I fa hian COVID-19 hnuah heng symptoms te hi a nei em? MIS-C chungchang hi han sawi ila! (Naupangte zingah Multisystem Inflammatory Syndrome - MIS-C) 1. A rilru a hah lutuk chuan a rilru a buai em em a.

I naupang tê chu COVID-19 aṭangin a dam chhuak em? An dam hnu kar engemaw zat hnuah naupang thenkhat chuan natna lan chhuah dan mak tak tak an nei thei a. Hei hi MIS-C (Naupangte zingah Multisystem Inflammatory Syndrome) kan tih chu a ni. Condition na tak a ni thei a, chuvangin hriat reng a pawimawh. Vawiin hian chipchiar takin sawi ila, kan sawi dawn em ni?

MIS-C chu eng nge ni? A awlsam zawngin i hrethiam ang u.

A awlsam zawngin sawi ila, COVID-19 hnua naupang thenkhatah MIS-C hi a awm ve lo. Naupang taksa hmun khat chauh ni lovin hmun hrang hrangah inflammation a awm tih hriat a ni. Taksa chhungril a sen, a hring, a lumna te a ni. He inflammation hian a nghawng ber chu:

• I fa thinlungah
• Lung lam thlengin
• Kidney tan chuan
• Thluak lam pan chuan
• Vun thlengin
• Mit tan chuan
• Gastrointestinal system chhunga taksa peng hrang hrangte hnenah

Hetiang dinhmun hi darkar 24 aia rei khawsik nen a awm tlangpui. MIS-C hi natna khirh tak a ni a, a chang chuan nunna atana hlauhawm thei a ni. Chuvangin, i fain thawk harsatna emaw, a rilru natna nasa tak emaw ang chi symptoms a neih chuan damdawi inah hruai nghal tur a ni.

MIS-C hi engtiang chiahin nge a awm?

MIS-C hi a takah chuan a awm lo hle. Tunah hian COVID-19 hri kai naupang 3,000 atanga 4,000 zinga pakhat chauhvin he natna hi an vei dawn nia chhut a ni. Chumi awmzia chu mi zawng zawngin kan nei vek dawn lo tihna a ni a, mahse a hlauhawmna chu a awm tih kan hre reng tur a ni.

MIS-C leh MIS-A hi eng nge an danglamna?

Heng pahnih hi a bul berah chuan dinhmun inang an ni. A danglamna chu a natna hmuhchhuah kum a ni.

• MIS-C hi naupang leh thalai kum 21 hnuai lam tan a ni.
• MIS-A hi kum 21 chunglam tan a ni.

MIS-A hi MIS-A aiin a tam zawk mahse, MIS-A-ah hian symptoms a na deuh thei.

MIS-C natna lan chhuah dante chu engte nge ni? Anmahni hi i hrechiang lehzual ang u!

MIS-C thil pawimawh tak chu darkar 24 tal khawsik a ni. Chu bakah, a hnuaia chhinchhiahna pakhat aia tam a awm thei bawk:

• Pum na emaw, pum na emaw
• Luak chhuak
• Diarrhea (riltam) 1.1.
• Vertigo (i inher ang maia inhria) .
• Vun vun rawng (a chang chuan red spot angin) .
• Mit sen (thisen chhuak anga lang) .
• Chaw chakna

Ngaihtuah teh, i fa hian COVID-19 a vei a, a dam leh ta. Kar hnih emaw kar thum emaw a liam hnu chuan rang takin a khawsik a nei ta a, ni hnih emaw ni thum emaw chhung chu a tlahniam lo. A pum na a complain bawk a, a taksaah pawh sen hring a awm bawk. A ei lovang. Chutiang hunah chuan MIS-C chungchang hi tlem tal i ngaihtuah a ngai a ni.

Emergency symptoms - hengte hi hriat tur a ni ngei ang!

I fain a hnuaia symptoms te hi a lantir chuan hospital emergency department hnai ber ah i hruai nghal tur a ni a, a nih loh leh 1990 ah call rawh:

• Thâwk harsa (thâwk lak harsa, rang) .
• A rilru natna a reh lo (naupang chuan a rilru a chelh a, a na tih a sawi) .
• Buaina (hriatrengna hloh, thusawi thiam lo) .
• A pum na tak a ni
• Harsatna leh harh theih lohna (muthilh lutuk, biak pawha harh theih loh) .
• Vun, hmui, emaw, kut zungtang (hei hian oxygen tlakchhamna a kawk a ni) .

Pawimawh: Heng symptoms te hi MIS-C ah chauh ni lovin, damdawi lam natna khirh tak dang ah pawh a awm thei. Chuvangin, hetiang thil hi i hmuh chuan , rei lovah Doctor i pan tur a ni.

Eng thilin nge MIS-C hi a thlen?

MIS-C awm chhan dik tak erawh hriat a la ni lo. He natna hi kum 2020 tir lam atanga hriatchhuah a nih atang khan research-in a chhan leh naupangte chungah hun rei tak chhung nghawng a neih leh neih loh chhui chhunzawm zel a ni. Thil pakhat chiang tak chu: he dinhmun hi COVID-19 infection side effect a ni. Chuvangin i fain COVID-19 a vei chuan MIS-C vei theihna a awm.

Zirna hrang hrangah chuan hei hi naupangin COVID-19 a kai hnua a taksa hriselna (immune system) a overreact tan vang a ni thei tih a tarlang. A awlsam zawngin sawi ila, kan taksain natna laka a invenna chu COVID-19 virus dona a tih zawh hnuah chuan tlem an buai a, anmahni taksa peng hrang hrang an bei tan ang mai a ni. Hei hi inflammation thlentu a ni.

Naupang thenkhatah hian genetic factors hian he natna hi a lo awm thei tih rinna a awm bawk.

MIS-C hi a kai theih em?

Ni lo, MIS-C hi naupang pakhat atanga naupang dang a kai tih finfiahna a awm lo. Amaherawhchu, COVID-19, naupang MIS-C vei hmaa lo awm thin , hri kai a tam hle.

Engtin nge MIS-C natna hi hmuhchhuah a nih?

Doctor chuan i fa chu a enfiah ang a, MIS-C an neih leh neih loh enfiah turin test tlemte a kalpui ang. Doctor chuan i fate natna lan chhuah dan te, eng chen nge khawsik an neih tawh dan te, COVID-19 an vei em tih te, engtikah nge a lo awm tih te a zawt ang. Chutih laia i fain COVID-19 active a neih chuan medical team hnenah i hrilh nghal tur a ni.

Test hian a natna hmuhchhuah chu a nemnghet thei a, naupang taksa peng engte nge inflammation hian a nghawng tih chiang takin a hriat theih bawk. Chumi atana test tih thin thenkhat chu:

• Lung scan (Echocardiogram) hmanga enfiah a ni.: Lung hnathawh leh inflammation te enfiah thin ang che.
• Chest X-ray : Chuap dinhmun enfiah thin.
• Abdominal ultrasound : Pum chhunga taksa peng hrang hrangte inflammation enfiah nan.
• CT scan (Computed Tomography - CT scan) : A tul chuan taksa peng hrang hrang chiang zawkin en tur a ni.

Hei bakah hian doctor hian naupang chu COVID-19 a test fo ang. Tin, naupang natna lan chhuah dan azirin thil dang, thisen test te pawh an ti thei bawk.

MIS-C (Differential Diagnosis) nena inmil natna dangte

Doctor chuan i fate natna lan chhuahna thlen thei dinhmun dang pawh a ngaihtuah bawk ang. Hei hi differential diagnosis an ti a . MIS-C natna lan chhuah dan hi a chang chuan heng dinhmun nen hian a inang thei a ni:

• Kawasaki natna a ni
• Toxic shock natna (Toxic shock) natna a ni

Chuvang chuan natna dik tak hriat chian nan test hi a pawimawh hle.

MIS-C hi engtin nge enkawl a nih?

MIS-C enkawlna atana thil pawimawh ber chu inflammation tihtlem leh nunna atana hlauhawm thei symptoms control hi a ni. Enkawlna kawng hrang hrangte chu:

• Vein-a saline pek (IV fluids) : Taksa chhunga tui awm zat vawng reng tur.
• Anti-inflammatory medications (oral or IV) : Hemi atan hian damdawi corticosteroids , immune globulin (IVIG) , leh glucocorticoids te hman a ni.
• Naupangin COVID-19 infection active a neih chuan a enkawl nan antiviral therapy , remdesivir ang chi hi pek theih a ni.
• Thâwk harsa a awm chuan thawk hahdamna hmanrua (ventilator) hmangin oxygen pek a ni .

I fain MIS-C a neih chuan an natna lan chhuah dan nasat dan azirin damdawi in emaw, Pediatric Intensive Care Unit (PICU) emaw-ah enkawl a ni ang. Hei hian doctor leh nurse te chuan i fa chu uluk takin a enfiah thei a, a tul anga enkawlna pawh rang takin a pe thei bawk.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

Naupangin enkawlna a tan hnua a dam theih nan ni thum atanga kar hnih chhung a ngai thei. Naupang chu damdawi inah ni engemaw zat a awm a ngai fo dawn a, doctor-te chuan naupang dinhmun uluk taka an enfiah avangin.

Naute hian MIS-C a vei loh nan a veng thei ang em?

I fain MIS-C a vei loh nan a tha ber chu COVID-19 hri kai laka venhim hi a ni. Heng thilte hi tih hmang hian i fa chu him takin i vawng thei ang:

• COVID-19 hri danna pek a ni(Booster vaccine pek te pawh a tel, naupang doctor-in a rawt chuan).
• I fate chu an hmui leh hnar khuh tha thei tur face mask vuah turin zirtir rawh.
• I fa chu hrik darh tur ven nan a mit, hnar leh hmui khawih lo turin hrilh rawh.
• I fate chu sahbawn leh tui hmanga kut sil fo turin zirtir rawh. A bul lawka sink a awm loh chuan hand sanitizer, zu 60% tal awmna hman theih a ni.
• COVID-19 vei nia rinhlelh emaw, finfiah emaw te nena inbiakpawhna hnai tak pumpelh tur a ni.
• Midang atanga social distancing (feet 6 tal) vawng reng tur a ni.
• Hmun leh thil khawih fo thinte chu fai leh hrik paihna hmunah dah thin ang che.

Heng himna dante hian nang leh i fate chu MIS-C lakah chauh ni lovin, natna dang tam tak, COVID-19 te lakah pawh venhimna kawngah a pui dawn tih hre reng ang che.

Ka fain MIS-C a neih chuan eng nge ka beisei theih ang?

Naupang MIS-C vei nia hriat tam zawk chu an dam chhuak vek a ni. Amaherawhchu, a hmaa kan sawi tawh ang khan, a tlem berah chuan nunna atana hlauhawm emaw, pawi tak emaw a ni thei. Naupang chu damdawi inah dah a ngai dawn a ni. MIS-C enkawl zawh hnuah pawh naupang chuan an pediatrician a pan a ngai dawn a ni . He natna hian hun rei tak chhunga nghawng tha lo a neih leh neih loh zirchianna neih mek a nih avangin doctor chuan naupang chu enkawl a nih hnu thla engemaw zat hnuah a dam tha em tih enfiah turin a enfiah ang.

MIS-C condition hi eng chen nge a awm?

I fa chu MIS-C vangin kar hnih vel a damlo thei. Hei hi i fate natna hmuhchhuah nasat dan azirin a danglam ang. Enkawlna hian i fa dam leh hun leh a rah chhuah a titha thei a ni.

Engtikah nge Doctor ka hmuh ang?

I fain MIS-C symptoms a neih chuan, COVID-19 hri kai tawh emaw nei lo emaw pawh nise, i fa doctor rawn nghal tur a ni. Doctor chuan emergency room-a kal i mamawh leh mamawh loh a hrilh ang che a, he natna chungchanga zawhna i neih apiang a chhang thei bawk ang.

Naupangin natna lanchhuahna na tak a neih chuan damdawi in emergency department-ah kal nghal emaw, 1990-ah emaw call rawh.

Doctor hnenah eng zawhna nge ka zawh ang?

Naupang damlo a nih chuan, a bik takin MIS-C ang dinhmunah chuan nu i nih angin zawhna tam tak i neih hi thil pangngai a ni. Doctor hnenah hetiang thil hi i zawt thei ang:

• Ka fa chu damdawi inah ka dah tur em ni?
• Eng symptom nge ka fimkhur chhunzawm zel tur?
• Enkawlna hian side effect a nei em?
• Ka fain COVID-19 a vei lai hian eng nge ka tih ang?

I fa chu MIS-C vei enkawlna tur damdawi inah hruai a ngai a nih chuan thil hlauhawm tak a ni thei. Amaherawhchu, doctor leh nurse-te chuan i fate chu darkar tin uluk takin an enfiah ang a, a natna lan chhuah dan chu nunna atana hlauhawm lo turin an enkawl ang. Naupang thenkhat chuan symptoms na lo tak tak an nei thei a, thenkhat erawh chuan complication na tak tak an nei thei thung. Mahse, zirchianna atanga a lan dan chuan naupang tam zawk chu an dam chhuak vek a ni. MIS-C leh COVID-19 hian hun rei tak chhung naupangte chungah nghawng a nei em tih zirchian a la ni.

A tawi zawngin, kan hriat reng tur thil (Take-Home Message) .

Okay, chuvangin kan sawi tawh atang hian point pawimawh ber berte hi han recap leh ila:

• MIS-C hi COVID-19 hnua naupang thenkhatah a awm thei a, mahse natna hlauhawm tak a ni thei.
• Darkar 24 aia rei khawsik, pum na, luak chhuak, riltam, vun rawng, leh mit sen te ang chi natna lan chhuah dan te chu fimkhur rawh .
• Thâwk harsa, rilru na, rilru buai, vun blue/gray ang chi symptom na tak tak i neih chuan doctor pan nghal rawh.
• COVID-19 hi MIS-C thlentu ber a nih avangin, a tha ber chu i fate chu a laka venhim hi a ni. Vaccine pek dan te, hmai tuamna te, kut sil dan te zawm ngei ngei tur a ni.
• Naupang tam zawk hi MIS-C atang hian an dam kim vek a, mahse damdawi lam thurawn zawm a pawimawh hle.

I fa hriselna enkawl hi a pawimawh ber a ni. Hetiang thu hriatna hian a tul huna hma la thuai turin a pui ang che.

` MIS-C, COVID-19, naupang enkawlna, inflammation, khawsik, multisystem infection, COVID hnua harsatna awm thei te