Ngiyaqonda ukwesaba nokukhathazeka umama noma ubaba akuzwayo lapho bebona into engavamile emzimbeni wengane yabo encane. Ikakhulukazi uma ingane esanda kuzalwa ivele ibe namabala aluhlaza okwesibhakabhaka esikhumbeni sayo, kungaba yinto ekhathazayo kakhulu. Lesi simo yilokho esikubiza ngokwezokwelapha ngokuthi "i-Blueberry Muffin Rash." Leli gama lingase lizwakale lingavamile, kodwa kubalulekile ukuliqaphela ngoba kungaba nezimbangela eziningana ezinkulu ngemuva kwalo.
Iyini le 'rash yama-muffin e-blueberry'?
Kalula nje, lesi yisimo sesikhumba esingathinta izinsana ezisanda kuzalwa kanye nezinsana ezincane. Sibizwa ngokuthi 'i-blueberry muffin rash' ngoba amabala abukeka njengamachashazi aluhlaza okwesibhakabhaka ku-blueberry muffin. Angabonakala njengamabala ayindilinga noma njengamaqhubu aphakanyisiwe esikhumbeni.
Into ebalulekile ukuthi la mabala awekho ebusweni besikhumba, kodwa abonakala sengathi akheke ngaphakathi kwesikhumba . Lokhu akulona ukuqhuma okuvamile.
Kunezizathu ezintathu eziyinhloko zokuthi kungani la mabala angavela:
1. I-Extramedullary hematopoiesis: Ngokuvamile, igazi lethu likhiqizwa emnkantsheni wethambo. Kodwa-ke, ngenxa yezimo ezithile zezokwelapha, amangqamuzana akha igazi aqala ukuqongelela futhi akhe amaqoqo ngaphandle komnkantshe wethambo, njengasesikhumbeni. La maqoqo amangqamuzana yilokho okubonakala njengamabala.
2. Ukopha esikhumbeni (i-Purpura): Lolu hlobo lwebala elinsomi lungenzeka lapho igazi livuza ezicutshini zesikhumba ngenxa yomonakalo emithanjeni yegazi noma ubuthakathaka enkambisweni yokujiya kwegazi.
3. Ukusabalala kwamaseli omdlavuza (Metastasis): Kwezinye izinhlobo zomdlavuza, amaseli omdlavuza angasakazeka esikhumbeni esuka kwezinye izingxenye zomzimba futhi abangele amaqhubu anjengalawa.
Izimo eziningi zezokwelapha ezibangela lezi zinto ezintathu azivamile. Futhi, ingane yakho ivame ukuba nezinye izimpawu kanye nalezi zindawo. Lezi zindawo ngeke ziphole zodwa. Ngakho-ke, 'i-blueberry muffin rash' iyisibonakaliso esinamandla sokuthi ingane yakho idinga ukunakekelwa kwezokwelapha ngokushesha.
Yiziphi izinto eziyinhloko ezingadala lokhu?
Ungakhathazeki, sizokhuluma ngokucacile ngezigaba eziyinhloko zezizathu ezithinta lokhu, ngasinye ngasinye.
Ukutheleleka kwe-TOCH
I-TORCH isifinyezo samaqembu amaningana okutheleleka athinta ingane noma usana olusanda kuzalwa esibelethweni. Lokhu kutheleleka kungadluliselwa kusuka kumama kuya enganeni ngesikhathi sokukhulelwa, ngesikhathi sokubeletha, noma ngemva kokuzalwa.
ITOSHI limele:
- I-T - I-Toxoplasmosis
- O - Ezinye izifo - isibonelo i-syphilis, i-chickenpox, i-parvovirus B19
- R- I-Rubella
- C - Igciwane le-Cytomegalovirus (CMV)
- Igciwane le -H - Herpes simplex (HSV)
Kanye nalezi zifo, umntwana angabonisa nezinye izimpawu ezifana nomkhuhlane, ubunzima bokuncelisa, i-jaundice, isisindo sokuzalwa esiphansi, ukukhubazeka kokuzwa, kanye ne-hepatosplenomegaly.
Lokhu kukhombisa ukuthi kubaluleke kangakanani ukuvakashela udokotela ngesikhathi bese kwenziwa izivivinyo ezidingekayo ngesikhathi sokukhulelwa. Ngale ndlela, ungathola kusenesikhathi ukuthi unalezi zinhlobo zezifo noma ukuthi unamandla okuzivikela kuzo.
Izimila ezithile kanye nomdlavuza
Ezinye izinhlobo zomdlavuza wezingane nazo zingabangela lokhu 'kuqubuka kwama-muffin e-blueberry'. Lezi yizimo ezingavamile kakhulu.
- I-Histiocytosis
- I-Leukemia (umdlavuza wegazi)
- I-Mastocytosis
- I-Neuroblastoma
- I-Rhabdomyosarcoma
- Isifo se-myeloproliferative esisheshayo - Lokhu kuvame kakhulu ezinganeni ezine-Down syndrome.
Lezi zimo zingahambisana nezimpawu ezifana nokukhathala okukhulu, umkhuhlane, ukwehla kwesisindo, ukuphaphatheka (ngenxa yokuntuleka kwegazi), ukuvuvukala kwama-lymph node, kanye nobunzima bokuphefumula.
Ezinye izinkinga ezihlobene nokukhiqizwa kwegazi (i-Extramedullary Hematopoiesis)
Njengoba sixoxile ngaphambili, la mabala abangelwa yi-hematopoiesis engaphandle kwe-medullary. Ezinye izinto ezibangela lokhu yilezi:
- Isifo se-hemolytic sosana olusanda kuzalwa: Ukuwohloka okusheshayo kwamaseli abomvu egazi lomntwana ngenxa yezici ezifana nokungahambisani kohlobo lwegazi lwe-ABO phakathi komama nomntwana.
- I-spherocytosis yefa: Isimo sofuzo esibangela izinguquko esimweni samaseli abomvu egazi.
- I-Twin-to-twin transfusion syndrome: Ukujikeleza kwegazi okungalingani phakathi kwamawele abelana nge-placenta efanayo.
Odokotela bathola kanjani imbangela yangempela?
Udokotela wengane yakho uzoqala ngokuyihlola ngokucophelela bese ehlola ezinye izimpawu. Ngemuva kwalokho, bazoncoma ukuhlolwa okuningana ukuthola imbangela eqondile.
| Ukuhlolwa | Kuyini Okukuhlolayo? |
|---|---|
| Ukuhlolwa kwegazi | Ukubalwa kwegazi okuphelele (i-CBC), ukuhlolwa kwezifo kanye nezinye izinkinga zegazi. |
| Ukuhlolwa komchamo | Izimpawu zezinye izifo kanye nezimo zezokwelapha. |
| Ukubhoboza umgogodla/Ukubhoboza iLumbar | Hlola uketshezi lomgogodla (CSF) ukuze ubheke izimpawu zokutheleleka. |
| I-biopsy yesikhumba | Ukuhlola i-leukemia noma amanye amangqamuzana omdlavuza. |
| Ukuhlolwa komnkantsha wethambo | Ngifuna i-leukemia, ezinye izinkinga zegazi, izifo kanye nomdlavuza. |
| I-ultrasound yesisu | Ukuhlola isibindi esikhulile kanye nobende kanye nezimila ezifana ne-neuroblastoma. |
Uma kusolwa ukuthi kukhona ukutheleleka kwe-TORCH, udokotela angase futhi ancome ukuhlolwa okufanele kumama.
Yiziphi izindlela zokwelapha lokhu?
Lena inkinga abantu abaningi abanayo. Khumbula, ukwelashwa 'kwe-blueberry muffin rash' ukwelapha isimo esiyisisekelo esibangele lokhu. Okusho ukuthi, njengoba la mabala eyisibonakaliso, sidinga ukwelapha isimo esiyisisekelo esibangele lesi sibonakaliso.
Ngokwesibonelo:
- Uma imbangela iwukutheleleka kwe-TORCH, kunikezwa ama-antibiotic, ama-antiparasitic, noma imithi yokulwa namagciwane.
- Uma imbangela ingumdlavuza ofana ne-neuroblastoma, ukuhlinzwa, i-chemotherapy, i-immunotherapy, noma ukwelashwa ngemisebe kungadingeka.
Ithimba lezokwelapha lomntwana wakho lizochaza uhlelo lokwelapha olungcono kakhulu lomntwana wakho, ngakho ungangabazi ukukhuluma naye nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
Kufanele ubonane nodokotela ngokushesha nini?
Impendulo kuphela kulokhu ithi "Ngokushesha!"
Uma ubona ibala eliluhlaza okwesibhakabhaka noma iqhubu elinjengaleli emzimbeni wengane yakho, ungalishayi indiva. Uma ingane yakho isivele ithola ukwelashwa esibhedlela, yazisa udokotela noma umhlengikazi ngokushesha. Uma usekhaya, thatha ingane yakho uyiyise e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Nakuba lesi simo singavamile, kungaba uphawu lokuthi kukhona into enkulu eyenzekayo emzimbeni wengane yakho. Lokhu kungaba yinto eyesabekayo kakhulu, kodwa into ebaluleke kakhulu ukungesabi bese uthatha isinyathelo ngokushesha. Ithimba lezokwelapha lizoyithola ngokushesha imbangela futhi linikeze ukwelashwa okungcono kakhulu kwengane yakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Blueberry Muffin Rash akuyona nje i-skin rash, ingaba uphawu lwesifo esibucayi esibangelwa yiso.
- Isici esikhethekile ukuthi la mabala abonakala eba ngaphakathi kwesikhumba, hhayi phezu kwaso.
- Uma ubona lezi zinhlobo zamabala esikhumbeni sengane yakho, ungalibali bese uwabonisa udokotela ngokushesha noma uye e-Emergency Treatment Unit (ETU) yesibhedlela.
- Kubalulekile ukufuna iseluleko sezokwelapha esifanele kanye nokuhlolwa ngesikhathi sokukhulelwa ukuze uvimbele noma uthole izifo ezifana ne-TORCH kusenesikhathi.
- Khuluma ngokukhululekile nethimba lakho lezokwelapha mayelana nohlelo lwakho lokuxilonga kanye nokwelashwa. Bazokunikeza ukwesekwa okudingayo wena nomntwana wakho.
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