Ukuqonda nokukhusela i-RSV kwiintsana zangaphambi kwexesha kuyinxalenye ebalulekileyo yokuzisa i-preemie ekhaya. Ukukhutshwa kwe-NICU kuyisiganeko esivuyisayo-abasayi kubazali kufuneka balandele iinkqubo zesibhedlele esikhatywayo okanye i-nonucleal care unit (NICU) okanye bahlukane nomntwana wabo. Okubaluleke kakhulu, ukuya ekhaya kuthetha ukuba umntwana usenze zonke iingxaki zempilo ezibangelwa ngokuzalwa kwangethuba.
Xa abazali bezisa umntwana ekhaya, ukugcina impilo yakhe ibe yinjongo enkulu. Ngexesha lokuwa kunye neenyanga zasebusika, ukukhusela intsholongwane yokuphefumula (RSV) ngumngeni omkhulu kumzali.
Sibanzi
I-RSV iyintsholongwane eqhelekileyo ekupheleni kweenyanga nasebusika. Enyanisweni, yinto ebangele kakhulu kwizifo eziphezulu zokuphefumula ezinsaneni nabantwana. Uninzi lwabantwana lunentsholongwane yabo yokuqala ye-RSV ngeminyaka emibini. Uninzi lwabantwana abane-RSV babuyisele. Kodwa abantwana abangama-125 000 ngonyaka bafakwe esibhedlele ngokusuleleka kwe-RSV, kwaye i-1% ukuya ku-2% yabantwana bafa.
Kwiintshaba, i-RSV yinkxalabo enkulu yezempilo. Yona inombalo-esinye sezizathu zokugula kunye nokubuyiselwa esibhedlele kwiintshaba, kunye nokuqhathaniswa kokuqala kwimeko enkulu yengozi ye-RSV.
Iimpawu
Kwinkoliso yabantwana, i-RSV ibonakala ibanda . Iintsana kunye nabantwana abane-RSV banokuba neempumlo, ukukhwehlela, umkhuhlane kunye ne-malaise.
Iimpawu zentsholongwane ekhuselekileyo ye-RSV efuna ukunakekelwa kwangoko kunyango kubandakanya:
- Ukuphefumula ngokukhawuleza
- Ukuphefumula okunzima
- I-Cyanosis (i-bluish discoloration yesikhumba)
- Apnea (ixesha lokungaphefumli)
Ukuba umntwana wakho ubonisa nayiphi na imiqondiso yale mpawu, kufuneka ufune unyango lwangonyango.
Thintelo
Ukuhlamba izandla kuyindlela efanelekileyo yokukhusela ukusuleleka kwe-RSV ukusasazeka. Intsholongwane ingaphila kwizandla kunye nezambatho zemizuzu engama-30.
Isasazeka emoyeni xa abantu abanegciwane lesibindi sokukhwehlela okanye badibanisa, okanye ngoqhagamshelwano nezinto ezinentsholongwane kubo.
Ukongezelela ukuhlamba izandla, ukuphelisa umngcipheko kunceda ukukhusela i-RSV. Izinto ezinobungozi ngaphandle kokungcoliswa kwangaphambili ziquka:
- Ukunyamekela
- Abanakekeli abavuthayo
- Iimeko ezihlala zihlala phantsi
- Isisindo sokuzalwa esincinane
- Ukuzalwa amaninzi
- Abantakwabo abasezikolweni
- Isifo sesifo sengculazi
- Izifo zesifo senhliziyo
- Ukuboniswa kokungcola kwendalo
- Isifo se-Neuromuscular
- Imbali yentsapho ye-asthma
Ezinye zezinto ezinobungozi azikwazi ukutshintshwa, ngoko abazali kufuneka bagxininise kulowo onako. Ngomnyaka wokuqala wobomi, ingakumbi ngexesha lokuwa kunye nobusika, zama ukugcina i-preemie yakho kwimihlaba yondlovu. Yenza abantwana abaneminyaka esikolweni bahlambe izandla baze batshintshe iimpahla xa beza ekhaya, bagweme izihlwele, kwaye musa ukutshaya. Ukuba ubhema, tshumela ngaphandle kwaye ugqoke ibhatyi esetyenziselwa ukutshaya kwaye ususwe xa ungena ngaphakathi kuba iincinci zomsila zihlala kwiingubo.
Ukugonywa
Kwiintsana ezinokuthathwa njengokuba zisengozini enkulu ye-RSV, unyango luyacetyiswa. I-Palivizumab, okanye i-Synagis, inikezwa njengesibhozo senyanga ngenyanga yexesha le-RSV. Nangona ngamanye amaxesha kuthiwa yi-RSV yokugonywa, i-Synagis yonyango, kwaye ingekona isitofu.
Akuyiyo yonke i-preemie idinga i-Synagis, kodwa uthetha ugqirha ukuba:
- Ingane yakho yazalwa kwiiveki ezingama-28 okanye ngaphantsi kwaye iza kuba neenyanga ezili-12 okanye ezincinane ekuqaleni kwexesha le-RSV.
- Ingane yakho yazalwa phakathi kweiveki ezingama-29 neye-32 kwaye iza kuba neenyanga ezintandathu okanye ezincinane ekuqaleni kwexesha le-RSV.
- Ingane yakho yazalwa phakathi kweeveki ezingama-32 neye-35, iza kuba ziinyanga ezi-3 okanye ezincinci ekuqaleni kwexesha le-RSV, kwaye ziza kubakho kwintsapho okanye zinabantwana abancinci abahlala ekhaya.
I-Synagis inokuthintela ukuya kwi-55% ye-preemie hospitals ngenxa ye-RSV. Ifikelele ekusebenzeni kwayo ngenqanaba lesibini, ngoko kuthetha nogqirha wakho ekuqaleni kokuwa ukuze ufumane ukuba ixesha le-RSV likulindeleke kwindawo yakho.
> Imithombo
> Austin, uRN BSN, uJennifer. "Ukukhusela i-Anticytial Virus Kwiintsana Zasekuqaleni Zasekhaya." Umhlengikazi wezeMpilo ekhaya. 2007; 429-432.
> Medline Plus Medical Encyclopedia. "Intsho ye-syncytial virus (RSV)"
> Synagis (Palivizumab). "Abaviwa abaneziphumo ze-RSV Prophylaxis."