Ingabe ingane yakho encane ike yagula ngendlela exakile ngemva kwe-COVID? Masiqaphele lesi simo esiyingozi '(MIS-C)'!

Sonke siyazi ukuthi ubhubhane lwe-COVID-19 lushintshe kangakanani izimpilo zethu. Ngokuvamile, lapho izingane ezincane zithola i-COVID, sicabanga ukuthi ngeke ibe nzima njengabantu abadala. Kodwa-ke, ezinye izingane, emasontweni ambalwa ngemva kokululama ku-COVID-19, ziqala ukuba nezimpawu ezintsha nezinzima kakhulu. Yilokhu odokotela abakubiza ngokuthi i-MIS-C, noma i-Multisystem Inflammatory Syndrome ezinganeni. Ochwepheshe basacwaninga ukuthi ihlobene kanjani ne-COVID-19 nokuthi kungani ezinye izingane kuphela eziyitholayo.

Kusho ukuthini ukuthi `(MIS-C)`? Ake sikuqonde kahle, akunjalo?

Kalula nje, i-`(MIS-C)` yisimo lapho izinhlelo eziningi emzimbeni wengane, njengenhliziyo, amaphaphu, izinso, ubuchopho, isikhumba, namehlo, zivuvukala, noma zivuvukale, konke ngesikhathi esisodwa. Cabanga ngakho, njengokungathi umzimba wonke ushisa futhi uvuvukile ngaphakathi. Odokotela okwamanje bakholelwa ukuthi lokhu kungenzeka lapho igciwane le-`(COVID-19)` lingena emzimbeni futhi uhlelo lokuzivikela lomzimba wethu (uhlelo lokuzivikela komzimba) lusabela kulo ngendlela eyeqisayo, yokwethuka kancane. Lokhu ngezinye izikhathi kubizwa ngokuthi `(PMIS)` noma `(PIMS)`, kodwa igama elithi `(MIS-C)` livame ukusetshenziswa.

Ziyini izimpawu zengane ene-`(MIS-C)`?

Manje ake sibheke izimpawu ingane ene-`(MIS-C)` engase izibonise. Lezi zingase zihluke kancane kusuka komunye umntwana kuya komunye, kodwa izimpawu ezivame kakhulu yilezi:

• Umkhuhlane oqhubekayo: Lokhu kusho umkhuhlane oqhubeka izinsuku eziningana ngaphandle kokuncipha. Mhlawumbe umkhuhlane ongaphezu kwama-degree Celsius angu-38 (100.4 Fahrenheit).
• Ubuhlungu obukhulu besisu : Ingane ingase ibe nobuhlungu besisu obungabekezeleleki.
• Ukuhlanza noma uhudo : Kufanele ukhathazeke uma uhlanza njalo noma uma ukhipha indle enamanzi.
• Ukuqubuka kwesikhumba: Ukuqubuka okubomvu, ngezinye izikhathi okufana nama-blister amancane kungavela ezingxenyeni ezahlukene zomzimba.
• Izindebe zibonakala zibomvu futhi ziqhekekile: Izindebe zingase zibe bomvu ngendlela engavamile, zome, futhi ziqhekeke. Ngezinye izikhathi ulimi lungase lubonakale lubomvu njenge-strawberry.
• Ububomvu bamehlo: Amehlo amhlophe angase abe bomvu, njengokungathi atheleleke ngegciwane lamehlo. Kodwa-ke, ukukhiqizwa kwezinyembezi akuvamile.
• Ubomvu nokuvuvukala kwezintende zezandla: Izandla nezinyawo, ikakhulukazi izintende zezandla nezinyawo, zingase zibe bomvu futhi zivuvuke.

Ngaphezu kwalezi zimpawu, ezinye izingane zingase zibe nama-lymph node avuvukele entanyeni (okufana nomphimbo obuhlungu). Ikhanda elibuhlungu kakhulu, izinhlungu zomzimba, ubunzima bokuphefumula , kanye nobuhlungu besifuba nakho ngezinye izikhathi kubonakala.

Kufanele siye nini kudokotela? Kufanele siye nini esibhedlela ngokushesha?

Uma ingane yakho ibinomkhuhlane izinsuku eziningana futhi inezimpawu ezingaphezu kweyodwa kwezingenhla, kufanele nakanjani ubone udokotela ngokushesha . Lokhu kungenxa yokuthi isimo sezingane ezinalesi simo '(MIS-C)' singaba sibi ngokuzumayo. Ngakho-ke, kungcono ukufuna iseluleko sezokwelapha ngaphandle kokuchitha isikhathi. Ikakhulukazi uma kukhona noma yiziphi izimpawu ezilandelayo, kufanele uziyise emnyangweni wezimo eziphuthumayo esibhedlela esiseduze (ETU) ngokushesha:

• Uma ingane ibonakala ibhekene nobunzima obukhulu futhi ibuthakathaka kakhulu ukuthi ingaze ibukeke .
• Uma uzizwa sengathi unenkinga yokuphefumula , ukhwehlela, noma uphefumula ngokushesha.
• Uma ukhuluma ngobuhlungu besifuba , noma uma ukhuluma ngokuqina kwesifuba sakho.
• Uma isisu sibuhlungu kakhulu , ingane ingase ingakwazi ngisho nokuma iqonde.
• Uma izindebe noma ubuso bakho bubonakala buluhlaza okwesibhakabhaka (lokhu kusho ukuthi umzimba wakho awutholi umoya-mpilo owanele).
• Uma ingane ilele kakhulu , noma ibonakala ididekile , ikhathazekile, noma ibonakala ingaqondi ukuthi uthini.

Kufanele futhi utshele udokotela uma ingane yakho ike yaba ne -COVID-19 ngaphambilini, noma uma ike yaxhumana nomuntu one-COVID-19. Lolo lwazi luwusizo kakhulu ekuxilongweni kwesifo.

Yiziphi izinkinga ezingaba khona ngenxa ye-`(MIS-C)`?

Lesi simo, esibizwa ngokuthi `(MIS-C),` singadala izinkinga ezahlukahlukene kusukela enganeni kuya enganeni. Ngoba asithinti nje ingxenye eyodwa yomzimba. Ngokuyinhloko, lokhu kuvuvukala kungathinta izingxenye eziningi zomzimba, njengenhliziyo, igazi, imithambo yegazi, isikhumba, amathumbu (uhlelo lokugaya ukudla), amehlo, izinso, nobuchopho. Ngezinye izikhathi, lokhu kungabangela umonakalo wesikhashana noma wesikhathi eside kulezo zitho zomzimba. Odokotela bakhathazeke kakhulu ngemiphumela enhliziyweni. Ngenxa yokuthi imisipha yenhliziyo ingavuvukala, ulwelwesi oluzungeze inhliziyo lungavuvukala, noma izinkinga zingavela emithanjeni yegazi ehambisa igazi enhliziyweni.

Odokotela bakuthola kanjani `(MIS-C)`?

Manje ungase uzibuze ukuthi odokotela bangabona kanjani ukuthi lokhu kuyi-MIS-C. Izimpawu ze-MIS-C zingafana nezinye izifo zasebuntwaneni, njengesifo se-Kawasaki, isimo esibi esibangelwa ukutheleleka kwamagciwane okubizwa ngokuthi i-toxic shock syndrome, noma ezinye izifo ezibangelwa amagciwane. Ngakho-ke uma udokotela esola ukuthi ingane ine-MIS-C, izoqala ngokuhlola ukuze ibone ukuthi ingane itheleleke nge-COVID-19 noma isanda kutheleleka. Ngaphezu kwalokho, bazokwenza izivivinyo ezahlukahlukene ukuze babone ukuthi kungakanani ukuvuvukala okukhona emzimbeni. Bazohlola futhi ukuze babone ukuthi kukhona yini umonakalo ezithweni ezahlukahlukene zomzimba, ikakhulukazi inhliziyo. Lokhu kuvame ukufaka:

• Ukuhlolwa kwegazi kanye nokuhlolwa komchamo: Lokhu kungakutshela okuningi ngokuvuvukala emzimbeni, ukusebenza kwezitho ezahlukahlukene, kanye nokuthi ngabe kukhona yini izinkinga zokujiya kwegazi.
• I-X-ray yesifuba: Hlola isimo samaphaphu.
• Ukuhlolwa okukhethekile kokuhlola inhliziyo :
• I-"ECG - i-electrocardiogram": Lokhu kubheka umsebenzi kagesi wenhliziyo, okungukuthi isigqi sokushaya kwenhliziyo.
• I-"echocardiogram": Lokhu kufana nokuskena kwenhliziyo "nge-ultrasound". Kungabheka izinto eziningi ezibalulekile, njengokwakheka kwenhliziyo, imisipha, ama-valve, nokuthi inhliziyo ihambisa igazi kahle kangakanani.
• Ukuskena kwe-ultrasound yesisu: Ukuhlola ukuvuvukala noma ezinye izinkinga ezithweni zomzimba esiswini.

Ngezinye izikhathi, odokotela bazofuna usizo lochwepheshe abahlukahlukene ukuze baxilonge futhi baphathe lesi simo 'se-MIS-C' ngokunembile. Lokhu kufaka phakathi ochwepheshe bezifo ezithelelanayo, odokotela benhliziyo, odokotela bamathambo (labo abelapha amathambo, amalunga, kanye nesimiso somzimba sokuzivikela), odokotela begazi, kanye nochwepheshe bokunakekelwa okubucayi. Basebenza ndawonye ukuhlela ukwelashwa okungcono kakhulu kwengane yakho.

Yiziphi izindlela zokwelapha `(MIS-C)`?

Ukwelashwa kwengane ene-`(MIS-C)` kuncike ezimpawini zengane, imiphumela yokuhlolwa, kanye nobunzima besimo. Akuzona zonke izingane ezinikezwa ukwelashwa okufanayo. Odokotela bavame ukuzama ukunciphisa ukuvuvukala emzimbeni, ukuvimbela amahlule egazi (ezinye izingane zingase zibe sengozini yamahlule egazi), futhi bavikele izitho ezithintekile ekulimaleni okwengeziwe. Lokhu kufaka phakathi:

• I-oksijini: Uma unenkinga yokuphefumula, nikeza umzimba wakho inani le-oksijini oyidingayo.
• Uketshezi olufakwa emthanjeni (uketshezi lwe-IV): Lokhu kusho ukunikeza izinto ezifana nosawoti emthanjeni. Lokhu kusiza ukulawula amazinga oketshezi emzimbeni nokugcina umfutho wegazi uzinzile.
• Izinhlobo ezahlukene zemithi (izidakamizwa):
• Imithi efana nama-steroids noma i-antibody ekhethekile ebizwa ngokuthi i-Intravenous Immunoglobulin (IVIG) inganikezwa ukunciphisa ukuvuvukala nokulawula ukusebenza ngokweqile kwesimiso somzimba sokuzivikela.
• Imithamo ephansi yemithi efana ne-aspirin inganikezwa ukuvimbela ukujiya kwegazi.
• Uma inhliziyo ithintekile, imithi ekhethekile inganikezwa.
• Uma isimo sezingane ezithile sibucayi, kungadingeka ukuthi zingeniswe egunjini lokunakekelwa okujulile esibhedlela (ICU) futhi zinikezwe ukwelashwa okukhethekile ngaphansi kokuqashwa njalo.

Yini enye okudingeka siyazi nge-`(MIS-C)`? (Amaqiniso abalulekile)

Kubaluleke kakhulu ukuthi wazi amanye amaqiniso ambalwa ngalesi simo.

Ukululama nokulandelela

Esikhathini esiningi, izingane ezine-`(MIS-C)` ziyalulama ngemva kokwelashwa esibhedlela. Lezo yizindaba ezinhle ngempela. Kodwa-ke, ezinye izingane, ikakhulukazi lezo ezinezinkinga zenhliziyo, zingase zibe nezinkinga zesikhathi eside. Ngakho-ke, kudingeka ziqhubeke nokubhekwa ochwepheshe ngisho nangemva kokuba sezibuyele ekhaya (ukunakekelwa kokulandelela) .

• Isibonelo, ingane ene-MIS-C eye yaba nomonakalo othile wenhliziyo kuzodingeka ibonane nodokotela wenhliziyo futhi ihlolwe njenge-echocardiogram. Kungase kudingeke ukuthi iyeke ukuzivocavoca, ukugijima, nokudlala imidlalo isikhashana kuze kube yilapho udokotela esho kanjalo.
• Futhi, izingane ezithatha imithi ethile (njenge-steroids yokunciphisa ukuvuvukala) zingadinga ukubonana nodokotela wamathambo noma udokotela wezifo zamathambo ukuze zinciphise kancane kancane umthamo futhi zilungise njengoba kudingeka.

Lesi yisimo esingavamile kakhulu.

Kufanele futhi kushiwo ukuthi '(MIS-C)' yisimo esingavamile kakhulu. Lokho kusho ukuthi akuwona wonke umntwana othola '(COVID-19)' othola yona. Uma amakhulu ezinkulungwane zezingane ethola i-COVID, inani elincane kakhulu lazo elizothola '(MIS-C).' Ngakho-ke, ungakhathazeki noma wesabe ngokungadingekile. Kodwa-ke, kubalulekile ukuqaphela izimpawu.

Ukuvimbela kungcono kakhulu!

Indlela engcono kakhulu yokugwema lesi simo `(MIS-C)` ukuvimbela ukusabalala kwe-`(COVID-19)`. Lokho kubizwa ngokuthi:

• Wonke umuntu oneminyaka engaphezu kwezinyanga eziyi-6 ubudala kufanele athole umuthi wokugomela i-`(COVID-19)` ngesikhathi. Imithi yokugomela yakamuva etholakalayo manje inikeza isivikelo esihle ngisho nasezinhlotsheni ezivame kakhulu zegciwane. Ukugomela kunganciphisa ingozi yezinkinga ezinkulu ezivela ku-`(COVID-19)` kanye ne-`(MIS-C)`. (Ngokwazi kwethu, lokhu akutholakali ezibhedlela zikahulumeni eSri Lanka, futhi angazi ukuthi kuyatholakala yini emkhakheni ozimele)

Ngaphandle kwalokho, ukuze uhlale uphephile ezifweni, kuwumqondo omuhle ukwenza lezi zinto nsuku zonke, akunjalo?

• Geza izandla zakho kahle ngensipho namanzi okungenani imizuzwana engama-20. Sebenzisa insipho noma isihlanzi sezandla esiqukethe okungenani u-60% wotshwala.
• Gwema abantu ababonakala begula, ikakhulukazi labo abakhwehlelayo kanye nomkhuhlane.
• Gcina izindawo ezithintwa njalo (izibambo zeminyango, amakhawunta, amatafula, omakhalekhukhwini, njll.) zihlanzekile ngangokunokwenzeka.
• Zama ukuphefumula umoya omusha ngangokunokwenzeka. Lokhu kusho ukuvula iminyango namafasitela ukuze kungene umoya omuhle, nokuchitha isikhathi ngaphandle.

Into ebaluleke kakhulu sonke okudingeka siyikhumbule! (Umyalezo Wokuya Ekhaya)

Ngakho-ke, ngithemba ukuthi manje usunokuqonda okungcono ngalokho ebesikhuluma ngakho, `(MIS-C)`. Into ebaluleke kakhulu okufanele uyikhumbule ukuthi `(MIS-C)` yisimo esingathi sína, kodwa esingavamile kakhulu , esingaba khona ezinye izingane ngemva kokutheleleka nge-`(COVID-19)`.

Uma ubona izimpawu ngendlela efanele, ungesabi, futhi uzibonise udokotela ngokushesha, unganika ingane yakho ukwelashwa okudingekayo futhi uyiphulukise. Futhi, ukuvimbela `(COVID-19)` kuyindlela engcono kakhulu yokuvimbela `(MIS-C)`. Ngakho-ke, sonke masilandele imikhuba yezempilo, sivikele izingane zethu kanye nathi! Uma unokungabaza, buza udokotela womndeni wakho noma udokotela wezingane.