Dzimwe nguva kutarisa-uye-kuona nzira yakanakisisa pakurapa utachiona hwekunzwa
Utachiona hwehutachiona ndihwo hutachiona hutachiona hwevana, uye chimwe chezvikonzero zvakakosha zvechiremba wevana kupa mishonga inorwisa mabhakitiriya. Tichipa izvo zvatinoziva iye zvino pamusoro pokushandiswa kwemishonga inorwisa mabhakitiriya kunogona kukonzera mabhakitiriya kuti asagadzikane navo, zvisinei, zvinonzwisisika kuti vanachiremba vasakurumidze kuvapa.
Ndosaka American Academy of Pediatrics (AAP) yakabudisa mirayiridzo muna 2013 kubatsira vanachiremba nevabereki kuita sarudzo dzakanaka pamusoro pekuti ma antibiotic anodikanwa zvakadini kurapa zvirwere zvekunzwa.
Nokudaro nguva inotevera mwana wako achitanga kutenderera nzeve yake kana mwana wako ane makore mashanu kamwe-kamwe anomhanya fivhiri, chengetedza mitemo iyi mupfungwa.
Kuongororwa kweHupukwe Hwenzeve
Chinhu chokutanga kuziva nezvehutachiona hwekunzwa ndechekuti haisi nguva dzose inojekesa mwana zvechokwadi ane rimwe, kunyange kune chiremba. Zvinoratidzika kuti zvinofanira kuva chinhu chakanaka kuti chiongorore: Unotarisa mukati mezeve yomwana uye iwe unogona kuona kana yakatapukirwa kana kwete, kurudyi? Asi zvinogona kuva zvakaoma kuti uwane maonero akajeka mukati memuteve yomwana muduku. Uye zviri nyore kukanganisa utachiona munzeve nekuda kwehutachiona, kutaura kubwinya kunokonzerwa nefivha kana kuchema sechiratidzo chekurwereka, kana kuti haukwanisi kunyange kuona nzeve yekunzwa nekuda kwekunzwa misoro .
Imwe nyanzvi iyo mwana anonyatsokonzera utachiona ndeyekuti anewo zvimwe zvezviratidzo zvekare: kukurumidza kukurumidza kwe earache (otalgia), kutora munzeve (chimwe chinhu vacheche vachabata kuburikidza nekurwadziwa kwekunzwa), kusagadzikana, mvura yemvura inobva munzeve ( kutora ), uye fever.
Apo Antibiotics Anonyatsodiwa
Maererano nemitemo yeAAP, vose vana vari pasi pemwedzi mitanhatu vanovaka hutachiona hwekunzwa vanofanira kurapwa nemishonga inorwisa mabhakitiriya. Vana pakati pemwedzi mitanhatu nemakore maviri vanofanirawo kuwana antibiotics kana vana vavo vevana vane chokwadi kuti vane hutachiona hwekunzwa. (Yeuka, zvinogona kunge zvinyengeri zvakajairika kuongororwa kuti zviite.) Mwana ane zviratidzo zvakakomba, zvakadai sekurwadziwa zvakanyanya kana fivhiri kupfuura 102.2 F, anofanirawo kurapwa nemishonga inorwisa mabhakitiriya kunyange kana chiremba asiri 100 muzana aine nzeve inotapukira.
Vana vazhinji vane dzimwe nyaya dzisina kunaka dzehutano zvakare vanofanira kuiswa pamishonga inorwisa mabhakitiriya kune utachiona hwekunzwa. Izvi zvinosanganisira vana vane Down syndrome, maune immune system matambudziko, cleft palate , kana kuti chinokonzera cheki. Izvozvo ndizvo zvinoitika kumwana chero upi zvake anenge ane hutachiona hwetzeve mumazuva makumi matatu apfuura kana ane chirwere chisingaperi mumakanzwa ake.
The Observation Option
Vana vakwegura nevaya vane utano huzhinji havadi mishonga inorwisa mabhakitiriya kuti vadzivise hutachiona hwetende, kwete pakutanga. Kwavari, mazano eAAP anorayira kushandisa "chekucherechedza chisarudzo." Izvi zvinoreva kungotarisa mwana zvakanyatsonaka kwemaawa ekutanga 48 kusvika ku 72 apedza kuonekwa. Kana zviratidzo zvake zvichinyanyisa, kana kuti usingavandudzi zvachose, saka inguva yekudana mune mishonga yemishonga inorwisa mabhakitiriya. Vanachiremba vanobata chirwere ichi nenzira dzakasiyana. Vamwe vane vabereki vanozodzokera kuhofisi, vamwe vachapa mishonga pamusoro pefoni, uye vamwe vanachiremba vachanyora "chirongwa-chenguva" chirevo chevabereki kuti vawane.
Iyi nzira yekucherechedza panzvimbo pokutsanangura ma antibiotics pakarepo yakashanda kubudirira mune dzimwe nyika uye ine zvishoma zvingangoita. Inoshanda nokuti vazhinji vana vane hutachiona hwekunzwa zvingangove zviri nani ivo pachavo.
Vana havasi vakasara kuti vatambure, zvisinei: Zvinorayira zvinokurudzira kupa acetaminophen kana ibuprofen nekuda kwekurwadziwa kunorwadza.
Apo kumirira-uye-kuona kusingabatsiri
Kana mushure mekucherechedza nguva iyo zviratidzo zvehutachiona hwehutachiona hazvidziviri uye zvakajeka zvinoda mushonga unorwisa mabhakitiriri kuti uzviite, mapepa eAAP anotaurira kutanga kubva ne amoxicillin, uye kuenderera mberi kune mishonga yakasimba mushure memaawa 48 kusvika ku 72 kana amoxicillin isingaiti kununura zviratidzo kana fivha yomwana inogara pa 102.2 F kana pamusoro. Mushure meizvozvo, kana seimwe nzira kana mwana ari kurutsira, angave achida rimwe zuva kana matatu kwema antibiotic anonzi intravenous or intramuscular, zvakadai saRocephin (ceftriaxone).
Kune vana vane zvimwe zvipembenene, mazano eAAP anonyora mamwe maantibayoti ayo achave akachengeteka kuti atore.
Pasinei nemishonga inorwisa mabhakitiriya, maererano neAAP vana vari pasi pe6 uye avo vane zviratidzo zvakaoma vanofanira kugara pamishonga kwemazuva gumi azere. Vana vakwegura vanogona kuita zvakanaka nemazuva mashanu kusvika kune manomwe emishonga inorwisa mabhakitiriya.
Kuchengetedza Utachiona hweNzeve muNzvimbo Yokutanga
IAAP inotaurirawo kutora matanho ekudzikisa ngozi dzinokonzerwa nehutachiona hwekunzwa, kunyanya pahucheche. Izvi zvinosanganisira kuyamwisa kwemwedzi mitanhatu, usingambopi kupa mwana bhodhoro paanovata pasi, uye kusvimha kubva pakuchenesa pashure pemwedzi mitanhatu. Uye vana vemakore ose vanofanira kuchengetedzwa kubva kune utsi hwechipiri.
> Kwakabva:
Allan S. Lieberthal, Aaron E. Carroll, Tasnee Chonmaitree, Theodore G. Ganiats, Alejandro Hoberman, Mary Anne Jackson, Mark D. Joffe, Donald T. Miller, Richard M. Rosenfeld, Xavier D. Sevilla, Richard H. Schwartz, Pauline A. Thomas, David E. Tunkel. Clinical Practice Guideline: Kurapa uye Kutungamirirwa kweAacute Otitis Media. Pediatrics . 2013. > doi: 10.1542 / peds.2012-3488.