Kei te pāngia tō tamaiti e ēnei tohu i muri i te mate COVID-19? Me kōrero tātou mō te MIS-C! (Multisystem Inflammatory Syndrome in Children - MIS-C)

I ora ake tāu tamaiti i te COVID-19? I muri i ētahi wiki i te ora ake, tera pea ka puta he tohu rerekē ki ētahi tamariki. Koinei te mea e kiia nei e mātou ko te MIS-C (Multisystem Inflammatory Syndrome in Children) . He mate kino pea tēnei, nō reira he mea nui kia mōhio koe ki tēnei. Me kōrero taipitopito tātou mō tēnei i tēnei rā, āe?

He aha te MIS-C? Kia mārama tātou.

He māmā noa iho, he mate onge te MIS-C e pā ana ki ētahi tamariki i muri i te COVID-19. Ko tōna āhua he mumura i ngā wāhi maha o te tinana o te tamaiti, ehara i te mea kotahi anake. Ko tōna āhua he whero, he pupuhi, me te mahana i roto i te tinana. Ka pā pea tēnei mumura ki:

• Ki te ngākau o tāu tamaiti
• Ki ngā pukahukahu
• Mō ngā whatukuhu
• Ki te roro
• Ki te kiri
• Mō ngā kanohi
• Ki ngā whekau o te pūnaha gastrointestinal

Ko te tikanga, ka haere tahi tēnei mate me te kirika e roa ana mō te neke atu i te 24 hāora. He mate kino te MIS-C, ā, i ētahi wā ka mate pea. Nō reira, ki te whakaatu tō tamaiti i ngā tohu pēnei i te uaua ki te manawa, te mamae nui rānei o te uma, me kawe tonu ia ki te hōhipera.

He pēhea te noa o te MIS-C?

He tino onge te mate MIS-C. E kiia ana i tēnei wā kotahi anake i roto i te 3,000 ki te 4,000 tamariki kua pangia e te huaketo COVID-19 ka pāngia e tēnei mate. Ko te tikanga o tēnei, ehara i te katoa ka pāngia e tēnei mate, engari me mahara tātou kei reira te mōrearea.

He aha te rerekētanga i waenga i te MIS-C me te MIS-A?

He rite tonu te āhua o ēnei e rua. Ko te rerekētanga kei te tau o te tangata kua tātaritatia.

• Ko te MIS-C mō ngā tamariki me ngā taiohi kei raro iho i te 21 tau te pakeke.
• Ko te MIS-A he mea whakarite mā te hunga neke atu i te 21 tau te pakeke.

Ahakoa he nui ake te kitea o te MIS-C i te MIS-A, tera pea ka paku kaha ake ngā tohu i roto i te MIS-A.

He aha ngā tohu o te MIS-C? Kia mōhio tātou ki a rātou!

Ko te tohu matua o te MIS-C he kirika e roa ana mō te 24 hāora neke atu rānei. Hei tāpiri, tera pea ka kitea he nui atu i te kotahi o ēnei tohu:

• Mamae puku , mamae puku rānei
• Ruaki
• Te korere (pupuhi)
• Vertigo (te āhua e hurihuri ana koe)
• He ponana kiri (i ētahi wā he whero ngā ira)
• Te whero o ngā kanohi (te āhua toto)
• Hiahia kai

Whakaarohia, i pāngia tō tamaiti e te COVID-19, ā, i ora ake. I muri i ngā wiki e rua, e toru rānei, ka pāngia ia e te kirika, ā, kāore i heke mō ngā rā e rua, e toru rānei. I amuamu anō hoki ia mō te mamae o tōna puku, ā, he whero ngā ira i tōna tinana. Kāore ia i pai ki te kai. I taua wā, me whakaaro koe ki te MIS-C.

Ngā tohu o tētahi āhuatanga ohorere - he mea tino tika kia tūpato koe ki ēnei!

Ki te whakaatu tāu tamaiti i tētahi o ngā tohu e whai ake nei, me kawe tonu ia ki te wāhanga ohorere o te hōhipera tata, me waea atu rānei ki te 1990:

• Te uaua ki te manawa (te uaua o te manawa, te tere o te manawa)
• Te mamae o te uma e kore e memeha (kei te pupuri te tamaiti i te uma me te kī he mamae)
• Pōhēhē (ngaronga mahara, kōrero pōturi)
• He mamae nui o te puku
• Te uaua ki te ara ake, te kore rānei e ara ake (te hiamoe nui, te kore e ara ake ahakoa he kōrero ki a koe)
• He kikorangi, he hina, he mā rānei te kiri, ngā ngutu, ngā maikuku rānei (he tohu tēnei kei te kore he hāora)

He mea nui: Kāore e puta noa ēnei tohu i roto i te MIS-C, engari i roto anō hoki i ētahi atu mate hauora nui. Nō reira, ki te kite koe i tētahi mea pēnei , me toro atu koe ki te tākuta i runga i te wā tonu.

He aha ngā take o te MIS-C?

Kāore anō kia mōhiotia te tino pūtake o te MIS-C. Mai i te tīmatanga o te tautuhi i te mate i te tīmatanga o te tau 2020, kei te haere tonu ngā rangahau ki te tirotiro i ngā pūtake me te mea he pānga roa ki ngā tamariki. Kotahi te mea e mārama ana: he pānga taha tēnei mate o te mate COVID-19. Nō reira, ki te pāngia tāu tamaiti e te COVID-19, tera pea ka pāngia ia e te MIS-C.

E ai ki ngā rangahau, tērā pea nā te mea ka tīmata te pūnaha ārai mate o te tamaiti ki te tauhohe nui rawa i muri i te pangia e te mate COVID-19. He māmā noa iho, i muri i te otinga o ngā parepare a te tinana ki te whawhai ki te huaketo COVID-19, me te mea nei ka pōhēhē rātou, ka tīmata ki te whakaeke i ō rātou ake whekau. Koinei te take e puta ai te mumura.

Tērā anō te whakapono tera pea ka whai wāhi ngā āhuatanga ira ki te whanaketanga o tēnei mate i roto i ētahi tamariki.

He mate hopuhopu te MIS-C?

Kāore, kāore he taunakitanga e whakaatu ana ka horapa te MIS-C mai i tētahi tamaiti ki tētahi atu. Heoi, he tino hopuhopu te COVID-19, e pā ana ki ngā tamariki i mua i te whanaketanga o te MIS-C.

Me pēhea te tautuhi i te mate MIS-C?

Ka tirohia tāu tamaiti e te tākuta, ā, ka whakahaerehia ētahi whakamātautau hei whakatau mēnā kei a ia te MIS-C. Ka pātai te tākuta mō ngā tohumate o tāu tamaiti, te roa o te wā e pāngia ana e te kirika, mēnā i whakamātauhia he pai mō te COVID-19, me te wā i puta ai. Mēnā he COVID-19 kaha tāu tamaiti i taua wā, me kōrero tonu atu koe ki te tīma hauora.

Mā ngā whakamātautau ka taea te whakaū i te mate, ā, ka taea hoki te whakatau ko ēhea ngā okana o te tamaiti e pāngia ana e te mumura. Ko ētahi o ngā whakamātautau e mahia ana mō tēnei kaupapa ko:

• Matawai ngākau (Echocardiogram)Tirohia mēnā kei te mahi te ngākau me te mumura.
• X-ray o te uma : Tirohia te āhua o ngā pukahukahu.
• Whakamātautau oro-ā-roto o te puku : Hei tirotiro mō te mumura o ngā whekau i roto i te puku.
• Matawai CT (Tomography Rorohiko - matawai CT) : Mena e tika ana, tirohia ngā wāhanga rerekē o te tinana kia mārama ake.

Hei tāpiritanga ki tēnei, ka whakamātautau pinepine te tākuta i te tamaiti mō te COVID-19. Tērā pea ka mahi anō rātou i ētahi atu mahi, pērā i ngā whakamātautau toto, i runga i ngā tohumate o te tamaiti.

Ētahi atu āhuatanga rite ki te MIS-C (Taumatatanga Rerekē)

Ka whakaarohia hoki e te tākuta ētahi atu āhuatanga ka puta ai ngā tohu o tāu tamaiti. Ka kiia tēnei he tātaritanga rerekē . I ētahi wā ka rite ngā tohu o te MIS-C ki ēnei āhuatanga:

• Te mate Kawasaki
• Te mate ohorere paitini

Koia te mea nui o ngā whakamātautau hei tautuhi tika i te mate.

Me pēhea te rongoā mō te MIS-C?

Ko te arotahi matua o te maimoatanga mō te MIS-C he whakaiti i te mumura me te whakahaere i ngā tohumate e morearea ana ki te ora. Ko ngā kōwhiringa maimoatanga ko:

• Te hoatu i te tote ki roto i te uaua (ngā wai IV) : Kia mau tonu te taumata o te wai i roto i te tinana.
• Ngā rongoā ārai-mumura (ā-waha, ā-infus rānei) : Ka whakamahia ngā rongoā pēnei i te corticosteroids , te immune globulin (IVIG) , me ngā glucocorticoids mō tēnei kaupapa.
• Mena he mate urutā COVID-19 kei te tamaiti, ka taea te hoatu he rongoā ārai huaketo , pērā i te remdesivir, hei rongoā.
• Mena he uaua ki te manawa, ka hoatu he hāora mā te whakamahi i tētahi taputapu tautoko manawa (he mīhini manawa) .

Mena kei tō tamaiti te MIS-C, i runga i te kaha o ōna tohu, ka rongoatia ia ki te hōhipera, ki te Wāhanga Tiaki Kaha o ngā Tamariki (PICU) rānei . Mā tēnei ka taea e ngā tākuta me ngā nēhi te aroturuki tata i tō tamaiti me te whakarato wawe i te maimoatanga e tika ana.

Kia pēhea te tere o taku ora ake i muri i te maimoatanga?

E toru ngā rā ki te rua wiki pea ka pai ake te āhua o te tamaiti i muri i te tīmatanga o te maimoatanga. He maha ngā wā ka noho te tamaiti ki te hōhipera mō ētahi rā, i te mea ka aro turukihia te āhua o te tamaiti e ngā tākuta.

Ka taea te ārai i te pangia o te pēpi e te MIS-C?

Ko te huarahi pai hei ārai i tāu tamaiti kei pāngia e te MIS-C ko te tiaki i a ia mai i te mate COVID-19. Ka taea e koe te tiaki i tāu tamaiti mā te mahi i ēnei mea:

• Werohanga COVID-19(Tae atu ki ngā werohanga whakakaha, mēnā i tūtohutia e te tākuta o te tamaiti).
• Whakaakona tāu tamaiti kia mau i tētahi kopare kanohi e taupokina pai ai tōna waha me tōna ihu.
• Mea atu ki tāu tamaiti kia kaua e pā ki ō rātou kanohi, ihu, me te waha hei ārai i te horapa o ngā iroriki.
• Whakaakona tāu tamaiti kia horoi pinepine i ōna ringa ki te hopi me te wai. Mēnā kāore he totohu e tata ana, ka taea e koe te whakamahi i tētahi wai horoi ringa kei roto i te 60% te waipiro.
• Āta karohia te whakapā atu ki te hunga e whakapaetia ana, e whakapumautia ana rānei kei a rātou te COVID-19.
• Kia mau ki te tawhiti pāpori mai i ētahi atu (kia 6 putu te iti rawa).
• Kia ma, kia kore hoki e pangia ngā mata me ngā taonga e pāngia pinepinetia ana.

Kia maumahara, mā ēnei mahi haumaru koe me tāu tamaiti e tiaki, ehara i te mea mai i te MIS-C anake, engari mai i ngā mate maha atu anō hoki, tae atu ki te COVID-19.

He aha taku e tumanako atu ai mēnā he MIS-C tā taku tamaiti?

Ko te nuinga o ngā tamariki kua kitea he MIS-C ka ora katoa. Heoi, e ai ki te kōrero i mua ake nei, i ētahi wā tino onge, ka tūpono te ora, ka kino rānei. Me kawe te tamaiti ki te hōhipera. Ahakoa kua oti te maimoatanga mō te MIS-C, me toro atu te tamaiti ki tā rātou tākuta tamariki . I te mea kei te haere tonu ngā rangahau mēnā he pānga taha roa tēnei mate, ka tirohia e te tākuta te tamaiti i ētahi marama i muri i te maimoatanga kia tino mohio ai kei te pai ia.

Kia pēhea te roa o te āhua MIS-C?

Tērā pea e rua wiki te roa o te mate o tāu tamaiti nā te MIS-C. Ka rerekē tēnei i runga i te kaha o te mate kua pā ki tāu tamaiti. Mā te maimoatanga ka pai ake te wā whakaora me te putanga o te mate o tāu tamaiti.

Āhea ahau me toro atu ki te tākuta?

Mena kei tāu tamaiti ngā tohu o te MIS-C, ahakoa he hītori mate COVID-19 tōna, whakapā atu ki te tākuta o tāu tamaiti i taua wā tonu. Mā te tākuta koe e kī atu mēnā me haere koe ki te rūma whawhati tata, ā, ka taea e ia te whakautu i ō pātai mō tēnei mate.

Mena he kino ngā tohu o te mate o te tamaiti, haere tonu ki te wāhanga whawhati tata o te hōhipera, waea atu rānei ki te 1990.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Ina pāngia te tamaiti e te mate, inā koa i roto i tētahi āhuatanga pēnei i te MIS-C, he mea noa ki a koe te whaea kia maha ngā pātai. Ka taea e koe te pātai atu ki te tākuta i ngā mea pēnei:

• Me pupuri taku tamaiti ki te hōhipera?
• He aha ngā tohu me tūpato tonu ahau?
• He pānga taha kei te rongoā?
• Me aha ahau kia pai ai te noho o taku tamaiti ina pangia ia e te COVID-19?

He mea whakamataku pea te kawe i tāu tamaiti ki te hōhipera hei rongoā mō te MIS-C. Heoi, ka aroturukihia e ngā tākuta me ngā nēhi tāu tamaiti i te ao, i te pō, ā, ka rongoāhia ngā tohumate kia kore ai e mate. Tērā pea he tohumate ngawari ō ētahi tamariki, ko ētahi he matemate nui. Heoi, e whakaatu ana ngā rangahau ka ora katoa te nuinga o ngā tamariki. Kei te haere tonu te rangahau kia kitea ai mēnā he pānga roa tō te MIS-C me te COVID-19 ki ngā tamariki.

Hei whakarāpopototanga, ngā mea hei maumahara mā tātou (Karere hei tango ki te kāinga)

Āe, me whakarapopoto tātou i ngā kōrero tino nui o ngā mea kua kōrerohia e tātou:

• He mate onge engari he mate kino pea te MIS-C ka pā ki ētahi tamariki i muri i te COVID-19.
• Kia tūpato ki ngā tohu pēnei i te kirika neke atu i te 24 hāora, te mamae o te puku, te ruaki, te korere, te ponana kiri, me ngā kanohi whero .
• Ki te pāngia koe e ngā tohu kino pēnei i te uaua ki te manawa, te mamae o te uma, te pōhēhē, te kiri kikorangi/hina rānei, rapua tonutia te awhina hauora.
• I te mea ko te COVID-19 te tino take o te MIS-C, ko te mea pai ko te tiaki i tāu tamaiti mai i tēnei mate. Kia mau ki ngā werohanga, ki te mau kopare kanohi, me te horoi ringa.
• Ka ora katoa te nuinga o ngā tamariki i te MIS-C, engari he mea tino nui kia whai i ngā tohutohu a te rata.

Ko te tiaki i te hauora o tāu tamaiti te mea nui rawa atu. Mā te mōhio ki ēnei momo mōhiotanga ka āwhina i a koe ki te mahi wawe ina hiahiatia.

` MIS-C, COVID-19, tamariki, mumura, kirika, mate maha-pūnaha, ngā raruraru i muri i te COVID