Abantu abane- arthritis noma ezinye izimo ze-rheumatic ngezinye izikhathi badidekile mayelana nokuthi kufanele yini bathole umuthi wokugoma waminyaka yonke. Yiziphi iziqondiso okufanele zilandelwe mayelana nokukhishwa kwamagciwane ngenxa yalesi sabantu seziguli? Ingabe kukhona ukuphikisana kokuthola umkhuhlane?
Uyini Umkhuhlane?
Imfucuza, ebizwa nangokuthi i-influenza, isifo esiyingozi esithinta iphefumula.
Izimpawu zihlanganisa:
- umkhuhlane (uvame ukuphakama)
- ikhanda
- ukukhathala
- ukukhwehlela owomile
- Umphimbo obuhlungu
- impumu egijimayo (ukuphuma komzimba) noma iphimbo eliphambene (ukucinana komzimba)
- imisipha yomzimba kanye nezimpawu zesisu (isb., ukucabangela nokuhlanza kanye / noma isifo sohudo)
Ngokujwayelekile, amaphesenti angaba ngu-20 e-US angase ahlaselwe yisifo somkhuhlane esibhedlela esingaphezu kuka-200,000 ngenxa yezinkinga ezifana ne-pneumonia. Kulinganiselwa ukuthi amaphesenti angu-15 eziguli ezibhedlela angafa ngenxa yokugula.
Umkhuhlane we-Flu: Izinhlobo ezimbili
Indlela engcono yokuvimbela umkhuhlane kumele igonywe unyaka ngamunye. Kunezinhlobo ezimbili zemishanguzo yemfuluwenza. Umkhuhlane wesifo uqukethe igciwane elibulewe elisho ukuthi linganikezwa abantu abanezifo ezingelapheki ezifana ne-lupus ne- rheumatoid arthritis. Umkhuhlane udutshulwa ngumuthi wokugoma ophakanyisiwe.
Omunye umuthi ongeke unconywe umgomo wokuphuza umkhuhlane wamanzi. Ngenxa yokuthi igciwane eliphilayo, kungase kube yingozi kubantu abanezimo ezingelapheki futhi kungavunyelwe ngisho nabantu abanempilo abangaphansi kuka-5 noma ngaphezulu kuka-49.
Futhi, umgomo wokuphila wangasese awufanele unikwe abesifazane besifazane abakhulelwe.
Ngabe Kufanele Uthole Ukudubula Kwemfudu?
Okthoba noNovemba yisikhathi esihle sokugoma kodwa kungase kube nzuzo ezinyangeni ezizayo. I-CDC (Izikhungo Zokulawula Nokuvimbela Izifo) incoma iziguli ezisengozini enkulu yokubhebhetheka komkhuhlane ziphethwe umkhuhlane.
Amanye alawa maqembu afaka kodwa awanqunyelwe ku:
- abantu abangaphezu kuka-65
- izakhamuzi zasekhaya labahlengikazi noma izindawo zokunakekelwa isikhathi eside
- abadala kanye nezingane ezinyangeni eziyisithupha noma ngaphezulu abadinga ukwelashwa okuvamile ngenxa yesimiso sokuzivikela esibuthakathaka - kuhlanganise neziguli ezithatha imithi efana nalokhu:
- i-corticosteroids (i-prednisone, i-medrol, i-hydrocortisone)
- i-azathioprine (Imuran)
- i-methotrexate (i-Rheumatrex, i-Trexall)
- I-Arava (i-leflunomide)
- I-Cytoxan (i-cyclophosphamide)
- Enbrel (etanercept)
- Huma (adalimumab)
- I-Remicade (i-infliximab)
Zonke lezi mithi zingandisa ingozi yokutheleleka.
Yini Ongayenza Ukuze Uvimbele Umkhuhlane?
Ngaphezu kokugoma, ezinye iziphakamiso zokusiza ukuvimbela ukutheleleka kusuka ekusakazeni kufaka:
- uhlale ekhaya uma ugula
- ukumboza umlomo wakho kanye nekhala (ngokufanele ngezicubu) uma ukhwehlela noma ugoqa
- hlamba izandla
- gwema ukuthinta amehlo akho, impumulo noma umlomo
Okokugcina, izidakamizwa ze-antiviral ezifana neTamiflu (oseltamivir) zingasetshenziswa ukuvimbela noma ukunciphisa imiphumela yomkhuhlane. Ukuze uthole olunye ulwazi sicela uvakashele iwebhusayithi ye-CDC (Amasevisi Okulawula Nokuvimbela Izifo).
- I-2017-2018 Flu Isizini
Impendulo eyanikezwa nguScott J. Zashin, MD, uprofesa wothisha wezempilo e-University of Texas Southwestern Medical School, Division of Rheumatology, eDallas, eTexas. UDkt. Zashin ungudokotela ozofika esibhedlela sasePresbyterian yaseDallas nasePlano. Ungumunye we-American College of Physicians kanye ne-American College of Rheumatology kanye nelungu le-American Medical Association.