Oko Ukwenza Xa Umkhuhlane Ungayi Kuhamba
Ukuba nomntwana onomkhuhlane omde okanye oqhubekayo unokukhathazeka, kokubili umzali kunye nezingane zabo. Ngakolunye uhlangothi, awufuni ukugqithisa kwaye ubeke umntwana ngeemvavanyo ezininzi ezingadingekile ukuba yintoni inokuba "yintsholongwane," kodwa ke awufuni ukulahlekelwa nayiphi na into ephathekayo okanye eyona nto ibaluleke kakhulu, ulahleke into ebaluleke gqitha.
Oogqirha basoloko basebenzisa indlela yokusebenzisa isilumko xa belawula umntwana onale mpawu.
Umkhuhlane ohlala ixesha elingakaziwa
Umkhuhlane omude ngumnye ohlala ixesha elide kunexesha eliqhelekileyo, umzekelo, ngaphezu kweentsuku ezisixhenxe ukuya kwezi-10 onokuzilindela nge-HIV elula. Umlilo wemvelaphi engaziwayo (i-FUO) isoloko ichazwe ngokuba nefiva iiveki ezintathu okanye ngaphezulu ngaphandle kwesizathu esaziwayo emva kweveki enye yoogqirha ezama ukuqonda isizathu sesifo somkhuhlane. Ama-antibiotics amaninzi ayimiselwe nje kuba umntwana unomkhuhlane ohlala ixesha elide. Kwiimeko ezininzi, akukho nto ekhethekileyo yomkhuhlane ofunyenweyo, kwaye iphela nje.
Ukuvavanya umntwana kunye neFure eqhubekayo
Ukuba ugqirha wakho ebona umntwana wakho ngethuba lokugula, kwiintsuku zokuqala ezintathu ukuya ezintlanu, unokugqiba isigqibo sokumgcina umntwana wakho emva kokuvavanywa ngokusemgangathweni ngokuxhomekeke kwindlela ebonakalayo okanye egula ngayo umntwana wakho. Emva koko, isifo sakho sezingane siyakwenza uvavanyo oluthe xaxa ukuba umkhuhlane uyaqhubeka, njengovavanyo lwe-strep kunye nokubala kwegazi, kuxhomekeke kwezinye iimpawu zomntwana wakho.
Ngelo xesha, ukuba umntwana wakho usenomkhuhlane, ngokuqinisekileyo ufune ukubonakala kwakhona. Oku kubaluleke ngakumbi kuba ucinga ukuba uya kuqhubeka. Ukuba awukhululekile ukumbona ugqirha wezilwanyana kwakhona, ngoko ucinga ukufumana umbono wesibini kwelinye isazi sezingane okanye ngokuya ekamelweni lezongxamisekileyo kwisibhedlele sabantwana.
Ukuvavanywa okuqhubekayo kunokuquka:
- I-X-ray yesifuba
- I-Urinalysis kunye nekhamera
- Ngegazi
- Ukuvavanya kwi-mono
- Phinda ubale igazi
- Izilingo zomsebenzi wesibindi
- PPD ukuvavanya isifo sofuba
- Vavanyo lweHIV
- Ireyithi yokulinganisa (ESR) kunye novavanyo lweC-proactive (CRP)
- Iipaneli zokuphefumula ezinentsholongwane
Uvavanyo olunzulu olunokwenyama lungabonelela ngakumbi, ngokukodwa ukukhangela izilonda zomlomo, ukuqhaqhaqhaqhazela, izilonda ze-lymph, okanye iimpawu zakudala zezifo zezilwanyana ezifana nesifo se-Kawasaki.
Emva kweeveki ezimbalwa zomntwana onomkhuhlane wemvelaphi engaziwayo (FUO), ukuvavanywa kwezinto ezincinci eziqhelekileyo zenziwa. Oku kungabandakanya i-sonogram yesisu okanye i-CT scan ukwenzela i-abscess, i-stool cultures, i-ANA (uvavanyo lwe-arthritis), iimvavanyo zemizimba ye-thyroid, kunye nokuhlolwa kwe-antibody nezinye izifo.
Ukuba konke oko kuqhelekileyo, ukuvavanya izifo ezingenasifo ezibangelwa yi-fever, njenge-rheumatoid arthritis yobuncinane, izigulane kunye nezifo zesibindi zivame ukuza emva koko.
Ukukhupha kunokuthi kubhekise kwisifo sokuphefumula njengesisifo somkhuhlane wakhe, njengobanda obuphendulela ekubeni yi-pneumonia okanye isifo se-sinus. Ukuhamba nge-pneumonia okanye i-mycoplasma pneumonia kungabangela ukukhulelwa komkhuhlane kwaye kusenokubangela ukuba izibonakaliso zakhe zibangele. Akuqhelekanga ukuba le ntsholongwane iphele enye ukuya kwiiveki ezintathu ngaphambi kokuba umntwana aqale ukubonisa ukuphuculwa.
Izikhokelo kwi-FUO Isizathu
Ukongeza kwinqanaba lakho lezilwanyana, isifo sesifo sesifo esithathelwanayo kunye nesifo se-rheumatologist sonyango singasinceda ukuba umntwana wakho unomkhuhlane omde. Ukuze uncede oogqirha bakho banciphise oko kubangela umkhuhlane wengane yakho, qwalasela le mibuzo elandelayo kunye nemithombo ekhoyo yomshushu:
- Ngaba uye wajikeleza nawuphi na umntu ogulayo?
- Ngaba ulahlekelwe nayiphi na imithi yakhe yokugonya? (Ugqirha wakho akakwazi ukucinga ngezifo ezikhuselweyo zokugonya , ukucinga ukuba kufuneka ugonywe kwaye ukhuselwe kuzo)
- Ngaba uye waphuma kweli lizwe nje nje? (malariya okanye ezinye izifo)
- Ingaba wayekho naziphi na izilwanyana zasefama okanye izilwanyana zasendle? (brucellosis, tularemia)
- Unayo naziphi na izilwanyana? (I-Salmonella izifo ezihlambulukileyo kunye ne-psittacosis kwiintaka)
- Ingabe utyatywe ngumthi? (Isifo seLyme, umkhuhlane we-Q, i-Rocky Mountain spotty fever)
- Ngaba utyatywe yintana? (i-cat-scratch disease)
- Ngaba wayidla ukutya okuluhlaza okanye okungekho ngaphantsi kokutya okanye ukusela ubisi obungasetshenziswanga okanye ijusi?
- Ngaba unentliziyo eguncuzelayo? (i-bacterium endocarditis)
- Ngaba uye wathatha nawaphi na amayeza? (umkhuhlane weziyobisi)
- Ngaba kukho into efana nale isebenza kwintsapho? (intsapho yaseMedithera)
- Ukongeza kwindlovu, ingabe uneminye impawu, njengobusuku bokuhlwa kunye nokulahleka kwesisindo? (lymphoma)
- Ngaba unayo iziqephu ezinje ngaphambili kwaye zazidibene nezilonda emlonyeni wakhe? (PFAPA syndrome)
> Imithombo:
> I-American Academy yePediatrics. Incwadi Ebomvu: Umbiko ka-2015 weKomiti yezifo ezithathelwanayo . I-Elk Grove Village, IL: i-American Academy ye-Pediatrics; 2015.
> I-SS ende, i-Pickering LK, iProber CG. Iimpawu zengqondo ezihlala ixesha elide, eziphindaphindiweyo kunye neePeriodic Fever Syndromes. Iimigaqo kunye nokuSebenza kwezifo ezithathelwanayo (IiNtsholongwane ezine), iSahlulo II , 2012, iphepha 117-127.