Yeka ukuthi bekungaba yinto esabekayo kanjani ukube ingane yakho ibidlala kahle futhi ngokuzumayo yaqala ukuba nomkhuhlane, yabe isiqala ukuthuthumela, futhi mhlawumbe yalahlekelwa nakwazi. Empeleni kuyinto evamile ukuzizwa ukhathazekile ngaleso sikhathi. Lolu hlobo lokuquleka oluhambisana nomkhuhlane yilokho esikubiza ngokwezokwelapha ngokuthi 'ukuquleka okubangelwa umkhuhlane' . Kuyaqondakala ukuthi abazali abasha bakhathazeke uma bekubona lokhu. Kodwa uma sazi kahle ngalokhu, singabhekana nesimo esinjalo ngokuthula. Ngakho-ke, ake sixoxe ngalokhu ngokuningiliziwe namuhla, akunjalo?
Kuyini ukuquleka okubangelwa yimfiva?
Kalula nje, ukuquleka okubangelwa umkhuhlane kuyisimo esibangelwa ukusebenza kukagesi okungajwayelekile ebuchosheni lapho ingane yakho inomkhuhlane . Izimpawu ezivame kakhulu ukunyakaza komzimba okungalawuleki, okwaziwa ngokuthi 'ukuquleka' , kanye nezikhathi ezimfushane zokulahlekelwa ukwazi.
Lolu hlobo lokuquleka okubangelwa umkhuhlane luvame ukwenzeka ezinganeni eziphakathi kwezinyanga eziyisithupha neminyaka emihlanu . Luvame kakhulu eminyakeni emithathu yokuqala yokuphila.
Ingxenye engcono kakhulu ukuthi, ukuquleka okuningi okubangelwa umkhuhlane akukubi kangako . Kodwa-ke, njengomzali, kungaba yinto esabekayo kuwe. Ngakho-ke, uma ingane yakho ihlangabezana nalokhu, kuwumqondo omuhle ukuyihlola kudokotela.
Ingabe zikhona izinhlobo zokuquleka okubangelwa umkhuhlane?
Yebo, ukuquleka okubangelwa umkhuhlane kungahlukaniswa ngezinhlobo ezimbili eziyinhloko:
1. Ukuquleka okulula komkhuhlane:
- Lolu hlobo lokuxhuzula luhlala ngaphansi kwemizuzu eyi-15 .
- Ngokuvamile uqulekile futhi uyaxhuzula.
- Ingane iba nokuxhuzula okukodwa nje okunje zingakapheli amahora angama-24.
2. Ukuquleka okuyinkimbinkimbi komkhuhlane:
- Lokhu kungathatha imizuzu engaphezu kwengu-15 .
- Ngezinye izikhathi ukufinyela kungase kume futhi kuqale futhi, noma kungase kuqhubeke.
- Ezinye izingane zingase zibonise izimpawu ohlangothini olulodwa lomzimba kuphela.
- Kungenzeka ukuthi ube nokuquleka okungaphezu kokukodwa zingakapheli amahora angama-24.
Kubalulekile ukwazi ngalezi zinhlobo ezimbili, ngoba kuzoba usizo lapho uchazela udokotela imininingwane.
Ziyini izimpawu zokuthintwa yi-febrile?
Uma kwenzeka ukuquleka okubangelwa umkhuhlane, ungase ubone izimpawu ezifana nalezi:
- Ukunyakaza kwemisipha okungalawuleki (ukudlidliza): Lokhu kungase kubonakale sengathi umntwana uyadlidliza. Ngezinye izikhathi imisipha ingase iqine, idonse, noma inyakaze.
- Ukuquleka: Ingane ingase iquleke. Amehlo angase aqhume ngalesi sikhathi.
- Ukulahlekelwa ukulawula umzimba: Lokhu kungafaka izinto ezifana nokuqunjelwa amathe, ukuhlanza, kanye nokuchama noma ukuphuma endlini yangasese ngokungazikhetheli.
Ekuqulekeni okulula okubangelwa umkhuhlane, lezi zimpawu zivame ukuhlala kusukela kumasekhondi ambalwa kuya emizuzwini embalwa. Kodwa-ke, ekuqulekeni okuyinkimbinkimbi okubangelwa umkhuhlane, isikhathi singaba ngaphezu kwemizuzu eyi-15 futhi singavela izikhathi eziningana ngosuku.
Yini ebangela ukuquleka okubangelwa umkhuhlane?
Ukuquleka okubangelwa umkhuhlane kungaba nezimbangela eziningi. Igama elithi "febrile" lisho "okuhlobene nomkhuhlane." Lokhu kuvame ukwenzeka ezinsukwini zokuqala zokugula lapho ingane inokushisa okuphezulu. Ngokuvamile kutholakala uma umkhuhlane ungaphezu kwama-degrees Fahrenheit angu-101 (38.3 degrees Celsius), kodwa lokhu kungahluka kuye ngengane. Ukuquleka kungabangelwa izifo ezibangela umkhuhlane, njenge:
- Inqubulunjwana
- I-Coronavirus `(COVID-19)`
- Ukutheleleka kwendlebe
- Umkhuhlane `(umkhuhlane)`
- Igciwane le-RSV `(RSV - igciwane lokuphefumula elihambisanayo)`
- Ukutheleleka kokuphefumula okuphezulu
Cabanga nje, ngezinye izikhathi ingane ingaba nesithuthwane ngaphambi kokuba ibe nomkhuhlane. Lokho kungenzeka futhi.
Enye into ebalulekile okufanele uyikhumbule ukuthi eminye imijovo yobuntwana ingabangela umkhuhlane njengomphumela ongemuhle. Nakuba kungavamile, uma ingane iba nokuquleka okubangelwa umkhuhlane ngemva kokugonywa, kungenxa yomkhuhlane, hhayi ukugonywa ngokwako. Lokhu kubalulekile ukukhumbula.
Ukutheleleka kobuchopho kanye nomgogodla, njenge-"encephalitis" (ukuvuvukala kobuchopho) kanye ne-"meningitis" (meningitis), akubangeli ukuquleka okubangelwa umkhuhlane. Kodwa-ke, lokhu kutheleleka kungabangela ezinye izinhlobo zokuquleka (okungabangelwa umkhuhlane).
Ingabe ukuquleka okubangelwa umkhuhlane kubangelwa ufuzo?
Yebo, kunezakhi zofuzo ezithile ezihlotshaniswa nokuquleka okubangelwa yimfiva. Okusho ukuthi, ingozi yengane yokuthola lesi simo ingandiswa yilezo zakhi zofuzo. Kutholakale ukuthi phakathi kuka-10% no-33% wezingane ezithola ukuquleka okubangelwa yimfiva zinelungu lomndeni eliseduze elinomlando wokuquleka . Lokhu kusho ukuthi uma othile emndenini wakho eke waba nokuquleka ngaphambili, kunethuba elincane lokuthi ingane yakho encane nayo izoba nokuquleka okubangelwa yimfiva.
Yiziphi izici eziyingozi zokubanjwa yisifo sofuba?
Lesi simo empeleni sivamile - uhlobo oluvame kakhulu lokuxhuzula ebuntwaneni. Ingane yakho ingase ibe sengozini enkulu yokuba nokuxhuzula okubangelwa umkhuhlane ngenxa yezizathu ezilandelayo:
- Ukuba usana olungaphansi konyaka owodwa noma olungaphansi kweminyaka emihlanu ubudala.
- Ukulaliswa esibhedlela eYunithi Yokunakekelwa Okujulile Kwezinsana Ezisanda Kuzalwa (i-NICU) izinsuku ezingaphezu kuka-28.
- Ukuba nokubambezeleka kokukhula.
- Ukuba nokutheleleka.
- Ukuba nomlando womndeni wokuquleka.
Ngezinye izikhathi ukuxhuzula kwenzeka kanye kuphela. Kodwa-ke, ingane yakho ingaba sengozini enkulu yokuba nokuxhuzula okungaphezu kokukodwa uma:
- Uma ukuquleka kokuqala kwenzeke ngaphambi kokuba kufike eminyakeni eyi-12.
- Uma kukhona emndenini onomlando wokuxhuzula.
- Uma ukuquleka kuvela njengophawu lokuqala lokugula, ngaphambi kokuba kuvele ezinye izimpawu.
Iyini imiphumela yesikhathi eside yokuquleka ngenxa yomkhuhlane?
Esikhathini esiningi, ukuquleka okubangelwa umkhuhlane akunangozi, futhi ngokuvamile akubangeli imiphumela yesikhathi eside. Ngakho-ke ungakhathazeki kakhulu.
Ingane yakho ingase ibe nokuquleka okungaphezu kokukodwa ngaphambi kokuba ifinyelele eminyakeni emi-5. Lokhu akuvamile. Kodwa-ke, uma ingane yakho ine-kuquleka okuningana, ezinye izifundo zithole ukuthi ingase ibe nobunzima bokufinyelela izigaba zokuthuthukiswa kolimi ezilindelekile kuleyo minyaka.
Ngaphezu kwalokho, ucwaningo luthole ukuthi ukuquleka okuyinkimbinkimbi okubangelwa umkhuhlane kungandisa kancane ingozi yokuba nesifo sokuquleka esikhathini esizayo.
Ungazibona kanjani izithuthwane ezinomkhuhlane?
Ukuze ahlole lesi simo, udokotela uzothatha umlando wezokwelapha wengane yakho bese ehlola umzimba. Lokhu kungenziwa ekamelweni lezimo eziphuthumayo noma ehhovisi likadokotela wengane yakho. Udokotela uzohlola umkhuhlane wengane yakho bese ebuza ngezimpawu. Bangase futhi benze ukuhlolwa kwegazi noma komchamo ukuthola ukuthi yini ebangela umkhuhlane.
Uphatha kanjani isifo sokuwa esibangelwa umkhuhlane?
Uma kungukuquleka kokuqala komkhuhlane kwengane yakho, ingase ilulame ngokushesha. Kodwa-ke, kufanele ubonane nodokotela wengane yakho noma uye egumbini lezimo eziphuthumayo ukuze uqiniseke ukuthi ngempela ukuquleka komkhuhlane noma okuthile okubi kakhulu.
Udokotela angase ancome ukwelashwa ngembangela yomkhuhlane, njengemithi yokunciphisa umkhuhlane ehambisana nobudala njenge-acetaminophen (isb., iTylenol®), ibuprofen (isb., iMotrin®), noma eminye imithi.
Imithi yokwelapha ukuquleka okuyinkimbinkimbi komkhuhlane
Ukuquleka okuyinkimbinkimbi okubangelwa umkhuhlane (ukuquleka okuhlala isikhathi esingaphezu kwemizuzu emihlanu, noma ukuquleka okungaphezu kokukodwa emahoreni angama-24) cishe kudinga ukwelashwa. Ezimweni ezinjalo, udokotela wakho angase akunike imithi efana nalokhu:
- I-Midazolam ifakwa ekhaleni (i-intranasal midazolam).
- Ama-benzodiazepine afakwa emithanjeni.
- I-diazepam ye-rectal.
Le mithi inikezwa ukuvimbela ukuxhuzula. Kodwa le mithi inikezwa kuphela ngokwelulekwa udokotela.
Wenzani uma unesifo sokuwa esihambisana nomkhuhlane?
Uma ingane yakho ike yaba nokuquleka okubangelwa umkhuhlane ngaphambili, udokotela wengane yakho uzokunikeza imiyalelo yosizo lokuqala kanye nokwelashwa ekhaya. Ngokuvamile, kufanele wenze okulandelayo:
- Hlala uzolile: Kuyiqiniso ukuthi kungaba yinto eyesabekayo ukubona ingane yakho ihlushwa yisifo sokuwa. Kodwa-ke, kubalulekile ukuhlala uzolile ngangokunokwenzeka. Uma wethuka, ngeke ukwazi ukusiza ngendlela efanele.
- Hlola isikhathi: Bhala phansi isikhathi sokuthi ukuxhuzula kwengane sekuthathe isikhathi esingakanani.Uma ukuxhuzula kuthatha imizuzu engaphezu kwemi-5, kufanele ushayele u-119 (noma inombolo yakho yezimo eziphuthumayo yendawo) ngokushesha.
- Lalisa ingane yakho phansi kancane nangokucophelela: Ungambeki ingane yakho etafuleni noma embhedeni. Futhi, ungazami ukubamba ingane yakho ngezandla zakho noma ukuyibamba uyiqinise. Ukwenza kanjalo kwandisa ingozi yokulimala.
- Jikisa ingane ohlangothini lwayo: Jikisa ingane ohlangothini lwayo ukuze uvimbele uketshezi (amathe noma ukuhlanza) ukuthi lungangeni emaphashini bese lubhajwa.
- Ungafaki lutho emlonyeni: Susa izinto ezifana namathoyizi emlonyeni wengane. Ungafaki lutho emlonyeni olungabhajwa.
Kubaluleke kakhulu ukwazi lawa macebiso osizo lokuqala kahle, ngoba uma wenza lezi zinto ngaphandle kokwethuka ngaleso sikhathi, kuzoba usizo olukhulu enganeni.
Yini ongayilindela ngemva kokuquleka okubangelwa umkhuhlane?
Akuzona zonke izingane ezisabela ngendlela efanayo ngemva kokuxhuzula. Kuvamile ukuthi ingane izizwe ididekile futhi ikhathele ngemva kokuthola ingqondo. Kungathatha imizuzu embalwa ukuthi ingane iqale ukuziphatha ngendlela evamile futhi. Kubalulekile ukuyinakekela kahle ingane phakathi nalesi sikhathi. Vumela ingane iphumule. Hlala uthintana nodokotela wengane futhi ulandele imiyalelo yakhe.
Ukuquleka okubangelwa umkhuhlane kuthatha isikhathi esingakanani?
Ukuquleka okubangelwa yisifo sofuba kuvame ukuthatha imizuzu embalwa kuphela. Ukuquleka okulula kungahlala kusukela kumasekhondi ambalwa kuya kumaminithi angu-15. Ukuquleka okuyinkimbinkimbi kungahlala isikhathi esingaphezu kwemizuzu engu-15.
Isikhathi sibaluleke kakhulu. Inkinga engavamile yisimo esibizwa ngokuthi i-febrile status epilepticus . Lokhu kwenzeka lapho ukuxhuzula kuthatha imizuzu engaphezu kwengu-30. Lesi yisimo esiphuthumayo sezokwelapha.
Ingabe ukuquleka okubangelwa umkhuhlane kungavinjelwa?
Ukuquleka okubangelwa yi-febrile kunzima ukukubikezela futhi ngokuvamile akunakuvinjelwa. Ngisho noma welapha umkhuhlane wengane yakho, kusenengozi yokuthi ukuquleka kuzokwenzeka.
Kufanele ubonane nini nodokotela?
Uma ingane yakho inesifo sokuwa esibangelwa umkhuhlane okokuqala, kufanele nakanjani ufune iseluleko sezokwelapha. Uma ingane yakho inesifo sokuwa okokuqala, xhumana nodokotela noma izinsizakalo eziphuthumayo.
Uma ingane yakho inomlando wokuxhuzula, udokotela wezingane wengane yakho uzokwazi ukukunikeza iseluleko esingcono kakhulu sokuthi wenzeni kulesi simo. Bazokutshela nokuthi yiziphi izimpawu okufanele uziqaphele.
Kufanele uye nini e-Emergency Treatment Unit (ETU) ?
Kufanele ufune usizo lwezokwelapha oluphuthumayo uma une-febrile stirries kunoma yiziphi izimo ezilandelayo:
- Lokhu kungukuqala kokuquleka kwengane.
- Uma ukuxhuzula kuthatha imizuzu engaphezu kwemi-5.
- Uma ingane inenkinga yokuphefumula .
- Izimpawu zokutheleleka kobuchopho noma komgogodla enganeni(isib. ukuqina kwentamo noma ubuhlungu, ukozela ngokweqile, ukuhlanza okuqhubekayo).
- Uma ingane yephuza ukululama (uma kuthatha ihora noma ngaphezulu ukubuyela esimweni sayo esijwayelekile).
- Uma ingane ilimele ngesikhathi sokuxhuzula.
Okokugcina, izinto okufanele uzikhumbule
Ukuquleka okubangelwa yi-febrile kungaba yinto eyesabekayo kakhulu, ikakhulukazi uma ingane yakho ingakaze ibe nakho ngaphambili. Kodwa-ke, isikhathi esiningi, lokhu kuquleka kuyenzeka okwesikhashana, futhi izingane ziyalulama ngokushesha ngaphandle kwemiphumela yesikhathi eside.
Uma unemibuzo noma ukukhathazeka ngalokhu, khuluma nodokotela wezingane wengane yakho. Angakunikeza isiqondiso nolwazi oludingayo ukuze unciphise ukwesaba kwakho. Futhi, mbuze ukuthi ungalunikeza kanjani usizo lokuqala uma kwenzeka ukuxhuzula. Ngaleyo ndlela, uma ingane yakho inesifo sokuxhuzula esihambisana nomkhuhlane esikhathini esizayo, uzobe ulungele. Ungesabi, into ebaluleke kakhulu ukwaziswa!
Ukuwa okubangelwa yi - febrile, ukuwa ezinganeni, umkhuhlane, ukuwa okubangelwa yi-febrile, udokotela wezingane, usizo lokuqala, impilo yezingane
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