Yu smɔl pikin dɔn sik na strenj we afta COVID? Lɛ wi no bɔt dis denja (MIS-C) kɔndishɔn!

Wi ɔl no aw di COVID-19 pandemik dɔn chenj wi layf. Bɔku tɛm, we yɔŋ pikin dɛn gɛt COVID, wi kin tink se i nɔ go bad lɛk big pipul dɛn. Bɔt sɔm pikin dɛn, sɔm wiks afta dɛn dɔn wɛl frɔm COVID-19, kin bigin fɔ gɛt nyu, mɔ siriɔs sik dɛn. Dis na wetin dɔktɔ dɛn kin kɔl MIS-C, ɔ Multisystem Inflammatory Syndrome in Children. Masta sabi pipul dɛn stil de du risach bɔt aw i rili gɛt fɔ du wit COVID-19 ɛn wetin mek na sɔm pikin dɛn nɔmɔ kin gɛt am.

Wetin `(MIS-C)` min? Lɛ wi ɔndastand am gud gud wan, nɔto so?

Fɔ tɔk am simpul wan, `(MIS-C)` na di sik we bɔku bɔku sistɛm dɛn na pikin in bɔdi, lɛk di at, in lɔng, in kidni, in bren, in skin, ɛn in yay, kin inflam, ɔ swel, ɔl wan tɛm. Imajin am, lɛk se di wan ol bɔdi wam ɛn swel frɔm insay. Naw, dɔktɔ dɛn biliv se dis kin apin we di `(COVID-19)` vayrɔs go insay di bɔdi ɛn wi bɔdi in difɛns sistɛm (immune system) de riak to am insay wan we we dɛn de ɛgzajarayt, we de panik smɔl. Sɔntɛnde dɛn kin kɔl dis `(PMIS)` ɔ `(PIMS)`, bɔt di nem `(MIS-C)` na in dɛn kin yuz mɔ.

Wetin na di simptom dɛm fɔ pikin we gɛt `(MIS-C)`?

Naw lɛ wi luk di sayn dɛm we pikin we gɛt `(MIS-C)` kin sho. Dɛn tin ya kin difrɛn smɔl frɔm wan pikin to ɔda pikin, bɔt di sayn dɛn we kin apin pas ɔl na:

• Fiva we nɔ de dɔn: Dis min se fiva we de kɔntinyu fɔ sɔm dez we nɔ de go dɔŋ. Sɔntɛm, yu go gɛt fiva we pas 38 digri sɛlshiɔs (100.4 Fɛnayt).
• Bɛlɛ at bad bad wan : Di pikin kin gɛt bɛlɛ pen we i nɔ go ebul fɔ bia.
• Vɔmit ɔ dayarɛa : Yu fɔ wɔri if yu de vɔmit ɔltɛm ɔ if yu de pas wata stɔl.
• Skin rash: Rɛd, sɔmtɛm smɔl smɔl rash dɛn we tan lɛk blista kin apia na difrɛn pat dɛn na di bɔdi.
• Di lip dɛn kin tan lɛk se dɛn rɛd ɛn krak: Di lip dɛn kin rɛd we nɔ kɔmɔn, dray, ɛn krak. Sɔntɛnde, di tɔŋ kin tan lɛk rɛd bak lɛk strawberry.
• di yay dεm rεd: Di wayt dεm na di yay kin rεd, lεk se dεn gεt infεkshכn wit di yay infεkshכn. Bɔt di we aw pɔsin kin kray nɔ kin bɔku.
• di an dεm εn di sכl dεm we de rεd εn swεla: di an εn di fut dεm, spεshal wan di an εn di fut dεm kin rεd εn swεla.

Apat frɔm dɛn sayn ya, sɔm pikin dɛn kin gɛt swɛlin limf no dɛm na dɛn nɛk (we fiba di trot we de at). Sɔntɛnde, dɛn kin si bak bad bad ed pen , bɔdi pen, i nɔ kin izi fɔ blo , ɛn chɛst pen .

Ustɛm wi fɔ go to dɔktɔ? Ustɛm wi fɔ go na ɔspitul kwik kwik wan?

If yu pikin dɔn gɛt fiva fɔ sɔm dez ɛn i gɛt pas wan pan di sayn dɛn we wi dɔn tɔk bɔt, yu fɔ rili go to dɔktɔ wantɛm wantɛm . dis na biכs di kכndishכn fכ pikin dεm we gεt dis `(MIS-C)` kכndyushכn kin wכs wan wan. So, i go fayn fɔ mek yu go to dɔktɔ we yu nɔ go west yu tɛm. Ɛspɛshali if ɛni wan pan dɛn sayn ya de, yu fɔ kɛr dɛn go na di ɔspitul imejensi dipatmɛnt (ETU) we de nia yu ɛn nɔ de te:

• If i tan lɛk se di pikin de strɛs bɔku ɛn i wik tumɔs fɔ ivin luk .
• If yu fil lɛk se yu gɛt prɔblɛm fɔ blo , yu de kɔf, ɔ yu de blo kwik kwik wan.
• If yu de tɔk bɔt pen na yu chɛst , ɔ if yu de tɔk bɔt tayt na yu chɛst.
• If di bɛlɛ at so bad , di pikin nɔ kin ivin ebul fɔ tinap stret.
• If yu lip ɔ yu fes tan lɛk blu (dis min se yu bɔdi nɔ de gɛt bɛtɛ ɔksijɛn).
• If di pikin de slip bad bad wan , ɔ i tan lɛk se i nɔ de tink , i de wɔri, ɔ i tan lɛk se i nɔ ɔndastand wetin yu de tɔk.

Yu fɔ tɛl di dɔktɔ bak if yu pikin bin dɔn gɛt COVID-19 , ɔ if dɛn bin dɔn gɛt kɔntakt wit pɔsin we gɛt COVID-19. Da infɔmeshɔn de kin rili ɛp fɔ no di sik.

Us kɔmplikɛshɔn kin apin bikɔs ɔf `(MIS-C)`?

dis kכndyushכn we dεn kכl `(MIS-C),` kin mek difrεn kכmplikεshכn dεm frכm pikin to pikin. Na bikɔs i nɔ de afɛkt jɔs wan pat na di bɔdi. di men tin we dis inflameshn kin afekt bכku pat dεm na di bכdi, lεk di at, blɔd, blɔd vesel dεm, skin, intestines (digestive system), yay, kidni, εn bren. Sɔntɛnde, dis kin mek dɛn ɔgan dɛn de pwɛl fɔ sɔm tɛm ɔ fɔ lɔng tɛm. Dɔktɔ dɛn kin wɔri mɔ bɔt di tin dɛn we kin apin to di at. Bikɔs di at mɔsul kin inflam, di layn we de rawnd di at kin inflam, ɔ prɔblɛm kin apin na di blɔd vesel dɛn we de gi blɔd to di at.

Aw dɔktɔ dɛn kin no `(MIS-C)`?

Naw yu kin de wɔnda aw dɔktɔ dɛn go no if dis na MIS-C. Di sayn dɛm fɔ MIS-C kin tan lɛk ɔda sik dɛm we pikin kin gɛt, lɛk Kawasaki sik, wan siriɔs sik we kin kam wit baktri infekshɔn we dɛn kɔl toxic shock syndrome, ɔ ɔda vayral infɛkshɔn. So if dɔktɔ saspek se pikin gɛt MIS-C, dɛn go fɔs tɛst fɔ si if di pikin dɔn gɛt COVID-19 ɔ i nɔ tu te yet we i gɛt am. Apat frɔm dat, dɛn go du difrɛn tɛst fɔ si ɔmɔs inflamɛns de na di bɔdi. Dɛn go tɛst bak fɔ si if difrɛn pat dɛn na di bɔdi dɔn pwɛl, mɔ di at. Bɔku tɛm, dɛn tin ya na:

• Blɔd tɛst ɛn urine tɛst: Dɛn tin ya kin tɛl yu bɔku tin bɔt inflamɛns na di bɔdi, aw difrɛn ɔgan dɛn de wok, ɛn if ɛni prɔblɛm de we de mek yu blɔd klɔt.
• Chɛst X-ray: Chɛk aw di lɔng dɛn de.
• Spɛshal tɛst fɔ chɛk di at :
• wan ``ECG - ilektrokardiogram'': dis de luk pan di ilektrikal aktiviti fכ di at, i.e. di ritm fכ di at bit.
• wan ``echocardiogram``: Dis na lεk ``ultrasound`` skan fכ di at. I kin luk pan bɔku impɔtant tin dɛn lɛk aw di at tan, di mɔsul dɛn, di valv dɛn, ɛn aw di at de pɔmp blɔd fayn fayn wan.
• Abdominal ultrasound scan: Fɔ chɛk fɔ inflamɛns ɔ ɔda prɔblɛm dɛn na di ɔgan dɛn na di bɛlɛ.

Sɔntɛnde, dɔktɔ dɛn go aks fɔ ɛp frɔm difrɛn spɛshal pipul dɛm fɔ no ɛn trit dis `MIS-C` kɔndishɔn kɔrɛkt wan. Dis kin inklud di wan dɛn we sabi bɔt sik dɛn we kin pas, di wan dɛn we de mɛn di at, di wan dɛn we de mɛn di bɔdi (di wan dɛn we de trit di bon dɛn, di jɔyn dɛn, ɛn di wan dɛn we de fɛt di sik), di wan dɛn we de mɛn di blɔd, ɛn di wan dɛn we sabi bɔt aw fɔ kia fɔ pipul dɛn we sik bad bad wan. Dɛn kin wok togɛda fɔ plan di bɛst tritmɛnt fɔ yu pikin.

Wetin na di tritmɛnt dɛm fɔ `(MIS-C)`?

Di tritmɛnt fɔ pikin we gɛt `(MIS-C)` de dipen pan di pikin in simptom dɛm, di tɛst rizɔlt dɛm, ɛn aw di sik siriɔs. Nɔto ɔl pikin dɛn kin gi di sem tritmɛnt. Bɔku tɛm, dɔktɔ dɛn kin tray fɔ ridyus di inflamɛns na di bɔdi, fɔ mek blɔd nɔ rɔtin (sɔm pikin dɛn kin de pan denja fɔ mek blɔd klɔt), ɛn fɔ protɛkt di ɔgan dɛn we di sik afɛkt fɔ mek dɛn nɔ pwɛl mɔ. Dis inklud:

• Ɔksijɛn: If i nɔ izi fɔ yu fɔ blo, gi yu bɔdi di ɔksijɛn we i nid.
• Intravenous fluids (IV fluids): Dis min se yu fɔ gi tin dɛn lɛk salin insay wan vein. Dis kin ɛp fɔ kɔntrol di wata we de na di bɔdi ɛn fɔ mek di blɔd prɛshɔn nɔ chenj.
• Difrɛn kayn mɛrɛsin (drugs): .
• Dɛn kin gi mɛrɛsin lɛk stɛroyd ɔ spɛshal antibodi we dɛn kɔl Intravenous Immunoglobulin (IVIG) fɔ ridyus di inflamɛns ɛn fɔ kɔntrol di ɔva aktiviti fɔ di imyun sistɛm.
• Dɛn kin gi smɔl mɛrɛsin lɛk aspirin fɔ mek blɔd nɔ klɔt.
• If di at dɔn afɛkt, dɛn kin gi am spɛshal mɛrɛsin.
• If sɔm pikin dɛn sik siriɔs, dɛn kin nid fɔ admit dɛn na di ɔspitul in intensiv kia yunit (ICU) ɛn gi dɛn spɛshal tritmɛnt ɔnda monitarin ɔltɛm.

Wetin ɔda tin wi nid fɔ no bɔt `(MIS-C)`? (Impɔtant tin dɛn)

I rili impɔtant fɔ mek yu no sɔm ɔda tin dɛn bɔt dis tin we de apin.

Rikɔvayshɔn ɛn fɔ fala-fala

Bɔku tɛm, pikin dɛn we gɛt `(MIS-C)` kin wɛl afta dɛn dɔn trit dɛn na ɔspitul. Dat na rili gud nyus. Bɔt sɔm pikin dɛn, mɔ di wan dɛn we gɛt at prɔblɛm, kin gɛt prɔblɛm fɔ lɔng tɛm. So, dɛn nid fɔ kɔntinyu fɔ gɛt spɛshal pipul dɛn we de wach dɛn ivin afta dɛn dɔn go na os (fɔl-ɔp kia) .

• Fɔ ɛgzampul, pikin we gɛt MIS-C we dɔn gɛt sɔm at damej go nid fɔ go to dɔktɔ we de mɛn in at ɛn du tɛst lɛk ɛkokadiogram. Dɛn kin nid fɔ stɔp fɔ du ɛksɛsayz, rɔn, ɛn ple spɔt fɔ sɔm tɛm te di dɔktɔ tɛl dɛn so.
• Dɔn bak, pikin dɛn we de tek sɔm mɛrɛsin dɛn (lɛk stɛroyd fɔ ridyus inflamɛns) kin nid fɔ go to dɔktɔ we de mɛn rεumatɔlɔji ɔ ɛndokrinɔlɔjis fɔ ridyus di doz smɔl smɔl ɛn ajɔst as nid de.

Dis na tin we nɔ kin apin so ɔltɛm.

I fɔ se bak se `(MIS-C)` na wan kɔndishɔn we nɔ kin apin so ɔltɛm. Dat min se nɔto ɔl pikin we gɛt `(COVID-19)` de divɛlɔp am. If ɔndrɛd tawzin pikin dɛn gɛt COVID, na smɔl nɔmba nɔmɔ pan dɛn go gɛt `(MIS-C).` So, nɔ wɔri ɔ fred we yu nɔ nid. Bɔt, i impɔtant fɔ no bɔt di sayn dɛm we de sho se yu gɛt dis sik.

I bɛtɛ fɔ mek yu nɔ gɛt dis sik!

Di bɛst we fɔ avɔyd dis `(MIS-C)` sityueshɔn na fɔ mek `(COVID-19)` nɔ skata. Dɛn kɔl dat:

• Ɔlman we pas 6 mɔnt fɔ gɛt di `(COVID-19)` vaysin di rayt tɛm. di laytst vaysin dεm we de naw de gi gud protεkshכn εgεst ivin di mכst kכmכn vayral vεryכnt dεm. Vaksin kin ridyus di risk fɔ siriɔs kɔmplikeshɔn frɔm `(COVID-19)` ɛn bak `(MIS-C)`. (As wi sabi, dis nɔ de na gɔvmɛnt ɔspitul dɛn na Sri Lanka, ɛn a nɔ gɛt ɛni aydia if i de na di prayvet sɛktɔ)

Apat frɔm dat, fɔ mek yu nɔ gɛt sik, i fayn fɔ du dɛn tin ya ɛvride, nɔto so?

• Wash yu an fayn fayn wan wit sop ɛn wata fɔ at le 20 sɛkɔn. Yuz sop ɔ han sɛnitayza we gɛt at le 60% alkol.
• Nɔ de fa frɔm pipul dɛn we tan lɛk se dɛn sik, mɔ di wan dɛn we gɛt kɔf ɛn kol.
• Kip di say dɛn we yu kin tɔch bɔku tɛm (doknob, kɔnta, tebul, fon, ɛn ɔda tin dɛn) klin as yu ebul.
• Tray fɔ blo bɔku fresh briz as yu ebul. Dis min se dɛn fɔ opin domɔt ɛn winda dɛn fɔ mek di briz go insay fayn ɛn fɔ spɛn tɛm na do.

Di tin we impɔtant pas ɔl we wi ɔl nid fɔ mɛmba! (Mɛsej we dɛn kin tek go na os)

So, a op se yu naw get beta andastan fo wetin wi bin de tok abaut, `(MIS-C)`. Di tin we impɔtant pas ɔl fɔ mɛmba na dat `(MIS-C)` na sɔm kayn siriɔs, bɔt rili rare , kɔndishɔn we sɔm pikin dɛn kin gɛt afta dɛn dɔn gɛt `(COVID-19)`.

If yu no di sik kɔrɛkt wan, nɔ panik, ɛn sho am to dɔktɔ kwik, yu kin gi yu pikin di tritmɛnt we i nid ɛn mek i wɛl. Dɔn bak, fɔ mek yu nɔ gɛt `(COVID-19)` na di bɛst we fɔ mek yu nɔ gɛt `(MIS-C)`. So, lɛ wi ɔl fala wɛlbɔdi abit, protɛkt wi pikin dɛn ɛn wisɛf! If yu gɛt ɛni dawt, aks yu famili dɔktɔ ɔ dɔktɔ we de mɛn pikin dɛn.