Iimpawu zokuqala zeengulube kubantwana azifani kakhulu neempawu zesifo sesifo sesigciwane. Kungenxa yoko, ekuphakameni kobhubhane, i-malaise encinane yomntwana kufuneka ilumke abazali.
Namhlanje siya kuhlala ngokucacileyo malunga nombuzo wendlela umkhuhlane weengulube uqala ngayo kubantwana bamaqela ahlukeneyo, kwaye uxoxe nge-algorithm yokuncedisa okokuqala isifo.
Impawu zokuqala zeengulube kubantwana
I-subtype entsha yatshintshileyo ye-H1N1 yafika ingalindelekanga. Ilizwe laloo sifo esiyinqaba liMntla Melika. Kwakukho apho okokuqala ngethuba imeko yentsholongwane yomntwana oneminyaka emithandathu ene-virus engaziwayo yabhalwa. Enyanisweni, ukutsho ukuba le ntsholongwane intsha kwaye ayikwazi ukuqinisekiswa, kodwa kube ngo-2009 eso sifo sichaphazele kakhulu izilwanyana, ngakumbi ihagu, ngoko ke igama layo. Okudabukisayo kukuba intsholongwane isasaze kwihlabathi jikelele, kuyingozi kubantu nakubantu, ngelixa ukukhuseleka kwesi sifo kubantu akuvelwanga. Akunakuvuyiswa ngamanani, ngoko-5% we-H1N1 one-HIV.
Ingozi enkulu kunazo zonke ingumkhuhlane wengulube kubantwana asebekhulile nabancinci, abantu abanezifo ezikhuselekileyo kunye nezifo ezingapheliyo. Nangona kunjalo, ukuba abantu abadala bakwazi ukuvavanya imeko yabo, ngoko ke abantwana banzima ngakumbi. Akuyena wonke umntwana oza kuxela abazali malunga nokugula, kwaye nangakumbi uyavuma ukuba intloko yakhe ibangela ubuhlungu kwaye ufuna ukulala. Ngoko ke, indlela umkhuhlane weengulube uqala ngayo kubantwana, kwaye yintoni iimpawu zayo zokuqala, unina kunye nabazali kufuneka bazi.
Njengoko kuphawuliwe ngasentla, ekuqaleni i-H1N1 ibonakala njengesifo sesifo sentsholongwane. Ubuthathaka kunye nokuphazamiseka umntwana unokuvakalelwa emva kweeyure ezimbalwa emva kokusuleleka, kwaye iqondo lokushisa aliyi kudala. Ngokuqhelekileyo, kubalulekile ukuba kuqwalaselwe ukuba kwiimeko ezininzi, iimpawu eziqhelekileyo zetyhefu ngesimo somkhuhlane, intloko yesifo, ubuthathaka bubonakala ngokukhawuleza. Ngomso kamva, umfanekiso wekliniki uxhaswa ngumkhwehlela, impumlo yebhola, umqala womqala. Kwakhona, iimpawu zokuqala zeengulube kubantwana zingabizwa ukuhlanza kunye nehudo, ezenzeka ngaphaya kwemida yesisu esiswini.
Kubalulekile ukuba uqaphele ukuba iimpawu zokuqala zesifo seengulube kubantwana abangaphantsi komnyaka omnye akunakunjalo. Abazali mabaxelelwe:
- ukwanda kancinane kwimobushushu;
- ukugqithisa kwesikhumba;
- ukuyeka isifuba;
- ukuxinana okusemncinci;
- ukukhwehlela ngezikhathi;
Kuyaphawuleka ukuba ixesha lokutshatyalaliswa kwezifo lisuka kwiiyure ezimbalwa ukuya kwiintsuku ezingama-2-4, ngelixa umntwana osulelekileyo unako ukuhlala kwiintsuku ezili-10 emva kokuba iimpawu zokuqala zibonakaliswe.
Ziziphi iimpawu zentsholongwane yengulube kumntwana zidinga ukunakekelwa kwangoko kunyango?
Njengoko ubona, abathunywa bokuqala besifo bafana kwaye baqikelelwa. Kodwa le ntsholongwane yingozi yinto enokuthi ixinzeleleke kakhulu-ngokuqhelekileyo malunga nokusuleleka kwintsholongwane kubantwana nakubantu abadala, i-pneumococcal pneumonia, i-otitis media, i-meningitis, i-tracheitis, i-myocarditis ikhula kwaye izifo ezingapheliyo ziba nzima.
Ngoko ngoku, xa sifunde ukuba i-ngurube iqala njani kubantwana, makhe sithethe ngeempawu eziyingozi kakhulu ezibonakala kwiinkqubo eziyinkimbinkimbi zesifo. Ngokukhawuleza sisebenzise oogqirha kuyimfuneko xa imeko yentsana ikhula ngokukhawuleza - kukho ukuphefumula okufutshane, utywala, intlungu kwisisu nangesifuba, ukuphefumula kuya rhoqo, kwaye umntwana uyala ukusebenzisa umbane, ulusu luya kuba yintsholongwane, ukukhwehlela kukwanda, ukushisa kugcinwe kwaye phantse ayilahleki.
I-H1N1 isongela ubomi kwaye, ngelishwa, iziphumo zentsholongwane azikwazi ukuthintela ngaso sonke isikhathi, kodwa amathuba okuphumelela kwesi sifo atyuka ngamanye amaxesha xa isigulane sinikezelwa ngononophelo lwangonyango ngexesha elifanelekileyo.