Kunyange zvazvo pertussis kana kukwezva kunokonzera kunogona kudzivirirwa nechirwere, inoramba iri dambudziko guru muUnited States uye munyika yose. Kusiyana nedzimwe dzakawanda zvirwere zvinodzivirirwa zvekudzivirira, hutachiona hunobva muhutachiona hwe pertussis hunopera, uye saka vechidiki nevakuru vanga vari pangozi yekuwana chifukidziro chinoputika, kunyange zvazvo vakawana tsvimbo dzavo sevana.
Vechidiki nevakuru vanogona kuwana chirwere chitsva cheTdap chinowedzera hutachiona hwavo kurwisana nekukanganiswa, saka kuwanda kwezvirwere zvichange zvichitarisira kuderera nokukurumidza.
Anopikisa Zviratidzo Zvokukanganiswa
Apo vabereki vanofunga nezvekukandira chifukidziro, vanogara vachifunga nezvemucheche ari kunyorera mutsara ayo anoteverwa ne'kunyengedza 'inzwi. Kunyange zvazvo ichocho chiri chimiro kana rwiyo rwekaseti iyo vana vane chikwereti chinoputika, yeuka kuti havasi vana vose vachave nayo. Pane kudaro, vamwe vana vanongodonhora, vamwe vanogunzva kusvikira vatsvoda (post-tussive emesis), uye vamwe vanongova nechikwereti chisingaperi .
Uyo anogunzva chifuro anowanzotanga necatarrhal stenho, asi, mazuva matanhatu kusvika makumi maviri mushure mekunge azarurirwa kune mumwe munhu ane chifukidziro chekukanda ( incubation period ), ane zviratidzo zvakafanana neyero inowanikwa yepamusoro yepurogiramu yokufema, uye inosanganisira gorosi yepamusoro fever, runny nose, uye kukosora. Icho chiri panguva ino, iyo inowanzotora masvondo 1 kusvika ku2, ayo munhu anopararira kune vamwe.
Chirwere ichocho chinogona kukuvadza panguva yechipfuva chinotevera, icho chinopedza masvondo maviri kusvika kuchina, nevana vachiwana mitsara yakaoma kana mapikisi ekukanda, izvo zvinogona kuteverwa nemuputi uye kusvetuka. Izvo tsvina zvinogona kukonzerwa nezvinhu zvakadai sokuchema kana kudya.
Izvi zvinonyorera zvishoma nezvishoma uye zvishoma nezvishoma zvinowanzoitika munguva yekupedzisira convalescent , iyo inotora imwe 1 kusvika kwevhiki mbiri.
Zvose, zviratidzo zvinogona kupera kwemavhiki matatu kusvika ku10.
Kuongororwa kweKutsvaira Kunotyisa
Kunyangwe kuonekwa kwekutanga kwepistosi kunowanzobva kune zviratidzo zvinoratidza, kuedza kunowanikwa. Inosanganisira tsika yemicherechedzo yeputi; zvisinei, zvinogona kutora mazuva gumi kusvika ku14 kuti uwane migumisiro, mushure mokunge mwana wako angangodaro akaisa hutachiona kune vamwe vanhu vakawanda.
Kuedza kwakakurumidza, izvo zvingasava kwakarurama, ndeye DFA (yakananga kushandiswa kwema immunofluorescent assay) yezvinyorwa zvemanzi. Kunyange zvazvo vanachiremba vangave vasingakwanisi kuita izvi muhofisi yavo, zvinogona kuitwa nebazi remunharaunda, dhipatimendi rehutano, kana kuti rinogona kutumirwa kune imwe nzvimbo nehofisi yevana vako.
Chimwe chiyero, iyo polymerase chain reaction test (PCR), inokurumidza uye yakajeka kudarika dzimwe kuedzwa asi inogona kunge isingawanikwi zvikuru.
Anopa Zvokudya Zvokudya
Kunyange zvazvo vana vachigona kudzoka kubva ku-pertussis vasina antibiotics, kurapwa, kunyanya kana vakatanga pakutanga munguva yecatarrha, vanogona kuvabatsira kuti vawedzere zviri nani uye vasapindira kune vamwe. Erythromycin inowanzove mushonga unorwisa mabhakitiriya wekusarudza kuokera uye inowanzotorwa kwemazuva gumi nemaviri. Zvimwe zvinogona kusanganisira Clarithromycin (Biaxin) kwemazuva manomwe, azithromycin (Zithromax) kwemazuva mashanu, uye Bactrim kwemazuva 14.
Nepo vana vakawanda vasingafaniri kunge vaine matambudziko akafanotaurwa uye vanogona kurapwa vakachengeteka kumba, vana vaduku, kunyanya avo vakaberekwa vasati vasvika, vangada kupinda muchipatara.
Vana vane pertussis vanowanzodzingwa kubva kuchikoro kana kuchengetwa kwemasikati kusvika vagara vari pamishonga inorwisa mabhakitiriya kwemazuva mashanu.
Zvaunoda Kuti Uzive Nezvokukanganiswa Kwakaoma
- Uyo anokora chifuva anokonzerwa neBordetella pertussis mabhakitiriya.
- Mishonga inodzivirira vana kukurwiswa kunosanganisira chirwere cheDTaP chinopiwa kuvana vaduku uye Tdap booster inopiwa kuvana vaduku, vechidiki, uye vakuru.
- Mabhakitiriya e-pertussis anopararira zvikuru uye anokwanisa kutapurirwa kubva kuvanhu vane utachiona kuburikidza nokufema, saka kudzivisa kufema izvi zvinyorwa (kurairai vechidiki kuti vafukidze miromo yavo kana vachikandira), kuchengetedza vacheche uye vacheche kuti vasasangana nevechidiki nevakuru, uye kushambidza maoko kazhinji uyewo kubatsira kubatsira vamwe kuti vasarwara.
- Kune vana vane hukama hwepedyo nemumwe munhu ane pertussis, prophylactic kana kudzivirira kurapa ne erythromycin, azithromycin, kana clarithromycin inogona kubatsira kudzivirira kuti vasarwara uye inonyatsokurudzirwa kune vose vanofambidzana vashoma kusanganisira nhengo dzemhuri uye vezera pazuvacare kana kuchikoro. Kurapa maantibhakitiriya kunorumbidzwa kunyange kana mwana wacho ave ane majekiseni ose uye pasinei nokuti ane makore akadini.
- Vacheche nevana vacheche vane chifukidziro chinoputika vanogona kunge vane apnea kana nguva iyo vanomira kufema.
- Kufuridzira chifukidziro chinoputika chinowanzorambwa nevakuru nekuda kwekuti vangave nekukanganiswa kwenguva refu pane zviratidzo zvakakomba.
Sources
> Lebel MH - Patiatr Infect Dis J - 01-Dec-2001; 20 (12): 1149-54. Kubudirira uye kuchengeteka kwe clarithromycin kana erythromycin yekurapa kwe pertussis: aanotarisira, randomized, > asina kukwana > kuedza.
> Gershon: Krugman's Infectious Diseases of the Children, 11th ed.
> Martinez, SM, Kemper, CA, Haiduven, D, et al. Azithromycin prophylaxis pa > hospitalwide > kubuda kwehutachiona hwakafanana nehutano. Infect Control Hosp Epidemiol 2001; 22: 781.
> Yakakurudzirwa Antimicrobial Agents for the Treatment and Postexposure Prophylaxis ya Pertussis. 2005 CDC Zvinyorwa. MMWR. December 9, > 2005 > / 54 (RR14); 1-16.