Njira yothandiza yothetsera matenda opatsirana ndi miliri ndi katemera wamba. Katemera wochokera ku diphtheria kwa anthu akuluakulu amapezeka pamndandanda wa zowonongeka kuti athe kukhala ndi chitetezo cha mthupi mwa tizilombo toyambitsa matenda. Ndikofunika kuti nthawi zonse muzichita ndondomekoyi panthawiyi, chifukwa matendawa amawopsa kwambiri komanso amafalitsidwa ndi madontho.
Diphtheria mwa akuluakulu
Matendawa amayambitsidwa ndi poizoni, omwe amadziwika ndi mabakiteriya a Corynebacterium diptheria. Zimakhudza mitsempha ya m'mwamba pamtunda, makamaka mapepala, matani ndi roko, komanso pamwamba pa ziwalo zamkati - m'matumbo, impso. Chotsatira chake, kuledzeretsa koopsa kumayamba, kuvutika maganizo, angina ikupita patsogolo.
Ndikoyenera kudziwa kuti matendawa ndi owopsa kwambiri, ali ndi chiwerengero chakufa kwa ana komanso pakati pa okalamba.
Katemera motsutsana ndi diphtheria ndi munthu wamkulu
Katemera wa katemera ndi magawo atatu, ayenera kumalizidwa ali wamng'ono (osakwana zaka 18). Ngati munthu sanatemera katemera, ndiye kuti jekeseni ziwiri zimachitidwa koyamba ndi kupuma kwa masiku 30, ndipo jekeseni lachitatu mu miyezi 12.
Katemera wochuluka kuchokera ku diphtheria kwa akuluakulu umachitidwa kamodzi pa zaka khumi ndipo amatchedwa amphamvu. Zimakuthandizani kuti mukhale ndi ma antibodies nthawi zonse mu thupi ndi causative wothandizira matendawa ndipo amateteza ngati kuthandizira.
Jekeseni yokha siili ndi mabakiteriya, koma ndi poizoni okha omwe samapanga. Choncho, kuyankhidwa kwa chitetezo cha mthupi kumayambitsidwa popanda chiopsezo cha mavuto.
Katemera wa anthu akuluakulu omwe amatsutsana ndi diphtheria umaphatikizapo kugwiritsa ntchito mankhwala omwe amathandiza kuti asatenge kachilombo kokha, komanso tetanus ndi poliomyelitis.
Njira zothetsera vuto - ADS-M Anatoxin (Russia) ndi Imovax DT Adult (France). Mankhwala onsewa ali ndi diphtheria ndi tetanus toxoid. Ndikofunikira kukhazikitsa mlingo wa antitoxin mu thupi la wodwalayo musanachite jekeseni. Matenda ambiri a antidiphtheria ayenera kukhala osachepera 1:40, ndipo ma antibophine - 1:20.
Katemera wowonjezera wa poliyo amatchedwa tetracock. Pogwiritsa ntchito njirayi, imachitika magawo angapo oyeretsa, choncho ndi otetezeka ngati n'kotheka.
Sizachilendo katemera akuluakulu ku diphtheria pogwiritsira ntchito kudzipangira (AD-M Anatoxin). Zimasonyezedwa ndi nthendayi yotsika ya antitoxin m'magazi a anthu kapena ngati katemera womaliza wapangidwa zaka zoposa 10 zapitazo.
Katemera wotsutsana ndi munthu wamkulu wa diphtheria
Chinthu chokha chimene jekeseni sichikhoza kuchitika ndi kukhalapo kwa zozizira zomwe zimayikidwa poizoni.
Zotsutsa zosakhalitsa:
- kutentha kwa thupi;
- gawo lalikulu la matenda alionse;
- Mimba (pasanathe milungu 12).
Zotsatira ndi zovuta za katemera motsutsana ndi diphtheria ndi munthu wamkulu
Palibe vuto la thanzi losatha limene limayambitsa katemera. Nthawi zambiri, pali zotsatira zochepa:
- coryza;
- otitis;
- kubwezeretsa ndi kuphatikiza minofu yofewa kuzungulira malo omwe jekeseni inapangidwira;
- pharyngitis ;
- kutsekula m'mimba;
- kuthamanga kwa khungu;
- chitsulo ;
- kuwonjezeka kutentha kwa thupi (osati pamwamba pa madigiri 38);
- mala;
- chifuwa;
- thukuta;
- kuyabwa ndi kutupa kwa khungu (mu malo oyamwa);
- dermatitis.
Zolembazo zikhoza kupitilira payekha kwa masiku asanu ndi atatu, kapena zitha kuthandizidwa kuchipatala ndi miyezo yoyenera.
Pakadali pano, palibe mavuto omwe atchulidwa atatha katemera motsutsana ndi diphtheria, ngati zonse zikutsatiridwa asanayambe kutsatiridwa komanso pambuyo pa katemera.