Ngamanye amaxesha asikhathazeki kakhulu ngento efana nentlungu yesisu okanye urhudo olufunyanwa ngumntwana wakho, akunjalo? Kodwa ngamanye amaxesha, ingakumbi ukuba kukho igazi kwindle (urhudo olunegazi), kunokubakho into enzulu ngakumbi efihliweyo emva kwayo. Yiyo loo nto sithetha ngemeko ekufuneka iqwalaselwe, eyoyikisayo kancinci, kodwa enokulawulwa ukuba unolwazi olufanelekileyo. Leyo yi-HUS, okanye i-Hemolytic Uremic Syndrome.
Yintoni i-HUS ngokulula?
Ngamafutshane, iHemolytic Uremic Syndrome (HUS) yimeko eyonakalisa imithambo yegazi ebuthathaka kakhulu kwizintso zakho. Xa le mithambo yegazi yonakele, amahlwili egazi amancinci aqala ukwakheka ngaphakathi kuyo.
Cinga ngale ndlela: izintso zethu zifana nesihluzo samanzi esicoca igazi lethu. Amahlwili egazi ekuthethwe ngawo ngaphambili avala izihluzo ezintle kwezi zintso. Oku kuthetha ukuba izintso azikwazi ukwenza umsebenzi wazo oqhelekileyo, oko kukuthi ukucoca nokususa inkunkuma egazini. Ukuba le meko iba mandundu, inokukhokelela nasekungasebenzini kwezintso .
Le meko inokuvela nangaliphi na ixesha ebomini, nokuba ngabantwana abancinci. Ukuba ayinyangwa ngokukhawuleza, inokuba yingozi ebomini. Kodwa iindaba ezimnandi zezokuba uninzi lwabantwana luyachacha ngokupheleleyo ngonyango olufanelekileyo.
Ziziphi izizathu eziphambili ze-HUS?
I-HUS idla ngokuvela emva kosulelo olukhulu lwamathumbu . Eyona nto ibangela olu sulelo luhlobo oluthile lwebhaktheriya oluyingozi kakhulu olubizwa ngokuba yi-'E. coli'. Le bhaktheriya isasazeka kakhulu ngamanzi angcolileyo nokutya okungaphekwanga kakuhle (ingakumbi inyama). Ngamanye amaxesha inokusasazwa ukusuka komnye umntu osulelekileyo ukuya komnye.
Xa ezi ntsholongwane zingena emzimbeni, iityhefu ezizivelisayo ziyaqokelelana egazini, zonakalisa imithambo yegazi ezintsoni kwaye zibangele i-HUS.
Ukongeza kwi-E. coli, kukho ezinye izizathu ezininzi ezinokubangela i-HUS.
| Unobangela | Inkcazo emfutshane |
|---|---|
| Ezinye izifo | Iintsholongwane ezifana ne-HIV okanye i-influenza. |
| Amanye amayeza | Ingakumbi amayeza anikwa ukulawula amasosha omzimba emva kokufakelwa amalungu omzimba. |
| Iingxaki ngexesha lokukhulelwa | Oku kusenokubangelwa ziingxaki ezithile ngexesha lokukhulelwa. |
| Izifo ezizikhusela ngokwazo emzimbeni | Izifo apho inkqubo yomzimba yokuzikhusela ihlasela iiseli zayo. |
| Umhlaza (akuqhelekanga) | Oku kunokubangelwa naziimeko ezithile zomhlaza. |
Kukho olunye uhlobo olubizwa ngokuba yi-HUS engaqhelekanga. Le yimeko ezuzwe njengelifa. Oku kuthetha ukuba idluliselwa kwizizukulwana ngezizukulwana. Ngokwesiqhelo ayizenzekeli ngokuzenzekelayo, kodwa imeko "inokwenziwa isebenze" ngesinye sezizathu ezichazwe apha ngasentla.
Sizibona njani iimpawu ze-HUS?
Iimpawu ze-HUS zingahluka kumntu nomntu. Kukwaxhomekeke kwisizathu sesifo. Kwi-HUS, ebangelwa yibhaktheriya ethi 'E. coli', iimpawu kwinkqubo yakho yokugaya ukutya ziqala ukubonakala ngaphambi kokuba zonakalise izintso zakho .
Iimpawu zokuqala
Ezi ziimpawu zokuqala zesisu esibuhlungu :
- Urhudo olunegazi – Olu luphawu olubalulekileyo lwesilumkiso!
- Ifiva
- Intlungu ebuhlungu yesisu
- Ukudumba kwesisu okanye ukudumba
- Ukuhlanza
Iimpawu ezinzulu ezinokuthi zenzeke kamva
Ezi mpawu zinokuvela xa isifo siba sibi kakhulu, imithambo yegazi yonakele, iiseli ezibomvu zegazi ziqala ukuwohloka (esikubiza ngokuba yi-anemia), kwaye kwakheka amahlwili egazi ezintso.
| Uphawu | Intsingiselo |
|---|---|
| Ulusu oluphaphathekileyo | Ukutshintsha kombala wolusu ngenxa ye-anemia. |
| Ukulala kakhulu, ukudinwa | Ukudinwa kakhulu okubangelwa bubuthathaka bomzimba. |
| Igazi elonyukayo | Ngenxa yokusebenza kakubi kwezintso. |
| Ubunzima bokuphefumla | Ngenxa yokuqokelelwa kolwelo emzimbeni okanye ukunqongophala kwegazi. |
| Ukuncipha kokuchama okanye igazi kumchamo | Uphawu oluphambili lokungasebenzi kakuhle kwezintso. |
| Ukugruzuka ngaphandle kwesizathu | Ngenxa yokuncipha kwenani leeplatelet ezinceda ukujiya kwegazi. |
| Ukopha okuphuma empumlweni nasemlonyeni | Olu lolunye uphawu lokungabikho kweeplatelet. |
| Ukudumba | Ngenxa yokungakwazi kwezintso ukususa ulwelo olugqithisileyo. |
| Ukuxhuzula okanye isifo sohlangothi | Iimeko ezinzulu kakhulu ezinokwenzeka ukuba ingqondo ichaphazelekile. |
Iphathwa njani i-HUS?
Esi asisosifo esinokunyangwa ekhaya. Ukuya esibhedlele ngoko nangoko kubalulekile. Esibhedlele, kufuneka unyango olukhethekileyo.
Kukho iindlela ezininzi zonyango:
- Utofelo-gazi: Utofelo-gazi olubomvu lunikwa ukuze kuthathelwe indawo iiseli ezibomvu zegazi eziphukileyo. Iiplatelets zikwanikwa ukulawula ukopha ukuba inani leeplatelets liphantsi.
- Ulwelo olufakwa emthanjeni (IV fluids): Ulwelo olufana nesaline lunikwa ukugcina ulwelo lomzimba kunye nokulinganisela ityuwa.
- Amayeza: Kwiimeko ezikhethekileyo ezifana ne-HUS engaqhelekanga, ugqirha angakunika amayeza akhethekileyo afana ne-`Eculizumab (Soliris)` ukuthintela umonakalo ongakumbi kwimithambo yegazi.
- I-Dialysis: Ukuba izintso ziyasilela kakhulu, umsebenzi ekufuneka zenziwe, oku kukucoca nokususa inkunkuma egazini, wenziwa ngoncedo lomatshini obizwa ngokuba yi-'Dialysis'.
- Utofelo-gazi: Ukunika iplasma yegazi ukubuyisela ukujikeleza kwegazi.
- Ukufakelwa kwezintso: Izigulana ezonakele kakhulu kwizintso ngokusisigxina zinokufuna ukufakelwa izintso ezintsha.
Singenza ntoni ukuze sizikhusele kwi-HUS?
Eyona nto ibangela i-HUS kusulelo lwamathumbu, ngoko ke ukuba singaziphepha ezo sulelo, singayinciphisa kakhulu ingozi ye-HUS. Oko kuthetha ukuba ucoceko lolona nto ibalulekileyo.
Nazi ezinye izinto ezilula onokuzilandela:
- Hlamba izandla zakho rhoqo: Qiniseka ukuba uhlamba izandla zakho kakuhle ngesepha ngaphambi kokulungisa ukutya, ngaphambi kokutya, emva kokusebenzisa indlu yangasese, nasemva kokutshintsha inabukeni yomntwana wakho.
- Ukhuseleko lokutya: Hlamba iziqhamo nemifuno kakuhle phambi kokuba uyitye. Pheka inyama, ingakumbi inyama yenkomo, kakuhle (ingcono ukuya kuthi ga kwiqondo lobushushu elingama-71 degrees Celsius okanye ama-160 degrees Fahrenheit).
- Ukuyibeka efrijini: Musa ukuyipheka inyama ngqo ukusuka efrijini. Yipheke emva kokuba inyibilikile kakuhle, nokuba yi-microwave okanye kubushushu begumbi. Gcina inyama eluhlaza kunye nokutya okuphekiweyo ngokwahlukeneyo efrijini.
- Ukutya okungafakwanga iintsholongwane: Kuphephe ukusebenzisa ubisi, itshizi, okanye iziselo zeziqhamo ezingafakwanga iintsholongwane.
- Amadama okudada: Ukuba unesifo sorhudo, musa ukuya kumadama okudada. Kwakhona, kuphephe ukudada kwiindawo ezingcolileyo.
Umyalezo Wokuya Ekhaya
- I-Hemolytic Uremic Syndrome (HUS) yimeko eqala ngeempawu ezifana norhudo olunegazi ize emva koko ichaphazele kakhulu izintso.
- Oku kubonakala kakhulu ebantwaneni, ingakumbi emva kokuba bosulelwe yibhaktheriya ethi `E. coli`.
- Ukuba umntwana wakho okanye uneempawu ezifana norhudo olunegazi, ukudinwa kakhulu, ukuphaphatheka, kunye nokuncipha kokuchama , musa ukuchitha ixesha kwaye ubone ugqirha ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.
- Nangona le yimeko eyoyikisayo, abantu abaninzi bayachacha ngokupheleleyo ngonyango olufanelekileyo lwasesibhedlele.
- Ucoceko, ukhuseleko lokutya, kunye nokusela amanzi acocekileyo kunokukhusela kwiintsholongwane ezibangela esi sifo.
I-HUS Sinhala, i-Hemolytic Uremic Syndrome Sinhala, isifo sezintso, usulelo lwe-E. coli, urhudo olunegazi, isifo sabantwana, ukusilela kwezintso
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