I fa te hi COVID hnuah mak tak maiin a damlo em? Hetiang dinhmun hlauhawm tak (MIS-C) hi i hrechiang ang u!

COVID-19 hripui hian kan nun a tihdanglam nasat zia chu kan hre vek. Vawi tam tak chu naupang tê tête'n COVID an vei hian puitling angin a na lo ang tih kan ring. Amaherawhchu, naupang thenkhat, COVID-19 atanga an dam leh hnu kar engemaw zat hnuah chuan symptom thar, na zawk an nei tan thin. Hei hi doctor-te’n MIS-C, a nih loh leh Multisystem Inflammatory Syndrome in Children an tih chu a ni. Mithiamte chuan COVID-19 nena a inzawmna tak tak leh naupang thenkhat chauhin an vei chhan hi an la zirchiang mek a ni.

`(MIS-C)` tih awmzia chu eng nge ni? I hrethiam chiang ang u, kan hrethiam dawn em ni?

A awlsam zawngin, `(MIS-C)` chu naupang taksaa system hrang hrang, thinlung, lung, kal, thluak, vun leh mit te chu vawi khatah a inflamed emaw, a hring vek emaw a ni. Chu chu han mitthla teh, taksa pum pui chu a chhung lam a\angin a lum a, a hring vek ang maiin. Tunah hian Doctor-te chuan hetiang hi a thleng thei niin an ngai a, chu chu `(COVID-19)` virus taksaa a luh a, kan taksa defence system (immune system)-in a tihbuai, a hlauthawng deuha a chhanlet hian a thleng thei a ni. Hei hi `(PMIS)` emaw `(PIMS)` emaw an ti \hin a, mahse `(MIS-C)` tih hming hi hman a ni ber.

Naupang `(MIS-C)` vei te hian eng symptoms nge a neih?

Tunah chuan naupang `(MIS-C)` neiin a lan chhuah theih dan tur i en ang u. Chungte chu naupang pakhatah a inang lo deuh thei a, mahse a lan chhuah dan tlangpui chu:

• Persistent fever: Hei hian ni eng emaw zat a awm reng a, a tlahniam lo tihna a ni. Khawsik 38 degree Celsius (100.4 Fahrenheit) aia sang pawh a ni mai thei.
• Pum natna nasa tak : Naupang chuan tuar theih loh khawpin pum na a nei thei.
• Luak emaw, luak chhuak emaw : I luak chhunzawm zel emaw, tui bawlhhlawh i paltlang emaw a nih chuan i ngaihtuah tur a ni.
• Skin rash: Taksa hmun hrang hrangah vun sen, a chang chuan blister ang chi te te a lo lang thei.
• hmui chu a sen leh a chhe vek angin a lang: hmui chu a danglamin a sen a, a vawt a, a chhe thei bawk. A châng chuan lei pawh strawberry ang maia sen angin a lang thei bawk.
• Mit sen: Mit var chu a sen thei a, mit natna kai ang maiin a sen thei. Mahse, mittui siam chhuah hi a tlem hle.
• Kut leh kephah a sen leh a hring: Kut leh ke, a bik takin kutphah leh kephah chu a sen a, a hring thei.

Heng symptoms bakah hian naupang thenkhat chuan kawr chhungah lymph node a hring (thal na ang chi) an nei thei bawk. Lu na , taksa na, thawk harsa , leh rilru natna te pawh hmuh tur a awm fo.

Engtikah nge Doctor kan hmuh ang? Engtikah nge damdawi inah hmanhmawh taka kan kal ang?

I fa chu ni engemaw zat chhung khawsik a lo nei tawh a, a chunga kan sawi tak chhinchhiahna pakhat aia tam a neih chuan doctor i pan nghal tur a ni . Hei hi a chhan chu he `(MIS-C)` natna vei naupangte dinhmun hi a chhe thut thei a ni. Chuvangin hun khawhral lova damdawi lam thurawn lak a tha ber. A bik takin a hnuaia symptoms te hi a awm a nih chuan a hnai ber hospital emergency department (ETU)-ah tihkhawtlai lohvin i hruai tur a ni:

• Naupang chu a buai hle niin a lang a, a chak lo lutuk a, en pawh a en theih loh chuan .
• If you feel like you’re having trouble breathing , i khuh, emaw, thawk chak tak i nih chuan.
• If you’re talking about a chest pain , emaw, i rilru a tightness chungchang i sawi a nih chuan.
• If the stomach ache is so severe , naupang chu a ding nghet thei lo pawh a ni thei.
• I hmui emaw i hmai emaw a sen a nih chuan (chu chu i taksain oxygen a hmu tlem tihna a ni).
• Naupang chu a muhil hle a nih chuan , emaw, a ngaihtuahna a buai lo ang maiin a lang a, a buai a, a nih loh leh i thusawi chu a hrethiam lo ang tih a hriat chuan.

I fain COVID-19 a lo vei tawh a nih chuan, emaw, COVID-19 vei nen an inzawm tawh a nih chuan doctor hnenah pawh i hrilh tur a ni. Chu thu chu natna hriatchhuahna kawngah a \angkai hle.

`(MIS-C)` avang hian eng harsatna nge awm thei?

Hetiang dinhmun, `(MIS-C)` tia koh hian naupang atanga naupang dangah harsatna hrang hrang a thlen thei a ni. A chhan chu taksa peng khat chauh a nghawng loh vang a ni. A bik takin he inflammation hian taksa peng tam tak a nghawng thei a, chu chu thinlung, thisen, thisen kalna kawng, vun, intestine (digestive system), mit, kal leh thluak te hi a ni. A châng chuan, hei hian chu taksa pengte chu rei lo têah emaw, hun rei tak chhûng emaw a tichhe thei a ni. Doctor-te chuan thinlunga nghawng a neih dan hi an ngaihtuah zual hle. A chhan chu heart muscle a inflamed thei a, heart vel lining a inflamed thei a, a nih loh leh heart-a thisen petu thisen kalna kawngah harsatna a awm thei bawk.

Engtin nge doctor-te hian `(MIS-C)` an hriat chhuah?

Tunah chuan engtin nge doctor ten hei hi MIS-C a nih leh nih loh an hriat theih ang tih i ngaihtuah mai thei. MIS-C chhinchhiahna hi naupang natna dang, Kawasaki natna, bacteria infection toxic shock syndrome an tih avanga natna khirh tak, virus infection dang emaw nen a inang thei a ni. Chuvangin doctor-in naupang pakhatin MIS-C a vei nia a rinhlelh chuan naupang chu COVID-19 a kai em tih leh tun hnaia a kai tawh em tih enfiah hmasa phawt ang. Hei bakah hian taksaah inflammation engzat nge awm tih hriat nan test hrang hrang an nei dawn a ni. Tin, taksa peng hrang hrang, a bik takin thinlungah chhiatna a awm em tih an enfiah bawk ang. Chung zingah chuan a tlangpuiin:

• Thisen test leh zun test: Hengte hian taksaa inflammation chungchang te, taksa peng hrang hrang hnathawh dan te, thisen zam chungchanga harsatna a awm leh awm loh te a hriattir thei hle.
• Chest X-ray: Chuap dinhmun enfiah thin.
• Thinlung enfiahna atana test bik : 1.1.
• ``ECG - electrocardiogram'': Hei hian thinlung electrical activity, i.e. thinlung thawk rhythm a en a.
• ``Echocardiogram``: Hei hi thinlung ``ultrasound`` scan ang mai a ni. Thil pawimawh tam tak a en thei a, chu chu thinlung insiam dan te, taksa ruh te, valve te, leh thinlungin thisen a pump that dan te a en thei a ni.
• Abdominal ultrasound scan: Pum chhunga taksa peng hrang hrangah inflammation emaw harsatna dang emaw a awm leh awm loh enfiah nan.

A châng chuan, doctor-te chuan he `MIS-C` natna hi dik taka hriat theih leh enkawl tûrin specialist hrang hrangte ṭanpuina an zawng ang. Hei hian infectious disease specialist, cardiologist, rheumatologist (ruh, ruh, leh immune system enkawltu), hematologist, leh critical care specialist te a huam a ni. I fa enkawlna tha ber tur ruahman turin an thawk ho thin.

`(MIS-C)` enkawlna tur engte nge ni?

Naupang `(MIS-C)` vei enkawl dan tur chu naupang natna lan chhuah dan, test result, leh natna nasat danah a innghat a ni. Naupang zawng zawng hi enkawl dan inang vek an ni lo. Doctor-te chuan taksaa inflammation tihziaawmna tur te, thisen zam (naupang thenkhat chu thisen zam hlauhawmna nei thei) ven an tum tlangpui a, a natna taksa peng hrang hrangte chu chhiatna nasa zawk laka humhim an tum tlangpui. Hei hian a huam tel a ni:

• Oxygen: Thâwk harsa i tih chuan i taksain oxygen a mamawh zat pe la.
• Intravenous fluids (IV fluids): Hei hian saline ang chi thil chu vein-ah dah tihna a ni. Hei hian taksaa tui awm zat a control a, thisen sang a ti nghet thei bawk.
• Damdawi chi hrang hrang (drugs): .
• Damdawi steroid emaw, antibody bik Intravenous Immunoglobulin (IVIG) tih ang chi te hi inflammation tihziaawmna tur leh immune system hnathawh tam lutuk control nan pek theih a ni.
• Thisen zawrh tur ven nan aspirin ang chi damdawi dose tlem te pek theih a ni.
• Thinlung a khawih tawh chuan damdawi bik pek theih a ni.
• Naupang thenkhat dinhmun a nasat chuan damdawi in intensive care unit (ICU) -ah dah a ngai mai thei a, enkawl reng reng hnuaiah enkawlna bik pek a ngai thei bawk.

`(MIS-C)` chungchangah hian eng nge kan hriat belh ngai? (Thudik pawimawh tak tak)

He dinhmun chungchangah hian thudik tlemte i hriat belh a pawimawh hle.

Dam lehna leh enkawl zui zel

A tam zawkah chuan `(MIS-C)` vei naupangte chu damdawi ina enkawl an nih hnuah an dam leh thin. Chu chu chanchin lawmawm tak a ni. Mahse, naupang thenkhat, a bikin lung lam harsatna nei te chuan hun rei tak chhung harsatna an nei thei a ni. Chuvangin, an in lama an haw hnuah pawh specialist-te’n an enkawl chhunzawm zel a ngai a ni (follow-up care) .

• Entirnan, MIS-C vei naupang, thinlung natna engemaw zat nei tawh chuan cardiologist a hmuh a ngai ang a, echocardiogram ang chi test a neih a ngai bawk ang. Doctor-in a sawi hma loh chuan exercise te, tlan te, leh infiamna te chu rei lo te chhung an chawlhsan a ngai mai thei.
• Tin, naupang damdawi thenkhat (inflammation tihziaawmna atana steroid ang chi) ei thinte chuan rheumatologist emaw endocrinologist emaw an pan a ngai thei a, zawi zawiin an ei tur tihtlem a, a tul angin siamrem a ngai thei bawk.

Hei hi thil awmdan a tlem hle.

Tin, `(MIS-C)` hi a awm lo hle tih pawh sawi tur a ni. Chumi awmzia chu naupang `(COVID-19)` vei zawng zawng hian an nei vek lo tihna a ni. Naupang nuai za tam takin COVID an kai a nih chuan an zinga tlemte chauh hian `(MIS-C) an nei ang.` Chuvangin, a tul lova lungngai leh hlauthawng suh. Amaherawhchu, a natna lan chhuah dan hriat chian a pawimawh.

Invenna hi a tha ber!

Hetiang `(MIS-C)` dinhmun pumpelh dan tha ber chu `(COVID-19)` darh zel tur ven hi a ni. Chu chu:

• Thla 6 chunglam zawng zawngin `(COVID-19)` vaccine hi a hun takah lak vek tur a ni. Tuna vaccine thar ber ber awm tawhte hian virus chi hrang hrang zingah pawh venhimna tha tak a pe a ni. Vaccine pek hian `(COVID-19)` bakah `(MIS-C)` atanga harsatna na tak a thlen theihna a tiziaawm thei a ni. (Kan hriat dan chuan hei hi Sri Lanka rama sorkar damdawi inah a awm lo a, private sector-ah pawh a awm em tih pawh ka hre lo)

Chu bâkah, natna laka kan him theih nân, ni tin heng thilte hi tih a \ha a ni lawm ni?

• Sahbawn leh tuiin second 20 tal i kut silfai tur a ni. Sahbawn emaw hand sanitizer emaw, zu 60% tal awmna hmang thin ang che.
• Damlo anga lang, a bik takin khuh leh khawsik nei te lakah hlat rawh.
• Khawih fo thinna hmun (kawngkhar kawngkhar, counter, dawhkan, phone, etc.) te chu a fai thei ang bera dah tur a ni.
• Thli thianghlim a tam thei ang ber thawk chhuah tum ang che. Hei hian boruak tha tak a luh theih nan kawngkhar leh tukverh hawn a, pawn lama hun hman tihna a ni.

Kan hriat reng tur pawimawh ber chu! (In lama hruai tur thuchah)

Chuvangin, tunah chuan kan sawi thin, `(MIS-C)` hi hriatthiamna tha zawk in neih ka beisei. Hriat tur pawimawh ber chu `(MIS-C)` hi naupang thenkhatin `(COVID-19)` an kai hnua an lo neih theih dan hi eng emaw chen chu a nasat em em a, mahse a tlem hle , a ni.

I natna lan chhuah dan dik taka i hriat chian a, i hlauthawng lo a, doctor hnena i entir vat chuan i fa chu a tul anga enkawlna i pe thei a, i dam thei bawk. Tin, `(COVID-19)` invenna hi `(MIS-C)` laka invenna tha ber a ni. Chuvang chuan hriselna lama kan nunphung i zawm vek ang u, kan fate leh keimahni pawh i venghim ang u! Ringhlelna i neih chuan i chhungkaw doctor emaw, naupang enkawltu doctor emaw zawt la.