Ingane yakho encane ivele ibe nomphimbo obuhlungu, ukukhwehlela, kanye nomkhuhlane ophakeme. Awukwazi ukubona ukuthi lokhu kumane nje kungumkhuhlane ovamile, noma ukuthi umkhuhlane ovame kakhulu kulezi zinsuku, noma ngabe yi-RSV, noma i-COVID-19? Eqinisweni, zonke lezi zifo zibangelwa amagciwane ahlasela umgudu wethu wokuphefumula. Zingadluliselwa kalula komunye nomunye, futhi izimpawu zifana kakhulu, ngakho-ke ngezinye izikhathi kungaba nzima ukwazi ukuthi yisiphi isifo. Ngakho-ke, uma ingane yakho igula, ake sixoxe namuhla ngomehluko phakathi kwalezi zifo nokuthi ungazibona kanjani.
Ake siqale sibheke umkhuhlane ovamile.
Kalula nje, lesi yisifo esisithola njalo, kodwa asisibi kangako.
Yiziphi izici zalokhu?
Izimpawu zomkhuhlane zivame ukuba lula kakhulu. Izimpawu eziyinhloko umphimbo oklwebhekayo, ikhala eligobhozayo, ikhala elivalekile, nokuthimula . Ngisho noma unomkhuhlane, awubi mkhulu kakhulu, ubanda kancane. Cabanga nje, ngezinye izikhathi ingane enomkhuhlane idlala kahle, ithanda ukudla kahle, futhi iyagijima. Lokho kusho ukuthi ayizizwa ingakhululekile kangako.
Yiziphi izivivinyo kanye nokwelashwa kwalokhu?
Akukho ukuhlolwa okuqondile komkhuhlane, futhi akukho muthi othize. Ngokuvamile kuba ngcono ngokwawo ezinsukwini ezimbalwa. Okudingeka sikwenze nje ukuqinisekisa ukuthi bathola ukuphumula okwanele futhi baphuza uketshezi oluningi.
Awukwazi yini ukuvimbela ukubanjwa umkhuhlane?
Kunezinhlobo eziningi zamagciwane angabangela umkhuhlane ovamile. Yingakho kungekho muthi othize wokugomela wona. Kodwa-ke, izinto ezilula njengokugeza izandla zakho kahle ngensipho namanzi, ukumboza umlomo wakho ngethishu noma ngendololwane yakho uma ukhwehlela noma uthimula, kanye nokuhlala kude nabantu abagulayo kunganciphisa kakhulu ukusabalala kwaleli gciwane.
Ngakho-ke uyini lo mkhuhlane noma umkhuhlane?
Umkhuhlane ubangelwa futhi yigciwane, elibizwa ngokuthi igciwane lomkhuhlane. Lingaba yingozi kakhulu kunomkhuhlane.
Ziyini izimpawu zomkhuhlane?
Umkhuhlane ngezinye izikhathi ungafika futhi udlule kalula. Kodwa uvame ukuba mubi kakhulu enganeni kunomkhuhlane. Uvame ukuhambisana nokuqala ngokuzumayo komkhuhlane ophezulu, ukubanda, ikhanda elibuhlungu, kanye nobuhlungu bomzimba . Ungahambisana nomphimbo obuhlungu, impumulo egobhozayo, kanye nokukhwehlela. Ingane ingase iphatheke kabi kakhulu, ikhathele, futhi ingase ilahlekelwe yisifiso sokudla. Ezinye izingane zingase zibe nezimpawu ezifana nobuhlungu besisu, isicanucanu, ukuhlanza, noma isifo sohudo.
Yiziphi izivivinyo kanye nokwelashwa okutholakalayo komkhuhlane?
Udokotela angenza ukuhlolwa komkhuhlane ukuqinisekisa umkhuhlane. Iningi lezingane lingalulama ekhaya ngokuphuza uketshezi oluningi, ukuphumula, nokuzigcina zikhululekile. Kodwa-ke, kwezinye izimo, ikakhulukazi uma ukugula kuncane noma uma ingane inezinye izifo, udokotela angase anikeze umuthi wokulwa namagciwane ukusiza ukunciphisa izimpawu nokusheshisa ukululama. Uma ukugula kukubi kakhulu, njengobunzima bokuphefumula, ingane ingadinga ukulaliswa esibhedlela.
Ayikho indlela yokugwema umkhuhlane?
Yebo! Ukuthola umuthi wokugomela umkhuhlane minyaka yonke kungasiza kakhulu ekuvimbeleni lesi sifo. Lo muthi wokugomela wenziwa minyaka yonke ukuze uhambisane nezinhlobo zakamuva zegciwane.
Lolu hlobo luni lwesifo yi-RSV? (Igciwane Lokuphefumula Lokuvumelanisa Ukuphefumula)
I-RSV – emele i-Respiratory Syncytial Virus – ingenye igciwane elithinta uhlelo lokuphefumula.
Ziyini izimpawu ze-RSV?
Ukutheleleka nge-RSV kuvame ukuqala ngezimpawu zomkhuhlane. Kodwa-ke, kungaba nzima kakhulu, ikakhulukazi ezinganeni ezingaphansi kwezinyanga eziyi-6 kanye nezingane ezingaphansi kweminyaka emi-2 ubudala. Uma lokhu kwenzeka, kungaholela ku-bronchiolitis - ukutheleleka kwemigudu yomoya emincane emaphashini - noma i-pneumonia. Uma i-RSV ikhona, izingane zingase zibe nomkhuhlane, zikhwehlele, zikhwehlele, futhi zibe nobunzima bokuphefumula . Zingase futhi ziphefumule ngokushesha kakhulu, zenze umsindo wokuphefumula lapho ziphefumula, futhi zihoxe isifuba. Zingase futhi zingabi namathuba amaningi okuncelisa futhi zilale kakhulu. Lezi yizimpawu okungafanele zithathwe kalula.
Ukuhlolwa kanye nokwelashwa kwe-RSV
Esikhathini esiningi, odokotela baxilonga lesi sifo ngokulalela izimpawu nokuhlola ingane. Ngezinye izikhathi, uketshezi lwamakhala lungahlolwa ukuze kutholakale igciwane. Iningi lezingane ezine-RSV ziyalulama zodwa zingakapheli izinsuku ezimbalwa. Kodwa-ke, uma lesi sifo sibi kakhulu, ikakhulukazi uma kunobunzima bokuphefumula noma ubunzima bokudla noma ukuphuza, kungadingeka ukuthi zilaliswe esibhedlela futhi zinikezwe umoya-mpilo noma uketshezi lwe-IV .
Izindlela zokuzivikela ku-RSV
Ngenhlanhla, manje kunezindlela zokuzivikela kwi-RSV. Omama abakhulelwe bangathola umuthi wokugomela i-RSV phakathi kwamasonto angu-32 no-36 okukhulelwa . Lokhu kuzovikela nezingane zabo. Uma umama engakawutholi umuthi wokugomela, izingane ezingaphansi kwezinyanga ezingu-8 ubudala zinganikwa umjovo we-antibody ye-RSV ngaphambi noma ngesikhathi sesizini ye-RSV . Futhi, ezinye izingane eziphakathi kwezinyanga ezingu-8 no-19 ubudala ezisengozini enkulu yezinkinga ezinkulu ezivela kwi-RSV (isibonelo, lezo ezizalwa ngaphambi kwesikhathi noma lezo ezinesifo senhliziyo) zingathola umjovo wesibili ngaphambi kwesizini yazo yesibili ye-RSV. Buza udokotela wakho ngalokhu.
Manje ake sixoxe nge-COVID-19.
Leli igama esesilizwile futhi esilijwayele manje, akunjalo? Lesi futhi yisifo esivela eqenjini lamagciwane abizwa ngokuthi iCoronavirus.
Izimpawu ze-COVID-19
Uma izingane zithola i-COVID-19 , kungenzeka zingabi nazimpawu nhlobo , noma zingaba nezimpawu ezincane kakhulu, njengomkhuhlane ovamile. Ezinye zingaba nezimpawu ezimbi kakhulu, njengomkhuhlane. Ngakho-ke izimpawu ze-COVID-19 ongase uzibone zingafana kakhulu nezimpawu zomkhuhlane, i-RSV, noma umkhuhlane. Kodwa ngezinye izikhathi kungaba nezimpawu ezahlukene . Isibonelo, ukulahlekelwa ukunambitheka, iphunga, kanye nokuqubuka kwesikhumba .
Ngezinye izikhathi, ngemva kwamasonto ambalwa igciwane lingene emzimbeni, izimpawu zingavela ngesimo esibizwa ngokuthi i-Multisystem Inflammatory Syndrome in Children (MIS-C) , esibangela ukuvuvukala ezinhlotsheni ezahlukene zomzimba. Futhi, akuvamile, izimpawu zingaqhubeka, ezaziwa ngokuthi yi-Long COVID noma isimo se-Post-COVID-19.
Ukuxilongwa Nokwelashwa kwe-COVID-19
Ukuze babone ukuthi umuntu une-COVID-19, odokotela bangenza ukuhlolwa okubheka izingxenye zegciwane kusampula ethathwe endleleni yokuphefumula, ebizwa ngokuthi ukuhlolwa kwe-Rapid Antigen noma i-PCR. Bangenza nokuhlolwa kwegazi okubheka ama-antibodies akhiqizwe emzimbeni ukuze babone ukuthi bake baba nayo yini ngaphambili.
Iningi labantu abanesifo esincane, okuhlanganisa nezingane, abadingi ukwelashwa okukhethekile. Bangalulama ngokuphuza uketshezi oluningi, ukuphumula, kanye nemithi yokunciphisa umkhuhlane (isb. i-paracetamol). Kodwa-ke, kubantu abambalwa abasengozini enkulu yokugula kakhulu ngenxa ye-COVID-19 (isb., izingane ezinezivikeli mzimba ezibuthakathaka noma ezinye izifo ezingamahlalakhona), imithi yokulwa namagciwane inganikezwa ukuze ibavimbele ekuguleni kakhulu futhi badinge ukulaliswa esibhedlela.
Abanye abantu abagula kakhulu nge-COVID-19 kuzodingeka balaliswe esibhedlela, mhlawumbe egunjini lokunakekelwa okujulile (ICU). Odokotela bangabanakekela kahle, babanike umoya-mpilo noma uketshezi lwe-IV uma kudingeka, futhi baphathe noma yiziphi izinkinga. Akuvamile, bangase babanike nemithi yokulwa namagciwane noma ama-steroid. Uma othile eyidinga, angase afakwe kumshini wokuphefumula ukuze amsize aphefumule.
Ukuvikelwa ku-COVID-19
Wonke umuntu onezinyanga eziyi-6 nangaphezulu kufanele athole imijovo yakhe ye-COVID-19 ngendlela efanele, okusho ukuthi unikezwa imithamo evunyiwe. Ivikela ezinhlotsheni zegciwane ezisakazeka njengamanje futhi iyasebenza kakhulu ekuvimbeleni ukugula okubi, ukulaliswa esibhedlela, kanye nokufa ngenxa ye-COVID-19.
Kufanele ngimbone nini udokotela?
Lena yinto ebaluleke kakhulu. Uma unokungabaza noma izinkinga, into engcono kakhulu ongayenza ukukhuluma nodokotela ngokushesha.Isifo esibukeka njengomkhuhlane singaba yi-flu, i-RSV, noma i-COVID-19. Futhi, ezinye izifo ezibangelwa ukutheleleka ngamagciwane, njenge-strep throat noma i-pneumonia, zingaba nezimpawu ezifanayo, kodwa ukwelashwa kwazo kuhluke ngokuphelele.
Ngezinye izikhathi kunzima ukwazi ukuthi yiliphi igciwane elibangela inkinga. Odokotela bangase benze izivivinyo eziningana ukuze bathole ukuthi likhona. Ngezinye izikhathi ungangenwa amagciwane amabili ngesikhathi esisodwa, noma elilodwa ngemva kwelinye.
Khumbula, imiphumela yalezi zifo ingahluka kuye ngobudala bengane. Ikakhulukazi uma ingane inezinyanga ezimbalwa ubudala, kuwukuhlakanipha ukubona udokotela ngokushesha ngisho noma isifo esincane.
Uma unalezi zimpawu, xhumana nodokotela ngokushesha!
Uma ingane yakho inesinye noma ngaphezulu kwalezi zimpawu ezilandelayo, funa iseluleko sezokwelapha ngokushesha:
- Uma isimo sengane sibonakala siba sibi kakhulu
- Uma unenkinga yokuphefumula (ukuphefumula okusheshayo, ukuphefumula kanzima, ukuqina kwesifuba)
- Umkhuhlane ophezulu, ikakhulukazi uma umkhuhlane ungehli naphezu kwemithi yokwehlisa umkhuhlane
- Uma unekhanda elibuhlungu kakhulu
- Uma umphimbo wakho ubuhlungu obukhulu, awukwazi ngisho nokugwinya.
- Uma ingane ibonakala ididekile, ididekile, noma ilele kakhulu
- Uma unesifo sesisu esibuhlungu kakhulu
- Uma uzwa ubuhlungu besifuba noma ingcindezi
- Uma kunzima ukuhlala uphapheme
- Uma izindebe zakho noma ubuso bakho bubonakala buluhlaza okwesibhakabhaka
Uma ingane yakho ine-asthma noma esinye isifo esingamahlalakhona, shayela udokotela wakho ngokushesha uma iqala ukuzizwa igula, njengokungathi ine-flu noma izimpawu ze-COVID-19. Udokotela angase anqume ukwenza izivivinyo ezithile noma aqale umuthi okhethekile.
Yini enye okudingeka siyazi?
Izinto esivame ukuzenza ukuvimbela ukusabalala kwamagciwane nazo zingasisiza ekuvikeleni kuzo zonke lezi zifo. Kubaluleke kakhulu ukwenza lezi zinto njalo:
- Geza izandla zakho njalo nangokuphelele. Geza izandla zakho ngensipho namanzi okungenani imizuzwana engama-20, noma sebenzisa isihlanzi sezandla esiqukethe okungenani u-60% wotshwala. Fundisa nezingane zakho lo mkhuba.
- Hlala kude nabantu ababonakala begula, ikakhulukazi izingane ezincane.
- Hlanza izindawo ezivame ukuthintwa (njengezibambo zomnyango, amakhawunta, izihlalo zangasese, amathoyizi, amafoni) kahle ngesisombululo sokubulala amagciwane okungenani kanye ngosuku.
- Uma ingane yakho igula, yigcine ekhaya ngangokunokwenzeka. Lokhu kuzonciphisa ingozi yokusabalalisa lesi sifo kwabanye.
Ngakho-ke, yini into ebaluleke kakhulu okudingeka siyikhumbule kukho konke lokhu?
Ngakho-ke, Mama noBaba, zonke lezi zifo ezine zingathinta izingane ezincane, futhi izimpawu zingafana, ngakho ngezinye izikhathi kungaba nzima ukuzibona. Kodwa,Into ebaluleke kakhulu ukushayela udokotela ucingo ngokushesha uma unenkinga noma ukwesaba ngengane yakho, noma uma ingane yakho iziphatha ngendlela engavamile. Ungesabi, kodwa ungalibali. Udokotela angathola ukuthi yini ngempela engalungile futhi anikeze ukwelashwa okudingekayo.
Kungcono kangakanani ukukhuluma nodokotela bese ukhulula ingqondo yakho kunokucabanga uthi, "O, kwenzekeni enganeni yami?"
Futhi, izindlela ezinhle kakhulu zokuzivikela kuzo zonke lezi zifo ukulandela imikhuba yezempilo esikhulume ngayo (ukugeza izandla, ukuhlala kude nabantu abagulayo) nokuthola imijovo edingekayo ngesikhathi. Ukuvikela izingane zethu ezifweni kungumthwalo wemfanelo omkhulu wethu sonke, akunjalo?
Umkhuhlane, Umkhuhlane, Umkhuhlane, i-RSV, i-COVID-19, Ukwelashwa Kwezingane, Izifo Zokuphefumula, Umkhuhlane, Ukukhwehlela, Ubunzima Bokuphefumula, Amagciwane, Impilo Yengane
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