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Isisu umkhuhlane yenye yezo zigulo eziza nzima kwaye zikhawuleze. Umzuzu omnye uziva uphilile, kwaye olandelayo ulwa neempawu zomkhuhlane wesisu ezixelayo ezifana nesicaphucaphu kunye neentlungu zesisu ezikwenza ubalekele kwigumbi lokuhlambela usoyika rhoqo kwimizuzu embalwa. Ukuba ukhe walwa nale ngxaki yokugaya ukutya, uyazi ukuba zinokukwenza ukuba uzive ulusizi-kanye njengaxa unomkhuhlane oqhelekileyo.

Kodwa nangona umkhuhlane kunye nesisu somkhuhlane zibangelwa zizifo zentsholongwane, ezi meko zimbini azinanto yakwenza nenye nenye, utshilo u-Samantha Nazareth, MD , rotavirus, okanye adenovirus. (Ngamaxesha athile umkhuhlane wesisu sisiphumo sosulelo lwebhaktiriya endaweni yentsholongwane-ngakumbi kuzo zonke ezo zinto zibangela kancinci.) Umkhuhlane, kwelinye icala, ubangelwa luhlobo oluthile lweentsholongwane ezichaphazela inkqubo yokuphefumla, kubandakanya impumlo, umqala nemiphunga, uyacacisa uGqirha Nazareth.


Nantsi yonke into ofuna ukuyifumana malunga nomkhuhlane wesisu, kubandakanya into ebangela oko, ukuba ichongwa njani, ihlala ixesha elingakanani, kwaye inyangwa njani, ukuze ubuyele kwiimvakalelo ezingcono ze-ASAP. (Okwangoku, hlala ujonge ezi ndawo zinkulu kakhulu kwindawo yokuzivocavoca ezinokukugulisa.)

Yintoni i-Fluch esiswini, kwaye sibangelwa yintoni?

Umkhuhlane wesisu (ngokwezobuchwephesha obizwa ngokuba yigastroenteritis) yimeko ebangelwa yintsholongwane okanye intsholongwane ekhokelela kukudumba kwindawo yokugaya ukutya, utshilo uCarolyn Newberry, MD, ugqirha wesisu eNewYork-Presbyterian naseWeill Cornell Medicine. "I-Gastroenteritis ibhekisa kukudumba okuxhaphakileyo okwenzeka ngale meko," wongeze watsho.

I-Gastroenteritis ihlala isisiphumo seentsholongwane ezintathu ezahlukeneyo, zonke ezo "zisosulela kakhulu," utshilo uGqirha Nazareth (yiyo loo nto umkhuhlane wesisu uhamba njengomlilo wasendle kwiindawo ezifana nezikolo okanye iiofisi). Okokuqala, kukho i-norovirus, ehlala isasazeka ngokutya okanye amanzi angcolileyo kodwa inokudluliselwa ngokudibana nomntu osulelekileyo okanye umphezulu, uyacacisa. "Le yeyona ixhaphakileyo kuyo yonke iminyaka e-US," wongeza uGqr. Nazareth, ephawula ukuba "yintsholongwane eqhelekileyo oyivayo ngeenqanawa zokuhamba ngeenqanawa." (Idibeneyo: Ungasifumana Kanjani Ngokukhawuleza Isigulo Kwinqwelomoya- kwaye Ufanele Ukhathazeke Kangakanani?)


Kukwakhona ne-rotavirus, exhaphake kakhulu ebantwaneni nakubantu abadala abancinci kwaye ibangela urhudo olunamandla, olunamanzi kunye nokugabha, utshilo uGqirha Nazareth. Ngethamsanqa, le ntsholongwane ikhuselwe kakhulu ngesitofu sokugonya se-rotavirus (ngokuqhelekileyo inikezelwa kwiidosi ezimbini okanye ezintathu, malunga neenyanga ezi-2-6, ngokutsho kwamaZiko oLawulo lweSifo kunye noThintelo, CDC).

Oyena nobangela uqhelekileyo womkhuhlane wesisu yi-adenovirus, utsho uGqr. Nazareth. Okungakumbi kuleya kancinci. (Inxulumene: Ngaba Ndifanele Ndikhathazeke Nge-Adenovirus?)

Xa umkhuhlane wesisuakunjalo kubangelwa yintsholongwane, oko kuthetha ukuba usulelo lwebhaktiriya lusenokuba netyala, ucacisa uGqirha Newberry. Ngokufana neentsholongwane, usulelo lwebacteria lunokubangela nokudumba kwindawo yokugaya kwaye kukushiye uneengxaki zokugaya. Usulelo lwebhakteria kufuneka luphandwe kubantu abangangcoliyo emva kweentsuku ezimbalwa benomkhuhlane wesisu, utshilo uGqirha Newberry.

Iimpawu zomkhuhlane wesisu

Nokuba yintoni unobangela, iimpawu zomkhuhlane wesisu eziphawulekayo ziquka urhudo, isicaphucaphu, ukugabha, kunye nesisu esibuhlungu. Zombini uGqirha uNazareth kunye noGqirha Newberry bathi ezi mpawu zihlala zibonisa ngaphakathi kosuku okanye ezimbini zokuvezwa yintsholongwane okanye intsholongwane. Ngapha koko, uGqirha Newberry uphawula ukuba kwezinye iimeko, iimpawu zomkhuhlane wesisu zinokuqala kwakamsinya emva kweeyure ezimbalwa emva kokuba sesichengeni sentsholongwane okanye ibhaktiriya, ngakumbi ukuba unxibelelana nomntu osulelekileyo (ngokuchasene nomphezulu osulelekileyo okanye ukutya).


"Iimpawu ze-norovirus kunye ne-rotavirus zifana (isifo sohudo, ukuhlanza, intlungu yesisu, isicaphucaphu) kwaye unyango luyafana: ugweme ukukhutshwa kwamanzi," wongezelela uDkt Nazareth. Ngokubhekisele kwi-adenovirus, nangona ungenakufane uyibambe, intsholongwane inoluhlu olubanzi kakhulu lweempawu. Ukongeza kwiimpawu zesiqhelo zomkhuhlane wesisu, ukugabha, iintlungu zesisu, kunye nesicaphucaphu, i-adenovirus inokubangela i-bronchitis, inyumoniya, kunye nomqala obuhlungu, uyachaza.

Iindaba ezimnandi: Iimpawu zomkhuhlane esiswini, nokuba ziziphumo zentsholongwane okanye usulelo lwebacteria, zihlala zingoyena nobangela wokukhathazeka, utshilo uGqirha Nazareth. "Iintsholongwane zihlala zizenzela umda, oko kuthetha ukuba umntu angalwa nazo kunye nexesha ukuba amajoni omzimba asempilweni kwaye awathotyelwa (zezinye izifo okanye amayeza)," uyacacisa.

Nangona kunjalo, kukho ezinye "iflegi ebomvu" iimpawu zomkhuhlane wesisu ekufuneka uziqaphele. "Ngokuqinisekileyo igazi yiflegi ebomvu, macala omabini," utshilo uGqirha Nazareth. Ukuba uhlanza igazi okanye urhudo olunegazi, ucebisa ukuba ufune unyango lwe-ASAP ngaphambi kokuba iimpawu zomkhuhlane wesisu zakho zibe mandundu. (Idibeneyo: Ukutya kwe-7 yokunciphisa isisu esiswini)

Ukuba unefiva ephezulu (ngaphezulu kwe-100.4 degrees Fahrenheit), ikwangumqondiso wokufuna unyango kwangoko, utshilo uGqirha Nazareth. "Into enkulu kakhulu ethumela abantu ukuba banakekele ngokukhawuleza okanye i-ER kukungakwazi ukugcina nayiphi na i-liquids phantsi, ekhokelela ekuphelelweni kwamanzi, kunye neempawu ezifana nesiyezi, ubuthathaka, kunye nokukhanya," kuchaza.

Uzibuza ukuba umkhuhlane wesisu uhlala ixesha elingakanani? Ngokubanzi, iimpawu zihlala zingena nje kwiintsuku nje ezimbalwa, nangona ingaqhelekanga ukuba zihlale iveki yonke, utshilo uGqirha Nazareth. Kwakhona, ukuba iimpawu zomkhuhlane wesisu azizisombululi ngokwazo emva kweveki, zombini ezi ngcali zicebisa ukuba uthethe nogqirha wakho kwangoko ukuze ufumanise ukuba unosulelo lwebhaktiriya, olunokufuna unyango lwezifo.

Ufunyaniswa kwaye unyangwa njani umkhuhlane wesisu?

Ukuba ufuna ukuqinisekisa ukuba into oyilwayo kukuba, ngokwenene, yi-gastroenteritis, ugqirha wakho oyintloko unokukuxilonga ngokusekelwe kwiimpawu zomkhuhlane wesisu kuphela (kubandakanya ukuqala ngokukhawuleza kwesicaphucaphu, ukuhlanza, isifo sohudo, kunye nomkhuhlane ngamanye amaxesha), uthi UGqr Newberry. "Kukwakhona iimvavanyo ezinokwenziwa kwisitulo esinokuthi sichonge iintlobo ezithile zosulelo ezibangela le meko (kubandakanya neebhaktiriya kunye neentsholongwane)," uyongeza. (Inxulumene: Isizathu se-1 sokujonga iNombolo yakho yesi-2)

Ngelixa umzimba wakho unokulwa nentsholongwane ngokwawo ngexesha, ukuphumla, kunye nolwelo oluninzi, usulelo lwebhaktheriya ludla ngokudlala ngokwahlukileyo, utshilo uGqr Newberry. Owona mahluko mkhulu kukuba usulelo lwebhaktiriya alukwazi kuzihambela ngokwalo, oko kuthetha ukuba ugqirha wakho uya kukunika i-antibiotics, utsho uGqr Newberry. Ukucaca, amayeza okubulala iintsholongwane akayi kusebenza kwimeko yosulelo lwentsholongwane; Baza kunceda kuphela ngebhaktiriya enye, uyaphawula.

Ngokubanzi, kungenjalo abantu abadala abasempilweni bazokwazi ukulwa umkhuhlane wesisu ngokuphumla ngokwaneleyo kwaye "ulwelo, ulwelo, nolwelo oluninzi, utshilo uGqirha Nazareth. "Abanye abantu kufuneka baye kwi-ER ukuze bafumane i-intravenous (IV) fluid ngenxa yokuba bengakwazi ukugcina naluphi na ulwelo phantsi. Abo sele benamajoni omzimba achaphazelekayo (njengokuthatha amayeza ukucinezela amajoni omzimba "(ezinye iimeko) kufuneka babonane nogqirha kuba basenokugula kakhulu." (Eyeleleneyo: Iingcebiso ezi-4 zokuNqanda ukuphelelwa ngamanzi emzimbeni kobu Busika)

Ukongeza ekulayisheni kulwelo, bobabini uGqirha Nazareth kunye noGqr Newberry bacebisa ukubuyisela ii-electrolyte ezilahlekileyo ngokusela iGatorade. I-Pedialyte ingasetyenziselwa ukulwa nokuphelelwa ngamanzi emzimbeni, wongeza uGqirha Newberry. "I-Ginger enye iyeza lendalo le-nausea. I-Imodium ingasetyenziselwa ukulawula isifo sohudo, "ucebisa.(Idibeneyo: Isikhokelo sakho esipheleleyo kwiZiphuzo zeMidlalo)

Nje ukuba uziva wonele ngokwaneleyo ukuba ungatya, uGqirha uNazareth ucebisa ngokuqala ngokutya okungafunekiyo-izinto ezinje ngeebhanana, irayisi, isonka, inkukhu engenalusu / ebhakwe. (Naku okunye ukutya okutyayo xa usilwa nomkhuhlane wesisu.)

Ukuba iimpawu zakho zomkhuhlane wesisu zihlala ngaphaya kweveki, okanye ukuba imeko yakho iya isiba mandundu, zombini iingcali zithi kubalulekile ukubona ugqirha wakho ASAP ukuqinisekisa ukuba unamanzi afanelekileyo kwaye akukho eminye imicimbi yezempilo edlalayo.

Umkhuhlane weSisu uhlasela ixesha elingakanani?

Ngelishwa, umkhuhlane wesisu unjalokakhulu iyosulela kwaye ihlala injalo kude kube iimpawu zisonjululwe. Ngokwesiqhelo idlula ngokudibana nolwelo olunomzimba oluhlambulukileyo, kubandakanya ukugabha kunye nokungcola, utshilo uGqirha Nazareth. "Ukugabha okungcolileyo kunokuhambisa iarosolos [kusasaze emoyeni] kwaye kungene emlonyeni womntu."

Unokufumana umkhuhlane wesisu kumanzi angcolileyo okanye i-shellfish, wongeza uGqirha Nazareth. Abagxeki baselwandle "ngabahluzi bokucoca ulwelo", okuthetha ukuba bayazondla ngokuhluza amanzi olwandle ngemizimba yabo, ngokweSebe lezeMpilo laseWashington. Ke, ukuba amasuntswana abangela umkhuhlane esiswini kwenzeka ukuba adada kuloo manzi olwandle, i-shellfish inokuqokelela kwaye ihambise loo masuntswana ukusuka elwandle ukuya kwipleyiti yakho.

"[Umkhuhlane esiswini] ungasasazwa ngokwabelana ngokutya nangezinto nomntu osulelekileyo," ucacisa watsho uGqirha Nazareth. "Nokuba uchukumisa umphezulu wentsholongwane okanye ukutya kwakho kubethe umphezulu onentsholongwane okanye amasuntswana omhlanzo, ungosuleleka."

Ukuba uyehla nesisu somkhuhlane, uyakufuna ukuhlala ekhaya de iimpawu zakho zisonjululwe ngokupheleleyo (okt iintsuku ezimbalwa okanye, ubukhulu becala, iveki) ukunqanda ukukugqithisela kwabanye, ucacisa uGqirha Nazareth. “Musa ukuphekela abanye ukutya, kwaye ugcine abantwana abagulayo bekude nalapho kuphathwa khona ukutya,” wongezelela. "Hlamba ngokucokisekileyo imifuno kunye neziqhamo, kwaye unakekele uhlaza olunamagqabi kunye ne-oyster ekrwada, edla ngokuhambelana noku kuqhambuka."

Uya kufuna ukuba ngaphezulu kwemikhwa yakho yezempilo xa unesifo somkhuhlane esiswini: Hlamba izandla zakho rhoqo, gcina umgama kwabanye xa kunokwenzeka, kwaye uzame ukungabelani nabanye ngezinto zakho kude kuphele iimpawu zomkhuhlane wesisu , utsho uGqr. Newberry. (Idibeneyo: Iindlela ezi-6 zokuCoca indawo yakho njengengcali yegerm)

Uthintelo lomkhuhlane wesisu

Ukujonga ukuba umkhuhlane wesisu uyosulela kakhulu, kunokubonakala ngathi akunakwenzeka ukuthintela ukuwubamba ngaxa lithile. Kodwa qiniseka, aphozi Amanyathelo othintelo onokuwathatha ukukunceda ukunciphisa umngcipheko wokubamba umkhuhlane wesisu.

"Ukutya ukutya okufanelekileyo, ukufumana ukuphumla okuninzi, kunye nokuhlala unamanzi ziindlela eziqhelekileyo zokuzikhusela kwizifo," ucebisa uGqirha Newberry. "Ukongezelela, ukuhlamba izandla zakho ngaphambi kokutya okanye emva kokuvela kwiindawo zikawonkewonke (kubandakanywa nezindlu zangasese, izithuthi zikawonkewonke, njl.) kunokukunceda ukuphepha ukusasazeka kweentsholongwane ezinokubangela ukugula."

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