Pertussis

Pertussis chirwere chinotapukira chehutachiona chinokonzera kukosora kusingadzoreki, kwechisimba. Kukosora kunogona kuita kuti zviome kufema. Ruzha rwakadzama "ruzha" runonzwika kazhinji kana munhu achiedza kutora mweya.

Pertussis, kana kukosora, chirwere chepamusoro chekufema. Izvo zvinokonzerwa neiyo Bordetella pertussis mabhakitiriya. Ichi chirwere chakakomba chinogona kubata vanhu vezera ripi zvaro uye kukonzera urema zvachose kuvacheche, uye kunyangwe rufu.

Kana munhu ane hutachiona akahotsira kana kukosora, madonhwe madiki ane hutachiona anofamba nemumhepo. Hosha yacho inopararira nyore nyore kubva pamunhu kuenda pamunhu.

Zviratidzo zvehutachiona zvinowanzotora vhiki nhanhatu, asi zvinogona kugara kwenguva yakareba sevhiki gumi.

Zviratidzo zvekutanga zvakafanana neyakajairwa kutonhora. Muzviitiko zvakawanda, vanokura inenge vhiki mushure mekuratidzwa kune hutachiona.

Zvikamu zvakakomba zvekukosora zvinotanga mazuva gumi kusvika gumi nemaviri gare gare. Muvacheche nevana vadiki, kukosora dzimwe nguva kunoguma ne "whoop" ruzha. Izwi rinogadzirwa kana munhu achiedza kutora mweya. Ruzha rwezwi haruwanzoitika muvacheche vari pasi pemwedzi mitanhatu uye muvana vakura kana vakuru.

Kukosora zvitsinga kunogona kutungamira kurutsa kana kurasikirwa pfupi kwekuziva. Pertussis inofanirwa kutariswa nguva dzose kana kurutsa kuchiitika nekukosora. Muvacheche, kudzipwa nezvitsinga uye kumbomira kwenguva refu mukufema zvakajairika.

Zvimwe zviratidzo zve pertussis zvinosanganisira:

• Dzihwa
• Zvishoma fivha, 102 ° F (38.9 ° C) kana kudzika
• Manyoka

Iko kutanga kuongororwa kunowanzoenderana nezviratidzo. Zvisinei, kana zviratidzo zvisingaoneki, pertussis inogona kunge yakaoma kuongorora. Muvacheche vadiki kwazvo, zviratidzo zvinogona kukonzerwa nemabayo pachinzvimbo.

Kuti uzive zvechokwadi, mutapi wezvehutano anogona kutora sampuli yemamusic kubva mumhino dzenzara. Muenzaniso unotumirwa kubhu uye kunoongororwa pertussis. Kunyangwe izvi zvichikwanisa kupa kuongororwa kwakanaka, bvunzo inotora nguva. Kazhinji yenguva, kurapwa kunotangwa musati mhedzisiro yagadzirira.

Vamwe vanhu vanogona kuve neropa rakazara kuverenga iro rinoratidza huwandu hwakawanda hwema lymphocyte.

Kana ikatanga kare zvakakwana, mishonga inorwisa mabhakitiriya yakaita seyrythromycin inogona kuita kuti zviratidzo zvipere nekukurumidza. Nehurombo, vanhu vazhinji vanoonekwa kuti vakanonoka, apo mishonga inorwisa mabhakitiriya isiri kushanda zvakanyanya. Zvisinei, iyo mishonga inogona kubatsira kudzikisira kugona kwemunhu kuparadzira chirwere kune vamwe.

Vacheche vari pasi pemwedzi gumi nemasere vanoda kugara vachitariswa nekuti kufema kwavo kunogona kumbomira panguva yekukosora. Vacheche vane kesi dzakakomba vanofanirwa kuiswa muchipatara.

Tende reokisijeni rine hunyoro hwakanyanya rinogona kushandiswa.

Fluids inogona kupihwa kuburikidza netsinga kana kukosora zvinyoro zvakanyanya kutadzisa munhu kunwa zvinwiwa zvakakwana.

Sedatives (mishonga yekuita iwe uvete) inogona kupihwa kune vana vadiki.

Kusanganiswa kwemakosoro, expectorants, uye zvinodzvinyirira kazhinji hazvibatsire. Iyi mishonga haifanirwe kushandiswa.

Muvana vakura, maonero acho anowanzo kuve akanaka kwazvo. Vacheche vane njodzi huru yekufa, uye vanoda kunyatso tariswa.

Zvinetso zvinogona kusanganisira:

• Chirwere chemabayo
• Kugwinha
• Kufunganya kusagadzikana (zvachose)
• Mhino dzemhino
• Utachiona nzeve
• Kukanganiswa kwehuropi nekushaikwa kweokisijeni
• Kubuda ropa muuropi (cerebral hemorrhage)
• Urema hwekuziva
• Inononoka kana kumira kufema (apnea)
• Rufu

Fonera waunopa kana iwe kana mwana wako muchikura zviratidzo zve pertussis.

Fonera 911 kana kusvika kuimba yekukurumidzira kana munhu wacho aine chero cheanotevera zviratidzo:

• Bluish ganda ruvara, iro rinoratidza kushayikwa kweokisijeni
• Nguva dzekumira kufema (apnea)
• Kufenda kana kugwinha
• Kupisa zvakanyanya
• Kuramba uchirutsa
• Kupera mvura mumuviri

Kubaya DTaP, imwe yeanodzivirira majekiseni ekudzivirira vana, inodzivirira vana kuhutachiona hwehutachiona. Mushonga weDTaP unogona kupihwa zvakachengeteka kuvacheche. Mishonga mishanu yeDTaP inokurudzirwa. Ivo vanowanzo kupihwa kuvana pazera remwedzi miviri, mwedzi mina, mwedzi mitanhatu, gumi nemashanu kusvika gumi nesere mwedzi, uye makore mana kusvika matanhatu.

Mushonga weTdaP unofanirwa kupihwa pazera remakore gumi nerimwe kana gumi nemaviri.

Munguva yekupararira kweperissi, vana vasina kudzidziswa vane makore ari pasi pegumi nemanomwe havafanirwe kuenda kuchikoro kana kuungana kwevanhu. Vanofanirawo kusarudzwa kubva kune chero munhu anozivikanwa kana kufungidzirwa kuti ane hutachiona. Izvi zvinofanirwa kugara kusvika mazuva gumi nemana mushure meyekupedzisira nyaya yakamhan'arwa.

Zvinokurudzirwa zvakare kuti vanhu vakuru vane makore gumi nemapfumbamwe zvichikwira vagamuchire 1 dhizaini yeTdaP yekudzivirira pertussis.

TdaP inonyanya kukosha kune vashandi vezvehutano uye chero munhu ane hukama hwepedyo nemwana ari pasi pemwedzi gumi nembiri.

Vakadzi vane nhumbu vanofanirwa kuwana muyero weTdaP panguva yega yega yepamuviri pakati pevhiki makumi maviri neshanu nemakumi matatu nemasere ekubata, kuchengetedza mwana achangoberekwa kubva ku pertussis.

Chikosoro

• Kufuridzira system kuongorora

Kim DK, Hunter P. Advisory Committee pane Zvekudzivirira Maitiro akakurudzira chirongwa chekudzivirira vanhu vakuru vane makore 19 makore kana kupfuura - United States, 2019. MMWR Morb Inofa Wkly Rep. 2019; 68 (5): 115-118. PMID: 30730868 www.ncbi.nlm.nih.gov/pubmed/30730868.

Robinson CL, Bernstein H, Romero JR, Szilagyi P; Dare Rinopa Mazano rezvekudzivirira (ACIP) Yevacheche / Yevadiki Yekudzivirira Basa Boka. Advisory Committee yezvekudzivirira Maitiro akakurudzira chirongwa chekudzivirira vana uye vechidiki vane makore gumi nemasere kana mudiki - United States, 2019. MMWR Morb Inofa Wkly Rep. 2019; 68 (5): 112-114. PMID: 30730870 www.ncbi.nlm.nih.gov/pubmed/30730870.

Souder E, Yakareba SS. Pertussis (Bordetella pertussis uye Bordetella parapertussis). 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 224.

United States Nzvimbo dzeDziviriro uye Kudzivirira webhusaiti. Chirwere chemashoko ekudzivirira: Tdap vaccine (tetanus, diphtheria uye pertussis). www.cdc.gov/vaccines/hcp/vis/vis-statements/tdap.pdf. Yakagadziridzwa Kukadzi 24, 2015. Yakasvika Nyamavhuvhu 5, 2019.