Kanjani ukwelashwa ngqi

-Delile

• Ukwelashwa kwesifo sokuqina kwemihlathi lapho kuzalwa khona
• Izinkinga ezingenzeka
• Okufanele ukwenze ukuvimbela

Ukwelashwa kwe-tetanus kufanele kuqalwe ngokushesha okukhulu lapho kuvela izimpawu zokuqala, njengokucindezelwa kwemisipha yomhlathi nomkhuhlane, ngemuva kokusikwa noma kwesilonda esikhunjeni, ukugwema ukuvela kwezinkinga ezinkulu ezifana nobunzima bokuhambisa izingxenye zomzimba, ubunzima ukuphefumula noma ngisho nokudla, isibonelo.

Imvamisa ukwelashwa kwenziwa esibhedlela ukuze kubhekwe kaningi futhi kungenzeka ukuthi kuhlolwe ukuthi ngabe ukwelashwa kuyasebenza yini, futhi kufaka phakathi ukusetshenziswa kwezidakamizwa ezisiza ukuvimba umsebenzi wobuthi, ukuqeda amagciwane nokuqeda izimpawu, ngaphezu kokuvimbela izinkinga.

Ngakho-ke, lapho kunokusola kokutheleleka ngqi, kunconywa ukuya esibhedlela ngokushesha ukuqala ukwelashwa ngokusebenzisa:

• Umjovo we-Antitoxin ngqo egazini ukuvimba isenzo sobuthi be-tetanus, ukuvimbela ukubhebhetheka kwezimpawu nokubhujiswa kwezinzwa;
• Ukusetshenziswa kwama-antibiotic, njenge-metronidazole noma i-penicillin, ukuqeda ibhaktheriya le-tetanus nokuvimbela ukukhiqizwa kobuthi obuningi;
• Ukujova kokuthokomala kwemisipha ngqo egazini, njenge-diazepam, ukukhulula ukusikwa kwemisipha okubangelwa ukulimala okubangelwa ubuthi bezinzwa;
• Ukupholisa ngemishini esetshenziswa ezimweni ezinzima kakhulu lapho imisipha yokuphefumula ithinteka kakhulu

Ngokuya ngobukhulu bokutheleleka, kungadingeka ukondla ngemithambo yegazi noma ngepayipi eligijima lisuka ekhaleni liye esiswini. Imvamisa, kusadingeka ukwethula uphenyo lwe-rectal ukususa i-fecal bolus emzimbeni.

Ngemuva kokwelashwa, umuthi wokugomela isifo ngqi kufanele uqaliswe futhi sengathi bekungokokuqala, ngoba awusavikelekile kulesi sifo.

Ukwelashwa kwesifo sokuqina kwemihlathi lapho kuzalwa khona

Isifo sokuqina kwemisipha sangaphambi kokubeletha, esaziwa kangcono njengesifo sezinsuku eziyisikhombisa, naso siyisifo esidalwa yigciwaneClostridium tetani futhi kuthinta izingane ezisanda kuzalwa, imvamisa ezinsukwini ezingama-28 zokuqala zokuphila.

Izimpawu zesifo sokuqaqanjelwa kwengane ezisanda kuzalwa enganeni zingadidaniswa nezinye izifo futhi zinzima ekudleni, ukukhala njalo, ukucasulwa kanye nezinkinga zemisipha.

Lesi sifo singadluliselwa ngokungcoliswa kwesigaxa senkaba, okungukuthi, ngokusika inkaba ngemuva kokuzalwa ngezinsimbi ezingeyona inzalo, njengesikele kanye nodlawana. Ukwelashwa kocansi lwe-neonatal kufanele kwenziwe ngengane esesibhedlela, okungcono e-ICU, njengoba kuzodingeka ukwelashwa ngemithi efana ne-tetanus serum, ama-antibiotics kanye nemithi yokuthambisa. Bona okuningi mayelana nokudluliswa kwetetanus.

Izinkinga ezingenzeka

Uma i-tetanus ingelashwa ngokushesha, ingaholela ekubonakaleni kwezinkinga ezithile ezinkulu ngenxa yezinkontileka zemisipha, ngobunzima ekunyakaziseni izingxenye zomzimba, njengomlomo, ukuhambisa intamo nokuhamba.

Ezinye izinkinga ezingabonakala ngenxa yesifo sokuqina kwemihlathi ukuqhekeka, ukutheleleka kwesibili, i-laryngospasm, okuwukunyakaza okungazibandakanyi ezintanjeni zamaphimbo, inyumoniya nokuvaleka komthambo obaluleke kakhulu wamaphaphu, okushiya umuntu enenkinga yokuphefumula futhi, kokubi kakhulu cases, ku-coma.

Okufanele ukwenze ukuvimbela

Umuthi wokugomela ngqi uyindlela enconyelwe kakhulu yokuvimbela ukutheleleka ngamagciwane abangela isifo sokuqina kwemisipha, futhi isikhathi esiningi kusetshenziswa umuthi wokugomela i-DTPa, ngaphandle kokuvikela umqubuko, uvikela nokukhwehlela nokukhwehlela. Lo muthi wokugoma ungasetshenziswa ezinganeni nakubantu abadala futhi kufanele kwenziwe imithamo emithathu ukuqinisekisa ukuthi umuthi usebenza ngokuphelele. Yazi ukuthi uwuthola nini umuthi wokugoma we-DTPa.

Ukuvimbela isifo ngqi kuyadingeka futhi ukuthatha izinyathelo ezithile lapho ulimala ngezinto ezigqwalile, ugeze inxeba kahle, uligubungele futhi uhlale uhlanza izandla ngaphambi kokuthinta indawo elimele. Nayi ividiyo ekukhombisa indlela engcono yokuhlanza amanxeba akho: