Ukusuleleka kwe-RSV kumntwana akusoloko kunzima njengoko abazali beyesaba
Ukufumana umntwana wakho unentsholongwane yokuphefumula yentsholongwane ye-syncytial (RSV) inokutshatyalaliswa. Ukuba unjengabazali abaninzi, mhlawumbi uvile amabali asemasontweni malunga nalezi zifo zokugula ezikhuselekileyo ukuphefumula kunye nokushisa kwamaqondo aphezulu aphezulu. Kodwa ngokwenene, iimpawu ezinzima azixeleli ibali leengxaki eziqhelekileyo ze-RSV. Yinto enhle kuba, ngo-2 ubudala, abaninzi abantwana baya kuboniswa kwi-RSV.
Azikho zonke ii-RSV Izimpawu ezifanayo
I-RSV "ixesha" liqhutywa ngoNovemba okanye ngoDisemba ukuya ngoMashi okanye ngo-Epreli. Izingane eziqhelekileyo zibonakaliswe kwi-RSV okanye ngokuqhagamshelana ngqo kunye neminyango yokuphefumula (amaconsi athathwe emoyeni xa umntu osulelekileyo ekhwehlela okanye adibanisa, umzekelo) okanye ngokuthinta amathoyizi okanye ezinye izinto umntwana ogulayo asithinte.
Iimpawu zivame ukukhaba iintsuku ezintathu ukuya ezintlanu emva kokuba umntu evelele kwi-RSV. Ngokugqithiseleyo, umntwana osuleleka nge-RSV wehla ngeqanda elibandayo okanye eveza iimpawu ezintle kakhulu-impumlo ecacileyo yomsongo, uthi, okanye ukukhwehlela kwesinye isikhathi-okulula ukuphathwa kunyango. Ezinye iimpawu ezinokuthi ziquka umkhuhlane ophantsi, umqala, intloko, kunye nokucasula. Uninzi lwexesha ugqirha uya kuhlola i-RSV isulelo esisekelwe kuphela kule mpawu, nangona kunokwenzeka ukufumana intsholongwane kwimfihlelo yamanzi.
Iintsana kunye nabantwana abaneminyaka engaphantsi kweminyaka emi-2 ubudala banomngcipheko weempawu ezinzima (ezinobunzima) ezibangelwa yi-RSV, njengomkhuhlane ophezulu kakhulu, i-apnea yokulala, kunye ne-bronchiolitis-intsholongwane yezithuthi ezincinci ezikhokelela kwimiphunga ebizwa ngokuba yimiphunga bronchioles.
Xa bevutha, bavuba baze batyunwe nge-mucus, okwenza kube nzima ukuba umntwana aphefumule. Yinto xa umntwana enzima kakhulu ukuphefumula ukuba unokufuna ukuba esibhedlele unyango lwe-RSV. Iintsana ezinokuphuhlisa i-bronchiolitis zingaba mngcipheko ophezulu we-asthma kunye nezinye iingxaki zokuphefumula emva koko ebomini.
Ukunyanga nokukhusela i-RSV Infection
Ukuba umntwana wakho wehla nge-RSV isifo, iimpawu zakhe zingaphaya ixesha elide kwiiveki ezintathu. Indlela umntwana okhetha ngayo ukuyiphatha iya kuxhomekeka kakhulu kwixesha lakhe kunye nokuba impawu zakhe zinzima kangakanani. Inokwenzeka ukuba, ukuba uneminyaka engaphezu kwe-2 kwaye iimpawu zakhe zibuhlungu, mhlawumbi akayi kufuna into engaphezulu kweyeza-counter-counter-counter for the pain and fever (efana ne-ibuprofen) kwaye mhlawumbi into yokukhwehlela kwayo ukuba iyakhathaza ngokwenene okanye umgcinile ebusuku kuze kube yintsholongwane. I- hummi hufierdi epholileyo inokunceda ukukhulula impumlo epholileyo.
Ugqirha mhlawumbi uya kunyanga umntwana okanye umntwana omdala oveza iimpawu ezinzulu ngakumbi, nge- nebulizers okanye i-steroids, njengokuba bebenokuthi bangabantwana abane-asthma. Umntwana omncinane kakhulu oza kubhedlele ngenxa yobunzima bokuphefumula kuya kunokwenzeka ukuba uphathwe ngamanzi kunye neoksijini. Ngamanye amaxesha umncinci uya kufuneka abe kwi-ventilator okwesikhashana ukumphefumula.
Akukho ziyobisi zokuphatha i-RSV. Ukuba iimpawu zomntwana zinzulu ngokwaneleyo ukuba zisongela ubomi, ugqirha wakhe angamnika imishanguzo yokulwa neyeza ebizwa ngokuba yi-ribavirin, kodwa le ndlela iphikisana. Ngenxa yokuba i-RSV iyintsholongwane, i-antibiotics ayiyi kuba luncedo, kodwa ukuba umntwana uhlaselwe isifo sesibini se- bhakteria , njengokwenyuka kwendlebe , unokufuna i-antibiotiki ukuze ayicime.
Indlela efanelekileyo yokukhusela umntwana kwintsholongwane ye-RSV isicwangciso esifanayo onokuyisebenzisa ukukhusela esinye isifo sokuguquka kwesandla: ukuhlambulula izandla rhoqo ngamalungu onke osapho. Abazalwana abakhulileyo abaya kwintsuku yokunyanga okanye abasesikolweni banokungenisa i-RSV ekhaya, ngoko-ke hambisa uhambo lokuhlamba ngaphambi kokuba uthinte okanye udlala nomntakwabo okanye udade owona myalelo obaluleke kakhulu wendlu. Kwakhona ingcamango enhle ukuba ungavumeli abantwana ukuba babelane ngeebhotile okanye kwi-pacifiers.
Kukho isitofu se-RSV, kodwa kufuneka unikezwe njengesibhozo kanye ngenyanga kwaye ngokuqhelekileyo imiselwe kuphela abantwana abasengozini enkulu yokusuleleka kwintsholongwane, ingakumbi iintsana ezisenesikhathi esifanele.
> Imithombo:
> I-American Academy yePediatrics. "Uhlaziyo lwe-AAP: Iziphakamiso zokusetyenziswa kwe-Palivizumab malunga ne-RSV." Julayi 28, 2014.
> UTiffany L Turner, uBenjamin T Kopp, uGrace Paul, uLindsay C Landgrave, uDon Hayes, uJr noRohan Thompson. "Ukuphefumula kwe-Syncytial Virus: Iindlela ezikhoyo zonyango kunye neZiphumo." Iziphumo zeClinikiecon Res. 2014; 6: 217-225.