Bulaliyar jarirai

Botulism na jarirai cuta ce mai barazanar rai wanda sanadin kwayar cuta da ake kira Clostridium botulinum. Yana girma a cikin ɓangaren ƙwayar ciki na jariri.

Clostridium botulinum wata kwayar halitta ce wacce take gama-gari a yanayi. Ana iya samun spores a cikin ƙasa da wasu abinci (kamar zuma da wasu syrups na masara).

Bulul jarirai yakan fi faruwa ga yara ƙanana tsakanin makonni 6 zuwa watanni 6. Yana iya faruwa tun da wuri har zuwa kwanaki 6 har zuwa ƙarshen shekara 1.

Abubuwan haɗarin sun haɗa da haɗiye zuma yayin yarinta, kasancewa cikin gurɓatacciyar ƙasa, da samun kujeru ƙasa da ɗaya kowace rana na tsawon da ya fi watanni 2.

Kwayar cutar na iya haɗawa da:

• Numfashi mai tsayawa ko raguwa
• Maƙarƙashiya
• Idon ido wanda ya faɗi ƙasa ko kuma wani ɓangare
• "Floppy"
• Rashin gagging
• Rashin ikon sarrafa kai
• Shan inna da ke yaduwa zuwa kasa
• Rashin ciyarwa mara kyau da shan nono
• Rashin numfashi
• Tsananin gajiya (kasala)
• Kuka mai rauni

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki. Wannan na iya nuna raguwar sautin tsoka, bacewar ko rage karfin gag, bacewa ko raguwar karfin jijiya, da faduwar ido.

Ana iya bincikar samfurin baron daga jaririn botulinum toxin ko bacteria.

Za'a iya yin nazarin lantarki (EMG) don taimakawa wajen faɗi bambanci tsakanin tsoka da matsalolin jijiyoyin jiki.

Botulism immunity globulin shine babban maganin wannan yanayin. Yaran da suka sami wannan magani suna da ɗan gajeren zaman asibiti da rashin lafiya mai sauƙi.

Duk wani jariri da ke da botulism dole ne ya sami kulawa na goyan baya yayin murmurewar su. Wannan ya hada da:

• Tabbatar da abinci mai kyau
• Adana hanyar jirgin sama a sarari
• Kallon matsalolin numfashi

Idan matsalolin numfashi suka ɓullo, ana iya buƙatar taimakon numfashi, gami da amfani da na'urar numfashi.

Magungunan rigakafi basu bayyana don taimakawa jariri inganta kowane sauri ba. Saboda haka, ba a buƙatar su sai dai idan wani ƙwayar cuta ta kwayar cuta irin su ciwon huhu ta ci gaba.

Amfani da botulinum antitoxin na ɗan adam na iya zama da taimako.

Lokacin da aka gano yanayin kuma aka bi da shi da wuri, yaron yakan fi samun cikakken murmurewa. Mutuwa ko nakasa ta dindindin na iya haifar da matsaloli masu rikitarwa.

Rashin isasshen numfashi na iya bunkasa. Wannan na buƙatar taimako tare da numfashi (samun iska ta iska).

Bulaliyar jarirai na iya zama barazanar rai. Je zuwa dakin gaggawa ko kira lambar gaggawa ta gida (kamar 911) nan da nan idan jaririnka yana da alamun botulism.

A ka'idar, ana iya kaucewa cutar ta hana kamuwa da cututtukan jiki. Ana samun kwayoyin Clostridium a cikin zuma da ruwan masara. Waɗannan abinci bai kamata a ciyar da su ga jarirai ƙasa da shekara 1 ba.

Birch tarin fuka, Bleck TP. Botulism (Clostridium botulinum). A cikin: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, da Ka'idojin Bennett da Aiwatar da Cututtukan Cutar. 9th ed. Philadelphia, PA: Elsevier; 2020: babi na 245.

Khouri JM, Arnon SS. Bulaliyar jarirai. A cikin: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. Feigin da Cherry's Littafin rubutu na cututtukan cututtukan yara. 8th ed. Philadelphia, PA: Elsevier; 2019: sura 147.

Norton LE, Schleiss MR. Botulism (Clostridium botulinum). A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 237.