Ndiyayiqonda indlela umama okanye utata abavakalelwa ngayo xa bebona into engaqhelekanga emzimbeni womntwana wabo. Ingakumbi xa umntwana osandul’ ukuzalwa ebonakala ngequbuliso eluswini lwakhe, kunokuba yinto exhalabisayo kakhulu. Le meko yileyo siyibiza ngokwezonyango ngokuba yi-"Blueberry Muffin Rash." Eli gama lisenokuvakala lingaqhelekanga, kodwa kubalulekile ukuliqaphela kuba kunokubakho izizathu ezininzi ezinzulu ezibangela oku.
Yintoni le 'blueberry muffin rash'?
Ngamafutshane, le yimeko yesikhumba enokuchaphazela iintsana ezisandul’ ukuzalwa kunye neentsana ezincinci. Ibizwa ngokuba yi-'blueberry muffin rash' kuba la mabala abonakala njengamachaphaza aluhlaza okwesibhakabhaka kwi-blueberry muffin. Angabonakala njengamabala ajikelezayo okanye njengamaqhuqhuva aphakanyisiweyo eluswini.
Into ebalulekileyo kukuba la mabala awekho kumphezulu wesikhumba, kodwa abonakala ngathi akheke nzulu eluswini . Olu asiloqhambuko oluqhelekileyo.
Kukho izizathu ezintathu eziphambili zokuba la mabala abonakale:
1. I-Extramedullary hematopoiesis: Ngokwesiqhelo, igazi lethu lenziwa kumongo wethambo. Nangona kunjalo, ngenxa yeemeko ezithile zonyango, iiseli ezenza igazi ziqala ukuqokelelana kwaye zenze amaqela ngaphandle komongo wethambo, njengaselusu. La maqela eeseli zizinto ezibonakala ngathi ziindawo ...
2. Ukopha eluswini (iPurpura): Olu hlobo lwebala elimfusa lunokwenzeka xa igazi livuza kwizicubu zesikhumba ngenxa yomonakalo kwimithambo yegazi okanye ubuthathaka kwinkqubo yokujiya kwegazi.
3. Ukusasazeka kweeseli zomhlaza (iMetastasis): Kwezinye iintlobo zomhlaza, iiseli zomhlaza zinokusasazeka ziye eluswini zivela kwezinye iindawo zomzimba zize zibangele amaqhuma anje.
Uninzi lweemeko zempilo ezibangela ezi ngxaki zintathu aziqhelekanga. Kwakhona, umntwana wakho uhlala enezinye iimpawu kunye nezi mpawu. Ezi ndawo aziyi kuphola zodwa. Ke ngoko, 'i-blueberry muffin rash' luphawu oluqinileyo lokuba umntwana wakho udinga unyango olukhawulezileyo.
Ziziphi izinto eziphambili ezinokubangela oku?
Ungakhathazeki, siza kuthetha ngokucacileyo ngeentlobo eziphambili zezizathu ezichaphazela oku, nganye nganye.
Usulelo lweTOSHI
I-TORCH sisifinyezo samaqela aliqela osulelo oluchaphazela umntwana ongekazalwa okanye usana olusandul’ ukuzalwa. Olu sulelo lunokudluliselwa ukusuka kumama ukuya kumntwana ngexesha lokukhulelwa, ngexesha lokubeleka, okanye emva kokuzalwa.
ITOSHI imele:
- I-T - iToxoplasmosis
- O - Ezinye izifo - umzekelo i-syphilis, i-chickenpox, i-parvovirus B19
- R- I-Rubella
- C - I-Cytomegalovirus (CMV)
- Intsholongwane yeHerpes simplex (HSV) H - Intsholongwane yeHerpes simplex (HSV)
Kunye nezi zifo, umntwana unokubonisa nezinye iimpawu ezifana nomkhuhlane, ubunzima bokutya, i-jaundice, ubunzima bokuzalwa obuphantsi, ukuva kakubi, kunye nokwanda kwesibindi kunye ne-spleen (i-hepatosplenomegaly).
Oku kubonisa indlela ekubaluleke ngayo ukuya kugqirha ngexesha kwaye wenze uvavanyo olufunekayo ngexesha lokukhulelwa. Ngale ndlela, ungafumanisa kwangaphambili ukuba unazo ezi ntlobo zosulelo okanye ukuba ukhuselekile kuzo.
IiTumors kunye neeCancer ezithile
Ezinye iintlobo zomhlaza zabantwana nazo zinokubangela le 'blueberry muffin rash'. Ezi zizifo ezingaqhelekanga kakhulu.
- I-Histiocytosis
- I-Leukemia (umhlaza wegazi)
- I-Mastocytosis
- I-Neuroblastoma
- I-Rhabdomyosarcoma
- Isifo se-myeloproliferative esihamba kancinci - Oku kuxhaphake kakhulu kubantwana abane-Down syndrome.
Ezi meko zinokuhamba neempawu ezifana nokudinwa kakhulu, umkhuhlane, ukwehla kobunzima bomzimba, ukuphaphatheka (ngenxa ye-anemia), ukudumba kwee-lymph nodes, kunye nobunzima bokuphefumla.
Ezinye iingxaki ezinxulumene nokuveliswa kwegazi (i-Extramedullary Hematopoiesis)
Njengoko besitshilo ngaphambili, la mabala abangelwa yi-extramedullary hematopoiesis. Ezinye izinto ezibangela oku zezi:
- Isifo se-Hemolytic sosana olusandul’ ukuzalwa: Ukuqhekeka ngokukhawuleza kweeseli ezibomvu zegazi zosana ngenxa yezinto ezinjengokungahambelani kohlobo lwegazi lwe-ABO phakathi komama nomntwana.
- I-Hereditary spherocytosis: Imeko yelifa ebangela utshintsho kwimo yeeseli ezibomvu zegazi.
- I-Twin-to-twin transfusion syndrome: Ukujikeleza kwegazi okungalinganiyo phakathi kwamawele abelana nge-placenta efanayo.
Oogqirha bafumana njani unobangela wokwenene?
Ugqirha womntwana wakho uza kuqala amhlole umntwana wakho ngononophelo aze ajonge ezinye iimpawu. Emva koko, uza kucebisa iimvavanyo ezininzi ukuze kufunyanwe unobangela ochanekileyo.
| Uvavanyo | Yintoni ehlolayo? |
|---|---|
| Uvavanyo lwegazi | Ubalo lwegazi olupheleleyo (CBC), uvavanyo losulelo kunye nezinye iingxaki zegazi. |
| Uhlalutyo lomchamo | Iimpawu zezinye izifo kunye neemeko zempilo. |
| Ukubethela komqolo/Ukubhoboza iLumbar | Hlola ulwelo lwe-cerebrospinal (CSF) ukuze ukhangele iimpawu zosulelo. |
| I-biopsy yolusu | Ukujonga i-leukemia okanye ezinye iiseli zomhlaza. |
| iBone Marrow Biopsy | Ndikhangela i-leukemia, ezinye iingxaki zegazi, usulelo, kunye nomhlaza. |
| I-ultrasound yesisu | Ukujonga ukuba isibindi, ipleen kunye neethumba zikhulu na ezifana ne-neuroblastoma. |
Ukuba kukho ukrokrelo lokuba kukho usulelo lwe-TORCH, ugqirha unokucebisa novavanyo olufanelekileyo kumama.
Zithini iindlela zonyango zoku?
Le yingxaki abantu abaninzi abanayo. Khumbula, unyango lwe-'blueberry muffin rash' kukunyanga imeko ebangela oko. Oko kukuthi, ekubeni la mabala eluphawu, kufuneka sinyange imeko ebangela oko.
Umzekelo:
- Ukuba unobangela lusulelo lwe-TORCH, kunikwa amayeza okubulala iintsholongwane, amayeza okulwa neentsholongwane, okanye amayeza okulwa neentsholongwane.
- Ukuba unobangela ngumhlaza ofana ne-neuroblastoma, utyando, i-chemotherapy, i-immunotherapy, okanye unyango lwe-radiation lunokufuneka.
Iqela lezonyango lomntwana wakho liza kuchaza isicwangciso sonyango esifanelekileyo somntwana wakho, ngoko ungathandabuzi ukuthetha naye ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo.
Ufanele uye nini kugqirha ngoko nangoko?
Impendulo kuphela kule nto ithi "Ngoko nangoko!"
Ukuba ubona ibala eliluhlaza okwesibhakabhaka okanye iqhuma elinje emzimbeni womntwana wakho, musa ukulityeshela. Ukuba umntwana wakho sele efumana unyango esibhedlele, yazisa ugqirha okanye umongikazi ngokukhawuleza. Ukuba usekhaya, mthathe umntwana wakho umse kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Nangona le meko ingaqhelekanga, inokuba luphawu lokuba kukho into enzulu eyenzekayo emzimbeni womntwana wakho. Oku kunokuba yinto eyoyikisayo kakhulu, kodwa eyona nto ibalulekileyo kukungaphakuzeli kwaye uthathe amanyathelo ngokukhawuleza. Iqela lezonyango liza kukhawuleza lifumane unobangela kwaye libonelele ngonyango olungcono kumntwana wakho.
Umyalezo Wokuya Ekhaya
- I-Blueberry Muffin Rash ayisiyo nje irhashalala yesikhumba, inokuba luphawu lwesifo esinzulu esingabonakaliyo.
- Uphawu olukhethekileyo kukuba la mabala abonakala ngathi angaphakathi eluswini, kungekhona phezu kwalo.
- Ukuba ubona olu hlobo lwamabala eluswini lomntwana wakho, ungalibazisi kwaye mbonise ugqirha ngoko nangoko okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele.
- Kubalulekile ukufumana iingcebiso zonyango ezifanelekileyo kunye novavanyo ngexesha lokukhulelwa ukuze kuthintelwe okanye kufunyanwe izifo ezifana ne-TORCH kwangethuba.
- Thetha ngokukhululekileyo neqela lakho lezonyango malunga nokuxilongwa kwakho kunye nesicwangciso sonyango. Baza kubonelela ngenkxaso oyifunayo wena nomntwana wakho.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho