Kufuridzira syncytial hutachiona (RSV)

Respiratory syncytial virus (RSV) hutachiona hwakajairika hunotungamira kune hunyoro, hunotonhora-kunge zviratidzo muvakuru uye vakuru vana vane hutano. Inogona kuve yakakomba muvacheche vadiki, kunyanya avo vari mune mamwe mapoka ane njodzi zvakanyanya.

RSV ndiyo hutachiona hunowanzoitika hunokonzera kutapukira kwemapapu nemumhepo muvacheche nevana vadiki. Vazhinji vacheche vakave nehutachiona nezera 2. Kuputika kweRSV hutachiona kazhinji kunotanga mukudonha uye kumhanyira mukati megore.

Utachiona hunogona kuitika muvanhu veese mazera. Utachiona hunopararira nemadonhwe madiki anoenda mudenga kana munhu anorwara akaridza mhino, kukosora, kana kuhotsira.

Unogona kubata RSV kana:

• Munhu ane RSV anohotsira, kukosora, kana kufemera mhino pedyo newe.
• Unobata, kutsvoda, kana kukwazisana nemunhu ane hutachiona.
• Iwe unobata mhino dzako, maziso, kana muromo mushure mekunge wabata chimwe chinhu chakasvibiswa nehutachiona, senge toyi kana chiuno chegedhi.

RSV inowanzopararira nekukurumidza mudzimba dzakazara uye nzvimbo dzekuchengetedza masikati. Utachiona hunogona kurarama kwehafu yeawa kana kupfuura pamaoko. Hutachiona hunogona zvakare kurarama kweanosvika maawa mashanu pamatafura uye kwemaawa akati wandei pazvinhu zvakashandiswa.

Izvi zvinotevera zvinowedzera njodzi yeRVV:

• Kupinda kirechi
• Kuva pedyo noutsi hwefodya
• Kuva nehama kana hanzvadzi dzakura-chikoro
• Kugara pakazara vanhu

Zviratidzo zvinogona kusiyana uye zvakasiyana nezera:

• Vanowanzoonekwa mazuva maviri kusvika masere mushure mekusangana nehutachiona.
• Vana vakura kazhinji vanongova nezvinyoro, kutonhora-kunge zviratidzo, sekukosora kwekuhukura, kwakapinza mhuno, kana yakaderera-giredhi fivha.

Vacheche vari pasi pezera rekutanga vanogona kunge vaine zviratidzo zvakakomba uye kazhinji vanonetseka zvakanyanya kufema:

• Ruvara rweganda reBluish nekuda kwekushayikwa kwe oxygen (cyanosis) mumatambudziko akaipisisa
• Kufema kunetseka kana kufema kunoshanda
• Nasal flaring
• Kukurumidza kufema (tachypnea)
• Kufema kwekufema
• Kuridza muridzo (kurira)

Zvipatara zvakawanda nemakiriniki anogona kukurumidza kuyedza RSV uchishandisa sampu yemvura inotorwa kubva mumhino nekotoni swab.

Mishonga inorwisa mabhakitiriya uye bronchodilator haishandiswe kurapa RSV.

Zvirwere zvakapfava zvinopera zvisina kurapwa.

Vacheche nevana vane hutachiona hwakanyanya hweRVV vanogona kubvumirwa kuchipatara. Kurapa kunosanganisira:

• Kuwedzera okisijeni
• Mhute (humidified) mweya
• Kubvutwa kwemazi mhuno
• Mvura kuburikidza nemutsinga (na IV)

Muchina wekufema (ventilator) ungangodiwa.

Humwe hwakanyanya hutachiona hweRSV hunogona kuitika mune anotevera vacheche:

• Vacheche vasati vatanga
• Vacheche vane chirwere chisingaperi chemapapu
• Vacheche vane immune system yavo isingashande zvakanaka
• Vacheche vane mamwe marudzi echirwere chemwoyo

Kazhinji, hutachiona hweRSV hunogona kukonzera rufu muvacheche. Zvisinei, izvi hazvigoneki kana mwana akaonekwa nemutarisiri wehutano mumatanho ekutanga echirwere.

Vana vakave neRSV bronchiolitis vanogona kunge vachikwanisa kukura asthma.

Muvana vadiki, RSV inogona kukonzera:

• Bronchiolitis
• Kukundikana kwemapapu
• Chirwere chemabayo

Fonera mupiki wako ipapo kana uine:

• Kunetseka kufema
• Kupisa zvakanyanya
• Kufema kwekufema
• Ruvara rweganda rebhuruu

Chero dambudziko rekufema mumucheche ndere emergency. Tsvaga rubatsiro rwechiremba ipapo.

Kubatsira kudzivirira hutachiona hweRSV, geza maoko ako kazhinji, kunyanya usati wabata mwana wako. Iva nechokwadi chekuti vamwe vanhu, kunyanya vachengeti, vanotora matanho ekudzivirira kupa RSV kumwana wako.

Aya anotevera matanho ari nyore anogona kubatsira kudzivirira mwana wako kubva pakurwara:

• Shingirira kuti vamwe vageze maoko nemvura inodziya uye nesipo usati wabata mwana wako.
• Ita kuti vamwe vadzivise kusangana nemwana kana vaine dzihwa kana fivha. Kana zvichidikanwa, ita kuti vapfeke mask.
• Ziva kuti kutsvoda mwana kunogona kuparadzira hutachiona hweRSV.
• Edza kuchengeta vana vadiki kure nemwana wako. RSV yakajairika pakati pevana vadiki uye inopararira nyore kubva kumwana kuenda kumwana.
• Usapute mumba mako, mumota, kana chero padhuze nemwana wako. Kuratidzwa kweutsi hwefodya kunowedzera njodzi yeRSV chirwere.

Vabereki vane njodzi huru vacheche vacheche vanofanirwa kudzivirira mapoka panguva yekumuka kweRVV. Kuputika kuri pakati nepakati-kukuru kunowanzo kutaurwa nenhau dzemuno kupa vabereki mukana wekuti vadzivirirwe.

Mushonga weSynagis (palivizumab) unobvumidzwa kudzivirira chirwere cheRSV muvana vari pasi pemwedzi makumi maviri nemana vari panjodzi huru yechirwere chakakomba cheRSV. Kumbira mupiki wako kana mwana wako achifanira kugamuchira mushonga uyu.

RSV; Palivizumab; Yekufema syncytial hutachiona immune globulin; Bronchiolitis - RSV; URI - RSV; Chirwere chepamusoro chekufema - RSV; Bronchiolitis - RSV

• Bronchiolitis - kubuda

• Bronchiolitis

Simµes EAF, Bont L, Manzoni P, et al. Nzira dzekare, dzazvino nedzeramangwana dzekudzivirira uye kurapwa kwekupemha syncytial hutachiona hutachiona muvana. Utachiona Dis Ther. 2018; 7 (1): 87-120. PMID: 29470837 pubmed.ncbi.nlm.nih.gov/29470837/.

Smith DK, Seales S, Budzik C. Kufuridzira syncytial hutachiona bronchiolitis muvana. Ndiri Chiremba weNzara. 2017; 95 (2): 94-99. PMID: 28084708 pubmed.ncbi.nlm.nih.gov/28084708/.

Talbot HK, Walsh EE. Utachiona hunokanganisa zvakanyanya nhengo dzekufema nadzo. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 338.

Walsh EE, Englund JA. Kufuridzira syncytial hutachiona (RSV). Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 158.