Ua lohe paha ʻoe e pili ana i ka maʻi COVID-19. Ua ʻike mākou i ka hapa nui o ka manawa, ke loaʻa i nā keiki ʻōpio, ʻaʻole ia e hoʻopilikia nui iā lākou e like me ka poʻe mākua. Eia nō naʻe, hiki i kekahi mau keiki ke loaʻa nā hōʻailona koʻikoʻi i kekahi mau pule ma hope o ka loaʻa ʻana o COVID-19. ʻO ia ka mea a nā kauka e kapa nei he Multisystem Inflammatory Syndrome in Children , a i ʻole MIS-C no ka pōkole. Ke hoʻomaopopo nei nā loea i ke ʻano o ia mea a me ke kumu e hiki wale ai i kekahi mau keiki. Akā he mea nui e makaʻala i ia mea.
He aha maoli ka MIS-C, kēia maʻi?
I ka ʻōlelo maʻalahi, ʻo MIS-C kahi kūlana kahi e pehu ai nā ʻōnaehana he nui, a i ʻole nā kikowaena, i loko o ke kino o ke keiki i ka manawa like. E noʻonoʻo e pili ana i ia mea, i ka wā e hakakā nei ko mākou kino i kahi maʻi, lilo kā mākou ʻōnaehana pale i mea hana nui. I kekahi manawa, ma hope o ka maʻi COVID-19, hele kēia ʻōnaehana pale i waho o ka mana a hoʻomaka e hoʻopilikia i nā ʻāpana like ʻole o ke kino. ʻO ia ka mea nui e hana ʻia ma MIS-C.
ʻAʻole kēia he mea e hiki mai ana i loko o ʻelua a ʻekolu paha mau lā o ka loaʻa ʻana o COVID-19. ʻO ka maʻamau , ʻelua a ʻeono pule ma hope o ka loaʻa ʻana o COVID-19 e hoʻomohala i kēia mau hōʻailona MIS-C. No laila, inā ua loaʻa koke kāu keiki i ka COVID-19, a i ʻole ua pili kokoke ʻo ia me kahi mea i loaʻa iā COVID-19, he manaʻo maikaʻi e makaʻala iki e pili ana i kēia.
He aha nā hōʻailona o MIS-C? Pehea mākou e ʻike ai?
Hiki i ke keiki me MIS-C ke loaʻa i nā ʻano hōʻailona like ʻole no ka mea ua ʻike lākou i ka mumū ma ko lākou kino holoʻokoʻa. ʻAʻole e loaʻa i nā keiki āpau kēia mau hōʻailona āpau, a hiki ke ʻokoʻa ke koʻikoʻi o nā hōʻailona. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau e ʻike ʻia:
- Ke kuni mau: Loaʻa paha iā ʻoe ke kuni e emi ʻole ana no kekahi mau lā.
- ʻŌpū ʻeha: Hiki i nā hōʻailona ke komo pū me ka ʻeha nui o ka ʻōpū, ka nausea, ka luaʻi ʻana, a i ʻole ka maʻi pākī.
- ʻŌhūhū ʻili: Hiki ke ʻike ʻia nā ʻōhūhū ʻulaʻula a me ka maneʻo ma nā wahi like ʻole o ke kino.
- ʻUlaʻula a me ka nahā o nā lehelehe: Hiki i nā lehelehe ke maloʻo, ʻulaʻula, a malia paha e nahā. Ua like ia me ka ʻōlelo ʻana "e ʻā ana nā lehelehe."
- Nā maka ʻulaʻula: Hiki i nā keʻokeʻo o nā maka ke lilo i ʻulaʻula a ʻike ʻia he ʻulaʻula. ʻŌlelo mākou "nā maka ʻulaʻula."
- Ka pehu ʻana a me ka ʻulaʻula o nā lima a me nā wāwae: Hiki i nā poho lima a me nā kapuwaʻi o nā wāwae ke lilo i ʻulaʻula a pehu.
ʻOiai inā loaʻa iā ʻoe kekahi a ʻelua paha o kēia mau hōʻailona, ʻaʻole ia he manaʻo he MIS-C kou. Hiki ke ʻike ʻia kēia mau hōʻailona i nā maʻi maʻamau ʻē aʻe. Eia nō naʻe, inā loaʻa i kāu keiki ke kuni mau a ʻoi aku ma mua o hoʻokahi o kēia mau hōʻailona (no ka laʻana, he kuni me ka ʻeha o ka ʻōpū a me ke kino), pono ʻoe e ʻike i ke kauka.
Nā hōʻailona e pono ai ka mālama koke!
I kekahi manawa hiki i ke kūlana o nā keiki me MIS-C ke lilo i mea ʻino loa me ka wikiwiki. No laila, pono e mālama ʻia nā hōʻailona aʻoaʻo penei:Inā hōʻike kāu keiki i kekahi o kēia mau mea, pono ʻoe e lawe koke iā lākou i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa:
- Inā ʻike ʻia ke keiki e ʻeha nui ana, a i ʻole ke ʻano hiamoe nui nei a huikau paha.
- Inā manaʻo ʻoe e pilikia ana ʻoe i ka hanu ʻana, a inā paha e piʻi ana kou hanu ʻana.
- Inā ʻoe e kamaʻilio ana e pili ana i ka ʻeha o ka umauma.
- Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū.
- Inā ʻike ʻia kou mau lehelehe a i ʻole kou helehelena he polū (ʻo ia hoʻi, ʻaʻole lawa ka oxygen i ke kino).
I kēia manawa, mai poina e haʻi i ke kauka inā ua loaʻa i kāu keiki ka COVID-19 i kēia manawa a i ʻole ua launa pū me kahi mea i loaʻa iā COVID-19.
He aha nā pilikia ʻē aʻe e hiki ke hana ma muli o MIS-C?
He ʻano maʻi ʻo MIS-C e hiki ke hoʻopilikia i kekahi keiki ma mua o kekahi. Hiki i kēia mumū i loko o ke kino ke hōʻino i nā ʻano kino like ʻole. ʻO nā hopena nui e komo pū ana me:
- Puʻuwai: Hiki ke nāwaliwali ka ʻiʻo o ka puʻuwai a hiki ke hoʻopilikia ʻia ka hana a ka puʻuwai.
- Nā pūnaewele koko a me nā kīʻaha koko: Hiki ke loaʻa nā pilikia o ke kahe koko a me ka mumū o nā kīʻaha koko.
- ʻIli: Nā mea e like me ka pōʻino a mākou i kamaʻilio ai ma mua.
- ʻŌnaehana hoʻoheheʻe: Hiki i nā mea e like me ka ʻeha o ka ʻōpū a me ka maʻi pākī ke koʻikoʻi.
- Nā maka: Nā hōʻailona e like me ka ʻulaʻula o nā maka.
I kekahi manawa, hiki i kēia pōʻino, ʻoi aku hoʻi i ka puʻuwai, ke loaʻa nā hopena lōʻihi. No laila he mea nui e ʻike mua i ka maʻi a hoʻomaka i ka lāʻau lapaʻau.
Pehea e ʻike pololei ai i ka maʻi MIS-C?
Hiki i nā hōʻailona o MIS-C ke like me nā maʻi ʻē aʻe. No ka laʻana, hiki i nā kūlana e like me ka maʻi Kawasaki a i ʻole ka toxic shock syndrome ke hana i nā hōʻailona like. No laila, inā nānā ke kauka i kahi keiki a kānalua he MIS-C kā lākou, e hana lākou i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona.
He aha nā hoʻokolohua e hana ʻia nei no kēia?
Hoʻohana nui ʻia ka hoʻāʻo COVID-19 e hoʻoholo ai inā ua loaʻa i ke keiki ka maʻi COVID-19 a i ʻole ua loaʻa iā ia nā antibodies mai kahi maʻi ma mua. Eia kekahi, hoʻohana ʻia nā hoʻāʻo e hoʻoholo ai i ka nui o ka mumū i loko o ke kino a inā he hōʻino i nā ʻano kino like ʻole. Hiki i kēia mau mea ke komo pū me:
- Nā hoʻāʻo koko a me nā hoʻāʻo mimi: Hiki i kēia ke nānā i nā mea he nui, e like me ke kiʻekiʻe o ka mumū i loko o ke kino (nā māka mumū), ka hana o nā ʻano kino like ʻole, a me ke kūlana o nā hunaola koko.
- X-ray o ka umauma: E nānā i nā mea e like me ke kūlana o nā māmā a me ka nui o ka puʻuwai.
- Nā hoʻokolohua kūikawā e nānā ai i ka puʻuwai:
- ECG (electrocardiogram): Hoʻāʻo kēia i ka hana uila o ka puʻuwai.
- Echocardiogram (ultrasound o ka puʻuwai): Ua like kēia me ka ultrasound o ka puʻuwai. Hiki iā ia ke nānā i nā mea nui he nui e like me ke ʻano o ka puʻuwai, ka hana o nā ʻiʻo, a me ke kūlana o nā valves.
- ʻO ke ultrasound ʻōpū: No ka nānā ʻana i ke kūlana o nā ʻōpū i loko o ka ʻōpū, e like me ke akepaʻa a me ka spleen.
Kōkua mai nā kauka loea
No ka mea he ʻano paʻakikī ʻo MIS-C, pili pinepine ka ʻike ʻana a me ka mālama ʻana i kahi hui o nā loea mai nā ʻano ʻoihana like ʻole, ʻaʻole hoʻokahi kauka wale nō. Hiki i kēia hui ke komo pū me:
- Nā loea maʻi lele
- Nā kauka puʻuwai
- Nā loea rheumatology
- Nā loea hematology
- Nā loea mālama koʻikoʻi
Ma ka hoʻohui ʻana i ka ʻike o kēia poʻe a pau e hoʻoholo ʻia ai ke ʻano lapaʻau maikaʻi loa no ke keiki.
Pehea e mālama ʻia ai ʻo MIS-C?
ʻOkoʻa ke ʻano o ka mālama ʻana no MIS-C mai kekahi keiki a i kekahi keiki. Aia ia i nā hōʻailona o ke keiki a me nā hopena o ka hoʻāʻo. ʻO nā pahuhopu nui o ka mālama ʻana:
- Hoʻemi i ka mumū i loko o ke kino.
- Ke kāohi nei i ke koko mai ke kāpili ʻana me ke kumu ʻole.
- No ka pale ʻana i ke kino i hoʻopilikia ʻia mai ka hōʻino hou aku.
Hiki i nā kauka ke hoʻohana i nā ʻano lapaʻau like ʻole no kēia:
- Oxygen: Inā pilikia ʻoe i ka hanu ʻana.
- Nā lāʻau lapaʻau: Hiki ke hāʻawi ʻia nā lāʻau lapaʻau e like me nā steroids e hōʻemi i ka mumū, nā lāʻau lapaʻau i kapa ʻia ʻo immunoglobulins (IVIG) e kaohi i ka ʻōnaehana pale, a me nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko.
- Nā wai intravenous (IV): Hāʻawi ʻia nā mea e like me ka saline inā maloʻo ke kino a inā haʻahaʻa ke koko.
Inā koʻikoʻi ke kūlana o kekahi mau keiki, pono paha lākou e hoʻokomo ʻia i ka Intensive Care Unit (ICU) a mālama ʻia ma lalo o ka nānā kūikawā ʻana.
Nā mea nui ʻē aʻe e ʻike ai
I ke kamaʻilio ʻana e pili ana iā MIS-C, he mea maikaʻi e hoʻomanaʻo i kekahi mau mea ʻē aʻe.
Pono anei au e mālama ma hope o ka haʻalele ʻana i ka haukapila?
Hoʻōla ka hapa nui o nā keiki ma hope o ka mālama ʻia ʻana ma ka haukapila. Eia nō naʻe, hiki i kekahi mau keiki ke loaʻa nā pilikia lōʻihi ma muli o MIS-C. No laila, he mea nui e hoʻomau i ka mālama ʻana i kāu keiki e like me nā kuhikuhi a kāu kauka ʻoiai ma hope o kou hoʻi ʻana mai ka haukapila.
ʻo kahi laʻana:
- E hoʻomau ʻia ka hoʻouna ʻia ʻana o kahi keiki nona ka puʻuwai i hoʻopilikia ʻia e MIS-C i kahi kauka cardiologist.Pono ʻoe e hālāwai a loaʻa nā hoʻokolohua maʻamau. Pono paha ʻoe e kaupalena i kāu hoʻoikaika kino, holo, a me ka pāʻani no kekahi manawa. Pono ʻoe e noho pēlā a hiki i ka ʻōlelo ʻana o ke kauka, "ʻAe, ʻaʻohe pilikia i kēia manawa."
- Inā hoʻomau ʻoe i ka hoʻohana ʻana i nā lāʻau lapaʻau e like me nā steroids e hōʻemi i ka mumū, pono ʻoe e kūkākūkā me kahi rheumatologist a endocrinologist paha e hōʻemi pono a hoʻololi paha i ka lāʻau lapaʻau.
No laila, he mea nui loa e hahai pololei i nā kuhikuhi a nā kauka a lawe i ke keiki i nā keʻena lapaʻau kūpono.
ʻO ke ala maikaʻi loa e pale aku ai iā MIS-C
ʻOiaʻiʻo, he maʻi laha ʻole ʻo MIS-C. Eia nō naʻe, no ka mea hiki ke koʻikoʻi, pono mākou e hoʻāʻo e pale iā mākou iho mai ia mea i ka hiki. ʻO ke ala maikaʻi loa e pale aku ai iā MIS-C, ʻo ia ka pale ʻana i ka maʻi ʻana me COVID-19.
- No laila, he mea nui loa ia e loaʻa i nā kānaka a pau ma luna o 6 mahina nā lāʻau pale COVID-19 a mālama iā lākou i ka lā hou . Hāʻawi nā lāʻau pale hou i loaʻa i kēia manawa i ka pale ʻana i nā ʻano COVID-19 maʻamau.
E hoʻomanaʻo i kēia mau mea e pale aku iā ʻoe iho mai nā maʻi maʻamau.
I mea e pale aku ai i ka laha ʻana o kekahi maʻi, ʻaʻole wale ʻo COVID-19, he mea maikaʻi i nā mea a pau ke hahai i kēia mau ʻano olakino maʻalahi:
- E holoi pinepine a holoi pono i kou mau lima. E holoi i kou mau lima me ke kopa a me ka wai no ka liʻiliʻi he 20 kekona. Inā ʻaʻohe kopa a me ka wai, e hoʻohana i kahi mea hoʻomaʻemaʻe lima i loaʻa ma ka liʻiliʻi he 60% ka waiʻona.
- E pale i ka launa pū ʻana me ka poʻe maʻi. E pale i ka launa pū ʻana me ka poʻe i loaʻa nā hōʻailona e like me ke kuni, ke kuni, a me ke anu.
- E hoʻomaʻemaʻe i nā ʻili i hoʻopā pinepine ʻia. E holoi pinepine i nā ʻūpā puka, nā pākaukau, a me nā kelepona.
- E ho'āʻo e hanu i ka ea hou e like me ka hiki. Inā ʻoe i loko o ka hale, e wehe i nā puka makani a hoʻokuʻu i ka ea hou. He mea maikaʻi nō hoʻi ke hele i waho.
ʻO ka mea hope loa, e hoʻomanaʻo i kēia (Leka Lawe-Home)
ʻAe, ua kamaʻilio nui mākou e pili ana iā MIS-C. ʻO ka mea nui e hoʻomanaʻo ai, he maʻi kakaikahi kēia, akā he maʻi koʻikoʻi paha. Ua pili ia i ka maʻi COVID-19.
Inā loaʻa i kāu keiki ke kuni mau a ʻoi aku ma mua o hoʻokahi o nā hōʻailona ʻē aʻe a mākou i kūkākūkā ai (e like me ka ʻeha o ka ʻōpū, ka ʻeha o ke kino, nā maka ʻulaʻula), mai hoʻonele i ka manawa a e ʻimi koke i ke kōkua lapaʻau. ʻO ka wikiwiki o kou ʻike ʻana a hoʻomaka i ka mālama ʻana, ʻoi aku ka nui o ka hiki ke hoʻōla kāu keiki.
Mai hopohopo, akā e makaʻala. E hana i nā hana e pono ai e pale iā ʻoe iho mai COVID-19. Ke makemake nei iā ʻoe a me kou ʻohana i ke olakino maikaʻi!
` MIS-C, Nā Keiki COVID-19, Multisystem Infection Syndrome, Pediatrics, Fiva, Mumura, Maʻi Puʻuwai
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo