Ngaba umntwana wakho omncinci naye unesifo esingaqhelekanga emva kwe-COVID-19? Makhe sithethe nge-Multisystem Inflammatory Syndrome ebantwaneni (MIS-C)!

Mhlawumbi ukhe weva ngentsholongwane ye-COVID-19. Siyazi ukuba uninzi lwexesha, xa abantwana abancinci beyifumana, ayibachaphazeli kakubi njengabantu abadala. Nangona kunjalo, abanye abantwana banokubonakalisa iimpawu ezinzulu kwiiveki ezimbalwa emva kokuba benayo i-COVID-19. Yiloo nto oogqirha bayibiza ngokuba yiMultisystem Inflammatory Syndrome in Children , okanye i-MIS-C ngamafutshane. Iingcali zisafumanisa ukuba yintoni na kwaye kutheni isenzeka kwabanye abantwana kuphela. Kodwa kubalulekile ukuyiqonda.

Yintoni kanye kanye i-MIS-C, le meko yezonyango?

Ngamafutshane, i-MIS-C yimeko apho iinkqubo ezininzi, okanye amalungu omzimba, emzimbeni womntwana avuvukala ngaxeshanye. Cinga ngayo, xa umzimba wethu ulwa nosulelo, amasosha omzimba ethu asebenza kakhulu. Ngamanye amaxesha, emva kosulelo lwe-COVID-19, le nkqubo yokuzikhusela yomzimba ayilawuleki kwaye iqala ukuchaphazela amalungu ahlukeneyo omzimba. Yiloo nto eyenzeka kakhulu kwi-MIS-C.

Oku akuyonto eyenzeka kwiintsuku ezimbini okanye ezintathu emva kokuba usulelwe yi-COVID-19. Ngokuqhelekileyo kuthatha iiveki ezimbini ukuya kwezintandathu emva kokuba usulelwe yi-COVID-19 ukuze kubekho ezi mpawu ze-MIS-C. Ngoko ke, ukuba umntwana wakho usandula ukufumana i-COVID-19, okanye ebesondelelene nomntu one-COVID-19, kungcono ukuba uqaphele oku.

Zithini iimpawu ze-MIS-C? Siyibona njani?

Umntwana one-MIS-C unokuba neempawu ezahlukeneyo kuba ufumana ukudumba emzimbeni wakhe wonke. Ayingomntwana wonke oza kuba nazo zonke ezi mpawu, kwaye ubukhali beempawu bungahluka. Nangona kunjalo, kukho iimpawu eziqhelekileyo ezinokubonwa:

• Umkhuhlane ongapheliyo: Usenokuba nomkhuhlane onganciphiyo kangangeentsuku ezininzi.
• Ukuphazamiseka kwesisu: Iimpawu zingabandakanya iintlungu eziqatha zesisu, isicaphucaphu, ukuhlanza, okanye urhudo.
• Ukurhawuzelela kwesikhumba: Ukurhawuzelela okubomvu nokurhawuzelelayo kunokubonakala kwiindawo ezahlukeneyo zomzimba.
• Ububomvu nokuqhekeka kwemilebe: Imilebe isenokuba yomile, ibomvu, mhlawumbi iqhekeke. Kufana nokuthi "imilebe iyatsha."
• Amehlo abomvu: Amhlophe amehlo anokuba bomvu aze abonakale ngathi abomvu. Sithi "amehlo abomvu."
• Ukudumba nokubomvu kwezandla neenyawo: Iintende zezandla kunye neenyawo zinokuba bomvu kwaye zidumbe.

Ukuba unenye okanye ezimbini kwezi mpawu akuthethi ukuba une-MIS-C. Ezi mpawu zinokubonakala nakwezinye izifo eziqhelekileyo. Nangona kunjalo, ukuba umntwana wakho unomkhuhlane ongapheliyo kunye nezinye iimpawu ezingaphezulu kwesinye (umzekelo, umkhuhlane onentlungu yesisu kunye neentlungu zomzimba), ngokuqinisekileyo kuya kufuneka ubone ugqirha.

Iimpawu ezifuna ingqalelo ekhawulezileyo!

Ngamanye amaxesha imeko yabantwana abane-MIS-C inokuba mandundu ngokukhawuleza. Ke ngoko, kufuneka kuqatshelwe ezi mpawu zilandelayo:Ukuba umntwana wakho ubonisa nayiphi na kwezi, kufuneka umse kwangoko kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane:

• Ukuba umntwana ubonakala ebuhlungu kakhulu, okanye ebonakala elele kakhulu okanye edidekile.
• Ukuba uziva ngathi unengxaki yokuphefumla, okanye ukuba izinga lokuphefumla kwakho libonakala linyuka.
• Ukuba uthetha ngentlungu yesifuba.
• Ukuba unentlungu ebuhlungu esiswini.
• Ukuba imilebe okanye ubuso bakho bubonakala buluhlaza okwesibhakabhaka (oku kuthetha ukuba umzimba awufumani ioksijini eyaneleyo).

Okwangoku, ungalibali ukuxelela ugqirha ukuba umntwana wakho usandul’ ukuba ne-COVID-19 okanye ukhe wadibana nomntu one-COVID-19.

Zeziphi ezinye iingxaki ezinokwenzeka ngenxa ye-MIS-C?

I-MIS-C yimeko enokuchaphazela umntwana omnye ngendlela eyahlukileyo kunomnye. Oku kuvutha emzimbeni kunokonakalisa amalungu ahlukeneyo omzimba. Iziphumo eziphambili zingabandakanya:

• Intliziyo: Izihlunu zentliziyo zinokuba buthathaka kwaye ukusebenza kwentliziyo kusenokuphazamiseka.
• Iiseli zegazi kunye nemithambo yegazi: Iingxaki zokujiya kwegazi kunye nokudumba kwemithambo yegazi zinokwenzeka.
• Ulusu: Izinto ezifana nomonakalo esithethe ngawo ngaphambili.
• Inkqubo yokugaya ukutya: Izinto ezifana neentlungu zesisu kunye norhudo zinokuba nzima kakhulu.
• Amehlo: Iimpawu ezifana nokubomvu kwamehlo.

Ngamanye amaxesha, lo monakalo, ingakumbi entliziyweni, unokuba nemiphumo yexesha elide. Yiyo loo nto kubalulekile ukuqaphela isifo kwangethuba uze uqale unyango.

Indlela yokuxilonga ngokuchanekileyo isifo se-MIS-C?

Iimpawu ze-MIS-C zinokufana nezezinye izifo. Umzekelo, iimeko ezifana nesifo sikaKawasaki okanye i-toxic shock syndrome nazo zinokubangela iimpawu ezifanayo. Ke ngoko, ukuba ugqirha uhlola umntwana aze akrokre ukuba une-MIS-C, uya kwenza iimvavanyo ezininzi ukuqinisekisa ukuxilongwa.

Zeziphi iimvavanyo ezenziwayo koku?

Uvavanyo lwe-COVID-19 lusetyenziswa kakhulu ukufumanisa ukuba umntwana wosulelwe yi-COVID-19 okanye uphuhlise ii-antibodies ezivela kusulelo lwangaphambili. Ukongeza, uvavanyo lusetyenziselwa ukufumanisa ubungakanani bokudumba emzimbeni kunye nokuba kukho umonakalo kwizitho ezahlukeneyo zomzimba. Oku kunokuquka:

• Uvavanyo lwegazi kunye novavanyo lomchamo: Oku kunokujonga izinto ezininzi, ezifana nenqanaba lokuvuvukala emzimbeni (iimpawu zokuvuvukala), umsebenzi wamalungu ahlukeneyo, kunye nemeko yeeseli zegazi.
• I-X-ray yesifuba: Jonga izinto ezifana nemeko yemiphunga kunye nobukhulu bentliziyo.
• Uvavanyo olukhethekileyo oluhlola intliziyo:
• I-ECG (i-electrocardiogram): Oku kuvavanya ukusebenza kombane kwentliziyo.
• I-Echocardiogram (i-ultrasound yentliziyo): Oku kufana ne-ultrasound yentliziyo. Inokujonga izinto ezininzi ezibalulekileyo ezifana nolwakhiwo lwentliziyo, ukusebenza kwemisipha, kunye nemeko yeevalvu.
• I-ultrasound yesisu: Ukujonga imeko yamalungu esiswini, njengesibindi kunye ne-spleen.

Uncedo oluvela koogqirha abaziingcali

Ngenxa yokuba i-MIS-C yimeko enzima, ukuxilongwa kunye nonyango ludla ngokubandakanya iqela leengcali ezivela kumacandelo ahlukeneyo, kungekuphela nje ugqirha omnye. Eli qela lingabandakanya:

• Iingcali zezifo ezisulelayo
• Iingcali zentliziyo
• Iingcali zeRheumatology
• Iingcali zeHematology
• Iingcali zonyango olungxamisekileyo

Kungokudibanisa ulwazi lwabo bonke aba bantu apho kugqitywa khona unyango olungcono lomntwana.

Iphathwa njani i-MIS-C?

Unyango lwe-MIS-C luyahluka kumntwana ngamnye. Luxhomekeke kwiimpawu zomntwana kunye neziphumo zovavanyo. Iinjongo eziphambili zonyango zezi:

• Ukunciphisa ukudumba emzimbeni.
• Ukuthintela igazi ukuba lingaqini ngokungeyomfuneko.
• Ukukhusela ilungu elichaphazelekayo ekonakalisweni okungakumbi.

Oogqirha bangasebenzisa iindlela ezahlukeneyo zonyango koku:

• Ioksijini: Ukuba unengxaki yokuphefumla.
• Amayeza: Amayeza anjengee -steroids zokunciphisa ukudumba, amayeza abizwa ngokuba yi -immunoglobulins (IVIG) okulawula inkqubo yomzimba yokuzikhusela, kunye namayeza okuthintela ukujiya kwegazi anokunikwa.
• Ulwelo olufakwa kwimithambo yegazi (IV): Izinto ezifana ne-saline zinikwa ukuba umzimba uphelelwe ngamanzi emzimbeni okanye ukuba uxinzelelo lwegazi luphantsi.

Ukuba imeko yabanye abantwana imbi kakhulu, kunokufuneka bangeniswe kwiYunithi yoKhathalelo oluPhezulu (ICU) baze banyangwe phantsi koqwalaselo olukhethekileyo.

Ezinye izinto ezibalulekileyo ekufuneka uzazi

Xa sithetha nge-MIS-C, kulungile ukukhumbula ezinye izinto ezimbalwa.

Ngaba kusafuneka ndinyamekele emva kokuphuma esibhedlele?

Uninzi lwabantwana luyaphola emva konyango esibhedlele. Nangona kunjalo, abanye abantwana banokuba neengxaki zexesha elide ngenxa ye-MIS-C. Ngoko ke, kubalulekile ukuqhubeka nokunyamekela umntwana wakho ngokwemiyalelo kagqirha wakho nokuba sele ubuyile ekhaya uvela esibhedlele.

Umzekelo:

• Umntwana ontliziyo yakhe ichaphazeleke yi-MIS-C uza kuqhubeka nokuthunyelwa kwingcali yentliziyo.Kuya kufuneka udibane kwaye uhlolwe rhoqo. Kusenokufuneka unciphise umthambo wakho, ukubaleka, nokudlala okwethutyana. Kuya kufuneka uhlale unjalo de ugqirha athi, "Kulungile, akukho ngxaki ngoku."
• Ukuba uqhubeka nokusebenzisa amayeza afana nee-steroids ukunciphisa ukudumba, kuya kufuneka udibane nogqirha wezifo zamathambo okanye ingcali ye-endocrinologist ukuze anciphise okanye atshintshe amayeza ngokufanelekileyo.

Kungoko ke, kubaluleke kakhulu ukulandela imiyalelo enikwe ngoogqirha ngokuchanekileyo kwaye umse umntwana kwiikliniki ezifanelekileyo.

Eyona ndlela ilungileyo yokuthintela i-MIS-C

Enyanisweni, i-MIS-C yimeko engaqhelekanga kakhulu . Nangona kunjalo, kuba inokuba yingozi, kufuneka sizame ukuzikhusela kuyo kangangoko sinako. Eyona ndlela ilungileyo yokuthintela i-MIS-C kukuphepha ukosulelwa yi-COVID-19.

• Ngenxa yoko, kubaluleke kakhulu ukuba wonke umntu oneminyaka engaphezu kweenyanga ezi-6 ubudala afumane imijovo ye-COVID-19 aze ayigcine ihlaziyiwe . Imijovo emitsha ekhoyo ngoku ikhusela kwiindidi eziqhelekileyo ze-COVID-19.

Khumbula ezi zinto ukuze uzikhusele kwizifo eziqhelekileyo.

Ukuthintela ukusasazeka kwaso nasiphi na isifo, kungekuphela nje i-COVID-19, kulungile ukuba wonke umntu alandele le mikhwa ilula yezempilo:

• Hlamba izandla zakho rhoqo nangokucokisekileyo. Hlamba izandla zakho ngesepha namanzi ubuncinane imizuzwana engama-20. Ukuba isepha namanzi azifumaneki, sebenzisa isicoci sezandla esine-60% yotywala.
• Kuphephe ukusondela kufutshane nabantu abagulayo. Kuphephe ukusondela kufutshane nabantu abaneempawu ezinje ngomkhuhlane, ukukhohlela, kunye nomkhuhlane.
• Gcina iindawo eziphathwa rhoqo zicocekile. Sula izibambo zomnyango, iikhawuntara, kunye neefowuni rhoqo.
• Zama ukuphefumla umoya omtsha kangangoko unako. Ukuba ungaphakathi endlwini, vula iifestile uze ungenise umoya omtsha. Kukwalungile ukuphuma ngaphandle.

Ekugqibeleni, ekugqibeleni, khumbula oku (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke sithethe kakhulu nge-MIS-C. Into ebalulekileyo ekufuneka uyikhumbule kukuba le yimeko engaqhelekanga, kodwa inokuba yingozi kakhulu. Inxulunyaniswa nosulelo lwe-COVID-19.

Ukuba umntwana wakho unomkhuhlane ongapheliyo kunye nezinye iimpawu esizikhankanyileyo (ezifana nentlungu yesisu, iintlungu zomzimba, amehlo abomvu), musa ukuchitha ixesha kwaye ufune iingcebiso zonyango ngoko nangoko. Okukhona uqaphela kwangethuba kwaye uqala unyango, kokukhona umntwana wakho enokuthi aphile.

Musa ukoyika, kodwa lumka. Thatha amanyathelo afunekayo ukuze uzikhusele kwi-COVID-19. Sikunqwenelela impilo entle wena nosapho lwakho!

` I-MIS-C, i-COVID-19 Abantwana, i-Multisystem Infection Syndrome, iiPediatrics, umkhuhlane, ukudumba, isifo sentliziyo