Oʻtkir respirator kasalliklarning 70-80 foizini uy sharoitida davolash mumkin: Mutaxassis

SSV Matbuot xizmatining oʻtkir respirator kasalliklarga doir savollariga Respublika ixtisoslashtirilgan pediatriya ilmiy-amaliy tibbiyot markazi boʻlim boshligʻi Dinora DOʻSTMUHAMMEDOVA javob berdi.

— Ayrim ota-onalar farzandi biroz shamollab qolsa, darrov sarosimaga tushib, bolasini shifoxonaga yotqizishga harakat qiladi? Bu qanchalik toʻgʻri?

— Darhaqiqat, ushbu holat koʻpchilik ota-onalarda kuzatiladi. Farzandida biroz isitma koʻtarilgudek boʻlsa, ular oilaviy shifokor punkti yoki oilaviy poliklinikaga emas, darrov “Tez yordam”ga murojaat qilib, bolani shifoxonaga yotqizishga harakat qiladi. Ular statsionar sharoitda bola kasallikdan tezroq tuzaladi, deb oʻylashadi.

Vaholanki, statsionar sharoitda bolaning ikkilamchi infektsiyani yuqtirib olish ehtimoli yanada ortadi. Chunki shamollash oqibatida immun tizimi shikastlanib, bola kasallikni yuqtirib olishga yanada moyil boʻladi. Yaʼni, shifoxonada kasallikdan endigina tuzalayotgan bola tashqaridan kelgan yangi virusni yuqtirib olishi mumkin. Natijada uning sogʻayish davomiyligi yanada uzoqroq choʻziladi.

Qolaversa, baʼzi onalar shifokor uyga ruxsat berishiga qaramay, “bolamning yoʻtali hali ketmadi, oxirigacha tuzatib beringlar” deya statsionarda davolanishni davom ettirishadi. Vaholanki, OʻRVIning ilk klinik belgilaridan biri boʻlgan yoʻtal uzoq davom etadigan holatdir.

Shu bois ota-onalarga farzandi oʻtkir respirator kasalliklarga chalinsa, shifoxonaga yotqizishga shoshmaslikni, aksincha, eng avvalo, oilaviy shifokor punkti yoki oilaviy poliklinika pediatriga murojaat qilishlarini uqtiramiz.

Chunki bu kasalliklarning 70-80 foizini ambulator sharoitda, OShP va OPlardagi pediatr-shifokor tavsiyasi bilan davolash mumkin.

— Bola oʻtkir respirator kasalliklarga chalinganda shifoxonaga yotqizish uchun alohida koʻrsatmalar bormi? Oʻzi qanday bolalar statsionar sharoitda davolanishlari kerak?

— Kasallik asoratlangan holda kechgandagina shifoxonada davolanish lozim. Xoʻsh, bunga qanday holatlar kiradi?

Birinchidan, pastki nafas yoʻllariga yalligʻlanish jarayoni oʻtganda yoki bakterial infektsiya qoʻshilganda bolaning shifoxonada davolanishiga koʻrsatma beriladi. Bunday paytda tana harorati koʻtarilib, yoʻtalib yurgan bolada birdan hansirash boshlanadi, yuzaki tez-tez nafas olish kuzatiladi. Bu xavf belgisi hisoblanib, bemor, albatta, statsionar sharoitda, shifokor nazorati ostida davolanishi kerak.

Ikkinchidan, entikib nafas olganda.

Uchinchidan, bola nafas olganda qoʻshimcha mushaklar, burun qanotlari ochilib-yopilishi, qovurgʻalar orasidagi mushaklar har nafas olganda ishtirok etishi ham xavf belgisidir.

Shuningdek, agar bemor chaqaloq boʻlsa, onasini emolmay qoladi. Bu ham kasallikning ogʻirlik darajasini belgilaydi. Yaʼni goʻdakda yalligʻlanish jarayoni ogʻir kechayotanini, xastalik pastki nafas yoʻliga oʻtganligidan dalolat beradi.

Shu bilan birga, bolada yigʻlash va bezovtalik yoki aksincha uyquchanlik kuzatilsa, shifoxonada davolanish lozim. Biroq tana haroratining biroz koʻtarilgani, burun oqishi, yoʻtalish, tomoq ogʻrigʻi yoki qizarishi kabi belgilar bolaning shifoxonaga yotqizish uchun koʻrsatma boʻlib hisoblanmaydi.

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