Ese umwana wawe afite ibi bimenyetso nyuma ya COVID-19? Reka tuganire kuri MIS-C! (Multisystem Inflammatory Syndrome mu bana - MIS-C)

Ese umwana wawe yakize COVID-19? Nyuma y'ibyumweru bike akize, bamwe mu bana bashobora kugira ibimenyetso bidasanzwe. Ibi ni byo twita MIS-C (Multisystem Inflammatory Syndrome mu bana) . Ishobora kuba indwara ikomeye, bityo ni ngombwa kuyimenya. Reka tubiganireho birambuye uyu munsi, si byo se?

MIS-C ni iki? Reka tubisobanukirwe mu buryo bworoshye.

Mu magambo make, MIS-C ni indwara idakunze kugaragara ku bana bamwe nyuma ya COVID-19. Irangwa no kubyimba ahantu henshi mu mubiri w'umwana, si kimwe gusa. Irangwa no gutukura, kubyimba, no gushyuha imbere mu mubiri. Uku kubyimba bishobora kugira ingaruka cyane cyane kuri ibi bikurikira:

• Ku mutima w'umwana wawe
• Kugeza mu bihaha
• Ku mpyiko
• Ku bwonko
• Ku ruhu
• Ku bw'amaso
• Ku ngingo z'igifu

Iyi ndwara ikunze guherekezwa n'umuriro umara amasaha arenga 24. MIS-C ni indwara ikomeye rimwe na rimwe ishobora gushyira ubuzima mu kaga. Kubwibyo, niba umwana wawe agaragaza ibimenyetso nko kugorwa no guhumeka cyangwa kubabara cyane mu gatuza, ugomba guhita umujyana kwa muganga.

MIS-C ikunze kugaragara gute?

Mu by’ukuri indwara ya MIS-C ni indwara ikunze kugaragara cyane. Ubu bivugwa ko umwana umwe gusa mu bana 3,000 kugeza ku 4,000 banduye virusi ya COVID-19 ni we uzarwara iyi ndwara. Ibi bivuze ko atari buri wese uzarwara, ariko tugomba kwibuka ko ibyago biriho.

Ni irihe tandukaniro riri hagati ya MIS-C na MIS-A?

Ibi byombi mu by’ukuri ni indwara imwe. Itandukaniro riri mu myaka y’umuntu wafashwe.

• MIS-C ni iy'abana n'urubyiruko ruri munsi y'imyaka 21.
• MIS-A ni iy'abantu barengeje imyaka 21.

Nubwo MIS-C ikunze kugaragara kurusha MIS-A, ibimenyetso bishobora kuba bikomeye gato muri MIS-A.

Ni ibihe bimenyetso bya MIS-C? Reka tubimenye neza kurushaho!

Ikintu cy'ingenzi cya MIS-C ni umuriro umara nibura amasaha 24. Byongeye kandi, ibimenyetso birenze kimwe muri ibi bikurikira bishobora kugaragara:

• Kubabara mu gifu cyangwa mu nda
• Kuruka
• Impiswi (kuruka)
• Vertigo (kumva usa n'aho uri kuzunguruka)
• Uduheri ku ruhu (rimwe na rimwe nk'uduheri dutukura)
• Gutukura kw'amaso (kugaragara nk'amaraso)
• Gukunda kurya

Tekereza umwana wawe yanduye COVID-19 maze arakira. Nyuma y'ibyumweru bibiri cyangwa bitatu, yagize umuriro mu buryo butunguranye utagabanuka mu minsi ibiri cyangwa itatu. Yanavuze ko afite ububabare mu nda, kandi afite ibibara bitukura ku mubiri we. Ntiyashakaga kurya. Mu gihe nk'icyo, ugomba gutekereza gato kuri MIS-C.

Ibimenyetso by'impanuka - ibi ni ibintu byo kumenya!

Niba umwana wawe agaragaje kimwe muri ibi bikurikira, ugomba guhita umujyana mu ishami ryita ku bibazo byihutirwa by’ibitaro biri hafi yawe, cyangwa ugahamagara 1990:

• Guhumeka bigoranye (guhumeka biruhije, vuba)
• Ububabare bwo mu gituza budashira (umwana arimo gufata igituza avuga ko kibabaza)
• Urujijo (kubura kwibuka, kuvuga nabi)
• Kubabara mu gifu cyane
• Kugorwa no kuguma uri maso cyangwa kudashobora gukanguka (gusinzira cyane, kudashobora gukanguka nubwo waba urimo kuvugana na we)
• Uruhu rw'ubururu, imvi, cyangwa uruhu rwerurutse, iminwa, cyangwa inzara (ibi bigaragaza ibura rya ogisijeni)

Icy'ingenzi: Ibi bimenyetso bishobora kugaragara atari muri MIS-C gusa, ahubwo no mu zindi ndwara zikomeye. Kubwibyo, niba ubonye ikintu nk'iki , ugomba kujya kwa muganga vuba.

Ni iki gitera MIS-C?

Impamvu nyayo ya MIS-C ntabwo iramenyekana. Kuva iyi ndwara yamenyekana bwa mbere mu ntangiriro za 2020, ubushakashatsi bwakomeje gukora ubushakashatsi ku kibitera n'uko bigira ingaruka ku bana mu gihe kirekire. Ikintu kimwe kirasobanutse: iyi ndwara ni ingaruka z'ubwandu bwa COVID-19. Niba rero umwana wawe afite COVID-19, hari ibyago byo kurwara MIS-C.

Ubushakashatsi bwerekana ko ibi bishobora kuba biterwa nuko ubudahangarwa bw'umubiri bw'umwana butangira gukabya nyuma yo kwandura COVID-19. Muri make, nyuma y'uko ubwirinzi bw'umubiri wacu ku ndwara bumaze kurwanya virusi ya COVID-19, ni nk'aho batangira kwibasira ingingo zabo. Ibi nibyo bitera ububyimbirwe.

Hari kandi n'imyizerere ivuga ko ibintu bigize imiterere y'umubiri bishobora kugira uruhare mu iterambere ry'iki kibazo ku bana bamwe na bamwe.

Ese MIS-C yandura?

Oya, nta gihamya kigaragaza ko MIS-C yandurira mu bana ijya mu bandi. Ariko, COVID-19, ibaho mu bana mbere yuko MIS-C itangira , irandura cyane.

Indwara ya MIS-C ipimwa ite?

Umuganga azasuzuma umwana wawe kandi akore ibizamini bike kugira ngo amenye niba afite MIS-C. Muganga azabaza ibimenyetso by'umwana wawe, igihe amaze afite umuriro, niba yaranduye COVID-19, n'igihe byamubayeho. Niba umwana wawe afite COVID-19 icyo gihe, ugomba guhita ubimenyesha itsinda ry'abaganga.

Ibizamini bishobora kwemeza ko indwara yanduye kandi bikamenya neza ingingo z'umubiri z'umwana zagizweho ingaruka n'iyi ndwara. Bimwe mu bizamini bikorwa muri iki gikorwa ni ibi bikurikira:

• Gupima umutima (Echocardiogram): Suzuma imikorere y'umutima n'ububyimbirwe.
• X-ray yo mu gituza : Reba uko ibihaha byifashe.
• Ultrasound yo mu nda : Gusuzuma niba hari ububyimbirwe bw'ingingo ziri mu nda.
• Gupima CT (Computed Tomography - CT scan) : Niba bibaye ngombwa, reba neza ibice bitandukanye by'umubiri.

Uretse ibi, muganga akunze gupima umwana COVID-19. Bashobora no gukora ibindi bintu, nko gupima amaraso, bitewe n'ibimenyetso by'umwana.

Izindi ndwara zisa na MIS-C (Differential Diagnosis)

Muganga azasuzuma n'izindi ndwara zishobora gutera ibimenyetso by'umwana wawe. Ibi byitwa indwara itandukanye . Ibimenyetso bya MIS-C rimwe na rimwe bishobora gusa n'ibi bikurikira:

• Indwara ya Kawasaki
• Indwara y'uburozi mu gihe cy'ihungabana

Niyo mpamvu ibizamini ari ingenzi kugira ngo hamenyekane neza indwara.

Indwara ya MIS-C ivurwa ite?

Intego nyamukuru yo kuvura MIS-C ni ukugabanya ububyimbirwe no kugenzura ibimenyetso bishobora gushyira ubuzima mu kaga. Uburyo bwo kuvura burimo:

• Gushyira umunyu mu mitsi (IV fluids) : Gukomeza urugero rw'amazi mu mubiri.
• Imiti igabanya ububyimbirwe (ikoreshwa mu kanwa cyangwa mu buryo bwa IV) : Imiti nka corticosteroids , immunoglobulin (IVIG) , na glucocorticoids ikoreshwa muri iki gikorwa.
• Iyo umwana afite ubwandu bwa COVID-19, imiti igabanya ubukana bwa virusi , nka remdesivir, ishobora gutangwa kugira ngo ivurwe.
• Iyo guhumeka bigoye, umwuka uhumeka utangwa hakoreshejwe icyuma gifasha guhumeka (ventilator) .

Niba umwana wawe afite MIS-C, bitewe n'uburemere bw'ibimenyetso bye, azavurirwa mu bitaro cyangwa mu cyumba cyita ku bana barembye (PICU) . Ibi bituma abaganga n'abaforomo bakurikirana umwana wawe neza kandi bakamuvura vuba.

Nzakira vuba gute nyuma yo kuvurwa?

Bishobora gufata iminsi itatu kugeza ku byumweru bibiri kugira ngo umwana yumve ameze neza nyuma yo gutangira kuvurwa. Akenshi umwana agomba kumara iminsi mike mu bitaro, kuko abaganga bakurikirana neza uko umwana ameze.

Ese umwana ashobora kwirindwa kugira MIS-C?

Uburyo bwiza bwo kurinda umwana wawe kwandura MIS-C ni ukumurinda kwandura COVID-19. Ushobora kurinda umwana wawe ubikora ibi bikurikira:

• Urukingo rwa COVID-19(Harimo n'inkingo zongerera imbaraga, niba byasabwe na muganga w'umwana).
• Igisha umwana wawe kwambara agapfukamunwa gapfuka umunwa n'amazuru neza.
• Bwira umwana wawe kwirinda gukora ku maso, ku mazuru no ku munwa kugira ngo wirinde ikwirakwira rya mikorobe.
• Igisha umwana wawe gukaraba intoki kenshi n'isabune n'amazi. Niba nta kabati kari hafi aho, ushobora gukoresha umuti wica intoki urimo nibura 60% by'alcool.
• Irinde kwegerana n'abantu bakekwaho cyangwa bemejwe ko banduye COVID-19.
• Komeza kwitandukanya n'abandi (nibura metero 1.8).
• Komeza gusukura ahantu n'ibintu bikorwaho kenshi kandi byica udukoko.

Wibuke ko izi ngamba z’umutekano zizagufasha kurinda wowe n’umwana wawe indwara ya MIS-C, ndetse no kwirinda izindi ndwara nyinshi, harimo na COVID-19.

Ni iki nakwitega mu gihe umwana wanjye afite MIS-C?

Abana benshi basanzwe barwaye MIS-C barakira burundu. Ariko, nk'uko byavuzwe mbere, mu bihe bidasanzwe, bishobora gushyira ubuzima mu kaga cyangwa bikaba bikomeye. Umwana azakenera kujya mu bitaro. Ndetse na nyuma yo kuvurwa MIS-C, umwana azakenera kujya kwa muganga w'abana . Kubera ko ubushakashatsi bugikomeje ku bijyanye no kumenya niba iyi ndwara ifite ingaruka mbi z'igihe kirekire, muganga azasuzuma umwana amezi menshi nyuma yo kuvurwa kugira ngo arebe neza ko ameze neza.

Indwara ya MIS-C imara igihe kingana iki?

Umwana wawe ashobora kumara ibyumweru bibiri arwaye MIS-C. Ibi bizatandukana bitewe n'uburemere bw'indwara umwana wawe yahuye na yo. Ubuvuzi bushobora kongera igihe cyo gukira no ku musaruro w'umwana wawe.

Ni ryari ngomba kujya kwa muganga?

Niba umwana wawe afite ibimenyetso bya MIS-C, yaba yaranduye COVID-19 cyangwa atarayirwaye, hamagara muganga w'umwana wawe ako kanya. Muganga azakubwira niba ukeneye kujya mu cyumba cyita ku barwayi barembye kandi ashobora gusubiza ibibazo byose ushobora kuba ufite kuri iyi ndwara.

Niba umwana afite ibimenyetso bikomeye, jya mu bitaro byihutirwa cyangwa uhamagare 1990.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Iyo umwana arwaye, cyane cyane mu bihe nk'ibi bya MIS-C, ni ibisanzwe ko wowe nk'umubyeyi ugira ibibazo byinshi. Ushobora kubaza muganga ibintu nk'ibi:

• Ese nkwiye kugumana umwana wanjye mu bitaro?
• Ni ibihe bimenyetso ngomba gukomeza kwitondera?
• Ese hari ingaruka mbi zikomoka ku buvuzi?
• Ni iki nakora kugira ngo umwana wanjye agire icyo ageraho mu gihe arwaye COVID-19?

Gufata umwana wawe ngo ajye kuvurirwa MIS-C bishobora gutera ubwoba. Ariko, abaganga n'abaforomo bazakurikirana umwana wawe amasaha yose kandi bamuvure ibimenyetso kugira ngo bitazamuviramo ibyago. Bamwe mu bana bashobora kugira ibimenyetso byoroheje, abandi bashobora kugira ibibazo bikomeye. Ariko, ubushakashatsi bwerekana ko abana benshi bakira burundu. Ubushakashatsi buracyakorwa kugira ngo harebwe niba MIS-C na COVID-19 bigira ingaruka ku bana mu gihe kirekire.

Muri make, ibintu tugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, reka dusubiremo ingingo z'ingenzi cyane mu byo twavuzeho:

• MIS-C ni indwara idasanzwe ariko ishobora kuba ikomeye ishobora kugaragara ku bana bamwe nyuma ya COVID-19.
• Menya ibimenyetso nk'umuriro umara amasaha arenga 24, kubabara mu gifu, kuruka, impiswi, uduheri ku ruhu, n'amaso atukura .
• Niba ugize ibimenyetso bikomeye nko kugorwa no guhumeka, kubabara mu gatuza, kujijinganya, cyangwa uruhu rw'ubururu/imvi, shaka ubufasha bwihuse bwa muganga.
• Kubera ko COVID-19 ari yo mpamvu nyamukuru itera MIS-C, ikintu cyiza cyo gukora ni ukurinda umwana wawe kuyirwara. Menya neza ko ukurikiza inkingo, udupfukamunwa two mu maso, no gukaraba intoki.
• Abana benshi bakira burundu indwara ya MIS-C, ariko ni ingenzi cyane gukurikiza inama za muganga.

Kwita ku buzima bw'umwana wawe ni cyo kintu cy'ingenzi kurusha ibindi. Kumenya amakuru nk'aya bizagufasha gufata ingamba vuba igihe bibaye ngombwa.

MIS -C, COVID-19, abaganga b'abana, ububyimbirwe, umuriro, kwandura kw'imiyoboro myinshi, ingorane za nyuma ya COVID