Ngaba umntwana wakho ukhe wavela amabala amfusa ngequbuliso emzimbeni wakhe? Oku kusenokuba yiHenoch-Schönlein Purpura (IgA Vasculitis).

Ngaba ukhe woyika xa umntwana wakho efumana amabala amancinci abomvu-mfusa emilenzeni nasezinqeni zakhe? Basenokuba bakhalaze ngeentlungu zesisu kunye nentlungu yamalungu. Kuqhelekile ukuba nawuphi na umzali akhathazeke xa ebona into efana nale. Kodwa uninzi lwexesha, ayibalulekanga kangako . Ezi mpawu zinokubangelwa yimeko ebizwa ngokuba yiHenoch-Schönlein Purpura (HSP), okanye njengoko ibizwa ngoku, i-IgA Vasculitis. Makhe sithethe ngayo ngokulula.

Ngamafutshane, yintoni iHenoch-Schönlein Purpura (HSP)?

IHenoch-Schönlein Purpura (HSP), ngokwezonyango, luhlobo lwe-"Vasculitis." I-Vasculitis kuxa imithambo yegazi emzimbeni wethu, efana neetyhubhu ezincinci ezithwala igazi, ivuvukala ngaphakathi. Njengaxa ulusu lwethu luvuvukala xa lusenzakala, kukho ukudumba ngaphakathi kwemithambo yegazi.

Kwi-HSP, oku kudumba kwenzeka ikakhulu kwimithambo yegazi emincinci necolekileyo phantsi kolusu. Nangona kunjalo, ngamanye amaxesha esi siphumo sinokufikelela nakwimithambo yegazi kwizintso, emathunjini nasemalungeni.

Oku kwenzeka kuba iproteni ekhethekileyo (i-antibody) ebizwa ngokuba yi-`(Immunoglobulin A)` okanye `(IgA)`, eyinxalenye yenkqubo yomzimba wethu yokuzikhusela (oko kukuthi, inkqubo esikhusela kwizifo), iqokelelana kwimithambo yegazi. Xa i-`(IgA)` iqokelelana ngale ndlela, imithambo yegazi yonakele, iyaqhuma, kwaye inani elincinci legazi liyavuza phantsi kolusu. Yiyo loo nto sibona amabala amfusa nabomvu ngaphandle. Njengomkrwelo omncinci.

Le meko ikwabizwa ngokuba yi-`(IgA) Vasculitis` kuba kukho i-antibody ye-`(IgA)` ebandakanyekayo. Nangona inokukhula nakubantu bayo nayiphi na iminyaka, ixhaphake kakhulu ebantwaneni .

Zeziphi iimpawu esizibonayo?

Iimpawu ze-HSP zinokuchaphazela kakhulu ulusu lomntwana, amalungu, amathumbu, kunye nezintso. Uphawu olubonakalayo nolucacileyo ngamabala abomvu-mfusa avela eluswini. Makhe sijonge ezi mpawu ngokwahlukeneyo.

Kutheni oku kusenzeka? Zithini izizathu?

I-HSP sisifo esibangelwa kukuzikhusela komzimba . Ngamafutshane, "umkhosi" womzimba wethu (inkqubo yomzimba yokuzikhusela) uqala ngempazamo ukuhlasela imithambo yegazi yawo esempilweni. Abaphandi abakayazi ukuba kutheni oku kusenzeka.

Kodwa into enye icacile: Malunga nama-50% abantwana abafumana i-HSP baye baba nosulelo oluphezulu lokuphefumla, njengomphimbo obuhlungu okanye umkhuhlane, kwiintsuku ezimbalwa ngaphambi kokuba ezi mpawu zibonakale .

Ezinye izinto ezinokubangela i-HSP (Triggers)

Ngamanye amaxesha, i-HSP inokwenzeka njengempendulo engaqhelekanga yenkqubo yomzimba yokuzikhusela kwi:

• Iintsholongwane, umzekelo, umphimbo obuhlungu.
• Usulelo lweentsholongwane.
• Ukutya okuthile.
• Ukulunywa zizinambuzane.
• Amanye amayeza.
• Ezinye iintlobo zemithi yokugonya (oku kunqabile kakhulu).

Ngubani onokuthi abe nale meko?

Nangona i-IgA vasculitis inokwenzeka nakubani na ubudala, ngaphezulu kwe-90% yamatyala axelwa kubantwana abaphakathi kweminyaka emi-3 neli-10 ubudala .

Ezinye izinto ezinobungozi zezi:

• Imbali yosapho:Ukuba kukho umntu kusapho lwakho okhe waba ne-HSP ngaphambili, nomntwana wakho usemngciphekweni omkhulu wokuba nayo.
• Impembelelo yemfuza: Le meko ifunyenwe ixhaphakile kubantu abazalwa eYurophu naseAsia.

Ngaba kukho naziphi na iingxaki ezinokwenzeka ngenxa ye-HSP?

Uninzi lwabantu luyaphila ngokupheleleyo kwinyanga enye okanye ezintathu ngaphandle konyango. Ngamanye amaxesha isifo sinokuphinda sibuye, kodwa oko kuhlala kuphelela apho ngokwako.

Nangona kunjalo, kunqabile, ingakumbi kubantu abadala, ukuba i-HSP ibe yingozi kakhulu kwaye ibangele iingxaki.

• Ukonakala kwezintso: Isifo sezintso sexesha elide sinokubakho. Le yeyona ngxaki iphambili ekufuneka uyilumkele kwi-HSP.
• Ukopha emathunjini.
• Ukonakala okanye ukuvaleka kwamathumbu.
• Uxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa (kubafazi).

Uyifumana njani le nto, Gqirha?

Xa usisa umntwana wakho kugqirha wabantwana, uza kuqala amhlole ngononophelo umntwana wakho, ingakumbi ekhangela naziphi na izilonda zesikhumba kunye namalungu avuvukileyo. Emva koko, baza kukubuza ngeempawu zomntwana wakho kunye nazo naziphi na izifo asandul’ ukuzibona.

Ukuqinisekisa ukuxilongwa nokuthintela ezinye iimeko zonyango, ugqirha unokuyalela uvavanyo oluthile.

• Uvavanyo lomchamo: Ukuze kuqinisekiswe ukuba izintso zichaphazelekile na, umchamo ujongwa igazi okanye iproteni.
• Uvavanyo lwegazi: Ukujonga usulelo okanye ezinye iingxaki emzimbeni.
• I-ultrasound yezintso: Jonga imeko yezintso.
• I-ultrasound yesisu: Fumanisa unobangela wentlungu yesisu.
• I-biopsy yolusu: Kwezinye iimeko, kuthathwa iqhekeza elincinci kakhulu lolusu kwindawo apho kukho i-mole kwaye lihlolwe ukuqinisekisa ukuxilongwa.
• Uvavanyo lwezintso: Uvavanyo olwenziwa kuphela xa kukho ukrokrelo lokuba kukho umonakalo omkhulu kwizintso.

Ziziphi iindlela zonyango ze-HSP?

Ixesha elininzi, i-HSP ayifuni unyango oluthile. Eyona nto iphambili kukulawula iimpawu ekhaya.

Ukuba uneentlungu kunye nokudumba kwamalungu, ungathatha i-paracetamol (Tylenol®) okanye i-NSAID pain reliever (Advil®) njengoko ugqirha wakho ekuyalele.

Nangona kunjalo, ukuba iimpawu ezifana neentlungu zesisu zinzima, ugqirha unokukunika amayeza e-steroid afana ne-prednisone. Ukuba ukurhawuzelela kolusu kunye nezinye iimpawu ziyaqhubeka, qiniseka ukuba ubona ugqirha womntwana wakho.

Sifanele siye kugqirha nini?

Kungcono ukubona ugqirha kwangoko xa umntwana wakho enezi mpawu. Kwakhona, ukuba ezi mpawu zilandelayo ziyavela ngexesha lonyango okanye ngelixa isifo siphila, bona ugqirha wakho kwakhona.

I-HSP ayisiyongxaki yobomi bonke. Ihlala iphela kwinyanga enye okanye ezintathu. Abanye abantwana banokuba nesinye isiganeko, kodwa iimpawu zihlala zingabi nzima kangako.

Okokugqibela, i-HSP inokubangela intlungu nokungonwabi komntwana wakho. Kunokuba nzima kakhulu kubazali ukubona umntwana wabo ebuhlungu. Kodwa khumbula, uninzi lwabantwana luyaphila ngokupheleleyo ngaphandle kweengxaki zexesha elide.Ugqirha kusenokufuneka alandelele umntwana ixesha elithile ukuze ajonge imeko yezintso. Oku kubaluleke kakhulu.