Ukuqonda ukusebenza kwe-sepsis yomkhuhlane wengane yakho
Izingane zakho ezinamaviki amathathu zinezinga lokushisa lika-101 F futhi usanda kubiza ingane yakho. Ubulindele ukuqinisekiswa okulula okulula ngoba usujwayele ukutshelwa ukuthi uphazamisa uma izingane zakho ezindala zine- fever . Esikhundleni salokho, uyamangala kancane uma udokotela wezingane zakho ekutshela ukuba uhambe ngqo ekamelweni eliphuthumayo .
Awusanda kumangala futhi manje usuqala ukwesaba, lapho abasebenzi be-ER bexosha ekamelweni, ngaphambi kwegumbi lokulinda eligcwele izingane ezinezinyosi nokukhwehlela.
Udokotela we-ER ungena futhi akhulume nawe mayelana nezimpawu zomntanakho, amhlole, bese echaza ukuthi uzodinga isikhwama esigcwele septic. Namanje awuqondi ngokugcwele ukuthi kwenzekani, kodwa uzwa amagama amabili asabisa abazali abaningi bezingane ezincane ngomkhuhlane - ucingo lomgogodla .
Nakuba abazali abaningi bethola izinyanga ezimbalwa zokuqala zezingane zabo ngaphandle komkhuhlane, ngeshwa, lesi simo senzeke izikhathi eziningi ngosuku emakamelweni eziphuthumayo ezweni lonke.
I-Septic Work-up
Ngokungafani nezingane ezindala, kungaba nzima ukutshela lapho usana olusanda kuzalwa noma olusha lugula kakhulu. Eqinisweni, usana olungaphansi kwezinyanga ezimbili noma ezintathu lungase lube nengculaza enkulu, njenge-meningitis (ukutheleleka ketshezi elizungezile ubuchopho nomgogodla ), i-bacteria (ukutheleleka kwegazi), noma ukutheleleka kwe- urinary namanje kubonakale kahle. Yingakho odokotela bavame ukwenza isikhukhula sezinsana ezineminyaka engaphansi kwemibili noma kwezintathu lapho zinezinga lokushisa elingama-100.4 degrees Fahrenheit.
Lesi sipho septic ngokuvamile sihlanganisa:
- Gcwalisa inani legazi
- Isiko legazi
- I-urinalysis kanye namasiko omchamo
- Ukuphepha komgogodla ukuze odokotela bakwazi ukuhlelela ukuhlolwa kohlobo lwamagogasi, kuhlanganise nesikhumba somgogodla
- I-x-ray ye-chest (nakuba lokhu kuvame ukushiywa uma ingane ingekho izimpawu zokuphefumula)
- Ucwaningo lwesitoreji uma ingane isifo sohudo
- Ukuhlolwa kwegciwane noma isiko, njenge- RSV prep noma ukuhlolwa komkhuhlane
Kuye kule miphumela yokuhlola, ingane encane ene-fever ingase iqale kuma-antibiotic futhi ingafakwa esibhedlela futhi igcinwe amahora angu-24 kuya kwangu-48. Izinsana ezingaphezu kwezinsuku ezingama-28 ubudala zingathunyelwa ekhaya kuphela, ngokuvakashelwa okulandelwayo ekamelweni eliphuthumayo noma nezingane zabo uma zonke izivivinyo zijwayelekile futhi ingane isondla kahle.
Yini Ebangelwa Amantombazane Ukuba Nomkhuhlane?
Njengabantwana abadala, umkhuhlane womntwana ungabangelwa ukutheleleka ngegciwane . Ngeshwa, ukutheleleka kwama-bacterium, okungaba okungathí sina kunokutheleleka kwe-virus elula, kuvame kakhulu ezinganeni ezincane kunabantwana asebekhulile kanye nabantu abadala. Eqinisweni, ukutheleleka okukhulu kwamagciwane kubangela cishe amaphesenti ayisishiyagalolunye kuya kwengu-12 we-febrile (fever) izifo ezisanda kuzalwa (izinsana ezingaphansi kwezinsuku ezingama-28 ubudala) kanye namaphesenti amahlanu kuya kweshumi wezifo ze-febrile ezinganeni ezineminyaka eyodwa kuya kwezintathu ubudala. Uma kwenzeka uzibuza - lokho okuningi.
Kodwa Ingabe Umntanami Uyakudinga Ngempela Ithebhu Yomgogodla Yomkhuhlane?
Nakuba abazali bevame ukucabanga ukuthi izingane zanamuhla zinobudlova lapho belapha izingane ezincane ngomkhuhlane, kubalulekile ukuqaphela ukuthi imikhuba yamanje empeleni ayinzima kangako kunakuqala. Akubanga isikhathi eside kakhulu lapho zonke izingane ezineminyaka engaphansi kwezinyanga ezintathu ezine-fever zivunywa ngempela esibhedlela ngemuva kokubanjwa kwazo futhi zigcine okungenani amahora angu-24.
Manje ukungena kuvame ukugcinwa kuzo zonke izinsana kanye nalabo kuphela abantwana asebekhulile abagulayo.
Ngisho nesidingo samathinta omgogodla uphendulwa. Ngenkathi bevame ukuqhutshwa njalo kuzo zonke izinsana ezinomkhuhlane uma zingaphansi kwezinyanga ezintathu ubudala, ezinye izazi ziye zanciphisa leyo minyaka ukuya ezinsukwini ezingama-31 noma ezingu-60 uma ingane ihlangabezana nezinqubo ezithile zokuhlola futhi ingalandelwa udokotela wayo eduze.
Khumbula ukuthi umthamo womgogodla impela inqubo elula yengane enezinkinga ezimbalwa futhi ivame ukubekezelela kahle. Uma ucabanga ngemiphumela ye-bacterial meningitis engalashwa, okuyinto ethinta umgogodla ingasiza ekutholeni, khona-ke umbuzo wokuthi noma ungavumele yini udokotela enze umthamo wesipelingi kumntwana wakho ulula.
Uma wenqaba ucingo lomgogodla, odokotela ku-ER cishe bazozama ukukukhuluma kuwo. Yiyona indinganiso yokunakekelwa , okusho ukuthi yilokho odokotela ngokuvamile abakwenzayo ngenxa yeziphakamiso noma isipiliyoni samanje, somntwana noma usana oluncane ukuze uthole umthamo wesipelingi. Kungavamile ukuba udokotela avumele ingane ukuba ivela e-ER ngaphandle kocingo lomgogodla uma becabanga ukuthi kuyadingeka ukuthi kwenziwe. Babezokwenzenjani uma umzali esenqaba ngemva kokuxoxa isikhathi eside ngezingozi nezinzuzo? Kungenzeka ukuthi kuncike esimweni, kodwa kungase kuhloswe ngokubheka usana esibhedlela ukubiza izinsizakalo zokuvikela izingane nokushaja umzali ngokunganakwa kwezokwelapha.
Ukugwema ama-Virus namaFebhu
Ukuze usize ukugwema imfiva kanye nesidingo sokuphanga septic, kungaba umqondo omuhle ukusiza ukunciphisa ukuvezwa kwengane yakho kubantu abakhona ezinyangeni ezimbili noma ezintathu zokuphila kwakhe. Ngokuyinhloko, wonke umuntu ophethe umntwana kufanele ahlanze izandla zakhe ngokugcwele. Labo bantu abangahlali kahle - ngisho nangomkhuhlane-akufanele bangathethe ingane. Lokhu kungase kungabonakali kubazali abasha abafuna ukubonisa ingane yabo entsha, kodwa imiphumela ingase iveze ingane yakho kumagciwane kanye nezinye izifo, umkhuhlane, nohambo oluya ku-ER ngomshini wokugwinya komgogodla.
Imithombo:
> Ukuhlola Umkhuhlane Wemithombo Engaziwa Ezinganeni Ezincane. I-DK - Am Fam Physician - Juni 15, 2007; 75 (12); 1805-1811
Fever Without Source in Children 0 kuya 36 Izinyanga Age. Ishimine P - I-Pediatr Clin North Am - 01-APR-2006; 53 (2): 167-94
> Impact of Test Rapid Viral for Influenza A and B Viruses on Ukuphathwa of Febrile Izinsana Ngaphandle Signs of Infal Infection. UBenito-Fernanndez J - I-Pediatr Infect Dis J - 01-DEC-2006; 25 (12): 1153-7
> Ukubuyekezwa kokuPhathwa kweNtsana yaseFrivle. I-Harper M - Imithi Ephuthumayo Yezokwelapha Emitholampilo - 2004 Mar; 5 (1); 5