Ukondla ukuqinisa izimpawu yizo zonke ezingenziwa kumasimusi, nakuba kwezinye izimo izithasiselo ze-vitamin A, ukugoma ngemuva kokuchayeka, ukuzivikela komzimba, i-immune serum globulin, kanye ne-ribavirin kungasiza. Nakuba kungekho ukwelashwa okuyisigqebhezana noma ukwelashwa, ungase ungasetshenziselwa ingane yakho ukuba ne-fever ephakeme isikhathi eside, ngakho kubalulekile ukwazi ukuthi yini okufanele ukwenze futhi uqinisekise ukuthi ingane yakho ikhululekile ngenkathi ingabonakali ezinye izingane emasimini.
Ukwelashwa Kwekhaya
Uma izimpawu zesishukela ziqala izinsuku eziyisikhombisa kuya kwezingu-14 emva kokuba usulelekile, ngokuvamile ziba mncane ukulinganisa ngekhala eligijima, umkhuhlane, ukukhwehlela, nomkhuhlane, kanye nezinsuku ezimbili kuya kwezintathu zokugcina. Uma ukuqhuma kuqala kuqala cishe kwezinsuku ezintathu kuya kwezinguhlanu, imfiva yakho ngokuvamile iyimipikisi kanti ezinye izimpawu zakho zingaba zimbi nakakhulu. Cishe uzoqala ukuzizwa ungcono ezinsukwini ezimbalwa kamuva futhi ukuqhuma kuzoqala ukuphela.
Nakuba abanye abantu abanesimungumzimba bangadinga ukufakwa esibhedlela, kungenzeka ukuthi babuyiselwe ekhaya uma nje ungahlaziyi izinkinga.
Ukunakekelwa kwekhaya kuyomsekela kakhulu futhi kungabandakanya, uma kunesidingo:
- Kunamanzi amaningi okuvimbela ukungcola amanzi
- Ukuphumula
- Ibuprofen noma i-acetaminophen ukulawula umkhuhlane
- Izindwangu zokugeza noma ukugeza ukusiza ukulawula umkhuhlane futhi uthuthukise izinga lokududuza
Ukungenelela Kwezibhedlela
Ngisho nasesimweni esivamile, esiyinkimbinkimbi yesimungumungwane, ungaba nomkhuhlane wezinombolo ezingu-103 kuya ku-105 ezinsukwini eziyisihlanu kuya kweziyisikhombisa, futhi abantu abaningi bayodinga usizo lwezokwelapha njengoba bengase babe engozini yokuthuthukisa izinkinga ezifana nokutheleleka indlebe, isifo sohudo, i-pneumonia , noma i-encephalitis.
Ukwelashwa esibhedlela, njengasekhaya, kusekela ngokuyinhloko futhi kungabandakanya noma yikuphi okungenhla kanye nokunye okulandelayo:
- I-intravenous (IV) eguqulekayo ukuvimbela ukuphelelwa amandla kwamanzi
- I-oksijeni
- Ama-antibiotics uma uqeda ukuthola indlebe noma ukutheleleka kweso noma isibhamu, zonke izinkinga ezivamile zesimungumungwane
Ezinye izindlela zokwelashwa zibhekiswe kwezinye izinkinga ezithile ezingase ziphakame, njengokuhlukunyezwa noma ukwehluleka ukuphefumula.
Izimo ezikhethekile
Kuneminye imithi emine engaba khona lapho udokotela wakho angase anqume ukuyisebenzisa ukuze aphathe isisimungumungwane noma uzame ukuvimbela ukuthi ungangeni esivumelwaneni sesimungumungwane, kuye ngokuthi uneminyaka yakho, isistimu yomzimba, nokuthi ngabe awugonyanga yini noma cha.
I-Vitamin A
I-World Health Organization incoma ukuthi zonke izingane eziye zatholakala ukuthi zinesishukela kufanele zithole amanani amabili amavithamini A, amahora angu-24 ahlukene. Ukuntuleka kwe-vitamin A kungabangela izimpawu ezikhudlwana, isikhathi sokutakula isikhathi eside, kanye nezinkinga, ngakho-ke ukuthola lezi zivivinya ze-vitamin zingasiza. Uma ungumuntu omdala onesimungumungwane, udokotela wakho angase anikeze izithako ezenziwe nge-vitamin A.
Umuthi Wokudla
Uma ungazange ugonwe, ukugoma okuyisimungumungane kungakusiza ukuvikela futhi kuvimbele amasosha omzimba uma unikezwa kungakapheli amahora angu-72 okuvezwa. Lokhu kunganikwa izingane ezisencane okungenani izinyanga ezingu-6 ubudala futhi zivezwe kanye. Ngisho noma usuqeda ukuthola isishukela, cishe ngeke kube sína futhi cishe ngeke uhlale isikhathi eside noma. Qaphela ukuthi uma ingane yakho ithola imishanguzo yesigqebhevu, i-mumps, ne-rubella (MMR) futhi engakabi nezinyanga ezingu-12 ubudala, kuzodingeka ukuthi uphinde avuselele ezinyangeni ezingu-12 kuya kwezingu-15 futhi aphinde abe neminyaka engu-4 kuya kwengu-6 ubudala .
I-Immune Serum Globulin
Kuzinsana ezineminyaka engaphansi kwezinyanga eziyisithupha ubudala, abesifazane abakhulelwe, kanye nabantu abanamasosha omzimba ahlosekile abaye babhekwa isisimungumzimba, umjovo we-immune serum globulin, oqukethe imithi elwa namagciwane, onikezwa ngaphakathi kwezinsuku eziyisithupha zokuvuleka kungahlinzeka ukuvikelwa ngegciwane lesigqebhezana kanye nosizo ukuvimbela noma ukunciphisa ubukhulu besimungumungwane uma wenza isivumelwano.
Ribavirin
I-Ribavirin, imishanguzo ye-antiviral, ngezinye izikhathi isetshenziselwa abantu abanezinhlelo zokuzivikela ezizivikelekile eziye zavezwa yisimungumzimba kanye nalabo abanezifo ezinzima zesishukela. Izifundo ezincane ezimbalwa ezenziwe zibonisa ukuthi kubonakala kunenzuzo ekunciphiseni ubude bokugula, ukunciphisa inani lezinkinga, nokunciphisa ubunzima bezimpawu, kodwa ucwaningo olwedlulele lufanele lwenziwa.
Lapho Ufuna Ukwelashwa
Uma ucabanga ukuthi wena noma ingane yakho unesimungumane, fonela udokotela wakho ngaphambi kokuya noma yikuphi futhi qiniseka ukuthatha izinyathelo ngaphambi kokuya kokuhlola kwakho noma ekamelweni eliphuthumayo ukuze ungabonakali abanye abantu. Faka imaski ebusweni bakho nangomuso wengane yakho noma ushayele ucingo ukuze unciphise ukuxhumana kwakho nabanye abantu, ikakhulukazi izinsana ezisencane kakhulu ukuze zithole umthamo wazo wokuqala we-MMR wokugoma, izinsana, nabasenkulisa abangenayo i-booster dose , kanye nezingane ezinenkinga yokuzivikela komzimba. Abantu abanesimungumuva ngokuvamile babhekwa ukuthi basakazeka besuka ezinsukwini ezine ngaphambi kokuba bathuthukise ukushaywa kwesishukela ezinsukwini ezine emva kokuqala kokuqhuma.
> Imithombo:
> Amasevisi Okulawula Nokuvimbela Izifo (CDC). Izisulu. Hamborsky J, Kroger A, Wolfe S, ama-eds. Ku: Epidemiology and Prevention of Vaccine-Preventable Diseases. 13th ed. I-Washington DC Public Health Foundation; 2015.
> Amasevisi Okulawula Nokuvimbela Izifo (CDC). Isahluko 7: Izitshalo. Roush SW, Baldy LM, ama-eds. Ku: I-Manual for the Monitoring of Izifo ezivimbela ukugoma. I-Atlanta, GA: Amasevisi Okulawula Nokuvimbela Izifo; 2012. Ibuyekezwe ngoJanuwari 5, 2018.
> I-Gans H. Measles: Ukubonakaliswa Kwemitholampilo, Ukuxilongwa, Ukwelashwa Nokuvimbela. Kusesikhathini. Kubuyekezwe i-Disemba 5, 2017.
> I-SS emide, i-prober CG, imigomo ye-Fischer M. kanye nokusebenza kwezifo ezithathelwanayo zezingane. 5th ed. Philadelphia, PA: Elsevier; 2018.
> I-World Health Organization (WHO). Izisulu. Ibuyekezwe ngoJanuwari 2018.