Hayi indlela ebekuya kuba yingozi ngayo ukuba umntwana wakho ebedlala kakuhle aze ngequbuliso abe nomkhuhlane, aze aqale ukungcangcazela, mhlawumbi ade alahlekelwe zingqondo. Kuqhelekile ukuba nexhala ngelo xesha. Olu hlobo lokuxhuzula oluza nomkhuhlane yinto esiyibiza ngokuba yi-'febrile seirperson' ngokwezonyango . Kuyaqondakala ukuba abazali abatsha bakhathazeke xa bebona oku. Kodwa ukuba sinolwazi olufanelekileyo ngale nto, singajongana nemeko enjalo ngoxolo. Ngoko ke, masithethe ngale nto ngokweenkcukacha namhlanje, akunjalo?
Yintoni isifo sokuwa esibangelwa yifiva?
Ngamafutshane, ukuxhuzula okubangelwa yimeko engaqhelekanga yombane engqondweni xa umntwana wakho enomkhuhlane . Iimpawu eziqhelekileyo kukuhamba komzimba okungalawulekiyo, okwaziwa ngokuba yi -'convulsions' , kunye nexesha elifutshane lokulahlekelwa zingqondo.
Olu hlobo lokuxhuzula olunefiva ludla ngokuvela kubantwana abaphakathi kweenyanga ezi-6 neminyaka emi-5 ubudala . Luxhaphake kakhulu kwiminyaka emithathu yokuqala yobomi.
Eyona nto ilungileyo kukuba, uninzi lwezifo zokuxhuzula ezinefiva azikho mbi kangako . Nangona kunjalo, njengomzali, zinokuba ziyoyikisa kakhulu kuwe. Ngoko ke, ukuba umntwana wakho ufumana into efana nale, licebo elihle ukuba ahlolwe ngugqirha.
Ngaba kukho iintlobo zesifo sofuba?
Ewe, isifo sokuwa esibangelwa yimfiva singahlulwahlulwa sibe ziindidi ezimbini eziphambili:
1. Ukuxhuzula okulula okubangelwa yifiva:
- Olu hlobo lokuxhuzula luhlala ngaphantsi kwemizuzu eli-15 .
- Ngokwesiqhelo ungumntu ongazi nto kwaye oxhuzulayo.
- Umntwana uba nokuxhuzula okukodwa nje oku kulandelayo kwiiyure ezingama-24.
2. Ukuxhuzula okuntsonkothileyo okubangelwa yifiva:
- Oku kungathatha imizuzu engaphezu kwe-15 .
- Ngamanye amaxesha ukushwabana kunokuyeka kuqale kwakhona, okanye kuqhubeke.
- Abanye abantwana banokubonisa iimpawu kwicala elinye lomzimba kuphela.
- Kunokwenzeka ukuba ube nokuxhuzula okungaphezulu kwesinye kwiiyure ezingama-24.
Kubalulekile ukwazi ngezi ntlobo zimbini, kuba kuya kuba luncedo xa uchazela ugqirha iinkcukacha.
Zithini iimpawu zokuxhuzula okubangelwa yifiva?
Xa kuvela isifo sokuxhuzula esibangelwa yifiva, ungabona iimpawu ezifana nezi:
- Iintshukumo zemisipha ezingalawulekiyo (ukuxhuzula): Oku kunokubonakala ngathi umntwana uyaxhuzula. Ngamanye amaxesha izihlunu zinokuqina, zitsale, okanye zishukume.
- Ukuquleka: Umntwana angaquleka. Amehlo asenokuqengqeleka ngeli xesha.
- Ukungakwazi ukulawula umzimba: Oku kunokuquka izinto ezifana nokuqunjelwa, ukuhlanza, kunye nokuchama okanye ukukhupha indle ngaphandle kokuzithandela.
Kwisifo sokuxhuzula esilula esinefiva, ezi mpawu zihlala ziqala kwimizuzwana embalwa ukuya kwimizuzu embalwa. Nangona kunjalo, kwisifo sokuxhuzula esinefiva esintsonkothileyo, ixesha linokuba ngaphezulu kwemizuzu eli-15 kwaye linokwenzeka amaxesha amaninzi ngemini.
Yintoni ebangela ukuxhuzula ngenxa yefiva?
Ukuxhuzula okubangelwa yimfiva kunokuba nezizathu ezininzi. Igama elithi "febrile" lithetha "umkhuhlane." Oku kwenzeka rhoqo kwiintsuku zokuqala zokugula xa umntwana enobushushu obuphezulu. Kudla ngokufunyaniswa ukuba umkhuhlane ungaphezulu kwe-101 degrees Fahrenheit (38.3 degrees Celsius), kodwa oku kunokwahluka kumntwana ngamnye. Ukuxhuzula kunokubangelwa zizifo ezibangela umkhuhlane, ezifana nezi:
- Iqhwiqhwi
- ICoronavirus `(COVID-19)`
- Usulelo lwendlebe
- Umkhuhlane `(umkhuhlane)`
- Intsholongwane ye-RSV `(RSV - intsholongwane yokunxibelelana ngokuphefumla)`
- Usulelo oluphezulu lokuphefumla
Khawucinge nje, ngamanye amaxesha umntwana unokuxhuzula ngaphambi kokuba abe nomkhuhlane. Oko kunokwenzeka.
Enye into ebalulekileyo ekufuneka uyikhumbule kukuba ezinye iindlela zokugonya abantwana zinokubangela umkhuhlane njengesiphumo esingesihle. Nangona kunqabile, ukuba umntwana unesifo sokuxhuzula emva kokugonywa, kungenxa yomkhuhlane, hayi ugonyo ngokwalo. Oku kubalulekile ukukhumbula.
Iintsholongwane zobuchopho kunye nomgogodla, ezifana ne-"encephalitis" (ukudumba kwengqondo) kunye ne-"meningitis" (meningitis), azibangeli ukuxhuzula okubangelwa yifiva. Nangona kunjalo, ezi ntsholongwane zinokubangela ezinye iintlobo zokuxhuzula (ezingabangelwanga ngumkhuhlane).
Ngaba isifo sofuzo sibangelwa kukuwa kwemizimba?
Ewe, kukho ezinye ii-genes ezinxulumene nokuxhuzula okubangelwa yi-febrile. Oko kukuthi, umngcipheko womntwana wokufumana le meko unokwandiswa zezo genes. Kufunyenwe ukuba phakathi kwe-10% kunye ne-33% yabantwana abafumana ukuxhuzula okubangelwa yi-febrile banelungu losapho elisondeleyo elinembali yokuxhuzula . Oku kuthetha ukuba ukuba umntu kusapho lwakho ukhe waxhuzula ngaphambili, kukho ithuba elincinci lokuba umntwana wakho omncinci naye abe nokuxhuzula okubangelwa yi-febrile.
Ziziphi izinto ezibangela umngcipheko wokuxhuzula ngenxa yesifo somkhuhlane?
Le meko ixhaphakile kakhulu – lolona hlobo luxhaphakileyo lokuxhuzula ebuntwaneni. Umntwana wakho usenokuba semngciphekweni omkhulu wokuba nokuxhuzula okubangelwa yifiva ngenxa yezi zizathu zilandelayo:
- Ukuba lusana olungaphantsi konyaka omnye okanye olungaphantsi kweminyaka emihlanu ubudala.
- Ukulaliswa esibhedlele kwiYunithi yoKhathalelo oluNzulu lweZifo eziSandulelayo (i-NICU) kangangeentsuku ezingaphezu kwama-28.
- Ukuba nokulibaziseka kophuhliso.
- Ukuba nosulelo.
- Ukuba nembali yosapho lwakho yokuxhuzula.
Ngamanye amaxesha ukuxhuzula kwenzeka kube kanye kuphela. Nangona kunjalo, umntwana wakho unokuba semngciphekweni omkhulu wokuba nokuxhuzula okungaphezulu kwesinye ukuba:
- Ukuba ukuxhuzula kokuqala kwenzeke ngaphambi kokuba kufike kwiinyanga ezili-12 ubudala.
- Ukuba kukho umntu kusapho okhe wakha wanesifo sokuwa.
- Ukuba ukuxhuzula kuvela njengophawu lokuqala lwesifo, ngaphambi kokuba kuvele ezinye iimpawu.
Zithini iziphumo zexesha elide zokuxhuzula ngenxa yefiva?
Ixesha elininzi, ukuxhuzula okubangelwa yifiva akunabungozi, kwaye ngokuqhelekileyo akubangeli miphumo ingapheliyo. Ngoko ke musa ukoyika kakhulu.
Umntwana wakho usenokuba neentlungu zokuxhuzula ezingaphezu kwesinye ngaphambi kokuba afikelele kwiminyaka emi-5. Oku akuqhelekanga. Nangona kunjalo, ukuba umntwana wakho unesifo sokuxhuzula izihlandlo ezininzi, ezinye izifundo zifumanise ukuba unokuba nobunzima ekufikeleleni kwimigangatho yophuhliso lolwimi elindelekileyo kuloo minyaka.
Ukongeza, uphando lufumanise ukuba ukuxhuzula okuntsonkothileyo okubangelwa yifiva kunokunyusa kancinci umngcipheko wokuba nesifo sokuxhuzula kwixesha elizayo.
Indlela yokubona ukuba umntu unefiva?
Ukuze kufunyaniswe esi sifo, ugqirha uza kuthatha imbali yezonyango zomntwana wakho aze enze uvavanyo lomzimba. Oku kungenziwa kwigumbi likaxakeka okanye kwiofisi kagqirha womntwana wakho. Ugqirha uza kujonga umkhuhlane womntwana wakho aze abuze ngeempawu zawo. Banokwenza novavanyo lwegazi okanye lomchamo ukuze bafumane ukuba yintoni ebangela umkhuhlane.
Uzinyanga njani izifo ezibangelwa yi-febrile?
Ukuba kukuqala komntwana wakho ukuba nefiva, angaphila ngokukhawuleza. Nangona kunjalo, kufuneka ubone ugqirha womntwana wakho okanye uye kwigumbi likaxakeka ukuqinisekisa ukuba ngokwenene kukukuxhuzula okunefiva okanye into enzulu ngakumbi.
Ugqirha unokucebisa unyango olubangela umkhuhlane, olufana namayeza okunciphisa umkhuhlane afanelekileyo ngokweminyaka afana ne-acetaminophen (umz., iTylenol®), ibuprofen (umz., iMotrin®), okanye amanye amayeza.
Amayeza okuxhuzula okuntsonkothileyo okubangelwa yifiva
Ukuxhuzula okuntsonkothileyo okubangelwa yifiva (ukuxhuzula okuhlala ixesha elingaphezulu kwemizuzu emihlanu, okanye ngaphezulu kokuxhuzula okukodwa kwiiyure ezingama-24) kunokwenzeka ukuba kufuneke unyango. Kwiimeko ezinjalo, ugqirha wakho unokukunika amayeza anjengala:
- I-Midazolam ifakwa empumlweni (i-midazolam yangaphakathi).
- Ii-benzodiazepines ezifakwa emithanjeni.
- I-diazepam ekwi-rectal.
La mayeza anikwa ukuthintela ukuxhuzula. Kodwa la mayeza anikwa kuphela ngokweengcebiso zikagqirha.
Wenza ntoni xa unesifo sokuwa esibangelwa yifiva?
Ukuba umntwana wakho ukhe waxhuzula ngenxa yefiva ngaphambili, ugqirha womntwana wakho uza kukunika imiyalelo yoncedo lokuqala kunye nonyango ekhaya. Ngokubanzi, kufuneka wenze oku kulandelayo:
- Hlala uzolile: Liyinyaniso elokuba kunokuba yinto eyoyikisayo ukubona umntwana wakho exhuzula. Nangona kunjalo, kubalulekile ukuhlala uzolile kangangoko unako. Ukuba uyoyika, awuyi kukwazi ukunceda ngokufanelekileyo.
- Jonga ixesha: Bhala phantsi ixesha lokuba umntwana uxhuzula ixesha elingakanani.Ukuba ukuxhuzula kuthatha imizuzu engaphezu kwemi-5, kufuneka utsalele umnxeba ku-119 (okanye inombolo yakho yongxamiseko yasekuhlaleni) ngoko nangoko.
- Lala umntwana wakho kancinci nangononophelo: Musa ukumbeka etafileni okanye ebhedini. Kwakhona, musa ukuzama ukumbamba ngezandla zakho okanye ukumbamba ngokuqinileyo. Ukwenza njalo kwandisa umngcipheko wokwenzakala.
- Jika umntwana ngecala: Jika umntwana ngecala lakhe ukuthintela ulwelo (amathe okanye ukuhlanza) ukuba lungangeni emiphungeni luze lubambeke.
- Musa ukufaka nantoni na emlonyeni: Susa izinto ezifana namathoyizi emlonyeni womntwana. Musa ukufaka nantoni na emlonyeni enokubhajwa.
Kubaluleke kakhulu ukwazi la macebiso oncedo lokuqala ngokufanelekileyo, kuba ukuba wenza ezi zinto ngaphandle kokuxhalaba ngelo xesha, kuya kuba luncedo olukhulu kumntwana.
Yintoni onokuyilindela emva kokuba unesifo somkhuhlane?
Ayingabo bonke abantwana abasabela ngendlela efanayo emva kokuba bexhuzule. Kuqhelekile ukuba umntwana azive edidekile kwaye ediniwe emva kokuba ebuyele ezingqondweni. Kungathatha imizuzu embalwa ukuba umntwana aqale ukuziphatha ngendlela eqhelekileyo kwakhona. Kubalulekile ukumnyamekela kakuhle umntwana ngeli xesha. Myeke umntwana aphumle. Hlala unxibelelana nogqirha womntwana kwaye ulandele imiyalelo yakhe.
Ihlala ixesha elingakanani i-febrile seisure?
Ukuxhuzula okubangelwa ziintsholongwane kudla ngokuthatha imizuzu embalwa kuphela. Ukuxhuzula okulula kunokuthatha imizuzwana embalwa ukuya kwimizuzu eli-15. Ukuxhuzula okuntsonkothileyo kunokuthatha ixesha elingaphezulu kwemizuzu eli-15.
Ukubeka ixesha kubaluleke kakhulu. Ingxaki engaqhelekanga yimeko ebizwa ngokuba yi -febrile status epilepticus . Oku kwenzeka xa ukuxhuzula kuthatha imizuzu engaphezu kwama-30. Le yingxamiseko yezonyango.
Ngaba ukuxhuzula okubangelwa yifiva kunokuthintelwa?
Ukuxhuzula okubangelwa yi-febrile kunzima ukukuqikelela kwaye kudla ngokungenakuthintelwa. Nokuba unyanga umkhuhlane womntwana wakho, kusekho umngcipheko wokuba ukuxhuzula kuya kwenzeka.
Ufanele uye nini kugqirha?
Ukuba umntwana wakho unesifo sokuxhuzula esibangelwa yifiva okokuqala, ngokuqinisekileyo kufuneka ufune ingcebiso kagqirha. Ukuba umntwana wakho unesifo sokuxhuzula okokuqala, nxibelelana nogqirha okanye neenkonzo zongxamiseko.
Ukuba umntwana wakho unembali yokuxhuzula, ugqirha wezingane womntwana wakho uya kukwazi ukukunika icebiso elifanelekileyo malunga nento omawuyenze kule meko. Baza kukuxelela neempawu omawuziqaphele.
Ufanele uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?
Ufanele ufune uncedo lwezonyango olungxamisekileyo xa unefiva okanye unesifo somkhuhlane kwiimeko ezilandelayo:
- Esi sisifo sokuqala somntwana.
- Ukuba ukuxhuzula kuthatha imizuzu engaphezu kwemi-5.
- Ukuba umntwana unengxaki yokuphefumla .
- Iimpawu zosulelo lobuchopho okanye lomqolo kumntwana(umz., ukuqina kwentamo okanye iintlungu, ukozela kakhulu, ukuhlanza okungapheliyo).
- Ukuba umntwana uyacotha ukubuyela esiqhelweni (ukuba kuthatha iyure nangaphezulu ukubuyela esiqhelweni).
- Ukuba umntwana wenzakele ngexesha lokuxhuzula.
Okokugqibela, izinto ekufuneka uzikhumbule
Ukuxhuzula okubangelwa yi-febrile kunokuba yinto eyoyikisayo, ingakumbi ukuba umntwana wakho akakaze abe nayo ngaphambili. Nangona kunjalo, uninzi lwexesha, oku kuxhuzula kuhlala ixesha elifutshane, kwaye abantwana bayaphola ngokukhawuleza ngaphandle kwemiphumo yexesha elide.
Ukuba unemibuzo okanye iinkxalabo malunga noku, thetha nogqirha wezingane womntwana wakho. Angakunika isikhokelo nolwazi oludingayo ukuze unciphise uloyiko lwakho. Kwakhona, mbuze malunga nendlela yokunika uncedo lokuqala xa kukho ukuxhuzula. Ngale ndlela, ukuba umntwana wakho unesifo sokuxhuzula esibangelwa yifiva kwixesha elizayo, uya kuba ulungele. Musa ukoyika, eyona nto ibalulekileyo kukwazi!
Ukuxhuzula okubangelwa yimfiva, ukuxhuzula ebantwaneni, umkhuhlane, ukuxhuzula okubangelwa yimfiva, unyango lwabantwana, uncedo lokuqala, impilo yabantwana
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