Ukuquleka kwe-Febrile

Ukuquleka okuncane kuyisifo sokudlikizela kwengane ebangelwa umkhuhlane.

Ukushisa okungu-100.4 ° F (38 ° C) noma ngaphezulu kungadala ukuquleka okuncane ezinganeni.

Ukubanjwa okuncane kungasabisa noma yimuphi umzali noma umnakekeli. Esikhathini esiningi, ukuquleka okungatheni akulimazi. Ingane imvamisa ayinayo inkinga yezempilo yesikhathi eside ebucayi.

Ukuqothuka kwe-Febrile kwenzeka kakhulu kwezinye izingane ezinempilo eziphakathi kwezinyanga eziyisithupha neminyaka emihlanu. Izingane ziyathinteka kakhulu. Ukuqothuka kwe-Febrile kuvame ukusebenza emindenini.

Iningi lokuquleka okungenampilo kwenzeka emahoreni angama-24 okuqala okugula. Kungenzeka kungenzeki lapho umkhuhlane uphakeme kakhulu. Ukugula okubandayo noma kwegciwane kungadala ukubanjwa okuncane.

Ukubanjwa okuncane kungahle kube mnene njengamehlo wengane agingqika noma izitho ziqine. Ukuquleka okuncane okuphuza kancane kuyeka ngokwakho ngemizuzwana embalwa kuya kwemizuzu eyi-10. Imvamisa ilandelwa isikhathi esifushane sozela noma sokudideka.

Izimpawu zingafaka noma yikuphi okulandelayo:

• Ukuqina okungazelelwe (ukusikwa) kwemisipha ezinhlangothini zombili zomzimba wengane. Ukuqina kwemisipha kungahlala imizuzwana embalwa noma ngaphezulu.
• Ingane ingakhala noma ibubule.
• Uma imile, ingane izowa.
• Ingane ingahlanza noma ilume ulimi lwayo.
• Kwesinye isikhathi, izingane aziphefumuli futhi zingaqala ukushintsha zibe luhlaza okwesibhakabhaka.
• Umzimba wengane ungaqala-ke ukuqhuma ngesigqi. Ingane ngeke iphendule ezwini lomzali.
• Umchamo ungaphasiswa.

Ukuquleka okuhlala isikhathi eside kunemizuzu eyi-15, kusengxenyeni eyodwa kuphela yomzimba, noma kwenzeka futhi ngesikhathi sokugula okufanayo akuyona into yokubanjwa febrile evamile.

Umhlinzeki wezokunakekelwa kwempilo angaxilonga ukubanjwa kwesifo esiwumbumbulu uma ingane inesifo sokuthwebula kodwa ingenawo umlando wokuphazamiseka kokuquleka (isithuthwane). Ukubanjwa kwe-tonic-clonic kubandakanya umzimba wonke. Ezinganeni nasezinganeni ezisencane, kubalulekile ukukhipha ezinye izimbangela zokubanjwa kokuqala, ikakhulukazi i-meningitis (ukutheleleka kwamagciwane kokumbozwa kobuchopho nentambo yomgogodla).

Ngokuquleka okujwayelekile kwesifo febrile, ukuhlolwa kuvame ukuba yinto ejwayelekile, ngaphandle kwezimpawu zokugula okubangela umkhuhlane. Imvamisa, ingane ngeke idinge ukubanjwa ngokugcwele, okubandakanya i-EEG, ikhanda le-CT, kanye ne-lumbar puncture (umpompi womgogodla).

Ukuhlolwa okwengeziwe kungadingeka uma ingane:

• Ingaphansi kwezinyanga eziyi-9 noma ngaphezulu kweminyaka engu-5
• Unobuchopho, imizwa, noma ukuphazamiseka kokukhula
• Ukube ukuquleka kunesitho esisodwa kuphela somzimba
• Ukube ukuquleka kudonse isikhathi esingaphezu kwemizuzu engu-15
• Ngaba nokuquleka okungaphezu kokukodwa okukodwa ngamahora angama-24
• Unokutholwa okungavamile lapho kuhlolisiswa

Inhloso yokwelashwa ukuphatha imbangela eyimbangela. Izinyathelo ezilandelayo zisiza ukugcina ingane iphephile ngesikhathi sokudlikiza:

• Ungayibambi ingane noma uzame ukumisa ukunyakaza kokuquleka.
• Ungashiyi ingane yodwa.
• Beka ingane phansi endaweni ephephile. Sula indawo yefenisha noma ezinye izinto ezibukhali.
• Slayida ingubo ngaphansi kwengane uma phansi kunzima.
• Hambisa ingane kuphela uma isendaweni eyingozi.
• Khulula izingubo eziqinile, ikakhulukazi entanyeni. Uma kunokwenzeka, vula noma ukhiphe izingubo kusukela okhalweni kuye phezulu.
• Uma ingane ihlanza noma uma kwakhiwa amathe namafinyila emlonyeni, mphendulele eceleni noma esiswini. Lokhu kubalulekile futhi uma kubukeka sengathi ulimi lungena endleleni yokuphefumula.
• Ungaphoqeleli lutho emlonyeni wengane ukuvimbela ukuluma ulimi. Lokhu kwandisa ingozi yokulimala.

Uma ukuquleka kuthatha imizuzu eminingana, shayela u-911 noma inombolo yendawo ephuthumayo yendawo ukuze i-ambulensi ihambise ingane yakho esibhedlela.

Shayela umhlinzeki wengane yakho ngokushesha okukhulu ukuze uchaze ukuthathwa kwengane yakho.

Ngemuva kokuquleka, isinyathelo esibaluleke kakhulu ukukhomba imbangela yalomkhuhlane. Ukugxila ekuletheni umkhuhlane phansi. Umhlinzeki angakutshela ukuthi unikeze ingane yakho imithi yokwehlisa umkhuhlane. Landela imiyalelo ngqo ngokuthi uzonikeza ingane yakho umuthi ongakanani futhi kangaki. Le mithi, nokho, ayinciphisi ithuba lokuba nokuquleka okuncane esikhathini esizayo.

Kujwayelekile ukuthi izingane zilale noma zizele noma zidideke isikhashana ngemuva nje kokuquleka.

Ukuquleka kokuqala okuncane kungabethusa abazali. Iningi labazali liyesaba ukuthi ingane yabo izofa noma ilimale ubuchopho. Kodwa-ke, ukuquleka okulula kwefebrile akunangozi. Abukho ubufakazi bokuthi zibangela ukufa, ukulimala kwengqondo, isithuthwane, noma izinkinga zokufunda.

Iningi lezingane liphuma ekuqulekeni okungapheli ngeminyaka engu-5.

Zimbalwa izingane ezinokuquleka okungaphezudlwana kwezi-3 esikhathini sokuphila kwazo. Inani lokuquleka okungaphelele alihlobene nengozi yesifo sokuwa esikhathini esizayo.

Izingane ezingaba nesithuthwane noma kunjalo kwesinye isikhathi ziyohlaselwa okokuqala ngqa lapho kuqubuka imfiva. Lokhu kuquleka kaningi akubonakali njengokuquleka okuvamile.

Uma ukuquleka kuthatha imizuzu eminingana, shayela ku-911 noma inombolo ephuthumayo yendawo ukuze ube ne-ambulensi eletha ingane yakho esibhedlela.

Uma ukuquleka kuphela ngokushesha, shayela ingane uye egumbini lezimo eziphuthumayo lapho isiphelile.

Yisa ingane yakho kudokotela uma:

• Ukuquleka okuphindaphindiwe kwenzeka ngesikhathi sokugula okufanayo.
• Lokhu kubukeka njengohlobo olusha lokuthathwa kwengane yakho.

Shayela noma ubone umhlinzeki uma ezinye izimpawu zenzeka ngaphambi noma ngemuva kokubanjwa, njenge:

• Ukunyakaza okungajwayelekile, ukuthuthumela, noma izinkinga ngokubambisana
• Ukuyaluza noma ukudideka
• Ukozela
• Isicanucanu
• I-Rash

Ngenxa yokuthi ukuquleka okungatheni kungaba uphawu lokuqala lokugula, imvamisa akunakwenzeka ukukuvimbela. Ukuquleka okuncane akusho ukuthi ingane yakho ayikutholi ukunakekelwa okufanele.

Kwesinye isikhathi, umhlinzeki uzonikeza umuthi obizwa nge-diazepam ukuvikela noma ukwelapha ukuquleka okungatheni okwenzeka kaningi. Kodwa-ke, asikho isidakamizwa esisebenza ngokuphelele ekuvikeleni ukuquleka okungatheni.

Ukuquleka - ukushiswa yimfiva; Ukudlikizela oku-Febrile

• Ukuquleka kwefebrile - okufanele ubuze udokotela wakho

• Ukuquleka okukhulu kwe-mal
• Isistimu yezinzwa emaphakathi nesistimu yezinzwa ezungezayo

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UMikati MA, Tchapyjnikov D. Ukuquleka ebuntwaneni. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 611.

I-National Institute of Neurological Disorders and Stroke iwebhusayithi. Ishidi lamaqiniso lokuquleka kukaFebrile. www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Febrile-Seizures-Fact-Sheet. Kubuyekezwe ngoMashi 16, 2020. Kufinyelelwe ngoMashi 18, 2020.

Seinfeld S, Shinnar S. Ukuqumba komzimba Ku: Swaiman KF, Ashwal S, Ferriero DM, et al, abahleli. I-Swaiman's Pediatric Neurology: Izimiso kanye Nokuzijwayeza. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2017: isahluko 65.