Unyango njani inyumoniya ebantwaneni ekhaya nasezibhedlele

Umxholo

• 1. Unyango lwasekhaya
• 2. Unyango esibhedlele

Unyango lwe-pneumonia yobuntwana luhlala malunga neentsuku ezisi-7 ukuya kwezi-14 kwaye lwenziwa ngokusetyenziswa kwee-antibiotics ngokwe-arhente yesifo, kunye nokusetyenziswa kwe-amoxicillin yomlomo okanye inaliti ye-penicillin emiselwe ngugqirha wabantwana.

Ngexesha lokunyanga i-pneumonia yobuntwana, kuyacetyiswa ukuba umntwana aphumle, ngaphandle kokuya esikolweni, okanye nakwezinye iindawo zikawonke-wonke, njengoko inyumoniya yabantwana inokusasazeka ngakumbi xa ibangelwa ziintsholongwane.

Kubalulekile ukuba unyango lwenziwe ngokwesikhokelo sikagqirha ukuthintela iimpawu kunye neempawu ezibonisa ubungqongqo, kuba kwezi meko kunyanzelekile ukuba umntwana alaliswe esibhedlele ukuze unyango lwenziwe ngokuchanekileyo.

1. Unyango lwasekhaya

Xa inyumoniya ingenamandla kangako, ugqirha unokugunyazisa ukuba unyango lomntwana lwenziwe ekhaya logama nje kulandelwa iingcebiso. Ke, ukusetyenziswa kwezibulala-ntsholongwane kuhlala kubonisiwe ngokubhekisele kwintsholongwane, kunye nokusetyenziswa kwepenicillin, amoxicillin ene-clavulanate, cefuroxime, sulfamethoxazole-trimethoprim okanye erythromycin, umzekelo, kunokucetyiswa. Ukongeza, kwimeko apho inyumoniya ibangelwa ziintsholongwane, ukusetyenziswa kwe-antivirals kungabonakaliswa.

Kubalulekile ukuba amayeza aboniswe ngugqirha anikwe umntwana ngexesha elichaziweyo kunye nedosi, kuba ngale ndlela kunokwenzeka ukuba unyange inyumoniya. Ukongeza, kubalulekile ukukhathalela umntwana ngexesha lonyango, njenge:

• Ukuqinisekisa ukutya okunesondlo kunye nokuhambisa amanzi;
• Gcina iindlela zomoya zicocekile;
• Gwema isiraphu yokukhwehlela;
• Yenza i-nebulizations yemihla ngemihla okanye njengoko kuyalelwe ngugqirha.

I-pneumonia yomntwana iyanyangeka, kodwa inokuqhubela phambili kwiimeko ezinobuzaza xa unyango lungaqalwa kwiiyure zokuqala ezingama-48 emva kokuqala kweempawu ezinje ngomkhuhlane ongaphezu kwama-38º, ukukhohlela ngephlegm, ukungabi namdla wokutya, ukuphefumla ngokukhawuleza kwaye ungakunqweneli nokudlala. Kule meko, umntwana angafuna ukuba alaliswe esibhedlele ukuze afumane unyango emithanjeni okanye afumane ioksijini.

Funda indlela yokuqonda iimpawu kunye neempawu zenyumoniya.

2. Unyango esibhedlele

Unyango esibhedlele luboniswa xa unyango ekhaya lungonelanga ukulwa nenyumoniya kwaye iimpawu kunye neempawu zokuba mandundu kwepneumonia ziyajongwa, ezinje:

• Imilebe ebomvu okanye yomnwe;
• Ukuhamba okukhulu kweembambo xa uphefumla;
• Ukuncwina rhoqo kunye rhoqo ngenxa yeentlungu kunye nobunzima bokuphefumla;
• Imfesane kunye nokuguqa, ukungabikho komnqweno wokudlala;
• Ukuxhuzula;
• Amathuba okuphelelwa ngamandla;
• Ukuphalaza;
• Ulusu olubandayo kunye nobunzima ekugcineni ubushushu obufanelekileyo;
• Kunzima ukusela amanzi kunye nokutya.

Ke, ukuba abazali bajonga ukubonakala kwayo nayiphi na le mpawu, kufuneka bamse esibhedlele umntwana ukuze amkelwe kwaye afumane unyango oluchaziweyo. Unyango lwenyumoniya esibhedlele lubandakanya ukusetyenziswa kwee-antibiotics ezinokunikezelwa ngomthambo okanye umsipha, kunye nokusetyenziswa kwesigqumathelo seoksijini sokuphefumla ngcono. I-saline inokuba lukhetho lokugcina umntwana wakho e-hydrated ngokufanelekileyo kwaye i-physiotherapy inokubanceda baphefumle kancinci ngaphandle komgudu kwaye ngokufanelekileyo.

Emva kokuqala konyango, ugqirha wabantwana uvavanya kuvavanyo lweeyure ezingama-48 ukuba ingaba umntwana uphendula kakuhle na kunyango okanye ukuba kukho iimpawu zokuwohloka okanye ukugcinwa komkhuhlane, nto leyo ebonisa ukuba kuyafuneka ukuba utshintshe okanye uhlengahlengise idosi yesibulala-zintsholongwane.

Kwanasemva kwemiqondiso yokuqala yokuphucuka, kubalulekile ukugcina unyango ixesha elimiselwe ngugqirha kunye nokuqinisekisa ukuba inyumoniya inyangiwe, ugqirha wabantwana unokubonisa ukuba umntwana une-x-ray yesifuba ngaphambi kokuphuma.