Bekuya kuba yinto eyoyikisayo ukuba ubunokujonga esipilini ngenye imini uze ubone ukuba ulwimi lwakho, okanye ulwimi lomntwana wakho, lubomvu kakhulu kunesiqhelo, lunamaqhuqhuva amancinci afana nembewu kumphezulu westrawberry. Kwizonyango, le yinto esiyibiza ngokuba yi-'Strawberry Tongue'. Abanye abantu bayibiza ngokuba yi-'Raspberry Tongue' ngenxa yendlela ebonakala ngayo. Nangona eli gama linokukukhumbuza isiqhamo esimnandi, le meko ayilunganga kangako. Kodwa ungakhathazeki. Namhlanje, siza kuthetha ngento omawuyenze ukuba uyayibona le nto kunye nokuba yintoni enokubangela oko.
Yintoni 'uLwimi lweStrawberry'?
Ngamafutshane, ulwimi oluphilileyo ludla ngokuba pinki, kwaye lunamaqhuqhuva amancinci (iipapillae) kumphezulu walo. Kodwa kwimeko 'yolwimi lwestrawberry', ulwimi lujika lube bomvu, kwaye loo maqhuqhuva amancinci avuvukala aze abe makhulu, ajongeka njengembewu yestrawberry.
Into ebalulekileyo kukuba, 'ulwimi lwestrawberry' alulosifo. Luphawu lwesinye isifo. Njengokuba unomkhuhlane. Umkhuhlane awulosifo, luphawu losulelo. Kwaye kunjalo nangoku.
Ngoko ke, ukuba wena okanye umntwana wakho ninayo nayiphi na kwezi mpawu, kubalulekile ukubona ugqirha ukuze ufumane ukuba yintoni kanye kanye ebangela oko.
Zithini izizathu eziphambili 'zolwimi lwestrawberry'?
Kukho iimeko ezintathu eziphambili zempilo ezinokubangela uphawu 'lolwimi lwestrawberry'. Ezi zifuna unyango olukhawulezileyo.
1. Umkhuhlane omhlophe
2. I-Toxic Shock Syndrome (TSS)
3. Isifo seKawasaki
Ukongeza kwezi zizathu zintathu ziphambili, olu phawu lunokubangelwa zezinye izizathu ezingaqhelekanga. Umzekelo, ukunganyangeki kokutya okanye amayeza athile, ukungabikho kwevithamini B12, kunye nezinye izifo ezingaqhelekanga ezosulelayo (umz. iYersinia pseudotuberculosis, i-yellow fever). Nangona kunjalo, izizathu ezintathu zokuqala zezona zixhaphakileyo.
Ngoku makhe sijonge ezi meko zintathu ziphambili zonyango kunye nezinye iimpawu ezinokuba nazo ukongeza kwimpawu 'yolwimi lwestrawberry' kule theyibhile. Oku kuya kwenza kube lula kuwe ukuqonda umahluko phakathi kwezi meko.
| Imeko | Iimpawu Ezihambelanayo |
|---|---|
| umkhuhlane ombi |
|
| Isifo soxinzelelo olunobungozi (i-TSS) |
|
| Isifo seKawasaki |
|
Okungakumbi malunga nomkhuhlane obomvu
Olu luhlobo lwentsholongwane olubangelwa yibhaktiriya ebizwa ngokuba yi-group A Streptococcus. Le yibhaktiriya efanayo ebangela i-strep throat. Kodwa kwi-scarlet fever, le bhaktiriya ivelisa ityhefu. Loo tyhefu ibangela izilonda ezibomvu kunye 'nolwimi lwestrawberry'. Nangona esi sifo sinokuchaphazela nabani na walo naluphi na ubudala, sixhaphake kakhulu kubantwana abaphakathi kweminyaka emi-5 neli-15 ubudala. Ulwimi lusenokuba mhlophe ekuqaleni, luze lube bomvu emva kweentsuku ezimbalwa.
Isifo soxinzelelo olunobungozi (i-TSS)
Le yimeko engaqhelekanga kakhulu kodwa imbi kakhulu. Ibangelwa kukukhula okungalawulekiyo kwebhaktheriya iStaphylococcus kunye neStreptococcus kwaye iityhefu ezizivelisayo zingena emzimbeni. Abantu abaninzi bacinga ukuba le yinto eyenzeka kubafazi kuphela xa besebenzisa iitampons, kodwa oku akuyonyani. Nabani na, nokuba ungowasiphi na isini, unokufumana le meko. Ekubeni iimpawu zeTSS zibonakala ngokukhawuleza, ukuba unale mpawu, kufuneka uye kwicandelo likaxakeka lesibhedlele (ETU) ngoko nangoko.
Isifo seKawasaki
Esi sisifo esingaqhelekanga. Sibangelwa kukudumba kwemithambo yegazi emzimbeni. Ukuba asinyangwa ngokufanelekileyo, imithambo yegazi ehambisa igazi entliziyweni (imithambo ye-coronary) inokonakala. Isizathu esichanekileyo soku asikaziwa okwangoku. Nangona kunjalo, sixhaphake kakhulu kubantwana abancinci abaphakathi kweenyanga ezi-6 kunye neminyaka emi-5 ubudala. Ke ngoko, ukuba umntwana omncinci unolwimi olunombala westrawberry kunye neempawu ezichazwe apha ngasentla kunye nomkhuhlane, oogqirha bayakrokrela ngakumbi.
Ngoko ke uyiphatha njani le nto?
Ekubeni 'ulwimi lwestrawberry' luphawu, unyango lujoliswe kwimeko engundoqo ebangele oko. Nje ukuba loo meko inyangwe, ulwimi luza kubuyela esiqhelweni.
- Ii-antibiotics: Kwizifo ezibangelwa ziintsholongwane ezifana ne-scarlet fever kunye ne-TSS, ugqirha wakho uya kukunika ii-antibiotics. Inkqubo yonyango lweentsuku ezili-10 idla ngokufuneka.
- I-immune globulin (IVIG): Olu nyango lunikwa umntwana onesifo sikaKawasaki esibhedlele ngemithambo yegazi (IV). Lulawula ukudumba okubangela iimpawu.
- Ii-Antihistamines: Ukuba uphawu lubangelwa yi-allergy, la mayeza anokunceda ekunciphiseni ukudumba kunye nokubomvu.
- IVithamini B12: Le yimbangela engaqhelekanga. Ukuba kungenxa yokunqongophala kweVithamini B12, kunokufuneka utye ukutya okuninzi okuneVithamini B12 okanye uthathe isongezelelo njengoko ugqirha wakho eyalele.
Yintoni enokwenzeka ukuba ayinyangwa?
Yile nto sonke esiyoyikayo. Kodwa ungoyiki. Ukuba ubona ugqirha kwangethuba uze ufumane unyango, akukho nanye kwezi ngozi iya kuvela. Kodwa ukuba awufumani unyango, lunokukhokelela kwiingozi ezinkulu zempilo.
Umzekelo, ukuba asinyangwa, isifo sikaKawasaki singonakalisa imithambo yegazi entliziyweni yomntwana ngokusisigxina, nto leyo ekhokelela kwisifo sentliziyo ubomi bonke. Ngokufanayo, i-scarlet fever enganyangwanga kunye nosulelo lwe-TSS zinokusasazeka emzimbeni wonke, zonakalise amalungu angaphakathi afana nezintso.
Ngoko ke, xa ubona uphawu 'lolwimi lwestrawberry', ungakhathazeki ngokungeyomfuneko malunga nemiphumo emibi kangaka. Nangona kunjalo, khumbula ukuba olu luphawu olunzima ngokwaneleyo ukuba luboniswe kugqirha.
Umyalezo Wokuya Ekhaya
- 'Ulwimi lweStrawberry' alulo isifo, luphawu lwesinye isifo.
- Oku kungaba luphawu lwesifo esinzima esifana nomkhuhlane obomvu, isifo esibangelwa yityhefu (i-TSS), okanye isifo sikaKawasaki.
- Ukuba ubona olu phawu kulwimi lwakho okanye lomntwana wakho, musa ukoyika kwaye ubone ugqirha ofanelekileyo ngoko nangoko.
- Unyango olukhawulezileyo lwesifo esibangela olu phawu lunokuthintela ngokupheleleyo iingxaki ezinzulu.
- Le asiyomeko eza kuphola ngokwayo, ngoko ungaze uyityeshele.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Yintoni iDecreased Skin Turgor?
Oku akuqhelekanga ukwaluphala! 'I-Decreased Skin Turgor' kuxa ulusu olungasemva kwesandla sakho (isandla singasemva) okanye esiswini sakho (uvavanyo lokuncinza) lungabuyeli kwimeko eqhelekileyo ngoko nangoko, kodwa endaweni yoko 'luhlala' imizuzwana/imizuzu embalwa (uphawu lwentente / ulusu luhlala) kwaye yingxamiseko yezonyango eyingozi kakhulu! Oku kuthetha ukuba amanzi omzimba wesigulana aphelile ngokupheleleyo (Ukuphelelwa ngamanzi emzimbeni).
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💬 Kutheni isigulane esine-turgor enciphileyo esingakapholi emva kokutsalwa nokukhululwa kufuneka sisiwe esibhedlele ngoko nangoko, endaweni yokunika i-ORS ekhaya?
Ukufukama ulusu ngolu hlobo kuthetha ukuba nokuba usela amanzi/ulwelo olungakanani ekhaya, akunamsebenzi! Eyona ngozi inkulu nebulalayo! Kunye nezi mpawu, 1) 'Ukudideka/Ukudinwa', 2) Ukungachami imini yonke/umchamo ujika ube mthubi omnyama (i-Oliguria-ukusilela kwezintso!), 3) Isantya sentliziyo esikhawulezayo (Isantya sentliziyo esikhawulezayo >120), isigulana sinokungena kwi-coma (i-Hypovolemic shock) kwiiyure ezimbalwa, kwaye kufuneka usiwe kwicandelo likaxakeka lesibhedlele ngoko nangoko kwaye unikwe ulwelo lwe-IV!
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