Rubella

Rubella, yemwenso amadziwika kuti chikuku cha ku Germany, ndi matenda omwe pamakhala zotupa pakhungu.

Rubella wobadwa ndi pamene mayi woyembekezera yemwe ali ndi rubella amapatsira mwana yemwe adakali m'mimba mwake.

Rubella imayambitsidwa ndi kachilombo kamene kamafalikira mumlengalenga kapena pafupi.

Munthu yemwe ali ndi rubella amatha kufalitsa matendawa kwa ena kuyambira sabata limodzi chiphuphu chisanayambike, mpaka sabata limodzi kapena awiri chipolacho chitatha.

Chifukwa katemera wa chikuku-mumps-rubella (MMR) amapatsidwa kwa ana ambiri, rubella ndiofala kwambiri masiku ano. Pafupifupi aliyense amene amalandira katemerayu ali ndi chitetezo cha rubella. Chitetezo kumatanthauza kuti thupi lanu lamanga chitetezo ku kachilombo ka rubella.

Kwa achikulire ena, katemerayu amatha. Izi zikutanthauza kuti satetezedwa kwathunthu. Amayi omwe atha kutenga pakati komanso achikulire ena atha kulandidwa.

Ana ndi akulu omwe sanalandire katemera wa rubella atha kutenga matendawa.

Ana amakhala ndi zizindikilo zochepa. Akuluakulu atha kukhala ndi malungo, mutu, kusowa mtendere (malaise), ndi mphuno yotuluka mphukira isanatuluke. Mwina sangazindikire zizindikirozo.

Zizindikiro zina zitha kuphatikiza:

• Kulalata (kawirikawiri)
• Kutupa kwa maso (maso ofiira magazi)
• Kupweteka kwa minofu kapena molumikizana

Mphuno kapena khosi limatha kutumizidwa pachikhalidwe.

Kuyezetsa magazi kumatha kuchitika ngati munthu watetezedwa ku rubella. Amayi onse omwe angakhale ndi pakati ayenera kuyezetsa. Ngati mayesowo alibe, alandila katemerayu.

Palibe chithandizo cha matendawa.

Kutenga acetaminophen kungathandize kuchepetsa kutentha thupi.

Zovuta zomwe zimachitika ndi congenital rubella syndrome zitha kuchiritsidwa.

Rubella nthawi zambiri amakhala wofatsa.

Pambuyo pa matenda, anthu amateteza matendawa kwa moyo wawo wonse.

Zovuta zimatha kuchitika m'mwana wosabadwa ngati mayi atenga kachilombo panthawi yomwe ali ndi pakati. Kupita padera kapena kubereka mwana kumatha kuchitika. Mwanayo atha kubadwa ali ndi vuto lobadwa nalo.

Imbani wothandizira zaumoyo wanu ngati:

• Ndiwe mayi wazaka zobereka ndipo sudziwa ngati mwalandira katemera wa rubella
• Inu kapena mwana wanu mumakhala ndi mutu wopweteka kwambiri, khosi lolimba, kupweteka kwa khutu, kapena masomphenya pakapita nthawi kapena pambuyo pa rubella
• Inu kapena mwana wanu muyenera kulandira katemera wa MMR (katemera)

Pali katemera wotetezedwa komanso wothandiza kupewa rubella. Katemera wa rubella amalimbikitsidwa kwa ana onse. Amapatsidwa pafupipafupi ana ali ndi miyezi 12 mpaka 15, koma nthawi zina amaperekedwa koyambirira panthawi yamavuto. Katemera wachiwiri (booster) amapatsidwa kwa ana azaka zapakati pa 4 mpaka 6. MMR ndi katemera wophatikizira womwe umateteza chikuku, ntchintchi, ndi rubella.

Amayi azaka zobereka nthawi zambiri amayesedwa magazi kuti awone ngati ali ndi chitetezo cha rubella. Ngati alibe chitetezo chokwanira, amayi ayenera kupewa kutenga mimba masiku 28 atalandira katemera.

Omwe sayenera kulandira katemera ndi awa:

• Amayi omwe ali ndi pakati.
• Aliyense amene chitetezo cha mthupi chimakhudzidwa ndi khansa, mankhwala a corticosteroid, kapena chithandizo chama radiation.

Chisamaliro chachikulu chimaperekedwa kuti asapereke katemerayu kwa mayi yemwe ali ndi pakati kale. Komabe, nthawi zambiri amayi apakati akatemera, palibe zovuta zomwe zapezeka mwa makanda.

Chikuku cha masiku atatu; Chikuku cha ku Germany

• Rubella kumbuyo kwa khanda
• Rubella
• Ma antibodies

Mason WH, Zida HA. Rubella. 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 274.

[Adasankhidwa] Michaels MG, Williams JV. Matenda opatsirana. Mu: Zitelli, BJ, McIntire SC, Nowalk AJ, eds. Zitelli ndi Davis ’Atlas of Pediatric Physical Diagnosis. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 13.

Robinson CL, Bernstein H, Romero JR, Szilagyi P. Advisory Committee on Practice Practices adalimbikitsa dongosolo la katemera kwa ana ndi achinyamata azaka 18 kapena kupitirira - United States, 2019. MMWR Morb Wachivundi Wkly Rep. 2019; 68 (5): 112-114. PMID: 30730870 www.ncbi.nlm.nih.gov/pubmed/30730870. (Adasankhidwa)