Bekungaba yinto esabekayo uma ubungabuka esibukweni ngolunye usuku ubone ukuthi ulimi lwakho, noma ulimi lomntwana wakho, lubomvu kakhulu kunokujwayelekile, lunezimbotshana ezincane ezibukeka njengembewu ebusweni be-strawberry. Kwezokwelapha, yilokhu esikubiza ngokuthi 'uLimi lwe-Strawberry'. Abanye abantu balubiza nangokuthi 'uLimi lwe-Raspberry' ngenxa yokubonakala kwalo. Nakuba leli gama lingakukhumbuza isithelo esimnandi, lesi simo asiyona into enhle kakhulu. Kodwa ungakhathazeki. Namuhla, sizokhuluma ngalokho okufanele ukwenze uma ubona lokhu nokuthi yini engabangela lokho.
Kuyini 'Ulimi Lwesitrobheli'?
Kalula nje, ulimi oluphilile luvame ukuba bomvu, futhi lunamaqhubu amancane amancane (ama-papillae) ebusweni balo. Kodwa uma 'ulimi lwesitrobheli', ulimi luba bomvu ngokugqamile, bese lawo maqhubu amancane evuvukala futhi abe makhulu, abukeke njengembewu yesitrobheli.
Into ebalulekile ukuthi, 'ulimi lwesitrobheli' alusona isifo. Luwuphawu lwesinye isifo. Njengoba nje unomkhuhlane. Umkhuhlane awusona isifo, uwuphawu lokutheleleka. Futhi kunjalo nalokhu.
Ngakho-ke, uma wena noma ingane yakho ninayo noma iyiphi yalezi zimpawu, kubalulekile ukubona udokotela ukuze uthole ukuthi yini ngempela ebangela lokhu.
Yiziphi izimbangela eziyinhloko 'zolimi lwesitrobheli'?
Kunezimo ezintathu eziyinhloko zezokwelapha ezingabangela uphawu 'lolimi lwesitrobheli'. Lezi zidinga ukwelashwa okusheshayo.
1. Umkhuhlane obomvu
2. I-Toxic Shock Syndrome (TSS)
3. Isifo seKawasaki
Ngaphezu kwalezi zimbangela ezintathu eziyinhloko, lesi sibonakaliso singabangelwa nezinye izimbangela ezingavamile kakhulu. Isibonelo, ukungezwani nokudla okuthile noma imithi ethile, ukuntuleka kwevithamini B12, kanye nezinye izifo ezithathelwanayo ezingavamile (isib. i-Yersinia pseudotuberculosis, i-yellow fever). Kodwa-ke, izimbangela ezintathu zokuqala yizona ezivame kakhulu.
Manje ake sibheke lezi zimo ezintathu eziyinhloko zezokwelapha nokuthi yiziphi ezinye izimpawu ezingaba nazo ngaphezu kwesibonakaliso 'solimi lwesitrobheli' kuleli thebula. Lokhu kuzokwenza kube lula ngawe ukuqonda umehluko phakathi kwalezi zimo.
| Isimo | Izimpawu Ezihambisanayo |
|---|---|
| Umkhuhlane obomvu |
|
| I-Toxic shock syndrome (TSS) |
|
| Isifo seKawasaki |
|
Okunye okwengeziwe ngomkhuhlane obomvu
Lokhu ukutheleleka okubangelwa yibhaktheriya ebizwa ngokuthi i-group A Streptococcus. Leli yibhaktheriya elifanayo elibangela i-strep throat. Kodwa ku-scarlet fever, leli bhaktheriya likhiqiza ubuthi. Lobo buthi bubangela izilonda ezibomvu kanye 'nolimi lwesitrobheli'. Nakuba lesi sifo singathinta noma ubani wanoma yimuphi ubudala, sivame kakhulu ezinganeni eziphakathi kweminyaka emi-5 neyi-15. Ulimi lungase lube mhlophe ekuqaleni, bese luba bomvu ezinsukwini ezimbalwa.
I-Toxic shock syndrome (TSS)
Lesi yisimo esingavamile kakhulu kodwa esibucayi. Sibangelwa ukukhula okungalawuleki kwebhaktheriya i-Staphylococcus ne-Streptococcus kanye nobuthi obukhiqizwayo bungena emzimbeni. Abantu abaningi bacabanga ukuthi lokhu kuyinto eyenzeka kwabesifazane kuphela uma besebenzisa ama-tampons, kodwa lokhu akulona iqiniso. Noma ubani, kungakhathaliseki ubulili, angayithola le nkinga. Njengoba izimpawu ze-TSS zivela ngokushesha kakhulu, uma unalezi zimpawu, kufanele uye emnyangweni wezimo eziphuthumayo esibhedlela (ETU) ngokushesha.
Isifo seKawasaki
Lesi futhi yisifo esingavamile. Sibangelwa ukuvuvukala kwemithambo yegazi emzimbeni. Uma singelashwa kahle, imithambo yegazi ehambisa igazi enhliziyweni (imithambo ye-coronary) ingonakala. Imbangela eqondile yalokhu ayaziwa okwamanje. Kodwa-ke, kuvame kakhulu ezinganeni ezincane eziphakathi kwezinyanga eziyi-6 neminyaka eyi-5. Ngakho-ke, uma ingane encane inolimi olunombala we-strawberry kanye nezimpawu ezishiwo ngenhla kanye nomkhuhlane, odokotela bayasola kakhulu.
Ngakho-ke uphatha kanjani lokhu?
Njengoba 'ulimi lwesitrobheli' luwuphawu, ukwelashwa kuqondiswe esimweni esiyisisekelo esibangele lokhu. Uma leso simo sesilaphekile, ulimi luzobuyela esimweni esijwayelekile.
- Ama-antibiotic: Uma ukutheleleka ngamagciwane njenge-scarlet fever kanye ne-TSS, udokotela wakho uzokunikeza ama-antibiotic. Inkambo yokwelashwa ethatha cishe izinsuku eziyi-10 ivame ukudingeka.
- I-immune globulin (IVIG): Lokhu kwelashwa kunikezwa ngemithambo yegazi (IV) enganeni enesifo sikaKawasaki esibhedlela. Kulawula ukuvuvukala okubangela izimpawu.
- Ama-Antihistamine: Uma uphawu lubangelwa ukungezwani komzimba, le mithi ingasiza ekunciphiseni ukuvuvukala nokubomvu.
- I-Vitamin B12: Lokhu kuyimbangela engavamile kakhulu. Uma kungenxa yokuntuleka kwe-vitamin B12, kungadingeka udle ukudla okwengeziwe okuqukethe i-vitamin B12 noma uthathe isithasiselo njengoba kuqondiswe udokotela wakho.
Yini engenzeka uma ingelashwa?
Yilokhu sonke esikwesabayo. Kodwa ungesabi. Uma ubona udokotela kusenesikhathi futhi uthola ukwelashwa, akukho neyodwa yale ngozi ezovela. Kodwa uma ungatholi ukwelashwa, kungaholela ezingozini ezinkulu zempilo.
Isibonelo, uma singelashwa, isifo se-Kawasaki singalimaza unomphela imithambo yegazi enhliziyweni yengane, okuholela esifweni senhliziyo impilo yonke. Ngokufanayo, umkhuhlane obomvu ongalashwanga kanye nokutheleleka kwe-TSS kungasakazeka emzimbeni wonke, kulimaze izitho zangaphakathi njengezinso.
Ngakho-ke, uma ubona uphawu 'lolimi lwesitrobheli', ungakhathazeki ngokungadingekile ngemiphumela emibi kangaka. Kodwa-ke, khumbula ukuthi lolu uphawu olungathi sína ngokwanele ukuba luboniswe udokotela.
Umlayezo Wokuya Nawe Ekhaya
- 'Ulimi lwe-Strawberry' alusona isifo, luwuphawu lwesinye isifo.
- Lokhu kungaba uphawu lwesimo esibucayi njenge-scarlet fever, i-toxic shock syndrome (TSS), noma isifo se-Kawasaki.
- Uma ubona lesi sibonakaliso olimini lwakho noma lwengane yakho, ungesabi futhi ubone udokotela oqeqeshiwe ngokushesha.
- Ukwelashwa ngokushesha kwesifo esiyisisekelo esibangela lesi sibonakaliso kungavimbela ngokuphelele izinkinga ezinkulu.
- Lesi akusona isimo esizophola sodwa, ngakho ungalokothi usishaye indiva.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Kuyini i-Decreased Skin Turgor?
Lokhu akulona ukuguga okuvamile! 'I-Decreased Skin Turgor' yilapho isikhumba esingemuva kwesandla sakho (isandla sigobile) noma esiswini sakho (ukuhlolwa kokuncinza) singabuyeli ngokushesha esimweni esijwayelekile, kodwa kunalokho 'sigobile' imizuzwana/imizuzu embalwa (uphawu lwetende / ukugoba kwesikhumba) futhi kuyisimo esiphuthumayo sezokwelapha esiyingozi kakhulu! Lokhu kusho ukuthi amanzi emzimbeni wesiguli anciphile ngo-100% (Ukuphelelwa amanzi emzimbeni okukhulu).
💬 Yiziphi izizathu eziyinhloko ezenza isikhumba somuntu siphelelwe ukuthamba/ukugoba (Decreased Turgor)?
Isizathu esiyinhloko nesiwukuphela kwalokhu emhlabeni ukuthi amalitha amanzi emzimbeni akhishwa ngokuzumayo bese kuba khona 'Ukuphelelwa amanzi emzimbeni okukhulu'! 1) 'Uhudo Olungabekezeleleki (Uhudo Olukhulu/Olufana Nekholera)' kanye nokuhlanza okuqhubekayo (Ukuhlanza). 2) Iziguli ezinesifo sikashukela zinamazinga kashukela angu-500-600 futhi ziyachama usuku lonke (i-DKA / isimo se-Hyperosmolar). 3) Ukujuluka ngenxa yokushisa okukhulu (Ukushaya komoya oshisayo). 4) Abantu asebekhulile bayakhohlwa/abakwazi ukuphuza amanzi.
💬 Kungani isiguli esine-turgor enciphile esingakalulami ngemva kokudonswa nokudedelwa kufanele siyiswe esibhedlela ngokushesha, kunokuba sinikeze i-ORS ekhaya?
Ukumboza isikhumba kanje kusho ukuthi kungakhathaliseki ukuthi uphuza amanzi/uketshezi olungakanani ekhaya, akunandaba! Ingozi enkulu nebulalayo kakhulu! Kanye nalezi zimpawu, 1) 'Ukudideka/Ukudinwa', 2) Ukungachami usuku lonke/umchamo uphenduka ube phuzi omnyama (i-Oliguria-ukwehluleka kwezinso!), 3) Ukushaya kwenhliziyo okusheshayo (Ukushaya kwenhliziyo okusheshayo >120), isiguli singase sibe yi-coma (i-Hypovolemic shock) emahoreni ambalwa, futhi udinga ukuyiswa esibhedlela ngokushesha futhi unikezwe uketshezi lwe-IV!
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho