Kungani kunokwehla okungazelelwe komthamo wegazi? Ake sixoxe nge-Aplastic Crisis

Wake wabona noma wezwa ngesimo lapho abanye abantu, ikakhulukazi izingane ezincane, ngokuzumayo belahlekelwa igazi kakhulu, bazizwe bekhathele kakhulu, futhi ngezinye izikhathi kungaba yingozi empilweni? Leso ngesinye sezimo ezibucayi esizokhuluma ngazo namuhla, esibizwa ngokuthi i-aplastic crisis . Nakuba leli gama lingase lizwakale liyesabeka kancane, uma sazi kahle ngalo, singabhekana nalesi simo kahle.

Iyini ngempela le nkinga yokungapheleli?

Kalula nje, inkinga ye-aplastic ilapho umongo wethambo emzimbeni wethu uyeka ukukhiqiza amangqamuzana amasha egazi abomvu . Manje ungase ucabange, "Manje kwenzekani uma ukukhiqizwa kwamangqamuzana abomvu egazi kuyeka?" Lawa maseli abomvu egazi yiwo athwala umoya-mpilo emizimbeni yethu yonke. Ngakho-ke uma eyeka ukukhiqiza, inani lamangqamuzana abomvu egazi emzimbeni liyancipha kakhulu, okubangela i-anemia enkulu . Lesi yisimo esingaba yingozi empilweni.

Inkinga ye-Aplastic ivame ukuthinta abantu abanezinkinga zegazi njenge- sickle cell anemia . Imbangela enkulu yalokhu ukutheleleka okuvame kakhulu kwegciwane okubizwa ngokuthi i-Parvovirus B19 . Ungamangali, yize leli gciwane lithinta abantu abaningi, inkinga ye-aplastic yenzeka kuphela lapho abantu abanezinkinga zegazi betheleleka ngaleli gciwane. Lesi simo sivame kakhulu ezinganeni ezincane, ikakhulukazi ezinganeni. Kodwa kunezindaba ezinhle, kunezindlela zokwelapha lokhu njengokumpontshelwa igazi kanye ne -intravenous immunoglobulin (IVIG) .

Ingabe lesi yisifo esithinta wonke umuntu?

Cha, akunjalo nhlobo. Njengoba ngishilo ngaphambili, i-Parvovirus B19 iyigciwane elivame kakhulu. Kodwa-ke, akuwona wonke umuntu onegciwane othola inkinga yokungapheleli. Lokhu kwenzeka kuphela uma umuntu onesifo esithile segazi etheleleke nge-Parvovirus B19.

Izinsana, izinsana, kanye nezingane ezine- sickle cell anemia zisengozini enkulu. Abantu abanezinye izimo ezibangela ukubhujiswa kwamangqamuzana abomvu egazi kanye ne-hemolytic anemia nabo basengozini enkulu yokuba nenkinga yokungapheleli uma bengenwa yi-parvovirus B19. Ezinye zalezi zimo zifaka:

• I-Spherocytosis Yefa
• Isifo se-Hemoglobin C
• I-Thalassemia
• I-G6PD deficiency syndrome
• Ukuntuleka kwe-Pyruvate Kinase
• I-Autoimmune Hemolytic Anemia
• I-Paroxysmal Nocturnal Hemoglobinuria
• I-Elliptocytosis Yefa

Uma wena noma ingane yakho ninalolu hlobo lwesifo segazi, kubaluleke kakhulu ukunakekela lokhu ngokukhethekile.

Yiziphi izimpawu zenkinga ye-aplastic?

Abantu abadala, kanye nezingane nezinsana, abanenkinga yokungapheleli kahle emzimbeni, bavame ukuba nezimpawu ezihlobene nokuntuleka kwegazi okukhulu. Izinsana nezingane ezincane zingase zibe nolaka kakhulu noma zicasuke kakhulu kunokujwayelekile. Isibonelo, uma ingane yakho ikhala kakhulu, ingathandi lutho, noma ibonakala ithukuthela ngaso sonke isikhathi, lokhu kungaba uphawu lwento efana nale.

Nazi ezinye zezimpawu eziyinhloko:

• Ukukhathala: Ukuzizwa ukhathele kakhulu, ungakwazi ukwenza lutho.
• Umkhuhlane: Izinga lokushisa lomzimba lingafinyelela kuma-degree Celsius angu-38 (101 degrees Fahrenheit) noma ngaphezulu.
• Ukuzungeza: Kuzwakala sengathi ikhanda lakho liyazungeza, futhi amehlo akho angase aphenduke abe luhlaza okwesibhakabhaka.
• Ukuphelelwa umoya / ukuphelelwa umoya: Ukuphelelwa umoya ngisho noma uhamba kancane, uzizwa ukhathele kakhulu lapho ukhuphuka izitebhisi.
• Ukushaya kwenhliziyo okungajwayelekile noma okusheshayo: Ukushaya kwenhliziyo kungase kube ngokushesha kunokujwayelekile, noma kungase kungabi njalo futhi kungashayi ohlangothini olulodwa.
• Umbala okhanyayo: Isikhumba, izindebe, izinsini, noma izinzipho ziyaphaphatheka kakhulu kunokujwayelekile. Lona umbala obonakala uma igazi lingekho.

Uma ubona eyodwa noma ngaphezulu yalezi zimpawu, ikakhulukazi uma wena noma ingane yakho ninesifo segazi, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha .

Kungani kwenzeka le nkinga yokungapheleli? Iyini imbangela?

Igama elithi "aplastic" lisho ukuthi kukhona okuthile emzimbeni wakho okuyekile ukusebenza. Yilokho okwenzekayo kulesi simo esibucayi se-aplastic. Umnkantsha wakho awukwazi ukukhiqiza amangqamuzana abomvu egazi anempilo. Isizathu salokho yi -Parvovirus B19 engikhulume ngayo ekuqaleni. Leli gciwane lihlasela ngqo amangqamuzana abomvu egazi angakavuthwa. Liyawalimaza.

Imizimba yethu ithola izinto ezifana namaseli abomvu egazi, amanye amaseli amhlophe egazi, kanye ne-plasma emnkantsheni wamathambo. Ngakho-ke lapho ukukhiqizwa okuqhubekayo kwamaseli abomvu egazi kuphela, uba ne -anemia enzima . Cabanga nje, yilokhu okwenzekayo lapho ifektri yegazi yomzimba wethu iyeka ukusebenza ngokuzumayo.

Yiziphi izinkinga ezingaba khona ngenxa yalesi simo?

Inkinga ye-Aplastic ingaholela ezinkingeni ezahlukahlukene, ikakhulukazi kubantu abane -sickle cell anemia . Lezi nazo zimbi kakhulu.

• Inkinga ende ye-Vaso-occlusive crisis (VOC):I-VOC ubuhlungu obungazelelwe, obukhulu obuvela kubantu abane-sickle cell anemia. Lobuhlungu bungahlala isikhathi eside ngenxa yenkinga ye-aplastic.
• I-Myocarditis: Lokhu ukuvuvukala kwemisipha yenhliziyo, okuyisimo esifana nokuvuvukala.
• Ukususwa kwe-splenetic: Amaseli abomvu egazi angajwayelekile abhajwa e-spleen, okwenza i-spleen ikhule.
• I-Glomerulonephritis: Lesi yisifo sezinso, uma singelashwa kahle, esingaholela ekuhlulekeni kwezinso.

Yingakho sithi kubaluleke kakhulu ukuqaphela lesi simo.

Odokotela bakubona kanjani lokhu?

Uma wena noma ingane yakho nibonisa lezi zimpawu, uma ubona udokotela, uzoqala ngokukubuza ngezimpawu zakho. Ngemuva kwalokho uzokwenza ukuhlolwa ngokomzimba. Ngaphezu kwalokho, kungenziwa izivivinyo eziningana ukuqinisekisa isimo:

• Ukubalwa Kwegazi Okuphelele (i-CBC): Lokhu kuhlola inani lamaseli abomvu egazi, amaseli amhlophe egazi, nama-platelet emzimbeni. Esimweni esibucayi se-aplastic, inani lamaseli abomvu egazi liphansi kakhulu.
• Inani lama-reticulocyte: Ama-reticulocyte angamaseli abomvu egazi angakavuthwa. Lokhu kuhlola kulinganisa ukuthi mangaki amaseli abomvu egazi amasha akhiqizwa umnkantsha wamathambo. Esimeni esibucayi se-aplastic, leli nani liphansi kakhulu.
• Ukuhlolwa kwe-Parvovirus B19: Lokhu kuhlolwa kwenziwa ukuqinisekisa ukuthi uke watheleleka yini ngaleli gciwane.

Ngemva kwalezi zivivinyo, udokotela angabona ngokuqinisekile ukuthi lokhu kuyinhlekelele yokungalungiseki noma okunye.

Yiziphi izindlela zokwelapha lokhu?

Ukwelashwa okuyinhloko kwenkinga ye-aplastic ukumpontshelwa igazi . Lokhu kusho ukunikeza igazi elivela ngaphandle. Lokhu kungabuyisela ngokushesha inani eliphansi lamaseli abomvu egazini lomzimba. Ngaphezu kwalokho, kunikezwa ukwelashwa okubizwa ngokuthi i-Intravenous Immunoglobulin (IVIG) . Lokhu kunikezwa emzimbeni ngemithambo yegazi (IV).

Iningi leziguli liyalulama zingakapheli izinsuku eziyi-10 kuya kweziyi-14 kusukela liqale ukwelashwa. Enye into enhle ukuthi uma umuntu esetheleleke nge-parvovirus B19, uba nokuzivikela komzimba wonke egciwaneni. Lokhu kusho ukuthi ingozi yokuthola inkinga ye-aplastic evela egciwaneni futhi incishisiwe kakhulu.

Ingabe ikhona indlela yokuvimbela inkinga ye-aplastic?

Empeleni kunzima ukukusho. Ngoba, inkinga yokungapheleli kwegazi yenzeka lapho umuntu onesifo segazi etheleleke nge -parvovirus B19 . I-Parvovirus B19 iyigciwane elivame kakhulu, futhi akukho muthi wokuligomela okwamanje.

Kodwa, ngawe nomntanakhoUma unesifo segazi esifana ne-sickle cell anemia, kubalulekile ukubuza udokotela wakho ukuthi yini ongayenza ukuze unciphise ingozi yokuthola i-parvovirus B19. Isibonelo, izinto ezilula njengokuhlala kude nezindawo ezinabantu abaningi nokugeza izandla zakho njalo kungakunikeza isivikelo esithile.

Kuzokwenzekani ngemva kwalesi simo? (Isibikezelo)

Ukubikezela kuwumphumela olindelekile wesimo sakho. Abantu abane-aplastic crisis bavame ukululama zingakapheli izinsuku eziyi-10 kuya kweziyi-14 kusukela beqale ukwelashwa. Kodwa-ke, abanye abantu bangase babe ne-aplastic crisis ephindaphindayo. Ngakho-ke, kubalulekile ukunaka izimpawu nokulandela imiyalelo kadokotela wakho.

Ngingazinakekela kanjani? / Ngingazinakekela kanjani ingane yami?

Inkinga ye-Aplastic ingenye yezinkinga eziningi ezingase zenzeke ngezifo zegazi ezifana ne-sickle cell anemia . Ungase ungakwazi ukuvimbela i-parvovirus B19, kodwa kunezinto ongazenza ukuze ulondoloze impilo yakho iyonke:

• Thola ukuhlolwa njalo: Ngokuhlala uxhumana nodokotela wakho oyinhloko, ungakwazi ukubona izinkinga ezinkulu zezokwelapha ngaphambi kokuba zenzeke.
• Nciphisa ingozi yakho yokutheleleka: Khuluma nodokotela wakho ngezindlela zokuzivikela ezifweni ezivamile njenge-influenza kanye nomkhuhlane ovamile.
• Yidla ukudla okunempilo: Yidla ukudla okulinganiselayo bese uphuza cishe izingilazi zamanzi ezingu-8-10 ngosuku.
• Ukuzivocavoca: Ukuzivocavoca umzimba njalo kungathuthukisa isimo sakho sengqondo kanye nempilo yakho. Kodwa, thatha kancane, phumula uma uzizwa ukhathele, futhi ukhumbule ukuphuza amanzi amaningi.

Lezi zinto zisiza ukugcina amasosha omzimba wakho eqinile futhi zikusize uhlale uphilile.

Kufanele ngimbone nini udokotela?

Inkinga ye-Aplastic iyisimo esiphuthumayo sezokwelapha.

Uma wena noma ingane yakho ninesifo segazi esifana ne -sickle cell anemia , futhi nibona izinguquko ezisheshayo empilweni yenu, njengokuzizwa nibuthakathaka noma nikhathele kakhulu , kufanele nibone udokotela wakho ngokushesha, ngaphandle kokulibala. Uma uqala ukwelashwa ngokushesha, kungcono.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma wena noma ingane yakho ninenkinga yokungaqini kahle kwesikhumba, ningabuza udokotela wakho imibuzo efana nale:

• Ngizoba ngcono nini mina/ingane yami?
• Angakanani amathuba okuthi mina/ingane yami sizophinde sibe nenkinga efana nale?
• Yiziphi ezinye izinto okufanele ngiziqaphele kakhulu lapho ngiphila nalesi simo?

Kubaluleke kakhulu ukubuza imibuzo efana nalena nokususa ukungabaza kwakho.

Ingabe i-aplastic crisis kanye ne-aplastic anemia ziyafana?

Yebo, yize zombili lezi zimo zihlotshaniswa nokwehla kwenani lamaseli abomvu egazi, kunomehluko phakathi kwalezi ezimbili.

Inkinga ye-Aplastic iwukwehla okungazelelwe kwenani lamaseli abomvu egazi.

I-Aplastic anemia yisimo esikhula kancane kancane ngokuhamba kwesikhathi. Kulokhu, akuwona amangqamuzana abomvu egazi kuphela kodwa nezinye izinhlobo zamangqamuzana egazi (amangqamuzana amhlophe egazi, ama-platelet) zingase zinciphe.

Kalula nje, i-Aplastic Crisis iyinkinga yesikhashana, ebukhali. I-Aplastic Anemia iyinkinga yesikhathi eside, eqondene nomnkantsha wamathambo.

Ekugcineni, umyalezo okufanele uwuthathe uye nawo ekhaya

Kulungile, ngakho-ke ngithemba ukuthi usuyaqonda kangcono lokho esikhulume ngakho namuhla, i-Aplastic Crisis. Lokhu kuyinkinga enkulu engathinta abantu abanezifo zegazi ezifana ne -Sickle Cell Anemia . Okwenzekayo ukuthi umnkantsha wakho noma wengane yakho ngokuzumayo uyeke ukukhiqiza amangqamuzana egazi abomvu, okubangela i-anemia enkulu engasongela impilo.

Izinkinga ze-Aplastic zingaba yinto eyesabekayo ngoba izimpawu zingavela ngokuzumayo futhi zibe zimbi kakhulu. Ngenhlanhla, odokotela bangayilapha ngokumpontshelwa igazi kanye nemithi.

Uma wena noma ingane yakho ninesifo segazi esibeka wena noma ingane yakho engozini enkulu yokuba nenkinga yokungaqini kahle kwezicubu, buza udokotela wakho ukuthi yiziphi izimpawu ezingase zibonise inkinga. Ungase ungakwazi ukuvimbela inkinga yokungaqini kahle kwezicubu, kodwa uzokwazi ukuthi wenzeni uma kwenzeka. Lokho kuqaphela kuyinto ebaluleke kakhulu.

Inkinga Ye- Aplastic, Amaseli Egazi Abomvu, Umnkantsha Wamathambo, I-Anemia, I-Parvovirus B19, I-Sickle Cell Anemia