Imfiva

Imfiva ukwenyuka kwesikhashana ekushiseni komzimba ekuphenduleni isifo noma ukugula.

Ingane inemfiva lapho izinga lokushisa likhona noma ngaphezulu kwelinye lalawa mazinga:

• I-100.4 ° F (38 ° C) ilinganiswe ezansi (i-rectally)
• 99.5 ° F (37.5 ° C) kulinganiswa emlonyeni (ngomlomo)
• 99 ° F (37.2 ° C) kulinganiswa ngaphansi kwengalo (axillary)

Umuntu omdala mhlawumbe unemfiva lapho izinga lokushisa lingaphezu kuka-99 ° F kuye ku-99.5 ° F (37.2 ° C kuye ku-37.5 ° C), kuya ngesikhathi sosuku.

Ukushisa komzimba okujwayelekile kungashintsha nganoma yiluphi usuku olunikeziwe. Kuvame ukuba phezulu kakhulu kusihlwa. Ezinye izinto ezingathinta ukushisa komzimba yilezi:

• Umjikelezo wokuya esikhathini kowesifazane. Engxenyeni yesibili yalo mjikelezo, izinga lokushisa kwakhe lingakhuphuka nge-1 degree noma ngaphezulu.
• Ukuzivocavoca umzimba, imizwa enamandla, ukudla, izingubo ezisindayo, imithi, izinga lokushisa eliphezulu kanye nomswakama ophezulu konke kungakhuphula izinga lokushisa komzimba.

Imfiva yingxenye ebalulekile yokuzivikela komzimba ekutheleleni. Amagciwane amaningi namagciwane abangela ukutheleleka kubantu akhula kahle kakhulu kuma-98.6 ° F (37 ° C). Izinsana eziningi nezingane ziba nemfiva ephezulu enezifo ezingena kancane egazini. Yize imfiva ikhomba ukuthi kungenzeka ukuthi kuqhubeka impi emzimbeni, umkhuhlane ulwela wona, hhayi umuntu.

Ukulimala kobuchopho emkhuhlane ngokuvamile ngeke kwenzeke ngaphandle kokuthi umkhuhlane ungaphezu kuka-107.6 ° F (42 ° C). Imfiva engalashwa ebangelwe ukutheleleka ngeke iwele ngaphezu kuka-105 ° F (40.6 ° C) ngaphandle uma ingane icindezeleke ngokweqile noma isendaweni eshisayo.

Ukuqothuka kwe-Febrile kuyenzeka kwezinye izingane. Iningi lokuquleka okungenazinkinga liphelile ngokushesha futhi akusho ukuthi ingane yakho inesithuthwane. Lokhu kubanjwa futhi akubangeli monakalo onomphela.

Imfiva engachazeki eqhubeka izinsuku noma amasonto ibizwa ngemfiva yemvelaphi enganqunyelwe (i-FUO).

Cishe noma yikuphi ukutheleleka kungadala umkhuhlane, kufaka phakathi:

• Ukutheleleka kwamathambo (i-osteomyelitis), i-appendicitis, izifo zesikhumba noma i-cellulitis, ne-meningitis
• Izifo zokuphefumula ezifana nemikhuhlane noma ukugula okufana nomkhuhlane, umphimbo obuhlungu, ukutheleleka kwezindlebe, izifo zesono, i-mononucleosis, i-bronchitis, i-pneumonia, nesifo sofuba
• Ukutheleleka ngomgudu womchamo
• I-viral gastroenteritis kanye ne-bacterial gastroenteritis

Izingane zingaba nomkhuhlane osezingeni eliphansi izinsuku ezi-1 noma ezi-2 ngemuva kokugonywa okuthile.

Ukuthambisa amazinyo kungadala ukwanda okuncane ekushiseni kwengane, kodwa kungabi ngaphezu kuka-100 ° F (37.8 ° C).

Ukuphazamiseka komzimba noma ukuvuvukala nakho kungadala imfiva. Ezinye izibonelo yilezi:

• I-arthritis noma izifo zezicubu ezixhuma njenge-rheumatoid arthritis kanye ne-systemic lupus erythematosus
• I-ulcerative colitis nesifo sikaCrohn
• I-Vasculitis noma i-periarteritis nodosa

Uphawu lokuqala lomdlavuza kungaba umkhuhlane. Lokhu kuyiqiniso ikakhulukazi ngesifo se-Hodgkin, i-non-Hodgkin lymphoma, ne-leukemia.

Ezinye izimbangela zomkhuhlane zihlanganisa:

• Amahlule egazi noma i-thrombophlebitis
• Imithi, efana namanye ama-antibiotics, ama-antihistamine, nemithi yokubanjwa

Ukutheleleka okulula noma okunye ukutheleleka ngegciwane kwesinye isikhathi kungadala umkhuhlane omkhulu (102 ° F kuye ku-104 ° F noma u-38.9 ° C kuye ku-40 ° C). Lokhu akusho ukuthi wena noma ingane yakho ninenkinga enkulu. Ezinye izifo ezibucayi azibangeli umkhuhlane noma zingadala ukushisa komzimba okuphansi kakhulu, imvamisa ezinganeni.

Uma umkhuhlane umncane futhi ungenazo ezinye izinkinga, awudingi ukwelashwa. Phuza uketshezi uphumule.

Ukugula kungenzeka kungabi kubi uma ingane yakho:

• Ngisathanda ukudlala
• Ingabe ukudla nokuphuza kahle
• Iqaphile futhi imomotheka lapho ikubuka
• Inombala wesikhumba ojwayelekile
• Kubukeka kahle lapho izinga lokushisa labo lehla

Thatha izinyathelo zokwehlisa umkhuhlane uma wena noma ingane yakho ungakhululekile, uhlanza, womile (uphelelwe amanzi emzimbeni), noma ungalali kahle. Khumbula, inhloso ukwehlisa, hhayi ukuqeda, umkhuhlane.

Lapho uzama ukwehlisa umkhuhlane:

• UNGABOPHILE umuntu onezifo ezibandayo.
• Susa okokwembatha okweqile noma izingubo zokulala. Igumbi kufanele likhululeke, lingashisi kakhulu noma lipholile. Zama isendlalelo esisodwa sezingubo ezingasindi, nengubo eyodwa engasindi ukuze ulale. Uma igumbi lishisa noma ligcwele, umlandeli angasiza.
• Ukugeza okufudumele noma ukugeza isiponji kungasiza ukupholisa umuntu onomkhuhlane. Lokhu kuyasebenza ngemuva kokunikezwa umuthi - ngaphandle kwalokho izinga lokushisa lingahle libuyele emuva.
• UNGAYisebenzisi indawo yokugeza ebandayo, iqhwa, noma imishanguzo yotshwala. Lezi zipholisa isikhumba, kepha kaningi zenza isimo sibe sibi kakhulu ngokubanga ukuqhaqhazela, okukhuphula izinga lokushisa lomzimba eliwumgogodla.

Nayi eminye imihlahlandlela yokuphuza umuthi ukwehlisa umkhuhlane:

• I-Acetaminophen (Tylenol) ne-ibuprofen (Advil, Motrin) zisiza ekwehliseni umkhuhlane ezinganeni nakubantu abadala. Kwesinye isikhathi abahlinzeki bezempilo bakweluleka ukuthi usebenzise zombili izinhlobo zemithi.
• Thatha i-acetaminophen njalo emahoreni amane kuya kwayisithupha. Isebenza ngokulahla i-thermostat yobuchopho.
• Thatha ibuprofen njalo emahoreni ayisithupha kuya kwayisishiyagalombili. UNGAYisebenzisi ibuprofen ezinganeni izinyanga eziyisithupha noma ngaphansi.
• I-Aspirin iphumelela kakhulu ekwelapheni imfiva kubantu abadala. UNGAYINIKI i-aspirin ingane ngaphandle kwalapho umhlinzeki wengane yakho ekutshela ukuthi ukwenze.
• Yazi ukuthi wena noma ingane yakho unesisindo esingakanani. Bese uhlola imiyalelo ephaketheni ukuthola umthamo ofanele.
• Ezinganeni zezinyanga ezingu-3 noma ngaphansi, shayela umhlinzeki wengane yakho kuqala ngaphambi kokunikeza imithi.

Ukudla nokuphuza:

• Wonke umuntu, ikakhulukazi izingane, kufanele aphuze uketshezi oluningi. Amanzi, ama-ice pops, isobho, ne-gelatin konke kuyizinqumo ezinhle.
• Ezinganeni ezincane unganiki ijusi yezithelo eningi kakhulu noma ujusi we-apula, futhi ungaziniki iziphuzo zezemidlalo.
• Yize ukudla kukuhle, ungaphoqi ukudla.

Shayela umhlinzeki ngokushesha uma ingane yakho:

• Inezinyanga ezi-3 noma ngaphansi futhi inezinga lokushisa elingunxande elingu-100.4 ° F (38 ° C) noma ngaphezulu
• Inezinyanga ezintathu kuya kwezingu-12 ubudala futhi inemfiva engu-102.2 ° F (39 ° C) noma ngaphezulu
• Uneminyaka emi-2 noma ngaphansi futhi unemfiva ehlala isikhathi eside kunamahora angama-24 kuye kwangama-48
• Ukhulile futhi unemfiva isikhathi eside kunamahora angama-48 kuya kwangu-72
• Unemfiva engu-105 ° F (40.5 ° C) noma ngaphezulu, ngaphandle uma yehla kalula ngokwelashwa futhi umuntu unethezekile
• Unezinye izimpawu eziphakamisa ukuthi ukugula kungadinga ukwelashwa, okufana nomphimbo obuhlungu, indlebe, noma ukukhwehlela
• Imikhuhlane ibe khona ize iqhubeke kuze kube yisonto noma ngaphezulu, noma ngabe le mifiva ayiphakeme kakhulu
• Unesifo esibi sezempilo, njengenkinga yenhliziyo, i-sickle cell anemia, isifo sikashukela, noma i-cystic fibrosis
• Muva nje ngithole ukugonywa
• Inokuqubuka okusha noma imihuzuko
• Unobuhlungu ngokuchama
• Inesimiso sokuzivikela somzimba esibuthakathaka (ngenxa yokwelashwa okuhlala isikhathi eside [okungamahlalakhona] ukwelashwa kwama-steroid, umnkantsha noma ukufakelwa isitho somzimba, ukukhishwa kobende, i-HIV / AIDS, noma ukwelashwa komdlavuza)
• Usanda kuhambela kwelinye izwe

Shayela umhlinzeki wakho khona manjalo uma umdala futhi wena:

• Unemfiva engu-105 ° F (40.5 ° C) noma ngaphezulu, ngaphandle kwalapho yehla kalula ngokwelashwa futhi unethezekile
• Unomkhuhlane ohlala noma oqhubeka ukhuphuka ngaphezu kuka-103 ° F (39.4 ° C)
• Yiba nomkhuhlane isikhathi esingaphezu kwamahora angama-48 kuya kwangu-72
• Imfiva ibe khona ize iqhubeke kuze kube yisonto noma ngaphezulu, noma ngabe ayiphezulu kakhulu
• Yiba nokugula okungathi sína kwezokwelapha, njengenkinga yenhliziyo, i-sickle cell anemia, isifo sikashukela, i-cystic fibrosis, i-COPD, noma ezinye izinkinga zamaphaphu zesikhathi eside (ezingapheli)
• Yiba nokuqubuka okusha noma imihuzuko
• Yiba nobuhlungu ngokuchama
• Yiba namasosha omzimba abuthakathaka (kusuka ekwelashweni okungamahlalakhona kwe-steroid, umnkantsha noma ukufakelwa isitho, ukususwa kobende, i-HIV / AIDS, noma ukwelashwa komdlavuza)
• Usanda kuhambela elinye izwe

Shayela ku-911 noma inombolo ephuthumayo yendawo uma wena noma ingane yakho unomkhuhlane futhi:

• Ingabe ukukhala futhi akunakuthuliswa (izingane)
• Ayikwazi ukuvuswa kalula noma nhlobo
• Kubonakala kudidekile
• Ayikwazi ukuhamba
• Unenkinga yokuphefumula, noma ngabe ikhala selisuliwe
• Inezindebe eziluhlaza okwesibhakabhaka, ulimi, noma izipikili
• Unekhanda elibi kakhulu
• Unentamo elukhuni
• Uyenqaba ukuhambisa ingalo noma umlenze (izingane)
• Uqulekile

Umhlinzeki wakho uzokwenza ukuhlolwa ngokomzimba. Lokhu kungafaka ukuhlolwa okuningiliziwe kwesikhumba, amehlo, izindlebe, impumulo, umphimbo, intamo, isifuba nesisu ukubheka imbangela yalomkhuhlane.

Ukwelashwa kuya ngobude besikhathi kanye nembangela yomkhuhlane, kanye nezinye izimpawu.

Ukuhlolwa okulandelayo kungenziwa:

• Ukuhlolwa kwegazi, okufana ne-CBC noma umehluko wegazi
• Ukuhlolwa komchamo
• I-X-ray yesifuba

Ithempelesha ephakeme; I-Hyperthermia; IPyrexia; I-Febrile

• Imikhuhlane nomkhuhlane - yini ongayibuza udokotela wakho - umuntu omdala
• Imikhuhlane nomkhuhlane - yini ongayibuza udokotela - ingane yakho
• Ukuquleka kwefebrile - okufanele ubuze udokotela wakho
• Lapho ingane noma usana lwakho lunomkhuhlane

• Ukushisa kwe-thermometer
• Isilinganiso sethempelesha

Umlenze JE. Indlela yokuthola umkhuhlane noma ukutheleleka okusolwayo kumsingathi ojwayelekile. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 264.

UNield LS, uKamat D. Umkhuhlane. 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 201.