Ingabe ingane yakho inalezi zimpawu ngemva kwe-COVID-19? Ake sixoxe nge-MIS-C! (I-Multisystem Inflammatory Syndrome ezinganeni - MIS-C)

Ingabe ingane yakho ilulame ku-COVID-19? Emasontweni ambalwa ngemva kokululama, ezinye izingane zingase zibe nezimpawu ezingavamile. Lokhu yilokho esikubiza ngokuthi i-MIS-C (Multisystem Inflammatory Syndrome in Children) . Kungaba yisimo esibucayi, ngakho-ke kubalulekile ukuqaphela. Ake sixoxe ngakho ngokuningiliziwe namuhla, akunjalo?

Kuyini i-MIS-C? Ake sikuqonde kalula.

Kalula nje, i-MIS-C yisimo esingavamile esenzeka kwezinye izingane ngemva kwe-COVID-19. Sibonakala ngokuvuvukala ezindaweni eziningi zomzimba wengane, hhayi eyodwa kuphela. Sibonakala ngokubomvu, ukuvuvukala, nokufudumala ngaphakathi emzimbeni. Lokhu kuvuvukala kungathinta kakhulu:

• Enhliziyweni yengane yakho
• Emaphashini
• Ngezinso
• Ebuchosheni
• Esikhumbeni
• Kwamehlo
• Ezithweni zesistimu yokugaya ukudla

Lesi simo sivame ukuhambisana nomkhuhlane ohlala isikhathi esingaphezu kwamahora angama-24. I-MIS-C yisimo esibi kakhulu esingaba yingozi empilweni ngezinye izikhathi. Ngakho-ke, uma ingane yakho ibonisa izimpawu ezifana nobunzima bokuphefumula noma ubuhlungu obukhulu besifuba, kufanele uyiyise esibhedlela ngokushesha.

Ivame kangakanani i-MIS-C?

I-MIS-C empeleni iyisimo esingavamile kakhulu. Okwamanje kulinganiselwa ukuthi ingane eyodwa kuphela kwezingu-3,000 kuya kwezingu-4,000 etheleleke ngegciwane le-COVID-19 ezoba nalesi simo. Lokhu kusho ukuthi akuwona wonke umuntu ozoba naso, kodwa kufanele sikhumbule ukuthi ingozi ikhona.

Uyini umehluko phakathi kwe-MIS-C ne-MIS-A?

Lezi zombili ziyisimo esifanayo. Umehluko usebudaleni bomuntu otholakale enalesi sifo.

• I-MIS-C yenzelwe izingane kanye nabantu abasha abangaphansi kweminyaka engama-21.
• I-MIS-A iwukuba abantu abaneminyaka engaphezu kwengu-21 ubudala.

Nakuba i-MIS-C ivame kakhulu kune-MIS-A, izimpawu zingase zibe zimbi kakhulu ku-MIS-A.

Ziyini izimpawu ze-MIS-C? Ake sizazi kangcono!

Isici esibalulekile se-MIS-C umkhuhlane ohlala okungenani amahora angama-24. Ngaphezu kwalokho, kungase kube nezimpawu ezingaphezu kweyodwa kulezi ezilandelayo:

• Ubuhlungu besisu noma ubuhlungu besisu
• Ukuhlanza
• Uhudo (ukuhlanza)
• I-Vertigo (ukuzizwa sengathi uyajikeleza)
• Ukuqubuka kwesikhumba (ngezinye izikhathi njengamabala abomvu)
• Ukubomvu kwamehlo (okufana nokubomvu kwegazi)
• Isifiso sokudla

Cabanga nje, ingane yakho ithole i-COVID-19 futhi yaba ngcono. Ngemva kwamasonto amabili noma amathathu, ngokuzumayo yaqala ukuba nomkhuhlane ongazange wehle izinsuku ezimbili noma ezintathu. Yakhala nangobuhlungu besisu, futhi yayinamabala abomvu emzimbeni wayo. Yayingadli. Ngesikhathi esinjengaleso, kufanele ucabange kancane nge-MIS-C.

Izimpawu zesimo esiphuthumayo - lezi ngokuqinisekile ziyinto okufanele uyiqaphele!

Uma ingane yakho ikhombisa noma yiziphi izimpawu ezilandelayo, kufanele uyiyise ngokushesha emnyangweni wezimo eziphuthumayo esibhedlela esiseduze, noma ushayele u-1990:

• Ubunzima bokuphefumula (ukuphefumula kanzima, okusheshayo)
• Ubuhlungu besifuba obungapheli (ingane ibambe isifuba ithi sibuhlungu)
• Ukudideka (ukulahlekelwa inkumbulo, inkulumo engacacile)
• Ubuhlungu obukhulu besisu
• Ubunzima bokuhlala uphapheme noma ukungakwazi ukuvuka (ukozela ngokweqile, ukungakwazi ukuvuka ngisho noma kukhulunywa nawe)
• Isikhumba esiluhlaza okwesibhakabhaka, esimpunga, noma esimpunga, izindebe, noma izinzipho (lokhu kubonisa ukuntuleka komoya-mpilo)

Okubalulekile: Lezi zimpawu zingavela hhayi kuphela ku-MIS-C, kodwa nakwezinye izimo zezokwelapha ezimbi kakhulu. Ngakho-ke, uma ubona into efana nale , kufanele ubonane nodokotela ngokushesha.

Yini ebangela i-MIS-C?

Imbangela eqondile ye-MIS-C ayikakaziwa. Selokhu lesi sifo satholakala okokuqala ekuqaleni kuka-2020, ucwaningo luye lwaqhubeka nokuphenya ukuthi yini esibangela nokuthi ngabe sinemiphumela yesikhathi eside yini ezinganeni. Into eyodwa icacile: lesi simo siwumphumela ongemuhle wokutheleleka yi-COVID-19. Ngakho-ke uma ingane yakho ine-COVID-19, kunengozi yokuthola i-MIS-C.

Ucwaningo lubonisa ukuthi lokhu kungenzeka ukuthi kungenxa yokuthi amasosha omzimba wengane aqala ukusabela ngokweqile ngemva kokutheleleka yi-COVID-19. Kalula nje, ngemva kokuba imizimba yethu isiqedile ukuzivikela ezifweni ukulwa negciwane le-COVID-19, kuba sengathi iyadideka kancane bese iqala ukuhlasela izitho zayo zomzimba. Yilokhu okubangela ukuvuvukala.

Kukhona futhi inkolelo yokuthi izici zofuzo zingase zibe nomthelela ekukhuleni kwalesi simo kwabanye abantwana.

Ingabe i-MIS-C iyathelelana?

Cha, abukho ubufakazi bokuthi i-MIS-C idluliselwa kusuka komunye umntwana iye komunye. Kodwa-ke, i-COVID-19, eyenzeka ezinganeni ngaphambi kokuba i-MIS-C iqale , iyathelelana kakhulu.

Isifo se-MIS-C sitholakala kanjani?

Udokotela uzohlola ingane yakho bese enza izivivinyo ezimbalwa ukuze anqume ukuthi ine-MIS-C. Udokotela uzobuza ngezimpawu zengane yakho, ukuthi isinesikhathi esingakanani inomkhuhlane, ukuthi ngabe ihlolwe yatholakala ine-COVID-19, nokuthi yenzeke nini. Uma ingane yakho ine-COVID-19 esebenzayo ngaleso sikhathi, kufanele utshele ithimba lezokwelapha ngokushesha.

Ukuhlolwa kungaqinisekisa ukuxilongwa futhi kunqume ukuthi yiziphi izitho zomzimba enganeni ezithintekile ukuvuvukala. Ezinye zezivivinyo ezenziwa ngale njongo yilezi:

• Ukuskena kwenhliziyo (i-Echocardiogram): Hlola ukusebenza kwenhliziyo kanye nokuvuvukala.
• I-X-ray yesifuba : Hlola isimo samaphaphu.
• I-ultrasound yesisu : Ukuhlola ukuvuvukala kwezitho ezingaphakathi kwesisu.
• I-CT scan (i-Computed Tomography - i-CT scan) : Uma kudingeka, bheka izingxenye ezahlukene zomzimba ngokucacile.

Ngaphezu kwalokhu, udokotela uvame ukuhlola ingane i-COVID-19. Bangenza nezinye izinto, njengokuhlolwa kwegazi, kuye ngezimpawu zengane.

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

Udokotela uzophinde acabangele ezinye izimo ezingase zibangele izimpawu zengane yakho. Lokhu kubizwa ngokuthi i-differential diagnosis . Izimpawu ze-MIS-C ngezinye izikhathi zingafana nalezi zimo:

• Isifo seKawasaki
• I-toxic shock syndrome

Yingakho ukuhlolwa kubalulekile ukuze kutholakale ngokunembile lesi sifo.

Iphathwa kanjani i-MIS-C?

Ukugxila okuyinhloko kokwelashwa kwe-MIS-C ukunciphisa ukuvuvukala nokulawula izimpawu ezingaba yingozi empilweni. Izinketho zokwelapha zifaka:

• Ukufaka usawoti emthanjeni (uketshezi lwe-IV) : Gcina amazinga oketshezi emzimbeni.
• Imithi yokulwa nokuvuvukala (eyomlomo noma ye-IV) : Imithi efana ne -corticosteroids , i-immune globulin (IVIG) , kanye ne-glucocorticoids isetshenziselwa le njongo.
• Uma ingane inegciwane le-COVID-19 elisebenzayo, ukwelashwa ngama-antiviral , njenge- remdesivir, kunganikezwa ukuze kwelashwe.
• Uma kunobunzima bokuphefumula, umoya-mpilo unikezwa kusetshenziswa idivayisi yokusekela ukuphefumula (i-ventilator) .

Uma ingane yakho ine-MIS-C, kuye ngokuthi izimpawu zayo zibucayi kangakanani, izolashwa esibhedlela noma e-Pediatric Intensive Care Unit (PICU) . Lokhu kuvumela odokotela nabahlengikazi ukuthi baqaphe ingane yakho eduze futhi banikeze ukwelashwa okudingekayo ngokushesha.

Ngizolulama ngokushesha kangakanani ngemva kokwelashwa?

Kungathatha noma yikuphi kusukela ezinsukwini ezintathu kuya emavikini amabili ukuthi ingane izizwe ingcono ngemva kokuqala ukwelashwa. Ingane ivame ukuhlala esibhedlela izinsuku ezimbalwa, njengoba odokotela beqapha isimo sengane eduze.

Ingabe ingane ingavinjelwa ukuba ne-MIS-C?

Indlela engcono kakhulu yokuvimbela ingane yakho ekutholeni i-MIS-C ukuyivikela ekuthelelekeni yi-COVID-19. Ungagcina ingane yakho iphephile ngokwenza lezi zinto:

• Ukugonyelwa i-COVID-19(Kufaka phakathi imijovo yokuqinisa, uma kunconywa udokotela wengane).
• Fundisa ingane yakho ukugqoka imaski yobuso emboza umlomo nekhala kahle.
• Tshela ingane yakho ukuthi igweme ukuthinta amehlo ayo, impumulo, nomlomo ukuze ivimbele ukusabalala kwamagciwane.
• Fundisa ingane yakho ukugeza izandla zayo njalo ngensipho namanzi. Uma kungekho sinki eduze, ungasebenzisa isihlanzi sezandla esiqukethe okungenani u-60% wotshwala.
• Gwema ukusondelana nabantu okusolwa noma okuqinisekisiwe ukuthi bane-COVID-19.
• Gcina ukuqhelelana nabanye abantu (okungenani amamitha angu-1.5).
• Gcina izindawo nezinto ezithintwa njalo zihlanzekile futhi zihlanziwe ngamagciwane.

Khumbula, lezi zinyathelo zokuphepha zizosiza ekuvikeleni wena nengane yakho hhayi kuphela kwi-MIS-C, kodwa nakwezinye izifo eziningi, okuhlanganisa ne-COVID-19.

Yini engingayilindela uma ingane yami ine-MIS-C?

Iningi lezingane ezitholakale zine-MIS-C liyalulama ngokuphelele. Kodwa-ke, njengoba kushiwo ngaphambili, ezimweni ezingavamile kakhulu, kungaba yingozi empilweni noma kube kubi kakhulu. Ingane kuzodingeka ilaliswe esibhedlela. Ngisho nangemva kokuba ukwelashwa kwe-MIS-C sekuqediwe, ingane kuzodingeka ibone udokotela wezingane . Njengoba ucwaningo lusaqhubeka ngokuthi lesi simo sinemiphumela emibi yesikhathi eside, udokotela uzohlola ingane ezinyangeni ezimbalwa ngemuva kokwelashwa ukuqinisekisa ukuthi iphila kahle.

Isimo se-MIS-C sihlala isikhathi esingakanani?

Ingane yakho ingase igule cishe amasonto amabili nge-MIS-C. Lokhu kuzohluka kuye ngokuthi ingane yakho itholakale inesifo esingakanani. Ukwelashwa kungathuthukisa isikhathi sokululama kwengane yakho kanye nomphumela wayo.

Kufanele ngimbone nini udokotela?

Uma ingane yakho inezimpawu ze-MIS-C, kungakhathaliseki ukuthi inomlando wokutheleleka kwe-COVID-19 noma cha, xhumana nodokotela wengane yakho ngokushesha. Udokotela uzokutshela ukuthi udinga ukuya ekamelweni eliphuthumayo futhi angaphendula noma yimiphi imibuzo ongase ube nayo ngalesi simo.

Uma ingane inezimpawu ezibucayi, iya esibhedlela ngokushesha noma ushayele ucingo ku-1990.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma ingane igula, ikakhulukazi esimweni esifana ne-MIS-C, kuyinto evamile ngawe njengomama ukuba nemibuzo eminingi. Ungabuza udokotela izinto ezifana nalezi:

• Ingabe kufanele ngigcine ingane yami esibhedlela?
• Yiziphi izimpawu okufanele ngiqhubeke ngiziqaphela?
• Ingabe ikhona imiphumela emibi yokwelashwa?
• Yini okufanele ngiyenze ukuze ngenze ingane yami ikhululeke uma ine-COVID-19?

Ukuyiswa kwengane yakho esibhedlela ukuze ithole ukwelashwa kwe-MIS-C kungaba yinto eyesabekayo. Kodwa-ke, odokotela nabahlengikazi bazoyiqapha ingane yakho eduze ubusuku nemini futhi baphathe izimpawu ukuze zingabe zisongela impilo. Ezinye izingane zingase zibe nezimpawu ezincane, kanti ezinye zingase zibe nezinkinga ezinkulu. Kodwa-ke, izifundo zibonisa ukuthi iningi lezingane liyalulama ngokuphelele. Ucwaningo lusaqhubeka ukuze kubonwe ukuthi i-MIS-C kanye ne-COVID-19 zinemiphumela yesikhathi eside yini ezinganeni.

Ngamafuphi, izinto okudingeka sizikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ake siphinde sixoxe ngamaphuzu abaluleke kakhulu kulokho esikhulume ngakho:

• I-MIS-C yisimo esingavamile kodwa esingaba sibi kakhulu esingase senzeke kwezinye izingane ngemva kwe-COVID-19.
• Qaphela izimpawu ezifana nomkhuhlane ohlala amahora angaphezu kwangu-24, ubuhlungu besisu, ukuhlanza, isifo sohudo, ukuqubuka kwesikhumba kanye namehlo abomvu .
• Uma uhlangabezana nezimpawu ezinzima njengobunzima bokuphefumula, ubuhlungu besifuba, ukudideka, noma isikhumba esiluhlaza okwesibhakabhaka/ompunga, funa usizo lwezokwelapha ngokushesha.
• Njengoba i-COVID-19 iyimbangela eyinhloko ye-MIS-C, into engcono kakhulu ongayenza ukuvikela ingane yakho kuyo. Qiniseka ukuthi ulandela imigomo, imaski yobuso, kanye nokugeza izandla.
• Iningi lezingane liyalulama ngokuphelele ku-MIS-C, kodwa kubaluleke kakhulu ukulandela iseluleko sezokwelapha.

Ukunakekela impilo yengane yakho kuyinto ebaluleke kakhulu. Ukwazi lolu hlobo lolwazi kuzokusiza ukuthi uthathe isinyathelo ngokushesha uma kudingeka.

` I-MIS-C, i-COVID-19, izingane, ukuvuvukala, umkhuhlane, ukutheleleka kwezinhlelo eziningi, izinkinga zangemva kwe-COVID