Kupuma kwa syncytial virus (RSV)

Matenda opatsirana a syncytial (RSV) ndi kachilombo kofala kwambiri kamene kamayambitsa matenda ofatsa, ozizira kwa akulu ndi ana okalamba athanzi. Zitha kukhala zowopsa kwa makanda achichepere, makamaka omwe ali m'magulu ena omwe ali pachiwopsezo chachikulu.

RSV ndi kachilombo koyambitsa matendawa kamene kamayambitsa matenda m'mapapo ndi m'mlengalenga mwa makanda ndi ana aang'ono. Makanda ambiri amakhala ndi matendawa ali ndi zaka 2. Kuphulika kwa matenda a RSV nthawi zambiri kumayamba kugwa ndikumatha masika.

Matendawa amatha kupezeka mwa anthu azaka zonse. Tizilomboti timafalikira kudzera m'madontho ang'onoang'ono omwe amapita m'mwamba munthu wodwala akawomba mphuno, kutsokomola, kapena kuyetsemula.

Mutha kugwira RSV ngati:

• Munthu amene ali ndi RSV amayetsemula, kutsokomola, kapena amapumira m'mphuno pafupi nanu.
• Mumagwira, kupsompsonana, kapena kugwirana chanza ndi munthu amene ali ndi kachilomboko.
• Mumakhudza mphuno, maso, kapena pakamwa mutakhudza china chake chodetsedwa ndi kachilomboka, monga choseweretsa kapena chotsegulira chitseko.

RSV nthawi zambiri imafalikira mwachangu m'nyumba zodzaza ndi m'malo osamalira ana masana. Tizilomboti tikhoza kukhala ndi moyo kwa theka la ola kapena kupitilira apo m'manja. Tizilomboti tikhoza kukhalanso ndi moyo mpaka maola 5 pamatawuni komanso kwa maola angapo pamatumba omwe agwiritsidwa ntchito.

Zotsatira zotsatirazi zimawonjezera chiopsezo cha RSV:

• Kupita kusamalira ana
• Kukhala pafupi ndi utsi wa fodya
• Kukhala ndi abale kapena alongo azaka zakubadwa kusukulu
• Kukhala m'malo odzaza anthu

Zizindikiro zimatha kusiyanasiyana ndi zaka:

• Amawonekera pakadutsa masiku awiri kapena asanu ndi atatu atakhudzana ndi kachilomboka.
• Ana okalamba nthawi zambiri amakhala ndi zizindikiro zochepa chabe, zozizira, monga kukhosomola, mphuno yodzaza, kapena malungo ochepa.

Makanda ochepera zaka 1 amatha kukhala ndi zizindikilo zowopsa ndipo nthawi zambiri amavutika kupuma:

• Mtundu wa khungu la Bluish chifukwa chosowa mpweya (cyanosis) pamavuto owopsa
• Kupuma kovuta kapena kupuma movutikira
• Mphuno ikuwombera
• Kupuma mofulumira (tachypnea)
• Kupuma pang'ono
• Phokoso lakuwomba (kulira)

Zipatala ndi zipatala zambiri zimatha kuyesa mwachangu RSV pogwiritsa ntchito madzi amadzimadzi otengedwa m'mphuno ndi swab ya thonje.

Maantibayotiki ndi ma bronchodilator sagwiritsidwa ntchito pochizira RSV.

Matenda ofatsa amatha popanda chithandizo.

Makanda ndi ana omwe ali ndi matenda akulu a RSV atha kuloledwa kupita nawo kuchipatala. Chithandizo chidzaphatikizapo:

• Mpweya wowonjezera
• Chinyezi (humidified) mpweya
• Kukoka kwaminyezi yammphuno
• Zamadzimadzi kudzera mumtsempha (mwa IV)

Makina opumira (othandizira mpweya) angafunike.

Matenda owopsa a RSV amatha kupezeka mwa ana awa:

• Makanda asanakwane
• Makanda omwe ali ndi matenda am'mapapo osatha
• Makanda omwe chitetezo cha mthupi chawo sichigwira ntchito bwino
• Makanda omwe ali ndi mitundu ina yamatenda amtima

Nthawi zambiri, matenda a RSV amatha kupha ana. Komabe, izi sizokayikitsa ngati mwanayo awonedwa ndi othandizira azaumoyo kumayambiriro kwa matendawa.

Ana omwe ali ndi RSV bronchiolitis amatha kukhala ndi mphumu.

Kwa ana aang'ono, RSV imatha kuyambitsa:

• Bronchiolitis
• Kulephera kwa mapapo
• Chibayo

Itanani omwe akukuthandizani nthawi yomweyo ngati muli:

• Kuvuta kupuma
• Kutentha kwakukulu
• Kupuma pang'ono
• Mtundu wabuluu wabuluu

Mavuto aliwonse opumira mwa khanda ndiwadzidzidzi. Pitani kuchipatala nthawi yomweyo.

Pofuna kupewa matenda a RSV, sambani m'manja nthawi zambiri, makamaka musanakhudze mwana wanu. Onetsetsani kuti anthu ena, makamaka omwe akuwasamalira, akuyesetsa kupewa kupatsa mwana wanu RSV.

Njira zotsatirazi zingathandize kuteteza mwana wanu kuti asadwale:

• Onetsetsani kuti ena asambe m'manja ndi madzi ofunda komanso sopo musanakhudze mwana wanu.
• Awuzeni ena kuti asamayandikire mwana ngati ali ndi chimfine kapena malungo. Ngati ndi kotheka, awapatse chovala kumaso.
• Dziwani kuti kumpsompsona mwana kumatha kufalitsa matenda a RSV.
• Yesetsani kusunga ana aang'ono kutali ndi mwana wanu. RSV ndiyofala kwambiri pakati pa ana aang'ono ndipo imafalikira mosavuta kuchokera kwa mwana kupita kwa mwana.
• Osasuta m'nyumba, m'galimoto, kapena paliponse pafupi ndi mwana wanu. Kukhudzana ndi utsi wa fodya kumawonjezera ngozi ya matenda a RSV.

Makolo a makanda omwe ali pachiwopsezo chachikulu ayenera kupewa khamu pakabuka RSV. Kuphulika kwapakatikati mpaka kwakukulu kumanenedwa ndi atolankhani akumaloko kuti apatse makolo mwayi wopewa kuwonekera.

Mankhwala a Synagis (palivizumab) amavomerezedwa kuti apewe matenda a RSV mwa ana ochepera miyezi 24 omwe ali pachiwopsezo chachikulu cha matenda akulu a RSV. Funsani omwe akukuthandizani ngati mwana wanu angalandire mankhwalawa.

RSV; Palivizumab; Kupuma syncytial HIV chitetezo globulin; Bronchiolitis - RSV; URI - RSV; Matenda apamwamba akumwa - RSV; Bronchiolitis - RSV

• Bronchiolitis - kumaliseche

• Bronchiolitis

Simµes EAF, Bont L, Manzoni P, ndi al. Njira zam'mbuyomu, zamakono komanso zamtsogolo zothandizira kupewa ndi kuchiza matenda opatsirana a syncytial virus mwa ana. Kutenga Dis Ther. 2018; 7 (1): 87-120. [Adasankhidwa] PMID: 29470837 pubed.ncbi.nlm.nih.gov/29470837/.

Smith DK, Seales S, Budzik C. Kupuma kwa syncytial virus bronchiolitis mwa ana. Ndi Sing'anga wa Fam. 2017; 95 (2): 94-99. PMID: 28084708 pubed.ncbi.nlm.nih.gov/28084708/.

Talbot HK, Walsh EE. Kachilombo kamene kayambitsa matenda ya mapapu. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 338.

Walsh EE, Englund JA. Matenda opatsirana a syncytial (RSV). 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 158.