Intlungu ebuhlungu yesisu ngexesha lonyango lomhlaza? Ngaba yiTyphlitis?

Usenokuba unyangwa umhlaza. Okanye usenokuba nenkqubo yomzimba yokuzikhusela ebuthathaka. Ngamaxesha anje, zonke iintlobo zeengxaki zempilo zinokuvela. Namhlanje siza kuthetha ngemeko efana nale, ingakumbi enxulumene namathumbu, enzulu kancinci, kodwa inokulawulwa kakuhle ukuba ifunyenwe kwangethuba . Le yinto esiyibiza ngokuba yiTyphlitis.

Yintoni iTyphlitis? Ngamafutshane...

Ngamafutshane, iTyphlitis kukudumba okukhulu kwenkqubo yethu yokugaya ukutya, oko kukuthi, amathumbu. Oku kudumba kunokukhokelela kwiintsholongwane kunye nosulelo lwefungus. Nangona esi sisifo esingaqhelekanga, sinokwenzeka kakhulu kubantu abafumana i-chemotherapy enzulu, ngakumbi kwiintlobo ezithile zomhlaza wegazi (umzekelo, i-leukemia, i-lymphoma, i-multiple myeloma).

Cinga ngamathumbu ethu njengombhobho omde. I-Typhlitis inokuchaphazela iindawo ezahlukeneyo zamathumbu:

• Le meko idla ngokubonakala kwi -cecum, inxalenye yamathumbu amakhulu.
• Ukongeza, ikholoni enyukayo
• Kwaye i-ileum, eyinxalenye yamathumbu amancinci, nayo inokuchaphazeleka.

Oogqirha ngamanye amaxesha basebenzisa amanye amagama kule meko, njenge -neutropenic enterocolitis , i-typhlenteritis, okanye i-ileocecal syndrome. Kodwa zonke zibhekisa kwimeko efanayo.

Ngubani osengozini yeTyphlitis?

Le ngozi ayisiyo yabo bafumana unyango lomhlaza kuphela, kodwa ikwayiyo neyabantu abaninzi.

• Abantu abane -HIV/AIDS banokuba nomkhuhlane wetyphoid.
• Kwakhona, abantu abathatha amayeza okunciphisa amasosha omzimba , umzekelo, abo baye bafakelwa i-stem cell/bone marrow, okanye abo baye bafakelwa elinye ilungu lomzimba, basengozini yokuhlaselwa yile meko.

Nangona le meko inokuba yingozi ebomini , kubalulekile ukukhumbula ukuba inokunyangeka ukuba iimpawu zichongiwe kwangethuba kwaye unyango luqala ngokukhawuleza.

Ziziphi iimpawu zeTyphlitis?

Iimpawu zeTyphlitis ngamanye amaxesha zinokuvakala ngathi yintlungu yesisu okanye ibug. Kodwa azikho nje iintlungu zesisu. Iimpawu eziqhelekileyo ziquka:

• Intlungu ebuhlungu yesisu kunye nokuqaqamba
• Isisu esivuvukileyo/ esidumbileyo
• Urhudo
• Ifiva
• Isicaphucaphu nokuhlanza

Khawucinge ngomntu ogama linguNimali, ofumana unyango lwe-chemotherapy ye-leukemia. Ngequbuliso, uba nentlungu enzulu yesisu, umkhuhlane, kunye nokuhlanza. Ucinga ukuba usenokuba utye ukutya okunobuthi. Kodwa ukuba ezi mpawu azipheli emva kweentsuku ezimbini okanye ezintathu, kubaluleke kakhulu ukufuna ingcebiso kagqirha ngoko nangoko . Kuba isenokuba yiTyphlitis.

Kutheni iTyphlitis isenzeka? Zithini izizathu?

Abaphandi bakholelwa ukuba isifo se-typhlitis sibangelwa zizinto ezahlukeneyo. Ezi zinto zintathu ziphambili zezi:

1. I-Mucositis: Oku kukudumba kwe-mucus membranes ejikeleze ingaphakathi lamathumbu ethu amakhulu kunye namathumbu amancinci. Njengokuba izilonda zinokwenzeka emlonyeni wethu, izilonda kunye nokudumba nazo zinokwenzeka ngaphakathi kwamathumbu. Oku kunokwenzeka ngakumbi njengesiphumo esingesihle sonyango olufana ne-chemotherapy.

2. I-Neutropenia: I-Neutropenia kukuncipha kohlobo lweseli emhlophe yegazi ebizwa ngokuba yi-neutrophils. Ezi neutrophils zifana namajoni abalulekileyo kwinkqubo yethu yokuzikhusela komzimba . Ngabo balwa nosulelo. I-Chemotherapy inokubangela ukuncipha kwezi neutrophils.

3. Ubuthathaka benkqubo yomzimba yokuzikhusela: Unyango lomhlaza (njenge-chemotherapy) kunye nosulelo olufana ne-HIV/AIDS lunokuwenza buthathaka wonke umzimba wethu wokuzikhusela.

Ngoku masibone ukuba oku kwenzeka njani. Okokuqala, i-mucositis yonakalisa ulwelo lwamathumbu. Oku kuvumela iintsholongwane ezimbi kunye nefungi ukuba zingene lula emathunjini . Ngelo xesha, ukuba umzimba wethu une-neutrophils ephantsi (i-neutropenia) kwaye inkqubo yomzimba yokuzikhusela ibuthathaka, umzimba awukwazi ukulwa naba bahlaseli. Isiphumo sisifo esibi kunye neengxaki ezinokuba yingozi ebomini. Imizekelo:

• Ukopha kwamathumbu
• Ukugqobhoza kwamathumbu
• I-Sepsis kunye ne-septic shock - Olu luhlobo losulelo olusasazeka emzimbeni wonke.

Ziziphi iintsholongwane eziphambili ezibangela iTyphlitis?

Uphando lufumanise ukuba iintlobo ezininzi ezahlukeneyo zeebhaktheriya kunye neefungi (esizibiza ngokuba zii-pathogens) zinokubangela i-typhlitis. Ezinye zezona ntlobo zixhaphakileyo zeebhaktheriya zezi:

• *I-Clostridium septicum*
• *I-Enterococci*
• *I-enterobacteria engenazo iigram*
• *Pseudomonas aeruginosa*
• *I-Staphylococcus aureus*
• *I-Streptococcus*

Kwakhona, iintlobo eziqhelekileyo zefungi zezi:

• *Aspergillus*
• *Candida*

Oku kungabonakala kunzima kancinci, kodwa oogqirha bayayazi loo nto ngoko ke akufuneki ukhathazeke kakhulu ngayo. Into ebalulekileyo kukuqonda ukuba olu hlobo lweentsholongwane zezona ziyenza ingxaki ibe mandundu.

Oogqirha bafumanisa njani isifo seTyphlitis?

Ukuba unezinye zeempawu ezidweliswe apha ngasentla, ugqirha wakho uza kuqala akuhlole ngokwasemzimbeni. Emva koko uza kukubuza imibuzo malunga nembali yakho yezonyango. Umzekelo, baza kukubuza ukuba ukhe wanyangwa umhlaza, wafakelwa i-stem cell okanye wafakelwa amalungu omzimba, kwaye ukuba une-HIV/AIDS na. Ukongeza, uvavanyo lwegazi kunye novavanyo olukhethekileyo lwemifanekiso lunokwenziwa.

Uvavanyo lwegazi

Ugqirha angayalela uvavanyo lwegazi olufana nolu:

• Ubalo lweGazi olupheleleyo (CBC): Oku kunokujonga izinto ezifana namanqanaba e-neutrophil.
• Uvavanyo lokusebenza kwezintso
• Uvavanyo lokusebenza kwesibindi
• Uvavanyo lwexesha le-Prothrombin: Jonga ukujiya kwegazi.

Uvavanyo lokufota

Uvavanyo oluqhelekileyo olusetyenziswa koku yi -CT scan (i-Computed Tomography - i-CT scan) . Olu vavanyo lunokubona ukuba iindonga zekholoni yakho zijiyile kunesiqhelo. Oku kuqina kweendonga zekholoni kubangelwa kukudumba.

Iphathwa njani iTyphlitis?

Akukho nyango lufanayo lomkhuhlane wetyphoid. Imeko yomntu wonke yahlukile. Kodwa ngokubanzi, injongo ephambili yonyango kukulawula usulelo kunye nokuxhasa inkqubo yakho yomzimba yokuzikhusela . Ungadinga indibaniselwano yonyango olwahlukeneyo. Nazi ezinye zezona ndlela zonyango zixhaphakileyo:

• Ii-antibiotics: Lawula usulelo lweentsholongwane. Ii-antifungal nazo zinganikwa.
• Utofelo-gazi: Ukuba uxinzelelo lwakho lwegazi luphantsi.
• Utyando lwe-Decompressive laparotomy: Utyando olwenziwayo ukunciphisa uxinzelelo ngaphakathi esiswini ukuba luphezulu kakhulu.
• I-Granulocyte Colony-Stimulating Factor (G-CSF): Le yi-vaccine enikwe ukonyusa amanqanaba e-neutrophil.
• Ulwelo olufakwa emthanjeni (IV fluids): Luthintela ukuphelelwa ngamanzi emzimbeni kwaye lunika umzimba ulwelo olufunekayo.
• Isondlo Esipheleleyo Somzali Okhulelweyo (TPN): Oku kuquka ukunika inkqubo yokugaya ukutya ithuba lokuphumla, ukuyivumela ukuba iphilise, uze emva koko unike izondlo ezifunekayo ngokuthe ngqo ngomthambo.

Ukuba unyangwa umhlaza, ugqirha wakho womhlaza angenza utshintsho kunyango lwakho lomhlaza ude uphile kwi-typhlitis. Ukuba i-typhlitis ibangela ukugqobhoka kwamathumbu, utyando lunokufuneka.

Lingakanani izinga lokufa? Ngaba kufuneka soyike?

Umkhuhlane weTyphoid yimeko embi kakhulu, enokuba yingozi . Ngaxa lithile, phantse wonke umntu owayenesifo seTyphoid wafa ngenxa yeengxaki ezifana ne-sepsis. Kodwa oko akusekho njalo . Ngokufunyanwa kwangoko kunye nonyango olukhawulezileyo, abantu abaninzi ngoku bayaphola kwisifo seTyphoid. Uphononongo lwakutshanje lubonise ukuba abantu abangaphezu kwama-60% abanosulelo lwefungus olubangelwa yisifo seTyphoid baphila emva konyango. Ngoko ke, kubalulekile ukuhlala unethemba .

Ndifanele ndimbone nini ugqirha wam?

Iimpawu zeTyphlitis zingabonakala ngathi zezinye iingxaki eziqhelekileyo emathunjini akho. Kodwa njengoko bekutshiwo ngaphambili, iimpawu zeTyphlitis azikho nje ukuba nesisu esibuhlungu. Ukuba unayo nayiphi na kwezi mpawu, bona ugqirha wakho ngaphandle kokuthandabuza :

• Ifiva
• Isicaphucaphu nokuhlanza
• Ukuqaqamba okukhulu kwesisu kunye nokuqhwalela

Ukuba nezi mpawu akuthethi ukuba uphinde waba nomkhuhlane wetyphoid, kodwa kusoloko kuyinto entle ukuthetha nogqirha wakho ukuba ubona naluphi na utshintsho emzimbeni wakho.

Ndingayibuza yiphi imibuzo ugqirha wam?

Usenokuba uneTyphlitis ngenxa yemeko echaphazela amajoni akho omzimba, okanye ngenxa yokuba unyangwa umhlaza. Nazi ezinye zemibuzo onokuzibuza ugqirha wakho:

• Ungandixelela ukuba kutheni ndifumene iTyphlitis?
• Ingaba kunokwenzeka ukuba oku kwenzeke kwakhona?
• Ngaba kuya kufuneka ndiyeke unyango lomhlaza?

Ukunyanga isifo esinzima esifana nomhlaza okanye i-HIV/AIDS kunokuvakala ngathi kukunyuka intaba. Njengoko ujongene nemingeni efana nemiphumo emibi evela kunyango, injongo yokuchacha yinto ekubangela uqhubeke. Xa kuvela ingxaki entsha yempilo enzima efana ne-typhlitis, kunokuvakala ngathi yintaba enye ekufuneka uyinyuke. Kodwa khumbula, kukho unyango olunokunyanga i-typhlitis.

Nangona kunjalo, usenokuziva udimazekile. Usenokuzibuza ukuba uza kuyoyisa njani le ngxaki intsha uze ubuyele endleleni yakho yokuchacha. Iqela lakho lezonyango liyaqonda ukuba ukuxilongwa okutsha kunokuba yingxaki kangakanani. Baza kuphendula imibuzo yakho malunga nonyango lwe-typhlitis kunye nendlela oluya kuyichaphazela ngayo indlela ochacha ngayo.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Typhlitis yimeko eyoyikisayo, kodwa inokunyangeka ukuba ifunyenwe kwangethuba kwaye inyangwe ngokufanelekileyo.

• Kubaluleke kakhulu kwabo bafumana unyango lwe-chemotherapy, abo bane-HIV/AIDS, kunye nabo basebenzisa amayeza athintela inkqubo yomzimba yokuzikhusela ukuba baqaphele oku.
• Ukuba ufumana iimpawu ezifana nentlungu eqatha yesisu, umkhuhlane, kunye nokuhlanza, musa ukucinga ukuba yintlungu nje yesisu kwaye bonana nogqirha ngoko nangoko.
• Landela imiyalelo kagqirha ngokuchanekileyo. Musa ukuyeka unyango phakathi.
• Hlala uqinile. Iqela lakho lezonyango liza kukunceda.

Ndiyathemba ukuba olu lwazi luluncedo kuwe. Hlala usempilweni!

I- Typhlitis, ukudumba kwamathumbu, iziphumo ebezingalindelekanga zonyango lomhlaza, i-neutropenia, i-chemotherapy, ukuphazamiseka kwesisu, umkhuhlane