Oko kufuneka ukwazi malunga neentsana kunye neentsholongwane.
Kwiveki emva kweKrismesi, bonke abantwana bam abane babethwa ngumkhuhlane. Kubantwana abakhulu, umkhuhlane wabetha kanzima, kodwa iimpawu zilawulwa. Baye bangandixelela into eyayibuhlungu, balala kakhulu, kwaye banako ukusela amanzi amaninzi. Noko ke, eneminyaka emihlanu ubudala, umkhuhlane wandivalo. Ndandingakaze ndibe nomntwana ngenxa yokugula okokuqala ngethuba elincinci kwaye nangona ndingumNesi oBhalisiweyo kunye nomama wezine, ndandiziva ngathi andingazi ukuba ndiyenza ntoni.
Iyintoni umkhuhlane?
Izinto zokuqala kuqala, ndaqonda ukuba ndifuna inkqubo yokuhlaziywa kwizinto ezibangelwa ngumkhuhlane kwiintsana. Umkhuhlane kwiintsana uchazwa njengento engaphezu kwama-degrees angama-100.4 ngokwemigaqo okanye ngaphezulu kwama-degrees angu-99 ngomlomo. Ndiyaphinda, akuyena umkhuhlane uze uhlasele i-100.4. Oku kunzima kwabaninzi kuthi ukugaya, kodwa iintsana zinamaqondo aphezulu aphezulu kunabantu abadala, ke gcinani engqondweni ngaphambi kokuba niyesabe.
Uhlolisisa njani ubushushu bomntwana wakho?
I-American Academy ye-Pediatrics (AAP) isincoma ukusebenzisa i-digital thermometer ye-digital yezingane ukusuka kwiminyaka eyi-0-3 yobudala ukufumana ukufunda okuthembekileyo. (Kwakhona, qiniseka ukuba ungasayi kuphinda usebenzise i-thermometer emacaleni emlonyeni)
Oko kufuneka ukwazi malunga neentsana kunye neentsholongwane
Ukuba unako, zama ukuhlukanisa isizathu sesifo somkhuhlane. Iintsholongwane ezinobungozi zingabangela intsholongwane, ngelixa ixesha elide ixesha elide liba ngumphumo wesifo. Kungenxa yokuba iimpawu ezininzi zokutshatyalaliswa okunokuthi zifanise ukusuleleka kwindlebe, kunokunceda ukukhumbula ingqalelo ukuba isifo esingaqhelekanga singabangela umkhuhlane ngaphezu kwama-degrees ama-101.
(Ngokukrakra, tuck ukuba i-nugget yolwazi ngaphandle kwexesha elizayo, abazali.)
Ubudala bubaluleke kakhulu xa kufike kumkhuhlane kwiintsana. Ukuba umntwana wakho uneminyaka engama-2 ubudala okanye asemncinci aze ahlakulele umkhuhlane, unokuba yingozi kakhulu kwaye mhlawumbi ngenxa yentsholongwane yebhaktheriya, ngoko mthabathe kumgqirha.
Kwaye kubalulekile, kubalulekile ukuqonda ukuba akukho ziphakamiso ezicacileyo zivela koogqirha ukuba ukunciphisa imfiva kuyimfuneko yempilo. Ngokutsho kwe-American Academy of Pediatrics (AAP), "abukho ubungqina bokuthi ukunciphisa umkhuhlane kunciphisa ukugula okanye ukufa ngenxa yokugula." Nangona kunjalo, i-febrile seizures iyakwenzeka, ingakumbi kwiintsana ezingaphezu kweenyanga ezintandathu ubudala ukuya kwiminyaka emihlanu ubudala. Kwaye njengabazali, sifuna ukuqinisekisa ukuba abantwana bethu banokukhululeka kunokwenzeka. Njengomntu omdala, andithandi ukuba nefiva kwaye ihlala ibuhlungu ukuba ndibone abantwana bam behluphekile.
Ukunyangwa komkhuhlane
Ukuba uthatha isigqibo sokuphatha umkhuhlane wengane yakho kwaye ufuna ukusebenzisa imithi yokuyinciphisa, iintsana ezineminyaka engaphantsi kweenyanga ezithandathu ziza kufuna iingcomo zengxelo zamagqirha ukusuka kugqirha wazo njengoko idosi iya kuhluka ngohlobo lomntwana kunye nobunzima. Kwiintsana ezingaphezu kweenyanga ezintandathu, i-acetaminophen kunye ne-ibuprofen ziqhelekileyo zisetyenziselwa ukunciphisa umkhuhlane, kunye nezikhokelo ze-dosing ezisekelwe kwisisindo kwiyeza.
Yiyiphi imichiza engcono ukuyisebenzisa?
I-jury iyaphuma kwiyiphi indlela efanelekileyo yonyango yokunciphisa intsholongwane yomntwana. I-APP ibika ukuba kukho "ukukhathazeka okubalulekileyo" ekugqithiseni ukugqithisa ngamayeza angapheliyo e-acetaminophen, eyaziwa ngokuba nguTylenol, imeko engenzeka xa uphatha usana kunye nezilingo ezine okanye iiyure ezithandathu, njengoko kuchazwe kwimigaqo yelebula.
Enyanisweni, bachaza ukuba i-acetaminophen overdose yi-# 1 yokuvakalisa iyeza eziphuthumayo zonyango.
I-APP iphinda icacise ukuba ibuprofen inokusebenza ngokuncinci ngakumbi ekunciphiseni umkhuhlane kunye nokuba akukho zifundo zibonisa naluphi na ulwahluko wokhuseleko kwi-ibuprofen kunye ne-acetaminophen kwiintsana ezineminyaka eyi-6 ukuya kweyeshumi elinesibini. Yaye ngelixa ukuguqula loo mayeza emibini yindlela eyaziwayo, i-APP ayicebisi ukusebenza, njengoko kunokuba lula kakhulu ukudlula ngaphezulu ukusebenzisa loo ndlela.
Ndiphe umgca:
Ukunyanga imfiva i-APP icebisa:
- Ukuphathwa kwesizathu somkhuhlane, kungekhona nje umkhuhlane ngokwawo (kwaye ukhumbule, amayeza omzimba aya kuncedisa ukugula kwangoku).
- Ukugcina umntwana ekhululekile kwaye ehlanjululwe ngamanyathelo okunyusa okufana nokuncelisa kwiimfuno kunye nokuhlambela ngokutsha okufanelekileyo.
- Ukuqwalasela iimpawu kunye neempawu ngokukhawuleza, ukujonga ukugula okukhulu.
- Ukulumkisa ngamachiza.
- Zonke iintsana ezimbini ezincinci ezincinane kunye nomkhuhlane kufuneka zihlolwe ngokukhawuleza kunokwenzeka ngumboneleli wezempilo.
Imithombo
UJanice E. Sullivan, MD, uHenry C. Farrar, MD, iCandelo kwiCliniki Pharmacology kunye neTherapeutics, iKomiti yeDrugs. I-Fever kunye ne-Antipyretic Usetyenziso kubantwana. I-American Academy ye-Pediatrics Clinical Report. (2011). Ifumaneka kwi-Intanethi: http://pediatrics.aappublications.org/content/127/3/580.full.
UHannah F Smitherman, MD, et al. Ukuvavanya nokulawulwa komkhuhlane kwiintsana ezincinci (iintsana ezingaphantsi kweenyanga ezintathu). Isemgangathweno. Ifumaneka kwi-intanethi: http://www.uptodate.com/contents/valuation-and-management-of-fever-in-the-ononate-and-young-infant-younger-than-three-mon-of-age
Indlela yokuthatha ubushushu bomntwana. HealthyChildren.org. I-American Academy yePediatrics. Ifumaneka kwi-Intanethi: http://www.healthychildren.org/English/health-issues/conditions/fever/pages/How-to-Take--Childs-Temperature.aspx