Ua maʻi anei kāu keiki liʻiliʻi ma ke ʻano ʻē ma hope o ke COVID? E makaʻala kākou i kēia kūlana weliweli (MIS-C)!

Ua ʻike mākou a pau i ka nui o ka hoʻololi ʻana o ka maʻi ahulau COVID-19 i ko mākou ola. I ka manawa pinepine, ke loaʻa i nā keiki ʻōpio ka maʻi COVID, manaʻo mākou ʻaʻole ia e like me ka ʻino e like me nā pākeke. Eia nō naʻe, hoʻomaka kekahi mau keiki, i kekahi mau pule ma hope o ka hoʻōla ʻana mai COVID-19, e hoʻomohala i nā hōʻailona hou a ʻoi aku ka ʻino. ʻO kēia ka mea a nā kauka e kapa nei ʻo MIS-C, a i ʻole Multisystem Inflammatory Syndrome in Children. Ke noiʻi nei nā loea i ke ʻano o kona pili maoli ʻana me COVID-19 a no ke aha i loaʻa ai i kekahi mau keiki wale nō.

He aha ka manaʻo o `(MIS-C)`? E hoʻomaopopo pono kākou, ʻeā?

I ka ʻōlelo maʻalahi, ʻo `(MIS-C)` kahi kūlana kahi e pehu ai nā ʻōnaehana he nui i loko o ke kino o ke keiki, e like me ka puʻuwai, nā māmā, nā puʻupaʻa, ka lolo, ka ʻili, a me nā maka, i ka manawa hoʻokahi. E noʻonoʻo, me he mea lā ua wela a pehu ke kino holoʻokoʻa mai loko mai. Manaʻo nā kauka i kēia manawa hiki ke hana ʻia kēia ke komo ka maʻi `(COVID-19)` i loko o ke kino a pane ka ʻōnaehana pale o ko mākou kino (ʻōnaehana pale) iā ia ma ke ʻano hoʻonui a hopohopo iki. I kekahi manawa ua kapa ʻia kēia ʻo `(PMIS)` a i ʻole `(PIMS)`, akā ʻo ka inoa `(MIS-C)` ka mea i hoʻohana pinepine ʻia.

He aha nā hōʻailona o kahi keiki me ka `(MIS-C)`?

I kēia manawa, e nānā kākou i nā hōʻailona e hōʻike ʻia e kahi keiki me `(MIS-C)`. Hiki ke ʻokoʻa iki kēia mau mea mai kekahi keiki a i kekahi, akā ʻo nā hōʻailona maʻamau:

• Kuni mau: ʻO ke ʻano kēia he kuni e mau ana no kekahi mau lā me ka emi ʻole. Malia paha he kuni i ʻoi aku ma mua o 38 degere Celsius (100.4 Fahrenheit).
• ʻEha nui o ka ʻōpū : Hiki i ke keiki ke loaʻa i ka ʻeha ʻōpū hiki ʻole ke hoʻomanawanui.
• Ka luaʻi ʻana a i ʻole ka maʻi pākī : Pono ʻoe e hopohopo inā ʻoe e luaʻi mau ana a inā paha ʻoe e hele ana i nā ʻōpala wai.
• ʻŌhūhū ʻili: Hiki ke ʻike ʻia nā ʻōhūhū ʻulaʻula, i kekahi manawa he liʻiliʻi e like me ka pehu ma nā ʻāpana like ʻole o ke kino.
• ʻUlaʻula a māwae nā lehelehe: Hiki i nā lehelehe ke lilo i ʻulaʻula, maloʻo, a māwae. I kekahi manawa hiki ke ʻulaʻula ke alelo e like me ka ʻōpena.
• ʻUlaʻula o nā maka: Hiki ke lilo nā keʻokeʻo o nā maka i ʻulaʻula, me he mea lā ua loaʻa iā lākou kahi maʻi maka. Eia naʻe, ʻaʻole i maʻamau ka hana ʻana o nā waimaka.
• ʻUlaʻula a me ka pehu ʻana o nā poho lima a me nā kapuwaʻi o nā lima: ʻO nā lima a me nā wāwae, ʻoi aku hoʻi nā poho lima a me nā kapuwaʻi o nā wāwae, hiki ke lilo i ʻulaʻula a pehu.

Ma waho aʻe o kēia mau hōʻailona, ​​hiki i kekahi mau keiki ke loaʻa i nā lymph node pehu ma ka ʻāʻī (e like me ka ʻāʻī ʻeha). ʻIke ʻia kekahi manawa nā ʻeha poʻo nui, nā ʻeha kino, ka paʻakikī o ka hanu ʻana , a me ka ʻeha umauma .

Āhea mākou e ʻike ai i ke kauka? Āhea mākou e hele koke ai i ka haukapila?

Inā ua loaʻa i kāu keiki ke kuni no kekahi mau lā a ʻoi aku ma mua o hoʻokahi o nā hōʻailona i luna, pono ʻoe e ʻike koke i ke kauka . ʻO kēia no ka mea hiki i ke kūlana o nā keiki me kēia maʻi `(MIS-C)` ke ʻoi aku ka ʻino. No laila, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke aʻo lapaʻau me ka hoʻonele ʻole i ka manawa. ʻOi loa aku inā loaʻa kekahi o kēia mau hōʻailona, ​​​​pono ʻoe e lawe iā lākou i ka keʻena pilikia o ka haukapila kokoke loa (ETU) me ka hoʻokaʻulua ʻole:

• Inā me he mea lā ke hakakā nui nei ke keiki a nāwaliwali loa ʻaʻole hiki ke nānā aku .
• Inā manaʻo ʻoe e pilikia ana ʻoe i ka hanu ʻana , ke kuni, a i ʻole ke hanu wikiwiki nei.
• Inā ʻoe e kamaʻilio nei e pili ana i ka ʻeha o ka umauma , a inā paha ʻoe e kamaʻilio nei e pili ana i ka ʻeha o kou umauma.
• Inā ʻeha nui ka ʻōpū , ʻaʻole hiki i ke keiki ke kū pololei.
• Inā ʻike ʻia kou mau lehelehe a i ʻole kou helehelena he polū (ʻo ia hoʻi, ʻaʻole lawa ka oxygen i kou kino).
• Inā hiamoe loa ke keiki, a i ʻole me he mea lā ua huikau , ua pihoihoi, a i ʻole me he mea lā ʻaʻole maopopo iā ia kāu mea e ʻōlelo nei.

Pono ʻoe e haʻi i ke kauka inā ua loaʻa mua kāu keiki i ka COVID-19 , a i ʻole inā ua launa pū lākou me kahi mea i loaʻa i ka COVID-19. He mea kōkua nui kēlā ʻike i ka ʻike ʻana i ka maʻi.

He aha nā pilikia e hiki mai ana ma muli o ka `(MIS-C)`?

ʻO kēia kūlana, i kapa ʻia ʻo `(MIS-C),` hiki ke hana i nā pilikia like ʻole mai ke keiki a i ke keiki. No ka mea, ʻaʻole ia e hoʻopilikia i hoʻokahi wale nō ʻāpana o ke kino. ʻO ka mea nui, hiki i kēia mumū ke hoʻopilikia i nā ʻāpana he nui o ke kino, e like me ka puʻuwai, ke koko, nā kīʻaha koko, ka ʻili, nā ʻōpū (ʻōnaehana hoʻoheheʻe), nā maka, nā puʻupaʻa, a me ka lolo. I kekahi manawa, hiki i kēia ke hōʻeha i kēlā mau ʻōpū no ka manawa pōkole a lōʻihi paha. Hopohopo nui nā kauka i nā hopena ma ka puʻuwai. No ka mea, hiki i ka ʻiʻo o ka puʻuwai ke pehu, hiki i ka uhi a puni ka puʻuwai ke pehu, a i ʻole hiki ke loaʻa nā pilikia i loko o nā kīʻaha koko e hoʻolako ana i ke koko i ka puʻuwai.

Pehea e ʻike ai nā kauka i ka `(MIS-C)`?

I kēia manawa, ke noʻonoʻo nei paha ʻoe pehea e hiki ai i nā kauka ke ʻike inā he MIS-C kēia. Hiki ke like nā hōʻailona o MIS-C me nā maʻi kamaliʻi ʻē aʻe, e like me ka maʻi Kawasaki, kahi maʻi koʻikoʻi i hoʻokumu ʻia e kahi maʻi bacteria i kapa ʻia ʻo toxic shock syndrome, a i ʻole nā ​​maʻi viral ʻē aʻe. No laila, inā kānalua ke kauka he MIS-C kahi keiki, e hoʻāʻo mua lākou e ʻike inā ua loaʻa i ke keiki ka maʻi COVID-19 a i ʻole ua loaʻa koke iā ia ka maʻi. Eia kekahi, e hana lākou i nā ʻano hoʻokolohua like ʻole e ʻike ai i ka nui o ka mumū i loko o ke kino. E hoʻāʻo pū lākou e ʻike inā he pōʻino i nā ʻano kino like ʻole i loko o ke kino, ʻoi aku ka puʻuwai. ʻO kēia mau mea maʻamau:

• Nā hoʻāʻo koko a me nā hoʻāʻo mimi: Hiki i kēia ke haʻi iā ʻoe i nā mea he nui e pili ana i ka mumū i loko o ke kino, ka hana o nā ʻano kino like ʻole, a inā he mau pilikia koko.
• X-ray o ka umauma: E nānā i ke kūlana o nā māmā.
• Nā hoʻokolohua kūikawā e nānā i ka puʻuwai :
• He "ECG - electrocardiogram": Nānā kēia i ka hana uila o ka puʻuwai, ʻo ia hoʻi ke ʻano o ka puʻuwai.
• He "echocardiogram": Ua like kēia me ke kiʻi "ultrasound" o ka puʻuwai. Hiki iā ia ke nānā i nā mea nui he nui, e like me ke ʻano o ka puʻuwai, nā ʻiʻo, nā valves, a me ke ʻano o ka puʻuwai e pamu ana i ke koko.
• ʻO ke kiʻi ʻana i ka ultrasound o ka ʻōpū: No ka nānā ʻana i ka mumū a i ʻole nā ​​​​pilikia ʻē aʻe i loko o nā ʻōpū o ka ʻōpū.

I kekahi manawa, e ʻimi nā kauka i ke kōkua o nā ʻano loea like ʻole e ʻike pololei a mālama i kēia maʻi 'MIS-C'. ʻO kēia hoʻi nā loea maʻi lele, nā kauka puʻuwai, nā kauka rheumatologists (nā mea nāna e mālama i nā iwi, nā hono, a me ka ʻōnaehana pale), nā kauka hematology, a me nā loea mālama koʻikoʻi. Hana pū lākou e hoʻolālā i ka lāʻau lapaʻau maikaʻi loa no kāu keiki.

He aha nā lāʻau lapaʻau no ka `(MIS-C)`?

ʻO ka lāʻau lapaʻau no ke keiki me ka `(MIS-C)` e pili ana i nā hōʻailona o ke keiki, nā hopena hoʻāʻo, a me ke koʻikoʻi o ke kūlana. ʻAʻole hāʻawi ʻia nā keiki āpau i ka lāʻau like. Hoʻāʻo pinepine nā kauka e hōʻemi i ka mumū i loko o ke kino, pale i nā ʻōpū koko (hiki i kekahi mau keiki ke pilikia i nā ʻōpū koko), a pale i nā ʻōpū i hoʻopilikia ʻia mai ka hōʻino hou aʻe. ʻO kēia kekahi:

• Oxygen: Inā pilikia ʻoe i ka hanu ʻana, e hāʻawi i kou kino i ka nui o ka oxygen e pono ai.
• Nā wai intravenous (nā wai IV): ʻO ia hoʻi ka hāʻawi ʻana i nā mea e like me ka saline i loko o kahi aa. Kōkua kēia i ka hoʻomalu ʻana i nā pae wai i loko o ke kino a mālama i ke kaomi koko paʻa.
• Nā ʻano lāʻau lapaʻau like ʻole (nā lāʻau lapaʻau):
• Hiki ke hāʻawi ʻia nā lāʻau lapaʻau e like me nā steroids a i ʻole kahi antibody kūikawā i kapa ʻia ʻo Intravenous Immunoglobulin (IVIG) e hōʻemi i ka mumū a kaohi i ka hana nui o ka ʻōnaehana pale.
• Hiki ke hāʻawi ʻia nā lāʻau lapaʻau haʻahaʻa e like me ka aspirin e pale ai i nā ʻūpā koko.
• Inā ua hoʻopilikia ʻia ka puʻuwai, hiki ke hāʻawi ʻia nā lāʻau lapaʻau kūikawā.
• Inā koʻikoʻi ke kūlana o kekahi mau keiki, pono paha lākou e hoʻokomo ʻia i loko o ka lumi mālama koʻikoʻi (ICU) o ka haukapila a hāʻawi ʻia i ka lāʻau kūikawā ma lalo o ka nānā mau ʻana.

He aha hou aʻe kā mākou e pono ai e ʻike e pili ana i ka `(MIS-C)`? (Nā ʻoiaʻiʻo koʻikoʻi)

He mea nui loa iā ʻoe ke ʻike i kekahi mau ʻoiaʻiʻo hou aʻe e pili ana i kēia kūlana.

Hoʻōla a me ka hahai ʻana

ʻO ka hapa nui o ka manawa, hoʻōla nā keiki me `(MIS-C)` ma hope o ka mālama ʻia ʻana ma ka haukapila. He nūhou maikaʻi maoli kēlā. Eia nō naʻe, hiki i kekahi mau keiki, ʻoiai ka poʻe me nā pilikia puʻuwai, ke loaʻa nā pilikia lōʻihi. No laila, pono lākou e hoʻomau ʻia e ka nānā ʻia e nā loea ma hope o ko lākou hoʻi ʻana i ka home (mālama hahai) .

• Eia kekahi laʻana, pono i kahi keiki me MIS-C i loaʻa i kahi hōʻeha puʻuwai e ʻike i kahi kauka cardiologist a loaʻa nā hoʻokolohua e like me ka echocardiogram. Pono paha lākou e hoʻōki i ka hoʻoikaika kino, ka holo ʻana, a me ka pāʻani ʻana i nā haʻuki no kekahi manawa a hiki i ka ʻōlelo ʻana o ke kauka.
• Eia kekahi, ʻo nā keiki e lawe ana i kekahi mau lāʻau lapaʻau (e like me nā steroids e hōʻemi i ka mumū) pono paha e ʻike i kahi rheumatologist a endocrinologist paha e hōʻemi mālie i ka dosage a hoʻoponopono e like me ka mea e pono ai.

He kūlana kākaʻikahi loa kēia.

Pono hoʻi e ʻōlelo ʻia he maʻi laha ʻole ka `(MIS-C)`. ʻO ia hoʻi, ʻaʻole nā ​​keiki a pau i loaʻa i ka `(COVID-19)` e loaʻa iā ia. Inā loaʻa i nā haneli haneli o nā keiki ka COVID, he kakaikahi wale nō o lākou e loaʻa i ka `(MIS-C).` No laila, mai hopohopo a makaʻu paha me ke kumu ʻole. Eia nō naʻe, he mea nui e makaʻala i nā hōʻailona.

ʻOi aku ka maikaʻi o ka pale ʻana!

ʻO ke ala maikaʻi loa e pale aku ai i kēia kūlana `(MIS-C)` ʻo ia ke pale ʻana i ka laha ʻana o `(COVID-19)`. ʻO ia hoʻi:

• Pono nā kānaka a pau ma luna o 6 mahina e loaʻa i ka lāʻau pale `(COVID-19)` i ka manawa kūpono. Hāʻawi nā lāʻau pale hou loa i loaʻa i kēia manawa i ka palekana maikaʻi mai nā ʻano viral maʻamau. Hiki i ka lāʻau pale ke hōʻemi i ka pilikia o nā pilikia koʻikoʻi mai `(COVID-19)` a me `(MIS-C)`. (I ko mākou ʻike, ʻaʻole loaʻa kēia ma nā haukapila aupuni ma Sri Lanka, a ʻaʻole au i ʻike inā loaʻa ia ma ka ʻāpana pilikino)

Eia kekahi, no ka palekana mai nā maʻi, he manaʻo maikaʻi ke hana i kēia mau mea i kēlā me kēia lā, ʻeā?

• E holoi pono i kou mau lima me ke kopa a me ka wai no 20 kekona ma ka liʻiliʻi. E hoʻohana i ke kopa a i ʻole kahi mea hoʻomaʻemaʻe lima i loaʻa ma ka liʻiliʻi he 60% ka waiʻona.
• E noho mamao aku mai ka poʻe e like me ka maʻi, ʻoiai ka poʻe me ke kuni a me ke anu.
• E mālama i nā ʻili i hoʻopā pinepine ʻia (nā ʻūpā puka, nā pākaukau, nā pākaukau, nā kelepona, a me nā mea ʻē aʻe) i ka maʻemaʻe e like me ka hiki.
• E ho'āʻo e hanu i ka ea hou e like me ka hiki. ʻO ke ʻano kēia o ka wehe ʻana i nā puka a me nā puka makani e ʻae ai i ka ea maikaʻi a me ka hoʻolilo ʻana i ka manawa ma waho.

ʻO ka mea nui loa a kākou e hoʻomanaʻo ai! (Leka Lawe-Home)

No laila, ke lana nei koʻu manaʻo ua ʻike maikaʻi ʻoe i ka mea a mākou i kamaʻilio ai, ʻo `(MIS-C)`. ʻO ka mea nui e hoʻomanaʻo ai, ʻo `(MIS-C)` he ʻano koʻikoʻi iki ia, akā he mea kakaikahi loa , hiki i kekahi mau keiki ke ulu ma hope o ka loaʻa ʻana o ka maʻi `(COVID-19)`.

Inā ʻike pololei ʻoe i nā hōʻailona, ​​mai hopohopo, a hōʻike koke iā lākou i ke kauka, hiki iā ʻoe ke hāʻawi i kāu keiki i ka lāʻau lapaʻau e pono ai a hoʻōla iā ia. Eia kekahi, ʻo ka pale ʻana i ka `(COVID-19)` ke ala maikaʻi loa e pale aku ai i ka `(MIS-C)`. No laila, e hahai kākou a pau i nā ʻano olakino, e pale i kā kākou mau keiki a me kākou iho! Inā he kānalua kāu, e nīnau i kāu kauka ʻohana a i ʻole ke kauka pediatric.