Okufanele Ukwenze Uma Umkhuhlane Ungayi Kuphela
Ukuba nomntwana onomkhuhlane ohlala isikhathi eside noma ophikisayo kungakhungathekisa, kokubili umzali nodokotela wezingane. Ngakolunye uhlangothi, awufuni ukucasula futhi ubeke ingane ngokusebenzisa izivivinyo eziningi ezingadingekile ukuthi yini engaba "igciwane nje," kodwa futhi awufuni ukuphuthelwa noma yini ephathekayo noma ebaluleke nakakhulu, ungaphuthelwa into ebaluleke kakhulu.
Odokotela bavame ukusebenzisa indlela ehlakaniphile ekuqondeni ingane eneliphawu.
Umkhuhlane Wesikhathi Esingaziwa Umthombo Ongaziwa
Umkhuhlane omude umane owodwa ohlala isikhathi eside kunokujwayelekile, isibonelo, ngaphezu kwezinsuku eziyisikhombisa kuya kwezingu-10 ongazilindela nge-HIV elula. Imfucuza yemvelaphi engaziwa (FUO) ivame ukuchazwa njengenomkhuhlane wamasonto amathathu noma ngaphezulu ngaphandle kwesizathu esaziwayo ngemva kwesonto elilodwa labodokotela bezama ukuthola imbangela yomkhuhlane. Ama-antibiotic ngokuvamile awaqashiwe ngoba ingane inomkhuhlane ohlala isikhathi eside. Ezimweni eziningi, asikho imbangela ethile yemfiva etholakala, futhi ivele ivele.
Ukuhlola Ingane Enomkhuhlane Wesikhathi eside
Uma udokotela wakho ebona ingane yakho ngaphambi kokugula, kungakapheli izinsuku ezintathu kuya kwezinhlanu zokuqala, angase anqume ukubuka ingane yakho emva kokuhlolwa okuphelele ngokomzimba futhi kuye ngokuthi ingane yakho ibonakala kahle noma igula kanjani. Ngemuva kwalokho, udokotela wakho wezingane uzokwazi ukuhlola okuningi uma umkhuhlane uqhubeka, njengokuhlolwa kochungechunge nokubala kwegazi, ngokuya kwezinye izimpawu zomntwana wakho.
Ngaleso sikhathi, uma ingane yakho isenomkhuhlane, cishe kufanele ibukwe futhi. Lokhu kubaluleke kakhulu ngoba ucabanga ukuthi uyaqhubeka nokubi kakhulu. Uma ungakhululekile ukubona udokotela wezingane zakho futhi, cabanga ukuthola umbono wesibili kwesinye isazi sezingane noma ukuya ekamelweni eliphuthumayo esibhedlela sezingane.
Ukuhlolwa okwengeziwe kungafaka:
- I-X-ray yesifuba
- I-urinalysis kanye namasiko omchamo
- Isiko legazi
- Ukuhlolwa kwe-mono
- Phinda inani legazi
- Ukuvivinya kokusebenza kwesibindi
- I-PPD yokuhlola isifo sofuba
- Ukuhlola i-HIV
- Isilinganiso se-Sedimentation (ESR) nohlolo lwe-C-reactive protein (CRP)
- Iplanethi yokuphefumula
Ukuhlola okuningiliziwe ngokomzimba kungase kuhlinzekwe izici ezengeziwe, ikakhulukazi ukubhekisisa izilonda zomlomo, ukuqubuzana, izilonda zomshoshaphansi, noma izimpawu zakudala zezifo zezingane ezifana nesifo se-Kawasaki.
Ngemuva kwamasonto amaningana wengane enesifo somsuka ongaziwa (FUO), ukuhlolwa kwezinto ezivamile kungenziwa. Lokhu kungase kubandakanye i-sonogram yesisu noma i-CT scan ukuze ubheke i-abscess, izitokisi ezifihliwe, i-ANA (i-arthritis test), izivivinyo zomsebenzi we-thyroid, nokuhlolwa kwe-antibody kwezinye izifo.
Uma konke lokhu kuyinto evamile, ukuhlola izifo ezingenasifo ezithathelwanayo zomkhuhlane, njenge-arthritis yezingane ezincane, izifo ezibulalayo nezifo zesifo sofuba ngokuvamile ziza ngokulandelayo.
Ukwehla kungase kubhekise ekuguleni okuphefumulayo njengesizathu somkhuhlane wakhe, njengomkhuhlane ophenduke waba yi-pneumonia noma isifo se-sinus. Ukuhamba nge-pneumonia noma i-mycoplasma pneumonia kungabangela umkhuhlane omkhulu futhi kungase kube yimbangela yezibonakaliso zakhe. Akuyona into engavamile ukuba le nsuko igcine isonto elilodwa kuya kwamasonto amathathu ngaphambi kokuba ingane iqale ukukhombisa ukuthuthukiswa.
Izinkomba ku-FUO Imbangela
Ngaphandle kwesazi sakho sezingane, isazi sezifo ezithathelwanayo ngesifo sofuba kanye ne-rheumatologist yezingane kungenzeka kube usizo uma ingane yakho inomkhuhlane omude. Ukuze usize odokotela bakho banciphise lokho okubangela umkhuhlane wengane yakho, cabangela imibuzo elandelayo kanye nemithombo ekhona yomkhuhlane:
- Uke waba khona noma ubani omunye ogulayo?
- Ulahlekelwe noma yimiphi imithi yakhe yokugoma? (Udokotela wakho angeke acabange ngezifo ezivimbela ukugoma , ecabanga ukuthi kufanele agonywe futhi avikelwe kubo)
- Usuke waphuma ezweni manje nje? (i-malaria noma ezinye izifo)
- Uke waba yizilwane zasendle noma izilwane zasendle? (i-brucellosis, i-tularemia)
- Unayo izilwane ezifuywayo? (I-Salmonella izifo ezivela ezihlakalweni eziphilayo kanye ne-psittacosis ezivela ezinyoni)
- Uye walunywa yi-tick? (Isifo samaLyme, umkhuhlane we-Q, umkhuhlane we-Rocky Mountain)
- Uye wakhishwa yinja? (isifo se-cat-scratch)
- Ingabe udle noma yikuphi ukudla okweqile noma okungaphekiwe noma ukuphuza ubisi olungasetshenziswanga noma ijusi?
- Ingabe unenhliziyo ekhononda? (endocarditis yebhaktheriya)
- Uke wathatha imithi? (umkhuhlane wezidakamizwa)
- Ingabe kukhona okufana nalokhu kugijima emndenini? (imfiva yaseMedithera yasekhaya)
- Ngaphandle komkhuhlane, ingabe unezinye izimpawu, njengezikhukhumezi ebusuku nokulahleka kwesisindo? (i-lymphoma)
- Uke waba neziqephu ezinjengalezi ngaphambili futhi zahlanganiswa nezilonda emlonyeni wakhe? (PFAPA syndrome)
> Imithombo:
> I-American Academy of Pediatrics. Incwadi Ebomvu: Umbiko we-2015 weKomidi Ngezifo Eziphefumulayo . Elk Grove Village, IL: i-American Academy of Pediatrics; 2015.
> Long SS, Pickering LK, Prober CG. Ama-Syndromes ahlala isikhathi eside, aphindaphindiwe, futhi ajwayelekile. Izimiso Nezenzo Zezifo Ezithathelwanayo Zengane (Ingqikithi Yesine ), Ingxenye II , 2012, Amakhasi 117-127.