Tsiku la Katemera Padziko Lonse

"Kukayikakayika kwa katemera" ndi mawu omwe sindinamvepo mliri wa COVID-19 usanachitike, koma tsopano ndi mawu omwe timamva nthawi zonse. Panali nthawi zonse mabanja amene sanatemere ana awo; Ndikukumbukira mnzanga wina wa kusekondale yemwe amayi ake anamulola kuti asapite kusukulu. Ndikukumbukiranso kuti pamene ndinkagwira ntchito ku imodzi mwa malo owonetsera TV aku Denver, tinakambirana a Kafukufuku wa Centers for Disease Control and Prevention (CDC). zomwe zidapeza kuti Colorado inali ndi imodzi mwamitengo yotsika kwambiri ya katemera mdziko muno. Kafukufukuyu adachitika mliriwu usanachitike. Chifukwa chake, lingaliro lotuluka pa katemera silatsopano, koma zikuwoneka kuti zapatsidwa moyo watsopano kuyambira pomwe katemera wa COVID-19 adatulutsidwa koyamba kwa anthu koyambirira kwa 2021.

Ndikusonkhanitsa zambiri za nyuzipepala ya Colorado Access, ndinatha kupeza zotsatirazi. The Healthcare Effectiveness Data and Information Set (HEDIS), adayang'ana mitengo ya katemera mu 2020, 2021, ndi 2022 kwa mamembala a Colorado Access. "Combination 10" ndi gulu la katemera lomwe limaphatikizapo: diphtheria anayi, tetanus, ndi acellular pertussis, poliyo yosagwiritsidwa ntchito katatu, chikuku chimodzi, mumps, ndi rubella, atatu haemophilus influenzae mtundu b, atatu a hepatitis B, varicella imodzi, pneumococcal conjugate , awiri kapena atatu katemera wa rotavirus, mmodzi wa hepatitis A, ndi katemera wa chimfine awiri. Mu 2020, pafupifupi 54% ya mamembala a Colorado Access adalandira katemera wawo wa "Combination 10" pa nthawi yake. Mu 2021, chiwerengerocho chinatsika mpaka pafupifupi 47%, ndipo mu 2022, chidatsikira pafupifupi 38%.

Pamlingo wina, ndimamvetsetsa chifukwa chake ana ambiri adatsalira pa katemera wawo poyambirira. Pa nthawi ya mliriwu, ndinali ndi ana aamuna awiri opeza, ndipo onse anali kale ndi katemera wofunikira kuti apite kusukulu. Mwana wanga wondibala anali asanabadwe. Chotero, nkhaniyo sinali kwenikweni imene ine ndinali nayo pamlingo waumwini. Komabe, nditha kudziyika ndekha mu nsapato za kholo lomwe likuyenera kuchezeredwa ndi chitsime chomwe chimaphatikizapo katemera wa mliri wa COVID-19, pomwe kusatsimikizika kwakukulu kudazungulira kachilomboka komanso momwe amakhudzira ana. Ndikhoza kuganiza kuti ndikufuna kudumpha ulendo wopita ku ofesi ya dokotala, ndikufanizira mwana wanga atakhala pafupi ndi mwana wina wodwala ndipo akudwala matenda omwe angakhale oopsa. Ndinkangodziona ndekha ndikuganiza kuti mwana wanga akhoza kupita kusukulu, choncho katemera akhoza kudikirira mpaka atabwerera yekha m'kalasi.

Ngakhale ndikumvetsetsa chifukwa chake makolo amachedwetsa katemera wina panthawi ya mliri, komanso chifukwa chake nthawi zina zimakhala zovuta kuti mwana wanu abadwe jekeseni wamitundu yosiyanasiyana pakapita miyezi ingapo ali khanda, ndikudziwanso kufunika koti ndidzipezera ndekha katemera komanso mwana wanga.

Chinthu chimodzi chomwe chandiwonetsa izi posachedwa ndikupanga koyamba Katemera wa Respiratory Sycytial Virus (RSV)., yovomerezedwa mu May 2023. Mwana wanga wondibala anabadwa nthawi isanakwane ndili ndi milungu 34 yoyembekezera. Chifukwa cha zimenezi, limodzinso ndi mfundo yakuti anabadwira ku Colorado pamalo okwera, anayenera kugwiritsa ntchito thanki ya okosijeni mpaka atakwanitsa miyezi iwiri. Anagonekedwa m'chipatala atangokwanitsa mwezi umodzi chifukwa madotolo amawopa kuti watenga kachilombo koyambitsa matenda a kupuma ndipo monga "preemie" amafuna kuti iye ndi mpweya wake aziyang'aniridwa mosamala. Ndinauzidwa m'chipinda chodzidzimutsa ku Children's Hospital Colorado kuti mwana amaonedwa kuti ndi preemie ndipo amachiritsidwa mosiyana mpaka ali ndi chaka chimodzi.

Chifukwa cha mbiri yake, ndikuyembekeza kuti apeza katemera wa RSV. Kupezeka kwake sikunafalikire panobe, ndipo pali msinkhu wodulidwa pa miyezi isanu ndi itatu. Ngakhale kuti wadutsa pa msinkhu wake wotsatira nthawi, dokotala adzamupatsa mpaka atafika “msinkhu woyenerera” wa miyezi isanu ndi itatu (izi zikutanthauza kuti akafika miyezi isanu ndi itatu kupyola tsiku lake. m'badwo wotsatira nthawi, choncho akutha nthawi).

Ndinauzidwa koyamba za katemera paulendo wake wa miyezi isanu ndi umodzi. Ndikuvomereza kuti malingaliro ambiri adadutsa m'mutu mwanga pamene adokotala adalongosola katemerayu yemwe adatulutsidwa milungu ingapo m'mbuyomo. Ndinadzifunsa ngati zotsatira za nthawi yayitali zidaphunziridwa, ngati akuyenera kulandira katemera watsopano komanso yemwe sanadutsepo nyengo ya RSV, komanso ngati anali otetezeka nthawi zonse. Koma kumapeto kwa tsikulo, ndikudziwa kuti kutenga kachilombo koyambitsa matenda komanso koopsa kotereku ndikoopsa kwambiri kuti asakhale pachiwopsezo, ndipo sindikufuna kuti adutse nthawi yozizira iyi ngati ndingathe kumuthandiza.

Ndithanso kutsimikizira kufunika kodzipezera ndekha katemera. Mu 2019, ndidapita ku Morocco ndi anzanga ena ndipo ndidadzuka m'mawa wina kuti ndidzipeza kuti ndili ndi ziphuphu kumaso, pansi pakhosi, kumbuyo, komanso pamkono. Sindinadziwe chomwe chinayambitsa mabampu awa; Ndinali nditakwera ngamila ndipo ndinali m’chipululu dzulo lake, ndipo mwina kachilomboka kanandiluma. Sindinadziŵe ngati m’dera limenelo munali tizilombo tonyamula matenda, chotero ndinali ndi nkhaŵa pang’ono ndipo ndinadziyang’anira kuti ndione zizindikiro za matenda kapena kutentha thupi. Ngakhale zinali choncho, ndinkakayikira kuti mwina anayambitsa nsikidzi chifukwa chakuti anali pamalo enieni amene anakhudza bedilo. Nditabwerera ku Colorado, ndinawona dokotala wanga yemwe anandiuza kuti ndisatenge chimfine mpaka patapita nthawi, chifukwa zingakhale zovuta kudziwa ngati zizindikirozo zinayamba chifukwa cha chimfine changa kapena chinachake chokhudzana ndi kulumidwa.

Chabwino, ndinamaliza kuyiwala kubwereranso kukawombera ndipo ndinadwala chimfine. Zinali zoipa. Kwa masabata ndi masabata, ndinali ndi mamina ochuluka kwambiri; Ndinkagwiritsa ntchito matawulo amapepala kupumira mphuno yanga ndi kutsokomola phlegm chifukwa minofu sinali kudula. Ndinkaganiza kuti chifuwa changa sichidzatha. Ngakhale mwezi umodzi kuchokera pamene ndinadwala chimfine, ndinavutika pamene ndikuyesera kupanga kanjira kosavuta kwambiri kachipale chofewa. Kuyambira pamenepo, ndakhala ndikuchita khama kuti ndiziwombera chimfine m'dzinja lililonse. Ngakhale zikadakhala zoyipitsitsa kuposa kudwala chimfine, chinali chikumbutso chabwino kuti kutenga kachilomboka ndikoyipa kwambiri kuposa kuwombera. Ubwino wake umaposa ziwopsezo zing'onozing'ono zokhudzana ndi katemera.

Ngati simukutsimikiza kupeza katemera wa COVID-19, chimfine, kapena katemera wina aliyense, kuyankhula ndi dokotala wanu kuti mudziwe zambiri ndi gawo loyamba labwino. Colorado Access ilinso zambiri zokhudza chitetezo ndi momwe mungapezere katemera ndipo pali zinthu zina zosawerengeka, kuphatikizapo Webusayiti ya CDC, ngati muli ndi mafunso okhudza katemera, momwe amagwirira ntchito, ndi zina. Ngati mukuyang'ana malo oti mupeze katemera wanu, CDC ilinso ndi chida chopezera katemera.