Ingabe ngokuzumayo uba namaqhubu abomvu abuhlungu esikhumbeni sakho kanye nomkhuhlane? Kungaba yi-(Sweet Syndrome)!

Wake wezwa ngesifo esithi `(Sweet Syndrome)`? Mhlawumbe uma uzwa leli gama, ucabanga ukuthi yisifo sikashukela, kodwa akunjalo. Lokhu akuvamile kakhulu, okusho ukuthi akusona isifo abantu abaningi abasitholayo. Kodwa ukungakhululeki okuvele ngokuzumayo emzimbeni, ezingalweni, emilenzeni nasentanyeni, okuhambisana nomkhuhlane. Ingabe singakhuluma ngalokhu ngokuningiliziwe? Ngoba, yize kungavamile, kufanelekile ukukuqaphela.

Iyini ngempela `(I-Sweet Syndrome)`?

Kalula nje, `(I-Sweet Syndrome)` yisimo sokuvuvukala esenzeka esikhumbeni sethu. Siqala ngokuzumayo. Izimpawu eziyinhloko umkhuhlane ophezulu, amabala abomvu abuhlungu esikhumbeni, kanye nama-blister amancane. Lawa mabala avame ukubonakala ezingalweni, emilenzeni, emzimbeni ongaphezulu, futhi ngezinye izikhathi ebusweni nasentanyeni. Odokotela baphinde bakubize ngokuthi `(I-Acute Febrile Neutrophilic Dermatosis)`. Akulona yini igama elide lelo? Kusho ukuthi, "Isifo sesikhumba esihlobene nomkhuhlane ngokuzumayo esihilela uhlobo lweseli elibizwa ngokuthi `(Neutrophil)`." Ama-neutrophil uhlobo lweseli elimhlophe egazini ohlelweni lokuzivikela lomzimba wethu.

Ngezinye izikhathi lesi `(Sweet Syndrome)` singase senzeke nezinye izifo. Isibonelo, singabonakala ezimweni zomdlavuza `(Cancer)`, izifo zamathumbu `(Gastrointestinal Infections)`, noma ngesikhathi sokukhulelwa. Kutholakale nokuthi lesi simo singabangelwa eminye imithi esiyithathayo. Isibonelo, ezinye izinhlobo `(Antibiotics)`, okungukuthi, imithi ebulala amagciwane, (isib. `(Co-trimoxazole (Bactrim™))`) kanye `(NSAIDs)` (Nonsteroidal Anti-inflammatory Drugs) (isib. `(Advil®)`) nazo zingase zibangele lokhu.

Into engcono kakhulu ukuthi kukhona ukwelashwa kwalokhu. Ngokuvamile, uhlobo lwemithi ethi `(Corticosteroid)` (isb. `(Prednisone)`) luyanikezwa. Le mithi inciphisa ukuvuvukala futhi ilawule izimpawu. Uma lokhu kubangelwa yisifo esiyisisekelo, khona-ke `(Sweet Syndrome)` nayo izolulama uma leso sifo seselashwa.

Sivame kangakanani lesi simo?

I-Sweet Syndrome empeleni iyisimo esingavamile kakhulu . Inani elincane kuphela lamacala abikiwe emhlabeni wonke. Ngakho-ke, akuvamile ukuzwa ngakho.

Ubani okungenzeka kakhulu ukuthi athuthukise lokhu?

Lesi "Smell Syndrome" singenzeka kunoma ubani. Kodwa-ke, ngokusho kwemibiko , lesi simo sivame kakhulu kwabesifazane abaneminyaka ephakathi kuka-30 no-50. Kodwa-ke, lokho akusho ukuthi amadoda noma abantu bezinye izigaba zobudala abakwazi ukusithola.

Yiziphi ezinye izinkinga ezingaba khona ngenxa ye-`(Sweet Syndrome)`?

Kwezinye izimo, i-Sweet Syndrome ingathinta okungaphezu nje kwesikhumba, kodwa ingathinta nezinye izinhlelo zezitho zomzimba. Isibonelo, uhlelo lwezinzwa kanye nohlelo lokugaya ukudla kungathinteka.

Kodwa-ke, inkinga evame kakhulu izinkinga zamehlo.Lokhu kungafaka phakathi ukuvuvukala kwamehlo (ukubomvu, ubuhlungu), ukucindezeleka kwamehlo okwenyuka (i-glaucoma), kanye nokulunywa kwe-cornea. Ngakho-ke, kubaluleke kakhulu ukuthi umuntu one-Sweet Syndrome anakekele amehlo akhe.

Yiziphi izimbangela ze-`(Sweet Syndrome)`?

Uma ngikhuluma iqiniso, imbangela eqondile ye-Sweet Syndrome ayikakaziwa. Kodwa-ke, odokotela bayihlukanisa ngezigaba ezintathu eziyinhloko ngokusekelwe endleleni eyenzeka ngayo:

1. Isitayela sakudala

Okwenzekayo kulesi simo ukuthi "i-Sweet Syndrome" ivela ngesikhathi esisodwa nesinye isimo sezokwelapha.

• Isibonelo, kungafika nezifo zokuphefumula eziphezulu ezifana nokutheleleka komphimbo kanye nokutheleleka kwamaphaphu. Cabanga ukuthi unomkhuhlane omubi, umkhuhlane, bese ngokuzumayo uthola lawo maqhuqhuva esikhumbeni. Kungaba yinto efana naleyo.
• Lokhu kungenzeka futhi ngesikhathi sokukhulelwa kwabanye abantu.
• Kungabuye kuhlotshaniswe nezifo zesisu (isib. ubuhlungu besisu, isifo sohudo).

2. Okuhlobene nomdlavuza

Ngezinye izikhathi, i-Sweet Syndrome ihlotshaniswa nezinhlobo ezithile zomdlavuza . Lokhu kuyiqiniso ikakhulukazi ngomdlavuza ohlobene negazi njenge-Acute Myeloid Leukemia. Lesi simo sesikhumba senzeka ngenxa yezinguquko emzimbeni ezibangelwa umdlavuza.

3. `(Okubangelwa yimithi)` ngenxa yemithi ethile

Naleli iphuzu elibalulekile. Eminye imithi esiyiphuzayo ingabangela "i-Sweet Syndrome".

• Ezinye izinhlobo ze-`(Ama-antibiotic)`, isibonelo `(Bactrim™)` (equkethe `(Co-trimoxazole)`).
• Iziqeda-zinhlungu kanye nemithi yokulwa nokuvuvukala ebizwa ngokuthi ``ama-NSAID''.
• Umuthi obizwa ngokuthi `i-Granulocyte Colony-Stimulating Factor (G-CSF). Lo muthi unikezwa ukukhuthaza umzimba ukuthi ukhiqize uhlobo lweseli elimhlophe legazi elibizwa ngokuthi `i-Neutrophil`. Lawa maseli yiwo alwa nezifo.

Cabanga nje, ngemva kokuqala ukuthatha umuthi wokugula, uma ngokuzumayo uba nomkhuhlane kanye nokuqubuka okubomvu esikhumbeni sakho zingakapheli izinsuku ezimbalwa noma isonto noma amabili, kufanele usole ukuthi kungenzeka ukuthi kungenxa yalowo muthi.

Ziyini izimpawu ze-`(Sweet Syndrome)`?

Izimpawu ze-"Sweet Syndrome" ziqala ngokuzumayo. Izimpawu eziyinhloko ezibonakala yilezi:

• Amaqhubu abomvu abuhlungu noma ngezinye izikhathi amaqhubu amancane agcwele ubomvu avela ebusweni, entanyeni, ezingalweni nasemilenzeni. Kungase kube nesinye noma ngaphezulu salezi zilonda, futhi ngezinye izikhathi zingakhula ndawonye.
• Izilonda noma amathumba esikhumbeni futhi ngezinye izikhathi emlonyeni.
• Ukushintsha kombala wesikhumba. Umbala wezindawo ezithintekile ungashintsha ngokuhamba kwesikhathi.
• Kushisa kakhulu.Ukuthatha. Kungase kube nomkhuhlane ongama-degree Celsius angu-38 (100.4 Fahrenheit) noma ngaphezulu.
• Ubuhlungu Bemisipha Namalunga, Ikhanda Elibuhlungu, Nokukhathala.
• Umuzwa ojwayelekile wokungaphilile.

Uma kuvela esinye noma ngaphezulu salezi zimpawu ngokuzumayo, ikakhulukazi uma zihambisana nomkhuhlane kanye nezilonda zesikhumba ezibuhlungu, kungcono ukufuna iseluleko sikadokotela.

Wazi kanjani ukuthi une-`(Sweet Syndrome)`?

Uma unalezi zimpawu, udokotela uzokwenza ukuhlolwa okujulile ngokomzimba. Bazokubuza imibuzo eminingi mayelana nezimpawu zakho, njengokuthi zaqala nini, ukuthi unezinye izimo zezokwelapha, nokuthi ngabe uthatha noma yimiphi imithi.

Ngezinye izikhathi, uma ukuhlolwa ngokomzimba kukodwa kunganele ukwenza ukuxilongwa, udokotela wakho angase akuncome ukuthi kwenziwe i-biopsy yesikhumba, okuhilela ukuthatha ingxenye encane yesikhumba bese uyithumela elabhorethri ukuze ihlolwe . Lokhu kungasiza ekunqumeni ukuthi une-Sweet Syndrome noma esinye isimo ngokubheka izinguquko emaseli esikhumba sakho.

Ngaphezu kwalokho, kunezinye izici ezisiza ekuxilongweni:

• Ukuba nomkhuhlane ongaphezu kwama-degree Celsius angu-38 (100.4 Fahrenheit).
• Isabela kahle emithini ye-corticosteroid.
• Ngesikhathi esifanayo, ukuba nomdlavuza, esinye isifo, noma ukukhulelwa.
• Amazinga aphezulu ngendlela engavamile ezimpawu zegazi ezivuvukalayo.

Ngemva kokucabangela konke lokhu, udokotela uphetha ngokuthi "yi-Sweet Syndrome".

Yiziphi izindlela zokwelapha `(i-Sweet Syndrome)`?

Izindaba ezinhle ukuthi ngezinye izikhathi i-Sweet Syndrome iyaphela yodwa ngaphandle kokwelashwa. Kodwa-ke, abantu abaningi bayakudinga ukwelashwa.

Ukwelashwa okuyinhloko imithi ye-corticosteroid ehlelekile (isib. i-prednisone). Le mithi isebenza ngokunciphisa ukuvuvukala emzimbeni kanye nokucindezela isimiso somzimba sokuzivikela. Ama-corticosteroids anciphisa inani lamaseli amhlophe egazi kanye nezinye izingxenye zesimiso somzimba sokuzivikela, evimbela ukulimala kwezicubu.

Into ebaluleke kakhulu ukuphuza lo muthi njengoba nje udokotela wakho ekuyalele, ngesilinganiso esinqunyiwe, isikhathi esithile esinqunyiwe. Akuyona into enhle ukuyeka ukuwuthatha ngokuzumayo.

• Uma kukhona esinye isizathu esiyinhloko se-Sweet Syndrome (isib. ukutheleleka, umdlavuza), ukwelapha leso simo esiyisisekelo cishe kuzoxazulula lezi zinkinga zesikhumba.
• Uma kutholakala ukuthi lokhu kubangelwa umuthi (i-Drug-induced Sweet Syndrome), izimpawu zizoqala ukunyamalala uma umuthi usuyekiwe .

Kwenzekani ngemva kokwelashwa?

Kwabaningi, izilonda zesikhumba kanye namanxeba abangelwa yi-Sweet Syndrome ayaphola ngaphandle kwezibazi. Lokhu kuyinto enhle. Kodwa-ke, ngisho nangemva kokuba izimpawu seziphelile ngokuphelele, ukushintsha kombala wesikhumba kungase kuqhubeke izinyanga eziningana.Kancane kancane kuba yinto evamile.

Ingabe i-Sweet Syndrome ingavinjelwa?

Ngeshwa, njengoba imbangela eqondile ye-Sweet Syndrome ingaziwa, ayikho indlela yokuyivimbela. Siyazi ukuthi kunezici ezithile eziyingozi (isib. imithi ethile, izifo ezithile), kodwa akuwona wonke umuntu oyitholayo.

Uyini umbono womuntu onalesi simo? (I-Outlook)

Kwabaningi abantu, izimpawu ze-Sweet Syndrome ziphela ngokuzenzekelayo noma ngokwelashwa. Izimpawu zingahlala amasonto noma izinyanga eziningana.

Kodwa-ke, uma i-Sweet Syndrome ibangelwa yisimo sezokwelapha esiyimfihlo noma umuthi, izimpawu zingase ziqhubeke isikhashana. Izimpawu zingase ziqhubeke kuze kube yilapho imbangela eyisisekelo yelashwa noma umuthi umiswa.

Kufanele ubonane nini nodokotela?

Uma unezimpawu ezifana nalezo ezichazwe kulesi sihloko, ezihlanganisa ukuqala ngokuzumayo komkhuhlane kanye namabala abomvu abuhlungu, amaqhubu, noma amabhamuza esikhumbeni sakho, kufanele nakanjani ubone udokotela. Futhi, uma usuvele wazi ukuthi une-Sweet Syndrome futhi izimpawu zakho zibonakala ziba zimbi kakhulu, noma uma uthola izimpawu ezintsha, tshela udokotela wakho ngokushesha. Ukuthola ukwelashwa kusenesikhathi kungasiza ekunciphiseni ingozi yezinkinga.

Umlayezo Wokuya Nawe Ekhaya

• I-Sweet Syndrome yisimo esingavamile sokuvuvukala esibangela izilonda zesikhumba ezibomvu ezibuhlungu ezihambisana nomkhuhlane ongazelelwe.
• Nakuba imbangela eqondile yalokhu ingaziwa, kungenzeka ukuthi ibangelwa izifo ezithile, ukukhulelwa, kanye nemithi ethile.
• Izimpawu eziyinhloko umkhuhlane, ukuqubuka kwesikhumba okubomvu, kanye nobuhlungu bomzimba.
• Kungase kube nezinkinga zamehlo.
• Ingelashwa ngempumelelo ngama-corticosteroids. Kubalulekile futhi ukwelapha imbangela eyinhloko.
• Esikhathini esiningi, iyaphola ngaphandle kwezibazi, kodwa kungase kube noshintsho embala wesikhumba isikhashana.
• Uma unalezi zimpawu, funa iseluleko sezokwelapha ngokushesha.

Ngiyethemba ukuthi lolu lwazi luwusizo kuwe. Kungakhathaliseki ukuthi isimo sakho sezempilo siyini, kubaluleke kakhulu ukuba nolwazi olufanele ngaso.

I- Sweet Syndrome, umkhuhlane, izilonda zesikhumba, izifo zesikhumba, ukuvuvukala, ama-corticosteroids, izifo ezingavamile