Botulism ya ana

Infant botulism ndi matenda omwe akhoza kupha moyo chifukwa cha bakiteriya wotchedwa Clostridium botulinum. Imakula mkati mwa m'mimba mwa mwana.

Clostridium botulinum ndi kachilombo kamene kamapanga zachilengedwe. Mbewuzo zimapezeka m'nthaka ndi zakudya zina (monga uchi ndi mankhwala ena a chimanga).

Infant botulism imachitika makamaka mwa makanda achichepere azaka zapakati pa 6 mpaka 6 miyezi. Zitha kuchitika koyambirira kwa masiku 6 komanso mochedwa chaka chimodzi.

Zowopsa zimaphatikizapo kumeza uchi ngati khanda, kukhala mozungulira nthaka yonyansa, komanso kukhala ndi chopondera chocheperako patsiku kwanthawi yopitilira miyezi iwiri.

Zizindikiro zimaphatikizapo:

• Kupuma komwe kumayima kapena kumachedwetsa
• Kudzimbidwa
• Zikope zomwe zimangoyenda kapena kutseka pang'ono
• "Floppy"
• Kusakhala wokumanizana
• Kutaya kwamutu
• Kufa ziwalo zomwe zimafalikira pansi
• Kudyetsa kosauka ndi kuyamwa kofooka
• Kulephera kupuma
• Kutopa kwambiri (ulesi)
• Kulira kofooka

Wothandizira zaumoyo adzayesa. Izi zitha kuwonetsa kuchepa kwa minofu, kusowa kapena kutsika kwa gag, kusowa kapena kutsika kwamatenda ozama, ndi kukokota kwa chikope.

Zoyeserera za mwana zimatha kuyang'aniridwa ndi poizoni wa botulinum kapena mabakiteriya.

Electromyography (EMG) itha kuchitidwa kuti zithandizire kusiyanitsa zovuta zaminyewa ndi minyewa.

Botulism immune globulin ndiye chithandizo chachikulu cha vutoli. Makanda omwe amalandila chithandizo chotere amakhala nthawi yayitali kuchipatala komanso amadwala kwambiri.

Khanda lililonse lomwe lili ndi botulism liyenera kuthandizidwa pakachira. Izi zikuphatikiza:

• Kuonetsetsa kuti pali zakudya zoyenera
• Kusunga njira yapaulendo
• Kuyang'ana mavuto akupuma

Ngati mavuto a kupuma ayamba, kuthandizira kupuma, kuphatikiza kugwiritsa ntchito makina opumira, kungafunike.

Maantibayotiki sawoneka kuti amathandiza mwana kuti azisintha msanga. Chifukwa chake, safunika pokhapokha ngati mabakiteriya ena monga chibayo ayamba.

Kugwiritsiridwa ntchito kwa botulinum antitoxin wopangidwa ndi anthu kungathandizenso.

Matendawa akapezeka ndikuchiritsidwa msanga, mwanayo nthawi zambiri amachira. Imfa kapena kulumala kwamuyaya kumatha kubweretsa zovuta.

Kulephera kupuma kumatha kukula. Izi zitha kufuna kuthandizidwa ndi kupuma (makina ampweya).

Botulism ya ana ikhoza kukhala pangozi. Pitani kuchipinda chodzidzimutsa kapena itanani nambala yadzidzidzi yakomweko (monga 911) nthawi yomweyo ngati mwana wanu ali ndi zizindikiro za botulism.

Mwachidziwitso, matendawa amatha kupewedwa poletsa kupezeka kwa spores. Ziphuphu za Clostridium zimapezeka mu uchi ndi madzi a chimanga. Zakudya izi siziyenera kudyetsedwa kwa ana osakwana chaka chimodzi.

Birch TB, Bleck TP. Botulism (Clostridium botulinum). Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 245.

Khouri JM, Arnon SS. Botulism ya ana. Mu: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, olemba. Feigin ndi Cherry's Bookbook of Pediatric Infectious Diseases. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 147.

Norton LE, Schleiss MR. Botulism (Clostridium botulinum). Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 237.