Kunzwisisa nekudzivirira RSV muvana vasati vasvika pane chikamu chinokosha chekutora preemie kumba. NICU kubudisa chikamu chinonakidza - hachifaniri kuita vabereki kuti vatevere mararamiro echirongwa chekuchengetedza zvakanyanya kuchipatara kana neonatal yakasimba kuchengetedza unit (NICU) kana kuparadzana kubva kumwana wavo. Zvinonyanya kukosha, kuenda kumusha zvinoreva kuti mwana akazviita kuburikidza nematambudziko ose ehutano anokonzerwa nekuzvarwa patsva.
Kamwe vabereki vanounza mwana kumba, kumuchengetedza hutano kunova chinangwa chikuru. Munguva yekuwa kwemwedzi uye yechando, kudzivirira kuporesa syncytial virus (RSV) ndiyo dambudziko guru remubereki.
Overview
RSV chirwere chinowanzoonekwa pakuwa uye mwedzi yechando. Chaizvoizvo, ndicho chikonzero chinonyanya kukonzerwa nekuputika kwepamusoro kwezvirwere mucheche nevana. Vazhinji vevana vane HIV yavo yekutanga nezera remakore maviri. Vana vakawanda vane RSV vanozvidzorera pachavo. Asi vana 125 000 pagore vari muchipatara nehutachiwana hweHIV, uye 1% kusvika 2% yevana vanofa.
Mukutanga, RSV inonyanya kukanganisa utano. Icho chikonzero-chimwe chechikonzero chekurwara uyezve kugadziriswa kwevatungamiri, uye kusati kwasvika ndiko kunonyanya kukonzerwa nehutachiona hweHIV.
Zviratidzo
Mune vana vakawanda, RSV inoratidzika seyando yakawanda . Vana vacheche nevana vane RSV vanogona kunge vane pfumbu yakanyanyisa, chifuva, fever, uye malaise.
Zviratidzo zvehutachiona hweRVV zvakanyanya zvinoda kurapwa kwenguva pfupi dzinosanganisira:
- Kukurumidza kufema
- Kuoma kufema kufema
- Cyanosis (bluish discoloration yeganda)
- Apnea (nguva dzisina kufema)
Kana mwana wako akaratidza chero zviratidzo zvezviratidzo izvi, unofanirwa kutsvaga kurapwa kwenguva pfupi.
Kudzivirira
Kugeza maoko ndiyo nzira yakanakisisa yekudzivirira chirwere cheRVV kubva pakupararira. Utachiona hunogona kurarama pamaoko uye zvipfeko kwemaminitsi makumi matatu.
Inopararira kuburikidza nemhepo kana vanhu vane hutachiona vachikanganiswa kana kuti kudonha, kana kuburikidza kuburikidza nezvinhu zvine utachiona pazviri.
Mukuwedzera pakushambidza maoko, kubvisa njodzi dzinobatsira kunodzivirira kudzivirira kweRVV. Zvimwe zvinokonzera njodzi kunze kwekutanga kusatidzira zvinosanganisira:
- Daycare
- Vanotarisira vanoputa
- Mamiriro ehupenyu huzhinji
- Kuderedza kuberekwa
- Kuberekwa kuzhinji
- Vechikoro-vakwegura vakoma
- Chronic mapapu chirwere
- Congenital chirwere chemoyo
- Kuisa pachena kune zvisikwa zvakasvibiswa
- Neuromuscular disease
- Mhuri yehutachiona hwechirwere
Zvimwe zvezviitiko izvi zvinotadza hazvigone kuchinjwa, naizvozvo vabereki vanofanira kufungisisa kune izvo zvinogona. Mugore rokutanga rehupenyu, kunyanya munguva yekuwa uye yechando, edza kuchengeta yako preemie kubva munzvimbo dzemazuva. Ita chikoro-vana vane shungu vashamba maoko uye vashandura mbatya pavanodzoka kumba, vadzivisa mapoka evanhu, uye usasvuta. Kana iwe utsi, utsi kunze kunze uye upfeke jekete inoshandiswa chete nekusvuta uye inobviswa paunopinda mukati sezvo utsi hwemasikati huri pazvipfeko.
Vaccination
Kune vacheche vanofungidzirwa kuti vari pangozi yakanyanya yeRVV, mushonga unorayirwa. Panevizumab, kana Synagis, inopiwa semwedzi pfuti purogiramu yepamusoro ye RSV. Kunyange zvazvo dzimwe nguva inonzi chirwere cheRVV, Synagis imishonga, uye kwete chaizvo chirwere.
Haisi mhuka dzose dzinoda Synagis, asi taura nachiremba wako kana:
- Mwana wako akazvarwa pamasvondo makumi maviri nemasere kana kuti pasi uye achange ari mwedzi 12 kana kuti muduku paakatanga nguva yeRVV.
- Mwana wako akaberekwa pakati pevhiki makumi maviri nemaviri nemakumi maviri nemana uye achave mwedzi 6 kana kuti muduku paakatanga nguva yeRVV.
- Mwana wako akazvarwa pakati pemasvondo makumi matatu nemakumi matatu nemakumi matatu, achava mwedzi mitatu kana kuti muduku paakatanga nguva yeRVV, uye angave achienda kune rimwe zuva kana ane vana vadiki vaduku vanogara mumba.
Synagis inogona kudzivirira kusvika 55% ye preeme hospitalizations nekuda kweRVV. Iyo inosvika pakubudirira kwayo kwepamusoro nepurosi yechipiri, saka taura nachiremba wako pakutanga kwekuwa kuti uwane kana nguva yeRVV inotarisirwa munzvimbo yako.
> Sources
> Austin, RN BSN, Jennifer. "Kudzivirira Kufuridzira Syncytial Virus muIt Homebound Premature Infants." Home Nursing Nurse. 2007; 429-432.
> Medline Plus Medical Encyclopedia. "Inopiratory syncytial virus (RSV)"
> Synagis (Panevizumab). "Vangangodaro Vashandi ve RSV Prophylaxis."