, ke menye ɖɔkta ɖeka ko o. Ƒuƒoƒo sia ate ŋu anye:
- Dɔléle siwo xɔa ame me ŋuti nunyala bibiwo
- Dzidɔŋutinunyalawo
- Lãmetsiŋutinunyala bibiwo
- Ʋumenugbagbeviɣidɔ ŋuti nunyala bibiwo
- Dɔnɔdzikpɔƒe veviwo ŋuti nunyala bibiwo
To ame siawo katã ƒe sidzedzewo ƒoƒo ƒu ɖekae me hafi wotsoa nya me le atikewɔwɔ nyuitɔ kekeake si woawɔ na ɖevia ŋu.
Aleke wowɔa atike na MIS-C?
MIS-C ƒe atikewɔwɔ to vovo tso ɖevi ɖesiaɖe gbɔ. Enɔ te ɖe ɖevia ƒe dzesiwo kple dodokpɔ me tsonu dzi. Taɖodzinu vevi siwo le atikewɔwɔ ŋue nye be:
- Dɔdzẽ dzi ɖeɖe kpɔtɔ le ŋutilã me.
- Mɔxexe ɖe ʋu ƒe ƒoƒo nu madzemadzee.
- Be woakpɔ ŋutinu si ŋu dɔlélea le ta be wòagagblẽ nu le eŋu o.
Ðɔktawo ate ŋu azã atikewɔwɔmɔnu vovovowo na esia:
- Oxygen: Ne gbɔgbɔ le sesẽm na wò.
- Atikewo: Woate ŋu ana atikewo abe steroid siwo ɖea abi dzi kpɔtɔna, atike siwo woyɔna be immunoglobulins (IVIG) be woatsɔ akpɔ dɔlélenutsiŋutete dzi, kple atike siwo axe mɔ ɖe ʋu ƒe sisi nu.
- Tsi siwo wodona ɖe ʋuka me (IV): Wonaa nuwo abe saline ene ne tsi vɔ le ŋutilãa me alo ne ʋu ƒe sisi le sue.
Ne ɖevi aɖewo ƒe nɔnɔmea nu sẽ la, ahiã be woaxɔ wo ɖe Dɔnɔdzikpɔƒe (ICU) eye woakpɔ wo gbɔ le ŋkuléle ɖe wo ŋu etɔxɛe me.
Nu vevi bubu siwo wòle be nànya
Ne èle nu ƒom tso MIS-C ŋu la, anyo be nu ʋɛ bubu aɖewo nanɔ susu me na wò.
Ðe wògahiã kokoko be malé be nɛ ne medzo le kɔdzia?
Ðevi akpa gãtɔ hayana ne wowɔ atike na wo le kɔdzi. Gake ɖevi aɖewo ate ŋu axɔ kuxi siwo anɔ anyi ɣeyiɣi didi le MIS-C ta. Eya ta ele vevie be nàyi edzi anɔ viwòa dzi kpɔm le wò ɖɔkta ƒe mɔfiamewo nu ne ègbɔ tso kɔdzi gɔ̃ hã.
Le kpɔɖeŋu me:
- Woayi edzi atsɔ ɖevi si ƒe dzi ŋu MIS-C gblẽ nu le la ayi dzidɔŋutinunyala gbɔ.Ele be miado go ahado wo kpɔ edziedzi. Ðewohĩ ahiã hã be nàɖe wò kamedede, duƒuƒu, kple fefe dzi akpɔtɔ hena ɣeyiɣi aɖe. Ele be nànɔ nenema vaseɖe esime ɖɔktaa nagblɔ be, "Enyo, kuxi aɖeke meli fifia o."
- Ne èyi edzi le atikewo abe steroid ene zãm tsɔ ɖe abi dzi kpɔtɔ la, ele be nàkpɔ ƒunukpeƒeŋutinunyala alo lãmenugbagbeviwo ƒe dɔwɔwɔ ŋuti nunyala be wòaɖe atikeawo dzi akpɔtɔ alo atrɔe nyuie.
Eyata ele vevie ŋutɔ be woawɔ ɖe mɔfiame siwo ɖɔktawo na dzi pɛpɛpɛ eye woakplɔ ɖevia ayi atikewɔƒe siwo sɔ.
Mɔ nyuitɔ si dzi woato axe mɔ ɖe MIS-C nu
Le nyateƒe me la, MIS-C nye nɔnɔme si mebɔ kura o . Ke hã, esi wònye be ate ŋu anye nu vevi ta la, ele be míadze agbagba akpɔ mía ɖokui ta tso eme alesi míate ŋui. Mɔ nyuitɔ si dzi woato axe mɔ ɖe MIS-C nu enye be woaƒo asa na COVID-19 xɔxɔ.
- Be woawɔ esia la, ele vevie ŋutɔ be amesiame si xɔ wu ɣleti 6 naxɔ COVID-19 ƒe atikewo eye wòana woanya nu yeyewo . Atike yeye siwo li fifia la kpɔa ame ta tso COVID-19 ƒe hatsotso siwo bɔ wu me .
Ðo ŋku nu siawo dzi be nàkpɔ ɖokuiwò ta tso dɔléle siwo bɔ me.
Be woaxe mɔ ɖe dɔléle ɖesiaɖe ƒe kaka nu, menye COVID-19 ɖeɖeko o, enyo be amesiame nawɔ ɖe lãmesẽnya bɔbɔe siawo dzi:
- Klɔ asi enuenu eye nàklɔe nyuie. Klɔ asi kple adzalẽ kple tsi sɛkɛnd 20 ya teti. Ne adzalẽ kple tsi meli o la, zã asikɔklɔtike si me aha 60% ya teti le.
- Ƒo asa na kadodo kplikplikpli kple amesiwo le dɔ lém. Ƒo asa na kadodo kplikplikpli kple amesiwo ŋu dzesiwo abe asrã, kɔdzidɔ, kple dzamezã ene le.
- Na teƒe siwo woka asi eŋu enuenu la nanɔ dzadzɛ. Tutu ʋɔtrutiwo, kplɔ̃wo, kple telefonwo ɖe anyi edziedzi.
- Dze agbagba nàgbɔ ya nyui alesi nàte ŋui. Ne èle xɔ me la, ʋu fesreawo eye nàna ya nyui aɖe nage ɖe eme. Enyo hã be nàdo go le gota.
Mlɔeba, mlɔeba la, ɖo ŋku esia dzi (Gbedasi si Wotsɔ Yi Aƒeme) .
Enyo, eyata míeƒo nu geɖe tso MIS-C ŋu. Nu vevitɔ si dzi wòle be míaɖo ŋkui enye be esia nye nɔnɔme si mebɔ o, gake ate ŋu anye dɔléle sesẽ. Edo ƒome kple COVID-19 dɔlékui.
Ne asrã si nu metsina o le viwòa ŋu eye dzesi bubu siwo ŋu míeƒo nu tsoe la dometɔ ɖeka wu ɖeka (abe dɔgbo ƒe veve, ŋutilã ƒe vevesese, ŋku biã ene) la, mègagblẽ ɣeyiɣi o eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Zi alesi nède dzesii kaba eye nèdze atikewɔwɔ gɔme la, zi nenemae wòanɔ bɔbɔe be viwòa ahaya.
Mègatsi dzodzodzoe o, ke boŋ kpɔ nyuie. Wɔ afɔɖeɖe siwo hiã be nàkpɔ ɖokuiwò ta tso COVID-19 me. Míele lãmesẽ nyui dim na wò kple wò ƒomea!
` MIS-C, COVID-19 Ðeviwo, Multisystem Infection Syndrome, Ðeviwo ƒe Dɔléle, Dzoxɔxɔ, Dzoxɔxɔ, Dzidɔ
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