10 نزلات برد لا تصاب بها هذا الشتاء
عادةً ما تنتشر الأنفلونزا، والفيروس المخلوي التنفسي، وكوفيد-19، والالتهاب الرئوي، خلال أشهر الطقس البارد
إنه موسم المشاركة... جراثيم البرد، وفيروسات الأنفلونزا، وجراثيم المعدة، وغير ذلك الكثير. تمثل أشهر الطقس البارد ذلك الوقت السحري الذي يجلب فيه طفلك عددًا كبيرًا من الجراثيم من المدرسة أو الرعاية النهارية إلى المنزل، بينما يصر زميلك العطاس على الحضور لحضور اجتماع بدلاً من البقاء في المنزل.
يمكن أن يكون فصل الشتاء هذا مليئًا بالدوار، حيث ترتفع العديد من فيروسات الجهاز التنفسي مثل الفيروس المخلوي التنفسي (RSV) جنبًا إلى جنب مع الأنفلونزا وCOVID-19 (ما أطلق عليه الخبراء الطبيون اسم " فلورونا "). هل يمكنك تفادي كل هذه العدوى؟ وإذا مرضت، فكم من الوقت يجب أن تتوقع أن يتم تهميشك قبل العودة إلى البرامج المجدولة بانتظام؟
يشرح طبيب الأسرة ماثيو جولدمان، دكتوراه في الطب ، كيفية البقاء آمنًا في فصل الشتاء هذا، إلى جانب كيفية التعامل مع 10 من أمراض الشتاء الأكثر شيوعًا.
لماذا قد تمرض هذا الشتاء
يوضح الدكتور جولدمان : "تعد الأمراض أكثر شيوعًا في فصل الشتاء لأن قطرات الجهاز التنفسي الملوثة تنتقل بسهولة أكبر في الهواء الجاف عندما يسعل أو يعطس الشخص المريض". "بالإضافة إلى ذلك، يميل الناس إلى التجمع في الداخل عندما يكون الجو باردًا بالخارج (وفي العطلات)، مما يسهل انتشار الجراثيم من شخص لآخر."
نحن نعلم أيضًا أنه عندما تصاب بمرض ما، فإن الأعراض لا تظهر دائمًا على الفور. قد يستغرق الأمر ما يصل إلى بضعة أيام أو أسبوع حتى تظهر أعراض مرض الشتاء اعتمادًا على الفيروس الذي تلتقطه أو الجراثيم التي تتلامس معها وقوة جهاز المناعة لديك . على الرغم من أنك قد لا تشعر بالمرض، إلا أنك لا تزال مصابًا خلال فترة الحضانة المبكرة هذه — ومن المحتمل أن تكون معديًا وقادرًا على نقل العدوى إلى الآخرين.
يؤكد الدكتور جولدمان: "عادة ما تكون أكثر عدوى بعد يومين إلى ثلاثة أيام من إصابتك بالعدوى، ولكن يمكنك نقل العدوى للآخرين لمدة أسبوعين أو أكثر أثناء التعافي من المرض".
كيفية وقف انتشار أمراض الشتاء الشائعة
إذا كنت أنت أو طفلك مريضًا بأي مرض، يمكنك تجنب نشر الفيروسات للآخرين باتباع الخطوات التالية:
- السعال والعطس في مرفق مرفقك، وليس يديك.
- قم بتطهير المناطق التي يتم لمسها بشكل متكرر مثل أسطح العمل ومقابض الأبواب وأجهزة التحكم عن بعد.
- لا تشارك الأدوات أو الأكواب أو الطعام أو فرشاة الأسنان أو الملابس أو المناشف أو الأغراض الشخصية الأخرى.
- ابق في المنزل حتى تتحسن الأعراض وتتوقف عن نقل العدوى.
- اغسل يديك كثيرًا بالماء الدافئ والصابون واستخدم معقمات اليدين بشكل متقطع.
- ارتدِ قناعًا في الأماكن العامة وفكر في ارتداء قناع في المنزل بالقرب من أفراد الأسرة لحماية الأشخاص الآخرين، وخاصة أولئك الذين يعانون من ضعف المناعة .
10 أمراض الشتاء الشائعة
إذن ما الذي يتم تداوله الآن؟ وماذا يجب أن تعرف إذا مرضت؟ يشرح الدكتور جولدمان أهم 10 أمراض شتوية يمكن أن تصاب بها خلال موسم الجهاز التنفسي :
1. نزلات البرد (فيروس الأنف)
مع وجود أكثر من 200 نوع مختلف من فيروسات البرد (الفيروسات الأنفية) المنتشرة، فلا عجب أن يصاب معظم البالغين بنزلات البرد مرتين أو ثلاث مرات في السنة. الأطفال – بأيديهم الملوثة بالجراثيم، والسعال البلغمي و(الافتقار إلى) مهارات تغطية العطس – يصابون بالمرض بشكل متكرر.
تستمر فيروسات البرد في البقاء، ويمكنك نقل الفيروس إلى الآخرين لمدة تصل إلى أسبوعين. أنت وطفلك ناقلان للعدوى خلال فترة الحضانة الخالية من الأعراض. ولكن من المرجح أن تنقل العدوى للآخرين عندما تكون أعراض البرد في أسوأ حالاتها — عادةً في اليوم الثالث تقريبًا من الشعور بالسوء.
"للتخلص من نزلات البرد، يعد البقاء رطبًا أمرًا أساسيًا. يقول الدكتور جولدمان: " إن شرب السوائل الدافئة مثل الشاي يمكن أن يكون مهدئًا لالتهاب الحلق والاحتقان، ويمكن للتغييرات الصغيرة أن تحدث فرقًا كبيرًا عندما تصاب بالبرد". "فكر في استخدام جهاز ترطيب في غرفتك لإضافة الرطوبة إلى الهواء للمساعدة في تخفيف الاحتقان أو الغرغرة بالماء المالح الدافئ لتخفيف التهاب الحلق."
2. الأنفلونزا (الأنفلونزا)
يمتد موسم الأنفلونزا من أكتوبر إلى مايو، ولكن من الممكن أن تصاب بفيروس الأنفلونزا في أي وقت من السنة. تصيب الأنفلونزا الملايين في الولايات المتحدة كل عام ويمكن أن تؤدي إلى احتمال دخول المستشفى أو الوفاة. إن لقاح الأنفلونزا هو أفضل وسيلة لحماية نفسك وعائلتك من هذا الفيروس شديد العدوى. في كل عام، يتم طرح لقاح جديد لحمايتك من الأنواع الحالية من الأنفلونزا.
بحلول الوقت الذي تبدأ فيه أعراض الأنفلونزا في الظهور، ربما تكون قد نقلت الفيروس بالفعل إلى شخص آخر على الأقل. وذلك لأنك معدٍ قبل أن تعرف أنك مريض. تكون الأنفلونزا معدية لمدة أسبوع أو أكثر بعد ظهور الأعراض لأول مرة.
3. كوفيد-19
ينتشر فيروس كورونا (COVID-19) بسهولة ويبلغ ذروته خلال موسم الجهاز التنفسي تمامًا مثل الأنفلونزا والفيروس المخلوي التنفسي (RSV) . ولهذا السبب، لدينا الآن لقاح سنوي محدث لكوفيد-19 يعمل تمامًا مثل لقاح الأنفلونزا السنوي: فهو يحميك أنت وأحبائك من أخطر المتغيرات المنتشرة لكوفيد-19 .
على الرغم من أنه لا يزال بإمكانك الإصابة بكوفيد-19 حتى بعد حصولك على التطعيم، فمن المحتمل أن تعاني من أعراض أقل خطورة وتكون أقل عرضة لخطر دخول المستشفى.
إذا أصبت بـCOVID-19، فمن المرجح أن تصيب الآخرين بالفيروس قبل يوم أو يومين من ظهور الأعراض وبعد يومين إلى ثلاثة أيام من بدء الشعور بالتوعك. يمكن أيضًا أن تعتمد المدة التي تظل فيها معديًا على شدة مرضك. اذا كنت تمتلك:
- أعراض خفيفة أو معدومة (بدون أعراض): أنت معدٍ لمدة خمسة أيام تقريبًا.
- أعراض متوسطة إلى شديدة: قد تكون معديًا لمدة تصل إلى 20 يومًا.
يقول الدكتور جولدمان: "بمجرد تحسن الأعراض أو حلها بشكل ملحوظ، ومرور خمسة أيام على الأقل منذ ظهور الأعراض، يمكنك عمومًا أن تكون بالقرب من الآخرين".
"ومع ذلك، فمن الحكمة ارتداء قناع في الأماكن العامة أو عند الاقتراب من الأفراد المعرضين للخطر لمدة 10 أيام على الأقل، لتقليل خطر نقل العدوى. إذا لم تظهر عليك أي أعراض ومضى أكثر من 10 أيام منذ ظهور الأعراض لأول مرة، فمن الآمن عادةً استئناف الأنشطة العادية بدون قناع.
4. الفيروس المخلوي التنفسي (RSV)
في البالغين والأطفال الذين يتمتعون بصحة جيدة، يسبب الفيروس المخلوي التنفسي عادةً أعراضًا خفيفة تشبه نزلات البرد. لكن عدوى الجهاز التنفسي هذه يمكن أن تسبب التهاب القصيبات والالتهاب الرئوي الذي قد يهدد الحياة عند الرضع والبالغين الأكبر سنًا والأشخاص الذين يعانون من ضعف في جهاز المناعة.
في كل عام، تؤدي عدوى الفيروس المخلوي التنفسي لدى الأطفال إلى دخول ما بين 58.000 إلى 85.000 حالة دخول إلى المستشفى، والآن، نشهد حوالي 177.000 بالغًا يبلغون من العمر 60 عامًا أو أكثر يدخلون إلى المستشفى بسبب هذا الفيروس أيضًا. للمساعدة في حماية هؤلاء السكان، نقوم الآن بإطلاق لقاح RSV للأطفال وكبار السن .
إذا أصيبت أنت أو طفلك بفيروس RSV، فمن الممكن أن تكون معديًا لبضعة أيام قبل ظهور الأعراض وحتى ثمانية أيام بعد ذلك. لكن الرضع المصابين والأشخاص الذين يعانون من ضعف في جهاز المناعة قد يكونون معديين لمدة تصل إلى أربعة أسابيع، حتى عندما لا تظهر عليهم الأعراض.
5. نزلة الصدر (التهاب الشعب الهوائية)
يمكن أن تؤدي الفيروسات التي تسبب نزلات البرد والأنفلونزا وكوفيد-19 إلى التهاب الشعب الهوائية إذا تركت دون علاج أو إذا كانت أعراضها شديدة بدرجة كافية. يتسبب التهاب الشعب الهوائية، المعروف أيضًا باسم نزلة البرد الصدرية، في تضخم المسالك الهوائية المؤدية إلى الرئتين وامتلاءها بالمخاط. العرض الأكثر شيوعًا هو السعال المزمن الذي يستمر لمدة ثلاثة أسابيع أو أكثر. التهاب الشعب الهوائية ليس معديا. لكن نزلات البرد أو الأنفلونزا أو غيرها من الفيروسات التي أدت إلى التهاب الشعب الهوائية، لذلك لا تزال بحاجة إلى اتخاذ الاحتياطات اللازمة لمنع إصابة الآخرين.
6. الالتهاب الرئوي
يمكن للبكتيريا — وكذلك الفيروسات التي تسبب كوفيد 19 والفيروس المخلوي التنفسي — أن تسبب الالتهاب الرئوي . كل من الالتهاب الرئوي الفيروسي والبكتيري معدي، ولكن لا يصاب كل من يتعرض له بالمرض.
يجب على الأطفال الذين تقل أعمارهم عن عامين والبالغين الذين تزيد أعمارهم عن 65 عامًا والأشخاص الذين يعانون من ضعف في جهاز المناعة الحصول على لقاح المكورات الرئوية (الالتهاب الرئوي) لمنع المضاعفات الشديدة. هؤلاء السكان على وجه التحديد معرضون لخطر متزايد للإصابة بأعراض حادة، وحتى الموت، نتيجة للالتهاب الرئوي.
إذا كنت مصابًا بالالتهاب الرئوي الفيروسي، فأنت معدٍ حتى تنتهي الحمى وعندما تتعافى من الحمى لعدة أيام.
إذا كنت مصابًا بالتهاب رئوي بكتيري، فأنت معدٍ حتى تتناول المضادات الحيوية لمدة يومين على الأقل وتتوقف عن الإصابة بالحمى .
7. العين الوردية (التهاب الملتحمة)
يمكن للبكتيريا، وكذلك الفيروسات التي تسبب نزلات البرد وكوفيد 19، أن تسبب العين الوردية . تؤدي عدوى العين هذه إلى تضخم الأوعية الدموية في الأنسجة (الملتحمة) التي تبطن الجفون والعين الخارجية. الأوعية الدموية المنتفخة تجعل الجزء الأبيض من عينك المصابة يبدو ورديًا.
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يرجى الابتعاد عن استخدام اللغة الغير لائقة، والتعليقات السلبية سيتم حذفها.