Pamwe wakambonzwa nezvehutachiona hweCOVID-19. Kazhinji tinoziva kuti kana vana vakahubata, havawanzoona zviratidzo zvakakomba zvinoonekwa muvakuru. Zvisinei, mune vamwe vana, zviratidzo zvakakomba zvinogona kuoneka mavhiki akati wandei mushure mekutapukirwa kwekutanga kweCOVID-19. Vanachiremba vanodana chirwere ichi seMultisystem Inflammatory Syndrome muVana , kana kuti (MIS-C) . Kunyange hazvo vaongorori vachiri kudzidza kuti nei izvi zvichikanganisa vana vamwe chete, zvakakosha kuti iwe uzive.
Chii chaizvo chinonzi MIS-C?
Zvichitaurwa zviri nyore, MIS-C chirwere apo masisitimu akasiyana-siyana kana nhengo dzakawanda mumuviri wemwana dzinozvimba panguva imwe chete. Funga nezvazvo nenzira iyi: sezvo muviri wedu uchirwisa hutachiona, masoja edu ekudzivirira muviri anotanga kushanda zvakanyanya. Mune zvimwe zviitiko, mushure mekutapukirwa neCOVID-19, masoja ekudzivirira muviri anotanga kushanda zvakanyanya uye anotanga kukanganisa nhengo dzakasiyana dzemuviri. Ndiyo nzira huru yeMIS-C.
Izvi hazvingoitiki mazuva mashoma chete mushure mekubatwa neCOVID-19. Kazhinji, zviratidzo zveMIS-C zvinotanga kuoneka mavhiki maviri kusvika matanhatu mushure mekutapukirwa neCOVID-19. Saka, kana mwana wako achangobva kubatwa neCOVID-19 kana kuti akasangana nemunhu akaongororwa kuti ane chirwere ichi, zvakakosha kuti urambe wakangwarira.
Ndezvipi zviratidzo zveMIS-C uye nzira yekuzviziva?
Nekuti MIS-C inokonzera kuzvimba kwakapararira, inogona kuoneka nezviratidzo zvakasiyana-siyana. Haasi mwana wese acharatidza zviratidzo zvese, uye kuoma kwacho kunogona kusiyana. Zvisinei, kune zvimwe zviratidzo zvakajairika zvaunofanira kutsvaga:
- Fivha Inogara Kwenguva Dzose: Fivha inogara kwemazuva akati wandei isingaderere.
- Marwadzo emudumbu: Unogona kuona kurwadziwa kwakanyanya mudumbu, kuda kurutsa, kurutsa, kana manyoka.
- Mapundu: Mapundu matsvuku, dzimwe nguva anokwenya, anogona kuonekwa panhengo dzakasiyana dzemuviri.
- Miromo Tsvuku Neyakatsemuka: Miromo inogona kuoma zvakanyanya, kutsvuka zvakapenya, uye inogona kutsemuka.
- Maziso Akatsvuka: Chikamu chichena chemaziso chinogona kuoneka sechitsvuku, kazhinji chichitaridzika sechitsvuku.
- Kuzvimba uye Kutsvuka kweMaoko neTsoka: Zvanza netsoka zvinogona kutsvuka uye kuzvimba.
Usavhunduke nekuti mwana wako anoratidza chimwe kana zviviri zvezviratidzo izvi, sezvo zvichiwanzoonekwa mune zvimwe zvirwere zvakawanda zvinowanzoonekwa nevana. Zvisinei, kana mwana wako aine fivha inoramba iripo pamwe chete nezvimwe zviratidzo zvataurwa (semuenzaniso, fivha pamwe nekurwadziwa mudumbu uye mapundu eganda), unofanira kubvunza chiremba nekukurumidza.
Zviratidzo zvekunyevera zvinoda kutarisirwa nekukasika!
Mune zvimwe zviitiko, mamiriro emwana anogona kukurumidza kuipa. Saka, kana mwana wako akaratidza chimwe chezviratidzo zvinotevera, unofanira kumuendesa kuchipatara chiri pedyo nekukasika:
- Mwana wacho anoita seasinganzwe zvakanaka, ane hope dzakanyanya, kana kuti anoratidza zviratidzo zvekuvhiringidzika.
- Kutadza kufema kana kukurumidza, kufema zvakaoma.
- Kunyunyuta nezvekurwadziwa kwechipfuva.
- Kurwadziwa kwakanyanya mudumbu, kunoramba kuripo.
- Kuchinja ruvara rwebhuruu rwemiromo kana kumeso (izvi zvinoratidza kuti muviri hausi kuwana oxygen yakakwana).
Munguva dzenjodzi dzakadai, gara uchizivisa vashandi vezvehutano kana mwana wako achangobva kubatwa neCOVID-19 kana kuti akasangana nemunhu akaonekwa aine COVID-19.
Ndezvipi zvimwe zvinetso zvinogona kumuka kubva kuMIS-C?
MIS-C inokanganisa mwana wese zvakasiyana. Kuzvimba kunokonzerwa nechirwere ichi kunogona kukanganisa nhengo dzakasiyana dzemuviri. Nzvimbo huru dzingakanganiswa dzinosanganisira:
- Mwoyo: Kushaya simba kwetsandanyama yemoyo kana kukanganiswa kwebasa remoyo.
- Masero eropa netsinga dzeropa: Matambudziko ekugwamba kweropa kana kuzvimba kwetsinga dzeropa.
- Ganda: Mapundu kana zvimwe zvinoshanduka paganda.
- Kugayiwa kwezvokudya: Kurwadziwa kwakanyanya mudumbu kana manyoka.
- Maziso: Kutsvuka kana kusvotwa.
Dzimwe nguva, kunyanya kana mwoyo wakabatana, matambudziko aya anogona kukonzera matambudziko ehutano kwenguva refu. Ndosaka kuongororwa nekukurumidza uye kurapwa nekukurumidza kubva kunyanzvi dzinokurudzirwa neNirogi Lanka zvichikosha.
MIS-C inoonekwa sei?
Zviratidzo zveMIS-C zvinogona kufanana nezvimwe zvirwere, zvakaita seKawasaki disease kana toxic shock syndrome. Saka, kana chiremba akafungidzira kuti ane MIS-C, achaita bvunzo dzakawanda dzekuongorora kuti asimbise chirwere chacho.
Miedzo ipi inoitiswa?
Kuongororwa kwekutanga kunosanganisira kuongororwa kweCOVID-19 kuti uone kana mwana wako aine hutachiona kana kuti akambosangana nechirwere ichi kare (nekutarisa ma antibodies). Kuongororwa kwakawedzerwa kunoshandiswa kuongorora huwandu hwekuzvimba uye kutarisa kana nhengo dzemuviri dzakabatwa, kusanganisira:
- Kuongororwa kweropa neweti: Izvi zvinoongorora zviratidzo zvekuzvimba, mashandiro enhengo, uye hutano hwemasero eropa.
- X-ray yechipfuva: Kuongorora mamiriro emapapu uye saizi yemoyo.
- Kuongororwa kwemoyo kwakakosha:
- ECG (electrocardiogram): Kuongorora mashandiro emagetsi emwoyo.
- Echocardiogram: Ultrasound yemoyo kuti uongorore chimiro, mashandiro emhasuru, uye hutano hwevharuvhu.
- Ultrasound yedumbu: Kuongorora nhengo dzakadai sechiropa nespleen.
Rutsigiro kubva kuNyanzvi
Nekuti MIS-C chirwere chakaoma, kutarisirwa kunowanzo tarisirwa nechikwata chevanhu vane hunyanzvi hwakasiyana-siyana. Izvi zvinogona kusanganisira:
- Nyanzvi dzezvirwere zvinotapukira
- Vanachiremba vemwoyo
- Nyanzvi dzezvemapfupa
- Nyanzvi dzeHematology
- Nyanzvi dzezvekurapa varwere vane chirwere chakakomba
Ruzivo urwu rwakabatana runovimbisa kuti mwana wako anowana chirongwa chekurapa chakanakisa uye chakakwana chiripo kuNirogi Lanka centres.
MIS-C inorapwa sei?
Kurapwa kunosiyana zvichienderana nezviratidzo zvemwana wako uye mhedzisiro yebvunzo dzekiriniki. Zvinangwa zvikuru ndeizvi:
- Kuderedza kuzvimba kwemuviri.
- Kudzivirira kuonda kweropa zvisina kufanira.
- Kudzivirira nekutsigira nhengo dzine chirwere.
Vanachiremba vanogona kushandisa nzira dzakasiyana dzekurapa:
- Kurapa neokisijeni: Kana paine dambudziko rekufema.
- Mishonga: MaSteroid ekuderedza kuzvimba, ma immunoglobulins emutsinga (IVIG) ekudzivirira masoja emuviri, uye maanticoagulants ekudzivirira kugwinha kweropa.
- Mvura inopinzwa mutsinga (IV): Kurapa kupera mvura mumuviri kana kutsigira BP.
Kana vana vakanyanya kurwara, vanogona kuendeswa kuIntensive Care Unit (ICU) kuti vaonekwe uye vabatwe zvakanaka.
Zvimwe Zvakakosha Kufunga
Paunenge uchigadzirisa kupora, yeuka zvinotevera:
Kutarisirwa kwekutevera mushure mekubuda muchipatara
Vana vazhinji vanopora zvakanaka nekurapwa muchipatara. Zvisinei, vamwe vanogona kusangana nematambudziko kwenguva refu nekuda kweMIS-C. Saka, kunyangwe mushure mekudzokera kumba, zvakakosha kutevedzera mirairo yachiremba wako nokungwarira.
Semuyenzaniso:
- Kana moyo wemwana wako wakakanganiswa neMIS-C, achada kutarisirwa nguva dzose nachiremba wemwoyo kuti aende kunoongororwa nguva nenguva. Ungakurudzirwa kuti udzikise kurovedza muviri kwake kana mitambo kwenguva yakati. Zvakakosha kutevedzera mitemo iyi kusvika chiremba wako asimbisa kuti zvakachengeteka kutangazve mabasa ake enguva dzose.
- Kana mwana wako achida mishonga yenguva refu senge steroids yekurapa kuzvimba, uchafanirwa kubvunza chiremba wemapfupa kana chiremba we endocrinologist . Ivo vachakupa gwara rehunyanzvi rekuti ungagadzirisa sei kana kuderedza sei mishonga iyi.
Zvakakosha zvikuru kuti utevedzere mirairo yachiremba wako nemazvo uye uve nechokwadi chekuti mwana wako anoenda kukiriniki dzese dzakarongwa.
Nzira Yakanakisisa Yekudzivirira MIS-C
Kunyange hazvo MIS-C iri chirwere chisingawanzoitiki , chinogona kunge chakakomba, saka tinofanira kuita zvese zvatinogona kuti tidzivirire. Nzira inoshanda zvikuru yekudzivirira mwana wako kubva kuMIS-C ndeyekudzivirira hutachiona hweCOVID-19.
- Kuti izvi zviitike, zvakakosha kuti munhu wese ane mwedzi mitanhatu zvichikwira agare achiziva nezvemajekiseni avo eCOVID-19. Majekiseni aripo iye zvino anopa dziviriro kubva kumarudzi akasiyana-siyana ari kupararira nhasi.
Mazano Ekugara Uine Hutano
Kunze kweCOVID-19, kutevedzera tsika idzi dziri nyore dzehutsanana inzira yakanaka yekuzvidzivirira iwe nemhuri yako kubva kuzvirwere zvakasiyana-siyana:
- Geza maoko ako nguva nenguva. Shandisa sipo nemvura kwemasekondi makumi maviri. Kana sipo nemvura zvisipo, shandisa mushonga wekuchenesa maoko une doro rinenge 60%.
- Dzivisai vanhu vanorwara. Edzai kugara kure nevanhu vane zviratidzo zvakaita sefivha, kukosora, kana dzihwa.
- Chengeta nzvimbo dzinoshandiswa kubata-bata dzakachena. Gara uchichenesa zvinhu zvakaita semibato yemagonhi, makaunda, uye nharembozha.
- Isa mhepo yakachena pakutanga. Kana uri mumba, vhura mahwindo kuti mhepo ipinde zvakanaka, kana kuti pedza nguva uri panze pese pazvinogoneka.
Mharidzo Yekupedzisira Yekuenda Kumba
Tataura zvakawanda nezve MIS-C nhasi. Yeuka, kunyange zvazvo iri chirwere chisingawanzoitiki , chakakomba uye chakabatana nehutachiona hweCOVID-19.
Kana mwana wako aine fivha isingaperi pamwe chete nezvimwe zviratidzo zvatakakurukura (zvakaita sekurwadziwa mudumbu, mapundu, kana maziso matsvuku), usamirira—tsvaga rubatsiro rwechiremba nekukasika kubva kubazi rezvekukurumidzira riri pedyo newe. Kuongororwa nekukurumidza uye kurapwa zvinopa mwana wako mukana wakanakisa wekupora nekukurumidza.
Ramba wakadzikama, asi ramba wakangwarira. Tora matanho anodiwa ekudzivirira COVID-19. Tinokushuvira iwe nemhuri yako hutano hwakanaka kubva kuchikwata cheNirogi Lanka!
Mazwi akakosha: MIS-C, COVID-19 muvana, Multisystem Inflammatory Syndrome, Pediatrics, Fivha, Kuzvimba, Hutano hwemoyo
