Mis C Mu Bana Covid 19

Indwara y'ububabare bw'imirambo myinshi mu bana (MIS-C) ni itsinda ry'ibimenyetso bifitanye isano n'ibice by'umubiri byabyimba, bizwi nka kuba byarashongeshejwe. Abantu bafite MIS-C bakeneye kwitabwaho mu bitaro. MIS-C yabonetse bwa mbere muri Mata 2020. MIS-C ubu ifitanye isano n'indwara ya coronavirus 2019 (COVID-19). Impuguke ziracyiga icyateye MIS-C n'ibintu byongera ibyago byo kuyifata. Abana benshi bandura virus ya COVID-19 bagira uburwayi buke gusa. Ariko mu bana bafite MIS-C, nyuma yo kwandura virus ya COVID-19, imiyoboro y'amaraso, uburyo bw'igogorwa, uruhu cyangwa amaso birabyimba kandi bikarwara. MIS-C ni gake. Akenshi iba mu mezi 2 nyuma yo kugira COVID-19. Uwo mwana ashobora kuba yari afite ubwandu buzwi. Cyangwa umuntu umwegera afite ubwandu bwemewe. Abana benshi bafite MIS-C amaherezo barakira bafashijwe n'ubuvuzi. Ariko bamwe mu bana bahita barushaho kumererwa nabi. MIS-C ishobora gutera indwara ikomeye cyangwa urupfu. Gake, bamwe mu bakuru bagira ibimenyetso bisa n'ibya MIS-C. Ibi bizwi nka multisystem inflammatory syndrome mu bakuru (MIS-A). Nanone bifitanye isano n'ubwandu buriho cyangwa bwariho mbere bwa virusi itera COVID-19. Abantu banduye mbere bashobora kuba bataragize ibimenyetso bikomeye.

Ibimenyetso bya MIS-C biremereye kandi bivurwa mu bitaro. Abana bose ntibagira ibimenyetso bimwe. Ariko niba nta undi muganga ubimenya, abaganga b'inzobere bashobora kuvura MIS-C niba umwana: Yari afite COVID-19 cyangwa afite umuntu wa hafi wari ufite COVID-19 mu mezi abiri mbere yo kujyanwa mu bitaro. Afite umuriro. Afite isuzuma ry'amaraso ryerekana urwego rwo hejuru rw'uburiganya mu mubiri wose, bita ububabare bwa sisitemu. Afite byibuze bibiri muri ibi bimenyetso bikurikira: Ibibazo by'umutima. Amaso atukura, afite amaraso. Urubura cyangwa kubyimba kw'iminwa n'ururimi. Urubura cyangwa kubyimba kw'amaboko cyangwa amaguru. Kubabara mu nda, kuruka cyangwa guhitamo. Ibibazo byo gukomera amaraso. Guhahamuka. Fata ubufasha ako kanya niba umwana wawe afite: Kubabara cyane mu nda. Kubabara cyangwa kumva igitutu mu gituza. Ibibazo byo guhumeka. Uruhu, iminwa cyangwa imisumari byera, byatukura cyangwa byera. Ubwenge bushya. Kudashaka kubyuka cyangwa kutamenya. Niba umwana wawe afite kimwe mu bimenyetso by'ubuhanga byavuzwe haruguru, cyangwa arwaye cyane kubera ibindi bimenyetso, fata ubufasha ako kanya. Jyana umwana wawe mu bitaro by'ubutabazi cyangwa hamagara 911 cyangwa nimero y'ubutabazi yaho. Niba umwana wawe adarwaye cyane ariko agaragaza ibindi bimenyetso bya MIS-C, hamagara umuganga wawe ako kanya kugira ngo aguhe inama. Ikipe y'abaganga ishobora gushaka gukora ibizamini kugira ngo igenzure ibice by'uburiganya n'ibindi bimenyetso bya MIS-C. Ibi bishobora kuba harimo ibizamini by'amaraso, cyangwa ibizamini byo kureba mu gituza, umutima cyangwa igifu.

Niba umwana wawe afite kimwe mu bimenyetso by'ubuhanga byavuzwe haruguru, cyangwa arwaye cyane afite n'ibindi bimenyetso, mushake ubuvuzi ako kanya. Mujyane umwana wawe ku bitaro by'ubutabazi bya hafi cyangwa muhamagare 911 cyangwa nimero y'ubufasha bw'ihutirwa muri aka karere. Niba umwana wawe adarwaye cyane ariko agaragaza ibindi bimenyetso bya MIS-C, hamagara umuganga w'umwana wawe ako kanya kugira ngo aguhe inama. Itsinda ry'abaganga rishobora gushaka gukora ibizamini kugira ngo barebe ahantu habaye ububabare n'ibindi bimenyetso bya MIS-C. Ibi bishobora kuba harimo ibizamini by'amaraso, cyangwa ibizamini byo kureba mu gifu, umutima cyangwa igice cyo hasi.

Intandaro nyakuri ya MIS-C ntiramenyekana. Abana benshi barwaye MIS-C bahuye n'ubwandu bushya bwa virusi ya COVID-19. Bamwe bashobora kuba bafite ubwandu bukiriho bwa virusi. Igitekerezo kimwe ku ntandaro ishoboka ya MIS-C ni uko ubwandu bwa virusi itera COVID-19, yaba ubu cyangwa mbere, butera ubudahangarwa bw'umubiri gukora cyane.

Abana bapimwe ko bafite MIS-C bakunze kuba bafite imyaka iri hagati y'imyaka 5 na 11. Ariko hari ibyabaye ku bana bari hagati y'imyaka 1 na 15. Hari n'ibyabaye ku bana bakuru ndetse n'abana bato cyane.

MIS-C yizwa ko ari ingaruka za COVID-19. Hatabuze kuvurwa hakiri kare no kubona uburwayi, MIS-C ishobora gutera ibibazo bikomeye ku bice by'ingenzi by'umubiri, nko mu mutima. Mu bihe bitoroshye, MIS-C ishobora gutera ibibazo bitazakira cyangwa urupfu.

Muri Leta Zunze Ubumwe za Amerika, inkingo za COVID-19 ubu zitangirwa abantu bafite imyaka 6 cyangwa irengeje. Urushinge rushobora gukumira wowe cyangwa umwana wawe kurwara cyangwa gukwirakwiza virus ya COVID-19. Niba wowe cyangwa umwana wawe mufite COVID-19, urushinge rwa COVID-19 rushobora kubabuza kurwara cyane. Kugira ngo wirinde kwandura virus ya COVID-19 no kuyikwirakwiza ku bandi, CDC iragira inama yo gukurikiza ibi bintu: Kubuza intoki zanyu kuba zanduye. Koga intoki kenshi n'amazi n'isabune mu gihe cy'amasegonda nibura 20. Niba utarabona amazi n'isabune, koresha isabune y'intoki ifite nibura 60% ya alcool. Irinde kwegera umuntu urwaye. Irinde abantu bari gukorora, bari kwishima cyangwa bagaragaza ibimenyetso by'uko bashobora kuba barwaye kandi bandura. Mu myanya y'imbere ya rusange, gabanya intera iri hagati yawe n'abandi. Ibi ni ingenzi cyane ahantu umwuka utatembera neza. Iyo urwego rwa COVID-19 muri sosiyete ruri hejuru, bambara agapfukamunwa mu myanya y'imbere ya rusange. Niba mu karere kanyu hari umubare munini w'abantu barwaye COVID-19 mu bitaro, udupfukamunwa dufasha gukumira kwandura. CDC iragira inama yo kwambara agapfukamunwa karinda cyane ubushobozi bwose ushobora kwambara buri gihe, kagukwiranye kandi kagushimisha. Irinde gukora ku mazuru, amaso n'akanwa. Ntugire ngo umwana wawe akurereho, kandi yirinde gukora mu maso. Fata akanwa kawe n'umupira cyangwa ukuboko kwawe iyo ushima cyangwa ukonka. Joga umupira wakoresheje. Koga intoki zawe ako kanya. Kora isuku no guhanagura ibintu byose bikunzwe gukoreshwa kenshi. Ibi birimo ibice by'inzu yawe nko ku mifuko y'amadirishya, ku muyoboro w'umucyo, kuri tereviziyo na clavier.

Ishamwa ry’indwara y’uburwayi bw’umubiri wose mu bana (MIS-C) rikoreshwa kubera ibimenyetso by’umwana no kumenya ko nta ndwara isa nayo irimo. Ibisuzumisho by’ubushakashatsi bishobora kugira uruharo muri uyu mwanya. Abaganga bakoresha ibisuzumisho bya COVID-19 bakoresheje igikoresho cyo gusuzuma umuhogo. Barashobora no gusuzuma mu muhogo. Abaganga bakoresha kandi ibisuzumisho by’amaraso kugirango bamenye ko nta ndwara z’uburwayi bw’umubiri wose nka indwara ya Kawasaki, sepsis cyangwa toxic shock syndrome. Abana benshi bafite MIS-C bagira ibisuzumisho bya COVID-19 bidakwiriye. Ariko ubushakashatsi bwo kuba yarwaye COVID-19 mbere bishobora gukorwa n’ibisuzumisho by’antibody niba umwana yari yarwaye COVID-19 ariko atigeze agira ibimenyetso. Bishobora kandi kugerwaho no kumenya ko abantu bari hafi y’umwana barwaye. Abana benshi bafite MIS-C bagira isano n’urusyo rwa COVID-19 mu gihe cy’amezi abiri mbere y’uko barwaye. Abaganga barashobora kandi gutanga ibisuzumisho kugirango barebe ubwiyandikira n’ibindi bimenyetso bya MIS-C: Ibisuzumisho by’ubushakashatsi, nka ibisuzumisho by’amaraso n’imyanda, harimo n’ibisuzumisho by’umubare w’ibinyabuzima by’uburwayi bw’umubiri wose mu maraso. Ibisuzumisho by’amashusho, nka X-ray y’ikirere, echocardiogram, ultrasound y’inda cyangwa CT scan. Ibindi bisuzumisho, bitewe n’ibimenyetso. Ibisobanuro byinshi X-ray y’ikirere CT scan Echocardiogram Ultrasound Reba ibisobanuro byinshi bihuye

Abana bafite MIS-C baravuzwa mu bitaro. Bamwe bakeneye kuvurirwa mu cyumba cy’ubuvuzi bw’abana bakomeye. Ubuvuzi ni ubufasha n’imihati yo kugabanya ububabare mu ngingo z’ingenzi zangiritse kugira ngo ziringirwe iyangirika rya burundu. Ubuvuzi biterwa n’ubwoko n’uburemere bw’ibimenyetso n’ingingo n’ibindi bice by’umubiri byangizwa n’ububabare. Ubufasha bushobora kuba burimo: Ibinyobwa, niba urwego rwo hasi, ikibazo cyitwa kukama. Ogijeni ifasha mu guhumeka. Imiti igabanya umuvuduko w’amaraso kugira ngo ivure umuvuduko muke w’amaraso ujyanye n’igitotsi cyangwa gufasha imikorere y’umutima. Icyuma cyo guhumeka cyitwa ventilatori. Imiti igabanya ibyago by’amaraso, nka aspirine cyangwa heparin. Mu bihe bitoroshye cyane, extracorporeal membrane oxygenation (ECMO) ikoresha imashini ikora akazi k’umutima n’ibihaha. Ubuvuzi bwo kugabanya kubyimba no kubabara bushobora kuba burimo: Antibiyotike. Ubuvuzi bwa Steroid. Intravenous immunoglobulin (IVIG), umusaruro w’amaraso ugizwe na antikorora. Ubundi bwoko bw’ubuvuzi, nka terapi zibanze zigamije kugabanya urwego rwo hejuru rw’imikorere yitwa cytokines, bishobora gutera ububabare. Nta kimenyetso cyerekana ko MIS-C ari icyorezo. Ariko hari amahirwe yuko umwana wawe ashobora kugira ubwandu bukomeye bwa virusi ya COVID-19 cyangwa ubundi bwoko bw’ubwandu bwanduza. Rero ibitaro bizakoresha uburyo bwo kwirinda ubwandu mu gihe bitaye ku mwana wawe. Amakuru yongeyeho Extracorporeal membrane oxygenation (ECMO)

Niba umwana wawe arwaye cyane MIS-C, ushobora kumva uhangayitse cyane kandi ugira ubwoba. Kubera ko MIS-C ari indwara idakunze kugaragara, birashoboka ko utazi umuntu n'umwe wanyuzemo iyi nzira. Kugira ngo wifashe guhangana n'akababaro kamwe mu byiyumvo, saba ubufasha. Ibi bishobora kuba kuva ku kuganira ku byiyumvo byawe n'abakunzi bawe n'inshuti, kugeza ku gusaba ubufasha ku mwarimu wita ku buzima bwo mu mutwe. Baza itsinda ry'abaganga bawe inama. Ku bwanyu, wowe n'umwana wawe, ntukagerageze guhangana n'ubwo bwoba n'akababaro wenyine.