Ngaba kufuneka unike umntwana onomkhuhlane obangelwa yintsholongwane i-aspirin? Lumka ngesi sifo siyingozi (i-Reye's Syndrome)

Udla ngokwenza ntoni xa umntwana wakho enomkhuhlane, umkhuhlane, okanye isifo esifana ne-chickenpox? Ngamanye amaxesha sicinga, "Owu... mnike nje i-aspirin encinci." Kodwa ubusazi na ukuba ukunika i-aspirin ngexesha elinjalo kunokuba yingozi kakhulu kumntwana wakho? Namhlanje sithetha ngesimo esingathethwa kangako, kodwa esibi kakhulu esibangela loo nto. YiReye's Syndrome leyo, okanye iReye's Syndrome .

Ngamafutshane, yintoni iReye's Syndrome?

Isifo sikaReye sisifo esingaqhelekanga kodwa esibi kakhulu esibangela ukudumba kwesibindi nengqondo. Sinokuchaphazela nabani na wanoma yiphi na iminyaka, kodwa sixhaphake kakhulu ebantwaneni nakubantu abadala abaselula abaphola kwisifo sentsholongwane esifana nomkhuhlane okanye i-chickenpox.

Uphando olwenziwe ngoogqirha lufumanise ukuba eyona nto iphambili ebangela oku kukunika umntwana i-aspirin okanye amanye amayeza afanayo, oko kukuthi, amayeza ane-salicylates, ngexesha losulelo lwentsholongwane.

Kutheni le meko isenzeka?

Oogqirha abakayiqondi ngokupheleleyo imbangela echanekileyo yeReye's Syndrome, kodwa bayazi ukuba abanye abantwana banokuba nale meko ukuba banikwa i-aspirin ngexesha losulelo lwentsholongwane.

Ukongeza, abanye abantwana basengozini enkulu yokuhlaselwa sesi sifo. Ezi ziquka:

• Ukuba banesifo semfuza esinxulumene nenkqubo yokuqhekeka kwamafutha e-fatty acids emzimbeni (i-Fatty Acid Oxidation Disorder).
• Ukuba ukhe wadibana neekhemikhali ezinobungozi ezifana nezithinti zepeyinti, izibulali-zinambuzane, kunye nezibulali-khula.

Xa kuvela isifo sikaReye, iiseli zomzimba ziyadumba kwaye amafutha aqala ukuqokelelana ngaphakathi kuzo. Kwangaxeshanye, inqanaba leswekile egazini liyehla ngequbuliso. Izinto ezinobungozi ezifana ne-ammonia kunye ne-asidi ziyanda egazini. Olu tshintsho lunokubangela umonakalo omkhulu kwisibindi ngakumbi ingqondo, kuba la malungu avuvukala kakhulu.

Zithini iimpawu? Sizibona njani?

Iimpawu zeReye's Syndrome zihlala zibonakala emva kweentsuku ezi-3 ukuya kwezi-5 emva kokuqala kosulelo lwentsholongwane. Ezi mpawu zinokwahluka kancinci ngokuxhomekeke kwiminyaka, ngoko ke kubalulekile ukuba unikele ingqalelo kakhulu koku.

Makhe sijonge ezi mpawu kwitheyibhile ukuze kube lula ukuziqonda.

Le yingxamiseko! Ukuba ubona naziphi na kwezi mpawu zinzima, ezinje ngotshintsho olukhulu kwindlela yokuziphatha, ukuxhuzula, okanye ukulahlekelwa zingqondo, mse umntwana wakho kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngaphandle kokulibazisa . Oku kunokuba yingozi ebomini, ngoko ke ukuxilongwa ngokukhawuleza kunye nonyango kubalulekile.

Ngamanye amaxesha ezi mpawu zinokubhidaniswa ne-meningitis, isifo seswekile, okanye ityhefu. Ukuba urhanela ukuba kukho into enobuthi (umz. i-herbicide), fowunela iZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko ukuze ufumane ingcebiso.

Ugqirha ufumanisa njani esi sifo kanye kanye?

Akukho vavanyo lulodwa olujoliswe kwiReye's Syndrome, ngoko oogqirha badla ngokuqwalasela ngononophelo iimpawu kunye nembali baze benze iimvavanyo ezininzi ukuze baqinisekise ukuba azikho ezinye izifo.

Phakathi kwabo:

• Uvavanyo lwegazi nomchamo: Olu vavanyo lujonga izinto ezifana nokusebenza kwesibindi, iswekile egazini, kunye namanqanaba e-ammonia.
• Ukuhlolwa kweengxaki zemetabolism ye-fatty acid: Kwenziwa uvavanyo lwegazi olukhethekileyo ngenxa yoku.
• Ukubethelwa koMgogodla/Ukubhaqwa kweLumbar: Olu vavanyo lwenzelwe ukulinganisa uxinzelelo engqondweni nakwintambo yomqolo kunye nokujonga usulelo.
• I-Biopsy yesibindi: Oku kunceda ekufumaneni ubungakanani bomonakalo kwiiseli zesibindi.
• Ii-CT okanye ii-MRI scans: Ezi zinokujonga ukudumba kwengqondo zize zifumanise ukuba kukho ezinye iingxaki na.

Ngaba ikhona indlela yokunyanga oku?

Akukho nyango luthile olunokuthintela ngokupheleleyo iReye's Syndrome. Nangona kunjalo, oogqirha banokuyilawula le meko ngokulalisa isigulana esibhedlele, ukuthintela iimpawu eziqatha, ngakumbi ukulawula ukudumba kobuchopho. Nazi ezinye izinto onokuzenza:

• Ulwelo olufakwa emthanjeni (IV) kunye nesondlo.
• I-Diuretics ngamayeza asusa amanzi agqithisileyo kunye neetyuwa emzimbeni aze anciphise ukudumba.
• Amayeza okuthintela ukopha.
• Ukuba kukho imeko efana nokopha esibindini, kunikwa i-vitamin K, i-plasma, kunye neeplatelets ukunceda ukujiya kwegazi.

Zingaba yintoni iziphumo zexesha elide?

Iindaba ezimnandi zezokuba ngenxa yokuqhubela phambili kwesayensi yezonyango, esi sifo sinokufunyaniswa kwangethuba, kwaye izinga lokufa liye lehla ukusuka kwi-50% ukuya ngaphantsi kwe-20%. Oku kuthetha ukuba uninzi lwabantwana kunye nabantu abadala abaselula abafumana esi sifo bayachacha ngokupheleleyo.

Indlela umntu aphila ngayo kakuhle kunye nomngcipheko wokulimala kwengqondo ixesha elide kuxhomekeke ekubeni ingqondo idumbile kangakanani . Umngcipheko wokulimala kwengqondo uphezulu xa iimpawu ziba nzima ngokukhawuleza, nto leyo ekhokelela ekubeni umntu angabi naso isiqabu.