Ingabe ingane yakho ivame ukuba nomkhuhlane? Kungaba yi-RSV (Respiratory Syncytial Virus)! Ake sixoxe ngalokhu.

Kulezi zinsuku, izinsana nezingane zivame ukuba nomkhuhlane nokukhwehlela, akunjalo? Ngezinye izikhathi kubukeka njengomkhuhlane ovamile, kodwa ezinye izingane zingaba nzima kakhulu. Kulungile, i-RSV iyigciwane elithinta uhlelo lokuphefumula, ikakhulukazi ezinganeni. Ake sifunde kabanzi nge-RSV (Respiratory Syncytial Virus) namuhla.

Iyini i-RSV ezinganeni?

Kalula nje, i-RSV (Respiratory Syncytial Virus) igciwane elithinta uhlelo lokuphefumula, okungukuthi, uhlelo esiphefumula kulo. Liyigciwane elithelela kakhulu ngezikhathi ezithile, ikakhulukazi ngesikhathi sezulu esibandayo, futhi lisakazeka ngokushesha kakhulu phakathi kwezinsana ezincane nezingane.

Ezinganeni eziningi, lokhu kufana nomkhuhlane ovamile futhi kuyaphola ezinsukwini ezimbalwa. Kodwa ngezinye izikhathi, ikakhulukazi ezinganeni ezincane kakhulu, kungaba nzima kakhulu futhi kubangele ubunzima bokuphefumula kanye nokutheleleka kwamaphaphu.

Izitha, izinsana ezingaphansi kwezinyanga eziyisithupha ubudala, kanye nezingane ezinezinye izinkinga zempilo, njengesifo senhliziyo esizalwa naso kanye nesifo samaphaphu , zisengozini enkulu yokuthola izinkinga ezivela ku-RSV. Ngisho nasezweni elifana ne-United States, kulinganiselwa ukuthi izingane ezingaphansi kweminyaka engu-5 ezingaphansi kweminyaka engu-5 zilaliswa esibhedlela nge-RSV minyaka yonke. Lokho kusho ukuthi ungacabanga ukuthi lokhu kungaba yingozi kangakanani ngezinye izikhathi.

Izinsana zithola kanjani i-RSV?

Izinsana ezingaphansi konyaka owodwa ubudala zingathinteka kakhulu yi-RSV. Eqinisweni, i-RSV iyimbangela ehamba phambili yokulaliswa esibhedlela kwezinsana. Emazweni afana ne-United States, cishe u-3% wezingane ezine-RSV zidinga ukulaliswa esibhedlela.

Ngisho noma kusele izinsuku ezimbalwa nje esibhedlela, kuyabethusa abazali, akunjalo? Ezinye izingane zingase zidinge ukunakekelwa okujulile. Ngakho-ke kubaluleke kakhulu ukuqaphela lokhu.

Izingane ezincane zithola nini i-RSV?

Kuthiwa cishe izingane ezingama-90% ziba ne-RSV zingakafiki eminyakeni emibili ubudala. Cabanga nje, kuyinto evamile! Isikhathi esiningi kuba njengomkhuhlane ovamile, kodwa kwabanye abantwana abancane (izingane eziphakathi kweminyaka eyi-1-3), izimpawu zingaba zimbi kakhulu.

Cishe ama-40% ezinsana nezingane ezincane ezingaphansi kweminyaka emi-2 ubudala ezithola i-RSV okokuqala zingase zibe nezinkinga ezifana ne -bronchiolitis noma i-pneumonia .

• I-Bronchiolitis ukuvuvukala kwemigudu yomoya emincane kakhulu (amapayipi amancane esiphefumula ngawo) emaphashini. Lokhu kwenza kube nzima ngengane ukuphefumula.
• I-pneumonia ukutheleleka okwenzeka emaphashini.

Ezimweni ezinjengalezi, kufanele ufune iseluleko sezokwelapha ngokushesha.

Izingane ezindala (izingane) zithola nini i-RSV?

Ezinganeni ezindala (ezineminyaka engaphezu kwemi-5 ubudala), i-RSV ivame ukuphela ngokunakekelwa ekhaya, njengomkhuhlane ovamile. Kodwa-ke, ezinganeni ezincane, izimpawu zingaba zimbi kakhulu. I-RSV isakazeka kalula ezindaweni lapho izingane zihlangana khona, njengezikole nezindawo zokunakekela izingane. Ngisho nasekhaya, uma omunye wabantwana ayithola, ingasakazeka kwabanye.

Ziyini izimpawu ze-RSV ezinganeni?

Izimpawu ze-RSV zingahluka kuye ngeminyaka yengane yakho nokuthi ngabe ukutheleleka kubangele ezinye izinkinga.

Izimpawu ezinganeni (ezingaphansi konyaka owodwa ubudala)

Izingane ezingaphansi konyaka owodwa ubudala zivame ukubonisa izimpawu zomkhuhlane:

• Umkhuhlane (100.4°F noma ngaphezulu)
• Ukukhwehlela (kungaba ukukhwehlela okomile noma okunezikhwehlela)
• Ukuvuza koketshezi lwe-Soto
• Ukuminyana kwekhala
• Ukuthimula

Ingane yakho ingase ikhale njalo futhi ingase yehlise ukuncelisa .

Ngezinye izikhathi i-RSV ingabangela i-bronchiolitis (ukuvuvukala kwemigudu yomoya emincane emaphashini), okungenza kube nzima ukuphefumula. Ingane ene-bronchiolitis ingase ibe nezimpawu zomkhuhlane, okuhlanganisa:

• Ukuphefumula okusheshayo
• Ukuvutha kwamakhala lapho uphefumula
• Imisindo yokubhonga lapho uphefumula
• Ukugoba/ukuhoxa kwesifuba lapho uphefumula
• Ukuphefumula, noma umsindo omkhulu ovela esifubeni

Izinsana nezinsana ezingaphansi kwezinyanga eziyisithupha ubudala kungenzeka zingenazo izimpawu zomkhuhlane ovamile, kodwa zingase zibonise lezi zinto:

• Ubunzima bokuphefumula (izimpawu ezishiwo ngenhla)
• Ukucasuka njalo noma ukucasuka
• Ukuncipha kwesifiso sokudla
• Intshisekelo encane ekudlaleni nasemisebenzini

Qaphela! Uma ubona ukuthi ingane yakho inobunzima bokuphefumula noma iphefumula ngendlela ehlukile kunejwayelekile, yiyise emnyangweni wezimo eziphuthumayo esibhedlela esiseduze ngokushesha. Noma shayela u-1990.

Izimpawu Kwabancane (iminyaka eyi-1-3)

Izingane ezineminyaka ephakathi kuka-1 no-3 zingase zibe nalezi zimpawu:

• Ukuvuza koketshezi lwe-Soto
• Ukukhwehlela nokuthimula
• Ukunciphisa ukudla nokuphuza
• Ukulahlekelwa intshisekelo yokudlala
• Ubunzima bokugwinya
• Ukuphefumula ngokushesha kunokujwayelekile

Izimpawu Ezinganeni Ezindala (ezingaphezu kweminyaka emi-5 ubudala)

Izingane ezingaphezu kweminyaka emi-5 zivame ukubonisa izimpawu zomkhuhlane:

• Ukuvuza koketshezi lwe-Soto
• Ukuminyana kwekhala
• Umphimbo obuhlungu
• Ikhanda elincane
• Umzimba ongenampilo
• Imfiva
• Ukukhwehlela

Izinkinga zifaka phakathi ukukhwehlela, ukukhwehlela okukhonkothayo ( i-croup)), kanye nobunzima bokuphefumula bungaba khona. Izingane ezinezinye izifo ezithile zisengozini enkulu yokuthola izimpawu ezinzima. Isibonelo:

• Izimo ezenza buthaka amasosha omzimba engane
• Izimo ezibangela ubunzima bokugwinya
• Izimo ezenza kube nzima ukususa amafinyila

Khuluma nodokotela wakho wezingane ukuze uthole ukuthi yiziphi izimpawu okufanele uziqaphele nokuthi kufanele ufune nini iseluleko sezokwelapha.

Kufanele umntwana one-RSV ayiswe nini esibhedlela?

Izinsana nezingane ezincane kungadingeka zilaliswe esibhedlela uma izimpawu zazo ze-RSV ziba zimbi kakhulu. Uma ubona noma yiziphi zalezi zimpawu, iya ekamelweni eliphuthumayo ngokushesha noma ushayele u-911:

• Uma uphefumula ngomsindo
• Uma ikhala labo likhula ngokuphefumula ngakunye (ukuvuleka kwekhala labo)
• Uma izindebe, umlomo, nezinzipho ziphenduka zibe luhlaza okwesibhakabhaka noma zibe mpunga (lokhu kuyisibonakaliso sokuntuleka komoya-mpilo - uphawu lwe-cyanosis)
• Uma kubonakala sengathi isisu siyaphefumula noma siyagoba esifubeni sabo
• Uma ukuphefumula kuphansi noma kushesha
• Uma uzwa ukuphumula ngenkathi uphefumula
• Uma umntwana ebonisa izimpawu zokuphelelwa ngamanzi emzimbeni (isib. ukukhala ngaphandle kokukhala, umlomo nolimi okomile, ukungachami amahora angu-6-8, amehlo acwilisiwe).

Yini ebangela i-RSV ezinganeni nasezinganeni?

I-RSV iyigciwane elibangelwa yigciwane. Lokho kusho ukuthi libangelwa yigciwane. Igciwane elithile elibangela lokhu yi -Respiratory Syncytial Virus (RSV) . Leli gciwane le-RSV lingenye yamagciwane atheleleka kakhulu ngezikhathi zokuphefumula.

Ingabe i-RSV iyathelelana?

Yebo, i-RSV iyisifo esithathelwanayo kakhulu . Sisakazeka ngamaconsi amancane okuphefumula akhishwa lapho ingane ene-RSV ikhwehlela, ithimula, noma ishaya ikhala layo. La maconsi angahamba amamitha amaningana - futhi izingane ezincane azivamile ukukhwehlela noma ukuthimula imilomo yazo ivaliwe!

Uma la maconsi ewela emehlweni, ekhaleni, noma emlonyeni womunye umuntu, angasakaza lesi sifo. Lokhu kuvame kakhulu phakathi kwezinsana nezingane ezincane ezidlala ndawonye. Igciwane le-RSV lingaphila nasezindaweni ezifana namatafula, izihlalo, izibambo zomnyango, namathoyizi amahora amaningana. Ingane yakho inamathuba amaningi okugula uma ithinta into engcoliswe yileli gciwane bese ithinta ubuso bayo ngesandla esifanayo noma ifaka ithoyizi elingcolisiwe emlonyeni wayo.

Ingabe i-RSV iyingozi ezinganeni nakubantu abancane?

Yebo, ngezinye izikhathi lokhu kungaba kubi kakhulu . Njengoba kushiwo ngaphambili, izinkinga ezifana ne -bronchiolitis kanye ne-pneumonia zingavela. Lezi yizifo ezithinta ukuphefumula ezingadinga ngisho nokulaliswa esibhedlela.

Noma yimuphi umntwana noma ingane encane ingaba nalolu hlobo lokutheleleka kwamaphaphu ngenxa ye-RSV. Eqinisweni, ngisho nezinsana eziphilile, ezihlala isikhathi eside zingalaliswa esibhedlela nge-RSV. Kodwa-ke, i-RSV iyingozi kakhulu kubantu abalandelayo:

• Kwabantwana abazalwa ngaphambi kwesikhathi.
• Kwabantwana abancane, ikakhulukazi izingane ezinezinyanga eziyisithupha noma ngaphansi.
• Izingane ezingaphansi kweminyaka emibili ubudala ezinesifo senhliziyo noma isifo samaphaphu esingamahlalakhona.
• Izingane ezinesimiso somzimba sokuzivikela esibuthakathaka noma izingane ezinezinkinga zemisipha (isib. i-Cerebral Palsy).

Lezi zinsana nezingane zisengozini enkulu yokugula kakhulu noma ukufa ngenxa ye-RSV.

Indlela yokuxilonga i-RSV ezinganeni nasezinganeni?

Odokotela bezingane baxilonga i-RSV ngokukubuza ngezimpawu zengane yakho bese benza ukuhlolwa ngokomzimba. Akukho ukuhlolwa okungadingeka. Kodwa-ke, uma udokotela efuna, angathatha isampula ye-mucus ekhaleni lengane yakho (ukuhlolwa kwe-nasal swab) bese eyihlola igciwane le-RSV.

Izinsana nezingane ezilaliswe esibhedlela kungadingeka ukuthi zihlolwe ukuze kuhlolwe izinkinga noma ezinye izinkinga. Isibonelo:

• I-X-ray yesifuba noma i-CT scan (i-computed tomography scan) iyisivivinyo.
• Ukuhlolwa kwegazi.
• Ukuhlolwa komchamo.

Yiziphi izindlela zokwelapha i-RSV ezinganeni nasezinganeni?

Umuthi olwa namagciwane obizwa ngokuthi i-ribavirin ungasiza ekwelapheni i-RSV ezinganeni ezigula kakhulu noma ezinezinye izinkinga zempilo. Kodwa-ke, njengezifo eziningi ezibangelwa amagciwane, izingane eziningi azidingi ukwelashwa okukhethekile kwe-RSV.

Kunalokho, odokotela bezingane batusa ukunakekelwa ekhaya ukuze kuncishiswe izimpawu futhi kwenze ingane yakho izizwe ikhululekile. Nazi ezinye izeluleko:

• Nikeza uketshezi oluningi: Izingane zingase zingakwazi ukuphuza ubisi oluningi njengoba zivame ukuphuza ngoba ikhala lazo livalekile. Izingane ezincane zingase zilahlekelwe yisithakazelo ekudleni nasekuphuzeni. Kubaluleke kakhulu ukugcina ingane yakho inamanzi. Ungacela udokotela wakho iseluleko salokho okufanele ukwenze ngokusekelwe eminyakeni yengane yakho. Isobho elifudumele kanye nephalishi nakho kuhle emphinjeni.
• Hlanza ikhala elivalekile lengane yakho ngokumunca: Amadivayisi afana nama-aspirator asekhaleni angasiza ekunciphiseni ikhala elivalekile ezinganeni nasezinganeni ezincane. Ukususa amanye ama-mucus kungenza kube lula ngengane yakho ukudla nokuphuza. Uma ingane yakho isikhulile kancane, ungayifundisa ukuthi iwaphefumula kanjani kahle ikhala layo.
• Sebenzisa i-saline spray kanye ne-humidifiers:Isifutho sempumulo esinosawoti siyinto engasetshenziswa ezinganeni zabo bonke ubudala. Siwusizo kakhulu ekukhululeni amafinyila aminyene. Ukuba ne-cool mist humidifier ekamelweni lengane yakho nakho kungayisiza ukuthi iphefumule kalula.
• Landela imiyalelo kadokotela wakho ngokucophelela lapho unikeza imithi: Eminye imithi ayifanele izinsana nezingane. Imithi okungafanele inikezwe ngaphandle kweseluleko sikadokotela ihlanganisa imithi yokukhwehlela neyomkhuhlane kanye ne-aspirin. Ngokuvamile kuphephile ukunikeza i-paracetamol/acetaminophen noma i-ibuprofen yezingane ukunciphisa umkhuhlane ezinganeni ezingaphezu kwezinyanga eziyisithupha ubudala. Kodwa-ke, hlala uhlola nodokotela wezingane kuqala ukuze uqiniseke ukuthi uyazi umthamo ofanele.

Uma ingane yakho igula kakhulu, ingadinga ukunakekelwa esibhedlela. Lapho, inganikwa umoya-mpilo, imithi yokulwa namagciwane, kanye/noma uketshezi lwe-IV, kuye ngezidingo zengane. Izisebenzi zezempilo zizoqapha amazinga okuphefumula kwengane kanye nomoya-mpilo. Iningi lezinsana nezingane lingaya ekhaya ngemva kwezinsuku ezimbalwa, kodwa ezinye zingadinga ukwelashwa egunjini lokunakekelwa okujulile.

I-RSV ihlala isikhathi esingakanani ezinganeni nakubantu abancane?

Izimpawu ze-RSV zivame ukuhlala cishe isonto elilodwa noma amabili ezinsaneni nasezinganeni. Izimpawu zivame ukuba zimbi kakhulu phakathi kosuku lwesithathu nolwesihlanu.

Ngingayibuyisela nini ingane yami enkulisa noma esikoleni?

Udokotela wakho wezingane uzokutshela ukuthi kuphephile nini ukubuyisela ingane yakho enkulisa, esikoleni, noma kwezinye izindawo lapho ezinye izingane zihlangana khona. Ngokuvamile, umkhuhlane wengane yakho kufanele wehle okungenani amahora angama-24 ngaphandle kwemithi yokunciphisa umkhuhlane, futhi impumulo egobhozayo kufanele ilawulwe.

Ingabe ikhona imiphumela yesikhathi eside evela ku-RSV?

Izinsana ezithola i-bronchiolitis enzima ngenxa ye-RSV zingase zibe sengozini enkulu yokuthola i-asthma kamuva ekuphileni. Abacwaningi bayazi ukuthi kukhona ukuxhumana - okungukuthi, izingane ezalaliswa esibhedlela ngenxa ye-RSV ziseyizinsana zinamathuba amaningi okuthola i-asthma enzima kunezingane ezingazange zibe nayo. Kodwa-ke, ukuxhumana noma ukuhlangana akufani nobudlelwano bembangela nomphumela. Abacwaningi basaphenya ukuthi lezi zinkinga zesikhathi eside zibangelwa yini izinkinga ze-RSV noma ukuthi zivele nje ngengozi.

Ingabe i-RSV ingaba yingozi ezinganeni?

Iningi lezinsana nezingane ezincane liyalulama ngenxa ye-RSV. Kodwa-ke, kwezinye izimo, i-RSV ingaba yingozi. Emhlabeni wonke, izingane ezingaphezu kwezigidi ezintathu ezingaphansi kweminyaka emi-5 zilaliswa esibhedlela nge-RSV minyaka yonke. Izingane ezingaphezu kuka-100,000 ziyafa.

Izinga lokufa liphezulu kakhulu emazweni anobumpofu obukhulu kanye nokunakekelwa kwempilo okubi. Izinsana nezingane ezincane ezinezimo zenhliziyo, zamaphaphu, noma amasosha omzimba zisengozini enkulu yokugula kakhulu. Kodwa-ke, ngisho nezinsana eziphilile nezingane ezingenazo ezinye izifo zingagula kakhulu, zilaliswe esibhedlela, futhi zize zife ngenxa ye-RSV. Ngakho-ke kubalulekile ukuqaphela lokhu.

Ngingavimbela yini ingane yami ukuthi ithole i-RSV?

I-RSV ayinakuvinjelwa ngaso sonke isikhathi, njengoba kuyisifo esivamile esisakazeka kalula phakathi kwezinsana nezingane ezincane. Kodwa-ke, kunezinto ezithile ongazenza ukuze uvikele ingane yakho. Lokhu kufaka phakathi:

• Thola umuthi wokugomela i-RSV ngesikhathi sokukhulelwa kwakho: Ungathola umuthi wokugomela i-RSV phakathi kwamasonto angu-32 no-36 okukhulelwa. Lo muthi wokugomela uvikela ingane yakho ezinyangeni zokuqala eziyisithupha zokuphila kwayo. Buza udokotela wakho ukuthola ulwazi olwengeziwe.
• Nikeza ingane yakho umuthi wokugoma: Kuze kube yizinyanga ezingu-8 ubudala, izingane zingathola umuthi wokugoma we-antibody we-monoclonal obizwa ngokuthi i- nirsevimab ngokumelene ne-RSV. Udokotela wakho wezingane angakunika umthamo owodwa walokhu ngesikhathi sokuqala kwengane yakho ye-RSV. Uma ingane yakho isengozini yokuthola i-RSV enzima, ingancoma umthamo wesibili ngonyaka olandelayo. Omunye umuthi wokugoma we-antibody we-monoclonal obizwa ngokuthi i-palivizumab ufanelekela ezinye izingane ezingaphansi kweminyaka emi-2 ubudala ezisengozini yokuthola i-RSV enzima. Udokotela wakho wezingane angase afune ukukunikeza lo muthi izikhathi eziningana ngesikhathi se-RSV. Uma uthole umuthi wokugoma ngesikhathi sokukhulelwa, ingane yakho ingase ingawudingi lo muthi ngonyaka wayo wokuqala.
• Ukuncelisa: Ama-antibodies asebisini lebele avikela ingane yakho ezifweni. Ochwepheshe batusa ukuncelisa ingane kuphela ezinyangeni zokuqala eziyisithupha zokuphila. Phakathi nalesi sikhathi, ama-antibodies asebisini lebele avikela ingane yakho kwi-RSV (kanye nezinye izifo eziningi) ngesikhathi esisengozini enkulu.
• Nciphisa ukuchayeka kwengane yakho kumagciwane: Ngesikhathi sokuqubuka kwe-RSV, gwema ukuyisa ingane yakho ezindaweni ezinabantu abaningi uma kungenzeka. Mgcine kude nabantu abagulayo (ukukhwehlela, ukuthimula). Qiniseka ukuthi noma ubani othinta ingane yakho ugeza izandla zakhe ngensipho namanzi kuqala. Lokhu kubaluleke kakhulu ezinyangeni zokuqala eziyisithupha zokuphila kwengane yakho. Lokhu kungenxa yokuthi amasosha omzimba engane yakho asakhula, ngakho-ke isengozini enkulu yokuthola i-RSV enzima.
• Gcina izindawo ezithintwa njalo zihlanzekile: Hlanza izinto ezifana namathoyizi nezibambo zeminyango njalo.
• Fundisa ingane yakho: Uma ingane yakho isikhulile kancane, yifundise ukumboza umlomo wayo ngethishu lapho ikhwehlela noma ithimula, futhi igeze izandla zayo njalo.

Kufanele ushayele nini udokotela wezingane?

Shayela udokotela wezingane uma ingane yakho inesinye noma ngaphezulu kwalezi zimpawu:

• Uma ingane ingaphansi kwezinyanga ezintathu ubudala futhi inomkhuhlane ongaphezu kuka-100.4°F (38°C).
• Uma unomkhuhlane ongaphezu kuka-102°F (39°C) kunoma yimuphi ubudala.
• Uma izimpawu ziba zimbi ngemva kwesonto, noma uma izimpawu ziqhubeka izinsuku ezingaphezu kwe-10-14.
• Uma kukhona uketshezi oluphuma endlebeni (lokhu kungaba uphawu lokutheleleka kwendlebe).

Ingane yami idinga nini ukwelashwa okuphuthumayo?

Izimpawu ezihlobene nokuphefumula kanye nokufakwa komoya-mpilo yinto okufanele ukhathazeke ngayo. Ingane yakho:

• Uma unenkinga yokuphefumula.
• Uma uphumula kancane ngenkathi uphefumula.
• Uma ukuphefumula kufushane, kungajulile futhi/noma kushesha.
• Uma ubanga umsindo lapho uphefumula (ukuphefumula okunomsindo).
• Uma isikhumba siphenduka sibe luhlaza okwesibhakabhaka noma simpunga (umbala oluhlaza okwesibhakabhaka noma ompunga esikhumbeni sabo).

... Esimweni esinjalo , shayela u-1990 ngokushesha, noma uthathe ingane uyise ekamelweni lezimo eziphuthumayo eliseduze.

Yimiphi imibuzo okufanele uyibuze udokotela wezingane?

Ungafunda okuningi nge-RSV nokuthi ungayivikela kanjani ingane yakho ngokukhuluma nodokotela wezingane wengane yakho. Ungakhuluma ngalokhu ngisho nangaphambi kokuba ingane yakho igule. Nansi eminye imibuzo ezokusiza ukuqala ingxoxo:

• Yiziphi izimpawu ezivamile ze-RSV lapho ingane yami iseneminyaka yobudala?
• Ngingamnakekela kanjani umntwana wami ekhaya uma ethola i-RSV? Yiziphi izinto okufanele ngimnike zona?
• Yiziphi izimpawu okufanele ngiyise ingane yami esibhedlela ngazo?
• Ingane yami itheleleka isikhathi esingakanani nge-RSV?
• Ngingakuvimbela kanjani lokhu ukuthi kungasabalali kwabanye abantu emndenini wami?
• Ngingayivikela kanjani ingane yami kwi-RSV kanye nezinye izifo ezivamile? Ngingafunda okwengeziwe ngemigomo?

Okokugcina, izinto ezimbalwa okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Enye yezinto ezinzima kakhulu kumzali okufanele azenze ukubuka ingane yakhe igula. Ngisho noma kuyimpumulo encane noma ukukhwehlela, yilokho i-RSV evame ukukwenza. Kodwa ngezinye izikhathi, i-RSV ingadala izimpawu ezinzima futhi idinge ukulaliswa esibhedlela.

Kodwa khumbula, noma ngabe uhlala esibhedlela izinsuku ezimbalwa, iningi lezinsana nezingane liyalulama kahle. Ungesabi, thola iseluleko sezokwelapha esidingekayo, futhi unakekele kahle ingane yakho. Udokotela wakho wezingane angakutshela okwengeziwe ngalokho okufanele ukulindele nokuthi ungayigcina kanjani ingane yakho iphilile ngangokunokwenzeka phakathi nalesi sifo sokuphefumula. Kungcono njalo ukukhuluma nodokotela ukuze uthole iseluleko.

I- RSV, Igciwane Lokuphefumula Elihambisana Nokuphefumula, izinsana, izingane, umkhuhlane, ukukhwehlela, ubunzima bokuphefumula, i-pneumonia, i-bronchiolitis, i-RSV, igciwane lokuphefumula, izifo zezingane, izingane ezincane, umkhuhlane, ubunzima bokuphefumula, izifo zamaphaphu