Ese umwana wawe na we arwaye iyi ndwara idasanzwe nyuma ya COVID-19? Reka tuvuge kuri Multisystem Inflammatory Syndrome mu bana (MIS-C)!

Ushobora kuba warumvise ibya virusi ya COVID-19. Tuzi ko akenshi iyo abana bato bayirwaye, itabagiraho ingaruka mbi nk'uko ibagiraho abantu bakuru. Ariko, bamwe mu bana bashobora kugira ibimenyetso bikomeye nyuma y'ibyumweru bike banduye COVID-19. Ibyo ni byo abaganga bita Multisystem Inflammatory Syndrome mu bana , cyangwa MIS-C mu magambo ahinnye. Impuguke ziracyashakisha icyo ari cyo n'impamvu bibaho ku bana bamwe gusa. Ariko ni ngombwa kubimenya.

Iyi ndwara ya MIS-C ni iki mu by'ukuri?

Mu magambo make, MIS-C ni indwara aho sisitemu nyinshi, cyangwa ingingo, mu mubiri w'umwana zishyuha icyarimwe. Tekereza nawe, iyo umubiri wacu urimo kurwanya ubwandu, ubudahangarwa bwacu bw'umubiri bukora cyane. Hari igihe, nyuma yo kwandura COVID-19, ubu budahangarwa bw'umubiri bugenda bucika intege bugatangira kugira ingaruka ku bice bitandukanye by'umubiri. Ibyo nibyo bibaho cyane cyane muri MIS-C.

Ibi si ibintu bibaho mu minsi ibiri cyangwa itatu nyuma yo kwandura COVID-19. Ubusanzwe bifata ibyumweru bibiri kugeza kuri bitandatu nyuma yo kwandura COVID-19 kugira ngo ugaragaze ibi bimenyetso bya MIS-C. Niba umwana wawe aherutse kwandura COVID-19, cyangwa yahuye n'umuntu urwaye COVID-19, ni byiza kuba maso gato kuri ibi.

Ni ibihe bimenyetso bya MIS-C? Twabimenya dute?

Umwana urwaye MIS-C ashobora kugira ibimenyetso bitandukanye kuko agira ububyimbirwe mu mubiri we wose. Si buri mwana wese uzagira ibi bimenyetso byose, kandi uburemere bw'ibimenyetso bushobora gutandukana. Ariko, hari ibimenyetso bimwe na bimwe bikunze kugaragara:

• Umuriro udashira: Ushobora kugira umuriro udashira iminsi myinshi.
• Kubabara mu nda: Ibimenyetso bishobora kuba birimo kubabara mu nda cyane, isesemi, kuruka, cyangwa impiswi.
• Uduheri ku ruhu: Uduheri dutukura kandi dusharira dushobora kugaragara ku bice bitandukanye by'umubiri.
• Gutukura no kwangirika kw'iminwa: Iminwa ishobora kuma, gutukura, ndetse ishobora no kwangirika. Ni nko kuvuga ngo "iminwa irashya."
• Amaso atukura: Imboni z'amaso zishobora guhinduka umutuku zikagaragara nk'iz'amaraso. Tuvuga "amaso asa n'ay'amaraso."
• Kubyimba no gutukura kw'amaboko n'ibirenge: Ibiganza n'ibirenge bishobora gutukura no kubyimba.

Kuba ufite kimwe cyangwa bibiri muri ibi ntibivuze ko ufite MIS-C. Ibi bimenyetso bishobora no kugaragara mu zindi ndwara zisanzwe. Ariko, niba umwana wawe afite umuriro udashira kandi akagira ibimenyetso birenze kimwe muri ibi (urugero, umuriro urimo ububabare mu gifu no kubabara umubiri), ugomba kujya kwa muganga.

Ibimenyetso bisaba kwitabwaho byihutirwa!

Hari igihe indwara y'abana barwaye MIS-C ishobora kwiyongera vuba cyane. Kubwibyo, ibimenyetso bikurikira by'umuburo bigomba kugaragara:Niba umwana wawe agaragaje kimwe muri ibi, ugomba guhita umujyana mu ishami ryita ku bibazo byihutirwa (ETU) ry’ibitaro biri hafi yawe:

• Niba umwana asa n'uri mu bubabare bwinshi, cyangwa asa n'usinziriye cyane cyangwa urimo urujijo.
• Niba wumva ufite ikibazo cyo guhumeka, cyangwa niba umuvuduko wo guhumeka usa n'aho uri kwiyongera.
• Niba uvuga ku bubabare bwo mu gatuza.
• Niba ufite ububabare bukomeye mu gifu.
• Niba iminwa yawe cyangwa isura yawe isa n'iy'umukara (ibi bivuze ko umubiri wawe utari kubona ogisijeni ihagije).

Muri iki gihe, ntukibagirwe kubwira umuganga niba umwana wawe aherutse kurwara COVID-19 cyangwa yahuye n'umuntu urwaye COVID-19.

Ni izihe ngorane zindi zishobora guterwa na MIS-C?

MIS-C ni indwara ishobora kugira ingaruka ku mwana umwe mu buryo butandukanye n’ubw’undi. Uku kubyimba mu mubiri bishobora kwangiza ingingo zitandukanye. Ingaruka nyamukuru zishobora kuba zirimo:

• Umutima: Imitsi y'umutima ishobora gucika intege kandi imikorere y'umutima ikagabanuka.
• Uturemangingo n'imitsi y'amaraso: Ibibazo byo kuvura amaraso no kubyimba kw'imitsi y'amaraso bishobora kubaho.
• Uruhu: Ibintu nk'ibyangiritse twavuze mbere.
• Uduce tw’igogora: Ibintu nko kubabara mu gifu no gucibwamo bishobora kuba bikomeye.
• Amaso: Ibimenyetso nko gutukura kw'amaso.

Hari igihe iyi ndwara yangiritse, cyane cyane ku mutima, ishobora kugira ingaruka z'igihe kirekire. Niyo mpamvu ari ngombwa kumenya indwara hakiri kare no gutangira kuyivura.

Ni gute wasuzuma neza indwara ya MIS-C?

Ibimenyetso bya MIS-C bishobora gusa n'iby'izindi ndwara. Urugero, indwara nka Kawasaki disease cyangwa toxic shock syndrome nabyo bishobora gutera ibimenyetso bisa. Kubwibyo, iyo muganga asuzumye umwana agakeka ko afite MIS-C, azakora ibizamini byinshi kugira ngo yemeze ko arwaye.

Ni ibihe bizamini biri gukorwa kuri ibi?

Ikizamini cya COVID-19 gikoreshwa cyane cyane mu kumenya niba umwana yaranduye COVID-19 cyangwa niba yaranduye uturemangingo tw’umubiri twavuye mu bwandu bwabanje. Byongeye kandi, ibizamini bikoreshwa mu kumenya ingano y’ububyimbirwe mu mubiri no kumenya niba hari ibyangiritse ku ngingo zitandukanye. Ibi bishobora kuba birimo:

• Gupima amaraso n'inkari: Ibi bishobora kugenzura ibintu byinshi, nko kumenya urwego rw'ububyimbirwe mu mubiri (ibimenyetso by'ububyimbirwe), imikorere y'ingingo zitandukanye, n'imiterere y'uturemangingo tw'amaraso.
• X-ray yo mu gituza: Reba ibintu nk'uko ibihaha bihagaze n'ingano y'umutima.
• Ibipimo byihariye bisuzuma umutima:
• ECG (electrocardiogram): Ibi bipima imikorere y'amashanyarazi y'umutima.
• Echocardiogram (ultrasound y'umutima): Ibi ni nk'isuzuma ry'umutima. Rishobora gusuzuma ibintu byinshi by'ingenzi nko imiterere y'umutima, imikorere y'imitsi, n'imiterere y'uturemangingo tw'amaraso.
• Ultrasound yo mu nda: Kureba uko ingingo zo mu nda zimeze, nk'umwijima n'umwobo.

Ubufasha butangwa n'abaganga b'inzobere

Kubera ko MIS-C ari indwara igoye, gusuzuma no kuvura akenshi bireba itsinda ry'inzobere ziturutse mu nzego zitandukanye, atari umuganga umwe gusa. Iri tsinda rishobora kuba rigizwe na:

• Inzobere mu ndwara zandura
• Abaganga b'indwara z'umutima
• Inzobere mu kuvura rubagimpande
• Inzobere mu by'amaraso
• Inzobere mu by’ubuvuzi bw’abarwayi bakomeretse

Ni mu guhuza ubumenyi bw'abo bantu bose, niho hagenwa uburyo bwiza bwo kuvura umwana.

Indwara ya MIS-C ivurwa ite?

Uburyo bwo kuvura MIS-C butandukana bitewe n'umwana. Biterwa n'ibimenyetso by'umwana n'ibisubizo by'ibizamini. Intego nyamukuru z'ubuvuzi ni uku:

• Kugabanya ububyimbirwe mu mubiri.
• Kurinda amaraso kuzura bidakenewe.
• Kugira ngo urinde urugingo rwangiritse kugira ngo rutazongera kwangirika.

Abaganga bashobora gukoresha uburyo butandukanye bwo kuvura kuri ibi:

• Ogisijeni: Niba ufite ikibazo cyo guhumeka.
• Imiti: Imiti nka steroidi zo kugabanya ububyimbirwe, imiti yitwa immunoglobulins (IVIG) yo kugenzura ubudahangarwa bw'umubiri, hamwe n'imiti irinda kuvura amaraso ishobora gutangwa.
• Ibinyobwa biva mu mitsi (IV): Ibintu nk'umunyu bitangwa iyo umubiri wabuze amazi cyangwa niba umuvuduko w'amaraso uri hasi.

Iyo abana bamwe bafite ikibazo gikomeye, bashobora gukenera kujya mu cyumba cy’indembe (ICU) no kuvurwa by’umwihariko.

Ibindi bintu by'ingenzi ugomba kumenya

Mu gihe tuvuga kuri MIS-C, ni byiza kuzirikana ibindi bintu bike.

Ese ndacyakeneye kwitabwaho nyuma yo kuva mu bitaro?

Abana benshi barakira nyuma yo kuvurwa mu bitaro. Ariko, bamwe mu bana bashobora kugira ibibazo by'igihe kirekire bitewe na MIS-C. Kubwibyo, ni ngombwa gukomeza kwita ku mwana wawe ukurikije amabwiriza ya muganga ndetse na nyuma yo gutaha uvuye mu bitaro.

Urugero:

• Umwana ufite umutima wagizweho ingaruka na MIS-C azakomeza koherezwa kwa muganga w’indwara z’umutima.Ugomba guhura no kwisuzumisha buri gihe. Ushobora kandi kugabanya imyitozo ngororamubiri, kwiruka no gukina igihe runaka. Ugomba kuguma umeze utyo kugeza igihe muganga azakubwiye ati "Sawa, nta kibazo ubu."
• Niba ukomeje gukoresha imiti nka steroid kugira ngo ugabanye ububyimbirwe, ugomba kugisha inama inzobere mu ndwara z'imitsi cyangwa inzobere mu by'imiti kugira ngo ugabanye cyangwa uhindure neza imiti.

Bityo rero, ni ngombwa cyane gukurikiza amabwiriza atangwa n'abaganga neza no kujyana umwana mu mavuriro akwiye.

Uburyo bwiza bwo kwirinda MIS-C

Mu by’ukuri, MIS-C ni indwara idakunze kugaragara . Ariko, kubera ko ishobora kuba ikomeye, twagombye kugerageza kuyirinda uko dushoboye kose. Uburyo bwiza bwo kwirinda MIS-C ni ukwirinda kwandura COVID-19.

• Kugira ngo ibyo bigerweho, ni ngombwa cyane ko buri wese ufite imyaka irenga 6 abona inkingo za COVID-19 kandi akazikomeza kugezwaho amakuru agezweho . Inkingo nshya ziboneka ubu zitanga uburinzi ku bwoko busanzwe bwa COVID-19.

Ibuka ibi bintu kugira ngo wirinde indwara zisanzwe.

Kugira ngo hirindwe ikwirakwira ry'indwara iyo ari yo yose, atari COVID-19 gusa, ni byiza ko buri wese akurikiza izi ngeso zoroheje z'ubuzima:

• Karaba intoki zawe kenshi kandi neza. Karaba intoki zawe n'isabune n'amazi byibuze amasegonda 20. Niba isabune n'amazi bitaboneka, koresha umuti wica udukoko urimo nibura 60% by'alukori.
• Irinde kwegerana n'abantu barwaye. Irinde kwegerana n'abantu bafite ibimenyetso nk'umuriro, inkorora n'ibicurane.
• Komeza gusukura ahantu hakunze gukorwaho kenshi. Hanagura buri gihe ibikoresho by'inzugi, aho babika ibikoresho, na telefoni.
• Gerageza guhumeka umwuka mwiza uko bishoboka kose. Niba uri mu nzu, fungura amadirishya ureke umwuka mwiza winjire. Ni byiza kandi gusohoka hanze.

Amaherezo, amaherezo, ibuka ibi (Ubutumwa bwo kujyana mu rugo)

Sawa, twavuze byinshi kuri MIS-C. Ikintu cy'ingenzi cyo kwibuka ni uko iyi ari indwara idasanzwe, ariko ishobora kuba ikomeye. Ifitanye isano n'ubwandu bwa COVID-19.

Niba umwana wawe afite umuriro udashira n'ibindi bimenyetso byinshi twavuzeho (nk'ububabare bw'igifu, kubabara umubiri, amaso atukura), ntugapfushe umwanya ahubwo shaka ubufasha kwa muganga ako kanya. Uko ubimenye kare ugatangira kuvurwa, niko umwana wawe ashobora gukira.

Ntugatinye, ariko witondere. Fata ingamba zikenewe kugira ngo wirinde COVID-19. Twifurije ubuzima bwiza wowe n'umuryango wawe!

` MIS-C, COVID-19 Abana, Multisystem infection Syndrome, Abana, Umuriro, Ububyimbirwe, Indwara z'Umutima