I-botulism yabantwana

I-botulism yeentsana sisifo esisongela ubomi esibangelwa yintsholongwane ebizwa ngokuba IClostridium botulinum. Ikhula ngaphakathi kwithumbu lesisu somntwana.

IClostridium botulinum yinto ekhawulezayo ukwenza indalo. I-spores inokufumaneka emhlabathini kunye nokutya okuthile (njengobusi kunye nezinye iisiraphu zengqolowa).

I-botulism yeentsana yenzeka ikakhulu kwiintsana ezincinci eziphakathi kweeveki ezintandathu ukuya kwiinyanga ezintandathu ubudala. Inokwenzeka kwangoko kwangoko kwiintsuku ezi-6 kwaye emva konyaka omnye.

Izinto ezinobungozi zibandakanya ukugwinya ubusi njengomntwana, ukuba ujikeleze umhlaba ongcolileyo, kunye nokuba nesitulo esingaphantsi kwesinye ngosuku kangangexesha elingaphezulu kweenyanga ezimbini.

Iimpawu zingabandakanya:

• Ukuphefumla okumisayo okanye okucothayo
• Ukuqunjelwa
• Iinkophe eziwayo okanye ezisondeleyo
• "Ifloppy"
• Ukungabikho komlomo
• Ukuphulukana nolawulo lwentloko
• Ukukhubazeka okusasazeka ezantsi
• Ukutya okungalunganga kunye nokuncancisa
• Ukusilela kokuphefumla
• Ukudinwa kakhulu (ukungakhathali)
• Ukulila okubuthathaka

Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Oku kunokubonisa ukwehla kwethoni yemisipha, ukulahleka okanye ukwehla kwe-gag reflex, ukulahleka okanye ukwehla kweetonon reflexes ezinzulu, kunye nokujongeka kwejwabu leso.

Isampulu yesitulo esivela emntwaneni inokujongwa kwi-toxin ye-botulinum okanye kwi-bacteria.

I-Electromyography (EMG) inokwenziwa ukunceda umahluko phakathi kwezihlunu kunye neengxaki zemithambo-luvo.

I-Botulism immune globulin lolona nyango lusisiseko kule meko. Iintsana ezifumana olu nyango zihlala kufutshane esibhedlele kwaye zigula kakhulu.

Naluphi na umntwana one-botulism kufuneka afumane ukhathalelo oluxhasayo ngexesha lokululama kwabo. Oku kubandakanya:

• Ukuqinisekisa isondlo esifanelekileyo
• Ukugcina indlela yomoya icacile
• Ukujonga iingxaki zokuphefumla

Ukuba iingxaki zokuphefumla ziyavela, inkxaso yokuphefumla, kubandakanya ukusetyenziswa komatshini wokuphefumla, kunokufuneka.

Amayeza okubulala iintsholongwane akabonakali elinceda umntwana ukuba aphucule ngokukhawuleza. Ke ngoko, azifuneki ngaphandle kokuba olunye usulelo lwebacteria olunjengomkhuhlane wemiphunga.

Ukusetyenziswa kwe-botulinum antitoxin eyenziwe ngabantu nako kunokuba luncedo.

Xa imeko ifunyenwe kwaye inyangwa kwangethuba, umntwana uhlala esenza ngokupheleleyo. Ukufa okanye ukukhubazeka ngokusisigxina kunokubangela iimeko ezinzima.

Ukungaphumeleli kokuphefumla kunokukhula. Oku kuya kufuna uncedo ngokuphefumla (ukungenisa umoya ngomatshini).

I-botulism yeentsana inokubusongela ubomi. Yiya kwigumbi likaxakeka okanye fowunela inombolo yongxamiseko yendawo (enje nge-911) ngoko nangoko ukuba usana lwakho luneempawu ze-botulism.

Kwithiyori, esi sifo sinokuthintelwa ngokuthi sithintele ukubonakaliswa kweziduko. I-Clostridium spores ifumaneka kubusi nakwisiraphu yengqolowa. Oku kutya akufuneki kutyiswe iintsana ezingaphantsi konyaka omnye.

I-Birch TB, iBleck TP. Unyango (IClostridium botulinum). Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahluko 245.

Khouri JM, Arnon SS. I-botulism yabantwana. Ku: UCherry JD, uHarrison GJ, uKaplan SL, uSteinbach WJ, uHotez PJ, ii-eds. Incwadi kaFeigin kunye neCherry yezifo ezosulelayo zabantwana. Ngomhla we-8. IPhiladelphia, PA: Elsevier; 2019: isahl. 147.

Norton LE, Schleiss MR. IBotulism (iClostridium botulinum). 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: isahl 237.