Pertussis Basics
Uyo anokonzera chifuva (pertussis) inowanzorambwa kana vana vachikandira, zvose nokuti vabereki vakawanda vanofunga kuti chirwere ichi -chinodzivirirwa chinenge chisisiri chinetso chevana. Kunyange pavanenge vachiita, vanongotanga kuongorora zviratidzo zvekukanganiswa zvekare, zvakadai sekukanganiswa kana kutaura kunopera mumutsara we "whoop".
Zvinosuruvarisa kuti, kukwezva kunokwidza kuri kuwedzera, uye kuwedzera kwehutachiona mune dzimwe nyika.
Zvinosuruvarisa, nenguva iyo vana vanosvika pakuona kuti vari kuve nekukanganiswa kunokodzera, ivo vanowanzotarisa mukati mavo vanoputira chirwere chekukanganiswa.
Chikosoro
Uyo anogunzva chifukidziro ndiro zita rinowanzoitwa pertussis, chirwere chinorambidzwa-chinodzivirirwa icho chine nhamo hachina kumboenda, kunyange nevana vakawanda vanowana maitiro akawanda emishonga yekudzivirira kubva ku pertussis sechikamu chehutano hwehutano hwehuduku.
Sei chifukidziro chinoputika chichiri dambudziko guru zvakadaro, nepo dzimwe dzakawanda zvirwere zvinodzivirirwa zvirwere, seporiyo, masero, uye diphtheria, nezvimwewo, zvisinganyanyi kuitika muUnited States?
Mukuwedzera kune kuderedza zvirwere zvekudzivirira mune mamwe mapoka evana nekuda kwevabereki kunetseka pamusoro pekuchengetedzwa kwepemini uye kushandiswa kwezvimwe zvirongwa zvekudzivirira zvirwere, kudzivirirwa kubva kumushonga we pertussis kunoderedza nguva. Izvozvo zvinoita kuti vakawanda vechidiki nevakuru vatarise kuparara kunze kwekuti vakagamuchira shanduro itsva ye tetanus booster iyo inosanganisira chirwere chinonzi pertussis ( Tdap - Tetanus, Diphtheria, uye Pertussis acellular).
Vachiri kuyaruka nevashoma vanowana kuparara vanogona kuuraya vana nevecheche uye vacheche vasati vapedzisa nhatu-dose nhepfenyuro yekutanga yeDTaP (Diphtheria, Tetanus, uye acellular Pertussis) chirwere, ichiita kuti vasanyanya kunyatsodzivirirwa pamusana pekutengesa.
Pertussis Symptoms
Sezvo pertussis uye pertussis kubuda kunowanzojairika, zvakakosha kuziva zvirwere zvinopararira kana mwana wako akarwara.
Pertussis zviratidzo zvinowanzotanga sezvinongoita zvirwere zvinotonhora nguva dzinenge 6 kusvika kwemazuva makumi matanhatu mushure mekuratidzwa kune umwe munhu ane pertussis, kazhinji munhu mukuru ane chigofu chisingaperi. Izvi zviratidzo zvepakutanga zvinowanzopedza vhiki kana maviri uye zvinogona kusanganisira firiji yepamusoro-gwara, mhepo inoputika, kuputirana, kunyorera, nekukanganiswa.
Zvadaro, sezvamunenge uri kutarisira kuti zviratidzo zvekukonzera kwemwana zviri kuwedzera, mwana ane pertussis chaizvoizvo anotanga kuwedzera uye anowedzera zviratidzo zvinogona kupedza mamwe mavhiki matatu kusvika ku6, kusanganisira:
- kukwezva kunotsva kana kufanana, izvo zvingaguma mukaimboti 'whoop' inzwi
- kurutsa mushure mekukanganiswa kunokwira (post-tussive emesis)
- cyanosis kana bluu spells mushure mekukanganiswa
- apnea kana episodes apo mucheche anobva arega kufema panguva kana mushure mekukanganiswa
Izvi zviratidzo zvinopera zvishoma nezvishoma zvinowedzera zvishoma nezvishoma pamwedzi mishoma inotevera.
Vana vane pertussis kazhinji havana zvimwe zviratidzo nezviratidzo, zvakadai se:
- Fever
- Diarrhea
- Ganda rinoputika
- Wheezing
- Kufema nokukurumidza
Kana mwana wako achikwevera uye ane zviratidzo izvi, anogona kunge ane RSV kana imwe hutachiona, uye angave asina kuparara, kunyanya kana akashongedzwa zvakakwana uye asina kuonekwa kune ani ane pertussis.
Zvaunofanira Kuyeuka
Vabereki vanofanira kuona chiremba wavo wevana kana vachifunga kuti mwana wavo angangodaro ari kuwedzera zviratidzo kana kutsvaga kurapwa nokukurumidza kana mwana wako muduku ane zviratidzo zvakakomba, zvakadai sepnea kana kuti kuora kwenguva refu kunokodzera.
Zvimwe zvinhu zvokuchengetedza mupfungwa pamusoro pemararamiro epartusis uye pertussis zvinosanganisira kuti:
- Iko kuonekwa kwe pertussis dzimwe nguva hakukanganwiki, sekukanganiswa kwemwana kunonzi kune zvirwere zvinowanzoonekwa, zvakadai seRVV kana pneumonia. Iva nechokwadi chekuudza chiremba wevana vako kana iwe uchifunga kuti mwana wako akamboratidzwa kune mumwe munhu ane pertussis, chero munhu ane chikwata chisingagumi, kana iwe uchingofunga kuti mwana wako angangodaro achinetseka.
- Bhakitiriya tsika kana kuti polymerase chain reaction (PCR) test inogona kubatsira kuongororwa neptussis, kunyange zvazvo vana vakawanda vanotanga kuonekwa kuti vanongobva pane zviratidzo zvavari.
- Kurapa kwokutanga nemishonga inorwisa mabhakitiriya kunogona kubatsira kuita kuti mwana wako asawedzere kutapurirana kune vamwe asi haana kuratidzirwa kuita misiyano yakakura muhuwandu kana nguva yezviratidzo.
- Vanhu vakuru vane pertussis vanowanzova nekukanganiswa kusingaperi kwemwedzi inoverengeka uye vasina zvizhinji zvezviratidzo zvinowanzobatanidzwa nevanosangana nevana
- Dare Rinokurudzira Rokudzivirira Kuzvidzivirira (ACIP) rinokurudzira kuti vanhu vakuru pakati pemakore 19 ne6 vanowana imwe chirwere chemugodhi weTdap kana vasina kumboita.
- Vakuru vanogona kusangana nevana vaduku vasati vava nemwedzi gumi nemaviri, kusanganisira vabereki, vanasekuru nanasekuru (kunyange kana vari pamakore makumi matanhatu nemashanu), vatapi vevana, uye vashandi vehutano, vanofanira kuwana chirwere cheTdap kana vasina , kunyange yakave iri pasi pemakore gumi kubva pakupedzisira kwetetanus booster.
Sources:
CDC. Kudzivirira Tetanus, Diphtheria, uye Pertussis Pakati pevanhu vakuru: Kushandisa Tetanus Toxoid, Kuderedza Diphtheria Toxoid uye Acellular Pertussis Vaccine. MMWR. December 15, 2006/55 (RR17): 1-33.
Gregory DS. Pertussis: Chirwere chinosangana nemakore ose. Ndiye Chiremba weNzara - 1-AUG-2006; 74 (3): 420-6
Kliegman: Nelson Nhamba yeBhuku rePediatrics, 18th ed.
Yenguva refu: Maitiro uye Maitiro eZvamwe Zvinotapukira Zvirwere, 3rd ed.
CDC. Yakakurudzirwa Mukuru Wekuzvidzivirira Purogiramu-United States, 2011. MMWR. February 4, 2011/60 (04); 1-4.