Kupindwa nechando

Fivha ndiko kuwedzera kwechinguva kwetembiricha yemuviri mukupindura kuchirwere kana kurwara.

Mwana ane fivhiri kana tembiricha iri kana pamusoro peimwe yematanho aya.

• 100.4 ° F (38 ° C) yakayerwa muzasi (rectally)
• 99.5 ° F (37.5 ° C) kuyerwa mumuromo (nemuromo)
• 99 ° F (37.2 ° C) yakayerwa pasi peruoko (axillary)

Munhu mukuru anogona kunge ane fivhiri apo tembiricha iri pamusoro pe 99 ° F kusvika 99.5 ° F (37.2 ° C kusvika 37.5 ° C), zvichienderana nenguva yezuva.

Tembiricha yemuviri chaiyo inogona kuchinja mukati mezuva ripi neripi. Inowanzo kuve yepamusoro manheru. Zvimwe zvinhu zvinogona kukanganisa tembiricha yemuviri ndeiyi:

• Kutevera kwemukadzi. Muchikamu chechipiri cheiyi kutenderera, tembiricha yake inogona kukwira ne1 degree kana kupfuura.
• Chiitwa chemuviri, kushushikana kwakasimba, kudya, zvipfeko zvinorema, mishonga, tembiricha yepamusoro, uye hunyoro hwakakwira zvese zvinogona kuwedzera tembiricha yemuviri.

Fivhiri chikamu chakakosha chekudzivirira muviri kutapukirwa. Mazhinji mabhakitiriya uye hutachiona hunokonzera hutachiona muvanhu hunobudirira zvakanyanya pa98.6 ° F (37 ° C). Vazhinji vacheche uye vana vanokudziridza kupisa kwakanyanya nehutachiona hutachiona hutachiona. Kunyangwe hosha ichiratidza kuti hondo inogona kunge ichiitika mumuviri, fever iri kurwira, kwete kurwisa munhu.

Kukuvara kwehuropi kubva kune fivha kazhinji hakuzoitika kunze kwekunge fivha yapfuura 107.6 ° F (42 ° C). Fivhiri isingarapwe inokonzerwa nehutachiona haiwanzo kupfuura 105 ° F (40.6 ° C) kunze kwekunge mwana anyanyodzvinyirirwa kana munzvimbo inopisa.

Kukanganiswa kwepabrile kunoitika mune vamwe vana. Kukanganisa kwakawanda kusakwana kwapera nekukurumidza uye hazvireve kuti mwana wako ane pfari. Izvi zvinokonzeresa hazvikonzere kukuvara zvachose.

Mafivha asingatsananguriki anoenderera kwemazuva kana mavhiki anonzi mafivha ekusagadziriswa mavambo (FUO).

Anenge chero hutachiona hunogona kukonzera fivha, kusanganisira:

• Zvirwere zvepfupa (osteomyelitis), appendicitis, hutachiona hweganda kana cellulitis, uye meningitis
• Zvirwere zvekufema senge dzihwa kana hosha-senge hosha, huro, hura hutachiona, sinus hutachiona, mononucleosis, bronchitis, mabayo, uye tibhi
• Urinary turakiti hutachiona
• Viral gastroenteritis uye bhakitiriya gastroenteritis

Vana vanogona kuve neepasi-yegiredhi fivhiri kwezuva rimwe kana maviri mushure memamwe majekiseni.

Meno anogona kukonzeresa kuwedzera kushoma kwetembiricha yemwana, asi kwete yakakwira kupfuura 100 ° F (37.8 ° C).

Kuzvimiririra kana kusagadzikana kwekukanganisa kunogona kukonzera kupisa. Mimwe mienzaniso ndeiyi:

• Arthritis kana inobatanidza matishu ezvirwere senge rheumatoid arthritis uye systemic lupus erythematosus
• Ulcerative colitis uye chirwere cheCrohn
• Vasculitis kana periarteritis nodosa

Chiratidzo chekutanga chekenza inogona kunge iri fever. Izvi zvinonyanya kuitika pachirwere cheHodgkin, isiri-Hodgkin lymphoma, uye leukemia.

Zvimwe zvinogona kukonzera fivha zvinosanganisira:

• Ropa rinovhara kana thrombophlebitis
• Mishonga, yakadai semamwe maantibayoti, antihistamines, uye mishonga yekubvuta

Hosha yakapfava kana humwe hutachiona hwehutachiona dzimwe nguva hunokonzeresa kupisa kwakanyanya (102 ° F kusvika 104 ° F kana 38.9 ° C kusvika 40 ° C). Izvi hazvireve kuti iwe kana mwana wako mune dambudziko rakakomba. Humwe hutachiona hwakakomba haukonzere kupisa muviri kana hunogona kukonzeresa kudzikira kwemuviri, kazhinji mucheche.

Kana fivhiri iri nyoro uye usina mamwe matambudziko, haudi kurapwa. Inwa zvinwiwa nekuzorora.

Hosha yacho inogona kunge isiri yakakomba kana mwana wako:

• Ndichiri kufarira kutamba
• Kudya nekunwa zvakanaka
• Akasvinura uye anonyemwerera pauri
• Ine ruvara rweganda rwakajairika
• Inotaridzika zvakanaka kana tembiricha yavo yadzika

Tora matanho ekuderedza fivha kana iwe kana mwana wako usina kugadzikana, kurutsa, kuomeswa (kushaya mvura), kana kusarara zvakanaka. Rangarira, chinangwa ndechekuderedza, kwete kubvisa, kupisa muviri.

Paunenge uchiedza kudzikisa fivhiri:

• Usasunga bundle mumwe munhu ane chills.
• Bvisa zvipfeko zvakawandisa kana magumbeze. Imba yacho inofanirwa kuve yakasununguka, kwete kupisa zvakanyanya kana kutonhorera. Edza imwe nhete yezvipfeko zvisingaremi, uye jira rimwe risina kureruka kurara. Kana iyo kamuri ichipisa kana isina chinhu, fan inogona kubatsira.
• Bhati inodziya kana yekugeza chipanji inogona kubatsira kutonhodza munhu ane fivhiri. Izvi zvinoshanda mushure mekupihwa mushonga - zvikasadaro tembiricha inogona kusimukira kumusoro kumusoro.
• Usashandise mabhati anotonhora, chando, kana doro. Izvi zvinotonhodza ganda, asi kazhinji zvinowedzera mamiriro acho nekukonzeresa kubvunda, izvo zvinomutsa tembiricha yemuviri wepakati.

Heano mamwe marongero ekutora mushonga kudzikisa fivhiri:

• Acetaminophen (Tylenol) uye ibuprofen (Advil, Motrin) inobatsira kudzikisa fivha muvana nevakuru. Dzimwe nguva vatapi vehutano vanokuraira kuti ushandise ese marudzi emishonga.
• Tora acetaminophen maawa mana kusvika matanhatu. Inoshanda nekudzora pasi iyo thermostat yeuropi.
• Tora ibuprofen maawa matanhatu kusvika masere ese. Usashandise ibuprofen muvana mwedzi mitanhatu kana mudiki.
• Aspirin inoshanda zvakanyanya pakurapa fever kuvanhu vakuru. Usape aspirin kumwana kunze kwekunge mupi wemwana wako akakuudza iwe.
• Ziva kuti iwe kana mwana wako anorema zvakadii. Wobva watarisa mirairo iri pasuru kuti uwane iyo chaiyo dosi.
• Muvana mwedzi mitatu kana mudiki, danai mupi wemwana wako kutanga usati wamupa mishonga.

Kudya nekumwa:

• Wese munhu, kunyanya vana, anofanirwa kunwa mvura yakawanda. Mvura, mazaya echando, muto, uye gelatin zvese zvakanaka sarudzo.
• Muvana vadiki musapa yakanyanya muto wemichero kana muto wemaapuro, uye musapa zvinwiwa zvemitambo.
• Kunyangwe kudya kwakanaka, usamanikidza chikafu.

Fonera mupiki ipapo ipapo kana mwana wako:

• Inemwedzi mitatu kana mudiki uye iine tembiricha tembiricha ye100.4 ° F (38 ° C) kana kupfuura
• Iine mwedzi mitatu kusvika gumi nemiviri uye ine fivha ye102.2 ° F (39 ° C) kana yakakwira
• Anemakore maviri kana mudiki uye ane fivhiri inogara kupfuura maawa makumi maviri nemana kusvika makumi mana
• Akura uye ane fivha kwenguva yakareba kupfuura maawa makumi mana nemasere kusvika makumi manomwe nemaviri
• Ane fivhiri ye105 ° F (40.5 ° C) kana yakakwira, kunze kwekunge yauya pasi nekurapwa uye munhu akasununguka
• Ine zvimwe zviratidzo zvinoratidza kuti chirwere chingangoda kurapwa, senge pahuro, nzeve, kana kukosora
• Akave nefivhiri akauya achienda kweinosvika vhiki kana kupfuura, kunyangwe hazvo fivhiri dzisina kukwirira zvakanyanya
• Ane chirwere chakakomba chekurapa, senge dambudziko remwoyo, sickle cell anemia, chirwere cheshuga, kana cystic fibrosis
• Munguva pfupi yadarika akabaiwa nhomba
• Ane kumhanyisa kutsva kana kupwanya
• Anorwadziwa nekuita weti
• Iine immune system isina simba (nekuda kwenguva refu [isingagumi] steroid kurapa, mwongo wepfupa kana kuisirwa nhengo, kubviswa kwesipo, HIV / AIDS, kana kurapwa kwegomarara)
• Achangobva kuenda kune imwe nyika

Fonera waunopa ipapo ipapo kana uri mukuru uye iwe:

• Iva nefivhiri ye105 ° F (40.5 ° C) kana yakakwira, kunze kwekunge yauya pasi nyore nekurapwa uye unogadzikana
• Iva nefivhiri inogara kana inoramba ichikwira pamusoro pe 103 ° F (39.4 ° C)
• Iva nefivhiri kwenguva yakareba kupfuura maawa makumi mana nemasere kusvika makumi manomwe nemaviri
• Wakave nefivhiri yauya uye yoenda kweinosvika kwevhiki kana kupfuura, kunyangwe kana asiri akakwirira zvakanyanya
• Iva nechirwere chakakomba chekurapa, senge dambudziko remwoyo, sickle cell anemia, chirwere cheshuga, cystic fibrosis, COPD, kana zvimwe zvenguva refu (zvisingaperi) matambudziko emapapu
• Iva nekukurumidza kutsva kana kupwanya
• Iva nemarwadzo nekuita weti
• Iva nehutachiona husina simba (kubva kune chisingagumi steroid therapy, mapfupa emapfupa kana nhengo yekuisa, kubvisa spleen, HIV / AIDS, kana kurapwa kwekenza
• Uchangobva kuenda kune imwe nyika

Fonera 911 kana iyo yemuno emergency emergency kana iwe kana mwana wako aine fivha uye:

• Kuchema uye hakugoni kunyaradzwa (vana)
• Haigone kumutswa zviri nyore kana zvachose
• Zvinoratidzika kunge zvakavhiringidzika
• Haugone kufamba
• Anonetsekana nekufema, kunyangwe mushure mekubviswa kwemhino
• Ine miromo yebhuruu, rurimi, kana nzara
• Ane musoro wakaipa kwazvo
• Ane mitsipa yakaoma
• Anoramba kufambisa ruoko kana gumbo (vana)
• Ine pfari

Wako mupi achaita bvunzo dzepanyama. Izvi zvinogona kusanganisira kuongororwa kwakadzama kweganda, maziso, nzeve, mhino, huro, mutsipa, chifuva, uye dumbu kutsvaga chakakonzera fivha.

Kurapa kunoenderana nehurefu uye chikonzero chefivha, pamwe nezvimwe zviratidzo.

Iyi bvunzo inotevera inogona kuitwa:

• Kuongororwa kweropa, senge CBC kana kusiyana kweropa
• Kuongorora urinal
• X-ray yechipfuva

Yakakwirira tembiricha; Hyperthermia; Pyrexia; Kukanganisa

• Hosha uye dzihwa - zvaunofanira kubvunza chiremba wako - mukuru
• Hosha uye furuwenza - chii chekubvunza chiremba wako - mwana
• Febrile pfari - chii chekubvunza chiremba wako
• Kana mwana wako kana mucheche aine fivha

• Thermometer tembiricha
• Kuyera kupisa

Leggett JE. Kusvika kufivha kana kufungidzirwa hutachiona mune yakajairwa inomiririra. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 264.

Nield LS, Kamat D. Fivha. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chits.