Ushobora kuba warumvise ibya virusi ya COVID-19. Muri rusange tuzi ko iyo abana bayinduye, badakunze kugira ibimenyetso bikomeye bigaragara ku bantu bakuru. Ariko, ku bana bamwe, ibimenyetso bikomeye bishobora kugaragara nyuma y'ibyumweru byinshi banduye COVID-19. Abaganga bita iyi ndwara indwara yitwa Multisystem Inflammatory Syndrome mu bana , cyangwa (MIS-C) . Nubwo abashakashatsi bagishakisha impamvu ibi bigira ingaruka ku bana bamwe gusa, ni ngombwa ko ubimenyeshwa.
MIS-C ni iki mu by'ukuri?
Mu magambo make, MIS-C ni indwara aho sisitemu zitandukanye cyangwa ingingo nyinshi mu mubiri w'umwana zishyuha icyarimwe. Tekereza kuri ubu buryo: uko umubiri wacu urwanya ubwandu, ubudahangarwa bwacu bw'umubiri bukora cyane. Mu bihe bimwe na bimwe, nyuma yo kwandura COVID-19, ubudahangarwa bw'umubiri bukora cyane bugatangira kwibasira ibice bitandukanye by'umubiri. Iyo ni yo mikorere y'ingenzi ya MIS-C.
Ibi ntibibaho nyuma y'iminsi mike gusa nyuma yo kwandura COVID-19. Ubusanzwe, ibimenyetso bya MIS-C bitangira kugaragara nyuma y'ibyumweru bibiri kugeza kuri bitandatu nyuma yo kwandura COVID-19. Kubwibyo, niba umwana wawe aherutse kwandura COVID-19 cyangwa yahuye n'umuntu wanduye, ni ngombwa gukomeza kuba maso.
Ni ibihe bimenyetso bya MIS-C kandi ni gute wabimenya?
Kubera ko MIS-C itera ububyimbirwe bukabije, ishobora kugaragara mu bimenyetso bitandukanye. Si buri mwana uzagaragaza ibimenyetso byose, kandi ubukana bwabyo bushobora gutandukana. Ariko, hari ibimenyetso bimwe na bimwe ukwiye kureba:
- Umuriro uhoraho: Umuriro umara iminsi myinshi kandi ntugabanuka.
- Ububabare bwo mu nda: Ushobora kubona ububabare bukomeye mu gifu, isesemi, kuruka, cyangwa impiswi.
- Ibisebe: Ibisebe bitukura, rimwe na rimwe bikururana, bishobora kugaragara ku bice bitandukanye by'umubiri.
- Iminwa itukura n'iyacitse: Iminwa ishobora kuma cyane, igatukura cyane, ndetse ikaba ishobora no gucikamo ibice.
- Amaso asa n'amaraso: Igice cy'umweru cy'amaso gishobora kugaragara nk'umutuku, akenshi kigasa n'amaraso asa n'amaraso.
- Kubyimba no gutukura kw'amaboko n'ibirenge: Ibiganza n'ibirenge bishobora gutukura no kubyimba.
Ntugatinye kubera ko umwana wawe agaragaza kimwe cyangwa bibiri muri ibi bimenyetso, kuko akenshi bishobora kugaragara mu zindi ndwara nyinshi zisanzwe mu bwana. Ariko, niba umwana wawe afite umuriro udashira ujyana n'ibimenyetso birenze kimwe muri ibyo byavuzwe (urugero, umuriro hamwe no kubabara mu nda no kurwara uduheri ku ruhu), ugomba kugisha inama muganga vuba.
Ibimenyetso by'umuburo bisaba kwitabwaho byihuse!
Mu bihe bimwe na bimwe, indwara y'umwana ishobora kwangirika vuba. Kubwibyo, niba umwana wawe agaragaje kimwe muri ibi bikurikira, ugomba kumujyana mu ishami ryita ku bibazo byihutirwa by'ibitaro biri hafi yawe vuba:
- Umwana asa n'utameze neza cyane, afite ibitotsi bikabije, cyangwa agaragaza ibimenyetso byo kutamenya.
- Guhumeka bigoranye cyangwa guhumeka vuba, guhumeka nabi.
- Ibirego by'ububabare mu gituza.
- Ububabare bukomeye kandi buhoraho mu nda.
- Guhinduka ibara ry'umukara ku minwa cyangwa mu maso (ibi bigaragaza ko umubiri utari kubona ogisijeni ihagije).
Mu gihe cy’ibibazo nk’ibi, buri gihe menyesha abakozi b’abaganga niba umwana wawe aherutse kurwara COVID-19 cyangwa yahuye n’umuntu wanduye COVID-19.
Ni izihe ngorane zindi zishobora guterwa na MIS-C?
MIS-C igira ingaruka ku mwana mu buryo butandukanye. Ububyimbirwe buterwa n'iyi ndwara bushobora kwangiza ingingo zitandukanye. Ibintu by'ingenzi bishobora kwibasirwa nabyo birimo:
- Umutima: Kugabanuka kw'imitsi y'umutima cyangwa kubangamira imikorere y'umutima.
- Uturemangingo n'imitsi y'amaraso: Ibibazo byo kuvura amaraso cyangwa kubyimba kw'imitsi y'amaraso.
- Uruhu: Ibisebe cyangwa izindi mpinduka z’uruhu.
- Uduce tw'igogora: Kubabara cyane mu nda cyangwa impiswi.
- Amaso: Gutukura cyangwa uburibwe.
Hari igihe, cyane cyane iyo umutima ugize ikibazo, izi ngorane zishobora gutera ingaruka ku buzima bw'igihe kirekire. Niyo mpamvu gusuzuma hakiri kare no kuvurwa vuba n'inzobere za Nirogi Lanka ari ingenzi cyane.
Ni gute indwara ya MIS-C ipimwa?
Ibimenyetso bya MIS-C bishobora guhurirana n'ibindi bibazo, nk'indwara ya Kawasaki cyangwa indwara ya toxic shock. Kubera iyo mpamvu, niba muganga akeka ko MIS-C ari yo, azakora ibizamini byinshi byo gusuzuma indwara kugira ngo yemeze iyo ndwara.
Ni ibihe bizamini bikorwa?
Gupima by'ibanze birimo ibizamini byo gusuzuma COVID-19 kugira ngo hamenyekane niba umwana wawe afite ubwandu cyangwa ko yahuye nabwo mbere (binyuze mu gusuzuma ubudahangarwa bw'umubiri). Ibizamini by'inyongera bikoreshwa mu gusuzuma ingano y'ububyimbirwe no kugenzura niba ingingo z'umubiri zarafashwe, harimo:
- Ibipimo by'amaraso n'inkari: Ibi bipima ibimenyetso by'ububyimbirwe, imikorere y'ingingo, n'ubuzima bw'uturemangingo tw'amaraso.
- X-ray yo mu gituza: Gusuzuma imiterere y'ibihaha n'ingano y'umutima.
- Isuzuma ryihariye ry’umutima:
- ECG (electrocardiogram): Gusuzuma imikorere y'amashanyarazi y'umutima.
- Echocardiogram: Ultrasound y'umutima kugira ngo hamenyekane imiterere, imikorere y'imitsi, n'ubuzima bw'imitsi.
- Ultrasound yo mu nda: Gusuzuma ingingo nk'umwijima n'umwobo.
Inkunga ituruka ku bahanga
Kubera ko MIS-C ari ikibazo kigoye, ubuvuzi bukunze gucungwa n'itsinda ry'abantu bafite ubumenyi butandukanye. Ibi bishobora kuba birimo:
- Inzobere mu ndwara zandura
- Abaganga b'indwara z'umutima
- Inzobere mu kuvura rubagimpande
- Inzobere mu by'amaraso
- Inzobere mu by’ubuvuzi bw’abarwayi bakomeretse
Ubu buhanga buhuriweho butuma umwana wawe abona gahunda nziza kandi yuzuye yo kuvura iboneka mu bigo bya Nirogi Lanka.
Indwara ya MIS-C ivurwa ite?
Uburyo bwo kuvura buratandukanye bitewe n'ibimenyetso byihariye by'umwana wawe n'ibisubizo by'ibizamini byo kwa muganga. Intego z'ingenzi ni izi zikurikira:
- Kugabanya ubushyuhe mu mubiri.
- Kurinda kuvura amaraso bitari ngombwa.
- Kurinda no gushyigikira ingingo zangiritse.
Abaganga bashobora gukoresha uburyo butandukanye bwo kuvura:
- Uburyo bwo kuvura umwuka wa ogisijeni: Iyo hari ikibazo cyo guhumeka.
- Imiti: Steroids zo kugabanya ububyimbirwe, immunoglobulins zo mu mitsi (IVIG) zo gucunga ubudahangarwa bw'umubiri, hamwe n'imiti igabanya amaraso mu mubiri irinda kuvura amaraso.
- Amazi yo mu mitsi (IV): Kuvura umwuma cyangwa gutera inkunga umuvuduko w'amaraso.
Ku ndwara zikomeye, abana bashobora gusabwa kujya mu cyumba cy’indembe (ICU) kugira ngo bakurikiranwe kandi bitabweho byihariye.
Ibindi by'ingenzi bigomba kwitabwaho
Mu gihe urimo ucunga gukira, zirikana ibi bikurikira:
Kwita ku bakurikiranwa nyuma yo gusezererwa
Abana benshi bakira neza iyo bavuwe mu bitaro. Ariko, bamwe bashobora kugira ingaruka z'igihe kirekire ziterwa na MIS-C. Kubwibyo, ndetse no nyuma yo gusubira mu rugo, ni ngombwa gukurikiza amabwiriza ya muganga witonze.
Urugero:
- Niba umutima w'umwana wawe waragizweho ingaruka na MIS-C, azakenera kwitabwaho buri gihe n'inzobere mu by'umutima kugira ngo ajye asuzumwa buri gihe. Ushobora kugirwa inama yo kugabanya imyitozo ngororamubiri cyangwa siporo mu gihe runaka. Ni ngombwa gukurikiza aya mategeko kugeza igihe muganga wawe yemeza ko nta kibazo cyo gusubira mu mirimo isanzwe.
- Niba umwana wawe akeneye imiti y'igihe kirekire nka steroide kugira ngo arwanye ububyimbirwe, uzakenera kugisha inama inzobere mu ndwara z'imitsi cyangwa inzobere mu by'imiti igabanya ububabare . Bazaguha ubuyobozi bw'inzobere mu bijyanye no guhindura cyangwa kugabanya uburibwe bw'iyi miti mu buryo bwizewe.
Ni ingenzi cyane ko ukurikiza amabwiriza ya muganga wawe neza kandi ukareba neza ko umwana wawe yitabira gahunda zose zo kwa muganga.
Uburyo bwiza bwo kwirinda MIS-C
Nubwo MIS-C ari indwara idasanzwe , ishobora kuba ikomeye, bityo tugomba gukora ibishoboka byose kugira ngo tuyirinde. Uburyo bwiza bwo kurinda umwana wawe MIS-C ni ukwirinda kwandura COVID-19.
- Kugira ngo ibi bigerweho, ni ngombwa ko buri wese ufite amezi 6 kuzamura ahora amenya amakuru ajyanye n'inkingo ze za COVID-19. Inkingo zikoreshwa ubu zitanga uburinzi ku bwoko busanzwe bukoreshwa muri iki gihe.
Inama Rusange zo Gukomeza Kugira Indwara N'Ubuzima Buzira Umuze
Uretse COVID-19, gukurikiza izi ngeso zoroheje z'isuku ni uburyo bwiza bwo kwirinda indwara zitandukanye hamwe n'umuryango wawe:
- Karaba intoki zawe kenshi. Koresha isabune n'amazi byibuze amasegonda 20. Niba isabune n'amazi bitaboneka, koresha umuti wica udukoko urimo nibura alcool 60%.
- Irinde abarwaye. Gerageza kwitandukanya n'umuntu wese ugaragaza ibimenyetso nk'umuriro, inkorora, cyangwa ibicurane.
- Komeza gusukura ahantu hakorerwaho ibintu byinshi. Sukura buri gihe ibintu nk'imigozi y'inzugi, aho kubika ibikoresho, na telefoni zigendanwa.
- Shyira imbere umwuka mwiza. Iyo uri mu nzu, fungura amadirishya kugira ngo wongere umwuka uhumeka, cyangwa umarane umwanya uri hanze igihe cyose bishoboka.
Ubutumwa bwa nyuma bwo kujyana mu rugo
Twatanze amakuru menshi kuri MIS-C uyu munsi. Wibuke ko nubwo ari indwara idakunze kugaragara , ari mbi cyane kandi ifitanye isano n'ubwandu bwa COVID-19.
Niba umwana wawe afite umuriro udashira hamwe n'ibindi bimenyetso twavuzeho (nk'ububabare bwo mu nda, uduheri, cyangwa amaso atukura), ntutegereze—shakisha ubufasha bwihuse mu ishami ryita ku bibazo byihutirwa ryo mu gace utuyemo. Gusuzuma no kuvurwa hakiri kare biha umwana wawe amahirwe meza yo gukira vuba.
Komeza gutuza, ariko komeza kuba maso. Fata ingamba zikenewe kugira ngo wirinde COVID-19. Twifurije wowe n'umuryango wawe ubuzima bwiza buturutse ku ikipe ya Nirogi Lanka!
Amagambo ahinnye: MIS-C, COVID-19 mu bana, Multisystem Inflammatory Syndrome, Pediatrics, Umuriro, Inflammation, Ubuzima bw'umutima
