Kodi chithandizo cha kafumbata
Zamkati
Chithandizo cha kafumbata chiyenera kuyambika posachedwa pomwe zizindikiro zoyambirira zikuwonekera, monga kupindika kwa nsagwada ndi malungo, pambuyo pocheka kapena bala pakhungu, kupewa mavuto azovuta monga zovuta kusuntha ziwalo za thupi, zovuta kupuma kapena ngakhale kudya, mwachitsanzo.
Kawirikawiri mankhwala amachitidwa mchipatala kotero kuti amawunikidwa pafupipafupi ndipo zimatha kuwunikidwa ngati mankhwalawa akugwiradi ntchito, ndikuphatikizanso kugwiritsa ntchito mankhwala omwe amathandiza kuletsa ntchito ya poizoni, kuthetsa mabakiteriya ndikuchepetsa zizindikiritso, kuphatikiza popewa zovuta.
Chifukwa chake, kukayikira kuti ali ndi kachilombo ka tetanus, tikulimbikitsidwa kupita kuchipatala mwachangu kukayamba chithandizo kudzera:
- Jakisoni wa antitoxin mwachindunji m'magazi kuti atseke poizoni wa kafumbata, kuteteza kukulira kwa zizindikilo ndikuwononga mitsempha;
- Kugwiritsa ntchito maantibayotiki, monga metronidazole kapena penicillin, kuti athetse mabakiteriya a tetanus komanso kupewa kupanga poizoni wambiri;
- Jekeseni wa kupumula kwa minofu molunjika m'mwazi, monga diazepam, kuti muchepetse kupindika kwa minofu chifukwa cha kuwonongeka kwa poizoni wamitsempha;
- Mpweya wabwino ndi zida zamagetsi amagwiritsidwa ntchito pazochitika zowopsa kwambiri pomwe minofu yopumira imakhudzidwa kwambiri
Kutengera kukula kwa matendawa, pangafunike kudyetsa kudzera m'mitsempha kapena kudzera mu chubu chomwe chimayambira mphuno mpaka m'mimba. Nthawi zambiri, zimafunikabe kuyambitsa kachilomboka kochotsa nthiti m'thupi.
Mukalandira chithandizo, katemera wa kafumbata ayenera kuyambidwanso ngati kuti ndi koyamba, popeza simutetezedwanso kumatendawa.
Chithandizo cha matenda opatsirana pogonana
Tetanus ya Neonatal, yomwe imadziwika kuti matenda amasiku asanu ndi awiri, ndi matenda omwe amayambitsidwa ndi bakiteriyaClostridium tetani ndipo imakhudza ana obadwa kumene, nthawi zambiri m'masiku 28 oyamba.
Zizindikiro za kafumbata wakhanda khanda zimatha kusokonezedwa ndi matenda ena ndipo zimavuta kudyetsa, kulira mosalekeza, kukwiya komanso mavuto am'mimba.
Matendawa amatha kufalikira chifukwa chodetsa chitsa cha umbilical, ndiye kuti, podula umbilical atabadwa ndi zida zosazolowereka, monga lumo ndi zopalira. Chithandizo cha matenda opatsirana pogonana chiyenera kuchitidwa ndi mwana yemwe wagonekedwa mchipatala, makamaka ku ICU, chifukwa ndikofunikira kupereka mankhwala monga tetanus serum, maantibayotiki ndi mankhwala. Onani zambiri zakufalitsa kwa kafumbata.
Zovuta zotheka
Ngati kafumbata sichichiritsidwa mwachangu, imatha kubweretsa zovuta zina chifukwa cha kulumikizana kwa minofu, movutikira kusuntha ziwalo za thupi, monga pakamwa, kusuntha khosi ngakhale kuyenda.
Zovuta zina zomwe zimatha kuchitika chifukwa cha kafumbata ndimafupa, matenda achiwiri, laryngospasm, omwe ndi mayendedwe osagwirizana ndi zingwe zamawu, chibayo ndi kutsekeka kwamitsempha yofunika kwambiri yamapapo, zomwe zimamupangitsa munthu kupuma movutikira komanso, ovuta kwambiri milandu, chikomokere.
Zomwe muyenera kupewa
Katemera wa kafumbata ndiye njira yovomerezeka kwambiri yopewera matenda ndi mabakiteriya omwe amayambitsa kafumbata, ndipo nthawi zambiri katemera wa DTPa amagwiritsidwa ntchito, omwe kupatula kuteteza motsutsana ndi kafumbata, amatetezeranso kutsokomola ndi diphtheria. Katemerayu atha kugwiritsidwa ntchito kwa ana ndi akulu ndipo ayenera kuperekedwera miyezo itatu kuti katemerayu agwire bwino ntchito yake. Dziwani nthawi yoti mupeze katemera wa DTPa.
Pofuna kuteteza kafumbata nkofunikanso kusamala mukamavulala ndi zinthu zomwe zachita dzimbiri, kutsuka bala bwino, kuzisunga ndipo nthawi zonse muzikhala aukhondo musanakhudze malo ovulalawo. Nayi kanema yomwe imakuwonetsani njira yabwino yoyeretsera mabala anu: