Koj tus me nyuam puas tau mob txawv txawv tom qab COVID? Cia peb paub txog qhov mob '(MIS-C)' txaus ntshai no!

Peb txhua tus paub tias tus kab mob COVID-19 tau hloov peb lub neej npaum li cas. Feem ntau, thaum cov menyuam yaus tau tus kab mob COVID, peb xav tias nws yuav tsis hnyav npaum li cov neeg laus. Txawm li cas los xij, qee tus menyuam yaus, ob peb lub lis piam tom qab rov zoo los ntawm COVID-19, pib tsim cov tsos mob tshiab, hnyav dua. Qhov no yog qhov uas cov kws kho mob hu ua MIS-C, lossis Multisystem Inflammatory Syndrome hauv Cov Menyuam Yaus. Cov kws tshaj lij tseem tab tom tshawb nrhiav seb nws muaj feem cuam tshuam li cas rau COVID-19 thiab vim li cas tsuas yog qee tus menyuam yaus thiaj li tau tus kab mob no.

Lo lus "(MIS-C)" txhais li cas? Cia peb nkag siab meej meej, puas yog?

Hais yooj yim xwb, '(MIS-C)' yog ib qho mob uas ntau lub cev hauv lub cev ntawm ib tug menyuam, xws li lub plawv, lub ntsws, lub raum, lub hlwb, daim tawv nqaij, thiab qhov muag, o, lossis o, tag nrho ib zaug. Xav txog nws, zoo li tag nrho lub cev kub thiab o los ntawm sab hauv. Cov kws kho mob tam sim no ntseeg tias qhov no tuaj yeem tshwm sim thaum tus kab mob '(COVID-19)' nkag mus rau hauv lub cev thiab peb lub cev tiv thaiv kab mob (lub cev tiv thaiv kab mob) teb rau nws hauv txoj kev ua kom dhau, me ntsis ntshai. Qhov no qee zaum hu ua '(PMIS)' lossis '(PIMS)', tab sis lub npe '(MIS-C)' feem ntau siv.

Cov tsos mob ntawm ib tug me nyuam uas muaj '(MIS-C)' yog dab tsi?

Tam sim no cia peb saib cov tsos mob uas ib tug me nyuam uas muaj '(MIS-C)' yuav qhia. Cov no yuav txawv me ntsis ntawm ib tug me nyuam mus rau lwm tus, tab sis cov tsos mob feem ntau yog:

• Kub taub hau tas li: Qhov no txhais tau tias kub taub hau uas kav ntev li ob peb hnub yam tsis txo qis. Tej zaum kub taub hau siab tshaj 38 degrees Celsius (100.4 Fahrenheit).
• Mob plab hnyav heev: Tus menyuam yuav mob plab uas tsis tuaj yeem ua tau.
• Ntuav los yog raws plab : Koj yuav tsum txhawj xeeb yog tias koj ntuav tas li los yog koj tso quav ua dej.
• Mob pob khaus ntawm daim tawv nqaij: Tej zaum yuav muaj cov pob liab me me zoo li cov hlwv nyob rau ntau qhov chaw ntawm lub cev.
• Daim di ncauj zoo li liab thiab tawg: Daim di ncauj yuav liab, qhuav, thiab tawg txawv txawv. Qee zaum tus nplaig kuj tseem yuav zoo li liab li txiv pos nphuab.
• Qhov muag liab: Cov dawb ntawm qhov muag yuav liab, zoo li lawv tau kis tus kab mob ntawm qhov muag. Txawm li cas los xij, qhov tsim kua muag tsis tshua muaj.
• Liab thiab o ntawm xib teg thiab taw: Tes thiab taw, tshwj xeeb tshaj yog xib teg thiab taw, tej zaum yuav liab thiab o.

Ntxiv rau cov tsos mob no, qee tus menyuam yaus kuj tseem yuav muaj cov qog ntshav hauv caj dab o (zoo li mob caj pas). Mob taub hau hnyav, mob lub cev, ua pa nyuaj , thiab mob hauv siab kuj qee zaum pom.

Thaum twg peb yuav tsum mus ntsib kws kho mob? Thaum twg peb yuav tsum mus rau tsev kho mob sai sai?

Yog tias koj tus menyuam tau kub taub hau tau ob peb hnub thiab muaj ntau tshaj ib qho ntawm cov tsos mob saum toj no, koj yuav tsum mus ntsib kws kho mob tam sim ntawd . Qhov no yog vim tias cov menyuam yaus uas muaj tus mob '(MIS-C)' no tuaj yeem mob hnyav zuj zus. Yog li ntawd, nws yog qhov zoo tshaj plaws los nrhiav kev pab kho mob yam tsis tas siv sijhawm. Tshwj xeeb tshaj yog tias muaj cov tsos mob hauv qab no, koj yuav tsum coj lawv mus rau chav kho mob ceev hauv tsev kho mob ze tshaj plaws (ETU) yam tsis muaj kev ncua sijhawm:

• Yog tias tus me nyuam zoo li muaj teeb meem ntau heev thiab tsis muaj zog txaus txawm tias yuav saib los xij .
• Yog koj xav tias koj ua pa nyuaj , hnoos, lossis ua pa sai.
• Yog koj tham txog mob hauv siab , lossis yog koj tham txog qhov nruj hauv koj lub hauv siab.
• Yog tias mob plab hnyav heev , tus me nyuam yuav tsis sawv ntsug tau.
• Yog tias koj daim di ncauj lossis koj lub ntsej muag zoo li xiav (qhov no txhais tau tias koj lub cev tsis tau txais oxygen txaus).
• Yog tias tus me nyuam tsaug zog heev , lossis zoo li tsis paub dab tsi , ntxhov siab, lossis zoo li tsis nkag siab koj hais dab tsi.

Koj yuav tsum qhia rau tus kws kho mob yog tias koj tus menyuam tau muaj COVID-19 yav dhau los, lossis yog tias lawv tau sib cuag nrog ib tus neeg uas muaj COVID-19. Cov ntaub ntawv ntawd pab tau heev rau kev kuaj mob.

Muaj teeb meem dab tsi tshwm sim vim yog `(MIS-C)`?

Tus mob no, hu ua '(MIS-C),' tuaj yeem ua rau muaj ntau yam teeb meem ntawm ib tug menyuam mus rau ib tug menyuam. Vim tias nws tsis tsuas yog cuam tshuam rau ib feem ntawm lub cev xwb. Feem ntau, qhov kev o no tuaj yeem cuam tshuam rau ntau qhov ntawm lub cev, xws li lub plawv, ntshav, cov hlab ntsha, daim tawv nqaij, plab hnyuv (lub plab zom mov), qhov muag, raum, thiab lub hlwb. Qee zaum, qhov no tuaj yeem ua rau muaj kev puas tsuaj ib ntus lossis ntev mus rau cov kabmob ntawd. Cov kws kho mob txhawj xeeb tshwj xeeb txog cov teebmeem rau lub plawv. Vim tias cov leeg nqaij plawv tuaj yeem o, cov ntaub so ntswg ncig lub plawv tuaj yeem o, lossis teeb meem tuaj yeem tshwm sim hauv cov hlab ntsha uas muab ntshav rau lub plawv.

Cov kws kho mob kuaj pom '(MIS-C)' li cas?

Tam sim no tej zaum koj yuav xav paub seb cov kws kho mob yuav paub li cas yog tias qhov no yog MIS-C. Cov tsos mob ntawm MIS-C zoo ib yam li lwm yam kab mob thaum yau, xws li kab mob Kawasaki, uas yog ib yam mob hnyav uas tshwm sim los ntawm kev kis kab mob hu ua toxic shock syndrome, lossis lwm yam kab mob viral. Yog li ntawd, yog tias tus kws kho mob xav tias ib tug menyuam muaj MIS-C, lawv yuav kuaj ua ntej seb tus menyuam puas tau kis tus kab mob COVID-19 lossis nyuam qhuav kis tus kab mob. Tsis tas li ntawd, lawv yuav ua ntau yam kev kuaj kom pom tias muaj pes tsawg qhov o hauv lub cev. Lawv kuj yuav kuaj seb puas muaj kev puas tsuaj rau ntau yam kab mob hauv lub cev, tshwj xeeb tshaj yog lub plawv. Cov no feem ntau suav nrog:

• Kev kuaj ntshav thiab kev kuaj zis: Cov no tuaj yeem qhia koj ntau yam txog kev o ntawm lub cev, kev ua haujlwm ntawm ntau yam kabmob, thiab seb puas muaj teeb meem ntshav txhaws.
• X-ray hauv siab: Xyuas seb lub ntsws zoo li cas.
• Cov kev kuaj tshwj xeeb los kuaj lub plawv :
• Ib qho "ECG - electrocardiogram": Qhov no saib xyuas kev ua haujlwm hluav taws xob ntawm lub plawv, piv txwv li lub suab ntawm lub plawv dhia.
• Ib qho "echocardiogram": Qhov no zoo li kev ntsuas "ultrasound" ntawm lub plawv. Nws tuaj yeem saib ntau yam tseem ceeb, xws li cov qauv ntawm lub plawv, cov leeg, cov qhov dej, thiab seb lub plawv nqus ntshav zoo li cas.
• Kev kuaj mob ultrasound hauv plab: Txhawm rau kuaj xyuas seb puas muaj o lossis lwm yam teeb meem hauv cov kabmob hauv plab.

Qee zaum, cov kws kho mob yuav nrhiav kev pab los ntawm ntau tus kws tshwj xeeb kom kuaj mob thiab kho qhov mob 'MIS-C' no kom raug. Qhov no suav nrog cov kws tshwj xeeb txog kab mob sib kis, cov kws kho mob plawv, cov kws kho mob pob qij txha (cov uas kho cov pob txha, cov pob qij txha, thiab lub cev tiv thaiv kab mob), cov kws kho mob ntshav, thiab cov kws kho mob tshwj xeeb. Lawv ua haujlwm ua ke los npaj txoj kev kho mob zoo tshaj plaws rau koj tus menyuam.

Cov kev kho mob rau `(MIS-C)` yog dab tsi?

Kev kho mob rau ib tug me nyuam uas muaj '(MIS-C)' nyob ntawm tus me nyuam cov tsos mob, cov txiaj ntsig ntawm kev kuaj mob, thiab qhov hnyav ntawm tus mob. Tsis yog txhua tus me nyuam tau txais kev kho mob zoo ib yam. Cov kws kho mob feem ntau sim txo qhov o ntawm lub cev, tiv thaiv cov ntshav txhaws (qee tus me nyuam yuav muaj feem yuav muaj cov ntshav txhaws), thiab tiv thaiv cov kab mob uas raug mob kom tsis txhob raug puas tsuaj ntxiv. Qhov no suav nrog:

• Cov Pa oxygen: Yog tias koj ua pa nyuaj, muab cov pa oxygen rau koj lub cev raws li nws xav tau.
• Cov kua dej hauv cov hlab ntsha (IV fluids): Qhov no txhais tau tias muab cov khoom xws li saline rau hauv cov hlab ntsha. Qhov no pab tswj cov kua dej hauv lub cev thiab ua kom cov ntshav siab ruaj khov.
• Cov tshuaj sib txawv (tshuaj):
• Cov tshuaj xws li steroids lossis cov tshuaj tiv thaiv tshwj xeeb hu ua Intravenous Immunoglobulin (IVIG) yuav muab tau los txo qhov o thiab tswj qhov ua haujlwm ntau dhau ntawm lub cev tiv thaiv kab mob.
• Cov tshuaj noj tsawg xws li aspirin tuaj yeem muab tau los tiv thaiv cov ntshav txhaws.
• Yog tias lub plawv raug cuam tshuam, cov tshuaj tshwj xeeb tuaj yeem muab tau.
• Yog tias qee tus menyuam yaus mob hnyav heev, lawv yuav tsum tau mus rau hauv chav saib xyuas mob hnyav (ICU) ntawm tsev kho mob thiab tau txais kev kho mob tshwj xeeb raws li kev saib xyuas tas li.

Peb yuav tsum paub dab tsi ntxiv txog `(MIS-C)`? (Cov lus qhia tseem ceeb)

Nws yog ib qho tseem ceeb heev rau koj kom paub txog ob peb qhov tseeb ntxiv txog qhov xwm txheej no.

Kev rov qab zoo thiab kev ua raws li qhov tau teem tseg

Feem ntau, cov menyuam uas muaj '(MIS-C)' rov zoo tom qab kho mob hauv tsev kho mob. Qhov ntawd yog xov xwm zoo heev. Txawm li cas los xij, qee tus menyuam, tshwj xeeb tshaj yog cov uas muaj teeb meem plawv, tej zaum yuav muaj teeb meem mus sij hawm ntev. Yog li ntawd, lawv yuav tsum tau saib xyuas los ntawm cov kws tshwj xeeb txawm tias tom qab lawv mus tsev lawm (kev saib xyuas tom qab) .

• Piv txwv li, ib tug me nyuam uas muaj MIS-C uas tau muaj kev puas tsuaj rau lub plawv yuav tsum tau mus ntsib kws kho mob plawv thiab kuaj mob xws li echocardiogram. Tej zaum lawv yuav tsum tsis txhob tawm dag zog, khiav, thiab ua si nawv ib ntus kom txog thaum kws kho mob hais kom ua.
• Tsis tas li ntawd xwb, cov menyuam yaus uas noj qee yam tshuaj (xws li cov tshuaj steroids kom txo qhov o) yuav tsum tau mus ntsib kws kho mob rheumatologist lossis endocrinologist kom maj mam txo cov tshuaj thiab hloov kho raws li qhov xav tau.

Qhov no yog ib qho xwm txheej tsis tshua muaj.

Yuav tsum tau hais tias '(MIS-C)' yog ib yam mob tsis tshua muaj. Qhov ntawd txhais tau tias tsis yog txhua tus menyuam uas tau txais '(COVID-19)' yuav muaj tus kab mob no. Yog tias muaj ntau pua txhiab tus menyuam tau txais COVID, tsuas yog muaj ob peb tug xwb thiaj yuav muaj tus kab mob '(MIS-C).' Yog li ntawd, tsis txhob txhawj lossis ntshai yam tsis tsim nyog. Txawm li cas los xij, nws yog ib qho tseem ceeb kom paub txog cov tsos mob.

Kev tiv thaiv zoo tshaj plaws!

Txoj kev zoo tshaj plaws kom tsis txhob muaj qhov xwm txheej '(MIS-C)' no yog tiv thaiv kev kis tus kab mob '(COVID-19)'. Qhov ntawd hu ua:

• Txhua tus neeg uas muaj hnub nyoog tshaj 6 lub hlis yuav tsum tau txhaj tshuaj tiv thaiv kab mob "(COVID-19)" raws sijhawm. Cov tshuaj tiv thaiv kab mob tshiab tshaj plaws tam sim no muab kev tiv thaiv zoo tiv thaiv txawm tias cov kab mob sib kis feem ntau. Kev txhaj tshuaj tiv thaiv kab mob tuaj yeem txo qhov kev pheej hmoo ntawm cov teeb meem loj los ntawm "(COVID-19)" thiab "(MIS-C)". (Raws li peb paub, qhov no tsis muaj nyob rau hauv cov tsev kho mob tsoomfwv hauv Sri Lanka, thiab kuv tsis paub tias nws puas muaj nyob rau hauv cov tuam txhab ntiag tug.)

Dhau li ntawd, kom nyob twj ywm ntawm cov kab mob, nws yog ib lub tswv yim zoo ua cov no txhua hnub, puas yog?

• Ntxuav koj txhais tes kom huv si nrog xab npum thiab dej tsawg kawg yog 20 vib nas this. Siv xab npum lossis tshuaj ntxuav tes uas muaj cawv tsawg kawg yog 60%.
• Nyob deb ntawm cov neeg uas zoo li mob, tshwj xeeb tshaj yog cov neeg hnoos thiab mob khaub thuas.
• Khaws cov chaw uas koj nquag kov (lub qhov rooj, lub txee, cov rooj, xov tooj, thiab lwm yam) kom huv si li sai tau.
• Sim ua pa kom huv si kom ntau li ntau tau. Qhov no txhais tau tias qhib qhov rooj thiab qhov rai kom muaj cua nkag tau zoo thiab siv sijhawm sab nraum zoov.

Qhov tseem ceeb tshaj plaws uas peb txhua tus yuav tsum nco ntsoov! (Cov Lus Coj Mus Tsev)

Yog li, kuv vam tias koj tam sim no nkag siab zoo dua txog qhov peb tau tham txog, '(MIS-C)'. Qhov tseem ceeb tshaj plaws uas yuav tsum nco ntsoov yog tias '(MIS-C)' yog ib qho mob hnyav me ntsis, tab sis tsis tshua muaj , uas qee tus menyuam tuaj yeem tshwm sim tom qab kis tus kab mob '(COVID-19)'.

Yog koj paub cov tsos mob kom raug, tsis txhob ntshai, thiab qhia rau kws kho mob sai sai, koj tuaj yeem muab kev kho mob tsim nyog rau koj tus menyuam thiab ua rau nws zoo. Tsis tas li ntawd, kev tiv thaiv '(COVID-19)' yog txoj hauv kev zoo tshaj plaws los tiv thaiv '(MIS-C)'. Yog li ntawd, cia peb txhua tus ua raws li kev noj qab haus huv, tiv thaiv peb cov menyuam thiab peb tus kheej! Yog tias koj muaj lus nug, nug koj tus kws kho mob hauv tsev neeg lossis kws kho mob menyuam yaus.