Ngiyazi ukuthi umkhathalela ngokujulile kangakanani umntwana wakho nokuthi umthanda kangakanani. Akukho okubuhlungu kakhulu kumzali kunokubona ingane yakhe ingaphilile. Kungokwemvelo ukuzizwa ukhathazekile uma uzwa ngezifo ezithinta izingane. Namuhla, sizoxoxa ngesimo esidinga ukunakwa kwakho ngokucophelela; nokho, uma sitholakale futhi selashwa ngokushesha, selapheka ngokuphelele. Lokhu kwaziwa ngokuthi yi-Infant Botulism .
Iyini ngempela i-Botulism yezinsana?
Kalula nje, i-Infant Botulism yisifo esingavamile kodwa esibi kakhulu esenzeka lapho umntwana edla ama-spores ebhaktheriya elithile elikhiqiza ubuthi obuyingozi. Uma lobu buthi bungena emzimbeni womntwana, bungabangela ubuthakathaka bemisipha, ukukhala okubuthakathaka, ngisho nobunzima bokuphefumula . Ngenxa yalokhu, noma yimuphi umntwana okusolwa ukuthi unalesi simo udinga ukunakekelwa esibhedlela ngokushesha. Sicela ungesabi; uma utholakale kusenesikhathi futhi welashwa ngokunakekelwa okufanele kwezokwelapha, ingane yakho ingalulama ngokuphelele.
Kungani kwenzeka ezinganeni? Ziyini izimbangela?
Imbangela eyinhloko yigciwane elibizwa ngokuthi iClostridium botulinum . Ngokuqondile, ubuthi obukhiqizwa yileli gciwane yibo obubangela ukugula. Ungase uzibuze ukuthi la magciwane avelaphi. Ngokumangalisayo, ahlala endaweni esikuyo— enhlabathini, othulini, ngisho nasemakhaphethini noma phansi . Lawa ma-spores amagciwane angatholakala ezindaweni ezivamile ekhaya lakho.
Ingozi yoju
Omunye wemithombo eyaziwayo yalezi zinhlamvu zamagciwane uju . Yingakho sicebisa ukuthi ungalokothi unike izingane ezingaphansi konyaka owodwa uju . Akulona nje uju oluhlanzekile; lokhu kufaka phakathi noma yimiphi imikhiqizo yokudla equkethe uju, njenge-honey graham crackers noma ukudla okulula okucutshunguliwe.
Kulula ukucabanga ukuthi, “Uju lungokwemvelo, ngokuqinisekile ngeke lube yingozi,” kodwa enganeni engaphansi konyaka, ngisho noluncane lungaba yingozi.
Kungani lokhu kungathinti abantu abadala?
Ungase uzibuze, 'Kungani leli gciwane lingabathinti abantwana asebekhulile noma abantu abadala?' Lowo ngumbuzo obaluleke kakhulu. Nasi isizathu: Abantu abadala nezingane ezindala banesimiso sokugaya ukudla esikhule ngokugcwele, esino-asidi, nesiqinile. Ngisho noma bedla lobu buthi obubangelwa amagciwane, imizimba yabo ivame ukubuqeda ngaphambi kokuba kwenzeke noma yikuphi ukulimala. Cabanga ngakho njengeqembu labalindi bangaphakathi abavikela umzimba wakho ngokubuqeda nokukhipha ubuthi.
Kodwa-ke, uhlelo lokugaya ukudla lomntwana ongaphansi kwezinyanga eziyisithupha lusebuthakathaka kakhulu. Alukakavuthwa ngokwanele ukulwa nalezi zinhlobo zobuthi. Yingakho i-Infant Botulism ivame ukuthinta izinsana ezingaphansi kwezinyanga eziyisithupha, yize kufanele ukhumbule ukuthi le ngozi ihlala ikhona kuze kube yilapho umntwana eba nonyaka owodwa ubudala.
Ziyini izimpawu ze-Infant Botulism? Ungazibona kanjani?
Umntwana one-botulism ezinganeni angabonisa lezi zimpawu ezilandelayo:
- Ukuqunjelwa: Lokhu kuvame ukuba uphawu lokuqala abazali abaluqaphelayo. Ingane yakho ingase ihlale izinsuku eziningana ingahambi kahle.
- Ubuthakathaka bemisipha yobuso: Ubuso bengane yakho bungase bubonakale “buyisicaba” noma bungabonakali. Ungase uqaphele ukulahlekelwa ukumamatheka kwayo okuvamile noma uhla lwezimo zobuso.
- Ukukhala okubuthakathaka nokuncane: Umsindo wokukhala komntwana wakho ungase ube mncane noma ube buthaka ngokuphawulekayo kunokuvamile.
- Ubuthakathaka bemisipha ezingalweni, emilenzeni nasentanyeni: Lokhu kungabangela ukuntengantenga , lapho umntwana ezizwa ebuthakathaka, njengonodoli ojiyile.
- Ubunzima bokuphefumula: Ukuphefumula kwabo kungase kusheshe, noma kungase kubonakale sengathi balwela umoya.
- Ubunzima bokugwinya nokuvuza amathe: Ingane yakho ingase ibe nenkinga yokugwinya ngisho nobisi oluncane, okuhambisana nokuvuza amathe njalo.
Ngaphezu kwalezi zimpawu, ingane yakho ingase ibonise ukuphelelwa yisifiso sokudla, ukuncipha komsebenzi, noma ukungabi nentshisekelo yokudlala. Cabanga ngengane yakho ivame ukujabula, ukudlala, futhi ikhuthele; uma ubona ngokuzumayo ibonakala ingenawo amandla, ilahlekelwe ukumamatheka kwayo, yenqaba ukudla, noma ikhala kancane futhi izizwa ibuthakathaka, lokhu kuyisibonakaliso sokufuna usizo lwezokwelapha ngokushesha.
Odokotela bakuthola kanjani lokhu?
Odokotela baxilonga i-Infant Botulism ngokuqale balalele ngokucophelela incazelo yakho yezimpawu. Bese benza ukuhlolwa okujulile ngokomzimba. Ukuze baqinisekise ukuthi kukhona ubuthi obubangelwa yibhaktheriya, bangase bacele ukuhlolwa okuqondile, njengokuhlaziywa kwesampula yendle noma ukuhlolwa kokuxilonga ukuhlola ukusebenza kwemisipha (isib. i-Electromyography - EMG).
Yiziphi izindlela zokwelapha i-Botulism yezingane?
Ingane ene-Infant Botulism kumele ilaliswe esibhedlela, ngokuvamile e-Intensive Care Unit (ICU). Ithimba lezokwelapha lizosebenza ukunciphisa umonakalo obangelwa ubuthi obubangelwa yibhaktheriya emzimbeni wengane yakho.
Ukubaluleka Kokunakekelwa Kwesibhedlela
Esibhedlela, ukuphefumula kwengane yakho kanye nokushaya kwenhliziyo kuzoqashwa njalo, njengoba ubuthi bungenza buthaka imisipha ebangela ukuphefumula ngendlela eyingozi.
Ukwelashwa Okukhethekile – (I-BIGIV)
Odokotela banikeza umuthi okhethekile wokulwa nobuthi obizwa ngokuthi 'i-Botulism Immune Globulin Intravenous' (i-BIGIV) . Lokhu kunikezwa ngokushesha nje lapho kusolwa ukuthi lesi simo sikhona. Ucwaningo lukhombisile ukuthi izinsana ezithola ukwelashwa kwe-BIGIV zilulama ngokushesha futhi zichitha isikhathi esincane esibhedlela uma kuqhathaniswa nalezo ezingatholi ukwelashwa.
Ukunakekelwa Okusekelayo
- Usizo lokuphefumula: Uma ubuthi buthinte imisipha esetshenziselwa ukuphefumula, ingane yakho ingadinga umshini wokuphefumula amasonto ambalwa ukuze uyisize ize ithole amandla ayo.
- Ukusekelwa kokudla okunempilo: Ngenxa yokuthi ubuthi bungenza buthaka imisipha ehilelekile ekugwinyeni, ingane yakho ingadinga ukufunzwa ngoketshezi lwe-Intravenous (IV) noma ipayipi lokufunza elidluliselwa ekhaleni liye esiswini ukuqinisekisa ukuthi ithola ukudla okunempilo okufanele.
Ingabe i-Botulism yezingane ingavinjelwa?
Nakuba ochwepheshe bengase bangakwazi njalo ukuchaza ukuthi kungani ezinye izingane ziba ne-Infant Botulism kuyilapho ezinye zingabi nayo, kunesinyathelo esisodwa esibalulekile ongasithatha ukuze unciphise kakhulu ingozi.
Ungalokothi unike ingane uju noma ukudla okuqukethe uju kuze kube yilapho okungenani inonyaka owodwa ubudala. Uju luwumthombo oyinhloko owaziwayo ongaqukatha lezi zinhlamvu eziyingozi zamagciwane.
Ngaphandle koju, kukhona ukuqagela ukuthi amanye amasiraphu ommbila akhanyayo noma amnyama angase abe nezinhlamvu ezibangela i-botulism, nakuba lokhu kungafakazelwa ngokusobala. Ngakho-ke, hlala uthintana nodokotela wezingane ngaphambi kokufaka noma yimaphi amasiraphu ekudleni kwengane yakho.
Uma unemibuzo mayelana nokudla okufanele ukugweme, sicela ukhululeke ukuxhumana nodokotela wezingane eNirogi Lanka ukuze uthole isiqondiso.
Umlayezo Wokuya Nawe Ekhaya
Ngiyethemba ukuthi lolu lwazi lukunike ukuqonda okucacile nge-Infant Botulism. Nazi izinto ezibaluleke kakhulu okufanele uzikhumbule:
- Ungalokothi unike izingane ezingaphansi konyaka owodwa uju! Lesi yisinyathelo esisodwa esibaluleke kakhulu sokuphepha ongasithatha.
- Uma ubona noma yiziphi izinguquko ezingavamile ekuziphatheni noma empilweni yengane yakho (ikakhulukazi ukuqunjelwa, ubuthakathaka, ukukhala okubuthakathaka, noma ubunzima bokugwinya), funa usizo lwezokwelapha ngokushesha ngaphandle kokulibala.
- I-Botulism yezinsana iyisimo esingelapheka ngokuphelele uma siqashelwa futhi siphathwa kusenesikhathi. Hlala uzolile, thatha isinyathelo ngokushesha, bese uthintana nomhlinzeki wakho wezempilo.
KwaNirogi Lanka, siyazi ukuthi ukubona ingane yakho iphilile futhi ijabule kuyisifiso sakho esikhulu. Ukuhlala unolwazi ngalezi zingozi kuyindlela engcono kakhulu yokuvikela ingane yakho.
Amagama angukhiye: I-Botulism yezinsana, i-Clostridium botulinum, uju, ukunakekelwa kwezingane, impilo yengane, i-botulism, i-BIGIV
