Sonke sigonywe kusukela ebuntwaneni, akunjalo? Ezinye zazo ungase uzikhumbule, ezinye ungase ungazazi. Kodwa wake wacabanga ukuthi le mithi yokugoma ivikela kangakanani izimpilo zethu ezifweni eziyingozi? Namuhla sizokhuluma ngomuthi wokugoma obaluleke kakhulu. Lowo muthi wokugoma ovimbela izifo ezimbili ezibizwa ngokuthi i-diphtheria kanye ne-tetanus. Lokhu kufingqwa ngokuthi i-DT noma i-Td.
Iyini ngempela i-diphtheria ne-pertussis?
Ngaphambi kokuba sixoxe ngalo muthi wokugomela, ake siqonde izifo ezimbili ozivimbelayo.
- I-Diphtheria: Lesi yisifo esibi esibangelwa ukutheleleka ngamagciwane. Kalula nje, sibangela ulwelwesi olujiyile nolumpunga ukuba lwakheke ngaphakathi komphimbo nasemakhaleni. Lolu lwelwesi lungenza ukuphefumula kube nzima kakhulu, futhi kwezinye izimo, lungabangela ngisho nokufa ngokuminyana. Akukhona lokho kuphela, kodwa ubuthi obukhiqizwa yileli gciwane bungasakazeka emzimbeni wonke futhi bulimaze inhliziyo, isimiso sezinzwa kanye nezinso.
- I-Tetanus: Lokhu kuyinto abantu abaningi abaye bezwa ngayo. Sivame ukuyibiza ngokuthi 'i-tetanus'. Abanye abantu bathi 'izwakala sengathi i-lockjaw', ngakho-ke ibizwa nangokuthi "lockjaw" ngesiNgisi. Lokhu kubangelwa yibhaktheriya. Leli bhaktheriya livame ukutholakala enhlabathini, othulini, nasendle yezilwane. Leli gciwane lingangena emzimbeni wethu uma sithola inxeba, sinqunyiwe, noma into efana nesipikili esigqwalile. Uma selingene emzimbeni, leli bhaktheriya likhiqiza ubuthi obuthinta uhlelo lwezinzwa. Lokhu kubangela imisipha yomzimba wonke, ikakhulukazi umhlathi nentamo, ukuthi iqine futhi ifinyele kabuhlungu. Lesi futhi yisimo esiyingozi kakhulu uma singelashwa kahle.
Ngakho-ke, uyaqonda ukuthi lezi zifo ezimbili ziyingozi kangakanani? Ngenhlanhla, lo muthi wokugomela usisiza ukuthi sivikeleke cishe ngokuphelele kuzo zombili lezi zifo eziyingozi.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokugonywa
Ngaphambi kokuthola lo muthi wokugomela, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele ngesimo sempilo yakho noma sengane yakho. Qiniseka ukuthi ubatshela ngalezi zinto ngokukhethekile.
- Ukungezwani komzimba kwangaphambilini: Tshela udokotela wakho uma uke waba nokusabela okukhulu kokungezwani komzimba kulo muthi wokugoma noma kunoma yimuphi omunye umuthi wokugoma esikhathini esidlule. Futhi, tshela udokotela wakho uma unakho ukungezwani komzimba ne-latex noma i-thimerosal.
- Isimiso somzimba sokuzivikela esibuthakathaka: Yazisa udokotela wakho uma unegciwane lesandulela ngculazi, umdlavuza, noma uthatha imithi yokucindezela amasosha omzimba.
- Izinkinga zokopha: Uma unesifo sokopha njenge-hemophilia noma inani eliphansi lama-platelet.
- Isifo somkhuhlane:Uma unomkhuhlane noma esinye isimo esithathelwanayo ngosuku lokugoma, udokotela wakho angase akuhlehlise ukugoma izinsuku ezimbalwa.
- Ukukhulelwa nokuncelisa: Qiniseka ukuthi utshela udokotela wakho uma ukhulelwe, uzama ukukhulelwa, noma uncelisa.
Ugonywa kanjani? Kuthiwani uma umthamo ungathathwanga?
Lo mjovo unikezwa uchwepheshe wezempilo njengomjovo emsipheni, ngokuvamile engxenyeni engenhla yengalo.
Ngokusho koHlelo Lukazwelonke Lokugoma eSri Lanka, lo muthi wokugoma unikezwa izingane ezincane ezineminyaka efanele. Ngaphezu kwalokho, kudingeka imithamo yokuqinisa ukuze kugcinwe amasosha omzimba ngemva kwesikhathi esithile. Ngokuvamile, cishe kanye njalo eminyakeni eyi-10. Futhi, odokotela ngezinye izikhathi batusa ukunikeza lo muthi wokugoma ezinganeni eziye zalimala (ikakhulukazi ukulunywa yisilwane, inxeba elingcoliswe inhlabathi).
Uma uphuthelwa umthamo wokukhulisa, ungesabi. Khuluma nodokotela wakho ngokushesha okukhulu bese uthola umthamo ophuthelwe. Into ebaluleke kakhulu ukuthola umuthi wokugoma ngesikhathi esibekiwe.
Uma usola ukuthi uphuze ngokweqile ngephutha, iya eMnyangweni Wezimo Eziphuthumayo (ETU) oseduze nawe ngokushesha. Uma kudingeka, ungashayela neNational Poisons Information Centre eColombo National Hospital .
Yimiphi imiphumela emibi engaba khona ngomuthi wokugoma?
Njenganoma yimuphi umuthi, lo muthi wokugoma ungabangela imiphumela emibi kwabanye abantu. Kodwa isikhathi esiningi, lokhu kuncane futhi kuyaphela ngosuku olulodwa noma ezimbili. Ake sihlukanise le miphumela emibi ibe yizigaba ezimbili.
| Imiphumela Engemihle Yomuthi Wokugoma | |
|---|---|
| Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha | |
| Ukungezwani komzimba okukhulu | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi, ubunzima bokuphefumula. |
| Izinkinga zesistimu yezinzwa | Ubuhlungu ezithweni zomzimba, ukungazweli, isiyezi, ukuxhuzula. |
| Ezinye izimpawu ezinzima | Ukushisa okuphezulu kakhulu (ngaphezu kuka-100°F), ukushaya kwenhliziyo okusheshayo, izinguquko ezingavamile ekuziphatheni, izinguquko zokuzwa, ubuhlungu bamalunga, ukukhathala okukhulu. |
| Imiphumela emibi emincane evame ukuba yinto engakhathazeki ngayo | |
| Endaweni yokujova... | Ubuhlungu, ukubomvu, ukuvuvukala, noma ukuklwebheka. |
| Izici ezijwayelekile zomzimba | Umkhuhlane omncane (ngaphansi kuka-100°F), izinhlungu zomzimba, ikhanda elibuhlungu, ukulahlekelwa yisifiso sokudla. |
| Ezinye izici ezincane | Ukuhlanza, isicanucanu, ukozela, ukuvuvukala kwe-vulva. |
Khumbula, uma le miphumela emibi emincane ihlala isikhathi esingaphezu kwezinsuku ezimbalwa noma uma ikukhathaza, ungangabazi ukukhuluma nodokotela wakho.
Eminye imithi engabangela izinkinga ngalo muthi wokugomela
Uma uthatha noma yimiphi imithi yezinye izimo, kufanele utshele nodokotela wakho ngayo, njengoba eminye imithi ingathinta ukusebenza kahle kwalo muthi wokugomela. Isibonelo:
- Imithi yokucindezela amasosha omzimba: Ukwelashwa komdlavuza, ama-steroid, kanye nemithi yezifo ezifana ne-`(adalimumab)` kanye ne-`(infliximab)`.
- Imithi evimbela ukujiya kwegazi: Imithi efana ne-aspirin, i-warfarin, ne-heparin.
- Eminye imijovo yokugoma: Ikakhulukazi uma uthola imijovo ephilayo.
Lolu hlu aluphelele, ngakho-ke kuphephile ukutshela udokotela wakho ngayo yonke imithi, amavithamini, ngisho nemikhiqizo yamakhambi oyithathayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Diphtheria kanye ne-Tetanus yizifo ezimbili ezinkulu ezingaba yingozi uma zingelashwa. Indlela engcono kakhulu yokuzivikela kulezi zifo ukuthola umuthi wokugomela i-DT/Td.
- Ngaphambi kokuthola umuthi wokugomela, qiniseka ukuthi utshela udokotela wakho ngazo zonke izimo zezokwelapha, ukungezwani komzimba, kanye nayo yonke imithi oyithathayo.
- Kujwayelekile ukuzwa ubuhlungu obuncane, ukuvuvukala, kanye nobuhlungu endaweni yokujova. Lokhu kuvame ukuphela ngemva kosuku olulodwa noma ezimbili.
- Uma uhlangabezana nezimpawu ezinkulu zokungezwani komzimba njengobunzima bokuphefumula, ukuvuvukala kobuso, noma ukuxhuzula, funa usizo lwezokwelapha ngokushesha.
- Qiniseka ukuthi uthola isimiso sakho sokugoma, ikakhulukazi imithamo yokuqinisa, njengoba kuhleliwe. Uma unemibuzo, ungalokothi unqikaze ukubuza udokotela wakho.
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