Ungakuphatha njani ukuxhuzula okungathethekiyo

Imfundo yezeMpilo

Ndaye ndane-fever-iinyanga ezili-13 ubudala, xa wayeka ukutya kwaye wabonakala ejonge kakhulu efestileni. Ekuqaleni, ndacinga ukuba wabona into enomdla, kodwa ke ndaqaphela ukuba andinakophula ukujonga kwakhe. Akazange aphendule igama lakhe okanye ukuphazamiseka. Xa wayeqala ukwenza ingxolo engaqhelekanga kunye nokuhlahlela amathe, ndandisazi ukuba kukho into engalunganga.

Kuba bendisebenze kwindawo yokugcina abantwana nabantwana abaliqela abanembali yokuxhuzula, bendikwazi ukuyazi enye, nokuba mandenze ntoni. Ukufumana olu lwazi kwandinceda ndahlala ndizolile ngeli xesha loyikekayo.

Ngethamsanqa, njengoko kusothusa njengoko bejongeka, ukuxhuzula okungathethekiyo kunqabile ukuba kube yingozi kwaye kuhlala kunjalo, abantwana bayadlula. Unyana wam ngoku uneminyaka eli-11 ubudala, akanakho ukuxhuzula, kwaye akanaziphumo zihlala zihleli ngenxa yokuxhuzula okungathethekiyo ebengumntwana. Nantsi into ekufuneka uyazi ngabo.

Yintoni ukubanjwa kwefebrile?

Ukubanjwa kwe-Febrile (ebizwa ngokuba yi-febrile convulsions) yinto eqhelekileyo yokubanjwa kwabantwana abaselula. Inyaniso, 2% ukuya kwi-5% yabantwana abaneminyaka emi-6 ukuya kwiminyaka emi-5 amava okuwa. Zihlala zimfutshane ngexesha, zihlala zihlala zihlala njalo ngaphantsi komzuzu omnye ukuya kwemibini , kwaye kunqabile ukuba ngaphezu kwemizuzu emihlanu. Zimbini iintlobo zokuxhuzula okungathethekiyo. Ukubanjwa ngokulula zezona zixhaphakileyo, kwaye zihlala ngaphantsi kwemizuzu eli-15. Ukuxhuzula okuntsonkothileyo kokuhlala ixesha elide ngaphezu kwemizuzu eli-15, kubuyela kwisithuba seeyure ezingama-24, okanye kunxulumene nezinto ezinje Ukuqala kokugxila .

Yintoni ebangela ukuxhuzula okungathethekiyo?

Ukuxhuzula ngoFebruwari kwenzeka xa umntwana enefiva. Ngelixa zinokubakho ngomkhuhlane okwiqondo eliphantsi (100.4 degrees F), zihlala zenzeka xa iqondo lobushushu lomntwana liphezulu kune-102 degrees F. Banokudityaniswa nobushushu bomzimba obutshintsha ngokukhawuleza- ngesiqhelo, obonyuka ngokukhawuleza, kodwa ngamanye amaxesha xa umkhuhlane womntwana uyehla.

Ukubanjwa kwe-Febrile kunokwenzeka nakuphi na ukugula kwaye kwenzeka ngosuku lokuqala lomkhuhlane. Ezinye izifo zihlala zinxulunyaniswa nokuthotywa komzimba kubandakanya umkhuhlane, umkhuhlane, i-roseola, inyumoniya kunye ne-meningitis.

Kutheni le nto ifiva ikhokelela ekuhluthweni kwabanye abantwana abancinci? Ayaziwa, utsho uMaryanne Tranter, Ph.D., APN, umseki we Igosa lokuNonophela abantwana elinempilo . Kodwa umkhuhlane uguqula ukusebenza kwengqondo kunye nekhemistri. Oku kuchaphazela ukudubula kwengqondo kwi-neuron kunye nokuzonwabisa, okukhokelela ekubanjweni. Imfuza ichaphazela ezi ndlela. Izinto ezibangela okusingqongileyo nazo kukholelwa ukuba ziyabandakanyeka. Intsingiselo, imbali yosapho yokuthimba inokubonisa umngcipheko ophezulu.

Ngubani osemngciphekweni wokuxhuzula?

Nawuphi na umntwana ophakathi kweenyanga ezi-6 kunye neminyaka emi-5 ubudala angabanjwa kukufa, amaxesha amaninzi phakathi kweenyanga ezili-14 ukuya kwezili-18 ubudala. Zenzeka ngakumbi kubafana kunamantombazana kwaye banotyekelo oluncinci lokuba lilifa.

Phantse isinye kwisithathu sabantwana abaye baxhakamfulwa yifayile enye baya kuba nesinye esinye kubuntwana babo.

Ziintoni iimpawu zokubanjwa kukugula?

Iimpawu zingabandakanya umkhuhlane kunye nenye okanye ngaphezulu kwezi zilandelayo:

• Ukujonga
• Ukungcangcazela kakhulu
• Ukujija kwicala elinye okanye omabini amacala
• Ukuqiniswa kwezihlunu kwelinye okanye macala omabini
• Ukuqhwalela kwezihlunu kwelinye okanye macala omabini
• Ukuphulukana nokuqonda
• Ukuphefumla ubunzima
• Igwebu emlonyeni
• Isikhumba esimfusa okanye luhlaza
• Ukuqengqa kwamehlo

Kuthatha ixesha elingakanani ukuxhuzula okungathethekiyo?

Ukuxhuzula ngokufuthi okuqhelekileyo kudla ngokuthatha nje imizuzu embalwa — imizuzu emihlanu okanye ngaphantsi. Ngamaxesha athile bahlala ngaphezulu kwemizuzu emihlanu kwaye kunqabile ukuba ngaphezulu kwemizuzu eli-15. Ukuxhuzula okunzima kunokuhlala ngaphezulu kwemizuzu eli-15 kwaye kunokwenzeka ngaphezulu kwesinye kwithuba leyure ezingama-24.

Kufunyaniswa njani ukuba ubanjwe

Ngokubanjwa ngokulula, ababoneleli ngezempilo bagxila kwisifo esingunobangela womkhuhlane. Banokuqhuba uvavanyo lwegazi, benze i-X-reyi, okanye basebenzise ezinye izixhobo zokuchonga ukufumanisa usulelo okanye intsholongwane enoxanduva lokugulisa umntwana.

Ngenxa yokuthimba okunzima, banoku-odola i-EEG yomntwana kunye / okanye bathumele kwingcali efana ne-neurologist.

Ukuba ukhona omnye umntu okhoyo, kuyanceda ukuba babhale phantsi oko kuthinjwa, ucebisa u-Uchenna L. Umeh, MD, aka Dr. Lulu IZiko lezeMpilo likaGqr. Lulu eSan Antonio, eTexas. Le vidiyo ivumela ugqirha ukuba abone ukubanjwa kwaye enze isifo esichanekileyo ngakumbi kunenkcazo yomlomo.

Yintoni omele uyenze xa umntwana exhuzula

Ngexesha lokuthimba

Okokuqala nokuphambili, kubalulekile ukuba uhlale uzolile. Nantsi enye into ekufuneka uyenzile ukuqinisekisa ukuba umntwana wakho uhlala ekhuselekile.

1. Beka umntwana ngecala phantsi okanye asuse naziphi na izinto ezikufutshane.
2. SUKUFAKA nantoni na emlonyeni womntwana, kubandakanya neminwe yakho. Akunakwenzeka ukuba umntu oxhuzulayo aginye ulwimi lwakhe.
3. Ungazami ukubamba umntwana.
4. Susa nayiphi na impahla eqinileyo, ngakumbi entanyeni.
5. Ixesha lokuhluthwa.

Tsalela umnxeba ku-911 ukuba kwenzeka oku kulandelayo:

• Kuthatha ixesha elingaphezu kwemizuzu emihlanu.
• Ukuhlutha kuchaphazela icala elinye kuphela.
• Umntwana unengxaki yokuphefumla okanye uluhlaza okwesibhakabhaka.
• Umntwana uxhuzula kaninzi.
• Kukho ukugabha okuhamba nokuhlutha.
• Umntwana unentamo elukhuni.
• Ukuba uziva kunyanzelekile.
• Umntwana ulele kakhulu

Ukuba awuqinisekanga ukuba kufuneka ufowunele, tsalela umnxeba-ngakumbi ukuba le yinto yokuqala yokuthimba umntwana.

Emva kokuthimba

Xa sele kudlulile ukuxhuzula, mqinisekise, umthuthuzele kwaye umjonge umntwana wakho. Unokuziva esozela okanye edidekile emva kokuxhuzula, kodwa kufanelekile ukuba enze ngokwesiqhelo kwiyure enye.

Okulandelayo, yenza idinga kunye nogqirha wabantwana. Oku kubalulekile kungekuphela ngenxa yokuxhuzula, kodwa ukufumanisa nokunyanga isigulo esisibangeleyo.

Unyango lokuthimba u-Febrile

Ngokwesiqhelo, ukuxhuzula okungathathi ntweni akufuneki nyango ngaphandle kwesifo esisisiseko esihamba nabo. Ngamaxesha athile ijeli yedayazepam isetyenziselwa ukunyanga ukuxhuzula okungapheliyo. Ukuba ukuxhuzula kuyinkimbinkimbi, i-benzodiazepine enje IMidazolam inokulawulwa ngabasebenzi begumbi likaxakeka, kodwa oku kunqabile.

Ezinxulumene: Abantu abanesathuthwane ngoku banokukhetha ukutshiza ngeempumlo kunyango lokuthimba ngokukhawuleza

Ngaba ukubanjwa kwefebrile kuyingozi?

Kuba zijongeka zisoyikeka, abazali bahlala bexhalabile ukuba ukuxhuzula okungathethekiyo kunokuba yingozi ngokukhawuleza okanye kubangele iziphumo ebezingalindelekanga ezihlala zihleli, ukonakala kwengqondo. Iindaba ezimnandi zezokuba ukuxhuzula okungathethekiyo phantse kuhlala kungenabungozi.

Ukuhluthwa kwe-Febrile akubangeli ukuxhuzula . Emva kokuthimba okungathethekiyo, umngcipheko womntwana wokukhula sisifo sokubanjwa unyuka uye kuye 2% ukuya kwi-4% , engaphezulu kancinci kunomndilili; kodwa lulungelelwaniso, ayisosizathu.

Ukubanjwa ixesha elide okungaphezulu kwemizuzu emihlanu ukuya kweli-15 kunokubangela umngcipheko wokuba nesithuthwane, kodwa loo nto inqabile kakhulu. Naluphi na uhlobo lwesiganeko esibuhlungu sinokuyingozi, utshilo uGqirha Umeh. Okukhona ihlala ixesha elide, iba yingozi ngakumbi. Kodwa ukuxhuzula okungathethekiyo akuhlali ixesha elide.

Abantwana phantse bahlala bephulukana nokubanjwa okungathethekiyo beneminyaka emi-5 okanye 6.

Ngaba ukuthintelwa okungathathi ntweni kungathintelwa?

Ngelixa oogqirha ngamanye amaxesha bacebisa ukusebenzisa ukunciphisa ifiva njenge ibuprofen kwaye acetaminophen njengamanyathelo othintelo lokohluthwa okwenzekileyo, akukho bungqina buncinci benzululwazi obubonisa ukuba bayasebenza kule njongo. Usebenzisa amayeza anje nge-acetaminophen okanye ibuprofen yomkhuhlane kubonisiwe ukuba awuthinteli ukuxhuzula okungathethekiyo, utshilo uGqirha Tranter. Ziyasebenza e ukunciphisa ifiva , ezinokunceda umntwana wakho azive ekhululekile. Ukulandela isicwangciso sonyango esivela kugqirha womntwana wakho kuya kunceda ekuvuseleleni, ukunciphisa umngcipheko wokubanjwa okunye nokugula okwangoku.

Eyona ndlela yokuthintela ukuxhuzula okungenamsebenzi kukuba thintela izifo kwasekuqaleni . Ukuhlamba izandla, ukuvala imilomo ngokukhohlela, ukulala ngokwaneleyo ukugcina amandla omzimba omelele, kunye nokufumana isitofu sokugonya umkhuhlane. thintela umkhuhlane okanye ukunciphisa ubuzaza beempawu ukuba ufumana umkhuhlane ngamanye amanyathelo uGqirha Tranter ucebisa ukunciphisa ukubamba kunye sisasaza izifo oko kunokukhokelela ekuthinjweni kancinci.

Akusoze kubuhlungu ukuzilungiselela. Ukwazi imiqondiso yokuthinjwa okukhulayo kunye nokuba wenzeni ukuba umntwana wakho akanako ukuthintela enye. Kodwa, uqeqesho lokuqala lunceda ukugcina abazali bezolile kwaye lukhuthaza impendulo ekhawulezileyo kunye nechanekileyo.

Abanonopheli bangathatha iklasi yokuvuselela i-cardiopulmonary, enokunceda ukunciphisa ukwesaba kwabo kunye nokuxhalaba xa kwenzeka kwakhona, utshilo uDkt. Tranter.

Ukuhluthwa ngoFebruwari kubonakala kusothusa- kodwa ukuba umntwana wakho unayo, zama ukungakhathazeki. Ziphantse zihlala zingenabungozi, kwaye zisombulule ngokwazo.