Ugqirha usenokuba ukuxelele ukuba umntwana wakho omncinci unesifo seSickle Cell Disease (SCD). Kuqhelekile ukuba wena, njengomzali, uzive uloyiko olukhulu kunye nexhala xa usiva oku. Xa uphila nesi sifo, kufuneka silumke ngezinto ezininzi. Yiyo loo nto kufuneka sinikele ingqalelo ekhethekileyo, kwaye namhlanje sithetha ngengxaki eyingozi enokuba yingozi nakubomi. Oku kubizwa ngokuba yi-'Splenic Sequestration'. Nangona eli gama lingaqhelekanga, ukuba ulazi kakuhle, ungamkhusela umntwana wakho.
Yintoni kanye kanye iSplenic Sequestration?
Ukuze siqonde oku, masiqale sikhumbule kancinci ngesifo se-sickle cell (SCD). Ngokwesiqhelo, iiseli ezibomvu zegazi kumntu ophilileyo zingqukuva kwaye zithe tyaba. Njengediski encinci. Zihamba ngokulula kwimithambo yegazi ngaphandle kokunamathela. Nangona kunjalo, ngenxa yotshintsho kwi -hemoglobin kwiiseli ezibomvu zegazi zomntwana one-SCD, ezi seli ziba lukhuni kwaye zibe njenge-sickle.
Khawucinge nje, ngaba ezi seli zimile okwesikele ziyadada kwimithambo yegazi ngokulula njengeeseli ezijikelezileyo eziqhelekileyo? Hayi, akunjalo? Ziyanamathelana kwaye zizama ukunamathela kwimithambo yegazi emincinci.
Kulapho ingxaki iqala khona. Emizimbeni yethu, kwicala lasekhohlo lesisu, kukho ilungu elibizwa ngokuba yi - 'spleen '. Oku kufana nonogada emzimbeni wethu. Umsebenzi walo ophambili kukucoca igazi ngokususa iintsholongwane kunye neeseli zegazi ezindala egazini. Kodwa kumntwana one-SCD, ezo seli zimile okwesikele zinamathela kwimithambo yegazi ethambileyo ngaphakathi kwispleen. Kufana nokuxinana kwezithuthi endleleni.
Xa oku kusenzeka, igazi elifunekayo ukuphuma kwi-spleen alikwazi ukuphuma, kwaye liqokelelana ngaphakathi. Kancinci kancinci, i-spleen izaliswa ligazi, idumbe, ize ibe nkulu. Loo meko iyingozi ibizwa ngokuba yi-'Splenic Sequestration.'
Xa inani elikhulu legazi elifunekayo ukujikeleza emzimbeni libhajwa kwipleyini, inani leeseli ezibomvu zegazi ezithwala ioksijini ziye kuwo wonke umzimba liyancipha ngequbuliso ngendlela eyingozi. Oku kubizwa ngokuba yi -anemia enzima. Oku kunokwenza umntwana abe buthathaka kakhulu kwaye abe mdaka.
Zithini iimpawu zesi sifo? Izinto ekufuneka uzazi njengomzali
Le yeyona nxalenye ibalulekileyo. Ukuba uyaziqonda ezi mpawu, ungenza ngokukhawuleza kwaye usindise ubomi bomntwana. Nangona le meko ixhaphake kakhulu ebantwaneni abancinci, inokwenzeka nakubantu bayo nayiphi na iminyaka abane-SCD.
| Uphawu | Oko kufuneka ukuqaphele |
|---|---|
| Intlungu kwicala lasekhohlo lesisu | Olu lolona phawu luqhelekileyo nolubalulekileyo. Ukuba umntwana wakho ukhalaza ngentlungu kwindawo apho ipleen ikhona khona, xhalaba. |
| Ukwanda kwepleen (ukudumba) | Buza ugqirha wakho uze ufunde indlela yokuchukumisa i-spleen yomntwana wakho. Ukuba ivakala inkulu kunesiqhelo kwaye inzima, loo nto luphawu lwesilumkiso. |
| Ubuthathaka obukhawulezileyo kunye nokudinwa kakhulu | Lumka ukuba umntwana wakho, obedlala kakuhle, ngequbuliso udinwa aze abe buthathaka kangangokuba akakwazi nokuhamba. |
| Ulusu olukhanyayo | Ukuba imilebe yomntwana wakho, iintsini zakhe, kunye nengaphakathi leentende zakhe liba mhlophe, luphawu lwe-anemia. |
| Ukuphefumla ngokukhawuleza okanye ukubetha kwentliziyo | Xa umzimba ungafumani ioksijini eyaneleyo, intliziyo nemiphunga zisebenza ngokukhawuleza ukuze zibuyisele umzimba kwimeko efanelekileyo. |
| Umsindo ongachazekiyo kunye nokucaphuka | Ngenxa yokuba umntwana ebuhlungu, usenokucaphuka aze akhale ngezinto ezincinci. |
| Ukozela okungaqhelekanga | Ukuba umntwana ulele kangangokuba akunakwenzeka ukumvusa, olo luphawu olubalulekileyo. |
Okubaluleke kakhulu: Ngamanye amaxesha, nokuba ezinye iimpawu azibonakali, i-spleen evuvukileyo inokubangela ukuba inani leeseli ezibomvu zegazi libe liphantsi kakhulu. Ngoko ke ukuba ubona nayiphi na kwezi mpawu, thatha umntwana wakho uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko. Esi asisosimo sinokunyangeka ekhaya.
Ugqirha uyixilonga njani le meko?
Xa usisa umntwana wakho esibhedlele, ugqirha uza kuthatha amanyathelo aliqela ukuqinisekisa le meko.
1. Uvavanyo lomzimba : Okokuqala, ugqirha uza kubetha isisu somntwana aze ajonge ukuba i-spleen idumbile okanye ikhulisiwe na.
2. Uvavanyo lwegazi: Olu luvavanyo olubalulekileyo. Kuthathwa isampulu yegazi lomntwana kwaye kuhlolwa inqanaba le-hemoglobin ukuze kubonwe ukuba inani leeseli ezibomvu zegazi liphantsi kangakanani. Bakwajonga utshintsho kumanqanaba eeseli ezimhlophe zegazi kunye neeplatelets.
3. Ezinye iimvavanyo: Kwezinye iimeko, i-X-ray okanye i-CT scan inokwenziwa ukuze kubonakale ngokucacileyo imeko yespleen.
Unganyanga njani? Musa ukoyika.
Nangona le yimeko engxamisekileyo, inokulawulwa ngempumelelo ukuba ungeniswa esibhedlele ngokukhawuleza.
Unyango oluphambili kukufakelwa igazi . Oku kuthetha ukuba inani leeseli ezibomvu zegazi lomntwana liyabuyiselwa ngokumnika igazi elihambelanayo. Oku kunceda umzimba ufumane ioksijini oyifunayo, kwaye imeko yomntwana iphucuka ngokukhawuleza. Ngamanye amaxesha, ukuba inani legazi elikwi-spleen liphezulu kakhulu, ugqirha unokufuneka asuse elinye legazi emzimbeni womntwana ngelixa emnika igazi.
Yintoni omawuyenze ukuba iphinda ivele?
Ingxaki enye ngokuhluthwa kwe-splenic kukuba xa sele ivele, kusenokwenzeka ukuba iphinde yenzeke . Abanye abantwana kuya kufuneka bajongane nale meko amaxesha amaninzi ebomini babo.
Ukuba le ngxaki iyaqhubeka, oogqirha banokucebisa ukuba kususwe i-spleen ngotyando (i-spleenectomy). Ukususwa kwe-spleen kunokuthintela ngokupheleleyo le meko iyingozi ukuba ingaphindi ivele. Nangona kunjalo, emva kokuba i-spleen isusiwe, amandla omzimba okumelana nesifo (ukuzikhusela komzimba) ancipha kancinci, ngoko ke umntwana kuya kufuneka athathe amayeza okubulala iintsholongwane kunye neegonyo ezikhethekileyo ukukhusela kwiintsholongwane ezithile. Ugqirha wakho uya kukuchazela ngokucacileyo oku.
Umyalezo Wokuya Ekhaya
- Ukususwa kwe-splenic sequestration, enokwenzeka kumntwana onesifo se-sickle cell, yimeko enzima, esongela ubomi efuna unyango olungxamisekileyo.
- Soloko ujonge iimpawu ezinje ngentlungu kwicala lasekhohlo lesisu, ukuphaphatheka, ukudinwa kakhulu, kunye nepleen evuvukileyo.
- Funda kugqirha wakho indlela yokuchukumisa ulusu lomntwana wakho. Oku kunokunceda ekusindiseni ubomi bomntwana wakho.
- Wakuba uqaphela naziphi na iimpawu ezikhankanyiweyo apha ngasentla, musa ukuchitha ixesha uze umse umntwana wakho kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane .
- Njengoko kukho umngcipheko omkhulu wokuphinda le meko ivele, hlala unxibelelana nogqirha wakho kwaye ulandele imiyalelo enikiweyo ngokufanelekileyo.
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