Isiseko seSitofu
Ukukhathazeka ngokuphendula ngokugonya kukukhokelela abazali abathile ukuba badumise okanye badabise ezinye zeentsholongwane zabo. Ngelishwa, oko akukhokelela ekuphenduleni okumbalwa, kushiya loo bantwana ukuba angakhuselekanga kwaye angengozini yezifo ezikhuselweyo zokugonya .
Ukongezelela ekuqondeni ezininzi iinkolelo kunye neengcamango ezingenakunyani ezijikeleza izitofu kwaye zatshanthe abazali ukuba bangagcini abantwana babo, ukuqonda izinto ezinokubeka abantwana kwiingozi ezingakumbi zokuphendula kungakunceda wenze isigqibo sokuba abantwana bakho bagonwe ngokupheleleyo.
Ingaba Umntwana Wakho Usengozini Yempatho Yegciwane?
Ukukunceda ukuba uqaphele ukuba umntwana wakho unokuphikisana okanye ulunge lokufumana iigonti, iingcali zincoma ukuba abazali baphendule imibuzo ephambili ngaphambi kokuba abantwana babo bafumane naziphi na izitofu, kuquka:
- Ingaba umntwana wakho ugula namhlanje? Ukugula okumnene, nangona umntwana wakho ethatha i-antibiotics, akusoloko isizathu sokubambezeleka kokufumana isitofu.
- Ingaba umntwana wakho unobungozi kumachiza, ukutya, okanye nayiphi na isitofu? Lo mbuzo unokukunceda ukufumanisa ukuphendulwa komzimba ophezulu kwiimpawu ezithile zokugonya okanye izitofu zokugonya, kuquka i-latex, imvubelo, i-gelatin, amaqanda, i-neomycin, i-polymyxin B, okanye i-streptomycin, njl. ukufumana ii-vaccines akunqabile
- Ingaba umntwana wakho waba nesisombululo esinzulu kwisitofu sokugonywa kwixesha elidlulileyo? Ukuba unxulumene nenjongo yokukhusela igciwane, oko kuya kuba isizathu sokukuphepha kwikamva
- Ingaba umntwana wakho unobungozi, ingqondo okanye ingxaki yentsholongwane? Ngokuqhelekileyo, ukuba umntwana wakho unenkinga yokuqhubeka neurologic (enye iya kuba yimbi), ngoko-ke isitofu se-DTaP sinokuthi sichazwe kude kube yimeko yomntwana wakho ezinzile
- Ingaba umntwana wakho unenkinga yempilo ngesifo se-asthma, isifo sesifo samaphaphu, isifo senhliziyo, isifo sesifo, isifo sesifo sesifo sikashukela, okanye isifo segazi? Oku kukuchonga abantwana abangenakufumana isitofu sokugonywa komkhuhlane kunye nesifo sokutshiza
- Ngaba umntwana wakho unomdlavuza, i-leukemia, i-AIDS, okanye nayiphi na enye ingxaki yomzimba? Abanye abantwana abaneengxaki zemizimba ye-immune akufanele bafumane iigciwane zentsholongwane
- Ingaba umntwana wakho uthathe i-cortisone, i-prednisone, enye i-steroids, okanye iziyobisi ze-antiticancer, okanye zenziwe unyango lweemitha kwiinyanga ezintathu ezidlulileyo? Abanye abantwana bethatha amayeza angakwazi ukuguqula amajoni abo omzimba kufuneka alinde ukufumana iintsholongwane zegciwane. Gcina ukhumbule ukuba ikhosi emfutshane ye-steroids, enje isetyenziselwa ukuphatha isifo se-asthma okanye ubuthi obuyingozi, asiyi kuba nesizathu sokulibaziseka ukufumana isitofu.
- Ingaba umntwana wakho ufumene ukudluliselwa kwegazi okanye iimveliso zegazi, okanye unikwe iyeza elibizwa nge-immune globulin kunyaka owedlule? Oku kungaba sisizathu sokulibaziseka ukufumana igciwane lokugonywa kwegciwane
- Ingaba umntwana wakho ukhulelwe okanye ukhona ithuba lokuba akhulelwe ngenyanga ezayo? Emva koko akufanele ufumane igciwane lokugonywa kwegciwane
- Ingaba umntwana ufumane ukugonywa kwiiveki ezidlulileyo ezine? Ukuba akanikiwanga ngexesha elifanayo, iigciwane lesigobane esiphilayo akufanele sinikezwe kwiiveki ezi-4 zomnye
Ukuba ucinga ukuba umntwana wakho usemngciphekweni wempendulo yokugonywa okanye unesifo sokugonya, qiniseka ukuthetha nodokotela wezilwanyana. Kufuneka unikwe ingxelo nayiphi na impendulo yokugonywa kwiNkqubo yokuBika iSigxina seNkcazo (VERSA).
Hlalani nikhumbule ukuhlolwa kofuzo lwe- MTHFR akuyinto enokukunceda ukuba unqume ukuba umntwana wakho usemngciphekweni we-reaction response. Ukukhutshwa komgudu we- MTHFR kunye novavanyo lwe- intanethi kwiinguqu ze- MTHFR yintsholongwane yinto nje yakutshanje kubazali abagonyayo abantwana babo. Oko akuthethi ukuba ukuguquka kwezakhi ze-MTHFR akubalulekanga. I-Homocystinuria ivavanywa njengenxalenye yesikrini esitsha esitsha esasifana nayo kwaye sinokubangelwa yi- MTHFR gene mutation. Kukho utshintsho oluthile lweMHTFR nangona ezinye zifunyenwe kwi-26% okanye ngaphezulu koluntu, kwaye abanye banokuba neziphumo zokukhusela ngomhlaza.
Abayi kukuxelela ukuba umntwana wakho usemngciphekweni wempendulo yokugonya nangona kunjalo.
Ukuvavanywa kwiNtshukumo yokuNyango okanye ukuKhathala
Ngethamsanqa, ukulimala okwenene okugonywayo kuyinto engavamile. Umzekelo, ngelixa i-SIDS, iimpawu zokuqala ze-autism, kunye nezinye izinto zingabonakala zihambelana nokufumana iigonti, kuye kwafakazelwa (ngokuphindaphindiweyo kwakhona) ukuba ayibangelwa yimigomo .
Siyazi kwakhona ukuba izitofu azibanga okanye zibeke abantwana engozini yeengxaki ze-celiac, i-multiple sclerosis, i-type 1 yesifo sikashukela, isifo esingasasigxina, okanye naluphina uhlobo lwesifo esichaphazelekayo, kubandakanya ukugula, i-asthma, okanye i-eczema.
Ngokuqhelekileyo, iziganeko ezihambelanayo zithathwa njengezigulane kunye nabazali banokufuna ukukhutshwa komgudu wokugonya.
Kubaluleke ngakumbi ukuphonononga ngokucophelela imeko kwaye uqinisekise ukuba ngaba yintoni isenzo sokugonya. Udokotela wakho wezilwanyana usenokusebenzisa isilathisi se-Clinical Immunisation Assessment (CISA) sokuncedisa ukujonga ukuba impendulo yomntwana ihambelana nobangelwa yicontsho.
Kukho i-algorithm yokuncedisa ukuba ngaba umntwana wayenomdla wokugonywa kwisigontsho. Ukuba ukuphikiswa komzimba kuyakrokraza kwaye umntwana akayilo mzimba (kufuneka iimvavanyo ezongezelelweyo zesitofu sokugonya), ukuvavanywa kwesikhumba kunokuba yinto efanelekileyo phambi kokuba umzali afune ukuxolelwa kwezonyango.
Enoba kwakuyi-reactional acute response (anaphylaxis) okanye enye impendulo, ukukunceda ukuba uqwalasele ukuba idibene nokufumana isitofu, kubalulekile ukwazi:
- xa kuqala iimpawu, ngokukodwa ngokuphathelele xa umntwana wakho efumana izitofu zokugqibela
- zonke iimpawu zomntwana wakho eziphuhlisiwe
- ukuba kukho na enye into ebangele iimpawu
- apho ugonywa ngumntwana wakho
- ukuba umntwana wakho wayenakho ukuphendula kwangaphambili kuye naziphi na izitofu
Ukuba awuqinisekanga ukuba umntwana wakho unomdla wokugonywa, udokotela wakho wezingane unokucela ukuhlolwa koVavanyo lweKhuseleko lokuKhusela kwi-CDC ukuze ufumane iingcebiso ezingaphezulu.
Kwakhona, kufuneka uxelele nayiphi na impendulo yokugonywa kwiNkqubo yokuBika iSigxina seNkcazo (VERSA).
Imithombo:
Amacandelo okuLawula nokuKhuselwa kwezifo. Isatifiketi seNkcazo kunye nokuCetyiswa kwiiVilisi ezisetyenziswa rhoqo. Ukuhlaziywa: Matshi 6, 2014.
Amacandelo okuLawula nokuKhuselwa kwezifo. Iimeko eziqhelekanga ezingabonakaliyo njengeNkcenkceshelo yokuNconywa. Ukuhlaziywa: Julayi 17, 2012.
I-Halsey NA, i-Algorithm yokuvavanya iCausality emva kweZiganeko eziMbi eziMbi emva kokugonywa, i-Vaccine. 2012 uMatshi 13.
I-Myléus, uAna, i-PhD, MD, iiNtsholongwane zakuNcinci azikho izinto ezinobungozi kwiiCeliac Disease, i-Pediatrics. 2012 Julayi; 130 (1): e63-70.
Ukukhutshwa, PA. Ukujongana nokukhathazeka kwabazali: ngaba izitofu zibangelwa zizifo ezikhuselekileyo okanye ezizimele? Pediatrics. 2003 Mar; 111 (3): 653-9.
Rosenberg, Nurit. I-510-Methylenetetrahydrofolate eqhubekayo I-C677T i-polymorphism idibene ne-Haplotype eqhelekileyo kuma-Whites, eJapan nase-Afrika. I-American Journal ye-Human Genetics. Umqulu 70, Issue 3, Matshi 2002, iphepha 758-762
Iigonti (iNgqungquthela yesithandathu) 2013
Imithi R kunye. al., i-Algorithm yokuThatyathwa kwabaPhezulu ngeempendulo ze-Hypersensitivity emva kwe-Vaccines, i-Pediatrics. 2008 ngoSeptemba; 122 (3): e771-7.