Inhlalakahle ngemuva kokugoma
Ekuphenduleni kwendawo (evamile) kunesifo esingathí sina, ukunciphisa nokuphindaphinda ububanzi cishe ngamasentimitha angu-8 endaweni yokungeniswa kokulungiselela. Ukusabela kwenzeka ngemuva nje kokugonywa kwengane futhi kuqhubeka izinsuku ezine. Kubangelwa ukungenisa izinto ezengeziwe emzimbeni. Imiphumela emibi ibonakala ngokuphulwa kwesifiso senhliziyo, ikhanda lomkhuhlane nomkhuhlane. Ngokuvamile, ngemuva kokwethulwa kwemigomo ephilayo - imiphumela ebuthakathaka yalesi sifo. Izinqubo ezinjalo azizona isikhathi eside futhi zenzeka esikhathini esisukela ezinsukwini eziyisihlanu kuya kwezinhlanu. Inhlalakahle yengane enokuphendula kwendawo ayifuni neze yehlukile komuntu omdala.
Ukusabela okunamandla okugoma emva kokugoma (jikelele) ezimweni eziningi kwenzeka emva kokuphathwa kwezidakamizwa kusuka ku-tetanus, i-diphtheria, ukukhwehlela nokukhwehlela. Ukusabela okuvamile kubonakala ngendlela yokushona emzimbeni, ukulahlekelwa ukudla, ukuphazamiseka kokulala, isizungu, ukunxanxathela, ukuhlanza, umkhuhlane ngaphezu kwama-degrees angu-39, nokulahlekelwa nokuqonda. I-Edema nokubomvu kwesayithi lokujola lingaphezulu kwamamitha ayisishiyagalombili ububanzi. Ukusabela okuvamile okungavamile ukushaqeka kwe-anaphylactic (ngenxa yokusungulwa komgomo, ukucindezeleka kwegazi kwehla kakhulu). Ukukhala isikhathi eside kungenzeka ezinganeni ezincane.
Indlela yokugwema imiphumela emibi emva kokugoma
Ngenhlanhla, izinkinga emva kwemigomo azenzeki kaningi. Futhi uma ingane igula ngemva kokugoma, ngokuvamile lesi sifo sihambisana ngokuqondile nokugoma.
Kunemithetho eminingi ekhuthazwa ukuba ilandele, ukuze kuncishiswe ingozi yezinkinga emva kokugoma.
1. Okokuqala, qiniseka ukuthi umntwana unempilo. Ngenxa yalokhu kuwufanele ukuvakashela odokotela bezingane futhi uxoxisane ngezimo uma:
- ingane inokulimala kokubeletha, i-diathesis noma esinye isifo;
- izinyane lithatha uhlobo oluthile lwemithi;
- ukugoma kokugcina kwalandelwa ukuphendula okukhulu;
- ingane inomdlavuza kunoma yini;
- ilungu lomndeni noma ilungu lomndeni linengculazi, umdlavuza noma ezinye izinhlobo zezifo zomzimba;
- ingane yanikezwa ukumpompela igazi ezinyangeni zamuva, noma ithola i-gamma globulin;
- omunye wamalungu omndeni noma ingane ngokwakhe uthola i-chemotherapy, i-radiotherapy futhi ithatha imithi ye-steroid.
2. Ungalahli izeluleko odokotela, noma ngabe emva kokugoma okungekho izinkinga - lokhu akunikezi isiqinisekiso sokuthi konke okuzayo kuzokwenzeka konke okungahambi kahle. Ekuguleni kokuqala kwe-antigen emzimbeni, awukwazi ukusabela nhlobo, futhi ngokulawulwa okuphindaphindiwe, ukusabela okulindelekile kungaba nzima kakhulu.
3. Kunconywa ukuthi uhlolisise ngokucophelela lokho okushiwo yi-contrajectation ethile kumjovo othize nokugoma ngokujwayelekile, ukuze uqiniseke ukuthi akufanelekile kumntanakho. Odokotela kudingeka bahlinzeke ngolwazi olunjalo njengemyalelo kumuthi, bese ucela usuku lokuphelelwa yisikhathi - udinga ukwazi lokhu.
4. Akungaphansi kweviki ngaphambi komjovo, akukhuthazwa ukwethula ukudla okusha ekudleni, ikakhulukazi uma ingane ijwayele ukwelashwa.
5. Xhumana nodokotela wezingane ngezindlela ezikhona zokunciphisa noma ukuvimbela ukusabela komzimba kumgomo wokugoma. Udokotela angase anikeze umuthi we-prophylactic kumntwana, okuzodinga ukuthathwa okwesikhashana. Buza udokotela wakho ukuthi yiliphi uhlobo lokuphendula okulindelekile ongalulindela futhi emva kwesikhathi esithile.
6. Kunconywa ukudlulisa ukuhlolwa okujwayelekile komchamo negazi, ngokusho ukuthi ungabona ukuthi ukugoma kuvunyelwe noma cha. Ngaphezu kwalokho, isikhathi esiseduze sokulethwa kwezivivinyo kanye nokugoma, kungcono. Akudingekile ukuba uqale ukuhlolwa okuphelele (immunological) - ngeke kube nomqondo, imingcele yesimiso sokuzivikela komzimba ayikwazi ukukhombisa ingozi eyingozi yemiphumela emibi. Kanti futhi akunakucabangela ukuhlola ukutholakala kwama-antibodies akhethekile ezinganeni ngoba kungenzeka ukuthi zinezikhukhula ze-anti-mother's, ezanyamalala ezinyangeni ezimbalwa zokuqala zokuphila.
7. Ngaphambi kokugoma, qiniseka ukuthi uhlola inhlalakahle yomntwana wonke futhi ulinganise izinga lokushisa. Ngokungabaza okuncane kakhulu, udinga ukubonisa ingane kudokotela. Masinyane ngaphambi kokujola, hamba kudokotela wezingane.
Izenzo emva kokugoma
1. Ingxenye elandelayo yehora emva kokugoma kunconywa ukuba kwenziwe ekwenzeni i-polyclinic, ukuze kuthi uma kunemiphumela emibi unikezwe ngosizo olufanelekayo.
2. Uma izinga lokushisa likhuphuka, linike ingane ingaphezulu ketshezi, ungasula umzimba womntwana ngamanzi afudumele. Lapho kuvela ukusabela kwendawo (ubuhlungu, ubomvu, i-edema), ungafaka isicelo esakhiweni somjovo kancane kancane ugonywe emanzini ekhanda ngamanzi. Akunjalo nawe ungasebenzisa amafutha noma noma yikuphi ukucindezela. Uma ukuthuthuka kungenzeki ngosuku, kufanele uxhumane nodokotela.
3. Hlola ngokucophelela ushintsho oluncane esimweni sengqondo nengokomzimba wengane yakho, ikakhulukazi uma kungekho prophylaxis.
4. Izenzakalo ezimbi zingadlulela izinsuku ezimbalwa, konke lokhu kudingekile ukuthi uqaphele ngokucophelela impilo yakho. Mayelana nalezi zinguquko ozithola zingavamile futhi ezingavamile, tshela udokotela wezingane, lolu lwazi luyoba usizo kakhulu lapho ulungiselela ukugoma okulandelayo.
5. Uma kwenzeka izibonakaliso zokulahlekelwa yocwaningo noma ukuphefumula, kubalulekile ukubiza i-ambulensi, ungakhohlwa ukutshela odokotela abafika mayelana nokugoma okwenziwe kusihlwa.
6. Ngemuva kokusungulwa kwemigomo ephilayo, kufanele uke ukuthatha ama-sulfonamide nama-antibiotic okungenani amasonto ayisikhombisa. Uma ngemuva kokuphela kwemigomo ingane iyenze noma yiziphi izimo zokuphendula okweqile (ukwesaba, ukuvuvukala kanye ne-edema endaweni yomjovo, njll), bese kuthi isikhathi esithile wenqabe ukuletha imikhiqizo emisha ekudleni bese uya kudokotela wezingane.