Yu pikin gɛt dɛn sik ya afta COVID-19? Mek wi tok abaut MIS-C! (Mכltisistεm Inflammatory Syndrome in Pikin dεm - MIS-C)

Yu smɔl pikin dɔn wɛl frɔm COVID-19? Afta sɔm wiks afta dɛn dɔn wɛl, sɔm pikin dɛn kin gɛt sɔm kayn strenj sayn dɛn. Dis na wetin wi kɔl MIS-C (Multisystem Inflammatory Syndrome in Children) . E kin bi siriɔs sik, so e fayn fɔ no bɔt am. Lɛ wi tɔk bɔt am ditayli tide, nɔto so?

Wetin na MIS-C? Lɛ wi ɔndastand am simpul wan.

Fɔ tɔk am simpul wan, MIS-C na wan sik we nɔ kin apin so ɔltɛm we kin apin to sɔm pikin dɛn afta COVID-19. I kin bi se i kin gɛt inflamɛns na bɔku say dɛn na di pikin in bɔdi, nɔto jɔs wan. I kin bi se i kin rɛd, i kin swel, ɛn wam insay di bɔdi. Dis inflamɛns kin mɔs afɛkt:

• To yu pikin in at
• To di lɔng dɛn
• Fɔ di kidni dɛn
• To di bren
• To di skin
• Fɔ di yay dɛn
• To di כgan dεm na di gεstrointestinal sistεm

Dis sik kin kam wit fiva wae kin teik pas 24 awa. MIS-C na siriɔs sik wae kin mek pɔrsin in layf de pan denja sɔmtɛm. So, if yu pikin sho sɔm sayn dɛn lɛk we i nɔ izi fɔ blo ɔ we i de fil pen bad bad wan na in chɛst, yu fɔ kɛr am go na ɔspitul wantɛm wantɛm.

Aw kɔmɔn tin na MIS-C?

MIS-C na rili wan kɔndishɔn we nɔ kin apin so ɔltɛm. Naw, dɛn se na wan pan ɛvri 3,000 to 4,000 pikin dɛn we gɛt di COVID-19 vayrɔs go gɛt dis sik. Dis min se nɔto ɔlman go gɛt am, bɔt wi fɔ mɛmba se di risk de.

Wetin na di difrɛns bitwin MIS-C ɛn MIS-A?

Dɛn ɔl tu na di sem kɔndishɔn. Di difrɛns de pan di ej fɔ di pɔsin we dɛn no se gɛt dis sik.

• MIS-C na fɔ pikin ɛn yɔŋ pipul dɛn we nɔ rich 21 ia yet.
• MIS-A na fɔ pipul dɛn we dɔn pas 21 ia.

Pan ɔl we MIS-C kin bɔku pas MIS-A, di sik kin tranga smɔl na MIS-A.

Wetin na di sayn dɛm fɔ MIS-C? Lɛ wi kam fɔ no dɛn mɔ!

Wan impɔtant tin bɔt MIS-C na fiva we kin las fɔ at le 24 awa. Apat frɔm dat, pas wan pan dɛn sayn ya kin de:

• Bɛlɛ de at ɔ bɛlɛ de pen
• Fɔ vɔmit
• Dayarɛa (we pɔsin kin vɔmit) .
• Vertigo (filin lɛk se yu de spin) .
• Wan skin rash (sɔntɛnde lɛk rɛd spat) .
• Rɛd na di yay (we i tan lɛk se i gɛt blɔd) .
• Fil fɔ it

Imajin, yu pikin get COVID-19 en get beta. Afta tu ɔ tri wiks, wantɛm wantɛm i gɛt fiva we nɔ go go dɔŋ fɔ tu ɔ tri dez. I bin de kɔmplen bak se in bɛlɛ de pen, ɛn i bin gɛt rɛd spat na in bɔdi. I nɔ bin fɔ it. Na taim laik dat, yu get fo tink likl abaut MIS-C.

Simptom dɛm fɔ imejensi - dis na sɔntin we yu fɔ no bɔt!

If yu pikin sho ɛni wan pan dɛn sik ya, yu fɔ kɛr am go na di ɔspitul imejensi dipatmɛnt we de nia yu, ɔ kɔl 1990:

• I nɔ izi fɔ blo (we yu de blo tranga wan, kwik kwik wan) .
• Chɛst pen we nɔ de go (di pikin de ol di chɛst ɛn se i de at) .
• Kɔnfyushɔn (we yu nɔ de mɛmba, yu nɔ de tɔk fayn) .
• Wan bad bad bɛlɛ pen
• I nɔ kin izi fɔ wek ɔ nɔ kin ebul fɔ wek (we kin slip pasmak, nɔ kin ebul fɔ wek ivin we dɛn tɔk to am) .
• Blu, grey, ɔ pale skin, lip, ɔ finga nel (dis de sho se ɔksijɛn nɔ de) .

Impɔtant: Dɛn sayn ya nɔ kin apin nɔmɔ na MIS-C, bɔt i kin apin bak pan ɔda siriɔs mɛdikal kɔndishɔn dɛn. So, if yu si sɔntin lɛk dis , yu fɔ go to dɔktɔ ɛn nɔ de te.

Wetin kin mek pɔsin gɛt MIS-C?

Wi nɔ stil no di rayt tin we kin mek pɔsin gɛt MIS-C. Frɔm we dɛn fɔs no di sik insay di fɔs pat pan 2020, dɛn dɔn de du risach fɔ no wetin kin mek i sik ɛn if i kin afɛkt pikin dɛn fɔ lɔng tɛm. Wan tin klia: dis kɔndishɔn na sayd ɛfɛkt fɔ COVID-19 infɛkshɔn. So if yu pikin gɛt COVID-19, risk de fɔ mek i gɛt MIS-C.

Stɔdi dɔn sho se dis kin bi bikɔs di pikin in imyun sistɛm kin bigin fɔ riak pasmak afta i gɛt COVID-19 infɛkshɔn. Fɔ tɔk am simpul wan, afta wi bɔdi dɔn fɔ fɛt di COVID-19 vayrɔs, i kin tan lɛk se dɛn kin kɔnfyus smɔl ɛn bigin fɔ atak dɛn yon ɔgan. Dis na wetin kin mek yu gɛt inflamɛns.

Dɛn biliv bak se sɔm pikin dɛn kin gɛt dis sik.

Yu tink se MIS-C kin pas?

Nɔ, no pruf nɔ de fɔ se MIS-C kin kɔmɔt frɔm wan pikin to ɔda pikin. Bɔt, COVID-19, we kin apin to pikin dɛn bifo MIS-C bigin , kin pas am bad bad wan.

Aw dɛn kin no bɔt MIS-C sik?

Dɔktɔ go chɛk yu pikin ɛn du sɔm tɛst fɔ no if dɛn gɛt MIS-C. Di dɔktɔ go aks bɔt yu pikin in sik, aw lɔng dɛn dɔn gɛt di fiva, if dɛn tɛst am fɔ COVID-19, ɛn ustɛm i apin. If yu pikin gɛt aktif COVID-19 da tɛm de, yu fɔ tɛl di mɛdikal tim wantɛm wantɛm.

Tεst kin kכnfכm di diagnosis εn fכ no us כgan dεm na di pikin we di inflameshn afekt. Sɔm pan di tɛst dɛn we dɛn kin du fɔ dis na:

• Skan fɔ di at (Echocardiogram) .: Chɛk fɔ si if di at de wok ɛn if i gɛt inflamɛns.
• Chɛst X-ray : Chɛk di kɔndishɔn na di lɔng dɛn.
• Abdominal ultrasound : fכ chεk fכ inflameshn fכ di כgan dεm we de insay di bכdi.
• CT scan (Computed Tomography - CT scan) : If nid de, si difrɛn pat dɛn na di bɔdi klia wan.

Apat frɔm dis, bɔku tɛm di dɔktɔ go tɛst di pikin fɔ COVID-19. Dɛn kin du ɔda tin dɛn bak, lɛk fɔ tɛst blɔd, i kin dipen pan di sik we di pikin gɛt.

Ɔda kɔndishɔn dɛn we fiba MIS-C (Differential Diagnosis) .

Di dɔktɔ go tink bak bɔt ɔda tin dɛn we kin mek yu pikin gɛt di sik. Dɛn kɔl dis difrɛns diagnosis . Sɔmtɛm di sayn dɛm fɔ MIS-C kin tan lɛk dɛn kayn tin ya:

• Di sik we dɛn kɔl Kawasaki
• Tɔxik shɔk sindrom

Na dat mek i impɔtant fɔ du tɛst fɔ no di sik kɔrɛkt wan.

Aw dɛn kin trit MIS-C?

Di men tin we dɛn de pe atɛnshɔn pan fɔ tritmɛnt fɔ MIS-C na fɔ ridyus inflamɛns ɛn kɔntrol di simptom dɛm we kin mek pɔsin in layf de pan denja. Di tritmɛnt dɛn we yu kin gɛt na:

• Gi salin insay wan vein (IV fluid) : Mek di wata we de na di bɔdi kɔntinyu fɔ de.
• Anti-inflammatory medications (oral or IV) : Dɛn kin yuz mɛrɛsin lɛk kɔtikosterɔyd , imyun globulin (IVIG) , ɛn glukokɔtikoyd fɔ dis.
• If di pikin gɛt aktif COVID-19 infɛkshɔn, dɛn kin gi am antivayral tɛrapi , lɛk remdesivir, fɔ trit am.
• If i nɔ izi fɔ blo, dɛn kin gi ɔksijɛn bay we dɛn de yuz sɔntin we de sɔpɔt pɔsin fɔ blo (ventilator) .

If yu pikin gɛt MIS-C, i go dipen pan aw i siriɔs, dɛn go trit am na ɔspitul ɔ na Pediatric Intensive Care Unit (PICU) . Dis kin mek dɔktɔ ɛn nɔs dɛn ebul fɔ wach yu pikin gud gud wan ɛn gi yu di tritmɛnt we dɛn nid kwik kwik wan.

Aw kwik a go wɛl afta dɛn dɔn trit mi?

I kin tek ɛnisay frɔm tri dez to tu wiks fɔ mek di pikin fil fayn afta i dɔn bigin fɔ trit am. Bɔku tɛm di pikin go gɛt fɔ de na ɔspitul fɔ sɔm dez, bikɔs dɔktɔ dɛn de wach di pikin gud gud wan.

Yu tink se dɛn kin mek pikin nɔ gɛt MIS-C?

Di bɛst we fɔ mek yu pikin nɔ gɛt MIS-C na fɔ protɛkt am frɔm COVID-19 infɛkshɔn. Yu kin kip yu pikin sef bay we yu du dɛn tin ya:

• COVID-19 vaksin(Inklud di bɔsta vaysin, if di pikin in dɔktɔ tɛl am).
• Tich yu pikin fɔ wɛr fes mask we de kɔba in mɔt ɛn in nos fayn fayn wan.
• Tɛl yu pikin fɔ avɔyd fɔ tɔch in yay, in nos, ɛn in mɔt fɔ mek di jem dɛn nɔ go skata.
• Tich yu pikin fɔ was in an ɔltɛm wit sop ɛn wata. If no sink nɔ de nia de, yu kin yuz han sɛnitayza we gɛt at le 60% alkol.
• Nɔ gɛt tayt kɔntakt wit pipul dɛn we dɛn saspek ɔ kɔnfyus se dɛn gɛt COVID-19.
• Mek yu gɛt soshal distans frɔm ɔda pipul dɛn (at le 6 fit).
• Kip di say dɛn we yu kin tɔch ɔltɛm ɛn di tin dɛn we yu kin tɔch, klin ɛn nɔ gɛt disinfɛkt.

Mɛmba se dɛn sef tin ya go ɛp fɔ protɛkt yu ɛn yu pikin nɔto jɔs frɔm MIS-C, bɔt i go ɛp bak fɔ protɛkt yu ɛn yu pikin frɔm bɔku ɔda sik dɛn, lɛk COVID-19.

Wetin a kin ɛkspɛkt if mi pikin gɛt MIS-C?

Bɔku pan di pikin dɛn we dɛn no se gɛt MIS-C kin wɛl ɔltogɛda. Bɔt, lɛk aw wi bin dɔn tɔk, if i nɔ kin apin so ɔltɛm, i kin mek pɔsin in layf de pan denja ɔ i kin rili siriɔs. Di pikin go nid fɔ go na ɔspitul. Ivin afta dɛn dɔn dɔn di tritmɛnt fɔ MIS-C, di pikin go nid fɔ go to dɛn dɔktɔ we de mɛn pikin dɛn . Bikɔs dɛn stil de du risach fɔ no if dis sik gɛt sayd ɛfɛkt fɔ lɔng tɛm, di dɔktɔ go chɛk di pikin sɔm mɔnt afta dɛn dɔn trit am fɔ mek shɔ se i de du wɛl.

Aw lɔŋ di MIS-C kɔndishɔn kin las?

Yu pikin kin sik fɔ lɛk tu wiks wit MIS-C. Dis go difrɛn difrɛn wan bay aw yu pikin gɛt di sik. Di tritmɛnt kin mek yu pikin gɛt bɛtɛ tɛm fɔ wɛl ɛn di tin dɛn we kin apin to am.

Ustɛm a fɔ go to dɔktɔ?

If yu pikin gɛt simptom fɔ MIS-C, ilɛksɛf i gɛt histri fɔ COVID-19 infɛkshɔn, kɔntak yu pikin in dɔktɔ wantɛm wantɛm. De dɔktɔ go tɛl yu if yu nid fɔ go na di imejensi rum ɛn i kin ansa ɛni kwɛstyɔn we yu gɛt bɔt dis sik.

If di pikin gɛt siriɔs sik, go na di ɔspitul imejensi dipatmɛnt wantɛm wantɛm ɔ kɔl 1990.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

We pikin sik, mɔ na tin lɛk MIS-C, i nɔmal fɔ mek yu as mama gɛt bɔku kwɛstyɔn. Yu kin aks di dɔktɔ tin dɛn lɛk:

• A fɔ kip mi pikin na ɔspitul?
• Us sayn dɛn a fɔ kɔntinyu fɔ wach fɔ?
• Ɛni bad tin de we di tritmɛnt kin du?
• Wetin a fɔ du fɔ mek mi pikin fil fayn we i gɛt COVID-19?

Fɔ gɛt fɔ kɛr yu pikin go na ɔspitul fɔ gɛt tritmɛnt fɔ MIS-C kin mek yu fred. Bɔt dɔktɔ ɛn nɔs dɛn go de wach yu pikin gud gud wan ɔlsay na di wɔl ɛn trit di sik dɛn so dat i nɔ go put in layf pan denja. Sɔm pikin dɛn kin gɛt smɔl smɔl sik dɛn, ɛn ɔda wan dɛn kin gɛt siriɔs prɔblɛm dɛn. Bɔt stɔdi dɛn dɔn sho se bɔku pikin dɛn kin wɛl kpatakpata. Risach stil de du fɔ si if MIS-C ɛn COVID-19 gɛt lɔng tɛm ifɛkt pan pikin dɛn.

Fɔ tɔk smɔl, tin dɛn we wi nid fɔ mɛmba (Take-Home Message) .

Okay, so lɛ wi rikap di impɔtant pɔynt dɛn frɔm wetin wi dɔn tɔk bɔt:

• MIS-C na wan sik we nɔ kin bɔku bɔt we kin rili siriɔs we kin apin to sɔm pikin dɛn afta COVID-19.
• Yu fɔ no bɔt di sayn dɛm lɛk fiva we de te pas 24 awa, bɛlɛ we de at, vɔmit, dayarɛa, skin rɔsh, ɛn rɛd yay .
• If yu gɛt siriɔs sik lɛk fɔ blo, yu chɛst de pen, yu kɔnfyus, ɔ yu skin blu/grey, go to dɔktɔ wantɛm wantɛm.
• Bikɔs COVID-19 na di men tin we de mek pɔsin gɛt MIS-C, di bɛst tin fɔ du na fɔ protɛkt yu pikin frɔm am. Mek shɔ se yu fala di vaysin, fes mask, ɛn was an.
• Bɔku pikin dɛn kin wɛl ɔltogɛda frɔm MIS-C, bɔt i rili impɔtant fɔ fala di advays we dɔktɔ gi dɛn.

Fɔ kia fɔ yu pikin in wɛlbɔdi na di tin we impɔtant pas ɔl. We yu no dis kayn tin, dat go ɛp yu fɔ du sɔntin kwik kwik wan we nid de.

` MIS-C, COVID-19, pikin dεm, inflameshn, fiva, mכltisistim infεkshכn, post-COVID komplikashכn