Siyazi ukuthi iSickle Cell Disease ayiyona inkinga elula ukubhekana nayo. Ungacabanga ukuthi kunzima kangakanani ukuphila nobuhlungu nezinkinga ezibangelwa yilesi sifo. Ngakho-ke, okuwukuphela kwendlela yokwelapha lesi sifo ngokuphelele ukufakelwa umnkantsha. Kodwa lokhu akuyona into engenziwa ngesikhathi esisodwa. Uma ucabanga ngokufakelwa okunjalo wena noma ingane yakho, ake sixoxe ngakho ngemininingwane ethe xaxa, kalula.
Kwenzekani ngempela ngalokhu?
Kalula nje, ukufakelwa umnkantsha wethambo kuhilela ukususa amaseli okuqala egazi abomvu emzimbeni wakho, abizwa ngokuthi amaseli okuqala egazi, bese uwafaka amaseli okuqala anempilo. Cabanga ngakho njengokususa izisebenzi ezinephutha efektri yokwenza igazi emzimbeni wakho bese uzifaka izisebenzi ezinempilo ezisebenza kahle. Ngemva kwalokhu, umzimba wakho uyayeka ukwenza amaseli anjengesikela abangela lesi sifo.
Kule nqubo, odokotela bafaka amaseli okuqala aphilile avela kumuntu onikelayo onempilo ngethubhu ye-IV, ngokuvamile njengesixazululo sikasawoti esifakwa emthanjeni osengalweni yakho. Uma esesemzimbeni wakho, lawa maseli aya ngqo emnkantsheni wakho, lapho ahlala khona futhi aqale ukwenza amaseli egazi anempilo.
Nakuba lokhu kungase kuzwakale kulula, ukufakelwa umnkantsha kuyinqubo ende, eyinkimbinkimbi edinga ukunakekelwa okukhulu nokunakwa. Kudinga izinyanga zokulungiselela nokulandelela.
Indlela le nqubo enkulu eyenzeka ngayo
Ngemva kokuthola umnikeli ofanelana nawe, kuzodingeka uhlale esibhedlela amasonto ambalwa. Ngemva kwalokho, odokotela bazokugada izinyanga. Ake sibone ukuthi lokhu kusebenza kanjani isinyathelo ngesinyathelo.
| Isinyathelo / Ubude | Incazelo yalokho okwenzekayo |
|---|---|
| Isinyathelo 1: Ukulungiselela ngaphambi kokufakelwa (amasonto angu-1-2) | Uzongeniswa esibhedlela amasonto amabili ngaphambi kokufakelwa. Lapha uzothola ukwelashwa ngamakhemikhali.Ukwelashwa kuyanikezwa. Le mithi enamandla ibhubhisa amangqamuzana omnkantsha emzimbeni wakho enza lawo maseli egazi anephutha. Iphinde yenze buthaka isimiso sakho somzimba sokuzivikela. Yenza lokhu ukuze iwuvimbele ekuhlaseleni nasekulahleni amangqamuzana asanda kutshalwa. Ngezinye izikhathi ukwelashwa ngemisebe nakho kunganikezwa. |
| Isinyathelo 2: Yenza ukufakelwa (ngosuku olulodwa) | Bese, odokotela bafaka amangqamuzana aphilile avela kumuntu onikelayo emzimbeni wakho nge-IV. Lawa maseli azothatha indawo yomnkantsha omdala bese eqala ukwenza igazi elinempilo. |
| Isinyathelo 3: Ukululama ngemva kokufakelwa (inyanga eyodwa kuya ezinyangeni ezi-6-12) | Kuzodingeka uhlale esibhedlela cishe inyanga eyodwa ngemva kokufakelwa. Phakathi nalesi sikhathi, ithimba lezokwelapha lizokwenza izivivinyo ezivamile ukuqinisekisa ukuthi amaseli amasha asebenza kahle. Uma sekuqinisekisiwe ukuthi ukufakelwa kuphumelele futhi amaseli amasha asezinzile, uzokwazi ukuphuma esibhedlela. Kodwa-ke, kungathatha izinyanga eziyi-6 kuya kweziyi-12 noma ngaphezulu ukuthi amaseli akho egazi kanye nesistimu yakho yomzimba ilulame ngokugcwele. Phakathi nalesi sikhathi, udokotela wakho uzobe eqapha impilo yakho eduze kakhulu. |
Ungamthola kanjani umnikeli ofanele?
Abantu abafanelekela ukufakelwa umnkantsha wethambo ngokuvamile yilabo abaye baba nezinkinga ezinkulu noma abasezinhlungwini ezinkulu ngenxa yesifo se-sickle cell. Udokotela wakho uzoqala aqinisekise ukuthi uphilile ngokwanele ukuba uhlinzwe. Kuzodingeka futhi ukhulume nodokotela wengqondo noma isisebenzi sezenhlalakahle ukuqinisekisa ukuthi ulungele ngokwengqondo le nqubo ende.
Enye yezinselele ezinkulu kule nqubo ukuthola umnikeli ofanelana kahle nomnkantsha wakho.
- Izelamani: Ukuhlolwa kwegazi kungabonisa ukuthi umnkantsha womfowenu, udadewenu, noma umzali wakho uyafanelana yini. Phakathi kuka-20% no-30% wezingane ezidinga ukufakelwa ukufakelwa zinomfowenu noma udadewenu onomnkantsha ofanelana naye.
- AmaRejista Kazwelonke: Kunezindawo zokubhalisa zikazwelonke zabantu abazithandele ukunikela ngomnkantsha. Ungazama futhi ukuthola okuhambisanayo ngazo.
- Igazi Lentambo Yesibeletho: Uma unegazi lentambo eligcinwe ngemva kokuzalwa komntwana wakho, amaseli okuqala alo angasetshenziswa futhi ngale njongo.
Ziyini izingozi zalokhu?
Njenganoma yikuphi ukuhlinzwa okukhulu, ukufakelwa umnkantsha wethambo kunezingozi ezithile kanye nezinkinga. Kubalulekile ukuzazi lezi zinto kusenesikhathi.
| Ingozi | Incazelo kanye nalokho okufanele ukwazi |
|---|---|
| Ukwenqatshwa | Lokhu kubizwa ngokuthi i-Graft-versus-Host Disease (GVHD) . Lokhu kusho ukuthi amaseli aphilile asanda kutshalwa aqala ukuhlasela izitho zakho zomzimba. Lesi simo singathinta cishe umuntu oyedwa kwabayishumi. Kunemithi yokusilawula, kodwa ngezinye izikhathi uma imithi ingasebenzi, ingaholela ekulimaleni kwezitho zomzimba ngisho nasekufeni. |
| Izifo | Ngenxa yokuthi ukwelashwa ngamakhemikhali okwenziwa ngaphambi kokufakelwa kwenza amasosha omzimba abe buthaka, ungathola kalula izifo ezivela kumagciwane namagciwane. Udokotela wakho uzokunikeza imithi yokuvimbela lokhu. |
| Izinkinga zokudla okunempilo | Ukwelashwa ngamakhemikhali kungadala imiphumela emibi njengokulahlekelwa yisifiso sokudla, ukuhlanza, kanye nesifo sohudo, okungaholela ezinkingeni zokudla okunempilo. |
| Ukulimala kwesibindi | Imithambo yegazi esibindini ingalimala. Lokhu kubizwa ngokuthi i-Veno-occlusive Disease . Cishe umuntu oyedwa kwabangamashumi amabili angabhekana nalo monakalo omkhulu. |
| Ukungazali | Ngokuvamile, imithi enikezwa ngaphambi kokufakelwa ingaholela ekungazalini. Lena inkinga ebucayi, ngakho xoxa ngalokhu nodokotela wakho kusengaphambili futhi uqaphele izinketho zakho. |
Kuthiwani uma ukufakelwa kwesilwane kungaphumelelanga?
Ngakho konke lokhu, kufanele sithembe ukuthi kuzokwenzeka okuhle. Cishe kubantu abayisishiyagalolunye kwabayishumi , ukufakelwa kwezicubu kuyaphumelela, amangqamuzana egazi aphilile aqala ukwakheka, futhi isifo se-sickle cell siyalapheka ngokuphelele. Lezo yizindaba ezinhle kakhulu.
Kodwa-ke, ezimweni ezingavamile, uma ukufakelwa kwengane kwehluleka, odokotela kungase kudingeke baphinde inqubo. Noma kungase kudingeke baphinde bafake amaseli akho amadala emzimbeni wakho. Uma lokho kwenzeka, isifo se-sickle cell sizobuya.
Umlayezo Wokuya Nawe Ekhaya
- Ukuphela kwendlela yokwelapha ngokuphelele isifo se-sickle cell ukufakelwa umnkantsha wethambo.
- Lena inqubo eyinkimbinkimbi ehilela ukwelashwa ngamakhemikhali, ukuhlala esibhedlela isikhathi eside, kanye nezinyanga zokululama.
- Inselele enkulu kule nqubo ukuthola umnikeli ofanelana nawe ngqo.
- Kunezingozi ezinkulu ezihlobene nale nqubo, njenge-GVHD, ukutheleleka, kanye nokulahlekelwa ikhono lokuba nezingane. Kodwa ukufakelwa okuningi kuyaphumelela.
- Kubalulekile ukuxoxa ngazo zonke izinzuzo nezingozi ngokujulile nangokukhululekile nodokotela wakho ngaphambi kokunquma ukuthi lena inketho yokwelashwa efanele wena noma ingane yakho.
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