Ese umwana wawe yarwaye mu buryo butangaje nyuma ya COVID? Reka tumenye iyi ndwara iteje akaga ya (MIS-C)!

Twese tuzi uburyo icyorezo cya COVID-19 cyahinduye ubuzima bwacu. Akenshi, iyo abana bato barwaye COVID, dutekereza ko itazaba ikomeye nk'iy'abantu bakuru. Ariko, bamwe mu bana, nyuma y'ibyumweru bike gukira COVID-19, batangira kugaragaza ibimenyetso bishya kandi bikomeye. Ibi nibyo abaganga bita MIS-C, cyangwa Multisystem Inflammatory Syndrome mu bana. Impuguke ziracyakora ubushakashatsi ku buryo mu by'ukuri bifitanye isano na COVID-19 n'impamvu bamwe mu bana ari bo bayirwara.

`(MIS-C)` bisobanura iki? Reka tubisobanukirwe neza, si byo se?

Mu magambo make, `(MIS-C)` ni indwara aho sisitemu nyinshi mu mubiri w'umwana, nk'umutima, ibihaha, impyiko, ubwonko, uruhu, n'amaso, zibyimba, cyangwa zibyimba icyarimwe. Tekereza, nk'aho umubiri wose ushyushye kandi ubyimbye imbere. Abaganga muri iki gihe bizera ko ibi bishobora kubaho iyo virusi ya `(COVID-19)` yinjiye mu mubiri maze ubwirinzi bw'umubiri wacu (ubudahangarwa bw'umubiri) bukayirwanya mu buryo bukabije, buteye ubwoba gato. Ibi rimwe na rimwe byitwa `(PMIS)` cyangwa `(PIMS)`, ariko izina `(MIS-C)` ni ryo rikunze gukoreshwa cyane.

Ni ibihe bimenyetso by'umwana ufite `(MIS-C)`?

Noneho reka turebe ibimenyetso umwana ufite `(MIS-C)` ashobora kugaragaza. Ibi bishobora gutandukana gato bitewe n'umwana, ariko ibimenyetso bikunze kugaragara ni ibi bikurikira:

• Umuriro udashira: Ibi bivuze umuriro umara iminsi myinshi udashira. Wenda umuriro urenze dogere selisiyusi 38 (100.4 Fahrenheit).
• Kubabara mu nda cyane: Umwana ashobora kugira ububabare mu nda bukabije.
• Kuruka cyangwa impiswi : Ugomba kugira impungenge niba uhora uruka cyangwa niba urimo kwitumamo amazi menshi.
• Uduheri ku ruhu: Uduheri duto dutukura, rimwe na rimwe tumeze nk'uduheri dushobora kugaragara mu bice bitandukanye by'umubiri.
• Iminwa isa n'umutuku kandi yacitse: Iminwa ishobora gutukura bidasanzwe, yumye, kandi yacitse. Hari igihe ururimi rushobora no kugaragara nk'umutuku nk'umurama.
• Ubutukura bw'amaso: Imboni z'amaso zishobora guhinduka umutuku, nk'aho zanduye indwara y'amaso. Ariko, amarira ntakunze kugaragara.
• Gutukura no kubyimba kw'ibiganza n'ibirenge: Ibiganza n'ibirenge, cyane cyane ibirenge n'ibirenge, bishobora gutukura no kubyimba.

Uretse ibi bimenyetso, hari abana bamwe bashobora no kubyimba imitsi yo mu ijosi (nk'uko umuntu ababara mu muhogo). Hari n'igihe umuntu ashobora kuribwa umutwe cyane, kubabara umubiri, guhumeka bigoranye , ndetse no kubabara mu gatuza .

Ni ryari tugomba kujya kwa muganga? Ni ryari tugomba kujya kwa muganga byihutirwa?

Niba umwana wawe amaze iminsi myinshi afite umuriro kandi akagira ibimenyetso birenze kimwe muri ibyo byavuzwe haruguru, ugomba guhita ubonana na muganga . Ibi biterwa nuko imiterere y'abana bafite iyi ndwara ya '(MIS-C)' ishobora kwiyongera mu buryo butunguranye. Kubwibyo, ni byiza gushaka inama kwa muganga udatakaje igihe. Cyane cyane niba hari kimwe muri ibi bimenyetso bikurikira, ugomba kumujyana mu ishami ryihutiye kwita ku bitaro biri hafi yawe vuba:

• Niba umwana asa n'ufite ikibazo gikomeye kandi afite intege nke cyane ku buryo atabasha no kumureba .
• Niba wumva ufite ikibazo cyo guhumeka , inkorora, cyangwa uhumeka vuba.
• Niba uvuga ububabare mu gituza , cyangwa niba uvuga uburibwe mu gituza cyawe.
• Iyo igifu kibabara cyane , umwana ashobora kunanirwa no guhagarara agororotse.
• Niba iminwa yawe cyangwa isura yawe isa n'ubururu (ibi bivuze ko umubiri wawe utari kubona ogisijeni ihagije).
• Niba umwana asinziriye cyane , cyangwa asa n'utazi icyo avuga , afite ubwoba, cyangwa asa n'aho atumva icyo uvuga.

Ugomba kandi kubwira umuganga niba umwana wawe yigeze kugira COVID-19 , cyangwa niba yarahuye n'umuntu ufite COVID-19. Ayo makuru ni ingirakamaro cyane mu gusuzuma indwara.

Ni izihe ngorane zishobora guterwa na `(MIS-C)`?

Iyi ndwara, yitwa `(MIS-C),` ishobora gutera ingorane zitandukanye kuva ku mwana kugeza ku mwana. Kubera ko idafata igice kimwe cy'umubiri gusa. Ahanini, iyi ndwara ishobora gufata ibice byinshi by'umubiri, nko mu mutima, mu maraso, mu mitsi y'amaraso, mu ruhu, mu mara (mu gifu), mu maso, mu mpyiko no mu bwonko. Hari igihe, ibi bishobora kwangiza ibyo bice by'umubiri by'igihe gito cyangwa igihe kirekire. Abaganga bahangayikishijwe cyane cyane n'ingaruka bigira ku mutima. Kubera ko imitsi y'umutima ishobora kubyimba, igice gikikije umutima gishobora kubyimba, cyangwa ibibazo bishobora kubaho mu mitsi ijyana amaraso mu mutima.

Ni gute abaganga bapima `(MIS-C)`?

Noneho ushobora kuba wibaza uburyo abaganga bashobora kumenya niba iyi ari MIS-C. Ibimenyetso bya MIS-C bishobora gusa n'izindi ndwara zo mu bwana, nka indwara ya Kawasaki, indwara ikomeye iterwa n'ubwandu bwa bagiteri bwitwa toxic shock syndrome, cyangwa izindi ndwara za virusi. Rero niba umuganga akeka ko umwana afite MIS-C, azabanza apime kugira ngo arebe niba umwana yaranduye COVID-19 cyangwa aherutse kwandura. Byongeye kandi, bazakora ibizamini bitandukanye kugira ngo barebe ingano y'ububyimbirwe buri mu mubiri. Bazapima kandi kugira ngo barebe niba hari ibyangiritse ku ngingo zitandukanye z'umubiri, cyane cyane umutima. Muri ibi bikunze kuba harimo:

• Gupima amaraso n'inkari: Ibi bishobora kukubwira byinshi ku kubyimba mu mubiri, imikorere y'ingingo zitandukanye, ndetse niba hari ibibazo byo kuvura amaraso.
• X-ray yo mu gituza: Reba uko ibihaha byifashe.
• Ibizamini byihariye byo gusuzuma umutima :
• "ECG - electrocardiogram": Iyi ireba imikorere y'amashanyarazi y'umutima, ni ukuvuga umuvuduko w'umutima.
• "Echocardiogram": Ibi ni nk'isuzuma ry'umutima rya "ultrasound". Rishobora kureba ibintu byinshi by'ingenzi, nk'imiterere y'umutima, imitsi, imiyoboro y'amaraso, n'uburyo umutima utera amaraso neza.
• Gupima mu nda hakoreshejwe ultrasound: Kugira ngo harebwe niba hari ububyimbirwe cyangwa ibindi bibazo mu ngingo zo mu nda.

Hari igihe abaganga bashaka ubufasha bw'inzobere zitandukanye kugira ngo basuzume neza kandi bavure iyi ndwara ya 'MIS-C'. Harimo impuguke mu ndwara zandura, abaganga b'umutima, abaganga b'indwara zo mu mara (abavura amagufwa, ingingo, n'ubudahangarwa bw'umubiri), abaganga b'indwara z'amaraso, n'abaganga b'inzobere mu by'ubuvuzi bw'ibanze. Bakorana kugira ngo bategure uburyo bwiza bwo kuvura umwana wawe.

Ni ubuhe buryo bwo kuvura `(MIS-C)`?

Uburyo umwana avurwa n'indwara ya `(MIS-C)` buterwa n'ibimenyetso by'umwana, ibisubizo by'ibipimo, n'uburemere bw'indwara. Si buri mwana wese uhabwa ubuvuzi bumwe. Ubusanzwe abaganga bagerageza kugabanya ububyimbirwe mu mubiri, gukumira kubyimba kw'amaraso (hari abana bashobora kuba bafite ibyago byo kubyimba kw'amaraso), no kurinda ingingo zanduye kwangirika kurushaho. Ibi birimo:

• Ogisijeni: Niba ugorwa no guhumeka, ha umubiri wawe ogisijeni ikenewe.
• Ibinyobwa biva mu mitsi (IV fluids): Ibi bivuze gushyira ibintu nk'umunyu mu mitsi. Ibi bifasha kugenzura urugero rw'amazi mu mubiri no gutuma umuvuduko w'amaraso udahinduka.
• Ubwoko butandukanye bw'imiti (imiti):
• Imiti nka steroid cyangwa antibody yihariye yitwa Intravenous Immunoglobulin (IVIG) ishobora gutangwa kugira ngo igabanye ububyimbirwe no kugenzura imikorere ikabije y’ubudahangarwa bw’umubiri.
• Imiti mike nka aspirine ishobora gutangwa kugira ngo hirindwe kubyimba kw'amaraso.
• Iyo umutima wagize ikibazo, imiti yihariye irashobora gutangwa.
• Iyo hari abana barwaye indwara ikomeye, bashobora gukenera kujya mu cyumba cy’indembe (ICU) cy’ibitaro no guhabwa ubuvuzi bwihariye bakurikiranwa buri gihe.

Ni iki kindi dukeneye kumenya kuri `(MIS-C)`? (Ibintu by'ingenzi)

Ni ingenzi cyane ko umenya amakuru make kuri iki kibazo.

Gukira no gukurikirana

Akenshi, abana bafite `(MIS-C)` barakira nyuma yo kuvurirwa mu bitaro. Ayo ni amakuru meza cyane. Ariko, bamwe mu bana, cyane cyane abafite ibibazo by'umutima, bashobora kugira ibibazo by'igihe kirekire. Kubwibyo, bagomba gukomeza gukurikiranwa n'inzobere ndetse na nyuma yo gutaha (ubuvuzi bwo gukurikirana) .

• Urugero, umwana urwaye MIS-C wagize ikibazo cy'umutima azakenera kubonana na muganga w'indwara z'umutima kandi agakorerwa ibizamini nka echocardiogram. Ashobora gukenera guhagarika imyitozo ngororamubiri, kwiruka no gukina siporo igihe runaka kugeza igihe muganga abimubwiye.
• Nanone, abana bafata imiti imwe n'imwe (nk'imiti igabanya ububyimbirwe) bashobora gukenera kubonana n'inzobere mu ndwara z'imitsi cyangwa inzobere mu by'imiti ikoreshwa mu gihe cy'indwara kugira ngo bagabanye buhoro buhoro urugero rw'imiti kandi bahindure uko bikenewe.

Iki ni ikibazo kidasanzwe cyane.

Byagombye kandi kuvugwa ko `(MIS-C)` ari indwara idasanzwe. Ibyo bivuze ko atari buri mwana wese urwara `(COVID-19)` uyirwara. Niba abana ibihumbi amagana barwara COVID, ni bake cyane muri bo bazarwara `(MIS-C). Kubwibyo, ntugahangayike cyangwa ngo ugire ubwoba bitari ngombwa. Ariko, ni ngombwa kumenya ibimenyetso.

Kwirinda ni byiza cyane!

Uburyo bwiza bwo kwirinda iki kibazo cya `(MIS-C)` ni ukwirinda ikwirakwira rya `(COVID-19)`. Ibyo byitwa:

• Buri wese ufite imyaka irenga 6 agomba kubona urukingo rwa `(COVID-19)` ku gihe. Urukingo rugezweho ruboneka ubu rutanga uburinzi bwiza ndetse n'ubwoko busanzwe bwa virusi. Gukingirwa bishobora kugabanya ibyago byo kugira ibibazo bikomeye bituruka kuri `(COVID-19)` ndetse na `(MIS-C)`. (Uko tubizi, ibi ntibiboneka mu bitaro bya leta muri Sri Lanka, kandi sinzi niba biboneka mu bigo byigenga)

Uretse ibyo, kugira ngo wirinde indwara, ni byiza gukora ibi bintu buri munsi, sibyo?

• Karaba intoki zawe neza n'isabune n'amazi byibuze mu gihe cy'amasegonda 20. Koresha isabune cyangwa umuti wica udukoko urimo nibura 60% by'alukori.
• Irinde abantu basa n'abarwaye, cyane cyane abafite inkorora n'ibicurane.
• Komeza ahantu hakunze gukorwaho kenshi (amatako y'inzugi, aho kubika ibikoresho, ameza, telefoni, nibindi) hasukuye uko bishoboka kose.
• Gerageza guhumeka umwuka mwiza uko bishoboka kose. Ibi bivuze gufungura inzugi n'amadirishya kugira ngo ubone umwuka mwiza, no kumarana umwanya hanze.

Ikintu cy'ingenzi twese tugomba kwibuka! (Ubutumwa bwo kujyana mu rugo)

Rero, ndizera ko ubu usobanukiwe neza icyo twavuzeho, `(MIS-C)`. Ikintu cy'ingenzi ugomba kwibuka ni uko `(MIS-C)` ari indwara ikomeye cyane, ariko idakunze kugaragara , abana bamwe bashobora kurwara nyuma yo kwandura `(COVID-19)`.

Niba umenye ibimenyetso neza, ntugatinye, kandi ubyereke muganga vuba, ushobora guha umwana wawe ubuvuzi bukenewe kandi ukamukiza. Nanone, kwirinda `(COVID-19)` ni bwo buryo bwiza bwo kwirinda `(MIS-C)`. Bityo rero, twese dukurikize imyitwarire y'ubuzima, turinde abana bacu ndetse natwe ubwacu! Niba ufite gushidikanya, baza muganga w'umuryango wawe cyangwa umuganga w'abana.