Zvinofanira Kuita Kana Fivha Isingaendi
Kuva nemwana ane fivha refu kana inopfuurira kunogona kukanganisa, zvose kumubereki uye vanachiremba vevana. Kune rumwe rutivi, haudi kutsamwa uye kuisa mwana kuburikidza nemuedzo wakawanda usina kukodzera weiwo unogona kunge uri "utachiona chete," asi iwewo hausi kuda kupotsa chero chinhu chinogona kurapwa kana kunyanya kukosha, kukanganwa chimwe chinhu chakakomba zvikuru.
Vanachiremba vanowanzoshandisa nzira yekugadzirisa-kuchenjera pakuchengeta mwana ane chiratidzo ichi.
Huru Yenguva Isingazivikanwi Inotanga Kuzivikanwa
Chirwere chinogara kwenguva refu chinongova chinopedza nguva yakareba kudarika nguva, somuenzaniso, kupfuura mazuva manomwe kusvika ku10 zvaungatarisira nehutachiona hwehutachiwana husina kunaka. Furo yevasingazivikanwi yakabva (FUO) inowanzotsanangurwa seine fivha kwemavhiki matatu kana kupfuura pasina chikonzero chakazivikanwa mushure mevhiki imwe yechiremba vachiedza kuziva chikonzero chefivha. Mishonga inorwisa mabhakitiriya haigoni kurongerwa nokuti mwana ane fever inogara kwenguva refu. Muzviitiko zvakawanda, hapana chikonzero chaicho chefivha chinowanika, uye chinongomira.
Kuongorora Mwana NeHurwere Renguva refu
Kana chiremba wako achiona mwana wako pakutanga kwechirwere, mukati mekutanga kwemazuva matatu kusvika mashanu, angasarudza kungoona mwana wako mushure mekuongorora kwakakwana kwemuviri uye zvichienderana nekunyatsonaka kana kurwara mwana wako anenge achiita. Mushure meizvozvo, chiremba wevana vako angangodaro achiedza kuedza kana firipi ichiramba ichiita, seyesa ye strep uye kuverenga ropa, zvichienderana nezvimwe zviratidzo zvemwana wako.
Panguva iyoyo, kana mwana wako achiri nefivha, anenge ari kuda kuonekwa zvakare. Izvi zvinonyanya kukosha sezvo iwe uchifunga kuti ari kuramba achiwedzera. Kana iwe usingafari kuona chiremba wevana zvakare, zvino funga kuwana mhinduro yechipiri kune mumwe chiremba wevana kana kuenda kune imwe nzvimbo yekukurumidzira kuchipatara chevana.
Kuwedzerwa kuedzwa kunogona kusanganisira:
- Chep X-ray
- Urinalysis uye urine tsika
- Ropa tsika
- Kuedzwa kwemono
- Dzokorora kuverenga ropa
- Chiropa basa test
- PPD kuongororwa nehutachiona
- Kuongororwa kweHIV
- Sedimentation rate (ESR) uye C-reactive protein (CRP) test
- Viral kuporesa panhizha
Kuongororwa kwakajeka kwemuviri kunogona kupa mamwe mazano, kunyanya kutarisa kumakumbo emakumbo, mashizha, kuvhupa kwema-lymph glands, kana zviratidzo zvekare zvezvirwere zvepachidiki seKawasaki chirwere.
Pashure pemavhiki akawanda emwana ane fivha isingazivikanwi yakabva (FUO), kuedza zvinhu zvishoma zvishoma zvinoitwa. Izvi zvinogona kusanganisira chirwere chemimba kana CT scan kutarisa chivande chakavanzika, zvigaro zvechigadziko, anA (arthritis test), chirwere chetachiona chebasa, uye kuongororwa kwevanorwara kune dzimwe zvirwere.
Kana zvose izvi zvikaitika, saka kuongororwa kwechikonzero chisina kupararira chinokonzera fevha, sevana vechirwere rheumatoid arthritis, malignancies, uye zvirwere zvinoputika zvinowanzouya.
Kushungurudza kunogona kureva chirwere chekufema sechikonzero chefivha yake, sechando chinoshanduka kuva pneumonia kana chirwere che sinus. Kufamba pneumonia kana mycoplasma pneumonia kunogona kukonzera high fever uye inogonawo kuva chikonzero chinokonzera zviratidzo zvake. Hazvishamisi kuti utachiona uhwu hupedze imwe kana masvondo matatu mwana asati atanga kuratidzira kuvandudza.
Zvinyorwa kuFUO Chikonzero
Mukuwedzera kune chiremba wevana vako, chirwere chepachirwere chepachirwere chinopfurikidza uye chirwere chemhuka chinonzi rheumatologist chinogona kubatsira kana mwana wako ane hovha kwenguva refu. Kuti ubatsire vanachiremba vako kuti vaderedze zviri kukonzera fivhiri yemwana wako, funga mibvunzo inotevera uye inogona kuvapo fivhiri:
- Akange aripo kune mumwe munhu wese akange achirwara here?
- Akambosara chero ipi zvayo yezvirwere zvake? (Chiremba wako angasafunga nezvezvirwere zvinodzivirirwa , achifungidzira kuti anofanira kuvharwa uye kudzivirirwa kwavari)
- Akambobuda kunze kwenyika munguva ichangopfuura here? (marariya kana zvimwe zvirwere)
- Akange ari kune mhuka ipi neipi yepurazi kana mhuka dzesango? (brucellosis, tularemia)
- Une zvipfuwo here? (Salmonella zvirwere kubva kune zvinokambaira uye psittacosis kubva kune shiri)
- Akambodzwa nekiti here? (Chirwere cheLyme, Q fever, Dhiyabhorosi yemakomo inonzi fever)
- Akange akaroorwa nekoni here? (cat-scratch chirwere)
- Akadya chero nyama yakasvibira kana isina kunwa kana kunwa mukaka usingagadziriswi kana jisi here?
- Ane mwoyo ane kugunun'una here? (bacterial endocarditis)
- Ari kutora mishonga here? (drug fever)
- Pane chimwe chinhu chakadai chinomhanya mumhuri here? (mhuri yeMediterranean fever)
- Mukuwedzera kune fivhiri, ave ane zvimwe zviratidzo, kufanana nousiku hunopisa uye kuora kwekurema? (lymphoma)
- Akanga ane zvikamu zvakadai seizvi uye zvaive zvakabatana nemaronda mumuromo make here? (PFAPA syndrome)
> Sources:
> American Academy of Pediatrics. Red Book: 2015 Nyaya yeKomiti Yezvirwere Zvinotapukira . Elk Grove Village, IL: American Academy of Pediatrics; 2015.
> Long SS, Pickering LK, Prober CG. Nguva refu, Yakadzoka, uye Periodic Fever Syndromes. Nheyo uye maitiro ekurapa zvirwere zvinotapukira (Fourth Edition), Chikamu II , 2012, Mapeji 117-127.