Ingabe ingane yakho inalezi zinkinga? Namuhla sizoxoxa nge-Reye Syndrome!

Namuhla sizokhuluma ngesimo esingavamile kodwa esingaba yingozi. Lokhu kuvame kakhulu ezinganeni zethu ezincane, ikakhulukazi uma zinemfiva ebangelwa yigciwane, umkhuhlane, noma into efana ne-chickenpox bese zilulama. Yilokhu odokotela abakubiza ngokuthi i-Reye Syndrome. Kubaluleke kakhulu kithi sonke ukuqaphela lokhu, ngoba lapho sisheshe sikuqaphele, kulapho amathuba okusindisa ingane eba makhulu khona.

Iyini ngempela i-Reye Syndrome?

Kalula nje, i-Reye Syndrome iyisimo esiyingozi kakhulu esingavela ngokuzumayo futhi silimaze ubuchopho nesibindi sengane . Sivame ukubonakala lapho ingane encane ilulama ekuthelelekeni ngegciwane.

Nakuba imbangela eqondile ingakaziwa, ucwaningo luye lwahlobanisa lesi simo nokusetshenziswa kwe-aspirin noma ama-salicylates lapho izingane zigula ngesifo esibangelwa yigciwane. Ngezinye izikhathi, kungaba nzima kangangokuthi kungaba yingozi empilweni emahoreni ambalwa. I-Reye Syndrome ibhekwa njengesimo esiphuthumayo sezokwelapha futhi idinga ukunakekelwa kwezokwelapha okusheshayo .

Ukutholwa kwalesi sifo kusenesikhathi kanye nokuqala ukwelashwa kusenesikhathi kuyithuba elihle kakhulu lokuba ingane ilulame ngokugcwele.

Ubani onamathuba amaningi okuthola i-Reye Syndrome?

Lesi simo sivame ukuthinta izingane eziphakathi kweminyaka engu-4 nengu-14. Kodwa-ke, singathinta nezinsana ezincane futhi ngezinye izikhathi izingane ezincane.

Kodwa izindaba ezinhle ukuthi selokhu odokotela baqala ukweluleka izingane ukuthi zingayiniki i-aspirin, ikakhulukazi uma zinezifo ezibangelwa amagciwane, inani lamacala alesi sifo lehle kakhulu.

Lesi sifo sivame ukubonakala ngesikhathi sokuqubuka kwamagciwane. Isibonelo, phakathi nezinyanga zasebusika lapho kukhona umkhuhlane noma umkhuhlane, noma ngesikhathi sobhubhane lwe-chickenpox, kungenzeka kakhulu ukuthi sivele.

Ziyini izimpawu ze-Reye Syndrome? Ungazibona kanjani?

Izimpawu ze-Reye Syndrome cishe ziqala njalo ngemva kokuba ingane inesifo sokuphefumula esingaphezulu (njengomkhuhlane noma umkhuhlane), isifo sohudo, noma isifo segciwane njenge-chickenpox.

Lezi zimpawu zingabonakala zingakapheli usuku kuya emavikini amabili emva kokutheleleka yileli gciwane. Nazi ezinye zezimpawu:

• Ukuhlanza okuvamile: Lokhu kuvame ukuba uphawu lokuqala oluvelayo. Uma ukuhlanza kuqhubeka, kuyasolisa.
• Ukukhathala okungajwayelekile kanye nokozela: Kufanele ukhathazeke uma ingane yakho ilala njalo futhi ingenaso isikhathi.
• Kwabantwana abancane: Uhudo lungabangela nokwanda kwesivinini sokuphefumula.
• Ukucasuka, ukuziphatha kobudlova: Uma ukuziphatha kwengane kushintsha ngokuzumayo, futhi ivame ukuthukuthela noma ukuziphatha ngobudlova, lokho nakho kuyisibonakaliso.

Ngaphezu kwalokho, ezinye izingane zingase zibhekane nokushintsha kwamehlo, ubunzima bokuzwa, kanye nokuphazamiseka kwenkulumo (njengokungakwazi ukukhuluma kahle).

Njengoba lesi sifo siqhubeka, umntwana angabonisa izimpawu ezifana nalezi:

• Ukuziphatha ngendlela engenandaba, engenanjongo.
• Izimo ezinjengokudideka nokulahlekelwa yinkumbulo.
• Ubuthakathaka obukhulu bemisipha, ukuxhuzula, kanye nokulahlekelwa ukwazi.

Ngakho-ke, uma ingane yakho isanda kululama ekuguleni okubangelwa yigciwane futhi ihlanza njalo, noma uma ubona ushintsho olukhulu esimweni sayo sengqondo noma ekuziphatheni, ungakushayi indiva lokho. Nakuba kungavamile, kungaba yiReye Syndrome.

Ingane ene-Reye Syndrome yelashwa kanjani?

Izingane ezine-Reye Syndrome zivame ukwelashwa esibhedlela . Uma isimo sibi kakhulu, zinakekelwa e-Intensive Care Unit (ICU).

Akukho ukwelashwa okuqondile kwalokhu, okusho ukuthi "nikeza lo muthi futhi uzoba ngcono." Ukwelashwa kuwukunakekela okusekelayo . Okusho ukuthi, ukulawula izimpawu nokusiza umzimba ukuthi usebenze kahle. Ithimba lezokwelapha lizokwenza okulandelayo:

• Ukuhlola ukuthi umzimba wengane unebhalansi efanele yamanzi nosawoti (ibhalansi ye-electrolyte) .
• Ukuqinisekisa ukuthi ingane ithola ukudla okufanele ekudingayo.
• Ukuqapha njalo ukushaya kwenhliziyo nokuphefumula kwengane.
• Ukuqapha ingcindezi yoketshezi ebuchosheni bengane (ingcindezi yangaphakathi kwekhanda) kanye nomfutho wegazi .

Kulokhu, kufanele kwenziwe izivivinyo ezahlukahlukene. Isibonelo:

• Ukuhlolwa kwegazi (bheka ama-electrolyte kanye nokusebenza kwesibindi).
• Ukuhlolwa kwezithombe zobuchopho (i-CT scan noma i-MRI).
• Ngezinye izikhathi kungenziwa ukupompa umgogodla (ukubhoboza i-lumbar), i-biopsy yesibindi, kanye ne-EEG (i-Electroencephalogram).

Ngaphezu kwalokho, umntwana anganikezwa ukwelashwa okufana nalokhu:

• I-insulin ngamanani amancane ithuthukisa i-metabolism ye-glucose.
• Imithi ebizwa ngokuthi ama-corticosteroids inciphisa ukuvuvukala kobuchopho.
• Ama-diuretics yimithi esetshenziselwa ukususa uketshezi oluningi emzimbeni.

Uma ingane inesifo sokuwa, naso siyalashwa ngemithi. Ezinye izingane kungadingeka zinikezwe umshini wokuphefumula ukuze uzisize ziphefumule uma ukuphefumula kwazo kuhamba kancane noma kungasebenzi kahle.

Izingane ezine-Reye Syndrome zinethuba elingcono kakhulu lokululama kunangaphambili, ngenxa yokutholakala kusenesikhathi kanye nokwelashwa okuthuthukisiwe. Kodwa-ke, ezigabeni zakamuva zesifo, ukulimala kobuchopho, ukukhubazeka, ngisho nokufa kungenzeka. Yingakho ukwelashwa kusenesikhathi kubaluleke kangaka.

Kufanele ngimbone nini udokotela?

Uma ingane yakho ikhombisa noma yiziphi zalezi zimpawu, bona udokotela ngokushesha noma uyiyise esibhedlela :

• Uma uhlanza njalo futhi njalo.
• Uma kukhona ushintsho olukhulu ekuziphatheni kwengane (isib. ukuthukuthela kakhulu ngokuzumayo, ukucasuka, noma ukuthula kakhulu).
• Uma ulele kakhulu kunokujwayelekile futhi kunzima ukuvuka.

Lezi zinto zibaluleke kakhulu uma ingane yakho isanda kululama esifweni esibangelwa yigciwane njenge-flu noma umkhuhlane .

Yiqiniso, akuzona zonke izingane ezinesifo esibangelwa yigciwane ezizoba nezinye zalezi zimpawu, futhi iningi lazo ngeke libe ne-Reye Syndrome. Kodwa-ke, njengoba lokhu kungavamile kodwa kuyingozi, kungcono ukubona udokotela uma unenkinga . Ngoba ukutholakala kusenesikhathi kubalulekile ekwelapheni ngempumelelo i-Reye Syndrome.

Sizivikela kanjani izingane zethu ku-Reye Syndrome?

Lena yingxenye ebaluleke kakhulu. Kunezinto esingazenza ukuvikela izingane zethu kwiReye Syndrome.

Ungalokothi unike ingane yakho i-aspirin noma eminye imithi equkethe ama-salicylates uma ine-chickenpox, i-flu, umkhuhlane, noma esinye isifo esibangelwa amagciwane.

Imithi eminingi ethengiswa ngaphandle kwemithi kadokotela (i-OTC) iqukethe ama-salicylates. Isibonelo, eminye imithi ephazamisa isisu, njenge-Pepto-Bismol, iqukethe i-bismuth subsalicylate. Ngakho-ke, ngaphambi kokunikeza ingane umuthi, funda ilebula ngokucophelela . Uma ungaqiniseki ukuthi umuthi uphephile yini enganeni yakho, buza udokotela womndeni wakho noma usokhemisi.

Ngokuvamile, akuwona umqondo omuhle ukunikeza izingane ezincane kanye nentsha i-aspirin noma ama-salicylates , ngaphandle kokuthi udokotela akunike ngokuqondile isimo esithile sezokwelapha.

Into ebaluleke kakhulu okufanele uyikhumbule kulokho esixoxe ngakho (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke sikhulume kakhulu nge-Reye Syndrome namuhla. Izinto ezibaluleke kakhulu okudingeka uzikhumbule kukho konke lokhu yilezi:

• I-Reye's Syndrome iyisimo esingavamile kodwa esibi kakhulu esingalimaza ubuchopho nesibindi sengane.
• Lokhu kuvame ukwenzeka ngemva kokutheleleka ngegciwane, ikakhulukazi uma ingane inikwe imithi equkethe i-aspirin noma ama-salicylates ngaleso sikhathi.
• Ngakho-ke, ungalokothi unike ingane enezimpawu zegciwane i-aspirin nganoma yisiphi isizathu .
• Uma ingane yakho isanda kululama ekuguleni okubangelwa yigciwane futhi ihlanza njalo, ikhombisa ushintsho olukhulu ekuziphatheni, noma ilala ngendlela engavamile, funa iseluleko sezokwelapha ngokushesha .
• Ukuxilongwa kusenesikhathi kanye nokwelashwa kuyindlela engcono kakhulu yokuqinisekisa ukuthi ingane yakho ilulama ngokuphelele.

Uma sikhumbula lezi zinto, singasindisa izingane zethu ezimweni ezinjalo eziyingozi. Kubalulekile ukuqaphela ngaso sonke isikhathi.

I - Reye Syndrome, i-Reye Syndrome, Izifo Zabantwana, i-Aspirin, Ukutheleleka Kwamagciwane, Isibindi, Ubuchopho