Ukukhwehlela okukhuphayo: iimpawu kubantwana

I-Pertussis - isifo esithathelwanayo esibangelwa yi-pertussis - esona siqhelekileyo kubantwana abancinci. I-Pertussis inikezwa ngamaconsi anomoya, njengezona zifo eziqhelekileyo zokuphefumula. Nangona kunjalo, kuyingozi kakhulu, njengoko kunokubangela iingxaki ezinzulu kwiindawo zokuphefumula, i-cardiovascular and nervous systems. Ukongezelela, umntu okhwehlela umkhuhlane ungumphathiswa wesifo iintsuku ezingama-30, okudala abanye ingozi. Yingakho kubalulekile ukuhlukanisa ukukhwehlela kwesinye sezifo.

Indlela yokunquma ukukhwehlela kubantwana?

Ukufumana ingxaki yokukhwehlela kubantwana kwinqanaba lokuqala le sifo kunzima, kuba ukuqala kliniki yokubonakalisa ukukhwehlela kuyafana kakhulu neempawu eziqhelekileyo zokuphefumula kwintsholongwane yentsholongwane: imfiva, ukubola, impumlo, ikhupha. Kwaye ukususela kumzuzwana wentsholongwane yangempela ekubonakalweni kweempawu zokuqala zokukhwehlela iintsuku ezi-3 ukuya kwezi-15 (ngokuqhelekileyo 5-8).

Njani i-pertussis?

Kwixesha elilandelayo lesi sifo, amaxesha amathathu ahlukeneyo:

1. Ixesha leCatarrhal . Iyaqhubeka ukusuka kwiintsuku ezi-3 ukuya kwezi-14. Uphawu oluphambili ngumkhuhlane owomileyo, ngokuthe ngcipheko ngokubanda. Ubushushu bomzimba buqhelekileyo okanye buphakanyisiwe (ngokuqhelekileyo abukho ngaphezu kwama-37.5 ° C). Nangona unyango, ukukhwehlela kuhlala kumile, rhoqo kwaye ekugqibeleni, ekupheleni kwexesha le-catarrhal kuzuza umlinganiso we-paroxysmal.
2. I-Spasmodic (idityanisiweyo) . Unokuhlala kwiiveki ezi-2 ukuya kwezi-8. Kwiiveki zokuqala ze-1-1.5 zexesha, ubukhulu kunye nobukhulu bokuhlaselwa kokukhwehlela, ukwanda nokuzincipha. Eli xesha libonakaliswe ngumfutho omkhulu emqaleni, obangela ukuhlaselwa ukukhwehlela. Umkhwehlela ngokwayo uququzelele ukukhwehlela okufutshane, ikhwelo ivalelwe ngokucacileyo ngokuphefumlelwa (oku kubangelwa ukugawula i-glottis). Ekupheleni kokuhlaselwa, i-sputum yabelwe. I-Sputum ekukhongeni ukukhwehlela inkulu, inokubonakala ngathi i-muscus ebomvu, ikhumbule i-egg eluhlaza. Ukuba ukuhlaselwa kuqhubeka, ngoko kunokubangela u-hypoxia wengqondo, ekhokelela ekuhlanjeni. Ngethuba lokuhlaselwa ubuso kunye nolwimi lwesigulane siphezu obomvu, uze uguqule okwesibhakabhaka, ubuso buba bukhukhumele, imifuno entanyeni kunye neempahla zamehlo zibonakala. Ukuba eso sifo sinzima, ukuhlaselwa kudla rhoqo, ngoko ukukhukhuma kubakho isigxina, ukubola kwamancinci kubonakala kwesikhumba ebusweni kunye neembumba. Ngaphantsi kweelwimi (ngenxa yokutshatyalaliswa kolwimi ngexesha lokukhwehlela kolwimi) kunokubonakala ngathi isifo esincinci esineengubo ezimhlophe. Umntwana unokuba ngumntu ongenalucalulo, unomsindo, kuba uyamoyika ukuxhwaba okuye kwamphelela.
3. Ixesha leMvume . Iyaqhubeka iiveki ezi-2-4 okanye ngaphezulu. Ingca iyaba yinto engabonakaliyo, ngaphandle kokuhlaselwa kwaye ngokukhawuleza iphela. Uphucula imeko yonke yesigulane.

I-Pertussis inzima kakhulu kwiintsana. Ixesha le-spasmodic lwenzeka ngokukhawuleza, kunye nokukhwehlela kwe-spasmodic njengokuba kunjalo kungekho, kwaye endaweni yalo umntu unokugcina ukuhlaselwa, ukukrakra, ukukrazula. Kule mizuzu, umntwana angakwazi ukubeka iqela kwaye athathe isikhundla sakhe. Eyona nengozi kakhulu ekukhupheleni ukukhwehlela kwiintsana zilibazisekile ukuphefumla. Ziyakwenzeka ngexesha lokuhlaselwa kunye nangaphandle kwazo nokuba kwiphupha, Ukuphefumula okungapheliyo kubangelwa kumasekhondi angu-30 ukuya kumaminithi amabili.

Ukunciphisa ngokuphawulekayo umngcipheko we-pertussis izifo zokukhusela izikhuselo. Abantwana abaqala ukususela kwiinyanga ezi-ezintathu banikwe isitofu sokukhusela i-DTP equkethwe kwi-pertussis, i-diphtheritic kunye ne-tetanus. Umntwana oxhaswayo angaphinda ahlaselwe ngumkhuhlane, kodwa uza kuthwala ngokugqithiseleyo kunokugqithiswa. Iimpawu zokukhupha umkhuhlane kubantwana abagonywe zipheliswa, isifo sifana kwifom e-atypical: ngaphandle komkhuhlane, ngaphandle kokubanda, kunye nokukhwehlela kwe-atypical endaweni yokuhlaselwa okukhukhulayo rhoqo.