Ungakuphatha kanjani ukuquleka okuncane

Imfundo Yezempilo

Nganginakekela umkhuhlane wami onezinyanga ezingu-13 ubudala, lapho eyeka ukudla futhi wabonakala egqolozele kakhulu ngefasitela. Ekuqaleni, ngangicabanga ukuthi ubona okuthile okuthakazelisayo, kodwa-ke ngabona ukuthi angikwazi ukuphula ukubuka kwakhe. Akazange aphendule igama lakhe noma ukuphazamiseka. Ngenkathi eqala ukwenza imisindo engajwayelekile nokudonsa amathe, ngangazi ukuthi kukhona okungahambi kahle.

Ngoba ngangisebenze enkulisa nezingane eziningana ezazinomlando wokuquleka okuncane, ngangazi ukuthi ngingakubona kanjani, nokuthi yini okufanele ngiyenze. Ukuba nalolu lwazi kwangisiza ukuthi ngihlale ngizolile ngalesi sehlakalo esesabeka kakhulu.

Ngenhlanhla, njengoba kubukeka kusabeka, ukuqubuka okungatheni akuvamile ukuba yingozi futhi imvamisa, izingane ziyazedlula. Indodana yami manje isineminyaka engu-11 ubudala, ayisakwazi ukuquleka, futhi ayinayo imiphumela ehlala njalo ngenxa yokuquleka okuncane eyaba nakho isencane. Nakhu okudingeka ukwazi ngabo.

Kuyini ukuthathwa kwesibindi?

Ukuqothuka kwe-Febrile (okubizwa nangokuthi ukuxubana kwe-febrile) yizinto ezivame kakhulu zokubanjwa kwengane zisencane. Empeleni, 2% kuya ku-5% yezingane ezineminyaka engu-6 kuya kwengu-5 ubudala ziba nokuwa okungatheni. Imvamisa zimfishane ngobude besikhathi, zihlala njalo ngaphansi komzuzu owodwa kuya kwemibili , futhi kuyaqabukela kudlule imizuzu emihlanu. Kunezinhlobo ezimbili zokuquleka okubuthakathaka. Ukuquleka okulula kwe-febrile zivame kakhulu, futhi zihlala ngaphansi kwemizuzu engu-15. Ukuqunjelwa okuyinkimbinkimbi okuyizinto ezihlala isikhathi eside kunemizuzu engu-15, zivela kungakapheli isikhathi samahora angama-24, noma zinokuqukethwe okufana nokuthi ukuqala okugxile .

Yini ebangela ukuquleka okuncane?

Ukuqothuka kwe-Febrile kwenzeka lapho ingane inomkhuhlane. Ngenkathi zingenzeka ngemfiva esezingeni eliphansi (100.4 degrees F), zivame ukwenzeka lapho izinga lokushisa kwengane liphezulu kune-102 degrees F. Zingabuye zihlotshaniswe nokushisa komzimba okushintsha ngokushesha — imvamisa, okukhuphuka ngokushesha, kepha kwesinye isikhathi lapho umkhuhlane wengane wehla.

Ukuqothuka kwe-Febrile kungenzeka nganoma yisiphi isifo futhi kwenzeke ngosuku lokuqala lomkhuhlane. Ezinye izifo ezivame ukuhlotshaniswa nokuquleka okuncane zihlanganisa imikhuhlane, umkhuhlane, i-roseola, i-pneumonia, ne-meningitis.

Kungani imfiva iholela ekuqulekeni kwezinye izingane ezisencane? Akukaziwa, kusho uMaryanne Tranter, Ph.D., APN, umsunguli we Inqolobane Yezingane Enempilo . Kepha umkhuhlane ushintsha ukusebenza kobuchopho kanye nokwakheka kwamakhemikhali. Lokhu kuthonya ukuqhuma kobuchopho be-neuron nobumnandi, okuholela ekuqulekeni. Izakhi zofuzo zithonya lezi zindlela. Izimbangela zezemvelo nazo zikholelwa ukuthi ziyabandakanyeka. Okusho ukuthi, umlando womndeni wokuquleka okuncane ungakhombisa ubungozi obukhulu.

Ngubani osemngciphekweni wokuquleka okuncane?

Noma yiziphi izingane eziphakathi kwezinyanga eziyisithupha neminyaka emihlanu ubudala zingaba nokuquleka okungatheni, ikakhulu phakathi kwezinyanga eziyi-14 kuye kwezingu-18 ubudala. Zenzeka kakhulu kubafana kunamantombazane futhi zinomkhuba omncane wokuba ngofuzo.

Cishe ingxenye eyodwa kwezintathu yezingane ezinesifo sokuwa esisodwa zizoba nokunye okungenani eyodwa ebuntwaneni bazo.

Ziyini izimpawu zokuquleka okuncane?

Izimpawu zingafaka umkhuhlane kanye nokukodwa noma ngaphezulu kokulandelayo:

• Ukugqolozela
• Ukuthuthumela okukhulu
• Ukujikisa ohlangothini olulodwa noma zombili
• Ukuqina kwemisipha ohlangothini olulodwa noma zombili
• Ukuxhuga kwemisipha kolunye noma ezinhlangothini zombili
• Ukulahlekelwa ukwazi
• Ubunzima bokuphefumula
• Igwebu ngomlomo
• Isikhumba esiphaphathekile noma esiluhlaza okwesibhakabhaka
• Ukugaya iso

Kuthatha isikhathi esingakanani ukuquleka okungaphelele?

Ukuquleka okuncane okungajwayelekile kuvame ukuthatha imizuzu embalwa — imizuzu emihlanu noma ngaphansi. Ngezikhathi ezithile bahlala ngaphezu kwemizuzu emihlanu futhi kuyaqabukela kube ngaphezu kwemizuzu engu-15. Ukubanjwa okuyinkimbinkimbi kwe-febrile kungahlala ngaphezu kwemizuzu engu-15 futhi kungenzeka kaningi esikhathini samahora angama-24.

Kutholakala kanjani ukuthi ukuquleka okungaphelele?

Ngokubanjwa kalula okuncane, abahlinzeki bezempilo bagxila ekuguleni okuyimbangela yomkhuhlane. Bangase bahlole ukuhlolwa kwegazi, benze ama-X-ray, noma basebenzise amanye amathuluzi okuxilonga ukukhomba ukutheleleka noma igciwane elibhekele ukugulisa ingane.

Ngokubanjwa okuyinkimbinkimbi kwe-febrile, bangahle ba-ode i-EEG yengane kanye / noma badlulisele kuchwepheshe ofana nodokotela wezinzwa.

Uma kukhona omunye umuntu, kuyasiza uma beqopha lokho kuthathwa, kuphakamisa u-Uchenna L. Umeh, MD, owaziwa ngoDkt. Lulu Isikhungo Sezempilo sikaDkt Lulu eSan Antonio, eTexas. Le midwebo ivumela udokotela ukuthi abone ukuquleka futhi enze ukuxilongwa okunembe kakhudlwana kunencazelo yomlomo.

Okufanele ukwenze lapho ingane iquleka kancane

Ngesikhathi sokubanjwa

Okokuqala nokubaluleke kakhulu, kubalulekile ukuthi uhlale uzolile. Nakhu okunye okufanele ukwenze ukuqinisekisa ukuthi ingane yakho ihlala iphephile.

1. Beka ingane ohlangothini lwayo phansi bese ususa noma yiziphi izinto eziseduze.
2. Ungafaki lutho emlonyeni wengane, kufaka neminwe yakho. Akunakwenzeka ukuthi umuntu obanjwe yisifo sokuwa agwinye ulimi lwakhe.
3. Ungazami ukubamba ingane.
4. Susa noma yiziphi izingubo eziqinile, ikakhulukazi entanyeni.
5. Isikhathi ubude bokubamba.

Shayela ku-911 uma kwenzeka okulandelayo:

• Ukubanjwa kuthatha isikhathi esingaphezu kwemizuzu emihlanu.
• Ukuquleka kuthinta uhlangothi olulodwa kuphela.
• Ingane inenkinga yokuphefumula noma iba luhlaza okwesibhakabhaka.
• Ingane iquleka kaningi.
• Kukhona ukuhlanza okuhambisana nokuquleka.
• Ingane inentamo elukhuni.
• Uma ubona kufanele.
• Ingane inobuthongo obedlulele

Uma ungenaso isiqiniseko sokuthi kufanele ushaye ucingo, fonela — ikakhulukazi uma lokhu kungukutholwa kokuqala kwengane okuncane.

Ngemuva kokuquleka

Lapho ukuquleka kudlulile, qinisekisa, ududuze futhi ubheke ingane yakho. Angazizwa eyozela noma edidekile ngemuva kokuquleka, kepha kufanele ngabe wenza ngokujwayelekile kungakapheli ihora.

Okulandelayo, yenza isikhathi sokubonana nodokotela wezingane. Lokhu kubalulekile hhayi kuphela ngenxa yokuquleka, kodwa ukuxilonga nokwelapha ukugula okubangelwe yiso.

Ukwelashwa kokuthathwa kwesibeletho

Imvamisa, ukuquleka okungatheni akudingi ukwelashwa ngaphandle kwesifo esihamba nabo. Kwesinye isikhathi ijeli le-diazepam isetshenziselwa ukwelapha ukuquleka okuvamile okungajwayelekile. Uma ukuquleka kuyinkimbinkimbi, i-benzodiazepine efana ne- I-Midazolam ingalawulwa ngabasebenzi bekamelo labezimo eziphuthumayo, kepha lokhu akuvamile.

OKUSHIWO: Abantu abanesithuthwane sebenenketho yokufafaza impumulo yokwelashwa okuthatha ngokushesha

Ingabe ukuquleka okungaphephile kuyingozi?

Ngenxa yokuthi zibukeka zisabeka, abazali bavame ukukhathazeka ngokuthi ukuquleka okungaphelele kungaba yingozi ngokushesha noma kubangele imiphumela emibi ehlala njalo, ukulimala kobuchopho okunjalo. Izindaba ezimnandi ukuthi ukuquleka okuncane kuhlale kungenangozi.

Ukuquleka kwe-Febrile akubangeli isithuthwane . Ngemuva kokuquleka okuncane, ingozi yengane yokuthola ukuphazamiseka kokuqubuka inyuka iye phezulu 2% kuye ku-4% , ephakeme kancane kunesilinganiso; kepha ukuhlangana, hhayi imbangela.

Ukuquleka isikhathi eside okuhlala isikhathi esingaphezu kwemizuzu emihlanu kuya kwengu-15 kungahle kube nengozi eyengeziwe yesifo sokuwa, kodwa lokho akuvamile. Noma yiluphi uhlobo lwesiqephu sokuxhuzula lungaba yingozi, kusho uDkt Umeh. Uma ihlala isikhathi eside, iba yingozi ngokwengeziwe. Kodwa ukuquleka okungaphelele ngokuvamile akuhlali isikhathi eside kakhulu.

Izingane cishe ngaso sonke isikhathi ziphumelela ukuquleka okungapheli ngeminyaka engu-5 noma engu-6.

Ingabe ukuvinjelwa okungatheni kungavinjelwa?

Ngenkathi odokotela kwesinye isikhathi bephakamisa ukusebenzisa izinciphisi zemfiva ezifana ibuprofen futhi acetaminophen njengezinyathelo zokuvimbela ukuquleka okuncane, abukho ubufakazi obuncane besayensi obukhombisa ukuthi buyasebenza kuleyo nhloso. Ukusebenzisa imishanguzo efana ne-acetaminophen noma ibuprofen yemfiva sekukhonjiswe kaningi ukuthi ayikuvimbeli ukuquleka okungatheni, kusho uDkt. Tranter. Ziyasebenza ku ukunciphisa imfiva , okungasiza ingane yakho ukuba izizwe ikhululeke ngokwengeziwe. Ukulandela uhlelo lokwelashwa oluvela kudokotela wengane yakho kuzosiza ekululameni, kunciphise ubungozi bokubanjwa okunye nokugula kwamanje.

Indlela engcono yokuvimbela ukuquleka okungaphelele kungukuthi ukuvimbela izifo kwasekuqaleni . Ukugeza izandla, ukumboza imilomo ngokukhwehlela, ukulala ngokwanele ukugcina amandla omzimba eqinile, nokuthola umuthi wokugomela umkhuhlane vimbela umkhuhlane noma ukunciphisa ubunzima bezimpawu uma uthola umkhuhlane ezinye zezinyathelo uDkt Tranter asikisela ukunciphisa ukubamba futhi ukusabalalisa izifo lokho kungaholela ekuqulekeni okuncane.

Akukaze kube buhlungu ukuzilungiselela. Ukwazi izimpawu zokuquleka okuncane nokuthi yini okufanele uyenze uma ingane yakho inakho ngeke kukuvimbe. Kepha, ukuqeqeshwa kosizo lokuqala kusiza ukugcina abazali bezolile futhi kuthuthukisa impendulo esheshayo nenembile.

Abanakekeli bangathatha isigaba sokuvuselelwa kwe-cardiopulmonary, okungasiza ukunciphisa ukwesaba nokukhathazeka kwabo uma kwenzeka futhi, kusho uDkt Tranter.

Ukuquleka okubandayo kubukeka kusabeka — kepha uma ingane yakho inakho, zama ukungakhathazeki. Cishe zihlala zingenabungozi, futhi zixazulula zodwa.