Kunyatsonzwisisa kushandiswa kwebasa rekushanda kwemwana wako
Mwana wako ane mavhiki matatu ane kutonhora kwe 101 F uye iwe wakangodana mwana wako. Iwe wakanga wakatarisira kubatsiridzirwa zvishomanana kubva apo iwe wakagara uudzwa kuti unopenga kana vana vako vakwegura vava nefivha . Pane kudaro, iwe unoshamiswa zvishoma apo chiremba wevana vako anokuudza kuti uende zvakananga muimba yepamhanho .
Iwe hausisiri kushamisika uye ikozvino unotya, apo vashandi ER vanokukwidza iwe muimba, pamberi peimba yekumirira yakazara nevana vane runny nenyuchi uye vachikandira.
Mumwe chiremba ER anouya uye anotaura newe pamusoro pezviratidzo zvemwana wako, anomucherechedza, uye anotsanangura kuti achange achitsvaga zvakakwana septic workup. Iwe haunzwisisi zvizere zviri kuitika, asi unonzwa mazwi maviri anotyisa vabereki vakawanda vevana vaduku vane fever - maginha .
Kunyange zvazvo vabereki vakawanda vachiwana mumwedzi mishoma yevana vavo vasina fivha, zvinosuruvarisa, mamiriro ezvinhu aya anoitika mazana emasikati mumakamuri ekukurumidzira munyika yose.
Septic Work-up
Kusiyana nevana vakwegura, zvingava zvakaoma kutaura kana mwana achangoberekwa kana mwana mucheche ari kurwara zvikuru. Kutaura zvazviri, mucheche ari pasi pemwedzi miviri kana mitatu angave ane chirwere chakakomba chebhakitiriya , zvakadai sa meningitis (utachiona hwemvura inopoteredza uropi nemutsipa weropa ), bacteremia (chirwere cheropa), kana chirwere chekuvhenekera uye kuoneka zvakakwana. Ndicho chikonzero vanachiremba vanowanzoita kuti vana vachembera vari pasi pemwedzi miviri kana mitatu vachive nemakore ekunze kutengesa kwemawere anenge ari pamusoro pe 100.4 degrees Fahrenheit.
Izvi zvinowanzobatanidza ne:
- Kuzara ropa kuverenga
- Ropa tsika
- Urinalysis uye urine tsika
- Mutsara wemvura kuitira kuti vanachiremba vagone kuronga kuongorora kwemvura yemuspinal, kusanganisira tsika yemupfupa
- Chifu x-ray (kunyange izvi zvinowanzosiyiwa kunze kana mwana asina zvirwere zvokufema)
- Chigaro chekudzidzira kana mwana ane chirwere
- Chirwere cheViral kana tsika, yakadai seRVV prep kana chirwere chekurwisa
Zvichienderana nemigumisiro iyi, mucheche mudiki ane fever angatangwa pamishonga inorwisa mabhakitiriya uye anogona kupinda muchipatara uye akachengetwa kwemaawa 24 kusvika ku48. Vana vacheche vemazuva makumi maviri nemashanu vanogona kungotumirwa kumusha, nekushanyirwa kwekutevera muimba yekukurumidzira kana nevana vavo kana vose vachiedza uye mwana ari kudya zvakanaka.
Chii Chinokonzera Vana Kuti Vave neFever?
Kungofanana nevana vakwegura, fivha yomwana inogona kukonzerwa nehutachiona hwehutachiona . Zvinosuruvarisa, zvirwere zvebhakitiriya, izvo zvinogona kuva zvakanyanya kudarika zvisingasviki zvirwere zvehutachiona, zvinowanzoonekwa muvana vaduku kupfuura vana vakwegura uye vechidiki. Kutaura zvazviri, zvirwere zvakakomba zvebhakitiriya zvinokonzera hutatu kusvika ku12 muzana ye febrile (fever) zvirwere muzvitsva (vana vari pasi pemasikati makumi maviri nemashanu) uye mashanu kusvika kune gumi muzana yehutachiona zvirwere mumucheche anenge ari pamwedzi mitatu. Kana iwe uri kushamisika-iyo yakawanda.
Asi Mwana Wangu Anodikanwa Zvechokwadi Anoda Mharapara Kuti Awane Fevha Here?
Kunyange zvazvo vabereki vachiwanzofunga kuti vana vemazuva ano vanonyanya kurwisa kana vachibata vana vaduku nefivha, zvinokosha kuziva kuti maitiro ezvino ari kunyanya kudzvinyirira kupfuura aimbova. Yakanga isiri nguva refu kare apo vana vose vaiva pasi pemwedzi mitatu vane fivhiri vainyatsobvumirwa kupinda kuchipatara mushure mekunge vaita basa ravo uye vachicherechedza kwemaawa makumi maviri nemaviri.
Iye zvino kubvuma kunowanzochengeterwa vese vacheche uye ivo chete vevana vaduku vanorwara.
Kunyangwe kukosha kwepombi dzemakumbo kunobvunzwa. Kunyange zvazvo vaiwanzoitwa nguva dzose pavana vose vane fevuru kana vari pasi pemwedzi mitatu yemakore, dzimwe nyanzvi dzakaderedza makore iwayo kusvika pamakumi matatu nemakumi matanhatu kana makumi matanhatu kana mwana akawana mamwe maitiro ekuongorora uye anogona kuteverwa zvakanyanya nachiremba wake.
Ramba uchitarira kuti mupfupa wepuropa inenge iri nyore nzira yecheche ine maitiro mashomanana uye inowanzomirirwa zvakanaka. Kana iwe uchifunga nezvemigumisiro yekusagadziriswa kwebhakitiriya meningitis , iyo iyo yepasipini inogona kubatsira kubatsira, zvino mubvunzo wekuti kana kuti usarega chiremba achiita mutsara wepamuviri kumwana wako anowana nyore.
Kana iwe ukaramba magonhe emusana, vanachiremba muE ER vangangoedza kukutaurira mazviri. Icho chiyero chekutarisira , zvinoreva kuti ndizvo izvo vanachiremba vanowanzoita nekuda kwezvikurudziro zvezvino kana ruzivo, kumwana kana mwana mucheche kuti awane mutsara wepamuviri. Zvinenge zvisina kujairika kuti chiremba atendere mwana kumusha kubva kuE ER asina musipiresi kana vakafunga kuti zvakakodzera kuti zviitwe. Vaizoita sei kana mubereki achiri kuramba mushure mekukurukurirana kwenguva refu pamusoro pezvipingamupinyi uye zvinobatsira? Zvinogona kunge zvichienderana nemamiriro acho ezvinhu, asi zvinogona kubva pakucherechechechechechechechecheche muchechi kuti atumidze mabasa ekudzivirirwa kwevana uye kuripira mubereki nekuregererwa kwechiremba.
Kudzivisa Virus neMafuta
Kuti ubatsire kudzivisa mafungiro uye kudiwa kwekunyengedzwa kwepfungwa, inogona kuva pfungwa yakanaka kubatsira kubvisa kusununguka kwemwana wako kune vanhu mumwedzi miviri kana mitatu yekutanga yehupenyu hwake. Kunyanya, munhu wose anobata mwana anofanira kushamba maoko ake zvakakwana. Vanhu ivavo avo vasingatauri - kunyange nechando-havafaniri kubata mwana. Izvozvo zvingave zvisinganzwisisiki kuvabereki vatsva vanoda kuzarura mwana wavo mutsva, asi migumisiro inogona kunge iri kuisa mwana wako kumavirusi uye mamwe mishonga, fivhiri, uye rwendo kuenda kuE ER nokuda kwepombi.
Sources:
> Kuongorora Fivha yeMusingazivikanwi Inowanikwa muVaduku Vana. SUR DK - Am Phys Physician - June 15, 2007; 75 (12); 1805-1811
Fivha isina Chinhu Muvana 0 kusvika 36 Mwedzi Yezera. Ishimine P - Pediatr Clin Clin North Am - 01-APR-2006; 53 (2): 167-94
> Kukanganisa kweRupid Viral Testing for Influenza A uye B Viruses paKutungamirirwa kweFiriri Vana Vechidiki Vasina Zviratidzo zveHonal Infection. Benito-Fernanndez J - Pediatr Infect Dis J - 01-DEC-2006; 25 (12): 1153-7
> Kuvandudza paMutungamiri weFririle Infant. Harper M - Clinical Pediatric Emergency Medicine - 2004 Mar; 5 (1); 5