Ukuba umntwana wakho omncinci uqala ngokuba nomkhuhlane aze aqalise ukukhohlela kakhulu kangangokuba angakwazi nokuphefumla, ubuya koyika kakhulu njengomama, akunjalo? Isenokungabi kukukhohlela nje okuqhelekileyo. Isenokuba sisifo esiye seva ngaso sonke, esibizwa ngokuba yi-'whooping cough', esiyingozi kakhulu kubantwana abancinci. Kodwa ungakhathazeki, ngethamsanqa, kukho isitofu esisebenzayo nesikhuselekileyo sokukhusela abantwana bethu kwesi sifo sibi. Namhlanje, siza kuthetha ngaloo sitofu sibaluleke kakhulu.
Yintoni iWhooping Cough?
Ngamafutshane, ukukhwehlela okungapheliyo sisifo esibi kakhulu esichaphazela inkqubo yethu yokuphefumla, oko kukuthi, imiphunga kunye nezinye iindawo ezinxulumene nayo. Sibangelwa luhlobo lwebhaktheriya ebizwa ngokuba yi-'Bordetella pertussis'.
Eyona nto ibalulekileyo kwesi sifo kukukhwehlela okungalawulekiyo nokuqhubekayo. Xa kukho oku kukhwehlela, umntwana usenokungakwazi ukuphefumla aze ajike abe luhlaza okwesibhakabhaka. Xa ukukhwehlela kuphela kwaye kutsalwa umoya onzulu, kwenziwa isandi esikhulu esithi "whooping" emphinjeni. Yiyo loo nto kuthiwa yi-'Whooping Cough' ngesiNgesi. Olu khohlela lunokuhamba nomkhuhlane kwaye ukuphefumla kunokuyeka okwethutyana kuze kuqale kwakhona (i-apnea).
Kutheni le nto olu gonyo lubaluleke kangaka?
Nangona olu gonyo lubalulekile kuye wonke umntu, lusindisa ubomi ngakumbi kwiintsana ezisandul’ ukuzalwa kunye neentsana ezingaphantsi kweenyanga ezimbalwa ubudala, njengoko ukukhwehlela okungapheliyo kunokubangela iingxaki ezinkulu kakhulu kubantwana abakule minyaka.
- Usulelo lwemiphunga (i-pneumonia): Iintsholongwane zinokungena emiphungeni yomntwana zize zibangele usulelo olukhulu.
- Ukungcangcazela kunye nokuxhuzula: Ukungcangcazela okungalawulekiyo kunye nokuxhuzula kunokwenzeka.
- Ukonakala kobuchopho: Kwezinye iimeko ezinzima, ukukhwehlela kunokubangela nokonakala kwengqondo okungapheliyo ngenxa yokuncipha kokunikezelwa kweoksijini engqondweni.
Enye into eyingozi ngesi sifo kukuba kwizigaba zokuqala, iimpawu zifana nomkhuhlane oqhelekileyo. Ngenxa yoko, umntu omdala ongagonywanga unokudlulisela esi sifo ngokulula kumntwana omncinci ngaphandle kokuqonda ukuba unesifo sokukhohlela.
Ziziphi iintlobo zemithi yokugonya umkhuhlane?
Sisebenzisa kakhulu iintlobo ezimbini zemithi yokugonya ukukhusela ukukhwehlela okungapheliyo. Zombini ezi mithi zokugonya zikhusela kwezinye izifo ezimbini ukongeza ekukhwehleleni okungapheliyo. Ezi yiDiphtheria kunye neTetanus.
| Igama lesitofu sokugonya | Uza kuyinika bani? | Inkcazo |
|---|---|---|
| Isitofu sokugonya se-DTaP | Kubantwana abangaphantsi kweminyaka esi-7 ubudala | Olu lugonyo oluphindwe kathathu olunikwa abantwana phantsi kweNkqubo yeSizwe yokuGoma eSri Lanka. Lukhusela kuzo zonke izifo ezintathu: iDiphtheria, iTetanus, kunye nePertussis. |
| Ugonyo lwe-Tdap | Kubantwana abancinci, abantu abadala kunye noomama abakhulelweyo | Olu lugonyo "oluxhasayo". Olu lonyango lunikwa ukomeleza amajoni omzimba kuba amajoni omzimba avela kugonyo lwe-DTaP olunikwa umntwana luyancipha ngokuhamba kwexesha. |
Injani ishedyuli yokugonywa?
Kubaluleke kakhulu ukuba wonke umntu afumane olu gonyo. NgokweNkqubo yeSizwe yokuGonya eSri Lanka, umntwana wakho unikwa ugonyo lwe-DTaP, oluquka iidosi ezi-5, simahla kwiminyaka efanelekileyo.
- Kwiinyanga ezi-2 ubudala
- Kwiinyanga ezi-4 ubudala
- Kwiinyanga ezi-6 ubudala
- Kwiinyanga ezili-18 ubudala (unyaka o-1 1/2)
- Uneminyaka ephakathi kwe-4-6 (ngaphambi kokuba aye esikolweni)
Emva koko, kuyacetyiswa ukuba ufumane isitofu sokunyusa i-Tdap xa uneminyaka eli-11 ukuya kweli-12 ubudala. Njengabantu abadala, kubaluleke kakhulu kuthi ukufumana isitofu sokunyusa i-Tdap rhoqo emva kweminyaka eli-10 ngenxa yokhuseleko lwethu kunye nokhuseleko lwabantwana abancinci abasingqongileyo.
Kutheni oku kubaluleke kakhulu koomama abakhulelweyo?
Ukuba ungumama okhulelweyo, khumbula kakuhle le nxalenye. Kubaluleke kakhulu ukufumana i-Tdap vaccine ngexesha le-trimester yesithathu yokukhulelwa. Oku kungenxa yokuba iiproteni zokukhusela (ii-antibodies) ozenzayo emzimbeni wakho zidlulisela kumntwana wakho nge-placenta. Oku kuthetha ukuba umntwana wakho ukhuselekile ekukhwehleleni iinyanga ezimbalwa zokuqala emva kokuzalwa, de amasosha omzimba wakhe akhule.
Kwakhona, ukuba undwendwela usana olusandul’ ukuzalwa, okanye ukuba unosana olusandul’ ukuzalwa ekhaya, kubaluleke kakhulu kukhuseleko losana ukuba wonke umntu, kuquka utata, umakhulu, kunye notatomkhulu, agcine imigonyo yabo ye-Tdap ihlaziyiwe.
Yintoni omawuyenze ukuba uphoswe yigonyo?
Ungakhathazeki. Kunokwenzeka ngamanye amaxesha. Ukuba umntwana wakho uphoswa yi-vaccine ngomhla wokuzalwa kwayo, ungathetha nogqirha wakho wosapho malunga nayo xa undwendwela kwakhona uze ufumane idosi ephosiweyo njengoko kuyalelwe. Kunjalo nakubantu abadala abaphoswa yi-booster.
Ngubani ongafanele afumane olu gonyo?
Abanye abantu banokucetyiswa ukuba balibazise okanye bangagonywa. Umzekelo, ukuba wena okanye umntwana wakho unomkhuhlane omncinci, usenokugonywa. Nangona kunjalo, ukuba unomkhuhlane ophezulu okanye uzive ungaphili kakuhle, kungcono ulinde de ube sempilweni ngaphambi kokuba ugonywe.
Ukuba unenye yezi meko zilandelayo, qiniseka ukuba uthetha nogqirha wakho ngaphambi kokuba ufumane isitofu sokugonya:
- Ukuba ukhe waba ne-allergy enkulu kolu gonyo ngaphambili.
- Ukuba ukhe waba neentlungu ezinganyamezelekiyo, umkhuhlane ophezulu (ngaphezulu kwe-105°F/40.5°C), okanye ukudumba okukhulu emva kokufumana ugonyo lwangaphambili.
- Ukuba unesifo sokuxhuzula okanye esinye isifo senkqubo yemithambo-luvo.
- Ukuba unesifo esingaqhelekanga semithambo-luvo esifana ne-`Guillain-Barré syndrome`.
- Ukuba une-aleji enzima kuyo nayiphi na izithako ezikugonyo.
Zithini iziphumo ebezingalindelekanga ezincinci zesitofu sokugonya?
Uninzi lwabantu alufumani nto imbi kangako. Nokuba kukho iziphumo ebezingalindelekanga ezincinci, zihlala ziphela zodwa kungekapheli usuku okanye ezimbini. Akukho mfuneko yokukhathazeka ngale nto.
- Ububomvu, ukudumba okuncinci, okanye intlungu kwindawo yokutofa
- Intlungu yomzimba
- Umkhuhlane omncinci
- Intloko ebuhlungu
- Ukudinwa
- Umnqweno wokutya
- Isicaphucaphu okanye ukuhlanza
Ezi mpawu ziqhelekile. Nangona kunjalo, ukuba umntwana wakho unomkhuhlane ophezulu, ukhala rhoqo, okanye ukuba uneengxaki, kungcono ufowunele ugqirha.
Umyalezo Wokuya Ekhaya
- Ukukhohlela okungapheliyo sisifo esibi kakhulu esinokubulala, ingakumbi kubantwana abancinci.
- Iigonyo ze-DTaP (zabantwana abancinci) kunye ne-Tdap (zabantu abadala) zikhuselekile kakhulu kwaye zisebenza kakuhle ekuthinteleni esi sifo.
- Nika umntwana wakho zonke izitofu zokugonya ngexesha elifanelekileyo ngokweshedyuli yesizwe yokugonya ebonelelwe ngurhulumente.
- Ukuba ungumama okhulelweyo, kubalulekile ukufumana ugonyo lwe-Tdap ngexesha lesithathu leenyanga zokukhulelwa ukuze ukhusele umntwana wakho ongekazalwa.
- Soloko uthetha nogqirha wakho ukuze akunike iingcebiso malunga nokugonywa komntwana wakho okanye naziphi na iingxaki zempilo onokuba nazo.
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