Mwana wenyu ane zviratidzo izvi here mushure meCOVID-19? Ngatitaurei nezveMIS-C! (Multisystem Inflammatory Syndrome muVana - MIS-C)

Mwana wenyu akapora here kubva kuCOVID-19? Mavhiki mashoma mushure mekupora, vamwe vana vanogona kutanga zviratidzo zvisinganzwisisike. Izvi ndizvo zvatinodaidza kuti MIS-C (Multisystem Inflammatory Syndrome in Children) . Inogona kunge iri chirwere chakakomba, saka zvakakosha kuziva nezvacho. Ngatitaurei nezvazvo zvakadzama nhasi, handiti?

Chii chinonzi MIS-C? Ngatinzwisise zviri nyore.

Zvichitaurwa zviri nyore, MIS-C chirwere chisingawanzoitika mune vamwe vana mushure meCOVID-19. Chinoratidzwa nekuzvimba munzvimbo dzakawanda dzemuviri wemwana, kwete imwe chete. Chinoratidzwa nekutsvuka, kuzvimba, uye kudziya mukati memuviri. Kuzvimba uku kunogona kukanganisa zvakanyanya:

• Kumwoyo wemwana wako
• Kumapapu
• Kune itsvo
• Kuuropi
• Kuganda
• Kune maziso
• Kunhengo dzemudumbu

Dambudziko iri rinowanzo perekedzwa nefivha inogara kwemaawa anopfuura makumi maviri nemana. MIS-C chirwere chakakomba chinogona dzimwe nguva kuisa hupenyu panjodzi. Saka, kana mwana wako akaratidza zviratidzo zvakaita sekuoma kufema kana kurwadziwa kwakanyanya muchipfuva, unofanira kumuendesa kuchipatara nekukasika.

MIS-C yakajairika zvakadii?

MIS-C chirwere chisingawanzoitiki. Pari zvino zvinofungidzirwa kuti mwana mumwe chete pavana 3,000 kusvika 4,000 vane COVID-19 ndiye achabata chirwere ichi. Izvi zvinoreva kuti havasi vese vachabata chirwere ichi, asi tinofanira kuyeuka kuti njodzi iripo.

Ndeupi musiyano uripo pakati peMIS-C neMIS-A?

Izvi zvese zviri zviviri zvakafanana. Musiyano uri pazera remunhu akaonekwa aine chirwere ichi.

• MIS-C ndeyevana nevechidiki vari pasi pemakore makumi maviri nerimwe.
• MIS-A ndeyevanhu vane makore anopfuura makumi maviri nerimwe ekuberekwa.

Kunyange hazvo MIS-C yakajairika kupfuura MIS-A, zviratidzo zvinogona kunge zvakanyanya kuipa muMIS-A.

Ndezvipi zviratidzo zveMIS-C? Ngatizvizive zviri nani!

Chinhu chikuru cheMIS-C ifivha inogara kwemaawa angangoita makumi maviri nemana. Pamusoro pezvo, zviratidzo zvinopfuura chimwe chete zvinotevera zvinogona kunge zviripo:

• Kurwadziwa kwemudumbu kana kurwadziwa kwemudumbu
• Kurutsa
• Manyoka (kurutsa)
• Vertigo (kunzwa sekunge uri kutenderera)
• Mapundu paganda (dzimwe nguva semapundu matsvuku)
• Kutsvuka kwemaziso (kuratidzika kunge matsvuku)
• Kuda kudya

Fungidzira, mwana wako akabatwa neCOVID-19 ndokuva nani. Mushure memavhiki maviri kana matatu, akangoerekana atanga fivha isingaderere kwemazuva maviri kana matatu. Akanyunyutawo nezvekurwadziwa mudumbu, uye aiva nemavanga matsvuku pamuviri wake. Aisada kudya. Panguva yakadaro, unofanira kufunga zvishoma nezveMIS-C.

Zviratidzo zve emergency - izvi zvinhu zvekuziva!

Kana mwana wako akaratidza chimwe chezviratidzo zvinotevera, unofanira kumuendesa kuchipatara chiri pedyo nechipatara, kana kufonera 1990:

• Kuoma kufema (kufema kwakaoma, nekukurumidza)
• Kurwadziwa kwechipfuva kusingapere (mwana akabata chipfuva achiti chinorwadza)
• Kuvhiringidzika (kurasikirwa nendangariro, kutaura kusina kujeka)
• Kurwadziwa kwakanyanya mudumbu
• Kuomerwa nekuramba wakamuka kana kutadza kumuka (hope dzakanyanya, kutadza kumuka kunyangwe kana wataurwa naye)
• Ganda rebhuruu, grey, kana rakachenuruka, miromo, kana nzara (izvi zvinoratidza kushomeka kweokisijeni)

Zvakakosha: Zviratidzo izvi zvinogona kuitika kwete chete muMIS-C, asiwo mune zvimwe zvirwere zvakakomba. Saka, kana ukaona chimwe chinhu chakadai , unofanira kuona chiremba nekukurumidza.

Chii chinokonzera MIS-C?

Chinokonzera MIS-C chaicho hachisati chazivikanwa. Kubva pakatanga kuzivikanwa chirwere ichi kutanga kwa2020, tsvakiridzo yakaramba ichiferefeta kuti chii chinokonzera chirwere ichi uye kana chiine mhedzisiro yenguva refu pavana. Chinhu chimwe chete chakajeka: chirwere ichi chinokonzerwa nehutachiona hweCOVID-19. Saka kana mwana wako aine COVID-19, pane njodzi yekubatwa neMIS-C.

Ongororo dzinoratidza kuti izvi zvinogona kunge zvichikonzerwa nekuti masoja emuviri emwana anotanga kurwara zvakanyanya mushure mekutapukirwa neCOVID-19. Zvichitaurwa zviri nyore, mushure mekunge muviri wedu wapedza kudzivirira zvirwere kurwisa hutachiona hweCOVID-19, zvinoita sekunge vanovhiringidzika zvishoma votanga kurwisa nhengo dzavo. Izvi ndizvo zvinokonzera kuzvimba.

Kunewo fungidziro yekuti majini anogona kubatsira pakukura kwechirwere ichi mune vamwe vana.

Ko MIS-C inotapukira here?

Kwete, hapana humbowo hunoratidza kuti MIS-C inotapuriranwa kubva kumwana mumwe kuenda kune mumwe. Zvisinei, COVID-19, iyo inoitika kuvana MIS-C isati yatanga , inotapuriranwa zvakanyanya.

Chirwere cheMIS-C chinoonekwa sei?

Chiremba achaongorora mwana wako uye oita bvunzo shoma kuti aone kana aine MIS-C. Chiremba achabvunza nezvezviratidzo zvemwana wako, kuti ave nenguva yakareba sei aine fivha, kana akaonekwa aine COVID-19, uye kuti yakaitika riini. Kana mwana wako aine COVID-19 panguva iyoyo, unofanira kuudza timu yezvekurapa nekukasika.

Kuongororwa kunogona kusimbisa chirwere ichi uye kuona kuti ndeapi nhengo dziri mumwana dziri kukanganiswa nekuzvimba kwacho. Mimwe yemiedzo inoitirwa izvi ndeiyi:

• Kuongororwa kwemoyo (Echocardiogram): Tarisa mashandiro emoyo uye kuzvimba.
• X-ray yechipfuva : Tarisa mamiriro emapapu.
• Ultrasound yedumbu : Kuongorora kuzvimba kwenhengo dziri mukati medumbu.
• Kuongororwa kweCT (Computed Tomography - CT scan) : Kana zvichidikanwa, nyatsoona zvikamu zvakasiyana zvemuviri.

Pamusoro peizvi, chiremba anowanzo ongorora mwana COVID-19. Vanogonawo kuita zvimwe zvinhu, zvakaita sekuongororwa ropa, zvichienderana nezviratidzo zvemwana.

Zvimwe zvirwere zvakafanana neMIS-C (Differential Diagnosis)

Chiremba achafungawo nezvezvimwe zvirwere zvinogona kukonzera zviratidzo zvemwana wako. Izvi zvinonzi differential diagnosis . Zviratidzo zveMIS-C dzimwe nguva zvinogona kufanana nemamiriro ezvinhu aya:

• Chirwere cheKawasaki
• Chirwere chekuvhunduka kweganda chine chepfu

Ndosaka bvunzo dzichikosha kuti chirwere chionekwe nemazvo.

MIS-C inorapwa sei?

Chinangwa chikuru chekurapa MIS-C ndechekuderedza kuzvimba uye kudzora zviratidzo zvinogona kutyisidzira hupenyu. Sarudzo dzekurapa dzinosanganisira:

• Kuisa saline mutsinga (IV fluids) : Kuchengetedza huwandu hwemvura mumuviri.
• Mishonga inorwisa kuzvimba (inonwiwa kana IV) : Mishonga yakaita se corticosteroids , immune globulin (IVIG) , uye glucocorticoids inoshandiswa pachinangwa ichi.
• Kana mwana aine hutachiona hweCOVID-19, mushonga wekudzivirira mavhairasi , wakadai seremdesivir, unogona kupiwa kuti umurape.
• Kana paine dambudziko rekufema, okisijeni inopihwa uchishandisa mudziyo wekutsigira kufema (ventilator) .

Kana mwana wako aine MIS-C, zvichienderana nekuoma kwezviratidzo zvake, acharapwa muchipatara kana muPediatric Intensive Care Unit (PICU) . Izvi zvinobvumira vanachiremba nevanamukoti kuti vanyatsoongorora mwana wako uye vamupe kurapwa kwakakodzera nekukurumidza.

Ndichakurumidza sei kupora mushure mekurapwa?

Zvinogona kutora mazuva matatu kusvika mavhiki maviri kuti mwana anzwe zviri nani mushure mekutanga kurapwa. Mwana anowanzofanira kugara muchipatara kwemazuva mashoma, sezvo vanachiremba vachinyatsoongorora mamiriro emwana.

Mwana anogona kudzivirirwa here kuti asaite MIS-C?

Nzira yakanakisisa yekudzivirira mwana wako kuti asawane MIS-C ndeyekumudzivirira kubva kuCOVID-19. Unogona kuchengetedza mwana wako nekuita zvinhu izvi:

• Kubaiwa nhomba yeCOVID-19(Kusanganisira majekiseni ekuwedzera, kana akakurudzirwa nachiremba wemwana).
• Dzidzisai mwana wenyu kupfeka chifukidziro chemaziso chinovhara muromo nemhino zvakanaka.
• Udza mwana wako kuti asabata maziso ake, mhino, nemuromo kuti adzivise kupararira kwehutachiona.
• Dzidzisai mwana wenyu kugeza maoko ake nguva nenguva nesipo nemvura. Kana pasina sinki iri pedyo, munogona kushandisa sanitizer ine 60% alcohol.
• Dzivisa kusangana nevanhu vanofungirwa kana kuti vakasimbiswa kuti vane COVID-19.
• Ramba uri kure nevamwe (anenge mamita maviri).
• Chengeta nzvimbo dzinobatwa nguva nenguva nezvinhu zvakachena uye zvakacheneswa nemishonga inouraya utachiona.

Yeukai, matanho aya ekuchengetedza achabatsira kukudzivirirai iwe nemwana wenyu kwete chete kubva kuMIS-C, asiwo kubva kune zvimwe zvirwere zvakawanda, kusanganisira COVID-19.

Chii chandingatarisira kana mwana wangu aine MIS-C?

Vana vazhinji vanoonekwa vaine MIS-C vanopora zvachose. Zvisinei, sezvambotaurwa, mune dzimwe nguva dzisingawanzoitiki, zvinogona kuisa hupenyu panjodzi kana zvakakomba. Mwana anofanira kuendeswa kuchipatara. Kunyangwe kurapwa kweMIS-C kwapera, mwana anofanira kuona chiremba wevana . Sezvo tsvakiridzo ichiri kuenderera mberi pamusoro pekuti chirwere ichi chine migumisiro yenguva refu here, chiremba achaongorora mwana mwedzi yakati wandei mushure mekurapwa kuti ave nechokwadi chekuti ari kugara zvakanaka.

Chirwere cheMIS-C chinotora nguva yakareba sei?

Mwana wenyu anogona kunge achirwara kwemavhiki maviri neMIS-C. Izvi zvinosiyana zvichienderana nekuoma kwechirwere chemwana wenyu. Kurapwa kunogona kuvandudza nguva yekupora kwemwana wenyu uye mhedzisiro yacho.

Ndinofanira kuona chiremba rini?

Kana mwana wako aine zviratidzo zveMIS-C, angave akambobatwa neCOVID-19 kana kuti kwete, taura nachiremba wemwana wako nekukasika. Chiremba achakuudza kana uchida kuenda kuchipatara uye anogona kupindura mibvunzo yako nezvechirwere ichi.

Kana mwana aine zviratidzo zvakakomba, enda kuchipatara nekukurumidza kana kufonera 1990.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Kana mwana achirwara, kunyanya mumamiriro ezvinhu akaita seMIS-C, zvakajairika kuti iwe saamai uve nemibvunzo yakawanda. Unogona kubvunza chiremba zvinhu zvakaita seizvi:

• Ndofanira kuchengeta mwana wangu muchipatara here?
• Ndezvipi zviratidzo zvandinofanira kuramba ndichichenjerera?
• Pane migumisiro yakaipa here yekurapwa kwacho?
• Chii chandinofanira kuita kuti mwana wangu anzwe akasununguka kana aine COVID-19?

Kuenda nemwana wako kuchipatara kunorapwa MIS-C kunogona kutyisa. Zvisinei, vanachiremba nevanamukoti vachanyatsoongorora mwana wako nguva dzese uye vacharapa zviratidzo kuitira kuti zvisave nengozi kuhupenyu. Vamwe vana vanogona kunge vaine zviratidzo zvishoma, nepo vamwe vangave nematambudziko akakomba. Zvisinei, zvidzidzo zvinoratidza kuti vana vazhinji vanopora zvachose. Tsvagiridzo ichiri kuitwa kuti vaone kana MIS-C neCOVID-19 zvine mhedzisiro yenguva refu pavana.

Muchidimbu, zvinhu zvatinofanira kurangarira (Mharidzo Yekuenda Kumba)

Zvakanaka, ngatidzokororei pfungwa dzakakosha kubva pane zvatataura nezvazvo:

• MIS-C chirwere chisingawanzoitiki asi chinogona kunge chakakomba chinogona kuitika mune vamwe vana mushure meCOVID-19.
• Ziva zviratidzo zvakaita sefivha inotora maawa anopfuura makumi maviri nemana, kurwadziwa nemudumbu, kurutsa, manyoka, mapundu eganda, uye maziso matsvuku .
• Kana ukaona zviratidzo zvakakomba zvakaita sekuoma kufema, kurwadziwa pachipfuva, kuvhiringidzika, kana ganda rebhuruu/grey, tsvaga rubatsiro rwechiremba nekukasika.
• Sezvo COVID-19 iriyo honzeri huru yeMIS-C, chinhu chakanakisa chekuita ndechekudzivirira mwana wako kubva pairi. Iva nechokwadi chekutevedzera majekiseni, mamasiki ekumeso, uye kugeza maoko.
• Vana vazhinji vanopora zvachose kubva kuMIS-C, asi zvakakosha zvikuru kutevedzera mazano echiremba.

Kutarisira hutano hwemwana wako ndicho chinhu chakakosha. Kuziva ruzivo rwakadai kuchakubatsira kuti uite chimwe chinhu nekukurumidza kana zvichidikanwa.

MIS -C, COVID-19, vanachiremba vevana, kuzvimba, fivha, hutachiona hwezvinhu zvakawanda, matambudziko epashure peCOVID