Loaʻa i kāu keiki kēia mau hōʻailona ma hope o COVID-19? E kamaʻilio kākou e pili ana iā MIS-C! (Multisystem Inflammatory Syndrome in Children - MIS-C)

Ua ola anei kāu keiki liʻiliʻi mai COVID-19? I kekahi mau pule ma hope o ka hoʻōla ʻana, hiki i kekahi mau keiki ke loaʻa nā hōʻailona ʻē. ʻO kēia ka mea a mākou e kapa nei he MIS-C (Multisystem Inflammatory Syndrome in Children) . Hiki ke lilo i maʻi koʻikoʻi, no laila he mea nui e makaʻala iā ia. E kamaʻilio kākou e pili ana i kēia lā, ʻeā?

He aha ka MIS-C? E hoʻomaopopo maʻalahi kākou.

I ka ʻōlelo maʻalahi, he maʻi laha ʻole ʻo MIS-C i loaʻa i kekahi mau keiki ma hope o COVID-19. Hōʻike ʻia ia e ka mumū ma nā wahi he nui o ke kino o ke keiki, ʻaʻole hoʻokahi wale nō. Hōʻike ʻia ia e ka ʻulaʻula, ka pehu, a me ka mehana i loko o ke kino. Hiki i kēia mumū ke hoʻopilikia nui i:

• I ka puʻuwai o kāu keiki
• I nā māmā
• No nā puʻupaʻa
• I ka lolo
• I ka ʻili
• No nā maka
• I nā ʻōpū o ka ʻōnaehana gastrointestinal

ʻO ka maʻamau, hele pū kēia ʻano me ke kuni e mau ana ma mua o 24 mau hola. He ʻano koʻikoʻi ʻo MIS-C i hiki ke hoʻoweliweli i ke ola. No laila, inā hōʻike kāu keiki i nā hōʻailona e like me ka paʻakikī o ka hanu ʻana a i ʻole ka ʻeha nui o ka umauma, pono ʻoe e lawe koke iā ia i ka haukapila.

Pehea ka maʻamau o MIS-C?

He maʻi laha ʻole ʻo MIS-C. Ua manaʻo ʻia i kēia manawa hoʻokahi wale nō i loko o 3,000 a 4,000 mau keiki i loaʻa i ka maʻi COVID-19 e loaʻa i kēia maʻi. ʻO ke ʻano kēia, ʻaʻole e loaʻa i nā kānaka a pau, akā pono kākou e hoʻomanaʻo aia ka pilikia.

He aha ka ʻokoʻa ma waena o MIS-C a me MIS-A?

He ʻano like kēia mau mea ʻelua. Aia ka ʻokoʻa ma ka makahiki o ke kanaka i ʻike ʻia.

• No nā keiki a me nā ʻōpio ma lalo o 21 makahiki ʻo MIS-C .
• No nā poʻe ma luna o 21 mau makahiki ka MIS-A .

ʻOiai ʻoi aku ka maʻamau o MIS-C ma mua o MIS-A, ʻoi aku ka koʻikoʻi o nā hōʻailona ma MIS-A.

He aha nā hōʻailona o MIS-C? E ʻike pono kākou iā lākou!

ʻO kahi hiʻohiʻona koʻikoʻi o MIS-C he kuni e mau ana no 24 mau hola. Eia kekahi, hiki ke ʻike ʻia ma mua o hoʻokahi o kēia mau hōʻailona:

• ʻEha ʻōpū a ʻeha paha
• Ka luaʻi ʻana
• Ka luaʻi ʻana (diarrhea)
• Vertigo (manaʻo e like me ʻoe e milo ana)
• He ʻulaʻula ka ʻili (i kekahi manawa he mau kiko ʻulaʻula)
• ʻUlaʻula o nā maka (me he koko lā)
• Makemake nui

E noʻonoʻo, ua loaʻa i kāu keiki ka COVID-19 a ua hoʻōla. Ma hope o ʻelua a ʻekolu paha pule, ua loaʻa koke iā ia ke kuni i emi ʻole no ʻelua a ʻekolu paha lā. Ua hoʻopiʻi pū ʻo ia i ka ʻeha o ka ʻōpū, a he mau kiko ʻulaʻula ma kona kino. ʻAʻole ʻo ia i ʻai. I ka manawa e like me ia, pono ʻoe e noʻonoʻo iki e pili ana iā MIS-C.

Nā hōʻailona o kahi pilikia - he mea kēia e makaʻala ai!

Inā hōʻike kāu keiki i kekahi o kēia mau hōʻailona, ​​​​pono ʻoe e lawe koke iā ia i ka keʻena pilikia haukapila kokoke loa, a i ʻole e kelepona iā 1990:

• Paʻakikī ka hanu ʻana (hanu paʻakikī, wikiwiki)
• ʻEha umauma ʻaʻole e nalo (ke paʻa nei ke keiki i ka umauma a ʻōlelo aku ua ʻeha)
• Ka huikau (nalowale ka hoʻomanaʻo, ʻōlelo slurred)
• ʻEha nui ka ʻōpū
• Paʻakikī ke ala a i ʻole hiki ʻole ke ala (hiamoe nui, hiki ʻole ke ala aʻe ʻoiai ke kamaʻilio ʻia)
• ʻIli uliuli, hina, a ʻulaʻula paha, lehelehe, a i ʻole nā ​​​​manamana lima (hōʻike kēia i ka nele o ka oxygen)

He mea nui: Hiki ke ʻike ʻia kēia mau hōʻailona ʻaʻole wale ma MIS-C, akā i nā kūlana olakino koʻikoʻi ʻē aʻe. No laila, inā ʻike ʻoe i kahi mea e like me kēia , pono ʻoe e ʻike koke i ke kauka.

He aha ke kumu o MIS-C?

ʻAʻole ʻike ʻia ke kumu kikoʻī o MIS-C. Mai ka wā i ʻike mua ʻia ai ka maʻi i ka hoʻomaka ʻana o 2020, ke hoʻomau nei ka noiʻi e hoʻoholo i ke kumu o ia mea a inā he hopena lōʻihi kona i nā keiki. Hoʻokahi mea e maopopo ana: ʻo kēia kūlana he hopena ʻaoʻao o ka maʻi COVID-19. No laila, inā loaʻa i kāu keiki ka COVID-19, aia ka pilikia o ka loaʻa ʻana o MIS-C.

Ua hōʻike ʻia e nā noiʻi he kumu paha kēia no ka hoʻomaka ʻana o ka ʻōnaehana pale o ke keiki e pane nui ma hope o ka maʻi COVID-19. I ka ʻōlelo maʻalahi, ma hope o ka pau ʻana o nā pale o ko mākou kino e kūʻē i ka maʻi i ke kaua ʻana i ka maʻi COVID-19, me he mea lā ua huikau iki lākou a hoʻomaka e hoʻouka i ko lākou mau kino ponoʻī. ʻO kēia ke kumu o ka mumū.

Aia kekahi manaʻoʻiʻo e hiki i nā kumu genetic ke kōkua i ka ulu ʻana o kēia ʻano ma kekahi mau keiki.

He maʻi lele anei ʻo MIS-C?

ʻAʻole, ʻaʻohe hōʻike e hoʻolaha ʻia ana ʻo MIS-C mai kekahi keiki a i kekahi. Eia nō naʻe, ʻo COVID-19, ka mea i loaʻa i nā keiki ma mua o ka ulu ʻana o MIS-C , he mea laha loa ia.

Pehea e ʻike ʻia ai ka maʻi MIS-C?

E nānā ke kauka i kāu keiki a hana i kekahi mau hoʻokolohua e hoʻoholo ai inā loaʻa iā lākou ka MIS-C. E nīnau ke kauka e pili ana i nā hōʻailona o kāu keiki, pehea ka lōʻihi o ko lākou loaʻa ʻana i ke kuni, inā ua hoʻāʻo maikaʻi lākou no COVID-19, a i ka manawa hea i hana ʻia ai. Inā loaʻa i kāu keiki ka COVID-19 i kēlā manawa, pono ʻoe e haʻi koke i ka hui lapaʻau.

Hiki i nā hoʻokolohua ke hōʻoia i ka hōʻailona a hoʻoholo pono i nā ʻāpana o ke keiki i hoʻopilikia ʻia e ka mumū. ʻO kekahi o nā hoʻokolohua i hana ʻia no kēia kumu:

• Ke nānā ʻana i ka puʻuwai (Echocardiogram)E nānā i ka hana o ka puʻuwai a me ka mumū.
• X-ray o ka umauma : E nānā i ke kūlana o nā māmā.
• ʻO ke ultrasound ʻōpū : No ka nānā ʻana i ka mumū o nā ʻōpū i loko o ka ʻōpū.
• CT scan (Computed Tomography - CT scan) : Inā pono, e ʻike maopopo i nā ʻāpana like ʻole o ke kino.

Eia kekahi, e hoʻāʻo pinepine ke kauka i ke keiki no COVID-19. Hiki iā lākou ke hana i nā mea ʻē aʻe, e like me nā hoʻāʻo koko, ma muli o nā hōʻailona o ke keiki.

Nā kūlana ʻē aʻe e like me MIS-C (Differential Diagnosis)

E noʻonoʻo pū ke kauka i nā kūlana ʻē aʻe e hiki ke hoʻoulu i nā hōʻailona o kāu keiki. Ua kapa ʻia kēia he differential diagnosis . Hiki i nā hōʻailona o MIS-C ke like me kēia mau kūlana i kekahi manawa:

• Maʻi Kawasaki
• ʻO ka maʻi haʻalulu ʻawahia

ʻO ia ke kumu he mea nui nā hoʻokolohua e ʻike pololei ai i ka maʻi.

Pehea e mālama ʻia ai ʻo MIS-C?

ʻO ke kumu nui o ka mālama ʻana no MIS-C ka hōʻemi ʻana i ka mumū a me ka kaohi ʻana i nā hōʻailona e hoʻoweliweli ana i ke ola. ʻO nā koho lapaʻau e komo pū me:

• Ke hāʻawi ʻana i ka saline i loko o kahi aa (nā wai IV) : E mālama i nā pae wai i loko o ke kino.
• Nā lāʻau lapaʻau anti-inflammatory (waha a IV paha) : Hoʻohana ʻia nā lāʻau lapaʻau e like me corticosteroids , immune globulin (IVIG) , a me glucocorticoids no kēia kumu.
• Inā loaʻa i ke keiki kahi maʻi COVID-19 ikaika, hiki ke hāʻawi ʻia ka lāʻau antiviral , e like me remdesivir, e mālama ai.
• Inā pilikia ka hanu ʻana, hāʻawi ʻia ka oxygen me ka hoʻohana ʻana i kahi mea kākoʻo hanu (ventilator) .

Inā loaʻa i kāu keiki ka MIS-C, ma muli o ke koʻikoʻi o kā lākou mau hōʻailona, ​​e mālama ʻia lākou ma kahi haukapila a i ʻole kahi Pediatric Intensive Care Unit (PICU) . ʻAe kēia i nā kauka a me nā kahu maʻi e nānā pono i kāu keiki a hāʻawi koke i ka lāʻau lapaʻau e pono ai.

Pehea ka wikiwiki o koʻu ho'ōla ʻana ma hope o ka lāʻau lapaʻau?

Hiki ke hala ma waena o ʻekolu lā a ʻelua pule no ke keiki e ʻoluʻolu ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau. Pono pinepine ke keiki e noho i ka haukapila no kekahi mau lā, ʻoiai ke nānā pono nei nā kauka i ke kūlana o ke keiki.

Hiki ke pale ʻia kahi pēpē mai ka loaʻa ʻana o ka MIS-C?

ʻO ke ala maikaʻi loa e pale aku ai i kāu keiki mai ka loaʻa ʻana o MIS-C, ʻo ia ka pale ʻana iā lākou mai ka maʻi COVID-19. Hiki iā ʻoe ke mālama i kāu keiki ma ka hana ʻana i kēia mau mea:

• Ka lāʻau pale COVID-19(Me nā lāʻau pale hoʻoikaika, inā ʻōlelo ʻia e ke kauka o ke keiki).
• E aʻo aku i kāu keiki e ʻaʻahu i kahi pale maka e uhi pono ana i ko lākou waha a me ka ihu.
• E haʻi aku i kāu keiki e pale i ka hoʻopā ʻana i ko lākou mau maka, ihu, a me ka waha e pale aku ai i ka laha ʻana o nā germs.
• E aʻo i kāu keiki e holoi pinepine i ko lākou mau lima me ke kopa a me ka wai. Inā ʻaʻohe poho holoi kokoke, hiki iā ʻoe ke hoʻohana i kahi mea hoʻomaʻemaʻe lima i loaʻa ma ka liʻiliʻi he 60% ka waiʻona.
• Mai hoʻokaʻaʻike kokoke aku i nā poʻe i manaʻo ʻia a i ʻole i hōʻoia ʻia ua loaʻa iā lākou ka COVID-19.
• E mālama i ka mamao kaiapili mai nā poʻe ʻē aʻe (ma ka liʻiliʻi he 6 kapuaʻi).
• E hoʻomaʻemaʻe a hoʻopau i nā mea i hoʻopā pinepine ʻia.

E hoʻomanaʻo, e kōkua kēia mau hana palekana i ka pale ʻana iā ʻoe a me kāu keiki ʻaʻole wale mai MIS-C, akā, mai nā maʻi ʻē aʻe he nui, me COVID-19.

He aha kaʻu e manaʻo ai inā loaʻa ka MIS-C i kaʻu keiki?

Hoʻōla loa ka hapa nui o nā keiki i ʻike ʻia me MIS-C. Eia naʻe, e like me ka mea i ʻōlelo ʻia ma mua, i nā hihia kakaikahi loa, hiki ke hoʻoweliweli i ke ola a koʻikoʻi paha. Pono ke keiki e lawe ʻia i ka haukapila. ʻOiai ma hope o ka pau ʻana o ka mālama ʻana no MIS-C, pono ke keiki e ʻike i kā lākou kauka pediatric . ʻOiai ke hoʻomau nei ka noiʻi inā he mau hopena ʻaoʻao lōʻihi kēia maʻi, e nānā ke kauka i ke keiki i kekahi mau mahina ma hope o ka mālama ʻana e hōʻoia i ko lākou olakino.

Pehea ka lōʻihi o ke kūlana MIS-C?

Hiki i kāu keiki ke maʻi no kahi o ʻelua pule me MIS-C. E loli kēia ma muli o ke koʻikoʻi o ka hōʻailona o kāu keiki. Hiki i ka lāʻau lapaʻau ke hoʻomaikaʻi i ka manawa hoʻōla a me ka hopena o kāu keiki.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa i kāu keiki nā hōʻailona o MIS-C, inā paha he mōʻaukala ko lākou o ka maʻi COVID-19 a ʻaʻole paha, e kelepona koke aku i ke kauka o kāu keiki. E haʻi aku ke kauka iā ʻoe inā pono ʻoe e hele i ka lumi pilikia a hiki ke pane i nā nīnau āu e pili ana i kēia maʻi.

Inā loaʻa i ke keiki nā ʻōuli koʻikoʻi, e hele koke i ka ʻoihana pilikia o ka haukapila a kāhea aku paha i ka 1990.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Ke maʻi ke keiki, ʻoiai ma ke kūlana e like me MIS-C, he mea maʻamau iā ʻoe ma ke ʻano he makuahine ke loaʻa nā nīnau he nui. Hiki iā ʻoe ke nīnau i ke kauka i nā mea e like me:

• Pono anei au e mālama i kaʻu keiki ma ka haukapila?
• He aha nā hōʻailona e pono iaʻu e hoʻomau i ka makaʻala?
• Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?
• He aha kaʻu e hana ai e ʻoluʻolu ai kaʻu keiki i ka wā e loaʻa ai iā ia ka COVID-19?

Hiki ke hopohopo ka lawe ʻana i kāu keiki i ka haukapila no ka mālama ʻana no MIS-C. Eia nō naʻe, e nānā pono nā kauka a me nā kahu maʻi i kāu keiki i nā lā a pau a mālama i nā hōʻailona i ʻole e hoʻoweliweli i ke ola. Loaʻa paha i kekahi mau keiki nā hōʻailona iki, aʻo kekahi poʻe he mau pilikia koʻikoʻi. Eia nō naʻe, hōʻike nā noiʻi e hoʻōla piha ka hapa nui o nā keiki. Ke hana ʻia nei ka noiʻi e ʻike inā loaʻa nā hopena lōʻihi o MIS-C a me COVID-19 i nā keiki.

I ka hōʻuluʻulu manaʻo, nā mea e pono ai mākou e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, e hōʻuluʻulu kākou i nā kumu koʻikoʻi mai nā mea a mākou i kamaʻilio ai:

• He maʻi laha ʻole ʻo MIS-C akā he maʻi koʻikoʻi paha ia e hiki ke loaʻa i kekahi mau keiki ma hope o COVID-19.
• E makaʻala i nā hōʻailona e like me ke kuni e mau ana ma mua o 24 mau hola, ʻeha ʻōpū, luaʻi, kahe koko, ʻulaʻula o ka ʻili, a me nā maka ʻulaʻula .
• Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me ka paʻakikī o ka hanu ʻana, ka ʻeha o ka umauma, ka huikau, a i ʻole ka ʻili polū/hina, e ʻimi koke i ke kōkua lapaʻau.
• ʻOiai ʻo COVID-19 ke kumu nui o MIS-C, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke pale i kāu keiki mai ia mea. E hōʻoia e hahai i nā lāʻau pale, nā pale maka, a me ka holoi lima.
• Hoʻōla loa ka hapa nui o nā keiki mai ka MIS-C, akā he mea nui loa e hahai i ka ʻōlelo aʻoaʻo lapaʻau.

ʻO ka mālama ʻana i ke olakino o kāu keiki ka mea nui loa. ʻO ka ʻike ʻana i kēia ʻano ʻike e kōkua iā ʻoe e hana koke i ka wā e pono ai.

MIS -C, COVID-19, pediatrics, mumū, kuni, maʻi multisystem, nā pilikia ma hope o COVID