Ingabe ingane yakho encane nayo ihlushwa yilesi sifo esingajwayelekile ngemva kwe-COVID-19? Ake sixoxe nge-Multisystem Inflammatory Syndrome ezinganeni (MIS-C)!

Cishe uke wezwa ngegciwane le-COVID-19. Siyazi ukuthi isikhathi esiningi, lapho izingane ezincane ziyithola, ayibathinti kabi njengoba ithinta abantu abadala. Kodwa-ke, ezinye izingane zingaba nezimpawu ezingathi sína emavikini ambalwa ngemva kokuthola i-COVID-19. Yilokho odokotela abakubiza ngokuthi i-Multisystem Inflammatory Syndrome in Children , noma i-MIS-C ngamafuphi. Ochwepheshe basathola ukuthi iyini nokuthi kungani yenzeka kwezinye izingane kuphela. Kodwa kubalulekile ukuqaphela.

Iyini ngempela i-MIS-C, lesi simo sezokwelapha?

Kalula nje, i-MIS-C yisimo lapho izinhlelo eziningi, noma izitho zomzimba, emzimbeni wengane zivuvukala ngesikhathi esisodwa. Cabanga ngakho, lapho umzimba wethu ulwa nokutheleleka, isimiso sethu somzimba sokuzivikela sisebenza ngokweqile. Ngezinye izikhathi, ngemva kokutheleleka yi-COVID-19, lesi simiso somzimba sokuzivikela siphuma ekulawuleni futhi siqale ukuthinta izingxenye ezahlukene zomzimba. Yilokho okwenzeka kakhulu ku-MIS-C.

Lokhu akuyona into eyenzeka zingakapheli izinsuku ezimbili noma ezintathu ngemuva kokuthola i-COVID-19. Ngokuvamile kuthatha amasonto amabili kuya kwayisithupha ngemuva kokuthola i-COVID-19 ukuze kuvele lezi zimpawu ze-MIS-C. Ngakho-ke, uma ingane yakho isanda kuthola i-COVID-19, noma ibilokhu isondelene nomuntu one-COVID-19, kungumqondo omuhle ukuqaphela lokhu.

Ziyini izimpawu ze-MIS-C? Sizibona kanjani?

Ingane ene-MIS-C ingaba nezimpawu ezahlukahlukene ngoba izwa ukuvuvukala emzimbeni wayo wonke. Akuzona zonke izingane ezizoba nazo zonke lezi zimpawu, futhi ubukhulu bezimpawu bungahluka. Kodwa-ke, kunezimpawu ezithile ezivamile ezingabonakala:

• Umkhuhlane oqhubekayo: Ungase ube nomkhuhlane ongapheli izinsuku eziningana.
• Ukuphazamiseka kwesisu: Izimpawu zingase zihlanganise ubuhlungu obukhulu besisu, isicanucanu, ukuhlanza, noma isifo sohudo.
• Ukuqubuka kwesikhumba: Ukuqubuka okubomvu nokulumayo kungavela ezingxenyeni ezahlukene zomzimba.
• Ukubomvu nokuqhekeka kwezindebe: Izindebe zingase zome, zibe bomvu, futhi mhlawumbe ziqhekeke. Kufana nokuthi "izindebe ziyasha."
• Amehlo abomvu: Amhlophe amehlo angase abe bomvu futhi abonakale ebovu. Sithi "amehlo abovu."
• Ukuvuvukala nokubomvu kwezandla nezinyawo: Izintende zezandla nezinyawo zingase zibe bomvu futhi zivuvuke.

Ukuthi unesinye noma ezimbili zalezi zimpawu akusho ukuthi une-MIS-C. Lezi zimpawu zingabonakala nakwezinye izifo ezivamile. Kodwa-ke, uma ingane yakho inomkhuhlane oqhubekayo kanye nezinye izimpawu ezingaphezu kweyodwa (isibonelo, umkhuhlane onobuhlungu besisu kanye nobuhlungu bomzimba), kufanele nakanjani ubone udokotela.

Izimpawu ezidinga ukunakekelwa okusheshayo!

Ngezinye izikhathi isimo sezingane ezine-MIS-C singaba sibi kakhulu ngokushesha okukhulu. Ngakho-ke, kufanele kuqashelwe izimpawu ezilandelayo eziyisixwayiso:Uma ingane yakho ikhombisa noma yikuphi kwalokhu, kufanele uyiyise ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze:

• Uma ingane ibonakala isezinhlungwini eziningi, noma ibonakala ilele kakhulu noma ididekile.
• Uma uzizwa sengathi unenkinga yokuphefumula, noma uma izinga lokuphefumula kwakho libonakala likhuphuka.
• Uma ukhuluma ngobuhlungu besifuba.
• Uma unezinhlungu zesisu ezinzima.
• Uma izindebe noma ubuso bakho bubonakala buluhlaza okwesibhakabhaka (lokhu kusho ukuthi umzimba wakho awutholi umoya-mpilo owanele).

Okwamanje, ungakhohlwa ukutshela udokotela uma ingane yakho isanda kuba ne-COVID-19 noma ike yaxhumana nomuntu one-COVID-19.

Yiziphi ezinye izinkinga ezingaba khona ngenxa ye-MIS-C?

I-MIS-C yisimo esingathinta ingane eyodwa ngendlela ehlukile kunenye. Lokhu kuvuvukala emzimbeni kungalimaza izitho ezahlukene zomzimba. Imiphumela eyinhloko ingafaka:

• Inhliziyo: Imisipha yenhliziyo ingaba buthakathaka futhi ukusebenza kwenhliziyo kungaphazamiseka.
• Amaseli egazi nemithambo yegazi: Izinkinga zokujiya kwegazi kanye nokuvuvukala kwemithambo yegazi kungenzeka.
• Isikhumba: Izinto ezifana nomonakalo esikhulume ngawo ngaphambili.
• Isistimu yokugaya ukudla: Izinto ezifana nobuhlungu besisu kanye nesifo sohudo kungaba nzima kakhulu.
• Amehlo: Izimpawu ezifana nokubomvu kwamehlo.

Ngezinye izikhathi, lo monakalo, ikakhulukazi enhliziyweni, ungaba nemiphumela yesikhathi eside. Yingakho kubalulekile ukuqaphela lesi sifo kusenesikhathi bese uqala ukwelashwa.

Ungasithola kanjani ngokunembile isifo se-MIS-C?

Izimpawu ze-MIS-C zingafana nezezinye izifo. Isibonelo, izimo ezifana nesifo se-Kawasaki noma i-toxic shock syndrome nazo zingabangela izimpawu ezifanayo. Ngakho-ke, uma udokotela ehlola ingane futhi esola ukuthi ine-MIS-C, uzokwenza izivivinyo eziningana ukuqinisekisa ukuxilongwa.

Yiziphi izivivinyo ezenziwayo ngalokhu?

Ukuhlolwa kwe-COVID-19 kusetshenziselwa kakhulu ukuthola ukuthi ingane itheleleke nge-COVID-19 noma ukuthi ithole ama-antibodies avela ekuthelelekeni kwangaphambilini. Ngaphezu kwalokho, ukuhlolwa kusetshenziselwa ukuthola izinga lokuvuvukala emzimbeni nokuthi kukhona yini umonakalo ezithweni ezahlukahlukene. Lokhu kungafaka:

• Ukuhlolwa kwegazi kanye nokuhlolwa komchamo: Lokhu kungahlola izinto eziningi, njengezinga lokuvuvukala emzimbeni (izimpawu zokuvuvukala), ukusebenza kwezitho ezahlukahlukene, kanye nesimo samaseli egazi.
• I-X-ray yesifuba: Hlola izinto ezifana nesimo samaphaphu kanye nobukhulu benhliziyo.
• Ukuhlolwa okukhethekile okuhlola inhliziyo:
• I-ECG (i-electrocardiogram): Lokhu kuhlola ukusebenza kukagesi kwenhliziyo.
• I-Echocardiogram (i-ultrasound yenhliziyo): Lokhu kufana ne-ultrasound yenhliziyo. Kungahlola izinto eziningi ezibalulekile njengesakhiwo senhliziyo, ukusebenza kwemisipha, kanye nesimo sama-valve.
• I-ultrasound yesisu: Ukuhlola isimo sezitho esiswini, njengesibindi kanye ne-spleen.

Usizo oluvela kodokotela abangochwepheshe

Ngenxa yokuthi i-MIS-C iyisimo esiyinkimbinkimbi, ukuxilongwa nokwelashwa kuvame ukuhilela ithimba lochwepheshe abavela emikhakheni ehlukene, hhayi udokotela oyedwa kuphela. Leli qembu lingafaka:

• Ochwepheshe bezifo ezithelelanayo
• Odokotela benhliziyo
• Ochwepheshe be -Rheumatology
• Ochwepheshe be-Hematology
• Ochwepheshe bokunakekelwa okubucayi

Kungokuhlanganisa ulwazi lwabo bonke laba bantu lapho kunqunywa khona ukwelashwa okungcono kakhulu kwengane.

Iphathwa kanjani i-MIS-C?

Ukwelashwa kwe-MIS-C kuyahlukahluka kuye ngengane. Kuya ngezimpawu zengane kanye nemiphumela yokuhlolwa. Izinhloso eziyinhloko zokwelashwa yilezi:

• Ukunciphisa ukuvuvukala emzimbeni.
• Ukuvimbela igazi ukuthi lingaqini ngokungadingekile.
• Ukuvikela isitho esithintekile ekulimaleni okwengeziwe.

Odokotela bangasebenzisa izindlela ezahlukene zokwelapha ngalokhu:

• I-oksijini: Uma unenkinga yokuphefumula.
• Imithi: Imithi efana nama-steroid okunciphisa ukuvuvukala, imithi ebizwa ngokuthi ama-immunoglobulins (IVIG) yokulawula amasosha omzimba, kanye nemithi yokuvimbela ukujiya kwegazi inganikezwa.
• Uketshezi olufakwa emthanjeni (IV): Izinto ezifana nosawoti zinikezwa uma umzimba uphelelwe amanzi emzimbeni noma uma umfutho wegazi uphansi.

Uma isimo sezingane ezithile sibucayi, kungadingeka ukuthi zingeniswe e-Intensive Care Unit (ICU) futhi zelashwe ngaphansi kokubhekwa okukhethekile.

Ezinye izinto ezibalulekile okufanele uzazi

Uma sikhuluma nge-MIS-C, kuhle ukukhumbula ezinye izinto ezimbalwa.

Ingabe kusadingeka nginakekele ngemva kokuphuma esibhedlela?

Iningi lezingane liyalulama ngemva kokwelashwa esibhedlela. Kodwa-ke, ezinye izingane zingase zibe nezinkinga zesikhathi eside ngenxa ye-MIS-C. Ngakho-ke, kubalulekile ukuqhubeka nokunakekela ingane yakho ngokwemiyalelo kadokotela wakho ngisho nangemva kokuba usubuyile ekhaya usuka esibhedlela.

Ngokwesibonelo:

• Ingane enhliziyo yayo ithintwe yi-MIS-C izoqhubeka nokudluliselwa kudokotela wenhliziyo.Kuzodingeka uhlangane futhi uhlolwe njalo. Kungase kudingeke futhi ukuthi unciphise ukuzivocavoca kwakho, ukugijima, nokudlala isikhashana. Kuzodingeka uhlale unjalo kuze kube yilapho udokotela ethi, "Kulungile, akunankinga manje."
• Uma uqhubeka nokusebenzisa imithi efana nama-steroid ukunciphisa ukuvuvukala, kufanele ubonane nodokotela wamathambo noma udokotela wezifo zamathambo ukuze anciphise noma ashintshe imithi ngendlela efanele.

Ngakho-ke, kubaluleke kakhulu ukulandela imiyalelo enikezwe odokotela ngqo bese uyisa ingane emitholampilo efanele.

Indlela engcono kakhulu yokuvimbela i-MIS-C

Empeleni, i-MIS-C iyisimo esingavamile kakhulu . Kodwa-ke, ngoba singaba sibi kakhulu, kufanele sizame ukuzivikela kuso ngangokunokwenzeka. Indlela engcono kakhulu yokuvimbela i-MIS-C ukugwema ukutheleleka nge-COVID-19.

• Ngenxa yalokho, kubaluleke kakhulu ukuthi wonke umuntu oneminyaka engaphezu kwezinyanga eziyisithupha athole imijovo ye-COVID-19 futhi ayigcine inolwazi lwakamuva . Imijovo emisha etholakalayo njengamanje inikeza isivikelo ezinhlotsheni ezivame kakhulu ze-COVID-19.

Khumbula lezi zinto ukuze uzivikele ezifweni ezivamile.

Ukuze kuvinjelwe ukusabalala kwanoma yisiphi isifo, hhayi i-COVID-19 kuphela, kuhle ukuthi wonke umuntu alandele le mikhuba elula yezempilo:

• Geza izandla zakho njalo nangokuphelele. Geza izandla zakho ngensipho namanzi okungenani imizuzwana engama-20. Uma insipho namanzi kungekho, sebenzisa isihlanzi sezandla esiqukethe okungenani u-60% wotshwala.
• Gwema ukusondelana nabantu abagulayo. Gwema ukusondelana nabantu abanezimpawu ezifana nomkhuhlane, ukukhwehlela kanye nomkhuhlane.
• Gcina izindawo ezithintwa njalo zihlanzekile. Sula izibambo zeminyango, amakhawunta, kanye namafoni njalo.
• Zama ukuphefumula umoya omusha ngangokunokwenzeka. Uma ungaphakathi endlini, vula amafasitela bese uvumela umoya omusha ungene. Kuhle futhi ukuphuma ngaphandle.

Ekugcineni, ekugcineni, khumbula lokhu (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke sesikhulume kakhulu nge-MIS-C. Into ebalulekile okufanele uyikhumbule ukuthi lesi yisimo esingavamile, kodwa esingaba sibi kakhulu. Sihlobene nokutheleleka kwe-COVID-19.

Uma ingane yakho inomkhuhlane oqhubekayo kanye nezinye izimpawu esixoxe ngazo (njengobuhlungu besisu, ubuhlungu bomzimba, amehlo abomvu), ungachithi isikhathi futhi ufune iseluleko sezokwelapha ngokushesha. Uma usheshe uqaphele futhi uqale ukwelashwa, kulapho kungenzeka khona ukuthi ingane yakho izolulama.

Ungesabi, kodwa qaphela. Thatha izinyathelo ezidingekayo ukuze uzivikele ku-COVID-19. Sikufisela impilo enhle wena nomndeni wakho!

` I-MIS-C, Izingane ze-COVID-19, Isifo Sokutheleleka Kwezinhlelo Eziningi, Izingane, Umkhuhlane, Ukuvuvukala, Isifo Senhliziyo