Mucheche botulism

Infant botulism chirwere chinogona kutyisidzira hupenyu chinokonzerwa nehutachiona hunodaidzwa Clostridium botulinum. Inokura mukati mehutumbu hwemwana mudumbu.

Clostridium botulinum iyo spore-inogadzira mhuka yakajairika mune zvakasikwa. Izvo zviputi zvinogona kuwanikwa muvhu uye zvimwe zvekudya (zvakaita seuchi uye mamwe manyuchi ezviyo).

Infant botulism inoitika zvakanyanya muvacheche vadiki vari pakati pemasvondo matanhatu nemwedzi mitanhatu yekuberekwa. Izvo zvinogona kuitika sekutanga senge mazuva matanhatu uye kunonoka senge gore rimwe.

Zvinhu zvine njodzi zvinosanganisira kumedza huchi semucheche, kuve paivhu rakasviba, uye kuva nechigaro chisingasviki imwechete pazuva kwenguva inopfuura mwedzi miviri.

Zviratidzo zvinogona kusanganisira:

• Kufema kunomira kana kunonoka
• Kuzvimbirwa
• Eyelids iyo inonama kana zvishoma kuvhara
• "Floppy"
• Kusavapo kwekubatana
• Kurasikirwa kwekudzora musoro
• Kuoma mitezo inopararira pasi
• Kudya zvakashata uye kushaya simba kuyamwa
• Kukundikana kwekufema
• Kuneta kwakanyanya (kuneta)
• Kuchema kusine simba

Anopa hutano anoita bvunzo dzepanyama. Izvi zvinogona kuratidza kuderera kwemhasuru toni, inoshaya kana kudzikira gag Reflex, kushaya kana kudzika yakadzika tendon reflexes, uye eyelid kudonha.

Muenzaniso wechituru kubva kumucheche unogona kuongororwa kuti uwane botulinum toxin kana bhakitiriya.

Electromyography (EMG) inogona kuitwa kubatsira kuburitsa musiyano uripo pakati pemhasuru nematambudziko emitsipa.

Botulism immune globulin ndiyo yekurapa kukuru kweichi chiitiko. Vacheche vanowana kurapwa uku vane nguva pfupi yekugara muchipatara uye chirwere chakareruka.

Chero vacheche vane botulism vanofanira kupihwa rubatsiro rwekutsigira panguva yavo yekudzoreredza. Izvi zvinosanganisira:

• Kuvimbisa kudya kwakakwana
• Kuchengeta iyo yemhepo yakajeka
• Kutarisa matambudziko ekufema

Kana matambudziko ekufema achikura, kutsigira kufema, kusanganisira kushandiswa kwemuchina wekufema, kunogona kudikanwa.

Mishonga inorwisa mabhakitiriya hairatidzike kubatsira mwana kuvandudza chero nekukurumidza. Naizvozvo, hadzidiwe kunze kwekunge humwe hutachiona hwehutachiona hwakaita semabayo hwatanga.

Iko kushandiswa kwevanhu-yakatorwa botulinum antitoxin inogona zvakare kubatsira.

Kana mamiriro acho akaonekwa uye akarapwa nekukurumidza, mwana anowanzoita kupora kwakazara. Kufa kana kuremara zvachose kunogona kukonzera zviitiko zvakaoma.

Kufema kusakwana kunogona kukura. Izvi zvaizoda rubatsiro nekufema (mechnical ventilation).

Infant botulism inogona kutyisidzira hupenyu. Enda kuimba yekukurumidzira kana kufonera iyo yemuno emergency emergency (senge 911) ipapo kana mwana wako ane zviratidzo zve botulism.

Mukufunga, chirwere ichi chinogona kudzivirirwa nekudzivirira kuratidzwa kune spores. Clostridium spores inowanikwa muuchi uye sirasi yechibage. Izvi zvekudya hazvifanirwe kupihwa vacheche vari pasi pegore rimwe chete.

Birch TB, Bleck TP. Botulism (Clostridium botulinum). Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chitsama 245.

Khouri JM, Arnon SS. Mucheche botulism. Mune: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. Feigin naCherry's Bhuku reBhuku rePediatric Infectious Diseases. 8th ed. Philadelphia, PA: Elsevier; 2019: chits. 147.

Norton LE, Schleiss MR. Botulism (Clostridium botulinum). Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chitsiko 237.