Wonke owesifazane okhulelwe umntwana, kanye nezingane zethu ezincane, ujwayelene negama elithi 'Rubella'. Abanye abantu balibiza nangokuthi 'isimungumungwane saseJalimane'. Kuyigciwane elibangelwa yigciwane. Ngakho-ke namuhla sikhuluma ngomuthi wokugomela esiwunikezayo ukuze sivikele lesi sifo, iRubella. Lesi yisihloko esibaluleke kakhulu, ikakhulukazi esizukulwaneni sethu esizayo esinempilo.
Kalula nje, uyini lo muthi wokugomela i-rubella?
I-Rubella Virus Vaccine Live iyisivikelo esisisiza ukuvimbela ukutheleleka okubangelwa yigciwane le-rubella. Ngokuvamile, uma umuntu ophilile ethola i-rubella, ayibi yimbi kakhulu. Iyaphola ngomkhuhlane omncane kanye nokuqubuka.
Kodwa-ke, uma umama okhulelwe ethola i-rubella ezinyangeni zokuqala zokukhulelwa, kungaba nemiphumela emibi kakhulu enganeni engakazalwa. Lesi simo sibizwa ngokuthi 'i-Congenital Rubella Syndrome'.
Lokhu kungaholela ezinkingeni ezinkulu ezifana nesifo senhliziyo esizalwa naso, izinkinga zokubona (njenge-cataracts), izinkinga zokuzwa (ukungezwa), kanye nezinkinga zokukhula kobuchopho. Lo mjovo siwuhlinzeka ngokuvimbela lezi zimo eziyingozi. Ngaphansi kohlelo lokugoma lukazwelonke lwezwe lethu, uvame ukunikezwa izingane njengengxenye yomjovo we-MMR (isimungumungwane, umkhuhlane, kanye ne-rubella).
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokugonywa
Ngaphambi kokuthola lo muthi wokugomela, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele ngesimo sakho sempilo, njengoba kunezinye izimo lapho lo muthi wokugomela ungase ungafaneleki.
| Uma unalezi zimo... | Sicela wazise udokotela. |
|---|---|
| Uma ukhulelwe noma uzama ukukhulelwa | Lokhu kubaluleke kakhulu. Kufanele ugweme ukukhulelwa izinyanga ezintathu ngemuva kokuthola umuthi wokugoma. |
| Umkhuhlane noma yisiphi isimo esithathelwanayo | Ukugoma kungadingeka kuhlehliswe kuze kube yilapho isimo sezempilo esikhona sesiphelile. |
| Ubuthakathaka besistimu somzimba | Uma unezimo ezifana ne-HIV/AIDS noma uthatha imithi ecindezela amasosha omzimba. |
| Inani lamaseli egazi elinciphile | Uma inani lamaseli amhlophe egazi, amaseli abomvu egazi, noma ama-platelet liphansi. |
| Isifo sofuba | Uma unesifo sofuba noma welashwa. |
| Ukungezwani komzimba | Uma une-allergy kweminye imijovo, i-neomycin (i-antibiotic), i-gelatin , i-sorbitol , imikhiqizo yenyama yenkomo, eminye imithi, ukudla noma izithasiselo. |
| Uma ungumama oncelisayo | Kubalulekile ukukhuluma nodokotela wakho ngalokhu futhi. |
Indlela yokunikeza umuthi wokugoma kanye namanye amaphuzu abalulekile
Lo mjovo unikezwa njengomjovo ngaphansi kwesikhumba nguchwepheshe wezempilo. Ngeke unikezwe lokhu ukuze uhambe nakho ekhaya, uzonikezwa emtholampilo.
Lo mjovo uvame ukunikezwa izingane ezingaphezu kwezinyanga ezingu-12 ubudala. Kodwa-ke, kwezinye izimo ezikhethekile, udokotela angase anqume ukuwunika izingane ezincane kakhulu. Konke kuncike esimweni sempilo yengane.
Kuthiwani uma ngiphuthelwa umthamo womuthi wokugoma?
Ungaphuthelwa izinsuku zakho zokugoma ezihleliwe. Uma ngesizathu esithile ungakwazi ukuya ngosuku lwakho oluhleliwe, khuluma nodokotela wakho ngokushesha okukhulu bese uthola iseluleko ngosuku olulandelayo oluhle kakhulu oluzayo.
Eminye imithi engase ihlangane nomuthi wokugomela
Uma uphuza imithi yezinye izimo, kufanele futhi utshele udokotela wakho ngayo, njengoba eminye imithi ingathinta ukusebenza kahle kwalo muthi wokugomela.
- Imithi yokucindezela amasosha omzimba (isib. i-adalimumab, i-infliximab)
- Ukwelashwa ngamakhemikhali (imithi esetshenziselwa umdlavuza)
- Imithi yohlobo lwe-steroid (njenge-'prednisone' noma i-'cortisone')
- Ama-immunoglobulins
- Ezinye izinhlobo zemithi yokugoma
Kubaluleke kakhulu ukwazisa udokotela wakho ngamavithamini ngisho nemithi yendabuko (amakhambi) oyithathayo.
Izinto okufanele uziqaphele kakhulu ngemva kokugonywa
Naka ngokukhethekile la maphuzu.
1. Gwema ukukhulelwa: Lena yinto ebaluleke kakhulu. Gwema ukukhulelwa nganoma yisiphi isizathu izinyanga ezi-3 ngemuva kokuthola umuthi wokugoma. Lo muthi wokugoma uqukethe igciwane eliphilayo, kodwa elibuthakathaka. Ngakho-ke uma ukhulelwa phakathi nalesi sikhathi, mancane kakhulu amathuba okuthi uzothinta ingane esibelethweni. Lesi seluleko sinikezwa ukuze kugwenywe ngokuphelele leyo ngozi.
2. Isivikelo Esiphelele: Njengayo yonke imijovo yokugoma, lo mjovo ungase unganikezi isivikelo esingu-100% kuwo wonke umuntu. Kodwa-ke, ukugoma kunganciphisa kakhulu ingozi yokuthola lesi sifo kanye nezinkinga zaso.
3. Ukuhlolwa Kwesikhumba Se-Tuberculin: Uma uhlelelwe ukuhlolwa kwesikhumba se-TB, ungakwenzi ngesikhathi esifanayo nalo mjovo. Lo mjovo ungathinta imiphumela yokuhlolwa kwesikhumba. Xhumana nodokotela wakho ngalokhu.
4. Ukumpontshelwa igazi: Uma usanda kuthola igazi noma i-plasma, noma uke wajova nge-immunoglobulin, tshela udokotela wakho ngaphambi kokuthola umuthi wokugomela, njengoba lokhu kunganciphisa ukusebenza kahle komuthi wokugomela.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo muthi wokugoma ungabangela imiphumela emibi emincane. Kodwa-ke, imiphumela emibi emibi ayivamile. Kubalulekile ukwazi umehluko phakathi kwalokhu okubili.
| Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha | |
|---|---|
| Ukusabela okukhulu kokungezwani komzimba (ukuvuvukala kobuso, izindebe, ulimi, ukuqubuka kwesikhumba okukhulu, ukulunywa) | Ubunzima bokuphefumula |
| Izinguquko zokuzwa noma zokubona | Umkhuhlane ongaphezu kwama-degrees F angu-102 (38.9 C) |
| Izinguquko ezinkulu ekuziphatheni, ukuquleka, nokuwa | Ukuphuka noma ukuphuma kwegazi okungavamile |
| Ubuhlungu, ukungazweli, nokuqaqamba kwamalungu | Ubuhlungu bamalunga (ubuhlungu be-Arthritis) |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka: | |
| Ubuhlungu, ukuvuvukala, ukubomvu endaweni yomjovo | Umkhuhlane ophansi ongaphansi kwama-degrees F angu-102 |
| Ubuhlungu bomzimba, umuzwa wobuthakathaka | Umphimbo obuhlungu, ukukhwehlela , ukushaqeka |
| Ukuhlanza, isicanucanu, ukungagayi kahle kokudla | Ukuvuvukala kweqakala |
Uma uba nanoma yiziphi izimpawu zokungezwani komzimba ezinzima, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. Uma usola ukuthi ugonywe ngokweqile, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital .
Umlayezo Wokuya Nawe Ekhaya
- Umuthi wokugomela i-rubella uvimbela isimungumungwane saseJalimane, futhi kubalulekile ukuvikela ingane engakazalwa ezifweni ezinkulu zokuzalwa, ikakhulukazi ngesikhathi sokukhulelwa.
- Ngaphambi kokuthola umuthi wokugomela, tshela udokotela wakho ngokuphelele ngazo zonke izimo zakho zempilo, ukungezwani komzimba, kanye nayo yonke imithi oyithathayo.
- Kubaluleke kakhulu: Gwema ukukhulelwa ngokuphelele izinyanga ezintathu ngemuva kokugonywa.
- Nakuba imiphumela emibi emincane (umkhuhlane ophansi, izinhlungu zomzimba) ivamile, funa iseluleko sezokwelapha ngokushesha uma uhlangabezana nezimpawu ezinkulu zokungezwani komzimba (ubunzima bokuphefumula, ukuvuvukala kobuso).
- Landela njalo iseluleko sikadokotela wakho. Uma unenkinga, khuluma nodokotela wakho esikhundleni sokuthembela kuphela kulwazi oluku-inthanethi.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho