Ukuqonda nokuvimbela ama-RSV ezinsana ezingakabiphi kungengxenye ebalulekile yokuletha ikhaya le-preemie. Ukukhishwa kwe-NICU kuyisikhathi esithokozayo - akusadingeki ukuba abazali balandele imikhakha ye-nursery ekhethekile yokunakekela izingane noma i-neonatal yokunakekelwa okukhulu (NICU) noma bahlukaniswe nomntwana wabo. Okubaluleke kakhulu, ukuya ekhaya kusho ukuthi ingane isenze zonke izinkinga zempilo ezibangelwa ukuzalwa kusenesikhathi.
Uma abazali beletha umntwana ekhaya, ukugcina impilo enempilo kuba umgomo omkhulu. Phakathi nezinyanga zokuwa nezinyanga zasebusika, ukuvimbela igciwane lesifo sokuphefumula (RSV) kuyinselele enkulu kunazo zonke zomzali.
Sibutsetelo
I-RSV igciwane elivamile ekwindla nasezinyangeni zasebusika. Eqinisweni, yiyona imbangela evame kakhulu yezifo ezingaphezulu zokuphefumula ezinganeni nasezinganeni. Iningi lezingane likwazi ukutheleleka nge-RSV yokuqala ngeminyaka emibili. Iningi lezingane ezine-RSV zizimele zodwa. Kodwa izingane eziyi-125 000 ngonyaka zifakwe esibhedlela nge-RSV ukutheleleka, kanti u-1% kuya ku-2% walezo zifa ziyafa.
Ezenzweni, i-RSV iyinkinga enkulu yezempilo. Yimbangela ye-namba eyodwa yokugula nokuvuselelwa kabusha kwezidakamizwa, futhi ukuguqulwa kwangaphambi kokuqala kuyingozi enkulu kunazozonke zokutheleleka okukhulu kwe-RSV.
Izimpawu
Ezinganeni eziningi, i-RSV ibonakala ibanda elivamile . Izinsana nezingane ezine-RSV zingase zibe nekhala elikhuni, ukukhwehlela, umkhuhlane, kanye ne-malaise.
Izimpawu zokutheleleka okukhulu kwe-RSV ezidinga usizo lwezempilo ngokushesha zihlanganisa:
- Ukuphefumula ngokushesha
- Ukuphefumula okunzima
- I-Cyanosis (i-discoloration ye-bluish yesikhumba)
- I-apnea (izikhathi ezingaphefumuli)
Uma ingane yakho ikhombisa izimpawu zalezi zimpawu, kufanele ufune usizo lwezempilo ngokushesha.
Ukuvimbela
Ukugeza izandla kuyindlela engcono yokuvimbela ukutheleleka kwe-RSV ekusakazeni. Igciwane lingaphila ezandleni nasezingubo zokugqoka imizuzu engama-30.
Isakazeka emoyeni lapho abantu abanegciwane bekhwehlela noma bambaza, noma ngokuxhumana nezinto ezinesifo kubo.
Ngaphezu kokuhlanza izandla, ukuqeda izici eziyingozi kuyasiza ekuvimbeleni ukutheleleka kwe-RSV. Izici ezingozini ngaphandle kokuqala kokuqala zihlanganisa:
- Ukunakekelwa kwezinsuku
- Abanakekeli ababhema
- Izimo zokuphila eziningi
- Isisindo sokuzalwa esincane
- Ukuzalwa okuningi
- Abantwana bakithi esikoleni
- Isifo samaphaphu angapheli
- Isifo senhliziyo esiphumele
- Ukuvezwa kokungcola kwemvelo
- Isifo se-neuromuscular
- Umlando womndeni we-asthma
Ezinye zalezi zici eziyingozi azikwazi ukuguqulwa, ngakho abazali kufanele bagxile kulabo abangakwenza. Ngonyaka wokuqala wokuphila, ikakhulukazi ekwindla nasebusika, zama ukugcina indawo yakho ye-preemie ngaphandle kwemvelo. Yenza izingane ezineminyaka esikoleni zihlanza izandla futhi ziguqule izingubo lapho zifika ekhaya, zigweme izixuku, futhi ungabhemi. Uma ubhema, funa nje ngaphandle futhi ugqoke ijeketi elisetshenziselwa ukubhema kuphela futhi isuswe uma ungena ngaphakathi ngoba izinhlayiya zomusi zihlala ezembatho.
Ukugonywa
Ukuze izinsana zibhekwe njengengozi enkulu kakhulu ye-RSV, kunconywa imithi. I-Palivizumab, noma i-Synagis, inikezwa njengesibhamu sanyanga zonke ngesikhathi se-RSV esiphezulu. Nakuba ngezinye izikhathi kuthiwa yi-RSV yokugoma, i-Synagis imithi, futhi empeleni akuyona umgomo.
Akuwona wonke ama-preemie adinga i-Synagis, kodwa khuluma nodokotela wakho uma:
- Ingane yakho yazalwa emavikini angu-28 noma ngaphansi futhi izoba izinyanga ezingu-12 noma ezincane ekuqaleni kwesizini se-RSV.
- Ingane yakho yazalwa phakathi kwamaviki angu-29 no-32 futhi izoba izinyanga ezingu-6 noma ezincane ekuqaleni kwesizini se-RSV.
- Ingane yakho yazalwa phakathi kwamasonto angama-32 kuya kwangu-35, iyoba izinyanga ezintathu noma encane ekuqaleni kwesizini se-RSV, futhi ingene ekunakekelwa kwelanga noma inabantwana abancane abahlala ekhaya.
I-Synagis ingavimbela kufika ku-55% ye-preemie esibhedlela ngenxa ye-RSV. Ifinyelela ekusebenzeni kwayo okukhulu ngomthamo wesibili, ngakho-ke khuluma nodokotela wakho ekuqaleni kokuwa ukuthola ukuthi nini i-RSV isiqedile endaweni yakho.
> Imithombo
> Austin, RN BSN, Jennifer. "Ukuvimbela I-Virus Infyatory Syncytial Virus Ezinganeni Ezingenakuqala Zasekhaya." Umhlengikazi wezeMpilo ekhaya. 2007; 429-432.
> Medline Plus Medical Encyclopedia. "Igciwane lesifo sokuphefumula (RSV)"
> Synagis (Palivizumab). "Abakhansela Abangenzeka Bakhona I-RSV Prophylaxis."