Cishe uke wezwa ngegciwane le-COVID-19. Ngokuvamile siyazi ukuthi lapho izingane zilithola, azivamile ukuzwa izimpawu ezinzima ezibonakala kubantu abadala. Kodwa-ke, kwezinye izingane, izimpawu ezimbi zingavela emavikini ambalwa ngemva kokutheleleka kokuqala kwe-COVID-19. Odokotela babiza lesi simo ngokuthi yi -Multisystem Inflammatory Syndrome in Children , noma (MIS-C) . Ngenkathi abacwaningi besafunda ukuthi kungani lokhu kuthinta izingane ezithile kuphela, kubalulekile ukuthi waziswe.
Kuyini ngempela i-MIS-C?
Kalula nje, i-MIS-C yisimo lapho izinhlelo ezahlukene noma izitho eziningi emzimbeni wengane zivuvukala ngasikhathi sinye. Cabanga ngale ndlela: njengoba umzimba wethu ulwa nokutheleleka, isimiso sethu somzimba sisebenza kakhulu. Kwezinye izimo, ngemva kokutheleleka yi-COVID-19, isimiso somzimba somzimba sisebenza ngokweqile futhi siqala ukuthinta izingxenye ezahlukene zomzimba. Leyo yindlela eyinhloko ye-MIS-C.
Lokhu akwenzeki nje ezinsukwini ezimbalwa ngemva kokuthola i-COVID-19. Ngokuvamile, izimpawu ze-MIS-C ziqala ukubonakala emavikini amabili kuya kwayisithupha ngemva kokutheleleka nge-COVID-19. Ngakho-ke, uma ingane yakho isanda kuba ne-COVID-19 noma ibilokhu isondelene nomuntu ohlolwe watholakala ene-HIV, kubalulekile ukuhlala uqaphile.
Ziyini izimpawu ze-MIS-C nokuthi ungazibona kanjani?
Ngenxa yokuthi i-MIS-C ibangela ukuvuvukala okusabalele, ingabonakala ngezimpawu ezahlukahlukene. Akuzona zonke izingane ezizobonisa zonke izimpawu, futhi ubukhali bungahluka. Kodwa-ke, kunezimpawu ezithile ezivamile okufanele uzibheke:
- Umkhuhlane Oqhubekayo: Umkhuhlane ohlala izinsuku eziningana futhi ongapheli.
- Ubuhlungu Besisu: Ungase uqaphele ubuhlungu obukhulu besisu, isicanucanu, ukuhlanza, noma isifo sohudo.
- Ukuqubuka: Ukuqubuka kwesikhumba okubomvu, ngezinye izikhathi okulumelayo, kungavela ezingxenyeni ezahlukene zomzimba.
- Izindebe Ezibomvu Neziqhekekile: Izindebe zingase zome kakhulu, zibe bomvu ngokugqamile, futhi zingase ziqhekeke.
- Amehlo Anombala Ophuzi: Ingxenye emhlophe yamehlo ingase ibonakale ibomvu, ivame ukubukeka inombala ophuzi.
- Ukuvuvukala Nokubomvu Kwezandla Nezinyawo: Izintende zezandla nezinyawo zingase zibe bomvu futhi zivuvuke.
Ungesabi ngoba nje ingane yakho ibonisa eyodwa noma ezimbili zalezi zimpawu, njengoba zivame ukuvela kwezinye izifo eziningi ezivamile zasebuntwaneni. Kodwa-ke, uma ingane yakho inomkhuhlane oqhubekayo ohambisana nezimpawu ezingaphezu kweyodwa ezishiwo (isibonelo, umkhuhlane kanye nobuhlungu besisu kanye nokuqubuka kwesikhumba), kufanele uthintane nodokotela ngokushesha.
Izimpawu eziyisixwayiso ezidinga ukunakwa ngokushesha!
Kwezinye izimo, isimo sengane singaba sibi ngokushesha. Ngakho-ke, uma ingane yakho ikhombisa noma yiziphi izimpawu ezilandelayo eziyisixwayiso , kufanele uyiyise emnyangweni wezimo eziphuthumayo esibhedlela esiseduze (ER) ngokushesha:
- Ingane ibonakala ingaphilile kahle, ilala kakhulu, noma ikhombisa izimpawu zokudideka.
- Ubunzima bokuphefumula noma ukuphefumula okusheshayo, okubangela ubunzima.
- Izikhalazo zobuhlungu besifuba.
- Ubuhlungu besisu obukhulu, obuqhubekayo.
- Ukushintsha kombala wezindebe noma ubuso (lokhu kubonisa ukuthi umzimba awutholi umoya-mpilo owanele).
Ngesikhathi sezimo eziphuthumayo ezinjalo, yazisa njalo abasebenzi bezokwelapha uma ingane yakho isanda kuba ne-COVID-19 noma ibilokhu isondelene nomuntu otholakale ene-COVID-19.
Yiziphi ezinye izinkinga ezingavela ngenxa ye-MIS-C?
I-MIS-C ithinta ingane ngayinye ngendlela ehlukile. Ukuvuvukala okubangelwa yilesi simo kungalimaza izitho ezahlukene zomzimba. Izindawo ezibalulekile ezingase zithinteke zifaka:
- Inhliziyo: Ubuthakathaka bemisipha yenhliziyo noma ukuphazamiseka kokusebenza kwenhliziyo.
- Amaseli egazi nemithambo yegazi: Izinkinga zokujiya kwegazi noma ukuvuvukala kwemithambo yegazi.
- Isikhumba: Ukuqubuka noma ezinye izinguquko zesikhumba.
- Ukugaya ukudla: Ubuhlungu obukhulu besisu noma isifo sohudo.
- Amehlo: Ubomvu noma ukucasuka.
Ngezinye izikhathi, ikakhulukazi ngokubandakanyeka kwenhliziyo, lezi zinkinga zingase ziholele emiphumeleni yempilo yesikhathi eside. Yingakho ukuxilongwa kusenesikhathi kanye nokwelashwa okusheshayo kochwepheshe abanconywe yiNirogi Lanka kubalulekile.
Itholakala kanjani i-MIS-C?
Izimpawu ze-MIS-C zingahambisana nezinye izimo, njengesifo se-Kawasaki noma i-toxic shock syndrome. Ngenxa yalokho, uma udokotela esola i-MIS-C, uzokwenza uchungechunge lwezivivinyo zokuxilonga ukuqinisekisa isimo.
Yiziphi izivivinyo ezenziwayo?
Ukuhlolwa okuyinhloko kufaka phakathi ukuhlolwa kokuxilonga i-COVID-19 ukuze kutholakale ukuthi ingane yakho inegciwane elisebenzayo noma ukuthi ike yachayeka yini esikhathini esidlule (ngokuhlola ama-antibodies). Ukuhlolwa okwengeziwe kusetshenziselwa ukuhlola izinga lokuvuvukala nokuhlola ukubandakanyeka kwezitho zomzimba, okuhlanganisa:
- Ukuhlolwa kwegazi nomchamo: Lokhu kuhlola izimpawu zokuvuvukala, ukusebenza kwezitho zomzimba, kanye nempilo yamaseli egazi.
- I-X-ray yesifuba: Ukuhlola isimo samaphaphu kanye nosayizi wenhliziyo.
- Ukuxilongwa kwenhliziyo okukhethekile:
- I-ECG (i-electrocardiogram): Ukuhlola ukusebenza kukagesi kwenhliziyo.
- I-Echocardiogram: I-ultrasound yenhliziyo ukuhlola isakhiwo, ukusebenza kwemisipha, kanye nempilo yevalvu.
- I-ultrasound yesisu: Ukuhlola izitho ezifana nesibindi kanye ne-spleen.
Ukusekelwa Ochwepheshe
Ngenxa yokuthi i-MIS-C iyisimo esiyinkimbinkimbi, ukunakekelwa kuvame ukuphathwa yithimba elihlanganisa imikhakha eminingi. Lokhu kungafaka:
- Ochwepheshe bezifo ezithelelanayo
- Odokotela benhliziyo
- Ochwepheshe be-Rheumatology
- Ochwepheshe be-Hematology
- Ochwepheshe bokunakekelwa okubucayi
Lobu buchwepheshe obuhlanganisiwe buqinisekisa ukuthi ingane yakho ithola uhlelo lokwelashwa olungcono kakhulu noluphelele olutholakala ezikhungweni zaseNirogi Lanka.
Iphathwa kanjani i-MIS-C?
Ukwelashwa kuyahlukahluka ngokuya ngezimpawu ezithile zengane yakho kanye nemiphumela yokuhlolwa kwezokwelapha. Imigomo eyinhloko yile:
- Ukunciphisa ukuvuvukala kwesistimu.
- Ukuvimbela ukujiya kwegazi okungadingekile.
- Ukuvikela nokusekela izitho ezithintekile.
Odokotela bangase basebenzise izindlela zokwelapha eziningana:
- Ukwelashwa nge-oxygen: Uma kukhona ukucindezeleka kokuphefumula.
- Imithi: Ama-steroid okunciphisa ukuvuvukala, ama-immunoglobulins e-intravenous (IVIG) okulawula isimiso somzimba sokuzivikela, kanye nama-anticoagulants okuvimbela ukujiya kwegazi.
- Uketshezi olufakwa emthanjeni (IV): Ukwelapha ukuphelelwa amanzi emzimbeni noma ukusekela umfutho wegazi.
Ezimweni ezimbi kakhulu, izingane zingadinga ukungeniswa eYunithi Yokunakekelwa Okujulile (i-ICU) ukuze ziqashwe futhi zinakekelwe ngokukhethekile.
Ezinye Izinto Ezibalulekile Okufanele Uzicabangele
Njengoba uphatha ukululama, khumbula okulandelayo:
Ukunakekelwa kokulandelela ngemva kokukhishwa esibhedlela
Iningi lezingane liyalulama kahle ngokwelashwa esibhedlela. Kodwa-ke, ezinye zingase zibe nemiphumela yesikhathi eside ngenxa ye-MIS-C. Ngakho-ke, ngisho nangemva kokubuyela ekhaya, kubalulekile ukulandela imiyalelo kadokotela wakho ngokucophelela.
Ngokwesibonelo:
- Uma inhliziyo yengane yakho ithintwe yi-MIS-C, izodinga ukunakekelwa okuqhubekayo nodokotela wenhliziyo ukuze ihlolwe njalo. Ungase welulekwe ukuthi unciphise imisebenzi yayo yomzimba noma yezemidlalo isikhathi esithile. Kubalulekile ukulandela le mikhawulo kuze kube yilapho udokotela wakho eqinisekisa ukuthi kuphephile ukuqhubeka nemisebenzi evamile.
- Uma ingane yakho idinga imithi yesikhathi eside efana nama-steroid ukuze ilawule ukuvuvukala, kuzodingeka uxhumane nodokotela wamathambo noma udokotela we -endocrinologist . Bazokunikeza isiqondiso sochwepheshe sendlela yokulungisa noma ukunciphisa le mithi ngokuphephile.
Kubaluleke kakhulu ukuthi ulandele imiyalelo kadokotela wakho ngokunembile futhi uqinisekise ukuthi ingane yakho iya kuzo zonke izikhathi zokubona udokotela ezihleliwe.
Indlela Engcono Kakhulu Yokuvimbela I-MIS-C
Nakuba i-MIS-C iyisimo esingavamile kakhulu , ingaba yingozi, ngakho-ke kufanele senze konke okusemandleni ethu ukuyivimbela. Indlela ephumelela kakhulu yokuvikela ingane yakho ku-MIS-C ukuvimbela ukutheleleka kwe-COVID-19.
- Ngenxa yalokhu, kubalulekile ukuthi wonke umuntu oneminyaka eyi-6 nangaphezulu ahlale enolwazi ngemithi yakhe yokugomela i-COVID-19. Imithi yokugomela yamanje inikeza isivikelo ezinhlotsheni ezivamile ezisakazwa namuhla.
Amathiphu Ajwayelekile Okuhlala Uphilile
Ngale kwe-COVID-19, ukulandela le mikhuba elula yokuhlanzeka kuyindlela enhle yokuzivikela wena nomndeni wakho ezifweni ezahlukahlukene:
- Geza izandla zakho njalo. Sebenzisa insipho namanzi okungenani imizuzwana engama-20. Uma insipho namanzi kungatholakali, sebenzisa isihlanzi sezandla esiqukethe okungenani u-60% wotshwala.
- Gwema labo abangaphilile. Zama ukuhlala kude nanoma ubani obonisa izimpawu ezifana nomkhuhlane, ukukhwehlela, noma umkhuhlane.
- Gcina izindawo ezithintwa kakhulu zihlanzekile. Hlanza izinto njalo njengezibambo zeminyango, amakhawunta, kanye nocingo.
- Beka umoya omusha kuqala. Uma ungaphakathi endlini, vula amafasitela ukuze uthuthukise umoya, noma uchithe isikhathi ezindaweni zangaphandle noma nini lapho kungenzeka.
Umyalezo Wokugcina Wokuya Nasekhaya
Sihlanganise ulwazi oluningi mayelana ne-MIS-C namuhla. Khumbula, nakuba kuyisimo esingavamile , sibi kakhulu futhi sihlobene nokutheleleka kwe-COVID-19.
Uma ingane yakho inomkhuhlane oqhubekayo kanye nezinye izimpawu esixoxe ngazo (njengobuhlungu besisu, ukuqubuka, noma amehlo abomvu), ungalindi—funa usizo lwezokwelapha ngokushesha emnyangweni wezimo eziphuthumayo wendawo yakho. Ukuxilongwa kusenesikhathi kanye nokwelashwa kunikeza ingane yakho ithuba elihle kakhulu lokululama ngokushesha.
Hlala uzolile, kodwa hlala uqaphile. Thatha izinyathelo ezidingekayo ukuze uvikeleke ku-COVID-19. Ngikufisela wena nomndeni wakho impilo enhle eqenjini laseNirogi Lanka!
Amagama angukhiye: I-MIS-C, i-COVID-19 ezinganeni, i-Multisystem Inflammatory Syndrome, i-Pediatrics, i-Fever, i-Inflammation, Impilo yenhliziyo
