Ingabe ungumuntu ovame ukuhamba phesheya kwezilwandle? Noma uhlela ukuya ezweni elifana ne-Afrika noma iNingizimu Melika ngenxa yomsebenzi? Khona-ke ngokuqinisekile udinga ukwazi nge-"Yellow Fever Vaccine". Amanye amazwe adinga isitifiketi sokugonywa (sikubiza nangokuthi 'ikhadi eliphuzi') ukuze ungene. Ngakho-ke, namuhla sizokhuluma ngakho konke ngamagama alula ngomuthi wokugonywa we-yellow fever, obalulekile kubantu abaningi.
Uyini lo muthi wokugomela i-yellow fever?
Kalula nje, lo umuthi wokugomela osivikela kulesi sifo esibangelwa yigciwane le-yellow fever. I-yellow fever yisifo esithwalwa omiyane esingaba sibi kakhulu ngezinye izikhathi. Ngakho-ke, odokotela batusa ukuthola lo muthi wokugomela uma uhamba uye ezingxenyeni zomhlaba lapho lesi sifo sivame khona (ikakhulukazi kwamanye amazwe ase-Afrika naseNingizimu Melika).
Lona umuthi wokugomela ophilayo . Okusho ukuthi, kulokhu, sinikezwa igciwane le-yellow fever elibuthakathaka elingakwazi ukubangela lesi sifo. Amasosha ethu omzimba abe esebona leli gciwane elibuthakathaka bese enza ama-antibodies ukuze alwe nalo. Khona-ke, uma igciwane langempela le-yellow fever lingena emizimbeni yethu, amasosha ethu omzimba asuke esekulungele futhi ezolibhubhisa.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokugonywa
Lokhu kubaluleke kakhulu. Uma unezinye zezimo ezibalwe ngezansi, kufanele utshele udokotela wakho ngaphambi kokuthola umuthi wokugoma. Ngokusekelwe kulolu lwazi, udokotela wakho uzonquma ukuthi uzokunika umuthi wokugoma noma cha, noma ukuthi kufanele uwunikwe ngokunakekelwa okukhethekile.
| Isimo okudingeka usibike | Incazelo elula |
|---|---|
| Ukutheleleka ngomkhuhlane | Uma okwamanje unomkhuhlane noma unesifo sofuba. |
| Umdlavuza | Uma ungumuntu onomdlavuza noma uphathwa umdlavuza. |
| I-HIV noma i-AIDS | Uma une-HIV noma une-AIDS. |
| Ubuthakathaka besistimu somzimba | Uma amasosha akho omzimba encishisiwe ngenxa yanoma yisiphi esinye isizathu (isib. izifo zofuzo). |
| I-Myasthenia Gravis | Isimo sezinzwa esenza imisipha ibe buthaka. |
| Ukwelashwa Ngemisebe | Uma okwamanje noma muva nje uthola ukwelashwa ngemisebe. |
| Uma i-thymus gland isusiwe (i-Thymectomy) | Uma i-thymus gland, ebalulekile ekulweni nomzimba, isusiwe ngokuhlinzwa. |
| Ukungezwani komzimba | Uma une-allergies kweminye imijovo, amaqanda, imithi, ukudla, udayi, njll. |
| Ukukhulelwa noma ukuncelisa | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
Ugonywa kanjani futhi unikezwa bani?
Lo mjovo unikezwa njengomjovo ongaphansi kwesikhumba. Unikezwa uchwepheshe wezokwelapha oqeqeshiwe esibhedlela noma emtholampilo. Ngeke uvunyelwe ukuwuthatha uwuyise ekhaya.
Ngaphambi kokuthi uthole umuthi wokugoma, uzonikezwa iSitatimende Solwazi Lokugoma (ISitatimende Solwazi Lokugoma). Sicela uwufunde ngokucophelela.
Ingabe lokhu nikunikeza izingane ezincane?
Lona umbuzo abazali abaningi abanawo. Lo muthi wokugoma awunikezwa izingane ezingaphansi kwezinyanga ezingu-9 ubudala. Kwezinye izimo ezikhethekile, lo muthi wokugoma unganikezwa izingane ezingaphezu kwezinyanga ezingu-9 ubudala ngokunconywa udokotela wezingane. Kodwa kudingeka kulandelwe izinyathelo zokuphepha ezikhethekile. Ngakho-ke, uma ingane yakho idinga lo muthi wokugoma, khuluma nodokotela wakho ngawo.Khuluma nodokotela wezingane kuphela bese wenza isinqumo.
Uma ucabanga ukuthi ngephutha uthathe umuthi omningi kakhulu, shayela iNational Poisons Information Centre eNational Hospital ngokushesha. Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Ezinye izinto ezingase zihlangane nalo muthi wokugomela
Uma uthatha eminye imithi, eminye yayo ingathinta ukusebenza kahle kwalo muthi wokugomela. Ngakho-ke tshela udokotela wakho ngakho konke okuthathayo.
- Imithi efana ne-chloroquine, esetshenziselwa umalaleveva
- Imithi elawula amasosha omzimba (i-immune globulin)
- Imithi okufanele uyithathe ngemva kokufakelwa izitho zomzimba
- Imithi yokulwa nomdlavuza
- Ezinye izinhlobo zemithi yokugoma
- Eminye imithi esetshenziswa izifo ezifana ne-arthritis
- Imithi yohlobo lwe-steroid (isb. i-prednisone, i-cortisone)
Lolu hlu aluphelele. Tshela udokotela wakho ngayo yonke imithi, amavithamini, amakhambi, kanye nezithasiselo ozithathayo. Futhi, tshela udokotela wakho uma ubhema noma uphuza utshwala.
Izinto okufanele uzicabangele ngemva kokugonywa
- Isivikelo Esiphelele: Khumbula, njengayo yonke imijovo yokugoma, lo muthi wokugoma ungase unganikezi isivikelo esingu-100% kuwo wonke umuntu. Kodwa-ke, unciphisa kakhulu ingozi yokuthola lesi sifo kanye nobunzima besifo.
- 'Ikhadi Eliphuzi': Ngemva kokugonywa, uzothola isitifiketi somhlaba wonke sokugonywa. Yilokhu esikubiza ngokuthi "ikhadi eliphuzi". Lesi sitifiketi sisebenza iminyaka eyi-10. Sigcine siphephile uma uhamba phesheya.
- Imiphumela emibi: Uma uhlangabezana nanoma yimiphi imiphumela emibi ekukhathazayo, tshela udokotela wakho ngokushesha.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi wokugoma, kuneminye imiphumela emibi emincane engenzeka. Kodwa-ke, kuneminye imiphumela emibi emibi kakhulu, kodwa engavamile kakhulu, okubalulekile ukuyiqaphela.
| Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha | |
|---|---|
| Ukungezwani komzimba okukhulu | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Ubunzima bokuphefumula | Ukuphefumula kanzima, izinga lokuphefumula elikhuphukile. |
| Izinkinga zesistimu yezinzwa | Ukuquleka (ukuquleka), ukudideka, ubunzima bokukhuluma noma ukuqonda, ubunzima bokuhamba. |
| Ukukhathala okungavamile | Ukuzizwa ukhathele kakhulu noma ubuthakathaka. |
| Imiphumela emibi evame ukungabi mibi kakhulu (kodwa tshela udokotela wakho uma iqhubeka) | |
| Umkhuhlane omncane | Umkhuhlane ohlala usuku olulodwa noma ezimbili. |
| Ikhanda elibuhlungu | Ikhanda elincane neliphakathi nendawo. |
| Ubuhlungu endaweni yokujova | Ubomvu, ukuvuvukala okuncane, noma ubuhlungu endaweni yokujova. |
Ngiyethemba ukuthi lesi sihloko sikusizile ukuthi uqonde lo muthi wokugoma kangcono. Kodwa khumbula, lokhu kumane nje kuyisifinyezo. Umuntu ongcono kakhulu ongakhuluma naye nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- Umuthi wokugomela i-yellow fever uwumuthi wokugomela ovikela ekuthelelekeni ngegciwane le-yellow fever, okubaluleke kakhulu kubahambi bakwamanye amazwe.
- Ngaphambi kokugonywa, qiniseka ukuthi utshela udokotela wakho ngomlando wakho wezokwelapha ophelele, imithi oyiphuzayo, kanye nokungezwani komzimba.
- Lo mjovo awunikezwa izingane ezingaphansi kwezinyanga ezingu-9 ubudala. Uma unikezwa izingane, kufanele unikezwe kuphela ngeseluleko sikadokotela wezingane.
- Ngemva kokugonywa, uzothola 'ikhadi eliphuzi' (isitifiketi samazwe ngamazwe) esisebenza iminyaka eyi-10.
- Uma uhlangabezana nezimpawu ezifana nobunzima bokuphefumula, ukuquleka, noma ukusabela okukhulu kokungezwani komzimba, funa iseluleko sezokwelapha ngokushesha.
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