Ukuqonda ukusebenza kwe-sepsis kwintsholongwane yengane yakho
Umntwana wakho oneminyaka eli-3 ubudala unamaqondo okushisa ka-101 F kwaye usanda kubiza unobantwana bakho. Ukulindela ukuqinisekiswa okulula okulula ukususela ekubeni uye wambi wachazelwa ukuba uphazamisa xa abantwana bakho abadala beba nomkhuhlane . Kunoko, uyamangalisa xa ugqirha wezilwanyana ekutshela ukuba uye ngqo ekamelweni eliphuthumayo .
Awusayi kumangaliswa kwaye ngoku uyaba nexhala, xa abasebenzi base-ER bakhupha egumbini, phambi kwegumbi lokulinda eligcwele abantwana abaneemisipha kunye nekhwehlo.
Ugqirha we-ER ungena aze athethe nawe ngeempawu zomntwana wakho, amhlole, aze achaze ukuba uya kuyidinga i-septic workup. Usengayiqondi ngokupheleleyo into eyenzekayo, kodwa ke uva amagama amabini ayikayiyo abazali abaninzi babantwana abancinci abanomkhuhlane .
Nangona abazali abaninzi beqala kwiinyanga ezimbalwa zokuqala zentsana bengenawo umkhuhlane, ngelishwa, le meko ihamba ngamakhulu amaxesha ngosuku emagumbini angxamisekileyo kulo lonke ilizwe.
I-Septic Work-up
Ngokungafani nabantwana abadala, kunokuba nzima ukuxelela xa umntwana osanda kuzalwa okanye umntwana omncinci egula kakhulu. Enyanisweni, usana oluneminyaka engaphantsi kweenyanga ezimbini okanye ezintathu lunokusuleleka kwintsholongwane ebuntsholongwane , njenge-meningitis (intsholongwane yomkhuhlane ojikeleze ingqondo kunye nomgudu womgudu ), i-bacterium (ukusuleleka kwegazi), okanye ukusuleleka kwe- urinary tract and still kuvela kakuhle. Yingakho oogqirha bahlala besenza i-septic worption kwiintsana ezingaphantsi kweenyanga ezimbini okanye ezintathu xa zineqondo lobushushu obunemizila engama-100.4 degrees Fahrenheit.
Olu phuhliso lwe-septic luquka ngokubanzi:
- Gcwalisa inani legazi
- Ngegazi
- I-Urinalysis kunye nekhamera
- Umbhobho womgca ukuze oogqirha bakwazi ukuyalela uviwo lwe-spinal fluid, kubandakanywa nenkcubeko yomgogodla
- I-xst ray (nakuba le nto ihlala iphela xa umntwana engenazo iimpawu zokuphefumula)
- Izifundo zeStool ukuba umntwana unesifo sohudo
- Uvavanyo lwe-Viral okanye inkcubeko, efana ne- RSV prep okanye uvavanyo lomkhuhlane
Ngokuxhomekeke kwezi ziphumo zokuvavanya, intsha encinci enefiveshi ingaqaliswa kwii-antibiotics kwaye ingafakwa esibhedlele kwaye igcinwe kwiiyure ezingama-24 ukuya kuma-48. Iintsana ezingaphezu kweentsuku ezingama-28 zingaphumelela ukuthunyelwa ekhaya, kunye nohambo olulandelelweyo kwigumbi lexakeka okanye kunye nezingane zabo ukuba zonke iimvavanyo ziqhelekileyo kwaye umntwana usondla kakuhle.
Yintoni Ebangela Ukuba Iintsana Zibe Nomlilo?
Njengabantwana abadala, umkhuhlane wengane unokubangelwa usulelo lwentsholongwane . Ngelishwa, iintsholongwane zebhaktheriya, ezinokuba zibi kakhulu kunezifo zintsholongwane elula, ziqhelekile kubantwana abancinci kunabantwana abadala kunye nabantu abadala. Enyanisweni, izifo ezibangelwa yi-bacterial infections zibangela malunga ne-8 ukuya kwi-12 ekhulwini lweentsholongwane (izifo) kwiintsana ezingaphantsi kweentsuku ezingama-28 ubudala kunye neeshumi ukuya kweyeshumi kweepesenti zezifo ezisezintwaneni ezineenyanga ezintathu. Xa ukhe uzibuza-into eninzi.
Kodwa Ingaba Umntwana Wanga Ufuna Ngempela Umtya Wobuncwane Ukuze Ube Nomlilo?
Nangona abazali baninzi becinga ukuba abahlengikazi banamhlanje banomdla xa bephatha iintsana ezinomkhuhlane, kubalulekile ukuqaphela ukuba izinto ezikhoyo ngoku zizincinci kakhulu kunokuba zaziqhelekile. Kwakungekade kudlule kakhulu xa bonke abantwana abangaphantsi kweenyanga ezintathu ubudala abanomkhuhlane bevunywa ngokusesikweni esibhedlele emva kokutshatyalaliswa kwembulunga kunye nokugcina okungenani iiyure ezingama-24.
Ngoku kwamkelwa ngokuqhelekileyo kugcinelwe zonke iintsana kunye nabantwana abancinci kuphela abagulayo.
Nokuba imfuneko yokupompoza umpompo ibuzwa. Ngethuba bekunjalo ngokuqhelekileyo kwenziwa kuzo zonke iintsana ezineentsholongwane ukuba zingaphantsi kweenyanga ezintathu ubudala, ezinye iingcali ziye zanciphisa loo minyaka ukuya kwiintsuku ezingama-31 okanye ezingama-60 ukuba umntwana uhlangabezana neendlela ezithile zokuhlola kunye kwaye unokulandelwa ngokugqithiseleyo ngugqirha wakhe.
Gcina ukhumbule ukuba umpompo wempuphu ngokwenene uyinkqubo elula yintsana eneenkcenkcesho ezimbalwa kwaye idla ngokunyamezela. Ukuba ucinga ngemiphumo ye-bacterial meningitis engaphelelwanga, apho umpompo ongaphantsi unokukunceda, ngoko umbuzo wokuba okanye ungavumeli ugqirha wenze umpompo womnxeba kumntwana ube lula.
Ukuba unqabile ucingo lomgudu, oogqirha kwi-ER baya kuzama ukukuthetha kuyo. Ingumgangatho wokunyamekela , oko kuthetha ukuba oko oogqirha abenzayo ngenxa yeziphakamiso okanye amava okwangoku, ukuba umntwana okanye umntwana omncinci athole iphepheni lomgcini. Kuya kuba yinto engavamile ukuba ugqirha avumele umntwana avele kwi-ER ngaphandle kombhobho wesipelongo ukuba bacinga ukuba kuyimfuneko ukuba kwenziwe. Baya kuyenza ntoni xa umzali engavumi emva kwengxoxo emide ngeengozi kunye neenzuzo? Kungenzeka kuxhomekeka kwimiba, kodwa inokuluhlukana nokujonga umntwana usesikhungweni ukubiza iinkonzo zokukhusela abantwana kunye nokuhlawula umzali ngokunyanzelwa ngonyango.
UkuKhusela iiVirus kunye neMifuma
Ukukunceda ukuphepha imfiva kunye nesidingo sokukhutshwa kwe-septic, ingaba yinto efanelekileyo yokuncedisa ukukhutshwa komntwana wakho kwiinyanga ezimbini zokuqala okanye ezintathu zokuphila kwakhe. Ngokukodwa, wonke umntu obamba umntwana kufuneka ahlambe izandla zakhe ngokupheleleyo. Abo bantu abangahlali kakuhle-nangona kubanda - akufanele baphathe umntwana. Oku kungabonakala kungenangqiqo kubazali abatsha abafuna ukubonisa umntwana wabo omtsha, kodwa imiphumo ingase ibonise umntwana wakho kwiintsholongwane kunye nezinye iigciwane, umkhuhlane, kunye nohambo oluya kwi-ER ngomgca wempompo.
Imithombo:
> Ukuphonononga umkhuhlane weMthombo ongabonakaliyo kubantwana abancinci. KWI-DK - Am Phys Physician - Juni 15, 2007; 75 (12); 1805-1811
Umkhuhlane ongekho Umthombo kubantwana 0 ukuya kuma-36 inyanga yobudala. Ishimine P - I-Pediatr Clinic North Am - 01-APR-2006; 53 (2): 167-94
> Impembelelo yoVavanyo oluNtsholongwane kaGawulayo lwe-Influenza A kunye ne-Virus kwi-Management of Infrienza Iintsholongwane ezingenazo iimpawu ze-Infal Infection. UBenito-Fernanndez J - iPediatr Disfect Dis J - 01-DEC-2006; 25 (12): 1153-7
> Ukuhlaziywa koLawulo lweNtsana yaseFrivle. I-Harper M - I-Clinical Pediatric yoNyango oluPhezulu-mali kaMaryi 2004; 5 (1); 5