Tej zaum nej twb tau hnov txog tus kab mob COVID-19 lawm. Peb paub tias feem ntau, thaum cov menyuam yaus me me tau tus kab mob no, nws tsis cuam tshuam rau lawv hnyav npaum li cov neeg laus. Txawm li cas los xij, qee tus menyuam yaus tuaj yeem muaj cov tsos mob hnyav dua ob peb lub lis piam tom qab kis tus kab mob COVID-19. Qhov ntawd yog qhov uas cov kws kho mob hu ua Multisystem Inflammatory Syndrome in Children , lossis luv luv MIS-C . Cov kws tshaj lij tseem tab tom nrhiav seb nws yog dab tsi thiab vim li cas nws tsuas yog tshwm sim rau qee tus menyuam yaus xwb. Tab sis nws yog ib qho tseem ceeb uas yuav tsum paub txog nws.
MIS-C, qhov mob no yog dab tsi tiag?
Hais yooj yim xwb, MIS-C yog ib qho mob uas ntau lub cev, lossis cov noob caj noob ces, hauv lub cev ntawm tus menyuam yaus ua o tib lub sijhawm. Xav txog nws, thaum peb lub cev tab tom tawm tsam kev kis kab mob, peb lub cev tiv thaiv kab mob ua haujlwm ntau dhau. Qee zaum, tom qab muaj kev kis kab mob COVID-19, lub cev tiv thaiv kab mob no tawm ntawm kev tswj hwm thiab pib cuam tshuam rau ntau qhov ntawm lub cev. Qhov ntawd yog qhov tshwm sim feem ntau hauv MIS-C.
Qhov no tsis yog ib yam dab tsi uas tshwm sim hauv ob lossis peb hnub tom qab kis tus kab mob COVID-19. Feem ntau nws yuav siv sijhawm ob mus rau rau lub lis piam tom qab kis tus kab mob COVID-19 kom muaj cov tsos mob MIS-C no. Yog li, yog tias koj tus menyuam nyuam qhuav kis tus kab mob COVID-19, lossis tau nyob ze nrog ib tus neeg uas muaj tus kab mob COVID-19, nws yog ib lub tswv yim zoo kom ceev faj me ntsis txog qhov no.
Cov tsos mob ntawm MIS-C yog dab tsi? Peb yuav paub nws li cas?
Ib tug me nyuam uas muaj MIS-C yuav muaj ntau yam tsos mob vim lawv mob o thoob plaws lawv lub cev. Tsis yog txhua tus me nyuam yuav muaj tag nrho cov tsos mob no, thiab qhov hnyav ntawm cov tsos mob yuav txawv. Txawm li cas los xij, muaj qee cov tsos mob uas pom tau:
- Kub taub hau tas li: Tej zaum koj yuav kub taub hau uas tsis poob qis rau ob peb hnub.
- Mob plab: Cov tsos mob yuav muaj xws li mob plab hnyav, xeev siab, ntuav, lossis raws plab.
- Mob pob khaus ntawm daim tawv nqaij: Tej zaum yuav muaj cov pob liab, khaus khaus tshwm sim rau ntau qhov ntawm lub cev.
- Daim di ncauj liab thiab tawg: Daim di ncauj yuav qhuav, liab, thiab tej zaum yuav tawg. Zoo li hais tias "daim di ncauj kub hnyiab."
- Qhov muag liab: Cov dawb ntawm qhov muag yuav liab thiab zoo li ntshav. Peb hais tias "qhov muag liab."
- Tes thiab taw o thiab liab: Tes thiab taw ntawm ko taw yuav liab thiab o.
Tsuas yog vim koj muaj ib lossis ob yam ntawm cov tsos mob no tsis tau txhais hais tias koj muaj MIS-C. Cov tsos mob no kuj tuaj yeem pom hauv lwm yam kab mob uas feem ntau tshwm sim. Txawm li cas los xij, yog tias koj tus menyuam kub taub hau tas li thiab ntau dua ib qho ntawm cov tsos mob no (piv txwv li, kub taub hau nrog mob plab thiab mob lub cev), koj yuav tsum mus ntsib kws kho mob.
Cov tsos mob uas xav tau kev saib xyuas sai!
Qee zaum cov menyuam yaus uas muaj MIS-C mob hnyav zuj zus sai heev. Yog li ntawd, yuav tsum tau ua raws li cov cim ceeb toom hauv qab no:Yog koj tus menyuam muaj ib qho ntawm cov no, koj yuav tsum coj lawv mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ze tshaj plaws tam sim ntawd:
- Yog tias tus me nyuam zoo li mob heev, lossis zoo li tsaug zog heev lossis tsis meej pem.
- Yog tias koj xav tias koj ua pa nyuaj, lossis koj lub zog ua pa zoo li nce ntxiv.
- Yog koj tham txog mob hauv siab.
- Yog koj mob plab heev.
- Yog tias koj daim di ncauj lossis koj lub ntsej muag zoo li xiav (qhov no txhais tau tias lub cev tsis tau txais oxygen txaus).
Lub sijhawm no, tsis txhob hnov qab qhia rau tus kws kho mob yog tias koj tus menyuam nyuam qhuav muaj COVID-19 lossis tau sib cuag nrog ib tus neeg uas muaj COVID-19.
Muaj lwm yam teeb meem dab tsi tshwm sim vim yog MIS-C?
MIS-C yog ib yam mob uas cuam tshuam rau ib tug menyuam txawv ntawm lwm tus. Qhov kev o ntawm lub cev no tuaj yeem ua rau ntau yam kabmob puas tsuaj. Cov teebmeem tseem ceeb yuav muaj xws li:
- Lub Plawv: Cov leeg nqaij ntawm lub plawv yuav qaug zog thiab lub plawv ua haujlwm yuav tsis zoo.
- Cov qe ntshav thiab cov hlab ntsha: Cov teeb meem ntshav txhaws thiab o ntawm cov hlab ntsha tuaj yeem tshwm sim.
- Tawv Nqaij: Tej yam zoo li qhov kev puas tsuaj uas peb tau tham txog ua ntej.
- Kev zom zaub mov: Tej yam xws li mob plab thiab raws plab tuaj yeem ua rau mob hnyav.
- Qhov Muag: Cov tsos mob xws li liab ntawm lub qhov muag.
Qee zaum, qhov kev puas tsuaj no, tshwj xeeb tshaj yog rau lub plawv, tuaj yeem muaj cov teebmeem mus sij hawm ntev. Yog vim li ntawd nws thiaj li tseem ceeb kom paub txog tus kab mob thaum ntxov thiab pib kho.
Yuav ua li cas thiaj kuaj tau tus kab mob MIS-C kom raug?
Cov tsos mob ntawm MIS-C zoo ib yam li lwm yam kab mob. Piv txwv li, cov mob xws li kab mob Kawasaki lossis kab mob toxic shock syndrome kuj tuaj yeem ua rau muaj cov tsos mob zoo sib xws. Yog li ntawd, yog tias tus kws kho mob kuaj xyuas ib tug menyuam thiab xav tias lawv muaj MIS-C, lawv yuav ua ntau qhov kev kuaj mob kom paub tseeb tias lawv tau kuaj mob.
Yuav ua li cas thiaj kuaj tau qhov no?
Qhov kev kuaj COVID-19 feem ntau yog siv los txiav txim seb tus menyuam puas tau kis tus kab mob COVID-19 lossis tau tsim cov tshuaj tiv thaiv kab mob los ntawm kev kis tus kab mob yav dhau los. Tsis tas li ntawd, cov kev kuaj no yog siv los txiav txim siab qhov dav ntawm kev o hauv lub cev thiab seb puas muaj kev puas tsuaj rau ntau yam kab mob. Cov no suav nrog:
- Kev kuaj ntshav thiab kev kuaj zis: Cov no tuaj yeem kuaj xyuas ntau yam, xws li qib kev o ntawm lub cev (cov cim qhia txog kev o), kev ua haujlwm ntawm ntau yam kabmob, thiab cov xwm txheej ntawm cov qe ntshav.
- X-ray hauv siab: Xyuas tej yam xws li lub ntsws thiab qhov loj ntawm lub plawv.
- Cov kev kuaj tshwj xeeb uas kuaj lub plawv:
- ECG (electrocardiogram): Qhov no kuaj qhov ua haujlwm hluav taws xob ntawm lub plawv.
- Echocardiogram (ultrasound ntawm lub plawv): Qhov no zoo li kev kuaj ultrasound ntawm lub plawv. Nws tuaj yeem kuaj xyuas ntau yam tseem ceeb xws li cov qauv ntawm lub plawv, kev ua haujlwm ntawm cov leeg nqaij, thiab qhov xwm txheej ntawm cov valve.
- Kev kuaj ultrasound hauv plab: Txhawm rau kuaj xyuas cov kabmob hauv plab, xws li daim siab thiab tus po.
Kev pab los ntawm cov kws kho mob tshwj xeeb
Vim tias MIS-C yog ib qho mob nyuaj, kev kuaj mob thiab kev kho mob feem ntau yuav tsum muaj ib pab pawg kws tshwj xeeb los ntawm ntau qhov chaw sib txawv, tsis yog ib tus kws kho mob xwb. Pab pawg no yuav suav nrog:
- Cov kws tshwj xeeb txog kab mob sib kis
- Cov kws kho mob plawv
- Cov kws kho mob tshwj xeeb txog mob pob qij txha
- Cov kws tshwj xeeb txog ntshav
- Cov kws kho mob tshwj xeeb
Yog los ntawm kev sib koom ua ke ntawm kev paub ntawm txhua tus neeg no uas txiav txim siab qhov kev kho mob zoo tshaj plaws rau tus menyuam.
Yuav kho MIS-C li cas?
Kev kho mob rau MIS-C txawv ntawm ib tug me nyuam mus rau ib tug me nyuam. Nws nyob ntawm tus me nyuam cov tsos mob thiab cov txiaj ntsig ntawm kev kuaj mob. Lub hom phiaj tseem ceeb ntawm kev kho mob yog:
- Txo qhov mob hauv lub cev.
- Tiv thaiv kom cov ntshav tsis txhob txhaws yam tsis tsim nyog.
- Txhawm rau tiv thaiv lub cev raug mob kom tsis txhob raug mob ntxiv.
Cov kws kho mob siv tau ntau txoj kev kho mob rau qhov no:
- Oxygen: Yog tias koj ua pa nyuaj.
- Cov Tshuaj: Cov tshuaj xws li cov tshuaj steroids los txo qhov o, cov tshuaj hu ua immunoglobulins (IVIG) los tswj lub cev tiv thaiv kab mob, thiab cov tshuaj los tiv thaiv cov ntshav txhaws yuav muab tau.
- Cov kua dej hauv cov hlab ntsha (IV): Cov khoom xws li saline raug muab yog tias lub cev qhuav dej lossis yog tias cov ntshav siab qis.
Yog tias qee tus menyuam yaus mob hnyav heev, lawv yuav tsum tau mus rau Chav Saib Xyuas Mob Hnyav (ICU) thiab kho mob raws li kev saib xyuas tshwj xeeb.
Lwm yam tseem ceeb uas yuav tsum paub
Thaum tham txog MIS-C, nws yog qhov zoo uas yuav tsum nco ntsoov ob peb yam ntxiv.
Kuv puas tseem yuav tsum tau saib xyuas tom qab tawm hauv tsev kho mob lawm?
Feem ntau cov menyuam yaus rov zoo tom qab kho mob hauv tsev kho mob. Txawm li cas los xij, qee tus menyuam yaus yuav muaj teeb meem mus sij hawm ntev vim yog MIS-C. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum txuas ntxiv saib xyuas koj tus menyuam raws li koj tus kws kho mob cov lus qhia txawm tias tom qab koj tawm hauv tsev kho mob los xij.
Piv txwv li:
- Ib tug menyuam uas lub plawv raug cuam tshuam los ntawm MIS-C yuav raug xa mus rau kws kho mob plawv.Koj yuav tau mus ntsib thiab mus kuaj mob tsis tu ncua. Tej zaum koj yuav tau txwv koj txoj kev tawm dag zog, kev khiav, thiab kev ua si ib ntus. Koj yuav tau nyob li ntawd kom txog thaum tus kws kho mob hais tias, "Okay, tsis muaj teeb meem tam sim no."
- Yog tias koj tseem siv cov tshuaj xws li tshuaj steroids los txo qhov o, koj yuav tsum sab laj nrog kws kho mob rheumatologist lossis endocrinologist kom txo lossis hloov cov tshuaj kom raug.
Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li cov lus qhia uas cov kws kho mob muab thiab coj tus menyuam mus rau cov chaw kho mob uas tsim nyog.
Txoj kev zoo tshaj plaws los tiv thaiv MIS-C
Tseeb tiag, MIS-C yog ib qho mob tsis tshua muaj . Txawm li cas los xij, vim tias nws tuaj yeem ua rau mob hnyav, peb yuav tsum sim tiv thaiv peb tus kheej ntawm nws ntau li ntau tau. Txoj hauv kev zoo tshaj plaws los tiv thaiv MIS-C yog kom tsis txhob kis tus kab mob COVID-19.
- Vim li ntawd, nws yog ib qho tseem ceeb heev uas txhua tus neeg uas muaj hnub nyoog tshaj 6 lub hlis yuav tsum tau txhaj tshuaj tiv thaiv COVID-19 thiab khaws cia kom tshiab . Cov tshuaj tiv thaiv tshiab uas muaj tam sim no muab kev tiv thaiv rau cov kab mob COVID-19 uas feem ntau pom.
Nco ntsoov cov no kom tiv thaiv koj tus kheej ntawm cov kab mob uas tshwm sim ntau.
Yuav kom tiv thaiv kev kis tus kab mob, tsis yog COVID-19 xwb, nws zoo rau txhua tus kom ua raws li cov cwj pwm noj qab haus huv yooj yim no:
- Ntxuav koj txhais tes ntau zaus thiab kom huv si. Ntxuav koj txhais tes nrog xab npum thiab dej tsawg kawg yog 20 vib nas this. Yog tias tsis muaj xab npum thiab dej, siv cov tshuaj ntxuav tes uas muaj cawv tsawg kawg yog 60%.
- Tsis txhob nyob ze cov neeg uas muaj mob. Tsis txhob nyob ze cov neeg uas muaj cov tsos mob xws li kub taub hau, hnoos, thiab mob khaub thuas.
- Khaws cov chaw uas koj kov ntau zaus kom huv si. So cov qhov rooj, cov txee, thiab cov xov tooj tsis tu ncua.
- Sim ua pa kom tau huab cua ntshiab ntau li ntau tau. Yog tias koj nyob hauv tsev, qhib qhov rais thiab cia huab cua ntshiab nkag los. Nws kuj zoo rau koj tawm mus sab nraum zoov.
Thaum kawg, thaum kawg, nco ntsoov qhov no (Cov Lus Coj Mus Tsev)
Zoo, yog li peb tau tham ntau txog MIS-C. Qhov tseem ceeb uas yuav tsum nco ntsoov yog tias qhov no yog ib qho mob tsis tshua muaj, tab sis tej zaum yuav mob hnyav. Nws muaj feem cuam tshuam nrog kev kis tus kab mob COVID-19.
Yog tias koj tus menyuam kub taub hau tas li thiab muaj ntau tshaj ib qho ntawm lwm cov tsos mob uas peb tau tham txog (xws li mob plab, mob lub cev, qhov muag liab), tsis txhob nkim sijhawm thiab nrhiav kev pab kho mob tam sim ntawd. Thaum koj paub thiab pib kho sai npaum li cas, koj tus menyuam yuav zoo dua.
Tsis txhob ntshai, tab sis ceev faj. Ua cov kauj ruam tsim nyog los tiv thaiv koj tus kheej ntawm COVID-19. Xav kom koj thiab koj tsev neeg muaj kev noj qab haus huv zoo!
MIS -C, COVID-19 Cov Menyuam Yaus, Kab Mob Sib Kis Ntau Lub Cev, Cov Menyuam Yaus, Kub Tais, O, Kab Mob Plawv
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus