Uma uyisa ingane yakho emtholampilo, kunezinhlobo eziningi zemithi yokugoma ebhalwe kudayari yokugoma (incwadi ye-CHDR), akunjalo? Omunye wemithi yokugoma ebaluleke kakhulu umuthi wokugoma we-Hib. Kungenzeka ukuthi awuzange uzwe leli gama ngqo, ngoba livame ukunikezwa kanye neminye imithi yokugoma (njengomuthi wokugoma we-Pentavalent). Kodwa le ngxenye ye-Hib ingavikela ingane yakho ezifweni eziningana eziyingozi kakhulu. Ngakho-ke ake sixoxe ngalokhu ngemininingwane eyengeziwe namuhla.
Uyini ngempela lo muthi wokugomela i-Hib?
Kalula nje, lo muthi wokugomela ovikela umntwana ezifweni ezinkulu ezibangelwa yibhaktheriya i-Haemophilus influenzae type b .
Manje, ungase ucabange ukuthi uma uthi "umkhuhlane," lokhu kuyindlela yokugomela umkhuhlane. Kodwa akunjalo. Naphezu kwegama elithi "umkhuhlane," lokhu kuyibhaktheriya ehluke ngokuphelele, eyingozi engahlobene nakancane negciwane elibangela umkhuhlane esivame ukukhuluma ngalo.
Uma igciwane le-Hib lingena emzimbeni wezingane ezincane, lingabangela izifo ezingathi sína kakhulu. Isibonelo:
- I-Bacterial Meningitis: Lesi yisimo esiyingozi kakhulu lapho ulwelwesi olumboze ubuchopho nomgogodla luvuvukala khona. Lokhu kungabangela ukulimala kwengqondo unomphela, ukungezwa, noma ngisho nokufa kwengane.
- I-pneumonia: Ukutheleleka okukhulu kwamaphaphu.
- I-Epiglottitis: Isimo esiphuthumayo, esisongela ukuphila lapho ingxenye yomphimbo ivuvukala khona, okungenzeka ivimbe indlela yokuphefumula.
- Ukutheleleka okukhulu kwamalunga, isikhumba kanye negazi.
Ngakho-ke lokho okwenziwa yilo muthi wokugomela, njengokubonisa ibutho lethu isithombe sokuhlonza isitha, "ukufaka" leli gciwane le-Hib ohlelweni lokuzivikela lomntwana wakho. Uma lelo gciwane lingena emzimbeni ngelinye ilanga, uhlelo lokuzivikela lomntwana luzolwa nalo ngempumelelo futhi luvimbele lesi sifo ukuthi singakhuli.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokugonywa
Ukuze uqinisekise ukuphepha okuphezulu kwengane yakho, kubalulekile ukwabelana ngolwazi oluthile lwezempilo nodokotela wakho ngaphambi kokuyinika umuthi wokugoma. Ungazinaki lezi zinto, ucabange ukuthi zincane.
Ukuphepha kwengane yakho kuyinto ebaluleke kakhulu. Ngakho-ke ungamfihleli udokotela into efana nale. Kubaluleke kakhulu ukumtshela, noma ngabe kuyinto encane.
Bheka ithebula elingezansi. Uma ingane yakho noma omunye umuntu emndenini wakho enalesi simo, qiniseka ukuthi utshela udokotela wakho.
| Isimo okudingeka usibike | Kungani lokho kubalulekile? |
|---|---|
| Ukungezwani okukhulu kwemithi yokugoma, imithi, noma ukudla | Ukuhlola ingozi yokuthi ingane ibe nokungezwani komzimba nokuthile okusemgomeni. |
| Izinkinga zesimiso somzimba sokuzivikela | Ukusebenza kahle komjovo kungancipha kubantu abanezivikeli mzimba ezibuthakathaka, kanti ezinye izinhlobo zemijovo zingase zingafaneleki. |
| Izimo ze-neurological ezifana ne- Guillain-Barre Syndrome . | Njengoba izimo ezinjalo zingakaze zibikwe ngemva kweminye imigomo, kubalulekile ukwazi umlando wangaphambilini. |
| Ukuphazamiseka kokopha noma ukusetshenziswa kwemithi yokunciphisa igazi (isib. i-warfarin). | Ngenxa yokuthi umuthi wokugoma ufakwa emisipheni, kunengozi enkulu yokopha noma ukuphuka endaweni yomjovo. |
| Ingane inomkhuhlane noma olunye ukutheleleka ngosuku lokugonywa . | Ngokuvamile, ukugoma kuyahlehliswa uma unesifo esimaphakathi noma esinzima. Umkhuhlane omncane awuyona inkinga. |
Ukugoma kanye nezinyathelo zokuphepha
Ugonywa kanjani?
Lona umjovo we-intramuscular . Ngokuvamile unikezwa emsipheni wethanga wezingane ezincane kanye nasengxenyeni engenhla yengane ezindala. Unikezwa uchwepheshe wezempilo ofanelekayo, njengodokotela noma umhlengikazi. Irekhodi lomtholampilo lengane yakho (CHDR) lizoqopha umjovo.
Kuthiwani uma ngiphuthelwa ukugonywa?
Ukuze uthole isivikelo esiphelele kulo muthi wokugoma , yonke imithamo yokuqinisa kumele inikezwe ngokwesimiso esibekiwe.Kubaluleke kakhulu ukuyithola. Uma uphuthelwa usuku lwakho lomtholampilo, ungesabi futhi wazise udokotela wakho womndeni noma ihhovisi le-MOH lendawo ngokushesha okukhulu bese uhlela i-aphoyintimenti yosuku olulandelayo.
Ingabe ikhona eminye imithi engase ihlangane nalo muthi wokugomela?
Yebo. Eminye imithi ingathinta ukusebenza kahle kwalo mjovo. Ikakhulukazi,
- Ukwelashwa komdlavuza (i-Chemotherapy)
- Ama-immunosuppressants - isib. `(adalimumab)`, `(infliximab)`
- Ukusetshenziswa kwesikhathi eside kwemithamo ephezulu yama-steroid
- Imithi evimbela ukujiya kwegazi - isib. `(warfarin)`, `(enoxaparin)`
Uma uthatha noma yimuphi wale mithi, tshela udokotela wakho ngayo. Futhi, yazisa udokotela wakho nganoma yimiphi eminye imithi, amavithamini, imithi ye-Ayurvedic noma ye-Sinhala oyinika ingane yakho.
Imiphumela emibi engaba khona ngemva kokugonywa
Njenganoma yimuphi umuthi wokugoma, kunemiphumela emibi emincane engenzeka ngemva komuthi wokugoma we-Hib. Iningi lale miphumela ayimibi kakhulu. Kodwa njengomzali, kubalulekile ukuqaphela lokhu.
| Ukuhlukaniswa kwemiphumela emibi | |
|---|---|
| 🚨 Izimo lapho kufanele ubonane nodokotela noma uye e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha | |
| Ukungezwani komzimba okukhulu | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi, ubunzima bokuphefumula. |
| Umkhuhlane ophezulu | Umkhuhlane ongaphezu kuka-102-103 Fahrenheit (39 Celsius). |
| Ukuquleka | Ukuquleka, ukuxhuzula . |
| Ukuziphatha okuhlukile | Ukukhala njalo, ukozela ngokweqile, ukungakwazi ukudla. |
| 🙂 Ngokuvamile akukho okufanele ukhathazeke ngakho, kodwa uma kuqhubeka, kufanele utshele udokotela wakho. | |
| Indawo yokujova | Ukubomvu, ukuvuvukala, kanye nobuhlungu. |
| Umkhuhlane omncane | Umkhuhlane omncane, cishe ama-Fahrenheit angu-100-101 (38 Celsius). |
| Okunye | Ukulahlekelwa yisifiso sokudla, ukozela okuncane, ukuhlanza noma uhudo. |
Yini okufanele uyenze uma kunesimo esiphuthumayo?
Ayikho into efana nokweqisa umuthi wokugomela. Kodwa-ke, uma kwenzeka ukusabela okukhulu kokungezwani komzimba, kubalulekile ukuya e -Emergency Treatment Unit (ETU) yesibhedlela ngokushesha. Uma usola ukuthi kunobuthi obuvela komunye umuthi, ungashayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Umlayezo Wokuya Nawe Ekhaya
- Umuthi wokugomela i-Hib awugcini nje ngomkhuhlane noma umkhuhlane, kodwa uwumuthi wokugomela obaluleke kakhulu ovikela ingane yakho ezifweni ezinkulu zamagciwane njenge-meningitis kanye ne-pneumonia.
- Ngaphambi kokugoma, kubalulekile ukutshela udokotela wakho ngayo yonke imininingwane yempilo yengane yakho, ikakhulukazi ukungezwani komzimba, izinkinga zokuzivikela komzimba, kanye neminye imithi ethathwayo.
- Ubuhlungu obuncane, ukubomvu, kanye nomkhuhlane omncane endaweni yokujova kuyinto evamile futhi izophela ngosuku olulodwa noma ezimbili.
- Uma uhlangabezana nezimpawu ezinzima njengobunzima bokuphefumula, umkhuhlane omkhulu, noma ukukhwehlela, funa usizo lwezokwelapha ngokushesha.
- Qiniseka ukuthi unikeza yonke imithamo yokugoma ngokwesimiso esihleliwe ukuqinisekisa ukuthi ingane yakho ithola isivikelo esigcwele.
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