Koj tus menyuam puas muaj cov tsos mob no tom qab COVID-19? Cia peb tham txog MIS-C! (Multisystem Inflammatory Syndrome in Children - MIS-C)

Koj tus me nyuam puas tau zoo los ntawm COVID-19? Ob peb lub lis piam tom qab zoo, qee tus menyuam yuav muaj cov tsos mob txawv txawv. Qhov no yog qhov peb hu ua MIS-C (Multisystem Inflammatory Syndrome in Children) . Nws tuaj yeem yog ib qho mob hnyav, yog li nws tseem ceeb heev uas yuav tsum paub txog nws. Cia peb tham txog nws kom meej hnub no, puas yog?

MIS-C yog dab tsi? Cia peb nkag siab yooj yim.

Hais yooj yim xwb, MIS-C yog ib yam mob tsis tshua muaj uas tshwm sim rau qee tus menyuam tom qab COVID-19. Nws yog tus yam ntxwv los ntawm kev o ntawm ntau qhov chaw ntawm tus menyuam lub cev, tsis yog ib qho xwb. Nws yog tus yam ntxwv los ntawm kev liab, o, thiab sov hauv lub cev. Qhov kev o no tuaj yeem cuam tshuam rau:

• Rau koj tus menyuam lub siab
• Mus rau lub ntsws
• Rau cov raum
• Mus rau lub hlwb
• Rau daim tawv nqaij
• Rau lub qhov muag
• Rau cov kab mob ntawm lub cev zom zaub mov

Feem ntau tus mob no yuav muaj kub taub hau ntev tshaj 24 teev. MIS-C yog ib qho mob hnyav uas qee zaum yuav ua rau tuag taus. Yog li ntawd, yog tias koj tus menyuam muaj cov tsos mob xws li ua pa nyuaj lossis mob hauv siab hnyav, koj yuav tsum coj nws mus rau tsev kho mob tam sim ntawd.

MIS-C feem ntau tshwm sim li cas?

MIS-C yog ib qho mob tsis tshua muaj. Tam sim no kwv yees tias tsuas yog ib tug ntawm 3,000 txog 4,000 tus menyuam uas muaj tus kab mob COVID-19 yuav muaj tus mob no. Qhov no txhais tau tias tsis yog txhua tus yuav muaj tus mob no, tab sis peb yuav tsum nco ntsoov tias qhov kev pheej hmoo muaj nyob ntawd.

Qhov txawv ntawm MIS-C thiab MIS-A yog dab tsi?

Ob yam no yeej zoo ib yam. Qhov txawv yog nyob ntawm lub hnub nyoog ntawm tus neeg uas kuaj pom tias muaj tus kab mob no.

• MIS-C yog rau cov menyuam yaus thiab cov tub ntxhais hluas hnub nyoog qis dua 21 xyoos.
• MIS-A yog rau cov neeg hnub nyoog tshaj 21 xyoo.

Txawm hais tias MIS-C muaj ntau dua li MIS-A, cov tsos mob yuav hnyav dua me ntsis hauv MIS-A.

Cov tsos mob ntawm MIS-C yog dab tsi? Cia peb kawm paub lawv zoo dua!

Ib qho tseem ceeb ntawm MIS-C yog kub taub hau uas kav ntev li ntawm 24 teev. Tsis tas li ntawd, tej zaum yuav muaj ntau tshaj ib qho ntawm cov tsos mob hauv qab no:

• Mob plab los yog mob plab
• Ntuav
• Mob raws plab (ntuav)
• Vertigo (zoo li koj tig ib ncig)
• Mob pob khaus ntawm daim tawv nqaij (qee zaum ua pob liab)
• Qhov muag liab (zoo li ntshav liab)
• Kev ntshaw noj mov

Xav txog seb, koj tus menyuam tau kis tus kab mob COVID-19 thiab zoo dua. Tom qab ob lossis peb lub lis piam, nws cia li kub taub hau uas tsis txo qis li ob lossis peb hnub. Nws kuj tau yws tias mob plab, thiab nws muaj cov pob liab ntawm nws lub cev. Nws tsis kam noj mov. Thaum lub sijhawm zoo li ntawd, koj yuav tsum xav me ntsis txog MIS-C.

Cov tsos mob ntawm qhov xwm txheej ceev - cov no yog qee yam uas yuav tsum paub!

Yog koj tus menyuam muaj ib qho ntawm cov tsos mob hauv qab no, koj yuav tsum coj nws mus rau chav kho mob ceev hauv tsev kho mob ze tshaj plaws, lossis hu rau 1990 tam sim ntawd:

• Ua pa nyuaj (ua pa nyuaj, ua pa sai)
• Mob hauv siab uas tsis ploj mus (tus menyuam tuav lub hauv siab thiab hais tias nws mob)
• Kev tsis meej pem (tsis nco qab, hais lus tsis meej)
• Mob plab heev
• Nyuaj siab sawv los yog tsis muaj peev xwm sawv (tsaug zog heev, tsis tuaj yeem sawv txawm tias thaum tham nrog)
• Tawv nqaij xiav, grey, lossis dawb, daim di ncauj, lossis rau tes (qhov no qhia tias tsis muaj oxygen)

Tseem Ceeb: Cov tsos mob no tsis yog tsuas yog tshwm sim hauv MIS-C xwb, tab sis kuj tshwm sim hauv lwm yam mob hnyav. Yog li ntawd, yog tias koj pom qee yam zoo li no , koj yuav tsum mus ntsib kws kho mob sai li sai tau.

Dab tsi ua rau MIS-C?

Qhov ua rau muaj MIS-C tseem tsis tau paub meej. Txij li thaum tus kab mob no tau pom thawj zaug thaum ntxov xyoo 2020, kev tshawb fawb tau txuas ntxiv mus txiav txim seb dab tsi ua rau nws thiab seb nws puas muaj cov teebmeem mus sij hawm ntev rau cov menyuam yaus. Muaj ib qho meej meej: tus mob no yog ib qho kev phiv los ntawm kev kis tus kab mob COVID-19. Yog li ntawd, yog tias koj tus menyuam muaj COVID-19, muaj kev pheej hmoo ntawm kev mob MIS-C.

Cov kev tshawb fawb qhia tias qhov no yuav yog vim tus menyuam lub cev tiv thaiv kab mob pib ua haujlwm ntau dhau tom qab muaj tus kab mob COVID-19. Hais yooj yim xwb, tom qab peb lub cev tiv thaiv kab mob tiav lawm, nws zoo li lawv tsis meej pem me ntsis thiab pib tawm tsam lawv cov kab mob. Qhov no yog qhov ua rau mob o.

Kuj tseem muaj kev ntseeg tias cov yam ntxwv caj ces yuav pab txhawb rau kev loj hlob ntawm tus mob no rau qee tus menyuam.

MIS-C puas kis tau?

Tsis yog, tsis muaj pov thawj tias MIS-C kis tau los ntawm ib tug menyuam mus rau lwm tus. Txawm li cas los xij, COVID-19, uas tshwm sim rau cov menyuam ua ntej MIS-C tshwm sim , yog kis tau yooj yim heev.

Yuav kuaj mob li cas thiaj paub tias muaj tus kab mob MIS-C?

Tus kws kho mob yuav kuaj koj tus menyuam thiab ua ob peb qhov kev kuaj mob kom paub seb lawv puas muaj MIS-C. Tus kws kho mob yuav nug txog koj tus menyuam cov tsos mob, lawv tau kub taub hau ntev npaum li cas lawm, seb lawv puas tau kuaj pom tias muaj COVID-19, thiab nws tshwm sim thaum twg. Yog tias koj tus menyuam muaj COVID-19 thaum lub sijhawm ntawd, koj yuav tsum qhia rau pab pawg kho mob tam sim ntawd.

Cov kev kuaj mob tuaj yeem lees paub qhov kev kuaj mob thiab txiav txim siab meej tias cov kabmob twg hauv tus menyuam raug kev o. Qee qhov kev kuaj mob uas ua rau lub hom phiaj no yog:

• Kev ntsuas lub plawv (Echocardiogram)Xyuas seb lub plawv ua haujlwm li cas thiab o.
• X-ray hauv siab : Xyuas seb lub ntsws zoo li cas.
• Kev kuaj ultrasound hauv plab : Txhawm rau kuaj seb puas muaj kev o ntawm cov kabmob hauv plab.
• Kev thaij duab CT (Computed Tomography - CT scan) : Yog tias tsim nyog, pom ntau qhov ntawm lub cev kom meej dua.

Ntxiv rau qhov no, tus kws kho mob feem ntau yuav kuaj tus menyuam rau COVID-19. Lawv kuj tseem yuav ua lwm yam, xws li kuaj ntshav, nyob ntawm tus menyuam cov tsos mob.

Lwm yam mob zoo ib yam li MIS-C (Kev Kuaj Mob Txawv)

Tus kws kho mob kuj tseem yuav xav txog lwm yam mob uas yuav ua rau koj tus menyuam muaj cov tsos mob. Qhov no hu ua kev kuaj mob sib txawv . Cov tsos mob ntawm MIS-C qee zaum zoo li cov mob no:

• Kab mob Kawasaki
• Mob hnyav ua rau muaj kev phom sij

Yog vim li ntawd kev kuaj mob thiaj li tseem ceeb kom paub tseeb tias muaj tus kab mob.

Yuav kho MIS-C li cas?

Lub hom phiaj tseem ceeb ntawm kev kho mob MIS-C yog kom txo qhov o thiab tswj cov tsos mob uas yuav ua rau tuag taus. Cov kev xaiv kho mob suav nrog:

• Muab cov tshuaj saline rau hauv cov leeg ntshav (cov kua IV) : Tswj cov kua dej hauv lub cev.
• Cov tshuaj tiv thaiv kev o (noj los yog IV) : Cov tshuaj xws li corticosteroids , immune globulin (IVIG) , thiab glucocorticoids yog siv rau lub hom phiaj no.
• Yog tias tus me nyuam muaj tus kab mob COVID-19 uas tseem tab tom kis, kev kho mob tiv thaiv kab mob , xws li remdesivir, tuaj yeem muab los kho nws.
• Yog tias ua pa nyuaj, yuav muab oxygen los ntawm kev siv lub tshuab pab ua pa (ventilator) .

Yog koj tus menyuam muaj MIS-C, nyob ntawm seb lawv cov tsos mob hnyav npaum li cas, lawv yuav raug kho hauv tsev kho mob lossis Chav Saib Xyuas Menyuam Yaus (PICU) . Qhov no tso cai rau cov kws kho mob thiab cov kws tu mob saib xyuas koj tus menyuam ze thiab muab kev kho mob tsim nyog sai.

Kuv yuav zoo sai npaum li cas tom qab kho tas?

Nws yuav siv sijhawm li peb hnub mus txog ob lub lis piam rau ib tug me nyuam kom zoo dua tom qab pib kho mob. Feem ntau tus me nyuam yuav tsum nyob hauv tsev kho mob ob peb hnub, vim cov kws kho mob yuav saib xyuas tus me nyuam tus mob kom zoo.

Puas muaj peev xwm tiv thaiv tus menyuam kom tsis txhob muaj MIS-C?

Txoj kev zoo tshaj plaws los tiv thaiv koj tus menyuam kom tsis txhob muaj MIS-C yog tiv thaiv lawv kom tsis txhob muaj tus kab mob COVID-19. Koj tuaj yeem ua rau koj tus menyuam muaj kev nyab xeeb los ntawm kev ua cov no:

• Kev txhaj tshuaj tiv thaiv COVID-19(Xws li kev txhaj tshuaj tiv thaiv kab mob ntxiv, yog tias tus kws kho mob ntawm tus menyuam pom zoo).
• Qhia koj tus menyuam kom hnav lub npog ntsej muag uas npog lawv lub qhov ncauj thiab lub qhov ntswg kom zoo.
• Qhia rau koj tus menyuam kom tsis txhob kov lawv lub qhov muag, qhov ntswg, thiab qhov ncauj kom tiv thaiv kev kis kab mob.
• Qhia koj tus menyuam kom ntxuav tes nrog xab npum thiab dej ntau zaus. Yog tias tsis muaj lub dab dej nyob ze, koj tuaj yeem siv cov tshuaj ntxuav tes uas muaj cawv tsawg kawg yog 60%.
• Tsis txhob nyob ze cov neeg uas xav tias muaj lossis lees paub tias muaj COVID-19.
• Nyob kom deb ntawm lwm tus (tsawg kawg yog 6 feet).
• Khaws cov chaw thiab cov khoom uas koj kov ntau zaus kom huv si thiab tua kab mob.

Nco ntsoov tias, cov kev ntsuas kev nyab xeeb no yuav pab tiv thaiv koj thiab koj tus menyuam tsis yog los ntawm MIS-C xwb, tab sis kuj los ntawm ntau lwm yam kab mob, suav nrog COVID-19.

Yog tias kuv tus menyuam muaj MIS-C, kuv yuav xav li cas?

Feem ntau cov menyuam yaus uas kuaj pom tias muaj MIS-C yuav zoo tag nrho. Txawm li cas los xij, raws li tau hais ua ntej, qee zaum tsis tshua muaj, nws tuaj yeem ua rau tuag taus lossis hnyav heev. Tus menyuam yuav tsum tau mus pw hauv tsev kho mob. Txawm tias tom qab kev kho mob rau MIS-C tiav lawm, tus menyuam yuav tsum tau mus ntsib lawv tus kws kho mob menyuam yaus . Vim tias kev tshawb fawb tseem tab tom ua txog seb qhov mob no puas muaj cov kev mob tshwm sim mus sij hawm ntev, tus kws kho mob yuav kuaj xyuas tus menyuam ob peb lub hlis tom qab kev kho mob kom paub tseeb tias lawv ua tau zoo.

Tus mob MIS-C kav ntev npaum li cas?

Koj tus menyuam yuav mob li ob lub lis piam vim muaj tus kab mob MIS-C. Qhov no yuav txawv nyob ntawm seb koj tus menyuam mob hnyav npaum li cas. Kev kho mob tuaj yeem ua rau koj tus menyuam rov zoo sai dua thiab zoo dua.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj tus menyuam muaj cov tsos mob ntawm MIS-C, txawm tias lawv muaj keeb kwm ntawm kev kis tus kab mob COVID-19 los tsis muaj, hu rau koj tus menyuam tus kws kho mob tam sim ntawd. Tus kws kho mob yuav qhia koj seb koj puas yuav tsum mus rau chav kho mob ceev thiab tuaj yeem teb cov lus nug uas koj muaj txog tus mob no.

Yog tias tus me nyuam muaj cov tsos mob hnyav, mus rau chav kho mob ceev hauv tsev kho mob tam sim ntawd lossis hu rau 1990.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Thaum ib tug me nyuam mob, tshwj xeeb tshaj yog nyob rau hauv qhov xwm txheej zoo li MIS-C, nws yog ib qho ib txwm rau koj ua ib leej niam muaj ntau cov lus nug. Koj tuaj yeem nug tus kws kho mob tej yam xws li:

• Kuv puas yuav tsum cia kuv tus menyuam nyob hauv tsev kho mob?
• Kuv yuav tsum tau ceev faj txog cov tsos mob twg?
• Puas muaj tej yam tshwm sim ntawm kev kho mob?
• Kuv yuav tsum ua li cas kom kuv tus menyuam xis nyob thaum nws muaj COVID-19?

Yuav tsum coj koj tus menyuam mus rau tsev kho mob kom kho tus kab mob MIS-C tuaj yeem ua rau ntshai heev. Txawm li cas los xij, cov kws kho mob thiab cov kws tu mob yuav saib xyuas koj tus menyuam ze ze txhua lub sijhawm thiab kho cov tsos mob kom tsis txhob ua rau tuag taus. Qee tus menyuam yuav muaj cov tsos mob me me, thaum lwm tus yuav muaj teeb meem loj heev. Txawm li cas los xij, kev tshawb fawb qhia tau tias feem ntau cov menyuam rov zoo tag nrho. Kev tshawb fawb tseem tab tom ua kom pom tias MIS-C thiab COVID-19 puas muaj cov teebmeem mus sij hawm ntev rau cov menyuam.

Hauv kev xaus lus, tej yam uas peb yuav tsum nco ntsoov (Cov Lus Qhia Coj Mus Tsev)

Zoo, yog li cia peb rov hais dua cov ntsiab lus tseem ceeb tshaj plaws los ntawm qhov peb tau tham txog:

• MIS-C yog ib qho mob tsis tshua muaj tab sis muaj peev xwm loj heev uas tuaj yeem tshwm sim rau qee tus menyuam tom qab COVID-19.
• Ceev faj txog cov tsos mob xws li kub taub hau ntev tshaj 24 teev, mob plab, ntuav, raws plab, tawv nqaij tawm pob, thiab qhov muag liab .
• Yog tias koj muaj cov tsos mob hnyav xws li ua pa nyuaj, mob hauv siab, tsis meej pem, lossis tawv nqaij xiav/grey, nrhiav kev kho mob tam sim ntawd.
• Vim tias COVID-19 yog qhov ua rau muaj MIS-C, qhov zoo tshaj plaws uas yuav tsum ua yog tiv thaiv koj tus menyuam kom tsis txhob muaj tus kab mob no. Nco ntsoov ua raws li kev txhaj tshuaj tiv thaiv kab mob, hnav lub ntsej muag, thiab ntxuav tes.
• Feem ntau cov menyuam yaus zoo tag nrho los ntawm MIS-C, tab sis nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li cov lus qhia ntawm kws kho mob.

Kev saib xyuas koj tus menyuam txoj kev noj qab haus huv yog qhov tseem ceeb tshaj plaws. Kev paub txog cov ntaub ntawv no yuav pab koj ua haujlwm sai sai thaum xav tau.

MIS -C, COVID-19, kev kho mob menyuam yaus, o, kub taub hau, kev kis kab mob ntawm ntau lub cev, cov teeb meem tom qab COVID