Ese ni iki MIS-C mu Bana? Ibimenyetso, Impamvu, n’Ubuvuzi

MIS-C bisobanura Multisystem Inflammatory Syndrome mu Bana, iyi ni indwara idakunze kugaragara ariko ikaba ikomeye ishobora kuza nyuma y’ibyumweru bike umwana arwaye COVID-19. Iyi ndwara itera ububabare mu bice bitandukanye by’umubiri w’umwana, birimo umutima, imyanya y’ubuhumekero, impyiko, ubwonko, uruhu, amaso, cyangwa imyanya y’igogorwa.

Nubwo izina ryayo rishobora gutera ubwoba, ni ingenzi kumenya ko MIS-C idakunze kugaragara kandi abana benshi bayirwaye bakira neza bafashijwe n’abaganga. Gusobanukirwa ibimenyetso no kumenya igihe cyo gushaka ubufasha bishobora kugira uruhare rukomeye mu buzima bw’umwana wawe no mu mahoro yawe.

Ese ni iki MIS-C?

MIS-C ni uburyo bw’umubiri w’umwana bwo kurwanya indwara ya COVID-19 yabanje. Tekereza ko umubiri w’umwana wawe urwanya indwara itakiriho, bikaba byatera ububabare mu ngingo nyinshi z’umubiri icyarimwe.

Iyi ndwara isanzwe igaragara nyuma y’ibyumweru 2 kugeza kuri 6 umwana wawe arwaye COVID-19, nubwo indwara yabanje yari ntoya cyangwa nta bimenyetso byagaragaye.

Abana benshi barwaye MIS-C bari bazima mbere yo kurwara iyi ndwara. Inkuru nziza ni uko iyo bavuwe vuba, abana benshi bakira neza bagasubira mu mirimo yabo.

Ibimenyetso bya MIS-C ni ibihe?

Ibimenyetso bya MIS-C bishobora gutandukana cyane kuko iyi ndwara igira ingaruka ku ngingo nyinshi z’umubiri. Umwana wawe ashobora kugira ibimenyetso byinshi icyarimwe, kandi akenshi bigenda bigaragara buhoro buhoro mu minsi mike.

Ibimenyetso bisanzwe ushobora kubona birimo:

• Umuriro ukomeza amasaha arenga 24, ukaba mwinshi kandi ukomeye
• Kubabara mu nda bidakira n’uburyo busanzwe bwo guhumuriza
• Kuruka cyangwa guhitamo, rimwe na rimwe bikaba bikomeye
• Uruhu rw’ubururu rushobora kugaragara ahantu hose ku mubiri
• Amaso atukura adafite ibinyabutabire cyangwa ibibyimba
• Uburwayi bukabije cyangwa intege nke zidasanzwe ku mwana wawe
• Amaboko, amaguru, cyangwa ibinyabutabire by’amaraso byabareye

Bamwe mu bana bashobora kugira ibimenyetso bikomeye bisaba ubufasha bw’abaganga vuba. Ibi birimo kugira ikibazo cyo guhumeka, kubabara mu gituza, gucika intege, kubabara cyane mu nda, cyangwa uruhu rugaragara rwera, rwijimye, cyangwa rifite ibara ry’ubururu.

Kumbuka ko atari umwana wese uzagira ibi bimenyetso byose, kandi bamwe bashobora kugira ibimenyetso bigaragara nk’ibito ubanza ariko bikagenda bikomeza uko igihe gihita.

Ese MIS-C iterwa n’iki?

MIS-C ibaho iyo ubwirinzi bw’umubiri w’umwana buguma bukora nyuma yo kurwanya COVID-19. Abahanga mu bya siyansi bemeza ko ari uburyo bw’umubiri bwo kwirinda indwara aho ubwirinzi bw’umubiri bugaba igitero ku mitsi myiza.

Icyateye iyi ndwara nticyamenyekanye neza, ariko abashakashatsi bemeza ko bamwe mu bana bashobora kugira ubushobozi bwo gukora ubwo bwirinzi. Ntabwo ari ikintu washoboraga gukumira cyangwa kumenya mbere, kandi ntabwo ari amakosa yawe niba umwana wawe arwaye iyi ndwara.

Abana benshi barwaye MIS-C bari barwaye COVID-19 mu byumweru 2 kugeza kuri 8 bishize. Ariko kandi, abana benshi muri aba bari bafite ibimenyetso byoroheje bya COVID ku buryo imiryango yabo itari yarigeze imenya ko bayanduye.

Ubu buryo bw’ubwirinzi bw’umubiri butinda ni bwo butuma MIS-C bigoye kuyimenya. Umwana wawe ashobora kugaragara nk’uwakize neza indwara ye yabanje, bituma ibimenyetso byo nyuma bitunguranye kandi biteye impungenge.

Ni ryari ukwiye kujyana umwana kwa muganga kubera MIS-C?

Wagomba guhamagara muganga w’umwana wawe ako kanya niba afite umuriro ukomeza amasaha arenga 24 hamwe n’ibindi bimenyetso bya MIS-C. Ntugatege amatwi ngo urebe niba ibimenyetso bizagenda ubwabyo, cyane cyane niba umwana wawe yarwaye COVID-19 mu byumweru bishize.

Hamagara 911 cyangwa ujye kwa muganga ako kanya niba umwana wawe agaragaza ibimenyetso by’ubukorasi birimo:

• Gukora cyangwa guhumeka vuba
• Kubabara mu gituza cyangwa mu gice cy’igituza
• Kubabara cyane mu nda
• Gucika intege cyangwa gusinzira cyane
• Uruhu, iminwa, cyangwa imisumari bigaragara rwera, rwijimye, cyangwa rifite ibara ry’ubururu
• Kumara nabi cyane kubera kuruka no guhitamo

Ndetse niba utari uhamya neza ko ibimenyetso by’umwana wawe bifitanye isano na MIS-C, bihora byiza guhitamo kwirinda. Abaganga bakunda kubona umwana wawe bakaguha amahoro kurusha kubura uburyo bwo gutanga ubuvuzi ku gihe.

Kumbuka ko ubuvuzi bwa vuba bukunze gutuma hagira ibyiza, ntutinye gushaka ubufasha bw’abaganga niba uhangayikishijwe n’ubuzima bw’umwana wawe.

Ingaruka zishobora kubaho muri MIS-C ni izihe?

Nubwo abana benshi bakira neza MIS-C, iyi ndwara ishobora gutera ingaruka zikomeye niba idavuwe vuba. Gusobanukirwa ibyo bishoboka bishobora kugufasha kumenya impamvu ubufasha bw’abaganga bwihuse ari ingenzi.

Ingaruka zisanzwe zigira ingaruka ku mutima n’imitsi y’amaraso. Umwana wawe ashobora kugira ububabare bw’imitsi y’umutima, guhindagurika kw’umutima, cyangwa ibibazo by’amaraso. Ibi bibazo bifitanye isano n’umutima akenshi biba byoroheje ariko bisaba gukurikiranwa n’ubuvuzi.

Ibindi bibazo bishoboka birimo:

• Ibibazo by’impyiko bigira ingaruka ku buryo umubiri ucukura imyanda
• Kumara nabi kubera kuruka no guhitamo
• Ibibazo byo gukora amaraso bishobora kuba bibi
• Ububabare bw’impyiko butuma guhumeka bigorana
• Ububabare bw’ubwonko butuma gucika intege cyangwa gutakaza ubwenge
• Gutakaza amaraso, aho igitutu cy’amaraso kigabanuka cyane

Mu bihe bitoroshye, MIS-C ishobora kuba ikomeye cyane, niyo mpamvu ubufasha bw’abaganga bwihuse ari ingenzi iyo ibimenyetso bigaragara. Ariko kandi, hamwe n’ubuvuzi bwiza mu bitaro, abana benshi bakira neza nta ngaruka zirambye.

Inkuru ishimishije ni uko ingaruka zikomeye zigabanuka cyane iyo MIS-C imenyekanye kandi ivuwe vuba. Niyo mpamvu kumenya ibimenyetso no gushaka ubufasha bw’abaganga vuba bigira uruhare rukomeye.

Ese MIS-C imenyekanwa ite?

Kumenya MIS-C bisaba ko muganga wawe ashyira hamwe ibimenyetso byinshi kuko nta kizami kimwe gishobora kwemeza iyi ndwara. Muganga w’umwana wawe azatangira amusuzuma kandi akabaza ibibazo byinshi ku buzima bwe bw’igihe gishize.

Kumenya iyi ndwara bisanzwe bikubiyemo kwemeza ko umwana wawe yarwaye COVID-19 vuba, haba binyuze mu bipimo byiza cyangwa ibimenyetso by’ubwandu bwakozwe binyuze mu bipimo by’antibody. Muganga wawe azareba kandi ibimenyetso by’ububabare mu mubiri w’umwana wawe binyuze mu bipimo by’amaraso.

Ibizami bisanzwe birimo:

• Ibizami by’amaraso kugira ngo harebwe ibimenyetso by’ububabare n’imikorere y’ingingo
• Ibizami by’umutima nk’ikizamini cya electrocardiogram (ECG) cyangwa echocardiogram
• Amashusho y’amabere kugira ngo harebwe imyanya y’ubuhumekero n’umutima
• Ibizami by’inkari kugira ngo harebwe imikorere y’impyiko
• Ibizami bya COVID-19 antibody kugira ngo hamenyekane ubundi bwandu

Muganga wawe ashobora kandi gukenera guhakana izindi ndwara zishobora gutera ibimenyetso nk’ibi, nka microbes cyangwa izindi ndwara ziterwa n’ububabare. Uyu mucyo rimwe na rimwe ufatwa igihe, ariko ni ingenzi kubona ubuvuzi bukwiye.

Uburyo bwo kumenya iyi ndwara bushobora kugaragara nk’ubuteye ubwoba, ariko kumbuka ko itsinda ryawe ry’abaganga rikorera neza kugira ngo risobanukirwe neza icyaba kiri kuba ku mwana wawe kugira ngo batange ubuvuzi bwiza.

Ese MIS-C ivurwa ite?

Ubuvuzi bwa MIS-C bugamije kugabanya ububabare mu mubiri w’umwana wawe no gufasha ingingo ze mu gihe zikira. Abana benshi barwaye MIS-C bagomba kujyanwa mu bitaro kugira ngo abaganga babakurikirane neza kandi batange ubuvuzi bwihariye.

Ubuvuzi nyamukuru burimo imiti igabanya ububabare kugira ngo ihumurize ubwirinzi bw’umubiri w’umwana wawe. Abaganga bakunze gukoresha intravenous immunoglobulin (IVIG), irimo antikorps ifasha guhuza ubwirinzi bw’umubiri, hamwe na steroides kugira ngo bagabanye ububabare.

Uburyo bwo kuvura umwana wawe bushobora kandi gukubiyemo:

• Amazi yo mu mitsi kugira ngo birinde kumara nabi no gufasha igitutu cy’amaraso
• Imiti yo gufasha imikorere y’umutima niba ari ngombwa
• Imiti igabanya amaraso kugira ngo birinde ibibazo byo gukora amaraso
• Guhumeka umwuka wa ogisijeni niba guhumeka bigoye
• Imiti igabanya ububabare kugira ngo umwana wawe yumve neza

Abana benshi batangira kumva neza mu minsi mike nyuma yo gutangira kuvurwa, nubwo gukira burundu bishobora gufata ibyumweru byinshi. Itsinda ryawe ry’abaganga rizahindura ubuvuzi hashingiwe ku buryo umwana wawe asubiza n’ibimenyetso by’ingenzi.

Igihe cyo kuba mu bitaro gitandukanye, ariko abana benshi bashobora gutaha mu cyumweru kimwe ibimenyetso byabo bikize kandi imikorere y’ingingo zabo ikaba ikomeye. Umwana wawe azakenera gukurikiranwa kugira ngo ameze neza.

Uko wakwita ku mwana wawe mu rugo mu gihe akira MIS-C

Iyo umwana wawe avuye mu bitaro, ashobora gukenera ibyumweru byinshi kugira ngo akire imbaraga ze n’ubushobozi bwe. Kurema ahantu heza, hahumuriza mu rugo bishobora gufasha kwihuta kw’ubukira bwe.

Fata umwanya wo kureba ko umwana wawe aruhuka bihagije kandi akanywa amazi ahagije. Umubiri we wanyuze mu bintu byinshi, kandi kuryama ni ingenzi mu gukira. Ntukabe umenya niba asa n’umunaniye kurusha igihe cyose mu byumweru byinshi nyuma yo kuvurwa.

Uburyo nyamukuru bwo kwita ku mwana wawe mu rugo burimo:

• Kumutera inkunga yo kurya ibiryo bike inshuro nyinshi niba agifite ikibazo cyo kurya
• Kumutera inkunga yo kunywa amazi menshi umunsi wose
• Kugabanya imyitozo ngororamubiri kugeza muganga abyemeje
• Gukurikirana ibimenyetso bishobora kugaruka
• Gutanga imiti ukurikije amabwiriza
• Kwitabira ibizami byo gukurikirana n’inzobere

Kora uko ushoboye kugira ngo urebe ibimenyetso by’ubukorasi bishobora kugaragaza ko umwana wawe akeneye ubufasha bw’abaganga, nko guhita afata umuriro, kugira ikibazo cyo guhumeka, kubabara mu gituza, cyangwa umunaniro ukabije ugaragara nk’uwongerera aho kugabanuka.

Kumbuka ko gukira bikunze kuba buhoro buhoro, kandi bamwe mu bana bashobora kugira iminsi myiza n’iminsi ikomeye. Ibi ni ibisanzwe, ariko ntutinye kuvugana n’itsinda ryawe ry’abaganga niba ufite impungenge ku bijyanye n’iterambere ry’umwana wawe.

Uko wakwitegura kujyana umwana wawe kwa muganga

Mbere y’igikorwa cyawe, andika ibimenyetso byose by’umwana wawe, harimo igihe byatangiye n’uburyo byahindutse uko igihe gihita. Aya makuru afasha muganga wawe gusobanukirwa uko indwara y’umwana wawe yagenda.

Kora uko ushoboye kugira ngo ubone amakuru y’ubuzima y’ingenzi, harimo ibisubizo by’ibipimo bya COVID-19, inyandiko z’inkingo, n’urutonde rw’imiti umwana wawe afata buri gihe. Niba umwana wawe yarabonwe n’abandi baganga vuba, uzane n’ibyo byanditswe.

Tegura urutonde rw’ibibazo ushaka kubaza, nka:

• Ni ibihe bipimo umwana wanjye akeneye?
• Ese gukira bishobora gufata igihe kingana iki?
• Ni ibihe bimenyetso bikwiye kumpangayikisha cyane?
• Ese umwana wanjye ashobora gusubira mu mirimo ye isanzwe ryari?
• Ni iyihe mikurikirane izakenerwa?

Tekereza ku buryo umwana wawe yagaragaye vuba kandi ku bantu bo mu muryango bashobora kuba barwaye COVID-19. Nubwo umwana wawe atari yarwaye icyo gihe, aya makuru ashobora kuba afite akamaro mu kumenya indwara.

Tekereza kuzana ikintu cyo guhumuriza umwana wawe n’ibyokurya niba igikorwa gishobora kumara igihe kirekire. Kugira ibintu bisanzwe hafi bishobora kugabanya impungenge kuri wowe n’umwana wawe mu gihe cy’ibikorwa by’abaganga.

Ese MIS-C ishobora gukumirwa?

Uburyo bwiza bwo gukumira MIS-C ni ukwirinda kwandura COVID-19. Ibi bisobanura gukurikiza amabwiriza y’inkingo ku myaka y’umwana wawe no kugira isuku nziza.

Inkingo za COVID-19 zigabanya cyane ibyago byo kurwara bikomeye kandi bigaragara ko zigabanya amahirwe yo kurwara MIS-C. Kora uko ushoboye kugira ngo inkingo z’umwana wawe zikurikizwe ukurikije amabwiriza y’inzego z’ubuzima.

Komeza gukora ibikorwa byo kwirinda bigabanya ubwandu bwa COVID-19:

• Koga intoki kenshi n’amazi n’isabune
• Guhora mu rugo iyo umuntu yumva arwaye
• Kwirinda kwegera abantu barwaye
• Gukurikiza amabwiriza y’ubuzima aho uba mu gihe cy’icyorezo
• Kugira umwuka mwiza mu nzu iyo bishoboka

Niba umwana wawe arwaye COVID-19, nta buryo bwihariye bwo gukumira MIS-C nyuma yayo. Ariko kandi, kumenya ibimenyetso no gushaka ubufasha bw’abaganga vuba iyo bigaragara biha umwana wawe amahirwe meza yo gukira vuba.

Kumbuka ko MIS-C igumana ari nke nubwo abana barwaye COVID-19, ntukagire impungenge zikabije mu gihe ukiri kumenya ibimenyetso byo kwitondera.

Icyingenzi cyo kumenya kuri MIS-C

MIS-C ni indwara ikomeye ariko idakunze kugaragara ishobora kuza nyuma y’ibyumweru bike umwana wawe arwaye COVID-19. Nubwo ibimenyetso bishobora gutera ubwoba, abana benshi bakira neza bafashijwe n’abaganga kandi bagasubira mu mirimo yabo isanzwe.

Ikintu cy’ingenzi cyane ushobora gukora ni ukumenya ibimenyetso no kwiringira ubwenge bwawe nk’umubyeyi. Niba umwana wawe afite umuriro ukomeza hamwe n’ibindi bimenyetso biteye impungenge, cyane cyane niba yarwaye COVID-19 vuba, ntutinye gushaka ubufasha bw’abaganga.

Kumenya no kuvura hakiri kare bigira uruhare rukomeye mu byavuye. Abaganga ubu batojwe neza kumenya no kuvura MIS-C, kandi ubuvuzi bwateye imbere cyane kuva iyi ndwara yamenyekanye bwa mbere.

Fata umwanya wo kwirinda binyuze mu nkingo n’isuku nziza, ariko ntureka impungenge za MIS-C zibangamira ubuzima bwa buri munsi bw’umuryango wawe. Ubumenyi n’itegurwa ni byo bikoresho byiza byo kubungabunga ubuzima bw’umwana wawe n’umutekano we.

Ibibazo byakunda kubazwa kuri MIS-C

Ese abantu bakuru barwara MIS-C?

Abantu bakuru bashobora kurwara indwara isa na yo yitwa MIS-A (Multisystem Inflammatory Syndrome mu Bakuru), ariko ni nke cyane kurusha MIS-C mu bana. Ibimenyetso n’ubuvuzi ni kimwe, ariko MIS-C yerekeza ku ndwara mu bantu bari munsi y’imyaka 21.

Ese ubudahangarwa buramaze igihe kingana iki nyuma ya MIS-C?

Abana bakize MIS-C ntibakunda kuyirwara ukundi, nubwo barwaye COVID-19 ukundi. Ariko kandi, bagomba gukurikiza amabwiriza y’inkingo kuko inkingo zitanga uburinzi bwinshi kurushaho ku ndwara ikomeye ya COVID-19.

Ese umwana wanjye ashobora gusubira mu mikino nyuma ya MIS-C?

Abana benshi bashobora gusubira mu mirimo yabo isanzwe, harimo imikino, ariko ibi bisaba ko muganga abyemeza. Umwana wawe ashobora gukenera gukurikiranwa n’umutima kandi asubire mu mikino buhoro buhoro, cyane cyane niba umutima we warangiritse mu gihe yari arwaye.

Ese MIS-C yandura?

MIS-C ubwayo ntiyandura kuko ari uburyo bw’ubwirinzi bw’umubiri, atari ubwandu bukora. Ariko kandi, niba umwana wawe agifite COVID-19 mu gihe arwaye MIS-C, ashobora kwanduza abandi kugeza igihe atakiri umwandu.

Ese umwana wanjye azagira ingaruka zirambye za MIS-C?

Abana benshi bakira neza MIS-C nta ngaruka zirambye. Bamwe bashobora gukenera gukurikiranwa, cyane cyane niba umutima wabo warangiritse, ariko abenshi bagaruka mu buzima bwabo busanzwe n’imirimo yabo mu mezi make nyuma yo gukira.