Ukuhluthwa kwefrrile

Ukuxhuzula okungathethekiyo kukuxhuzula emntwaneni okubangelwa ngumkhuhlane.

Ubushushu be-100.4 ° F (38 ° C) okanye ngaphezulu kunokubangela ukuxhuzula okungathethekiyo ebantwaneni.

Ukuhluthwa okungathethekiyo kunokoyikisa nawuphi na umzali okanye umkhathaleli. Uninzi lwexesha, ukuthinjwa okungathethekiyo akubangeli monakalo. Umntwana uhlala engenayo ingxaki yezempilo yexesha elide.

Ukubanjwa kwe-Febrile kwenzeka rhoqo kubantwana abasempilweni phakathi kweenyanga ezi-6 kunye neminyaka emi-5. Iintsana zichaphazeleka kakhulu. Ukuhluthwa kwe-Febrile kuhlala kuqhuba kwiintsapho.

Uninzi lokuhlutha okungathathi ntweni kwenzeka kwiiyure zokuqala ezingama-24 zokugula. Akunakwenzeka xa umkhuhlane uphezulu. Isifo esibandayo okanye esosulelayo sinokubangela ukuxhuzula okungathethekiyo.

Ukuhluthwa okungathathi ntweni kunokuba kubuthathaka njengokuba amehlo omntwana eqengqeleka okanye amalungu eqina. Ukubanjwa ngokulula kwefebrile kuyazimela kwimizuzwana embalwa ukuya kwimizuzu eli-10. Ihlala ilandelwa lixesha elifutshane lokozela okanye ukudideka.

Iimpawu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Ukuqinisa ngesiquphe (ukusikwa) kwezihlunu kumacala omabini omzimba womntwana. Ukuqiniswa kwemisipha kunokuhlala imizuzwana emininzi okanye ngaphezulu.
• Usenokukhala okanye agcume umntwana.
• Ukuba umile, umntwana uya kuwa.
• Umntwana unokugabha okanye alume ulwimi lwabo.
• Ngamanye amaxesha, abantwana abaphefumli kwaye banokuqalisa ukujika bahlaza okwesibhakabhaka.
• Umzimba womntwana emva koko ungaqala ukukhawuleza ngesingqi. Umntwana akazukuphendula kwilizwi lomzali.
• Umchamo unokudlula.

Ukuhlutha ixesha elingaphezu kwemizuzu eli-15, kuhleli nje elinye ilungu lomzimba, okanye kuphinda kwenzeke ngexesha elinye lokugula ayisiyonto ingaqhelekanga yokubanjwa.

Umboneleli wokhathalelo lwempilo unokufumanisa ukuba uthimbile na xa umntwana ene-tonic-clonic seizure kodwa engenayo nembali yokuphazamiseka (isifo sokuwa). Ukuthathwa kwe-tonic-clonic kubandakanya wonke umzimba. Kwiintsana nakubantwana abancinci, kubalulekile ukukhupha ezinye izizathu zokubanjwa okokuqala, ngakumbi i-meningitis (usulelo lwebacteria lokugquma kwengqondo kunye nentambo yomqolo).

Ngokuhlutha okuqhelekileyo, uviwo luqhelekile, ngaphandle kweempawu zesifo esibangela umkhuhlane. Rhoqo, umntwana akazukufuna ukubanjwa ngokupheleleyo, okubandakanya i-EEG, intloko ye-CT, kunye nokugqobhoza empontshwa (impompo yomqolo).

Ukuqhubeka kokuvavanywa kunokufuneka ukuba umntwana:

• Umncinci kuneenyanga ezili-9 okanye ngaphezulu kuneminyaka emi-5
• Unobuchopho, imithambo-luvo, okanye ingxaki yokukhula
• Ngaba ukubanjwa kwilungu elinye kuphela lomzimba
• Ngaba ukuxhuzula kuqhubeke ixesha elingaphezu kwemizuzu eli-15
• Ngaba ngaphezulu kokuthinjwa okukodwa kwisithuba seeyure ezingama-24
• Unokufumana ngokungaqhelekanga xa kuvavanywa

Injongo yonyango kukulawula oyena nobangela. La manyathelo alandelayo anceda ukugcina umntwana ekhuselekile ngexesha lokuxhuzula:

• Musa ukubamba umntwana okanye uzame ukumisa intshukumo yokuthimba.
• Musa ukushiya umntwana yedwa.
• Beka umntwana phantsi kwindawo ekhuselekileyo. Sula indawo yefanitshala okanye ezinye izinto ezibukhali.
• Slayida ingubo phantsi komntwana ukuba umgangatho uqinile.
• Hambisa umntwana kuphela ukuba ukwindawo eyingozi.
• Khulula iimpahla eziqinileyo, ngakumbi entanyeni. Ukuba kunokwenzeka, vula okanye ukhulule impahla esinqeni.
• Ukuba umntwana uyahlanza okanye ukuba kukho amathe kunye neencindi emlonyeni, mphethele ecaleni okanye esiswini. Oku kubalulekile ukuba kujongeka ngathi ulwimi lungena kwindlela yokuphefumla.
• Musa ukunyanzela nantoni na emlonyeni womntwana ukukhusela ukuluma ulwimi. Oku kwandisa umngcipheko wokulimala.

Ukuba ukuxhuzula kuthabatha imizuzu eliqela, tsalela umnxeba ku-911 okanye inombolo yongxamiseko yalapho ukuze i-ambulensi ihambise umntwana esibhedlele.

Biza umnikezeli womntwana wakho ngokukhawuleza ukuba achaze ukubanjwa komntwana wakho.

Emva kokubanjwa, elona nyathelo libalulekileyo kukuchonga unobangela womkhuhlane. Ugxininiso kukuzisa umkhuhlane. Umboneleli unokukuxelela ukuba unike umntwana wakho amayeza okunciphisa umkhuhlane. Landela imiyalelo ngokuchanekileyo kwaye kangaphi na ukunika umntwana wakho iyeza. La mayeza, nangona kunjalo, awanciphisi ithuba lokuba nokuxhuzula okungathethekiyo kwixa elizayo.

Kuqhelekile ukuba abantwana balale okanye bozele okanye badideke ixesha elifutshane kanye emva kokuxhuzula.

Ukuhluthwa okokuqala kungaboyikisi abazali. Uninzi lwabazali boyika ukuba umntwana wabo uza kufa okanye enzakale ebuchotsheni. Nangona kunjalo, ukuxhuzula nje okuncinci kungabinabungozi. Akukho bungqina bokuba zibangela ukufa, ukonakala kwengqondo, isifo sokuwa, okanye iingxaki zokufunda.

Uninzi lwabantwana luphelelwe yiminyaka engama-5.

Bambalwa abantwana abanokuxhuzula okungathethekiyo okungaphezu kwesi-3 ebomini babo. Inani lokuhluthwa okungahambelaniyo alinxulumene nomngcipheko wexesha elizayo wesifo sokuwa.

Abantwana abaza kuba nesathuthwane ngamanye amaxesha baya kuqala ukuxhuzula ngexesha lomkhuhlane. Oku kuxhuzula kuhlala kungabonakali njengokuxhuzula okuqhelekileyo.

Ukuba ukuxhuzula kuthatha imizuzu eliqela, tsalela umnxeba ku-911 okanye inombolo yongxamiseko yendawo ukuze ube ne-ambulensi izise umntwana wakho esibhedlele.

Ukuba ukuxhuzula kuyaphela ngokukhawuleza, qhuba umntwana uye kwigumbi likaxakeka xa liphelile.

Thatha umntwana wakho uye naye kugqirha ukuba:

• Ukubanjwa okuphindaphindiweyo kwenzeka ngexesha lokugula okufanayo.
• Oku kujongeka njengohlobo olutsha lokuhlutha umntwana wakho.

Fowunela okanye ubone umboneleli ukuba ezinye iimpawu zenzeka ngaphambi okanye emva kokuthimba, ezinje:

• Ukuhamba okungaqhelekanga, ukungcangcazela, okanye iingxaki ngokulungelelanisa
• Ukuphazamiseka okanye ukudideka
• Ukozela
• Isicaphucaphu
• Irhashalala

Ngenxa yokuba ukuxhuzula okungenalusini kunokuba luphawu lokuqala lokugula, kuhlala kungenzeki ukuthintela oku. Ukuhluthwa okungathethi ukuba umntwana wakho akalufumani unyango olufanelekileyo.

Ngamaxesha athile, umboneleli uya kumisela iyeza elibizwa ngokuba yi-diazepam ukunqanda okanye ukunyanga ukuxhuzula okungathathi ntweni okwenzeka ngaphezu kwesinye. Nangona kunjalo, akukho siyobisi sisebenza ngokupheleleyo ekuthinteleni ukuxhuzula okungathethekiyo.

Ukuthathwa ngumkhuhlane; Ukuxhuzula okunamafutha

• Ukuxhuzula ngoFebruwari-yintoni ekufuneka uyibuze kugqirha wakho

• Uhlaselo olukhulu
• Inkqubo ye-nervous central kunye ne-peripheral system

UAbou-Khalil BW, uGallagher MJ, uMacdonald RL. Ukuxhuzula. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahl. 101.

UMick NW. Umkhuhlane wabantwana. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 166.

IMikati MA, Tchapyjnikov D. Ukuxhuzula ebuntwaneni. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 611.

IZiko leLizwe leengxaki zeNeological kunye newebhusayithi yeStroke. Iphepha elingu-Febrile seizures. www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Febrile-Seizures-Fact-Sheet. Ukuhlaziywa ngo-Matshi 16, 2020. Ifikeleleke ngo-Matshi 18, 2020.

Seinfeld S, Shinnar S.Ukuthimba okwenziwe ngoFebhuwari. Ku: Swaiman KF, Ashwal S, Ferriero DM, et al, ii-eds. I-Swaiman's Pediatric Neurology: Imigaqo kunye nokuziqhelanisa. Umhla wesi-6. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 65.