I fate pawh hian COVID-19 hnuah he natna mak tak hi a tuar ve em? Naupangte zingah Multisystem Inflammatory Syndrome (MIS-C) chungchang hi han sawi ila!

COVID-19 virus chungchang hi i hre tawh ngei ang. A tam zawkah chuan naupang tê tête an neih hian puitlingte angin a nghawng na lo tih kan hria. Amaherawhchu, naupang thenkhat chuan COVID-19 an kai atanga kar engemaw zat hnuah symptom na zawk an nei thei a ni. Chu chu doctor-te chuan Multisystem Inflammatory Syndrome in Children , a tawi zawngin MIS-C an tih chu a ni. Mithiamte chuan eng nge a nih leh engvangin nge naupang thenkhatah chauh a thlen tih an la chhui chhuak mek a ni. Mahse fimkhur a pawimawh.

MIS-C, he damdawi lam dinhmun hi eng nge ni tak tak?

A awlsam zawngin, MIS-C hi naupang taksa chhunga system, a nih loh leh taksa peng hrang hrang, a ruala inflamed tihna a ni. Ngaihtuah teh, kan taksa hian natna hrik a do lai hian kan taksa hriselna (immune system) chu a thawk nasa lutuk (overactive) thin. A chang chuan COVID-19 infection hnuah he immune system hi control theih lohvin a kal a, taksa peng hrang hrang a nghawng tan thin. Chu chu MIS-C-ah hian a thleng ber a ni.

Hei hi COVID-19 kai atanga ni hnih emaw ni thum emaw chhunga thil thleng a ni lo. A tlangpuiin COVID-19 kai atanga kar ruk chhungin heng MIS-C symptoms te hi a lo lang chhuak thin. Chuvangin, i fain tun hnaiah COVID-19 a kai a nih chuan, emaw, COVID-19 vei nen inkawp tlat a nih chuan, hemi chungchangah hian tlem tal fimkhur a tha.

MIS-C natna lan chhuah dante chu engte nge ni? Engtin nge kan hriat chian?

MIS-C vei naupang chuan an taksa pum puiah inflammation an neih avangin symptom hrang hrang a nei thei. Naupang zawng zawng hian heng symptoms zawng zawng hi an nei vek dawn lo va, symptoms nasat dan pawh a inang lo thei bawk. Mahse, a lan chhuah dan tlangpui thenkhat hmuh theih a awm a:

• Persistent fever: Ni engemaw zat chhung chu khawsik a tlahniam lo thei.
• Pum natna: A lan chhuah dan chu pum na nasa tak, luak chhuak, luak chhuak emaw, luak chhuak emaw a ni thei.
• Skin rash: Taksa hmun hrang hrangah vun sen, itchy rashes a lo lang thei.
• Hmai sen leh chhe: Hmai a vawt thei a, a sen a, a chhe thei bawk. "Lip a kang" tih ang mai a ni.
• Mit sen: Mit var chu a sen a, thisen chhuak angin a lang thei. "thisen chhuak mit" kan ti a.
• Kut leh ke a hring leh a sen: Kephah leh kephah a sen a, a hring thei bawk.

Heng symptom pakhat emaw pahnih emaw i neih vang mai mai chuan MIS-C i nei tihna a ni lo. Heng symptoms te hi natna tlanglawn dang dangah pawh hmuh theih a ni. Mahse, i fain khawsik a neih reng a, heng chhinchhiahna pakhat aia tam (entir nan, pum na leh taksa na nei khawsik) a neih chuan doctor i pan ngei ngei tur a ni.

Ngaihtuah vat ngai symptoms te!

A châng chuan MIS-C vei naupangte dinhmun hi a chhe thuai thei hle. Chuvangin, a hnuaia vaukhânna chhinchhiahnate hi zawm tur a ni:I fain heng zinga pakhat tal a lantir chuan damdawi in hnai ber Emergency Department (ETU) ah i hruai nghal tur a ni :

• Naupang chu natna nasa tak nei anga lang, emaw, mutthilh lutuk emaw, buai lutuk emaw a lan chuan.
• Thâwk harsa i tih nia i hriat chuan, emaw, i thawk chakna a sang chho zel ang tih i hriat chuan.
• Chest pain chungchang i sawi a nih chuan.
• Pum natna nasa tak i neih chuan.
• I hmui emaw i hmai emaw a sen a nih chuan (chu chu i taksain oxygen a hmu tlem tihna a ni).

Hetih lai hian i fain tun hnaia COVID-19 a vei emaw, COVID-19 vei nena inkawp a nih chuan doctor hnenah hrilh theihnghilh suh.

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MIS-C vang hian eng harsatna dang nge awm thei?

MIS-C hi naupang pakhatin naupang dang aiin a nghawng danglam thei a ni. He taksaa inflammation hian taksa peng hrang hrang a tichhe thei a ni. A nghawng lian ber berte chu:

• Heart: Heart muscle a chak lo thei a, heart function a tichhe thei bawk.
• Blood cells leh vessels: Thisen zam harsatna leh thisen kalna kawng a inflammation a awm thei.
• Vun: A hmaa kan sawi tawh chhiatna ang chi thil.
• Digestive system: Pum na leh riltam ang chi thil hi a na thei hle.
• Mit: Mit sen ang chi symptoms a awm.

A châng chuan, he chhiatna hian, a bîk takin thinlungah hian nghawng rei tak a nei thei a ni. Chuvang chuan natna hi hriat hmasak a, enkawl tan a pawimawh.

MIS-C natna hi engtin nge dik taka kan hriat theih ang ?

MIS-C natna lan chhuah dan hi natna dang nen a inang thei a ni. Entirnan, Kawasaki disease emaw toxic shock syndrome ang chi condition te pawhin hetiang chiah hian symptom a nei thei bawk. Chuvang chuan doctor-in naupang a enfiah a, MIS-C a vei nia a rinhlelh chuan test eng emaw zat an nei ang a, a natna hmuhchhuah chu finfiah turin an ti ang.

Hemi atan hian eng test nge tih a nih?

COVID-19 test hi a bul berah chuan naupang hian COVID-19 a kai tawh em tih emaw, a hmaa a kai tawh atanga antibody a siam chhuak em tih hriat nan hman a ni. Hei bakah hian taksaa inflammation awm zat leh taksa peng hrang hrang tihchhiat a awm leh awm loh hriat nan test an hmang bawk. Chûng zîngah chuan:

• Thisen test leh zun test: Hengte hian thil tam tak a check thei a, chu chu taksaa inflammation level (inflammatory markers), taksa peng hrang hrang hnathawh dan, thisen cell dinhmun te a ni.
• Chest X-ray: Chuap dinhmun leh thinlung lian leh te ang chi thil te enfiah thin ang che.
• Thinlung enfiahna test bik:
• ECG (electrocardiogram): Hei hian thinlung electrical activity a test thin.
• Echocardiogram (ultrasound of the heart): Hei hi thinlung ultrasound ang a ni. Thil pawimawh tam tak, thinlung insiam dan, taksa ruh hnathawh dan, leh valve dinhmun te a enfiah thei a ni.
• Abdominal ultrasound: Pum chhunga taksa peng hrang hrang, liver leh spleen te dinhmun enfiah nan.

Specialist doctor te hnen atanga tanpuina pek a ni

MIS-C hi natna khirh tak a nih avangin, a natna hmuhchhuah leh enkawlnaah hian doctor pakhat chauh ni lovin, field hrang hrang atanga specialist team an tel fo thin. He team hian:

• Natna hrik kai theihna specialist te
• Cardiologist te an ni
• Rheumatology lama mithiamte an ni
• Hematology lama mithiamte an ni
• Critical care lama mithiamte an ni

Heng mi zawng zawng hriatna inzawmkhawm hian naupang enkawlna tha ber tur chu a rel thei a ni.

MIS-C hi engtin nge enkawl a nih?

MIS-C enkawl dan hi naupang hrang hrangah a inang lo. Naupang natna lan chhuah dan leh test result-ah a innghat a ni. Enkawlna atana thil tum berte chu:

• Taksa chhunga inflammation tihziaawmna.
• A tul lova thisen a inzawm loh nan.
• A natna taksa peng chu a chhiat belh zel loh nan.

Hemi atan hian Doctor ten enkawl dan hrang hrang an hmang thei a:

• Oxygen: Thâwk harsa i tih chuan.
• Damdawi: Inflammation tihziaawmna tur steroid , immunoglobulins (IVIG) an tih damdawi te, thisen zam venna damdawi te pek theih a ni.
• Intravenous (IV) fluids: Saline ang chi thil hi taksaah tui a tlakchham emaw, thisen sang a hniam emaw chuan pek thin a ni.

Naupang thenkhat dinhmun a nasat chuan Intensive Care Unit (ICU)-ah dah a ngai mai thei a, enkawlna bik hnuaiah enkawl a ngai thei bawk.

Thil pawimawh dang hriat tur

MIS-C chungchang kan sawi dawnin thil dang tlem tal ngaihtuah reng a tha.

Damdawi in chhuahsan hnuah pawh enkawl ka la ngai em?

Naupang tam zawk chu damdawi inah enkawl an nih hnuah an dam leh thin. Mahse, naupang thenkhat chuan MIS-C vangin hun rei tak chhung harsatna an nei thei a ni. Damdawi in atanga i haw hnuah pawh doctor thupek angin i fa enkawl chhunzawm zel a pawimawh.

Entir nan:

• Naupang chu MIS-C in a thinlung a khawih tawh chuan cardiologist hnenah refer chhunzawm zel a ni ang.In inhmuhkhawm a ngai dawn a, checkup pawh neih fo a ngai dawn a ni. I exercise, tlan leh inkhelh te chu rei lo te chhung i tihtlem a ngai mai thei bawk. Doctor-in, "Okay, tunah chuan harsatna a awm lo," a tih hma loh chuan chutiang chuan i awm a ngai dawn a ni.
• Inflammation tihziaawmna atana steroid ang chi damdawi i hman chhunzawm chuan damdawi hi dik taka tihtlem emaw thlak danglam emaw turin rheumatologist emaw endocrinologist emaw i pan tur a ni.

Chuvang chuan Doctor-te’n thupek an pek ang chiah zawm a, nausen chu a \ul anga clinic-a hruai luh a pawimawh hle.

MIS-C laka inven dan tha ber

Dik tak chuan MIS-C hi a awm lo hle a ni . Amaherawhchu, pawi tak a nih theih avangin a theih ang anga inven kan tum tur a ni. MIS-C laka inven dan tha ber chu COVID-19 kai loh hi a ni.

• Chumi atan chuan thla 6 chunglam zawng zawngin COVID-19 vaccine an lak a, an chanchin hriat reng a pawimawh hle . Tuna vaccine thar awm mek hian COVID-19 chi hrang hrang awm tam ber laka invenna a pe a ni .

Natna tlanglawn laka inven nan heng thilte hi hre reng ang che.

COVID-19 chauh ni lo, eng natna pawh a darh loh nan, mi zawng zawng tan heng hriselna lama tih dan awlsam tak takte hi zawm a tha:

• Kut sil fo la, uluk takin silfai thin ang che. Sahbawn leh tuiin second 20 tal kut sil thin ang che. Sahbawn leh tui a awm loh chuan hand sanitizer, zu 60% tal awmna hmang tur a ni.
• Damlote nena inbiak hnai tak loh tur. Khawsik, khuh, thawk hah ang chi natna lanchhuahna nei te nen inhnaih taka inhnaih loh tur.
• Khawih fo thinna hmun chu fai takin vawng reng tur a ni. Kawngkhar khar, counter leh phone te chu phihfai fo thin ang che.
• Thli thianghlim a tam thei ang ber thawk chhuah tum ang che. In chhungah i awm chuan window kha hawng la, boruak thianghlim lo lut rawh. Pawn chhuah pawh a tha khawp mai.

A tawp berah chuan, a tawp berah chuan hei hi hre reng ang che (Take-Home Message)

Okay, chuvang chuan MIS-C chungchang hi kan sawi nasa hle. Hriat tur pawimawh tak chu hei hi thil awm lo tak a ni a, mahse na tak a ni thei. COVID-19 hri kai nen a inzawm tlat a ni.

I fa hian khawsik a nei reng a, kan sawiho tawh symptom dang pakhat aia tam (a pum na, taksa na, mit sen ang chi) a neih chuan hun khawhral suh la, doctor lam pan nghal rawh. I hriat hma leh enkawlna i tan hma poh leh i fa chu a dam leh theihna a sang zawk.

Hlauthawng suh, fimkhur zawk rawh. COVID-19 laka inven nan a tul angin hma la rawh. Nang leh i chhungte hriselna tha neih duhsakna ka hlan e!