Tiyeni tiphunzire zonse zokhudza chibayo: Musadandaule, tiyeni tikambirane za icho! - Nirogi Lanka

Chibayo chingamveke ngati matenda oopsa, eti? Kumva za kutsekeka pachifuwa kapena kuvutika kupuma nthawi zambiri kumabweretsa nkhawa nthawi yomweyo. Ku Nirogi Lanka, tikufuna kukuthandizani kumvetsetsa kuti chibayo ndi chiyani, chifukwa chake chimachitika, momwe mungadzitetezere, komanso njira zoti muchite ngati mwapezeka ndi matendawa, m'njira yosavuta komanso yothandiza.

Kodi chibayo ndi chiyani?

Mwachidule, chibayo ndi matenda m'mapapu mwanu. Amatha kuyambitsidwa ndi mabakiteriya, mavairasi, kapena nthawi zina bowa. Matendawa amachititsa kuti minofu ya m'mapapo mwanu itupa, zomwe zimapangitsa kutupa . Chifukwa chake, mapapu anu akhoza kudzaza ndi madzi kapena mafinya.

kutupa - Kutupa kwa minofu

Kawirikawiri, Bakiteriya Chibayo ndi yoopsa kwambiri kuposa chibayo cha kachilombo, chomwe nthawi zambiri chimatha chokha mukapuma.

Chibayo chimatha kukhudza mapapo amodzi okha kapena mapapo onse awiri nthawi imodzi. Chibayo chikakhudza onse awiri, chimatchedwa Bilateral kapena Double Pneumonia .

Kodi chibayo chimayamba bwanji ndipo ndi mitundu iti ya matenda?

Kodi pali kusiyana kotani pakati pa chibayo cha bakiteriya ndi kachilombo?

Ngakhale chibayo ndi vuto linalake, zizindikiro zanu zimatha kusiyana malinga ndi chomwe chimayambitsa (mabakiteriya, kachilombo, kapena bowa).

Bakiteriya Chibayo ndi mtundu wofala kwambiri ndipo ukhoza kukhala woopsa kwambiri, nthawi zina umafunika kugonekedwa kuchipatala. Dokotala wanu nthawi zambiri amachichiza ndi maantibayotiki .

Chibayo cha kachilombo nthawi zambiri chimabwera ndi zizindikiro monga malungo ndi chimfine. Nthawi zambiri, chimatha popanda kufunikira mankhwala enaake.

Mitundu ikuluikulu ya chibayo

Chibayo chimagawidwa m'magulu malinga ndi tizilombo toyambitsa matenda komanso malo omwe munachitengera—monga dera, chipatala, kapena pogwiritsa ntchito zipangizo zachipatala monga chopumira mpweya.

Chibayo chomwe chimapezeka m'dera (CAP)

Ngati chibayo chayamba kufalikira kunja kwa chipatala (kunyumba, kuntchito, kapena kusukulu), chimayikidwa m'gulu la CAP. Zifukwa zake ndi izi:

• Mabakiteriya: `Streptococcus pneumoniae` ndiye amene amayambitsa CAP (yomwe imadziwikanso kuti matenda a pneumococcal). Bakiteriya iyi ingayambitsenso matenda a m'makutu, matenda a sinus , ndi meningitis. `Mycoplasma pneumoniae` nthawi zambiri imayambitsa zizindikiro zochepa. Mabakiteriya ena monga `Haemophilus influenzae`, `Chlamydia pneumoniae`, ndi `Legionella` (matenda a Legionnaires) ndi omwe angayambitsenso matendawa.
• Mavairasi: Chimfine , fuluwenza, COVID-19 , ndi RSV (Respiratory Syncytial Virus) nthawi zina zingayambitse chibayo.
• Bowa/mafinya: Zosowa, koma mitundu monga `Cryptococcus`, `Pneumocystis jirovecii`, ndi `Coccidioides` ingayambitse chibayo. Izi zimapezeka kwambiri mwa anthu omwe ali ndi chitetezo chamthupi chofooka.
• Mapuloteni : Nthawi zina, tizilombo monga `Toxoplasma` tingayambitse chibayo.

Chibayo chopezeka kuchipatala (HAP)

Ngati mudwala chibayo muli m'chipatala chifukwa cha vuto lina kapena opaleshoni, chimadziwika kuti HAP. Izi nthawi zambiri zimakhala zoopsa kuposa CAP chifukwa nthawi zambiri zimayambitsidwa ndi mabakiteriya osamva maantibayotiki, monga `MRSA (methicillin-resistant Staphylococcus aureus)`, zomwe zimapangitsa kuti zikhale zovuta kuchiza.

Chibayo chokhudzana ndi chisamaliro chaumoyo (HCAP)

Izi zimachitika ngati muli m'chipatala chosamalira okalamba kwa nthawi yayitali, monga malo osungira okalamba, kapena ngati mumalandira chithandizo chamankhwala nthawi zambiri. Mofanana ndi HAP, nthawi zambiri imayamba chifukwa cha mabakiteriya osamva maantibayotiki.

Chibayo chokhudzana ndi mpweya (VAP)

Ngati mukufuna makina opumira kapena opumira kuchipatala (nthawi zambiri mu ICU), muli pachiwopsezo cha VAP. Itha kuyambitsidwa ndi mabakiteriya omwe amatengedwa m'deralo komanso omwe amatengedwa kuchipatala.

Chibayo cha kupuma

Izi zimachitika pamene chakudya, madzi, malovu, kapena kusanza zimapumidwa mu mphuno yanu kenako n’kulowa m’mapapo. Ngati simungathe kuchotsa zinthuzi, matenda amatha kuyamba, zomwe zingakupangitseni kukhala ndi chibayo.

Kodi ndi chibayo, chimfine, kapena fuluwenza? Kodi mungadziwe bwanji?

Zizindikiro za chimfine, chimfine, ndi chibayo zimatha kufanana, zomwe zimapangitsa kuti zikhale zovuta kuzisiyanitsa popanda kuyezetsa dokotala. Popeza chibayo ndi matenda omwe angawononge moyo , chonde funsani dokotala nthawi yomweyo ngati mukukumana ndi izi:

• Kulimba kwa chifuwa kapena kupweteka.
• Kuvuta kupuma .
• Malungo a 102°F (38.88°C) kapena kupitirira apo.
• Kutsokomola mamina achikasu, obiriwira, kapena opaka magazi.

Ndani ali pachiwopsezo chachikulu chotenga chibayo?

Anthu ena ali pachiwopsezo chachikulu chotenga chibayo. Muyenera kusamala kwambiri ngati muli m'gulu lililonse mwa magulu awa:

• Akuluakulu azaka 65 kapena kuposerapo komanso ana osakwana zaka ziwiri.
• Anthu omwe ali ndi matenda a m'mapapo kapena a mtima monga cystic fibrosis, mphumu, COPD (matenda osatha obstructive pulmonary disease), emphysema, pulmonary fibrosis, kapena sarcoidosis.
• Anthu omwe ali ndi matenda amitsempha omwe amakhudza kumeza, monga matenda a dementia, matenda a Parkinson, kapena omwe adadwalapo sitiroko, chifukwa matendawa amawonjezera kwambiri chiopsezo cha chibayo cha aspiration.
• Odwala omwe ali m'chipatala kapena omwe akukhala m'malo osamalira odwala kwa nthawi yayitali.
• Anthu omwe amasuta.
• Amayi oyembekezera.
• Anthu omwe ali ndi chitetezo chamthupi chofooka. Izi zikuphatikizapo omwe amalandira chithandizo cha mankhwala a khansa, omwe amapatsidwa ziwalo zina, anthu omwe ali ndi kachilombo ka HIV/AIDS, kapena omwe amamwa mankhwala oletsa chitetezo chamthupi.

Kodi zizindikiro za chibayo ndi ziti?

Zizindikiro za chibayo zimasiyana malinga ndi chomwe chimayambitsa matendawa ndipo zimatha kukhala zochepa mpaka zazikulu. Ndikofunikira kudziwa kuti zizindikiro zimatha kuonekera mosiyana mwa makanda, ana aang'ono, ndi akuluakulu.

Zizindikiro za Chibayo cha Bakiteriya

Chibayo cha bakiteriya chingayambe mwadzidzidzi kapena kukula pang'onopang'ono. Zizindikiro zazikulu ndi izi:

• Malungo aakulu (mpaka 105°F / 40.55°C).
• Kutsokomola mamina achikasu, obiriwira, kapena otuluka magazi.
• Kutopa kwambiri.
• Kupuma mwachangu.
• Kupuma movutikira.
• Kugunda kwa mtima mwachangu.
• Kutuluka thukuta kwambiri kapena kunjenjemera.
• Kupweteka pachifuwa kapena m'mimba, makamaka mukakosoza kapena kupuma mozama.
• Kusowa chilakolako.
• Kupaka utoto wabuluu pakhungu lanu, milomo, kapena misomali (cyanosis).
• Kusokonezeka kapena kusintha mwadzidzidzi kwa maganizo.

Zizindikiro za Chibayo cha Viral

Chibayo chomwe chimayambitsa mavairasi nthawi zambiri chimakula pakatha masiku angapo. Mutha kukhala ndi zizindikiro zofanana ndi chibayo cha bakiteriya, kapena mungazindikire izi:

• Chifuwa chouma.
• Mutu.
• Kupweteka kwa minofu.
• Kutopa kwambiri kapena kufooka.

Zizindikiro mwa Ana Aang'ono

Mu makanda aang'ono kwambiri ndi makanda obadwa kumene, chibayo chingaoneke ndi zizindikiro zochepa kapena zizindikiro zosiyana kwambiri ndi za akuluakulu.

• Malungo, kuzizira, malaise wamba, kapena kufinya.
• Chifuwa.
• Kupuma movutikira kapena mofulumira (tachypnea).
• Kusowa chilakolako.
• Kusanza.
• Kutopa.
• Kukwiya kwambiri kapena kulira kosalekeza.

Kuphatikiza apo, mwa makanda ndi ana aang'ono, yang'anani:

• Kulira kapena kufuula kumamveka pamene mukupuma.
• Kuchepetsa kukodza kapena kuchepetsa matewera onyowa.
• Khungu lotumbululuka kapena lotuwa.
• Kufooka kwambiri kapena kufooka.
• Kulira kosalekeza komanso kosatonthozeka.
• Kukana kudyetsa kapena kudya.

Zizindikiro mwa Akuluakulu Opitirira Zaka 65

Ngati muli ndi zaka zoposa 65 kapena chitetezo chamthupi chanu chili chofooka, zizindikiro zodziwika bwino monga chifuwa kapena kupuma movutikira zitha kukhala zochepa kapena sizikupezeka. M'malo mwake, mutha kuwona kuipiraipira kwa matenda omwe alipo kapena zizindikiro zadzidzidzi monga:

• Kusokonezeka mwadzidzidzi kapena kusintha kwa maganizo.
• Kusowa chilakolako.
• Kutopa kwambiri.

Kodi chibayo chimayambitsa chiyani?

Chibayo chimachitika pamene matenda ayambitsa kutupa kwa timatumba tating'onoting'ono ta mpweya (alveoli) m'mapapo mwanu, zomwe zimapangitsa kuti tidzaze ndi madzi kapena mafinya. Ichi ndi chitetezo chanu cha mthupi chomwe chimayankha ku tizilombo toyambitsa matenda.

Ngakhale mabakiteriya osiyanasiyana, mavairasi, ndi bowa angayambitse chibayo, matenda a bakiteriya ndi omwe amayambitsa kwambiri akuluakulu , pomwe mavairasi ndi omwe amayambitsa kwambiri ana a msinkhu wa sukulu . Matenda ofala kwambiri ndi awa:

• Chimfine (kachilombo ka chimfine)
• COVID-19 (SARS-COV-2)
• Kachilombo ka fuluwenza
• Kachilombo ka HIV ka anthu (HMPV)
• Human parainfluenza virus (HPIV)
• Matenda a Legionnaires
• Mycoplasma chibayo
• Matenda a pneumococcal
• Chibayo cha pneumocystis
• Kachilombo ka HIV kogwirizana ndi kupuma (RSV)

Kodi chibayo chimafalikira?

Chibayo sichili matenda "opatsirana" okha, koma mavairasi ndi mabakiteriya omwe amachititsa izi ndi opatsirana . Mwachitsanzo, chimfine kapena chimfine chimatha kukhala chibayo, ngakhale kuti si aliyense amene amatenga kachilomboka amene angachidwalitse.

Mabakiteriya ofala otchedwa Streptococcus pneumoniae amatha kufalikira kudzera m'madontho a mpweya chifukwa cha kutsokomola kapena kuyetsemula, kapena kudzera mu kukhudzana ndi malo oipitsidwa. Chibayo cha bowa nthawi zambiri sichimafalikira kuchokera kwa munthu wina kupita kwa wina.

Kodi chibayo chimazindikirika bwanji?

Kuti adziwe matenda a chibayo, dokotala wanu adzawunikanso mbiri yanu yachipatala ndikukufufuzani thupi, zomwe zikuphatikizapo kumvetsera mapapu anu pogwiritsa ntchito stethoscope. Angakuuzeni mayeso monga chifuwa cha X-ray, pulse oximetry (kuti aone kuchuluka kwa mpweya m'magazi), mayeso a magazi, kapena ma sputum cultures.

Chofunika: Ngakhale dokotala atatsimikizira kuti muli ndi chibayo, nthawi zina zimakhala zovuta kudziwa chomwe chimayambitsa matendawa.

Ndi mayeso ati omwe amachitidwa?

Kuti muwone zizindikiro za matenda m'mapapu anu, onani momwe mapapu anu akugwirira ntchito, ndikupeza chomwe chimayambitsa chibayo chanu, dokotala wanu angakulangizeni mayeso otsatirawa:

• Kujambula: Kujambula pachifuwa X-ray kapena CT scan kungathandize dokotala wanu kuona zizindikiro za matenda m'mapapu anu.
• Kuyezetsa magazi: Izi zimathandiza kuzindikira mtundu wa matenda omwe amayambitsa chibayo chanu.
• Kuyesa kwa makoswe: Mudzapemphedwa kuti mukokere mamina m'chidebe. Chitsanzochi chimatumizidwa ku labotale kuti akayese matenda ndikupeza tizilombo toyambitsa matenda.
• Kuyeza kuchuluka kwa mpweya m'magazi: Kachipangizo kameneka kamagwiritsidwa ntchito poyesa kuchuluka kwa mpweya m'magazi mwanu. Izi zimapatsa dokotala wanu lingaliro lomveka bwino la momwe mapapu anu akugwirira ntchito bwino.
• Kumera kwa madzi m'mapapo: Pogwiritsa ntchito singano yopyapyala, chitsanzo cha madzi chimatengedwa kuchokera kudera lozungulira mapapo anu ndikutumizidwa ku labu kuti adziwe komwe kwayambitsa matendawa.
• Kuyezetsa mpweya m'magazi: Kuyezetsa magazi kuchokera m'dzanja lanu, mkono, kapena m'mimba kuti muyeze kuchuluka kwa mpweya m'mapapo, zomwe zimakupatsani chidziwitso cha momwe mapapo anu amagwirira ntchito.
• Bronchoscopy: Nthawi zina, dokotala angagwiritse ntchito chubu chopepuka komanso chopepuka chotchedwa bronchoscope kuti ayang'ane mwachindunji njira zanu zopumira. Angathenso kusonkhanitsa minofu kapena zitsanzo zamadzimadzi kuti ziwunikidwe mu labotale.

Kodi chibayo chimachiritsidwa bwanji? (Nirogi Lanka)

Chithandizo cha chibayo chimadalira chomwe chimayambitsa (mabakiteriya, kachilombo, kapena bowa) komanso kuopsa kwa vuto lanu. Popeza nthawi zambiri zimakhala zovuta kudziwa chomwe chimayambitsa nthawi yomweyo, cholinga chachikulu cha chithandizo ndikuwongolera zizindikiro zanu ndikuletsa vutoli kuti lisakule kwambiri.

Njira zodziwika bwino zochiritsira zimaphatikizapo:

• Mankhwala opha tizilombo toyambitsa matenda: Mankhwalawa amaperekedwa kwa chibayo cha bakiteriya. Ngakhale kuti sagwira ntchito pa mavairasi, dokotala wanu angakupatseni mankhwala ngati pali kachilombo kena ka bakiteriya.
• Mankhwala oletsa bowa: Mankhwalawa amagwiritsidwa ntchito ngati chibayo chanu chayamba chifukwa cha matenda a bowa.
• Mankhwala oletsa mavairasi: Chibayo cha mavairasi nthawi zambiri chimatha chokha; komabe, ngati kachilombo kakuyambitsa matenda aakulu, dokotala wanu angakulembereni mankhwala oletsa mavairasi monga oseltamivir (Tamiflu®) , zanamivir (Relenza®) , kapena peramivir (Rapivab®) kuti achepetse nthawi ndi kuopsa kwa zizindikiro zanu.
• Chithandizo cha okosijeni: Ngati mpweya m'magazi mwanu uli wochepa, dokotala wanu angapereke mpweya wowonjezera kudzera mu kannula ya m'mphuno kapena chigoba cha nkhope.
• Madzi a m'mitsempha: Madzi omwe amaperekedwa mwachindunji m'mitsempha yanu amagwiritsidwa ntchito popewa kapena kuchiza kutaya madzi m'thupi.
• Kutulutsa madzi m'thupi: Ngati pali kuchuluka kwa madzi m'thupi pakati pa mapapo anu ndi khoma la pachifuwa (pleural effusion), dokotala wanu akhoza kutulutsa madzi m'thupi pogwiritsa ntchito catheter kapena opaleshoni.

Kodi chibayo chimatha chokha?

Chibayo chomwe chimabwera chifukwa cha mavairasi nthawi zambiri chimatha popanda thandizo la dokotala. Komabe, ndikofunikira kuti nthawi zonse muzitsatira malangizo a dokotala wanu kuti muchepetse zizindikiro ndikuchepetsa chiopsezo cha mavuto aakulu.

Malangizo odzisamalira okha pothana ndi zizindikiro kunyumba

Njira zotsatirazi zingakuthandizeni kukhala omasuka pamene mukuchira:

• Mankhwala ochepetsa ululu ndi malungo: Dokotala wanu angakulangizeni mankhwala monga ibuprofen (Advil®) kapena acetaminophen (paracetamol/Panadol®) kuti muchepetse malungo ndi ululu.
• Mankhwala a chifuwa: Nthawi zonse funsani dokotala musanamwe mankhwala oletsa chifuwa. Kutsokomola ndi njira yomwe thupi lanu limachotsera madzi m'mapapo mwanu.
• Maseŵero olimbitsa thupi ndi mankhwala: Dokotala wanu angakupatseni njira zinazake kapena mankhwala othandiza kumasula ntchofu ndikupangitsa kupuma kukhala kosavuta.
• Gwiritsani ntchito chotenthetsera mpweya: Kusunga chotenthetsera mpweya m'chipinda mwanu kapena kusamba ndi nthunzi kungathandize kunyowetsa mpweya ndikuchepetsa mpweya wanu.
• Khalani ndi madzi okwanira m'thupi.

Kodi ndidzamva bwino mofulumira bwanji?

Nthawi yochira imadalira zinthu zingapo:

• Zaka zanu.
• Chifukwa chachikulu cha chibayo chanu.
• Kuopsa kwa matendawa.
• Matenda aliwonse omwe alipo kapena zovuta zina.

Ngati muli ndi thanzi labwino, muyenera kuyamba kumva bwino mkati mwa maola 24 mpaka 48 mutayamba kulandira chithandizo cha chibayo cha bakiteriya . Chibayo cha mavairasi chingasinthenso mkati mwa masiku ochepa, ngakhale kuti zizindikiro monga chifuwa ndi kutopa zimatha kupitirira kwa milungu ingapo.

Kodi chibayo chimafalikira?

Ngati muli ndi chibayo cha bakiteriya, nthawi zambiri mumaonedwa kuti simuli opatsirana pambuyo poti malungo anu achepa ndipo mwakhala mukumwa maantibayotiki kwa maola osachepera 48. Pa chibayo cha mavairasi, mungakhalebe opatsirana mpaka mutamva bwino komanso mutakhala opanda malungo kwa masiku angapo.

Kodi ndingapewe bwanji chibayo? (Nirogi Lanka)

Njira yabwino yopewera chibayo ndi kudzera mu katemera woteteza ku zinthu zomwe zimayambitsa mabakiteriya ndi mavairasi. Kukhala ndi zizolowezi zabwino kungathandizenso kuchepetsa chiopsezo chanu.

Katemera

Ngakhale kuti katemera sangateteze ku mtundu uliwonse wa chibayo, ndi othandiza kwambiri popewa matenda oopsa.

• Katemera wa pneumococcal: Izi zimateteza ku mabakiteriya omwe amayambitsa chibayo. Amalimbikitsidwa kwa magulu azaka zinazake komanso omwe ali pachiwopsezo chachikulu. Funsani dokotala wanu kuti mudziwe katemera woyenera kwa inu kapena okondedwa anu.
• Katemera wa kachilombo: Kudziwa zatsopano za katemera wa COVID-19 ndi chimfine (flu) kungachepetse chiopsezo chanu chokhala ndi chibayo choyambitsidwa ndi mavairasi awa.
• Katemera wa ana: Onetsetsani kuti ana anu akupeza katemera watsopano, chifukwa ambiri mwa iwo amateteza ku mabakiteriya ndi mavairasi omwe angayambitse chibayo.

Njira zina zodzitetezera

Kupatula katemera, zizolowezi zabwino izi zimathandiza kuchepetsa chiopsezo chanu chotenga kapena kufalitsa chibayo:

• Pewani kusuta fodya komanso kusuta fodya kwa anthu ena. Kusuta fodya kumawononga mapapo anu ndipo kumawonjezera chiopsezo chanu chotenga matenda opatsirana popuma.
• Sambani m'manja mwanu bwino ndi sopo musanadye, musanakonze chakudya, kapena musanagwiritse ntchito chimbudzi. Ngati sopo palibe, gwiritsani ntchito mankhwala oyeretsera m'manja okhala ndi mowa.
• Ngati inu kapena munthu amene ali pafupi nanu ali ndi matenda opatsirana monga chimfine kapena COVID-19, pewani kukhudzana kwambiri ndipo pewani kugawana zinthu zanu.
• Ngati muli m'chipatala kapena mukulandira chithandizo kuchipatala, musazengereze kufunsa gulu lanu lachipatala za njira zomwe mungachite kuti muchepetse chiopsezo chanu chotenga matenda opatsirana kuchipatala.
• Khalani ndi zakudya zoyenera, chita masewera olimbitsa thupi nthawi zonse, ndipo muzipuma mokwanira.
• Thandizani matenda aliwonse omwe amabwera chifukwa cha matendawa. Izi zitha kufooketsa chitetezo cha mthupi lanu ndikukupangitsani kukhala pachiwopsezo chachikulu cha chibayo.
• Pewani kumwa mowa mopitirira muyeso.

Kodi mavuto omwe angakhalepo chifukwa cha chibayo ndi ati? (Zovuta)

Chibayo chingayambitse mavuto aakulu omwe angafunike kugonekedwa kuchipatala. Mavuto omwe angakhalepo ndi awa:

• Kuvuta kupuma: Chibayo chingayambitse kulephera kupuma kapena matenda a Acute Respiratory Distress Syndrome (ARDS).
• Kutuluka kwa madzi m'mapapo: Kuchulukana kwa madzi m'mapapo.
• Bacteremia kapena Sepsis: Mabakiteriya ochokera ku chibayo angalowe m'magazi mwanu, kufalitsa matendawa ku ziwalo zina ndipo mwina kungayambitse sepsis kapena kulephera kwa ziwalo zambiri.
• Chifuwa chotupa m'mapapo: Mabowo odzaza mafinya omwe angapangidwe mkati mwa minofu ya mapapo.

Kodi ndi liti pamene mungafunike kupita kuchipatala chifukwa cha chibayo?

Ngati muli ndi chibayo chachikulu kapena mukukumana ndi mavuto, dokotala wanu angakulangizeni kuti mulandire chithandizo chamankhwala m'chipatala. Mungafunike kugonekedwa m'chipatala ngati:

• Ali ndi zaka zosakwana 2 kapena kupitirira 65.
• Kukhala ndi chitetezo chamthupi chofooka.
• Ali ndi matenda a mtima kapena mapapo omwe alipo kale.

Kumbukirani: Ngati mwagonekedwa m'chipatala chifukwa cha chibayo, zingatenge milungu isanu ndi umodzi mpaka isanu ndi itatu kuti mupezenso mphamvu zanu zonse.

Zimene mungachite kuti mupeze mpumulo pamene mukuchira ku chibayo

Kuti mumve bwino mukamachira, tsatirani izi:

• Konzani zizindikiro zanu monga momwe dokotala wanu walangizira.
• Malizitsani kumwa mankhwala onse omwe mwapatsidwa. Musasiye kumwa maantibayotiki chifukwa choti mwamva bwino; kulephera kumaliza kumwa mankhwala onse kungayambitse matenda kubwerera.
• Gwiritsani ntchito mankhwala ochepetsa malungo (monga acetaminophen kapena ibuprofen) monga momwe zalembedwera pa chizindikirocho. Musapatse ana aspirin.
• Konzani nthawi yopuma kuti thupi lanu lichiritse.

Ngati vuto lanu likuipiraipira kapena mukuona kuti simukuchira, funsani dokotala nthawi yomweyo.

Zizindikiro zoti mukuchira ku chibayo

Pamene mukuchira, nthawi zambiri mudzawona malungo anu akubwerera mwakale. Muyeneranso kuona kuchepa kwa kupanga mamina ndi chifuwa. Kumva kuti mukutha kuyambiranso zina mwa zochita zanu za tsiku ndi tsiku ndi chizindikiro china champhamvu cha kupita patsogolo kwanu.

Kodi mungabwerere liti kuntchito kapena kusukulu mutatha kudwala chibayo?

Nthawi zambiri mukhoza kubwerera ku moyo wanu watsiku ndi tsiku zizindikiro zanu zikachepa kapena zitachepa, ndipo simukuvutikanso ndi izi:

• Kupuma movutikira kapena kutopa kwambiri.
• Kupweteka pachifuwa.
• Chifuwa chosalekeza, malungo, kapena ntchofu yambiri.

Ngati muli ndi thanzi labwino, anthu ambiri amatha kuyambiranso kuchita zinthu zomwe kale ankachita mkati mwa sabata imodzi. Komabe, zingatenge mwezi umodzi kuti mubwererenso ku moyo wanu wabwinobwino.

Kodi muyenera kupita kwa dokotala liti?

Ngati mwakhala mukudwala, muli ndi matenda osatha, kapena mukukumana ndi zizindikiro zatsopano kapena zoipiraipira, muyenera kufunsa dokotala wanu za izi:

• Kuvuta kupuma.
• Malungo osalekeza kapena chifuwa chokhala ndi ntchofu.
• Kutopa kosalekeza.
• Kuchepa kwakukulu kwa chilakolako.

Kodi muyenera kufunafuna chithandizo chadzidzidzi liti?

Pazochitika zotsatirazi, funani chithandizo chadzidzidzi nthawi yomweyo kapena imbani 911:

• Kuvuta kupuma kapena kumva ngati simungathe kupuma pamene mukupuma.
• Kuyamba mwadzidzidzi kupweteka pachifuwa kapena kuwonjezeka kwa ululu pachifuwa womwe ulipo kale.
• Kusokonezeka kapena kuvutika kuganiza bwino.

Kodi n'zotheka kutenga chibayo popanda malungo?

Inde. Ngakhale kuti kutentha thupi ndi chizindikiro chofala cha chibayo, n'zotheka kudwala chibayo ndi kutentha thupi pang'ono kapena popanda kutentha thupi konse. Izi zimachitika kawirikawiri m'magulu awa:

• Akuluakulu opitirira zaka 65 kapena ana osapitirira zaka ziwiri (makamaka makanda obadwa kumene ndi makanda).
• Anthu omwe ali ndi chitetezo chamthupi chofooka.

Kodi pali kusiyana pakati pa momwe chibayo chimachiritsidwira mwa ana aang'ono?

Kawirikawiri, njira yochiritsira chibayo si yosiyana kwambiri kwa ana. Komabe, ana aang'ono ali pachiwopsezo chachikulu chodwala kwambiri ndi chibayo , zomwe zikutanthauza kuti nthawi zambiri amafunika kugonekedwa kuchipatala poyerekeza ndi akuluakulu.

Popeza chibayo chili ndi zifukwa zosiyanasiyana, ndi zachilendo kusokonezeka kapena kuda nkhawa ngati zizindikiro zanu zikuoneka kuti zikukuvutitsani. Musanyalanyaze zizindikiro zochenjeza monga kutentha thupi kwambiri, mamina ofiira magazi kapena utoto wosadziwika bwino, kupweteka pachifuwa, kapena kupuma movutikira. Thupi lanu limadziwa pamene chinachake chalakwika, choncho musazengereze kupita kuchipatala. Ngati mwakumana ndi vuto ladzidzidzi, chonde imbani 911 kapena ogwira ntchito zadzidzidzi omwe ali pafupi nanu nthawi yomweyo.

Uthenga wochokera ku Nirogi Lanka (Uthenga Wopita Nawo Kunyumba)

Chibayo chingakhale vuto lalikulu, koma ngati munthu akuzindikira bwino komanso kulandira chithandizo chamankhwala nthawi yake, n'zotheka kuti achire mokwanira. Gawo lofunika kwambiri ndi kuzindikira zizindikiro ndikufunsa dokotala ngati muli ndi kukayikira kulikonse.

• Kupewa ndikofunikira:Khalani ndi chidziwitso chaposachedwa cha katemera wovomerezeka ndipo pitirizani kukhala ndi makhalidwe abwino.
• Khalani maso: Samalani kwambiri zizindikiro monga malungo, chifuwa, ndi kupuma movutikira.
• Tsatirani malangizo a dokotala: Imwani mankhwala omwe mwapatsidwa monga momwe mwalangizidwira ndipo malizitsani kumwa mankhwala onse.
• Kupuma kofunikira: Patsani thupi lanu nthawi yomwe likufunika kuti lichiritse.

Ngati inu kapena wokondedwa wanu muli ndi mafunso ena okhudza chibayo, chonde musazengereze kulankhula ndi katswiri wa zaumoyo. Ali pano kuti akuthandizeni.