Ngaba umntwana wakho ukhe wagula ngendlela engaqhelekanga emva kweCOVID? Masiqaphele le meko iyingozi (MIS-C)!

Sonke siyazi ukuba ubhubhane we-COVID-19 utshintshe kangakanani ubomi bethu. Rhoqo, xa abantwana abancinci befumana i-COVID, sicinga ukuba ayizukuba nzima njengabantu abadala. Nangona kunjalo, abanye abantwana, kwiiveki ezimbalwa emva kokuphola kwi-COVID-19, baqala ukuba neempawu ezintsha nezinzima ngakumbi. Oku koko oogqirha bakubiza ngokuba yi-MIS-C, okanye i-Multisystem Inflammatory Syndrome ebantwaneni. Iingcali zisaphanda ukuba inxulumene njani ne-COVID-19 kwaye kutheni abanye abantwana kuphela beyifumana.

Kuthetha ukuthini ukuthi `(MIS-C)`? Masiyiqonde kakuhle, akunjalo?

Ngamafutshane, `(MIS-C)` yimeko apho iinkqubo ezininzi emzimbeni womntwana, njengentliziyo, imiphunga, izintso, ubuchopho, ulusu, namehlo, zivuvukala, okanye zivuvuke, ngaxeshanye. Khawuthelekelele, ngokungathi umzimba wonke ushushu kwaye uvuvukile ngaphakathi. Oogqirha okwangoku bakholelwa ukuba oku kunokwenzeka xa intsholongwane `(COVID-19)` ingena emzimbeni kwaye inkqubo yokuzikhusela yomzimba wethu (inkqubo yomzimba yokuzikhusela) isabela kuyo ngendlela egqithisileyo, eyoyikisa kancinci. Oku ngamanye amaxesha kubizwa ngokuba yi `(PMIS)` okanye `(PIMS)`, kodwa igama elithi `(MIS-C)` lisetyenziswa kakhulu.

Zithini iimpawu zomntwana one-`(MIS-C)`?

Ngoku makhe sijonge iimpawu ezinokubonakaliswa ngumntwana one-`(MIS-C)`. Ezi zinokwahluka kancinci ukusuka komnye umntwana ukuya komnye, kodwa ezona mpawu ziqhelekileyo zezi:

• Umkhuhlane ongapheliyo: Oku kuthetha umkhuhlane ohlala iintsuku ezininzi unganciphi. Mhlawumbi umkhuhlane ongaphezulu kwama-38 degrees Celsius (100.4 Fahrenheit).
• Intlungu yesisu eqatha: Umntwana unokufumana iintlungu zesisu ezinganyamezelekiyo.
• Ukuhlanza okanye urhudo : Ufanele ukhathazeke ukuba uhlanza rhoqo okanye ukuba uphuma indle enamanzi.
• Ukuqhambuka kwesikhumba: Ukuqhambuka okubomvu, ngamanye amaxesha okufana namaqhuqhuva amancinci kunokuvela kwiindawo ezahlukeneyo zomzimba.
• Imilebe ibonakala ibomvu kwaye iqhekekile: Imilebe inokuba bomvu ngokungaqhelekanga, yome, kwaye iqhekekile. Ngamanye amaxesha ulwimi lusenokubonakala lubomvu njengestrawberry.
• Ububomvu bamehlo: Amhlophe amehlo anokuba bomvu, ngokungathi asulelwe sisifo samehlo. Nangona kunjalo, ukuveliswa kweinyembezi akuvamile.
• Ububomvu nokudumba kweentende zezandla: Izandla neenyawo, ingakumbi iintende zezandla neentende zeenyawo, zinokuba bomvu kwaye zidumbe.

Ukongeza kwezi mpawu, abanye abantwana banokuba nee-lymph nodes ezivuvukileyo entanyeni (ezifana nomphimbo obuhlungu). Intloko ebuhlungu kakhulu, iintlungu zomzimba, ubunzima bokuphefumla , kunye nentlungu yesifuba nazo ngamanye amaxesha ziyabonakala.

Sifanele siye nini kugqirha? Sifanele siye nini esibhedlele ngokukhawuleza?

Ukuba umntwana wakho ebenomkhuhlane kangangeentsuku ezininzi kwaye eneempawu ezingaphezulu kwenye kwezi zingasentla, ngokuqinisekileyo kuya kufuneka ubone ugqirha ngokukhawuleza . Oku kungenxa yokuba imeko yabantwana abanale meko `(MIS-C)` inokuba mandundu ngequbuliso. Ke ngoko, kungcono ukufuna ingcebiso kagqirha ngaphandle kokuchitha ixesha. Ingakumbi ukuba kukho naziphi na kwezi mpawu zilandelayo, kufuneka umse kwisebe likaxakeka lesibhedlele elikufutshane (ETU) ngaphandle kokulibazisa:

• Ukuba umntwana ubonakala enengxaki enkulu kwaye ebuthathaka kakhulu ukuba angamjonga .
• Ukuba uziva ngathi unengxaki yokuphefumla , uyakhohlela, okanye uphefumla ngokukhawuleza.
• Ukuba uthetha ngentlungu yesifuba , okanye ukuba uthetha ngokuxinana kwesifuba sakho.
• Ukuba isisu sibuhlungu kakhulu , umntwana usenokungakwazi nokuma nkqo.
• Ukuba imilebe okanye ubuso bakho bubonakala buluhlaza okwesibhakabhaka (oku kuthetha ukuba umzimba wakho awufumani ioksijini eyaneleyo).
• Ukuba umntwana ulele kakhulu , okanye ubonakala edidekile , ephazamisekile, okanye akaqondi into oyithethayo.

Kufuneka uxelele ugqirha ukuba umntwana wakho ukhe waba ne -COVID-19 ngaphambili, okanye ukuba ukhe wadibana nomntu one-COVID-19. Olu lwazi luluncedo kakhulu ekuxilongeni isifo.

Zeziphi iingxaki ezinokwenzeka ngenxa ye-`(MIS-C)`?

Le meko, ebizwa ngokuba yi-`(MIS-C),` inokubangela iingxaki ezahlukeneyo ukusuka kumntwana ukuya kumntwana. Kuba ayichaphazeli nje inxalenye enye yomzimba. Ngokuyintloko, oku kuvutha kunokuchaphazela iindawo ezininzi zomzimba, njengentliziyo, igazi, imithambo yegazi, ulusu, amathumbu (inkqubo yokugaya ukutya), amehlo, izintso, kunye nengqondo. Ngamanye amaxesha, oku kunokubangela umonakalo wexeshana okanye wexesha elide kuloo malungu. Oogqirha baxhalabile ngakumbi ngemiphumo entliziyweni. Ngenxa yokuba izihlunu zentliziyo zinokuvuvukala, ulwelo olujikeleze intliziyo lunokuvuvukala, okanye iingxaki zinokwenzeka kwimithambo yegazi ehambisa igazi entliziyweni.

Oogqirha bafumanisa njani `(MIS-C)`?

Ngoku usenokuba uzibuza ukuba oogqirha bangazi njani ukuba le yi-MIS-C. Iimpawu ze-MIS-C zinokufana nezinye izifo zabantwana, ezifana nesifo sikaKawasaki, imeko enzulu ebangelwa lusulelo lwebhaktheriya olubizwa ngokuba yi-toxic shock syndrome, okanye ezinye izifo ezibangelwa yintsholongwane. Ngoko ke ukuba ugqirha ukrokrela ukuba umntwana une-MIS-C, uza kuqala ahlole ukuba umntwana usulelekile yi-COVID-19 okanye usandula ukosuleleka. Ukongeza, baza kwenza uvavanyo olwahlukeneyo ukuze babone ukuba kukho ukudumba okungakanani emzimbeni. Baza kuvavanya nokuba kukho umonakalo kwizitho ezahlukeneyo zomzimba, ingakumbi intliziyo. Ezi zihlala ziquka:

• Uvavanyo lwegazi kunye novavanyo lomchamo: Oku kunokukuxelela okuninzi malunga nokudumba emzimbeni, ukusebenza kwamalungu ahlukeneyo, kunye nokuba kukho naziphi na iingxaki zokujiya kwegazi.
• I-X-ray yesifuba: Jonga imeko yemiphunga.
• Uvavanyo olukhethekileyo lokujonga intliziyo :
• I-"ECG - i-electrocardiogram": Le ijonga umsebenzi wombane wentliziyo, oko kukuthi, isingqisho sentliziyo.
• I-"echocardiogram": Oku kufana ne-"ultrasound"` yokuskena kwentliziyo. Ingajonga izinto ezininzi ezibalulekileyo, ezifana nolwakhiwo lwentliziyo, izihlunu, iivalvu, kunye nendlela intliziyo epompa ngayo igazi.
• Iskeni ye-ultrasound yesisu: Ukujonga ukudumba okanye ezinye iingxaki kwizitho ezisesiswini.

Ngamanye amaxesha, oogqirha baya kufuna uncedo lweengcali ezahlukeneyo ukuze baxilonge ngokuchanekileyo baze banyange le meko 'ye-MIS-C'. Oku kuquka iingcali zezifo ezisulelayo, iingcali zentliziyo, iingcali zerheumatologist (abo banyanga amathambo, amalungu, kunye nenkqubo yomzimba yokuzikhusela), iingcali zegazi, kunye neengcali zonyango olubalulekileyo. Basebenzisana ukucwangcisa unyango olungcono lomntwana wakho.

Ziziphi iindlela zonyango ze-`(MIS-C)`?

Unyango lomntwana one-`(MIS-C)` luxhomekeke kwiimpawu zomntwana, iziphumo zovavanyo, kunye nobunzima bemeko. Ayingomntwana wonke onikwa unyango olufanayo. Oogqirha badla ngokuzama ukunciphisa ukudumba emzimbeni, ukuthintela ukuqhekeka kwegazi (abanye abantwana banokuba semngciphekweni wokuqhekeka kwegazi), kunye nokukhusela amalungu omzimba achaphazelekayo ekonakaleni okungakumbi. Oku kuquka:

• Ioksijini: Ukuba unengxaki yokuphefumla, nika umzimba wakho umlinganiselo weoksijini oyidingayo.
• Ulwelo olufakwa kwimithambo yegazi (ii-IV fluids): Oku kuthetha ukunika izinto ezifana ne-saline emthanjeni. Oku kunceda ukulawula amanqanaba olwelo emzimbeni kunye nokugcina uxinzelelo lwegazi luzinzile.
• Iindidi ezahlukeneyo zamayeza (amayeza):
• Amayeza anjengee-steroids okanye i-antibody ekhethekileyo ebizwa ngokuba yi-Intravenous Immunoglobulin (IVIG) anokunikwa ukunciphisa ukudumba nokulawula ukusebenza ngokugqithisileyo kwenkqubo yomzimba yokuzikhusela.
• Iidosi ezincinci zamayeza afana ne-aspirin zinokunikwa ukuthintela ukuqhekeka kwegazi.
• Ukuba intliziyo ichaphazelekile, amayeza akhethekileyo anganikwa.
• Ukuba imeko yabanye abantwana imbi kakhulu, kusenokufuneka bangeniswe kwigumbi lokunyamekela abagula kakhulu (ICU) lesibhedlele baze banikwe unyango olukhethekileyo phantsi kweliso elibukhali.

Yintoni enye ekufuneka siyazi malunga ne-`(MIS-C)`? (Iinyani ezibalulekileyo)

Kubaluleke kakhulu ukuba uqaphele ezinye iinkcukacha ezimbalwa ngale meko.

Ukubuyisela kwimeko yesiqhelo kunye nokulandelela

Uninzi lwexesha, abantwana abane-`(MIS-C)` bayaphola emva kokuba benyangiwe esibhedlele. Ezo ziindaba ezimnandi ngokwenene. Nangona kunjalo, abanye abantwana, ingakumbi abo baneengxaki zentliziyo, banokuba neengxaki ezihlala ixesha elide. Ngenxa yoko, kufuneka baqhubeke bejongwa ziingcali nasemva kokuba bebuyele ekhaya (unyango lokulandelela) .

• Umzekelo, umntwana one-MIS-C oye wenzakala kwintliziyo kuya kufuneka abone ugqirha wentliziyo aze enze uvavanyo olufana ne-echocardiogram. Kusenokufuneka ayeke ukuzilolonga, ukubaleka, kunye nokudlala imidlalo okwethutyana de ugqirha atsho njalo.
• Kwakhona, abantwana abasebenzisa amayeza athile (afana nee-steroids zokunciphisa ukudumba) banokufuna ukubonana nengcali yamathambo okanye i-endocrinologist ukuze banciphise kancinci umthamo baze balungise njengoko kufuneka.

Le yimeko engaqhelekanga kakhulu.

Kufuneka kuthiwe `(MIS-C)` yimeko engaqhelekanga kakhulu. Oko kuthetha ukuba ayinguye wonke umntwana ofumana `(COVID-19)` ofumana le meko. Ukuba amakhulu amawaka abantwana bafumana i-COVID, linani elincinci kakhulu kubo eliya kufumana `(MIS-C).` Ke ngoko, ungakhathazeki okanye woyike ngokungeyomfuneko. Nangona kunjalo, kubalulekile ukuqaphela iimpawu.

Ukuthintela yeyona nto ilungileyo!

Eyona ndlela ilungileyo yokuphepha le meko `(MIS-C)` kukuthintela ukusasazeka kwe `(COVID-19)`. Oko kubizwa ngokuba:

• Wonke umntu oneminyaka engaphezu kweenyanga ezi-6 ubudala kufuneka afumane isitofu sokugonya se-`(COVID-19)` ngexesha. Iisitofu zamva nje ezikhoyo ngoku zibonelela ngokhuseleko oluhle nakwiintlobo ezahlukeneyo zentsholongwane eziqhelekileyo. Ukugonya kunokunciphisa umngcipheko weengxaki ezinzima ezivela kwi-`(COVID-19)` kunye ne-`(MIS-C)`. (Ngokokwazi kwethu, oku akufumaneki kwizibhedlele zikarhulumente eSri Lanka, kwaye andazi ukuba kuyafumaneka na kwicandelo labucala)

Ngaphandle koko, ukuze uhlale ukhuselekile kwizifo, licebo elihle ukwenza ezi zinto yonke imihla, akunjalo?

• Hlamba izandla zakho kakuhle ngesepha namanzi ubuncinane imizuzwana engama-20. Sebenzisa isepha okanye isicoci sezandla esine-60% yotywala.
• Zigcine kude nabantu ababonakala ngathi bayagula, ingakumbi abo banesifo sokukhohlela kunye nomkhuhlane.
• Gcina iindawo eziphathwa rhoqo (izibambo zomnyango, iikhawuntara, iitafile, iifowuni, njl.njl.) zicocekile kangangoko.
• Zama ukuphefumla umoya omtsha kangangoko unako. Oku kuthetha ukuvula iingcango neefestile ukuze kubekho umoya ococekileyo, nokuchitha ixesha ngaphandle.

Eyona nto ibalulekileyo sonke ekufuneka siyikhumbule! (Umyalezo Wokuya Ekhaya)

Ngoko ke, ndiyathemba ukuba ngoku uyiqonda ngcono into ebesithetha ngayo, `(MIS-C)`. Eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba `(MIS-C)` yimeko embi kakhulu, kodwa engaqhelekanga kakhulu , abanye abantwana abanokuyifumana emva kokuba bosulelwe yi `(COVID-19)`.

Ukuba uzibona ngokuchanekileyo iimpawu, ungoyiki, kwaye uzibonise ugqirha ngokukhawuleza, ungamnika umntwana wakho unyango olufunekayo kwaye umncede aphile. Kwakhona, ukuthintela `(COVID-19)` yeyona ndlela ilungileyo yokuthintela `(MIS-C)`. Ke ngoko, masilandele imikhwa yempilo, sikhusele abantwana bethu kunye nathi! Ukuba unamathandabuzo, buza ugqirha wosapho lwakho okanye ugqirha wezingane.