Pertussis mwa Akuluakulu
Zamkati
Kodi pertussis ndi chiyani?
Pertussis, yemwe amatchedwa chifuwa chachikulu, amayamba chifukwa cha matenda a bakiteriya. Ndi matenda opatsirana kwambiri omwe amafalikira mosavuta kuchokera kwa munthu kupita kwa munthu kudzera mu tizilombo toyambitsa matenda kuchokera pamphuno ndi mmero. Ngakhale makanda ali ndi mwayi waukulu wakutsokomola, matenda amatha kudwala msinkhu uliwonse.
Zizindikiro zake
Mwambiri, kutsokomola kumayamba ngati chimfine. Zizindikiro zimatha kukhala ndi mphuno, kuthamanga pang'ono, kutopa, komanso kutsokomola pang'ono kapena kwakanthawi.
Popita nthawi, kutsokomola kumayamba kukhala koopsa. Kutsokomola kumatha milungu ingapo, nthawi zina masabata 10 kapena kupitilira apo. Kafukufuku wasayansi akuwonetsa kuti mpaka chifuwa chomwe chimatha milungu yopitilira iwiri kapena itatu chimatha kukhala ndi vuto.
Kukula kwa zizindikilo kumatha kusiyanasiyana pakati pa akulu. Zizindikiro nthawi zambiri zimakhala zochepa kwa akulu omwe adatetezedwa ku chifuwa cha katemera wakale kapena matenda.
Zizindikiro za pertussis mwa akulu zimatha kuphatikiza:
- kukhosomola kwanthawi yayitali, ndikumapuma
- kusanza pambuyo chifuwa kupsa
- kutopa pambuyo kutsokomola kupsa
Chizindikiro chachikale cha "whoop" ndikumveka kwamphamvu kwambiri kwamphamvu komwe kumapangitsa munthu kupuma movutikira atakhosomola kwambiri. Chizindikiro ichi sichingakhalepo mwa achikulire omwe ali ndi chifuwa chachikulu.
Magawo
Nthawi zambiri zimatenga pafupifupi masiku asanu ndi awiri kapena khumi mutapatsidwa kachilombo kuti muyambe kuwonetsa zizindikilo. Kuchira kwathunthu kwa chifuwa kumatha kutenga miyezi iwiri kapena itatu. Madokotala amagawana chifuwa mwa:
Gawo 1: Gawo loyambirira la chifuwa chachikulu limatha sabata limodzi kapena awiri. Panthawiyi, zizindikiro zimakhala zofanana ndi chimfine. Mukupatsirana kwambiri panthawiyi.
Gawo 2: Kutsokomola mwamphamvu, kwamphamvu kumayamba panthawiyi. Pakati pa kutsokomola, anthu nthawi zambiri amapuma, kupuma malovu, ndikutuluka. Kusanza ndi kutopa kumatha kutsatira chifuwa chachikulu. Gawo ili nthawi zambiri limatenga sabata imodzi mpaka sikisi, koma limatha milungu 10.Mumakhalabe opatsirana mpaka pafupifupi milungu iwiri chifuwa chikayamba.
Gawo 3: Munthawi imeneyi, chifuwa chimayamba kuchepa. Simulinso opatsirana panthawiyi. Gawo ili limakhala milungu iwiri kapena itatu. Chifukwa chakuti mumakhala ndi matenda ena opuma, kuphatikizapo chimfine, kuchira kumatha kutenga nthawi yayitali ngati matenda ena angachitike.
Zovuta
Ngakhale ana aang'ono amakhala ndi zovuta kuchokera ku pertussis kuposa achikulire, zovuta zina zimatha kukhalabe zazikulu.
Malinga ndi American Academy of Family Physicians ndi Centers for Disease Control and Prevention (CDC), achikulire omwe ali ndi chifuwa chachikulu amatha:
- kuonda
- kusadziletsa kwamikodzo kapena ngozi zaku bafa
- chibayo
- nthiti zophwanya chifuwa
- kusowa tulo
Kupewa
Njira yabwino yopewera chifuwa chachikulu ndi katemera. Tdap, chowombera chowombera, chimalimbikitsidwa kwa achikulire omwe alibe katemera m'malo mwa chilimbikitso chawo chotsatira cha Td (tetanus ndi diphtheria), chomwe chimaperekedwa zaka 10 zilizonse.
Mphamvu ya katemera imachepa pakapita nthawi. Akuluakulu omwe adalandira katemera wa chifuwa cha ana amatha kudwala chifuwa pamene chitetezo chawo, kapena chitetezo chamatendawa, chikuyamba kuzimiririka.
Pangani nthawi yokaonana ndi omwe amakuthandizani ngati mukuganiza kuti mwina mwakumana ndi munthu yemwe ali ndi chifuwa, ngakhale simunakhale ndi chifuwa chachikulu.
Kuzindikira ndi chithandizo
Madokotala nthawi zambiri amatenga chifuwa chotsegula potenga ntchofu kumbuyo kwa pakhosi kapena mphuno. Akhozanso kuyitanitsa kuyesa magazi.
Kuchiza msanga ndikofunikira, chifukwa kumatha kuthandiza kupewa kufalikira kwa matenda kwa anthu ena, makamaka makanda, omwe amatenga matendawa mosavuta.
Kutsokomola nthawi zambiri kumachiritsidwa ndi maantibayotiki, omwe angathandize kuchepetsa kuuma kapena kutalika kwa nthawi yomwe amatenga kuti achire. Komabe, maantibayotiki sangathandize ngati chifuwa chakhalapo kupitilira milungu iwiri kapena itatu.
Kumwa mankhwala a chifuwa mwina sikungathandize kuchepetsa zizolowezi. Malangizo oti musamwe mankhwala a chifuwa pokhapokha atalangizidwa ndi dokotala.