Matenda a syncytial virus (RSV): ndi chiyani, zizindikiro ndi chithandizo
Zamkati
- Zizindikiro zazikulu
- Momwe imafalira
- Momwe mungatsimikizire matendawa
- Njira zothandizira
- Momwe mungapewere kupuma kwa syncytial virus
Matenda opatsirana a syncytial ndi kachilombo kamene kamayambitsa matenda opatsirana ndipo kamatha kufikira ana ndi akulu, komabe, makanda ochepera miyezi isanu ndi umodzi, asanakwane, omwe ali ndi matenda am'mapapo kapena matenda obadwa nawo amtima amatha kutenga matendawa.
Zizindikiro zimadalira msinkhu wa munthu komanso thanzi lake, ali ndi mphuno yothamanga, chifuwa, kupuma movutikira komanso malungo. Matendawa amatha kupangidwa ndi dokotala kapena dokotala wa ana atatha kuwona zizindikirazo komanso atayesa kuyesa kupuma kwamitsempha. Kawirikawiri, kachilomboka kamatha pakatha masiku asanu ndi limodzi ndipo chithandizo chimadalira kugwiritsa ntchito mankhwala amchere m'mphuno ndi mankhwala ochepetsa malungo.
Komabe, ngati mwana kapena khandalo ali ndi zala zakuthwa ndi mkamwa, khalani ndi nthiti zomwe zikutulutsa ndikulowetsa ndikuwonetsa kumira m'chigawo chapansi pakhosi mukapuma ndikofunikira kupita kuchipatala mwachangu.
Zizindikiro zazikulu
Matenda opatsirana a syncytial amafika polowera ndege ndipo amatsogolera ku izi:
- mphuno yodzaza;
- coryza;
- chifuwa;
- kuvuta kupuma;
- kupuma pachifuwa popuma mlengalenga;
- malungo.
Kwa ana, zizindikirozi zimakula kwambiri ndipo ngati, kuwonjezera apo, zizindikiro monga kumira kwa dera lomwe lili pansi pakhosi, kukulitsa mphuno mukamapuma, zala ndi milomo ndizofiirira ndipo ngati nthitizo zikuwonekera mwana akakoka mpweya ndizofunikira kupeza chithandizo chamankhwala mwachangu, chifukwa ichi chikhoza kukhala chizindikiro kuti matenda afika m'mapapo ndipo adayambitsa bronchiolitis. Dziwani zambiri za bronchiolitis ndi momwe mungachiritse.
Momwe imafalira
Matenda opatsirana a syncytial amapatsirana kuchokera kwa munthu mmodzi kudzera mwa kukhudzana mwachindunji ndi zotupa zapuma, monga phlegm, madontho oyetsemula ndi malovu, izi zikutanthauza kuti kachilomboka kamachitika kachilomboka zikafika pakamwa, m'mphuno ndi m'maso.
Tizilombo toyambitsa matenda timatha kukhalanso ndi moyo, monga magalasi ndi zodulira, mpaka maola 24, chifukwa chokhudza zinthuzi amathanso kutenga kachilomboka. Munthu akakhala ndi kachilomboka, nthawi yosakaniza ndi masiku 4 mpaka 5, ndiye kuti, zizindikilozo zimamveka masikuwo atadutsa.
Komabe, matenda omwe amatenga kachilombo ka syncytial amakhala ndi nyengo zina, ndiye kuti, amapezeka nthawi zambiri m'nyengo yozizira, chifukwa munthawi imeneyi anthu amakhala nthawi yayitali m'nyumba, komanso koyambirira kwa masika, chifukwa cha nyengo yowuma komanso kutsika chinyezi.
Momwe mungatsimikizire matendawa
Kuzindikira matenda omwe amayamba chifukwa cha kupuma kwa syncytial virus kumapangidwa ndi dokotala kudzera pakuwunika kwa zisonyezo, koma kuyesedwa kowonjezera kungapemphedwe kuti mutsimikizire. Zina mwa zoyeserazi zitha kukhala magazi, kuti muwone ngati maselo oteteza thupi ndi okwera kwambiri, makamaka, zitsanzo za zotsekemera.
Kuyesa kosanthula kutsekula kwapuma nthawi zambiri kumayesedwa mwachangu, ndipo kumachitika polemba swab m'mphuno, yomwe imawoneka ngati swab ya thonje, kuti mudziwe kupezeka kwa kachilombo koyambitsa syncytial virus. Ngati munthuyo ali mchipatala kapena kuchipatala ndipo zotsatira zake ndi zabwino chifukwa cha kachilomboka, njira zodzitetezera zidzatengedwa, monga kugwiritsa ntchito maski otayika, ma apuloni ndi magolovesi panjira iliyonse.
Njira zothandizira
Kuchiza matenda opatsirana a syncytial virus nthawi zambiri kumangotengera njira zothandizirana, monga kupaka saline m'mphuno, kumwa madzi ochulukirapo komanso kukhala ndi chakudya chopatsa thanzi, chifukwa kachilomboka kamatha pakatha masiku asanu ndi limodzi.
Komabe, ngati zizindikilozo ndizolimba komanso ngati munthu ali ndi malungo akulu, adziwitse dokotala, yemwe angamupatse mankhwala a antipyretic, corticosteroids kapena bronchodilators. Magawo othandizira kupuma a thupi amathanso kuwonetsedwa kuti athandize kutulutsa zotulutsa m'mapapu. Phunzirani zambiri za kupuma kwa physiotherapy.
Kuphatikiza apo, matenda opatsirana a syncytial virus nthawi zambiri amayambitsa bronchiolitis mwa ana osaposa zaka 1 ndipo amafuna kuti alowe kuchipatala kuti mankhwala apangidwe mumitsempha, inhalation ndi chithandizo cha oxygen.
Momwe mungapewere kupuma kwa syncytial virus
Kupewa kachilombo koyambitsa matendawa ndi kachilombo ka syncytial kungatheke ndi njira zaukhondo, monga kusamba m'manja ndikupaka mowa ndikupewa malo okhala mkati ndi odzaza m'nyengo yozizira.
Popeza kuti vutoli limatha kubweretsa bronchiolitis m'makanda, ndikofunikira kusamala monga kusamuyika mwana ku ndudu, kuyamwitsa mkaka wa m'mawere pofuna kulimbikitsa chitetezo cha mthupi ndikupewa kusiya mwanayo kukumana ndi anthu omwe ali ndi chimfine. Nthawi zina, ana obadwa masiku asanakwane, omwe ali ndi matenda am'mapapo osatha kapena matenda obadwa nawo a mtima, adotolo amatha kuwonetsa mtundu wa katemera, wotchedwa palivizumab, womwe ndi antioclonal antibody womwe umathandizira kulimbikitsa chitetezo cha mwana.
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