Udokotela kungenzeka ukuthi ukutshelile ukuthi ingane yakho encane ineSickle Cell Disease (SCD). Kujwayelekile ngawe, njengomzali, ukuzwa ukwesaba okukhulu nokukhathazeka uma uzwa lokhu. Uma uphila nalesi sifo, kudingeka siqaphele izinto eziningi. Yingakho sidinga ukunaka ngokukhethekile, futhi namuhla sikhuluma ngenkinga eyingozi engasongela ngisho nokuphila. Lokhu kubizwa ngokuthi 'i-Splenic Sequestration'. Nakuba leli gama liyinqaba kancane, uma ulazi kahle, ungayivikela ingane yakho.
Kuyini ngempela ukuthuthwa kwe-Splenic?
Ukuze siqonde lokhu, ake siqale sikhumbule kancane ngesifo se-sickle cell (SCD). Ngokuvamile, amangqamuzana abomvu egazi kumuntu ophilile ayindilinga futhi ayizicaba. Njengediski encane. Ahamba kalula emithanjeni yegazi ngaphandle kokubhajwa. Kodwa-ke, ngenxa yokushintsha kwe -hemoglobin emangqamuzaneni abomvu egazi engane ene-SCD, lawa mangqamuzana aba lukhuni futhi abe sesimweni sesikele.
Manje cabanga ngakho, ingabe la maseli anomumo wesikela angena emithanjeni yegazi kalula njengamaseli ajwayelekile ayindilinga? Cha, akunjalo? Ayanamathelana futhi azama ukubhajwa ngaphakathi kwemithambo yegazi emincane.
Yilapho inkinga iqala khona. Emizimbeni yethu, ohlangothini lwesobunxele lwesisu, kukhona isitho esibizwa ngokuthi ' i -spleen '. Lokhu kufana nonogada emzimbeni wethu. Umsebenzi waso oyinhloko ukuhlanza igazi ngokususa amagciwane namaseli egazi amadala egazini. Kodwa enganeni ene-SCD, lawo maseli amise okwesikela abhajwa emithanjeni yegazi ethambile ngaphakathi kwe-spleen. Kufana nokuminyana kwezimoto emgwaqweni.
Uma lokhu kwenzeka, igazi okudingeka liphume ebhodweni alikwazi ukuphuma, futhi liqoqana ngaphakathi. Kancane kancane, ibhodwe ligcwala igazi, livuvuke, bese liba likhulu. Leso simo esiyingozi sibizwa ngokuthi 'i-Splenic Sequestration.'
Uma inani elikhulu legazi elidinga ukujikeleza emzimbeni libhajwa ebhodweni, inani lamaseli abomvu egazi athwala umoya-mpilo liye kuwo wonke umzimba liyancipha ngokuzumayo ngendlela eyingozi. Lokhu kubizwa ngokuthi i-anemia enzima. Lokhu kungenza ingane ibe buthakathaka kakhulu futhi ibe mhlophe.
Yiziphi izimpawu zalesi simo? Izinto okudingeka uzazi njengomzali
Lena yingxenye ebaluleke kakhulu. Uma wazi ngalezi zimpawu, ungathatha isinyathelo ngokushesha futhi usindise impilo yengane. Nakuba lesi simo sivame kakhulu ezinganeni ezincane, singavela kubantu banoma yimuphi ubudala abane-SCD.
| Isibonakaliso | Okufanele ukuqaphele |
|---|---|
| Ubuhlungu ohlangothini lwesobunxele lwesisu | Lolu uphawu oluvame kakhulu nolubaluleke kakhulu. Uma ingane yakho ikhala ngobuhlungu endaweni lapho kukhona khona udende, khathazeka. |
| Ukwanda kwe-spleen (ukuvuvukala) | Buza udokotela wakho futhi ufunde ukuthi ungayithinta kanjani i-spleen yengane yakho. Uma izwakala inkulu kunokuvamile futhi inzima, lokho kuyisibonakaliso esiyisixwayiso. |
| Ubuthakathaka obungazelelwe kanye nokukhathala okukhulu | Qaphela uma ingane yakho, ebidlala kahle, ivele ikhathale futhi ibe buthakathaka kangangokuthi ayikwazi ngisho nokuhamba. |
| Isikhumba esikhanyayo | Uma izindebe zengane yakho, izinsini, kanye nengaphakathi lezandla zayo liphenduka liphuzi, lokho kuyisibonakaliso se-anemia. |
| Ukuphefumula okusheshayo noma ukushaya kwenhliziyo | Uma umzimba ungatholi umoya-mpilo owanele, inhliziyo namaphaphu asebenza ngokushesha ukuze abuyisele isimo. |
| Intukuthelo engachazeki kanye nokucasuka | Ngenxa yokuthi ingane isezinhlungwini, ingase ithukuthele futhi ikhale ngezinto ezincane kakhulu. |
| Ukozela okungavamile | Uma ingane ilele kangangokuthi akunakwenzeka ukuyivusa, lokho kuyisibonakaliso esingathi sína. |
Okubaluleke kakhulu: Ngezinye izikhathi, noma ngabe ezinye izimpawu azibonakali, ukuvuvukala kwe-spleen kungabangela inani eliphansi kakhulu lamaseli abomvu egazi. Ngakho-ke uma ubona noma yiziphi zalezi zimpawu, thatha ingane yakho uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha. Lesi akusona isimo esingelashwa ekhaya.
Udokotela usithola kanjani lesi simo?
Uma uyisa ingane yakho esibhedlela, udokotela uzothatha izinyathelo eziningana ukuqinisekisa lesi simo.
1. Ukuhlolwa komzimba : Okokuqala, udokotela uzothinta isisu sengane bese ehlola ukuthi ngabe udende luvuvukile noma lukhulisiwe.
2. Ukuhlolwa kwegazi: Lokhu ukuhlolwa okubalulekile. Kuthathwa isampula yegazi lengane bese kuhlolwa izinga le-hemoglobin ukuze kubonakale ukuthi inani lamaseli abomvu egazi liphansi kangakanani. Baphinde babheke izinguquko emazingeni amaseli amhlophe egazi nama-platelet.
3. Ezinye izivivinyo: Kwezinye izimo, kungenziwa i-X-ray noma i-CT scan ukuze kubonakale ngokucacile isimo se-spleen.
Ungayiphatha kanjani? Ungesabi.
Nakuba lokhu kuyisimo esiphuthumayo, kungaphathwa ngempumelelo uma ulaliswa esibhedlela ngokushesha.
Ukwelashwa okuyinhloko ukumpontshelwa igazi . Lokhu kusho ukuthi inani lamaseli abomvu egazi lengane liyabuyiselwa ngokumpontshelwa igazi elihambisanayo. Lokhu kusiza umzimba ukuthi uthole umoya-mpilo owudingayo, futhi isimo sengane sithuthuka ngokushesha. Ngezinye izikhathi, uma inani legazi elisesinqeni liphezulu kakhulu, udokotela kungadingeka asuse elinye igazi emzimbeni wengane ngenkathi enikeza igazi.
Yini okufanele uyenze uma iphinda ivele?
Inkinga eyodwa ngokususwa kwe-splenic ukuthi uma kwenzeka, kungenzeka ukuthi kuphinde kwenzeke . Ezinye izingane kuzodingeka zibhekane nalesi simo izikhathi eziningana empilweni yazo.
Uma le nkinga iqhubeka, odokotela bangase basikisele ukususwa kwe-spleen ngokuhlinzwa (i-spleenectomy). Ukususwa kwe-spleen kungavimbela ngokuphelele lesi simo esiyingozi ukuthi singaphinde sivele. Kodwa-ke, ngemva kokususwa kwe-spleen, ikhono lomzimba lokumelana nezifo (amasosha omzimba) liyancipha kancane, ngakho-ke ingane kuzodingeka ithathe ama-antibiotic akhethekile kanye nemijovo yokuvikela ezifweni ezithile. Udokotela wakho uzokuchazela lokhu ngokucacile.
Umlayezo Wokuya Nawe Ekhaya
- Ukususwa kwesisu ngenxa ye-splenic, okungenzeka enganeni enesifo se-sickle cell, kuyisimo esibi nesisongela ukuphila esidinga ukwelashwa okuphuthumayo.
- Hlala uqaphile izimpawu ezifana nobuhlungu ohlangothini lwesobunxele lwesisu, ukuphaphatheka, ukukhathala okukhulu, kanye nobende oluvuvukele.
- Funda kudokotela wakho ukuthi ungathinta kanjani ubende wengane yakho. Kungasiza ekusindiseni impilo yengane yakho.
- Uma nje ubona noma yiziphi izimpawu ezibalwe ngenhla, ungachithi isikhathi bese uyisa ingane yakho e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze .
- Njengoba kunengozi enkulu yokuphinda lesi simo, xhumana nodokotela wakho njalo bese ulandela imiyalelo enikeziwe ngokufanele.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho