Njengomzali, ngiyaqonda ukuthi inhliziyo yakho izizwa inzima kangakanani lapho udokotela ekutshela ukuthi ingane yakho inomgogodla oqinile, noma lokho sonke esikwazi ngokuthi 'i-Spinal Muscular Atrophy' (SMA). Kodwa ngokuthuthuka kwesayensi yezokwelapha, sekuvele izindlela zokwelapha ezintsha nezithembisayo zokubhekana nezimo ezinjalo. Namuhla sikhuluma ngesidakamizwa esisodwa esikhethekile kakhulu, sesimanje. Leso yisidakamizwa esibizwa ngokuthi i-Onasemnogene Abeparvovec.
Know your body mass index (BMI) and weight classification
Kalula nje, iyini le Onasemnogene Abeparvovec?
Leli igama eliyinkimbinkimbi kancane, kodwa masiligcine lilula. Kungenzeka ukuthi uke wezwa ngalo muthi obizwa ngegama lomkhiqizo elithi Zolgensma. Leli akulona iphilisi noma i-capsule evamile. Lokhu ukwelashwa kwezakhi zofuzo .
Cabanga nje, yonke imisebenzi emzimbeni wethu ilawulwa yizakhi zofuzo zethu. Njengohlelo lwekhompyutha. Ku-SMA, kunesici esakhiweni sofuzo esenza iphrotheni ebalulekile ekusebenzeni kwemisipha. Ngakho-ke, okwenziwa yilolu hlobo lokwelashwa lwe-Onasemnogene Abeparvovec ukufaka ikhophi yezakhi zofuzo ezinempilo emzimbeni wengane esikhundleni saleyo zakhi zofuzo ezingasebenzi kahle. Le zakhi zofuzo ezinempilo zithwalwa ziye kumaseli ezinzwa zomzimba ngosizo lwegciwane eliguqulwe ngendlela engenangozi (igciwane elihlobene ne-adeno).
Into ebalulekile ukuthi lokhu akuyona indlela yokwelapha ezokwelapha ngokuphelele i-SMA. Kodwa-ke, kungasiza ekuvimbeleni lesi sifo ukuthi singaqhubeki futhi kusize imisipha yengane ukuthi isebenze futhi ikhule ibe namandla.
Lokhu kwelashwa kunikezwa kanjani?
Lomuthi unikezwa esibhedlela, ngaphansi kokuqondisa okugcwele kodokotela abangochwepheshe kanye nabasebenzi abahlengikazi. Lokhu ukwelashwa ngokufakwa komuthi . Njengesixazululo sikasawoti, lo muthi unikezwa kancane kancane emzimbeni isikhathi esingaba yihora. Lokhu kwelashwa kuvame ukunikezwa kanye kuphela empilweni.
Lokhu kwelashwa kunganikezwa izinsana ezisanda kuzalwa kanye nezingane ezincane. Ithimba lezokwelapha elikhethekile elihlola ingane lizonquma ukuthi lokhu kwelashwa kuyafaneleka yini enganeni yakho noma cha. Ngakho ungakhathazeki ngakho.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokwelashwa
Ngenxa yokuthi lokhu kuyindlela yokwelapha esezingeni eliphezulu kakhulu, kubaluleke kakhulu ukwazisa ithimba lezokwelapha ngayo yonke imininingwane ngesimo sempilo yengane yakho ngaphambi kokuqala ukwelashwa. Qiniseka ukuthi ubatshela ngalezi zinto ikakhulukazi.
- Uma ingane inesifo senhliziyo .
- Uma uke wabika ngaphambilini nganoma yisiphi isifo sesibindi noma izinguquko kuma-enzyme esibindi.
- EgaziniUma unesifo segazi esifana nokubalwa kwama-platelet aphansi.
- Uma uke waba nokusabela kokungezwani komzimba kulo muthi noma kunoma yimuphi omunye umuthi noma ukudla.
- Uma umama ekhulelwe, ezama ukukhulelwa, noma encelisa.
Ukunikeza lolu lwazi ngokunembile kubaluleke kakhulu ekuphepheni kwengane.
Yimiphi imiphumela emibi engaba khona yokwelashwa?
Njenganoma yimuphi umuthi, lokhu kwelashwa kungabangela imiphumela emibi. Eminye ivamile, kodwa kunezinto okudingeka siziqaphele kakhulu. Ake sizichaze ngokucacile.
| Umphumela ongemuhle | Incazelo nokuthi yini okufanele uyenze |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Izimpawu Zokulimala Kwesibindi | Lona umphumela omubi kakhulu novame kakhulu . Qaphela izimpawu ezifana nokuphuzi kwamehlo noma isikhumba (okufana ne-jaundice), umchamo ophuzi/onsundu omnyama, indle emnyama, ubuhlungu ohlangothini oluphezulu kwesokudla lwesisu, isicanucanu, ukulahlekelwa yisifiso sokudla, kanye nokukhathala okukhulu. Uma ubona noma yikuphi kwalokhu , tshela udokotela wakho ngokushesha . |
| Ukusabela Kokungezwani Nomzimba | Uma uzwa izimpawu ezifana nokuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, noma ulimi, noma ubunzima bokuphefumula, kuyisimo esiphuthumayo. Tshela udokotela wakho ngokushesha. |
| Ukopha noma ukuklwebheka okungavamile | Ngenxa yokwehla kwama-platelet, ukopha kungase kungapheli ngisho nasenxebeni elincane, futhi kungase kuvele imihuzuko ngaphansi kwesikhumba. Yazisa udokotela wakho ngalokhu futhi. |
| Izimpawu zokutheleleka | Uma uba nomkhuhlane ngaphandle kwesizathu, ukubanda, umphimbo obuhlungu, noma ukukhwehlela, tshela udokotela wakho ngakho. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela | |
| Ukuhlanza | Ingane yakho ingase ihlanze ngemva kokwelashwa. Lokhu kuvame ukuphela phakathi nezinsuku ezimbalwa. Kodwa-ke, uma kuqhubeka noma uma ingane yakho inenkinga, tshela udokotela wakho. |
Kuthiwani uma ngithola ukudlula ngokweqile?
Njengoba lo muthi unikezwa ngaphansi kokuqashwa kwezokwelapha esibhedlela, mancane amathuba okuthi uphuze ngokweqile. Kodwa-ke, uma usola ukuthi lokhu kwenzekile, kufanele wazise i-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha. Ungashayela ne-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko uma kudingeka.
Izinto okufanele uzicabangele ngesikhathi nangemva kokwelashwa
Ukuhlolwa kwegazi
Ngaphambi nangemva kokwelashwa, ingane yakho kuzodingeka ihlolwe igazi njalo ukuze kuqashwe ukusebenza kwesibindi sayo kanye namazinga e-platelet isikhathi esithile. Lokhu kungenxa yokuphepha kwengane yakho, ngakho-ke kubaluleke kakhulu ukuthi lezi zivivinyo zenziwe ngezinsuku ezihleliwe njengoba kuyalelwe udokotela wakho.
Ukuphathwa koketshezi lomzimba kanye nemfucuza
Leli yiphuzu elibaluleke kakhulu abantu abaningi abangalinaki. Ngemva kokwelashwa, izingxenye zalo muthi (igciwane eliguquliwe) zingakhishwa endle nasemchameni wengane inyanga noma ngaphezulu. Ngakho-ke, amalungu omndeni kufanele aqaphele kakhulu lapho eshintsha futhi ehlanza amanabukeni engane.
- Gqoka amagilavu njalo uma ushintsha inabukeni.
- Faka inabukeni elisetshenzisiwe esikhwameni sepulasitiki esivalwe kahle bese ulilahla ebhodweni likadoti elihlukile.
- Ngemva kokushintsha inabukeni, geza izandla zakho kahle ngensipho.
- Uma izingubo noma imibhede yengane yakho ingcoliswa yindle noma umchamo, zigeze zodwa ngamanzi ashisayo.
Ungakhathazeki ngalokhu. Ngaphambi kokuba uphume esibhedlela uye ekhaya, ithimba lezokwelapha lizokunikeza imiyalelo ecacile yokuthi ungenza kanjani lezi zinto.
Umlayezo Wokuya Nawe Ekhaya
- I-Onasemnogene Abeparvovec (Zolgensma) iyindlela ethile yokwelapha izakhi zofuzo ye-Spinal Muscular Atrophy (SMA), enikezwa ngemithambo yegazi kanye empilweni yonke.
- Nakuba lokhu kungelaphi ngokuphelele lesi sifo, kuwusizo olukhulu ekulawuleni ukuqhubeka kwalesi sifo nokuthuthukisa ikhwalithi yempilo yengane.
- Kubalulekile ukutshela udokotela ngomlando wempilo wengane ophelele (ikakhulukazi izinkinga zesibindi, inhliziyo, kanye negazi) ngaphambi kokwelashwa.
- Qaphela kakhulu izimpawu zokulimala kwesibindi (ukuphuzi kwesikhumba/amehlo, umchamo omnyama) ngemva kokwelashwa. Uma ubona noma yiziphi izimpawu ezinjalo, yazisa udokotela wakho ngokushesha.
- Kubaluleke kakhulu ukulandela iseluleko sezokwelapha lapho uphatha amanabukeni kanye nemfucuza yengane izinyanga eziningana ngemuva kokwelashwa.
- Uma unenkinga mayelana nalokhu kwelashwa, ungalokothi uqagele, kodwa buza udokotela noma ithimba lezokwelapha elilapha ingane yakho.
No comments yet. Be the first to share your question or experience below.