Isibindi Esinamafutha Esibukhali Sokukhulelwa (AFLP): Lokhu kuyiqiniso, masiqaphele!

Ubuwazi ukuthi ngezinye izikhathi kungavela izinkinga zempilo ezingalindelekile ngesikhathi sokukhulelwa? Namuhla sizokhuluma ngesimo esingaba yingozi okufanele sazi ngaso, noma ngabe singalindelekile kancane. Nakuba lokhu kungenzeki kubantu abaningi, uma kwenzeka, kudinga ukwelashwa ngokushesha.

Iyini le nto ebizwa ngokuthi isifo sesibindi esinamafutha (i-AFLP) ngesikhathi sokukhulelwa?

Kalula nje, i-Acute Fatty Liver of Pregnancy (AFLP) yisimo esingavamile kodwa esibucayi kakhulu. Lokhu kwenzeka lapho isibindi sakho sigcwala kakhulu amafutha ngesikhathi sokukhulelwa. Lokhu kungaholela ekuhlulekeni kwesibindi kanye nezinye izinkinga ezisongela ukuphila. Eqinisweni, kubhekwa njengesimo esiphuthumayo sezokwelapha . Uma lokhu kwenzeka, into engcono kakhulu ongayenza ukubeletha umntwana ngokushesha okukhulu.

Ivame kangakanani i-AFLP?

Ungakhathazeki, lokhu akuvamile kakhulu. Lesi simo esibizwa ngokuthi i-AFLP empeleni asivamile kakhulu. Kuthiwa sithinta umuntu oyedwa kuphela kwabayi-10,000 kuya kwabayi-20,000 abakhulelwe ngonyaka. Ngakho akuyona into oyibona njalo.

Ziyini izimpawu ze-AFLP? (Qaphela lezi)

I-AFLP ivame ukuqala ekupheleni kwekota yesithathu yokukhulelwa - cishe emavikini angu-36 - futhi ivame ukutholakala ukuthi ikhona. Kodwa-ke, ngezinye izikhathi ingenzeka kusenesikhathi, noma kuze kube yilapho ingane izalwa.

Kunezinye izimpawu ezivame ukubonakala kulesi simo:

• Isicanucanu nokuhlanza: Nakuba lokhu kungase kubonakale kuyinto evamile ngesikhathi sokukhulelwa, ngezinye izikhathi kungaba uphawu lwe-AFLP.
• Ubuhlungu besisu: Lobuhlungu buvela ikakhulukazi engxenyeni ephezulu kwesokudla yesisu.
• Ukukhathala okukhulu: Akukhona nje ukukhathala, kodwa nomuzwa wokukhathala okukhulu.
• Ukuzizwa ungakhululekile emzimbeni: Ukuzizwa ungakhululekile emzimbeni, njengokungathi uqala ukugula.
• I-Anorexia: Ukulahlekelwa yiso sonke isifiso sokudla.
• Ukuzizwa womile kakhulu: Kungakhathaliseki ukuthi uphuza amanzi angakanani, kusazwakala sengathi awanele.
• I-Jaundice: Isikhumba sakho kanye namehlo akho amhlophe aphenduka aphuzi. Lokhu kuyisibonakaliso esisobala impela.
• Ukudideka noma ukungakwazi ukugxila: Ubunzima bokugxila, ukuzizwa ungakhululekile.

Khumbula, izimpawu ze-AFLP zingafana nezezinye izimo zezokwelapha. Ngakho-ke kubalulekile ukukhuluma nodokotela wakho nganoma yiziphi izimpawu ezingavamile ozizwayo ngesikhathi sokukhulelwa. I-AFLP iyisimo esiphuthumayo sezokwelapha esidinga ukwelashwa ngokushesha.

Kungani lokhu kwenzeka? Iyini imbangela?

Abacwaningi abakakazi kahle ukuthi yini ebangela i-AFLP. Omunye wemisebenzi eyinhloko yesibindi sethu ukuphula ama-fatty acid. Ku-AFLP, kunenkinga ngekhono lesibindi lokuphula la ma-fatty acid, okubangela ukuba amafutha amaningi anqwabelane esibindini. La mafutha abe esebhajwa ngaphakathi kwesibindi, okuphazamisa ukusebenza kwesibindi okuvamile. Lokhu kungaba yingozi empilweni uma kungelashwa.

Ingabe kukhona ukuxhumana kwezakhi zofuzo? (Ukuntuleka kwe-LCHAD)

Ezinye izifundo zibonise ukuthi i-AFLP ingaba nethonya lezakhi zofuzo . Okusho ukuthi, ingabangelwa ukuntuleka kwe-enzyme okubizwa ngokuthi ukuntuleka kwe-3-hydroxyacyl-CoA dehydrogenase (LCHAD) chain .

Lokhu kuntuleka (kwe-LCHAD) kuyisifo esingavamile kakhulu, (i-autosomal recessive) . Kalula nje, ukuze umntwana azuze lokhu, bobabili abazali kumele bathole i-gene efanele. Ingane enesifo (se-LCHAD) ayikwazi ukugaya ama-fatty acid ngendlela efanele. Lawa ma-fatty acid angena egazini likamama nge-placenta. Lokhu kungabangela ukuba amafutha aqongelelane esibindini sikamama. Cabanga ukuthi ushintsho ekugayweni komzimba wengane luthinta kanjani umama!

Yiziphi izinto ezingabangela ingozi yokuthuthukisa i-AFLP?

Manje sesiyazi ukuthi lesi simo, esibizwa ngokuthi i-AFLP, singaba yizakhi zofuzo. Lokho kusho ukuthi singazuzwa njengefa kubazali. Ngaphezu kwalokho, kunezinye izici eziningana eziyingozi:

• Uma lokhu kungukukhulelwa kwakho kokuqala.
• Uma ulindele amawele noma ngaphezulu.
• Uma ulindele umfana.
• Uma unesifo sikashukela.
• Uma une-cholestasis yesibindi yokukhulelwa.
• Uma une-preeclampsia.
• Uma ukhuluphele kakhulu.

Kodwa, ngisho noma unazo zonke lezi zici eziyingozi, udokotela wakho akakwazi ukubikezela ukuthi uzoba ne-AFLP noma cha. Futhi akuyona into ongayibikezela futhi uyivimbele. Yilokho okwenza kube yinto ekhathazayo kancane.

Yiziphi izinkinga ezingaba khona ze-AFLP? (Lokhu kungaba yingozi)

Isifo sesibindi esinamafutha abukhali (i-AFLP) ngesikhathi sokukhulelwa singabulala . Wena nomntwana wakho nisengozini yezinkinga ezahlukahlukene. Ezinye zazo yilezi:

• Ukwehluleka kwesibindi.
• Ukwehluleka kwezinso.
• Ukwehluleka kwamaphaphu.
• Ukutheleleka.
• Ukopha kwegazi.

Kuyesabeka ukuzwa lezi zinto, akunjalo? Yingakho kubalulekile ukuqaphela lesi simo.

Ungasibona kanjani isimo se-AFLP?

Ngenxa yokuthi i-AFLP ingabangela ukungasebenzi kahle kwezitho zomzimba,Kubalulekile ukuxilonga lesi sifo kusenesikhathi bese uqala ukwelashwa ngokushesha. Ukuxilongwa okunembile kakhulu yi -biopsy yesibindi . Yilapho udokotela wakho ehlola khona izicubu zesibindi sakho ngaphansi kwe-microscope. Kodwa-ke, lokhu akuphephile ngaso sonke isikhathi ukukwenza ngesikhathi sokukhulelwa. Ngakho-ke, udokotela wakho angakwazi ukuxilonga i-AFLP ngokusekelwe ezimpawu zakho kanye nomlando wempilo yakho.

Ukuhlolwa kwegazi kubheka ini?

Udokotela wakho uzoyala ukuhlolwa kwegazi ukuze ahlole i-AFLP. Ngezinye izikhathi udokotela wakho angase asole i-AFLP ngokusekelwe emiphumeleni yokuhlolwa kwegazi kokusebenza kwesibindi . Lokhu kuhlolwa kuvame ukukhombisa izinto ezinjengalezi:

• Ama-enzyme esibindi aphakanyisiwe.
• Izinkinga ngenqubo yakho yokujiya kwegazi.
• Amazinga akhuphukile e-ammonia, i-uric acid, kanye ne-protein egazini.
• Amazinga kashukela egazini aphansi.
• Izimpawu zokulimala kwezinso.

Ezinye izivivinyo

Ukuze aqinisekise ukuxilongwa, udokotela wakho angase acele ukuthi kwenziwe i -ultrasound scan noma i -CT scan . Lokhu kungakunikeza izithombe ezinemininingwane zesibindi.

Ilashwa kanjani i-AFLP? (Ukwelashwa okusheshayo kubalulekile!)

Ukuze ugweme izinkinga ezisongela ukuphila, udokotela wakho uzoncoma ukuthi ubelethe ingane yakho ngokushesha okukhulu . Ngemva kokususwa kwengane kanye ne-placenta, isibindi sakho sizoqala ukululama kancane kancane. Lena yindlela eyinhloko newukuphela kwayo yokwelapha lesi simo.

Ingabe kukhona engingakwenza ukuze nginciphise ingozi yami ye-AFLP?

Lena inkinga abantu abaningi abanayo. I-AFLP iyisimo esingavamile. Futhi, akukho ongakwenza ukuyivimbela noma ukuyibona kusenesikhathi . Lena yingxenye edabukisayo yalesi sifo.

Kwenzekani uma ngine-AFLP?

Uma une-AFLP, kufanele ubelethe ingane yakho ngokushesha . Ukusebenza kwesibindi sakho kuzoqala ukubuyela esimweni esijwayelekile zingakapheli izinsuku eziyi-10 ngemva kokubeletha. Kuzodingeka uqashwe odokotela besibhedlela kuze kube yilapho imiphumela yokuhlolwa kwesibindi sakho ibuyela esimweni esijwayelekile.

Akunakwenzeka ukusho ngqo ukuthi iyini ingozi yakho yokuphinda ube ne-AFLP. Udokotela wakho angase akuncome ukuhlolwa kwezakhi zofuzo ukuze kubonakale ukuthi kukhona yini ukukhubazeka kuma-fatty acid okungenzeka ukuthi kube nomthelela ekuthuthukisweni kwe-AFLP. Bangase futhi bakutshele ukuthi uma ukhulelwa futhi esikhathini esizayo, kufanele uhlolwe ukukhulelwa kwakho nguchwepheshe wezokwelapha umama nomntwana .

Yini inkinga ngengane?

Ubukhulu besimo kumama buvame ukunquma ukuthi sithinta kangakanani ingane. Ezinye izingane zisengozini yokuthola isimo esibizwa ngokuthi i-nonketotic hypoglycemia (ukungakwazi ukucubungula kahle ama-amino acid). Ezinye zingase zibe nezimo ezifana ne -cardiomyopathy evulekile (imisipha yenhliziyo ebuthaka) noma i-neuropathy (ukulimala kwemizwa). Kodwa-ke, ezimweni eziningi, ingozi enganeni incane kunengozi kumama.

Ngingambona nini udokotela?

Kubalulekile ukwabelana ngomlando wakho wezokwelapha ophelele nodokotela wakho ngesikhathi sokukhulelwa futhi ubazise nganoma yiziphi izimpawu ozizwayo. Ukwethembeka kuzokusiza uthole ukunakekelwa kwezokwelapha okungcono kakhulu okudingayo.

Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngesikhathi sokukhulelwa, xhumana nodokotela ngokushesha :

• Ubuhlungu besisu noma be-pelvic obungapheli.
• Ukukhathala okukhulu noma ubuthakathaka.
• Ukucanuzela nokuhlanza okuqhubekayo.
• Ikhanda elibuhlungu elingeke liphele.

Lezi kungaba izimpawu zokukhulelwa ezivamile, kodwa futhi zingaba uphawu lokuthile okungathi sína. Ngakho-ke ungangabazi.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Cabanga nje, uma udokotela wakho ekutshela ukuthi une-AFLP... kuyinto evamile ukuba nemibuzo eminingi. Ungase ufune ukuzibuza imibuzo efana nale:

• "Dokotela, ingabe kudingeka ngibelethe umntwana manje?"
• "Ingabe impilo yami isengozini?"
• "Ingabe impilo yengane yami isengozini?"
• "Ingabe lesi simo se-AFLP sizoba ngcono?"
• "Hlobo luni lokwelashwa engiludingayo?"
• "Ingabe lokhu kuzophinde kwenzeke uma ngikhulelwa futhi?"
• "Kungani lokhu kwenzeke kimi, dokotela?"

Buza yonke imibuzo ongayicabanga kanje. Ungagodli lutho.

Uyini umehluko phakathi kwe-AFLP ne-HELLP syndrome?

I-HELLP syndrome ( i-Hemolysis, ama-Enzymes esibindi aphezulu , kanye ne-Low Platelet Count Syndrome)** yisimo esenzeka ngesikhathi sokukhulelwa futhi sifana ne-AFLP. Umehluko omkhulu phakathi kwalezi zimo ezimbili ukuthi imiphumela yokuhlolwa kwegazi ishintsha kanjani ngokuhamba kwesikhathi. I-AFLP ivame ukubandakanya izinkinga zokujiya kwegazi kanye noshintsho emazingeni e-platelet. Kodwa-ke, i-HELLP syndrome ivame ukubandakanya ukwehla kancane kancane kwenani lama-platelet.

Ngaphezu kwalokho, abantu abane-AFLP banamathuba amaningi okubhekana nalokhu:

• Ukuphazamiseka okukhulu ekuhlolweni kokusebenza kwesibindi.
• Noma yikuphi ukungahambi kahle emazingeni kashukela egazini.
• Izimpawu zokungasebenzi kahle kwezinso.
• Amazinga aphezulu e-bilirubin (i-bilirubin iwumkhiqizo olahliwe) ezivivinyweni.
• I-Acidosis (ukwanda kwe-asidi egazini).
• (I-proteinuria)(Ukuba khona kweprotheni emchameni).
• Izinguquko ekusebenzeni kobuchopho (isib., ukungakwazi ukucabanga kahle, ukudideka).

Ingabe kujwayelekile ukuba nesibindi esinamafutha ngesikhathi sokukhulelwa?

Ngisho nakubantu abangakhulelwe, isifo sesibindi esinamafutha siyinto evamile, engelapheka. Iningi labantu linamafutha athile esibindini sabo. Kodwa-ke, uma la mafutha eqongelela, angabangela ukuthi isibindi singasebenzi. Lokhu kuyingozi kakhulu ngesikhathi sokukhulelwa , ngoba isibindi siyindlela yomzimba yokususa ubuthi. Uma isibindi sakho (noma isibindi somntwana wakho) singasebenzi kahle, izinto eziyingozi zingaqongelela egazini lakho.

Ekugcineni, yilokhu engikushoyo kini (Umyalezo Wokuya Ekhaya)

I-AFLP, noma isifo sesibindi esinamafutha esiyingozi sokukhulelwa, yisimo esingavamile kodwa esibucayi. Asinakuvinjelwa noma sibikezelwe. Lokhu kusho ukuthi kubalulekile ukukhuluma nodokotela wakho ngomlando wakho wezempilo kanye nanoma yiziphi izimpawu ezingavamile ongase uzizwe ngesikhathi sokukhulelwa kwakho. Lezi zingxoxo zizosiza udokotela wakho ukuthi abone izinkinga ezingaba khona futhi akunikeze ukunakekelwa kwezokwelapha okudingayo.

Ungesabi, kodwa qaphela . Naka umzimba wakho. Uma uzizwa noma yini engavamile noma ehlukile, funa iseluleko sezokwelapha ngokushesha. Into ebaluleke kakhulu ukuthi wena nomntwana wakho nihlale niphilile.

Isibindi esinamafutha ngesikhathi sokukhulelwa, i-AFLP, izinkinga zokukhulelwa, isifo sesibindi, i-jaundice, ukubeletha, ukuntuleka kwe-LCHAD