Usuku Lomhlaba Lokugoma

“Ukungabaza ngomuthi wokugoma” umusho engingazange ngizwe okuningi ngawo ngaphambi kobhadane lwe-COVID-19, kodwa manje sekuyigama esilizwa ngaso sonke isikhathi. Kwakukhona njalo imindeni engazange igome izingane zayo; Ngikhumbula umngane esikoleni samabanga aphezulu unina amthola exemption. Ngiyakhumbula futhi ukuthi ngesikhathi ngisebenzela esinye seziteshi zezindaba zeDenver TV, saxoxa a Ucwaningo lweCenters for Disease Control and Prevention (CDC). eyathola ukuthi iColorado inezinga eliphansi lokugoma esizweni. Lolu cwaningo lwenziwe ngaphambi kobhubhane. Ngakho-ke, umbono wokuphuma emithini yokugoma awumusha, kodwa kubonakala sengathi unikezwe impilo entsha kusukela umgomo we-COVID-19 wadedelwa emphakathini ekuqaleni kuka-2021.

Ngenkathi ngiqoqa ulwazi lwe-newsletter ye-Colorado Access, ngikwazile ukuthola ulwazi olulandelayo. I Isethi Yedatha Yokusebenza Kokunakekelwa Kwezempilo kanye Nolwazi (i-HEDIS), kubheke amanani okugoma ngo-2020, 2021, kanye no-2022 kumalungu e-Colorado Access. I-“Combination 10” iqoqo lemithi yokugoma ehlanganisa: i-diphtheria emine, i-tetanus, ne-acellular pertussis, uvendle olungasebenzi, isimungumungwane esisodwa, isimungumungwane, kanye ne-rubella, ezintathu ze-haemophilus influenzae uhlobo b, ezintathu ze-hepatitis B, i-varicella eyodwa, i-conjugate ye-pneumococcal , i-rotavirus emibili kuya kwemithathu, i-hepatitis A eyodwa, nemijovo emibili yomkhuhlane. Ngo-2020, cishe ama-54% amalungu e-Colorado Access athole umuthi wokugomela “Inhlanganisela 10” ngesikhathi. Ngo-2021, inani lehle lafinyelela cishe ku-47%, kwathi ngo-2022, lehla lafinyelela cishe kuma-38%.

Ngokwezinga elithile, ngiyaqonda ukuthi kungani izingane eziningi zasala ngemuva emithini yazo yokugoma kwasekuqaleni. Ngesikhathi sokuqubuka kwalesi sifo, nganginabantwana bokutholwa ababili, bobabili base benayo yonke imigomo ababeyidinga ukuze baye esikoleni. Indodana yami engizalayo yayingakazalwa. Ngakho-ke, udaba bekungelona ngempela engibhekane nalo ngokomuntu siqu. Kodwa-ke, ngingazibeka ezicathulweni zomzali okufanele avakashelwe emthonjeni ohlanganisa umuthi wokugoma lapho ubhubhane lwe-COVID-19 luphakeme kakhulu, lapho ukungaqiniseki okuningi kusazungeza leli gciwane kanye nomthelela walo ezinganeni. Ngiyakwazi ngeso lengqondo ngifuna ukweqa lokho kuvakashela ehhovisi likadokotela, ngifanekisele ingane yami ihlezi eduze nenye ingane egulayo futhi ithola isifo esingase sibe yingozi. Ngazibona ngicabanga ukuthi ingane yami cishe izofunda esikoleni esibonakalayo, ngakho umgomo ungalinda ize ibuyele ekilasini mathupha.

Nakuba ngiqonda ukuthi kungani abazali bebambezeleka ukugoma okuthile phakathi nalolu bhubhane, nokuthi kungani ngezinye izikhathi kungase kube nzima ukuthi ingane yakho ijovwe ngamashothi amaningi ahlukene ngesikhathi esimisiwe njalo ngemva kwezinyanga ezimbalwa isewusana, ngiyazi futhi ukuthi kubaluleke kangakanani ngitholele mina kanye nengane yami imigomo.

Into eyodwa engiqhakambise lokhu muva nje ukudalwa kweyokuqala umgomo wokugomela i-syncytial virus (RSV)., kwagunyazwa ngo-May 2023. Indodana yami engokwemvelo yazalwa ngaphambi kwesikhathi inamasonto angu-34 ikhulelwe. Ngenxa yalokho, kanye neqiniso lokuthi wazalelwa eColorado endaweni ephakeme kakhulu, kwadingeka asebenzise ithangi lomoya-mpilo aqhubeke aze abe nezinyanga ezimbili ubudala. Walaliswa esibhedlela ngemva nje kokuba ehlanganise inyanga eyodwa ubudala ngoba odokotela besaba ukuthi wayengenwe yigciwane lokuphefumula futhi “njenge-preemie” babefuna yena kanye namazinga akhe komoya-mpilo aqashwe ngokucophelela. Ngatshelwa ekamelweni lezimo eziphuthumayo e-Children's Hospital Colorado ukuthi ingane ibhekwa njenge-preemie futhi iphathwa ngendlela ehlukile ize ibe nonyaka owodwa ubudala.

Ngenxa yomlando wakhe, ngethemba ngempela ukuthi uzokwazi ukuthola umgomo we-RSV. Ukutholakala kwayo akukandile okwamanje, futhi kukhona iminyaka enqunywa ezinyangeni eziyisishiyagalombili ubudala. Nakuba esedlule eminyakeni yakhe yobudala bokulandelana kwezenzakalo, udokotela uzomnika yona kuze kube yilapho efinyelela “iminyaka emisiwe” yezinyanga eziyisishiyagalombili (lokhu kusho ukuthi lapho efinyelela izinyanga eziyisishiyagalombili ngaphambi kosuku lwakhe lokuzalwa. iminyaka yokulandelana kwezikhathi, ngakho uphelelwa isikhathi).

Ngaqale ngatshelwa ngomuthi wokugoma ekuvakasheleni kwakhe umthombo izinyanga eziyisithupha. Ngizovuma imicabango eminingi eyayigijima ekhanda lami njengoba udokotela echaza lo mgomo owawukhishwe emasontweni ambalwa ngaphambili. Ngazibuza ukuthi ingabe imiphumela yesikhathi eside yayihlolisisiwe, ukuthi ingabe kufanele athole umuthi wokugoma omusha kakhulu futhi ongakadluli isizini ye-RSV, kanye nokuthi wawuphephile yini ngokujwayelekile. Kodwa ekugcineni kosuku, ngiyazi ukuthi ukuthola kwakhe igciwane elitheleleka kakhulu neliyingozi kukhulu kakhulu ukuba angazifaka engozini, futhi angifuni ukuthi adlule kulobu busika echayeke kulokho okungenzeka uma ngingakwazi ukukusiza.

Ngingakufakazela futhi ukubaluleka kokuzigoma. Ngo-2019, ngathatha uhambo oluya eMorocco nabangane abathile futhi ngavuka ekuseni ngelinye ilanga ngizithola ngigcwele amaqhubu alumayo ebusweni bami, phansi entanyeni, emhlane wami, nasengalweni yami. Ngangingenaso isiqiniseko sokuthi yini eyabangela la maqhubu; Ngangigibele ikamela futhi ngisehlane ngayizolo, futhi mhlawumbe ngangilunywe yizinambuzane. Ngangingenaso isiqiniseko sokuthi zikhona yini izinambuzane ezithwala izifo kuleyo ndawo, ngakho ngakhathazeka kancane futhi ngaziqapha ukuze ngibone izimpawu zokugula noma imfiva. Noma kunjalo ngangisola ukuthi kungenzeka ukuthi zibangelwa izimbungulu, ngenxa yokuthi zazitholakala ezindaweni ezazithinte umbhede. Lapho ngibuyela eColorado, ngabona udokotela wami owangeluleka ukuthi ngingawutholi umkhuhlane kuze kudlule isikhathi esithile, ngoba kwakuyoba nzima ukusho ukuthi izimpawu zazibangelwa umkhuhlane wami noma okuthile okuhlobene nokulunywa.

Hhayi-ke ngagcina sengikhohlwe wukubuyela emumva ngithole umkhuhlane. Kwakubi kakhulu. Kwaphela amasonto namasonto, nganginamafinyila amaningi; Bengisebenzisa amathawula ephepha ukuze ngifuthe amakhala futhi ngikhwehlele iphlegm ngoba izicubu bezingayisiki. Ngangicabanga ukuthi ukukhwehlela kwami ​​kwakungeke kuphele. Ngisho nangemva kwenyanga ngingenwe umkhuhlane, ngazabalaza ngenkathi ngizama ukwenza umzila olula kakhulu wokushibilika eqhweni. Kusukela lapho kuqhubeke, ngiye ngakhuthalela ukuthola isibhamu somkhuhlane njalo ekwindla. Nakuba bekungaba kubi kakhulu kunokuthola umkhuhlane, kwakuyisikhumbuzo esihle sokuthi ukuthola igciwane kubi kakhulu kunokudutshulwa. Izinzuzo zidlula noma yiziphi izingozi ezincane ezihlobene nomgomo.

Uma ungaqiniseki ngokuthola i-COVID-19, umkhuhlane, nanoma yimuphi omunye umgomo, ukukhuluma nodokotela wakho ukuze uthole ulwazi olwengeziwe nakho kuyisinyathelo esihle sokuqala. I-Colorado Access nayo ine ulwazi mayelana nokuphepha nokuthi ungagonywa kanjani futhi kunezinye izinsiza ezingenakubalwa, kuhlanganisa Iwebhusayithi yeCDC, uma unemibuzo mayelana nokugoma, ukuthi kusebenza kanjani, nokuningi. Uma ufuna indawo yokuthola umuthi wakho wokugoma, i-CDC nayo inayo ithuluzi lokuthola umgomo.