Ngaba umntwana wakho unazo ezi mpawu emva kwe-COVID-19? Masithethe nge-MIS-C! (iMultisystem Inflammatory Syndrome ebantwaneni - MIS-C)

Ingaba umntwana wakho uphilile kwi-COVID-19? Kwiiveki ezimbalwa emva kokuba ephilile, abanye abantwana banokuba neempawu ezingaqhelekanga. Le yinto esiyibiza ngokuba yi-MIS-C (Multisystem Inflammatory Syndrome in Children) . Isenokuba yimeko enzima, ngoko ke kubalulekile ukuba uyiqaphele. Masithethe ngayo ngokweenkcukacha namhlanje, akunjalo?

Yintoni i-MIS-C? Masiyiqonde ngokulula.

Ngamafutshane, i-MIS-C yimeko engaqhelekanga eyenzeka kwabanye abantwana emva kwe-COVID-19. Ibonakala ngokudumba kwiindawo ezininzi zomzimba womntwana, kungekuphela nje kwenye. Ibonakala ngokubomvu, ukudumba, kunye nokufudumala ngaphakathi emzimbeni. Oku kudumba kunokuchaphazela ikakhulu:

• Entliziyweni yomntwana wakho
• Ukuya emiphungeni
• Kwizintso
• Ukuya engqondweni
• Elusu
• Ngamehlo
• Kwizitho zenkqubo yesisu

Le meko idla ngokuhamba nomkhuhlane ohlala iiyure ezingaphezu kwama-24. I-MIS-C yimeko enzima enokuba yingozi ngamanye amaxesha. Ke ngoko, ukuba umntwana wakho ubonakalisa iimpawu ezifana nobunzima bokuphefumla okanye iintlungu eziqatha esifubeni, kufuneka umse esibhedlele ngoko nangoko.

Ixhaphake kangakanani i-MIS-C?

I-MIS-C yimeko engaqhelekanga kakhulu. Okwangoku kuqikelelwa ukuba ngumntwana omnye kuphela kwabayi-3,000 ukuya kwabayi-4,000 abosulelwe yi-COVID-19 oza kuba nale meko. Oku kuthetha ukuba ayinguye wonke umntu oza kuba nayo, kodwa kufuneka sikhumbule ukuba umngcipheko ukhona.

Yintoni umahluko phakathi kwe-MIS-C kunye ne-MIS-A?

Ezi zombini zifana kakhulu. Umahluko uxhomekeke kwiminyaka yomntu oxilongiweyo.

• I-MIS-C yenzelwe abantwana kunye nabantu abancinci abangaphantsi kweminyaka engama-21 ubudala.
• I-MIS-A yeyabantu abaneminyaka engaphezu kwama-21 ubudala.

Nangona i-MIS-C ixhaphake kakhulu kune-MIS-A, iimpawu zinokuba nzima ngakumbi kwi-MIS-A.

Zithini iimpawu ze-MIS-C? Masizazi ngcono!

Uphawu oluphambili lwe-MIS-C ngumkhuhlane ohlala ubuncinane iiyure ezingama-24. Ukongeza, iimpawu ezingaphezulu kwesinye kwezi zilandelayo zinokubakho:

• Intlungu yesisu okanye yesisu
• Ukuhlanza
• Urhudo (ukuhlanza)
• I-Vertigo (ukuziva ngathi uyajikeleza)
• Ukuqhambuka kwesikhumba (ngamanye amaxesha njengamabala abomvu)
• Ubomvu bamehlo (ukubonakala ngathi ligazi)
• Umnqweno wokutya

Khawucinge nje, umntwana wakho une-COVID-19 waza waphila. Emva kweeveki ezimbini okanye ezintathu, ngequbuliso waba nomkhuhlane owawunganciphi kangangeentsuku ezimbini okanye ezintathu. Wayekhalaza nangentlungu yesisu, kwaye wayenamabala abomvu emzimbeni wakhe. Wayengatyi. Ngexesha elinjalo, kuya kufuneka ucinge kancinci nge-MIS-C.

Iimpawu zengxakeko - ezi ngokuqinisekileyo zizinto ekufuneka uzazi!

Ukuba umntwana wakho ubonakalisa naziphi na kwezi mpawu zilandelayo, kufuneka umse kwangoko kwisebe likaxakeka lesibhedlele elikufutshane, okanye utsalele umnxeba ku-1990:

• Ubunzima bokuphefumla (ukuphefumla nzima, ngokukhawuleza)
• Intlungu yesifuba engapheziyo (umntwana ubambe isifuba esithi sibuhlungu)
• Ukudideka (ukulahlekelwa yinkumbulo, intetho engacacanga)
• Intlungu yesisu esibuhlungu
• Ubunzima bokuhlala uphaphile okanye ukungakwazi ukuvuka (ukozela kakhulu, ukungakwazi ukuvuka nokuba kuthethwe nawe)
• Ulusu oluluhlaza okwesibhakabhaka, olungwevu, okanye olumhlophe, imilebe, okanye iinzipho (oku kubonisa ukunqongophala kweoksijini)

Kubalulekile: Ezi mpawu zinokwenzeka kungekuphela nje kwi-MIS-C, kodwa nakwezinye iimeko ezinzulu zempilo. Ke ngoko, ukuba ubona into efana nale , kufuneka ubone ugqirha ngokukhawuleza.

Yintoni ebangela i-MIS-C?

Isizathu esichanekileyo se-MIS-C asikaziwa. Ukusukela oko esi sifo saqala ukuchongwa ekuqaleni kuka-2020, uphando luye lwaqhubeka nokuphanda ukuba yintoni ebangela oko kunye nokuba ingaba sinemiphumo ehlala ixesha elide ebantwaneni. Into enye icacile: le meko yimiphumo esecaleni yosulelo lwe-COVID-19. Ngoko ke ukuba umntwana wakho une-COVID-19, kukho umngcipheko wokuba ne-MIS-C.

Izifundo zibonisa ukuba oku kungenxa yokuba inkqubo yomzimba yomntwana yokuzikhusela iqala ukusabela ngokugqithisileyo emva kosulelo lwe-COVID-19. Ngamafutshane, emva kokuba ukuzikhusela komzimba kwizifo kugqityiwe ukulwa ne-COVID-19, kuba ngathi bayadideka baze baqale ukuhlasela amalungu abo omzimba. Yile nto ibangela ukudumba.

Kukwakho nenkolelo yokuba izinto ezibangela ufuzo zinokuba negalelo ekuphuhlisweni kwesi sifo kwabanye abantwana.

Ngaba i-MIS-C iyasulela?

Hayi, akukho bungqina bokuba i-MIS-C idluliselwa ukusuka komnye umntwana ukuya komnye. Nangona kunjalo, i-COVID-19, efunyanwa ngabantwana ngaphambi kokuba i-MIS-C ivele , iyosulela kakhulu.

Isifo se-MIS-C sifunyanwa njani?

Ugqirha uza kumxilonga umntwana wakho aze enze uvavanyo olumbalwa ukuze abone ukuba unayo na i-MIS-C. Ugqirha uza kubuza ngeempawu zomntwana wakho, ukuba sele enexesha elingakanani enomkhuhlane, ukuba ufunyenwe ene-COVID-19, nokuba yenzeke nini. Ukuba umntwana wakho une-COVID-19 esebenzayo ngelo xesha, kufuneka uxelele iqela lezonyango ngoko nangoko.

Uvavanyo lunokuqinisekisa ukuxilongwa kwaye luchonge ukuba zeziphi izitho zomzimba emntwaneni ezichaphazelekileyo kukudumba. Ezinye zeemvavanyo ezenziwayo ngenxa yale njongo zezi:

• Iskeni sentliziyo (i-Echocardiogram): Jonga ukusebenza kwentliziyo kunye nokudumba.
• I-X-ray yesifuba : Jonga imeko yemiphunga.
• I-ultrasound yesisu : Ukujonga ukudumba kwamalungu angaphakathi esiswini.
• I-CT scan (i-Computed Tomography - i-CT scan) : Ukuba kuyimfuneko, bona iindawo ezahlukeneyo zomzimba ngokucacileyo.

Ukongeza koku, ugqirha uhlala evavanya umntwana i-COVID-19. Banokwenza nezinye izinto, njengovavanyo lwegazi, kuxhomekeke kwiimpawu zomntwana.

Ezinye iimeko ezifana ne-MIS-C (Differential Diagnosis)

Ugqirha uza kuqwalasela nezinye iimeko ezinokubangela iimpawu zomntwana wakho. Oku kubizwa ngokuba yi-differential diagnosis . Iimpawu ze-MIS-C ngamanye amaxesha zinokufana nezi meko:

• Isifo seKawasaki
• Isifo soxinzelelo olunobungozi

Yingakho uvavanyo lubalulekile ukuze kuchongwe ngokuchanekileyo isifo.

Iphathwa njani i-MIS-C?

Eyona nto iphambili kunyango lwe-MIS-C kukunciphisa ukudumba nokulawula iimpawu ezinokuba yingozi ebomini. Iindlela zonyango ziquka:

• Ukufaka ityuwa emthanjeni (ii-IV fluids) : Gcina amanqanaba olwelo emzimbeni.
• Amayeza okulwa nokuvuvukala (okusetyenziswa ngomlomo okanye nge-IV) : Amayeza anjenge -corticosteroids , i-immune globulin (IVIG) , kunye ne -glucocorticoids asetyenziselwa le njongo.
• Ukuba umntwana une-COVID-19 esebenzayo, unyango lwe-antiviral , olufana ne -remdesivir, lunokunikwa ukuze lunyangwe.
• Ukuba kukho ubunzima bokuphefumla, ioksijini inikwa kusetyenziswa isixhobo sokuxhasa ukuphefumla (i-ventilator) .

Ukuba umntwana wakho une-MIS-C, kuxhomekeke kubukhali beempawu zakhe, uza kunyangwa esibhedlele okanye kwiYunithi yoKhathalelo lwaBantwana (i-PICU) . Oku kuvumela oogqirha nabahlengikazi ukuba bajonge umntwana wakho ngokusondeleyo baze bamnike unyango olufunekayo ngokukhawuleza.

Ndingaphila ngokukhawuleza kangakanani emva konyango?

Kungathatha naphi na ukusuka kwiintsuku ezintathu ukuya kwiiveki ezimbini ukuba umntwana azive engcono emva kokuqala unyango. Umntwana kuya kufuneka ahlale esibhedlele iintsuku ezimbalwa, njengoko oogqirha bejonga imeko yomntwana ngokusondeleyo.

Ngaba umntwana angathintelwa ekubeni ne-MIS-C?

Eyona ndlela ilungileyo yokuthintela umntwana wakho ekubeni ne-MIS-C kukumkhusela kwi-COVID-19. Ungamgcina umntwana wakho ekhuselekile ngokwenza ezi zinto zilandelayo:

• Ugonyo lwe-COVID-19(Kubandakanya ugonyo lwe-booster, ukuba lucetyiswe ngugqirha womntwana).
• Fundisa umntwana wakho ukunxiba imaski yobuso egquma umlomo nempumlo kakuhle.
• Xelela umntwana wakho ukuba angachukumisi amehlo, impumlo, nomlomo wakhe ukuze athintele ukusasazeka kweentsholongwane.
• Fundisa umntwana wakho ukuhlamba izandla zakhe rhoqo ngesepha namanzi. Ukuba akukho sinki ikufutshane, ungasebenzisa isicoci sezandla esine-60% yotywala ubuncinane.
• Kuphephe ukusondelana nabantu abarhanelwa okanye abaqinisekisiweyo ukuba bane-COVID-19.
• Gcina umgama phakathi kwabanye abantu (ubuncinane iinyawo ezi-6).
• Gcina iindawo eziphathwa rhoqo kunye nezinto eziphathwa rhoqo zicocekile kwaye zihlanjululwe iintsholongwane.

Khumbula, la manyathelo okhuseleko aya kukunceda ekukhuseleni wena nomntwana wakho kungekuphela nje kwi-MIS-C, kodwa nakwezinye izifo ezininzi, kuquka i-COVID-19.

Yintoni endinokuyilindela ukuba umntwana wam une-MIS-C?

Uninzi lwabantwana abafunyaniswe bene-MIS-C bayaphila ngokupheleleyo. Nangona kunjalo, njengoko bekutshiwo ngaphambili, kwiimeko ezingaqhelekanga, inokuba yingozi okanye ibe yingozi. Umntwana kuya kufuneka alaliswe esibhedlele. Nokuba unyango lwe-MIS-C lugqityiwe, umntwana kuya kufuneka abone ugqirha wezingane . Ekubeni uphando lusaqhubeka malunga nokuba le meko inemiphumo emibi yexesha elide, ugqirha uya kumjonga umntwana emva kweenyanga ezimbalwa emva konyango ukuqinisekisa ukuba uphilile.

Ihlala ixesha elingakanani imeko ye-MIS-C?

Umntwana wakho usenokuba ugule kangangeeveki ezimbini ene-MIS-C. Oku kuya kwahluka ngokuxhomekeke kubukhali bokuxilongwa komntwana wakho. Unyango lunokuphucula ixesha lokuchacha komntwana wakho kunye nesiphumo sakhe.

Ndifanele ndimbone nini ugqirha?

Ukuba umntwana wakho uneempawu ze-MIS-C, nokuba unembali yosulelo lwe-COVID-19 okanye akunjalo, qhagamshelana nogqirha womntwana wakho ngoko nangoko. Ugqirha uza kukuxelela ukuba kufuneka uye kwigumbi likaxakeka kwaye angaphendula nayiphi na imibuzo onokuba nayo malunga nale meko.

Ukuba umntwana uneempawu eziqatha, yiya kwicandelo lezonyango ezingxamisekileyo esibhedlele ngoko nangoko okanye utsalele umnxeba ku-1990.

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa umntwana egula, ingakumbi kwimeko efana ne-MIS-C, kuqhelekile ukuba wena njengomama ube nemibuzo emininzi. Ungabuza ugqirha izinto ezifana nezi:

• Ngaba ndifanele ndimgcine umntwana wam esibhedlele?
• Zeziphi iimpawu ekufuneka ndiqhubeke ndiziqaphela?
• Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?
• Ndingenza ntoni ukuze umntwana wam azive ekhululekile xa ene-COVID-19?

Ukuya esibhedlele nomntwana wakho ukuze anyangwe i-MIS-C kunokuba yinto eyoyikisayo. Nangona kunjalo, oogqirha kunye nabongikazi baya kumjonga umntwana wakho ngokusondeleyo imini nobusuku baze banyange iimpawu ukuze zingabi yingozi ebomini. Abanye abantwana banokuba neempawu ezincinci, ngelixa abanye banokuba neengxaki ezinkulu. Nangona kunjalo, izifundo zibonisa ukuba uninzi lwabantwana luyaphila ngokupheleleyo. Uphando lusenziwa ukuze kubonwe ukuba i-MIS-C kunye ne-COVID-19 zinefuthe lexesha elide ebantwaneni.

Ngamafutshane, izinto ekufuneka sizikhumbule (Umyalezo Wokubuyela Ekhaya)

Kulungile, masiphinde sichaze amanqaku abalulekileyo koko sithethe ngako:

• I-MIS-C yimeko engaqhelekanga kodwa enokuba yingozi enokwenzeka kwabanye abantwana emva kwe-COVID-19.
• Lumka ngeempawu ezinje ngomkhuhlane ohlala iiyure ezingaphezu kwama-24, isisu esibuhlungu, ukuhlanza, urhudo, ukurhawuzelela kolusu, kunye namehlo abomvu .
• Ukuba ufumana iimpawu ezinzima ezifana nobunzima bokuphefumla, iintlungu zesifuba, ukudideka, okanye ulusu oluluhlaza okwesibhakabhaka/olungwevu, funa uncedo lwezonyango ngokukhawuleza.
• Ekubeni i-COVID-19 iyeyona nto iphambili ebangela i-MIS-C, eyona nto ingcono onokuyenza kukukhusela umntwana wakho kuyo. Qiniseka ukuba uyayilandela imigonyo, iimaski zobuso kunye nokuhlamba izandla.
• Uninzi lwabantwana luyachacha ngokupheleleyo kwi-MIS-C, kodwa kubaluleke kakhulu ukulandela iingcebiso zonyango.

Ukunyamekela impilo yomntwana wakho yeyona nto ibalulekileyo. Ukwazi olu hlobo lolwazi kuya kukunceda uthathe inyathelo ngokukhawuleza xa kufuneka.

I - MIS-C, i-COVID-19, unyango lwabantwana, ukudumba, umkhuhlane, usulelo lweenkqubo ezininzi, iingxaki emva kwe-COVID