Ubuhlungu obukhulu besisu ngesikhathi sokwelashwa komdlavuza? Ingabe kungaba yi-Typhlitis?

Ungase ube nokwelashwa komdlavuza. Noma ungase ube nesimiso somzimba sokuzivikela esibuthakathaka. Ngezikhathi ezinjengalezi, kungavela zonke izinhlobo zezinkinga zempilo. Namuhla sizokhuluma ngesimo esinjengalesi, ikakhulukazi esihlobene namathumbu, esibi kakhulu, kodwa esingalawulwa kahle uma sitholakala kusenesikhathi . Yilokhu esikubiza ngokuthi i-Typhlitis.

Kuyini i-Typhlitis? Kalula nje...

Kalula nje, i-Typhlitis ukuvuvukala okukhulu kohlelo lwethu lokugaya ukudla, okungukuthi, amathumbu. Lokhu kuvuvukala kungaholela ekuthelelekeni ngamagciwane kanye nesikhunta. Nakuba lesi kuyisimo esingavamile, kungenzeka kakhulu ukuthi senzeke kubantu abathola ukwelashwa ngamakhemikhali okunamandla, ikakhulukazi ezinhlotsheni ezithile zomdlavuza wegazi (isibonelo, i-leukemia, i-lymphoma, i-multiple myeloma).

Cabanga ngamathumbu ethu njengepayipi elide. I-Typhlitis ingathinta izingxenye ezahlukene zamathumbu:

• Lesi simo sivame ukubonakala ku -cecum, ingxenye yamathumbu amakhulu.
• Ngaphezu kwalokho, ikholoni ekhuphukayo
• Futhi i-ileum, eyingxenye yamathumbu amancane, nayo ingathinteka.

Odokotela ngezinye izikhathi basebenzisa amanye amagama kulesi simo, njenge -neutropenic enterocolitis , i-typhlenteritis, noma i-ileocecal syndrome. Kodwa wonke abhekisela esimweni esifanayo.

Ubani osengozini yokuthola i-Typhlitis?

Le ngozi ayiyona nje kuphela kulabo abathola ukwelashwa komdlavuza, kodwa futhi ikwabanye abantu abaningana.

• Abantu abane- HIV/AIDS bangaba nomkhuhlane we-typhoid.
• Futhi, abantu abathatha imithi yokucindezela amasosha omzimba , isibonelo, labo abaye bafakelwa i-stem cell/bone marrow, noma labo abaye bafakelwa esinye isitho somzimba, basengozini yokuthola lesi simo.

Nakuba lesi simo singasongela ukuphila , kubalulekile ukukhumbula ukuthi singelapheka uma izimpawu zitholakala kusenesikhathi futhi ukwelashwa kuqala ngokushesha.

Ziyini izimpawu ze-typhlitis?

Izimpawu ze-typhlitis ngezinye izikhathi zingase zizwakale njengobuhlungu besisu noma igciwane lesisu. Kodwa azingaphezu nje kobuhlungu besisu obuvamile. Izimpawu ezivamile zifaka:

• Ubuhlungu obukhulu besisu kanye nokuqaqamba kwesisu
• Isisu esivuvukile/ esivuvukile
• Uhudo
• Imfiva
• Isicanucanu nokuhlanza

Cabanga ngomuntu ogama lakhe linguNimali, othola ukwelashwa ngamakhemikhali ngenxa ye-leukemia. Kungazelelwe, uba nobuhlungu obukhulu esiswini, umkhuhlane, nokuhlanza. Ucabanga ukuthi kungenzeka ukuthi udle ukudla okunobuthi. Kodwa uma lezi zimpawu zingapheli ngemva kwezinsuku ezimbili noma ezintathu, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha . Ngoba kungaba yi-Typhlitis.

Kungani i-Typhlitis ivela? Ziyini izimbangela?

Abacwaningi bakholelwa ukuthi i-typhlitis ibangelwa yinhlanganisela yezici. Izici ezintathu eziyinhloko yilezi:

1. I-Mucositis: Lokhu ukuvuvukala kwe-mucus membranes ezungeze ingaphakathi lamathumbu ethu amakhulu namathumbu amancane. Njengoba nje izilonda zingakheka emlonyeni wethu, izilonda nokuvuvukala kungavela nangaphakathi kwamathumbu. Lokhu kungenzeka ikakhulukazi njengomphumela ongemuhle wokwelashwa okufana ne-chemotherapy.

2. I-Neutropenia: I-Neutropenia ukwehla kohlobo lweseli elimhlophe legazi elibizwa ngokuthi ama-neutrophils. Lawa ma-neutrophils afana namasosha abalulekile ohlelweni lwethu lokuzivikela komzimba . Yiwo alwa nezifo. Ukwelashwa ngamakhemikhali kungabangela ukwehla kwala ma-neutrophils.

3. Isimiso somzimba esibuthakathaka: Ukwelashwa komdlavuza (njengokwelashwa ngamakhemikhali) kanye nezifo ezifana ne-HIV/AIDS kungenza buthaka isimiso sethu somzimba sonke.

Manje ake sibone ukuthi lokhu kwenzeka kanjani. Okokuqala, i-mucositis ilimaza ulwelwesi lwamathumbu. Lokhu kuvumela amabhaktheriya amabi kanye nesikhunta ukuthi kungene kalula emathunjini . Ngaleso sikhathi, uma umzimba wethu une-neutrophils ephansi (i-neutropenia) futhi isimiso somzimba sokuzivikela sibuthakathaka, umzimba awukwazi ukulwa nalaba bahlaseli. Umphumela uba ukutheleleka okukhulu kanye nezinkinga ezingaba yingozi empilweni. Izibonelo:

• Ukopha kwamathumbu
• Ukubhoboza kwamathumbu
• I-Sepsis kanye ne-septic shock - Lokhu ukutheleleka okukhulu okusakazeka emzimbeni wonke.

Yiziphi izifo ezibangela i-Typhlitis?

Ucwaningo luthole ukuthi izinhlobo eziningi ezahlukene zamabhaktheriya kanye nesikhunta (esikubiza ngokuthi ama-pathogens) zingabangela i-typhlitis. Ezinye zezinhlobo ezivame kakhulu zamabhaktheriya yilezi:

• *I-Clostridium septicum*
• *I-Enterococci*
• *Ama-enterobacteria angenayo i-gram*
• *Pseudomonas aeruginosa*
• *I-Staphylococcus aureus*
• *I-Streptococcus*

Futhi, izinhlobo ezivame kakhulu zesikhunta yilezi:

• *I-Aspergillus*
• *Candida*

Lokhu kungase kubonakale kuyinkimbinkimbi kancane, kodwa odokotela bayazi ngakho ngakho akudingeki ukhathazeke kakhulu ngakho. Into ebalulekile ukuqonda ukuthi lezi zinhlobo zamagciwane yizo ezenza inkinga ibe yimbi kakhulu.

Odokotela bangayixilonga kanjani i-Typhlitis?

Uma unezinye zezimpawu ezibalwe ngenhla, udokotela wakho uzokwenza ukuhlolwa ngokomzimba kuqala. Bese bezokubuza imibuzo mayelana nomlando wakho wezokwelapha. Isibonelo, bazobuza ukuthi ngabe uke welashwa yini ngomdlavuza, uke wafakelwa i-stem cell noma wafakelwa isitho somzimba, nokuthi ngabe une-HIV/AIDS. Ngaphezu kwalokho, ukuhlolwa kwegazi kanye nokuhlolwa okukhethekile kwezithombe kungenziwa.

Ukuhlolwa kwegazi

Udokotela angase acele ukuhlolwa kwegazi okufana nalokhu:

• Inani Eliphelele Legazi (CBC): Lokhu kungahlola izinto ezifana namazinga e-neutrophil.
• Ukuhlolwa kokusebenza kwezinso
• Ukuhlolwa kokusebenza kwesibindi
• Ukuhlolwa kwesikhathi se-Prothrombin: Bheka ukujiya kwegazi.

Ukuhlolwa kwezithombe

Ukuhlolwa okuvame kakhulu okusetshenziselwa lokhu yi -CT scan (Computed Tomography - CT scan) . Lokhu kuskena kungabona ukuthi izindonga zekholoni yakho zikhulu kunokuvamile. Lokhu kuqina kwezindonga zekholoni kubangelwa ukuvuvukala.

Iphathwa kanjani i-typhlitis?

Akukho ukwelashwa komkhuhlane we-typhoid okulingana nobukhulu obubodwa. Isimo sawo wonke umuntu sihlukile. Kodwa ngokuvamile, umgomo oyinhloko wokwelashwa ukulawula ukutheleleka nokusekela amasosha omzimba wakho . Ungadinga inhlanganisela yezindlela zokwelapha ezahlukene. Nazi ezinye zezindlela zokwelapha ezivame kakhulu:

• Ama-antibiotic: Lawula ukutheleleka ngamagciwane. Ama-antifungal nawo anganikezwa.
• Ukumpontshelwa igazi: Uma unesifo somfutho wegazi esiphansi.
• Ukuhlinzwa kwe-laparotomy okudambisa ukucindezeleka: Ukuhlinzwa okwenziwa ukuze kuncishiswe ingcindezi esiswini uma iphezulu kakhulu.
• I-Granulocyte Colony-Stimulating Factor (G-CSF): Lona umuthi wokugomela onikezwa ukwandisa amazinga e-neutrophil.
• Uketshezi olufakwa emthanjeni (uketshezi lwe-IV): Vimbela ukuphelelwa amanzi emzimbeni futhi unikeze umzimba uketshezi oluwudingayo.
• Ukudla Okuphelele Kwabazali (TPN): Lokhu kuhilela ukunikeza uhlelo lokugaya ukudla ikhefu, ukuluvumela ukuthi luphole, bese luhlinzeka ngezakhamzimba ezidingekayo ngqo ngomthambo.

Uma welashwa umdlavuza, udokotela wakho womdlavuza angase enze izinguquko ekwelashweni kwakho komdlavuza uze ululame kwi-typhlitis. Uma i-typhlitis ibangela ukubhoboka kwamathumbu, kungase kudingeke ukuhlinzwa.

Lingakanani izinga lokufa? Ingabe kufanele sesabe?

Umkhuhlane we-typhoid uyinkinga enkulu, engaba yingozi . Ngesinye isikhathi, cishe wonke umuntu owake waba nomkhuhlane we-typhoid washona ngenxa yezinkinga ezifana ne-sepsis. Kodwa lokho akusenjalo . Ngokutholakala kusenesikhathi kanye nokwelashwa okusheshayo, abantu abaningi manje sebeyalulama kumkhuhlane we-typhoid. Ucwaningo lwamuva lubonise ukuthi abantu abangaphezu kuka-60% abanezifo zesikhunta ezibangelwa umkhuhlane we-typhoid balulama ngemva kokwelashwa. Ngakho-ke, kubalulekile ukuhlala unethemba .

Kufanele ngimbone nini udokotela wami?

Izimpawu ze-Typhlitis zingase zibonakale njengezinye izinkinga ezivame kakhulu emathunjini akho. Kodwa njengoba kushiwo ngaphambili, izimpawu ze-Typhlitis zingaphezu nje kokuhlunguphazeka kwesisu. Uma unezinye zalezi zimpawu, bheka udokotela wakho ngaphandle kokungabaza :

• Imfiva
• Isicanucanu nokuhlanza
• Ubuhlungu obukhulu esiswini kanye nokuxhuga

Ukuba nalezi zimpawu akusho ukuthi usuphinde waba nomkhuhlane we-typhoid, kodwa kuhlale kungumqondo omuhle ukukhuluma nodokotela wakho uma ubona noma yiziphi izinguquko emzimbeni wakho.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ungase ube ne-Typhlitis ngenxa yesimo esithinta amasosha omzimba wakho, noma ngoba welashwa umdlavuza. Nansi eminye imibuzo ongayibuza udokotela wakho:

• Ungangitshela ukuthi kungani ngathola i-Typhlitis?
• Kungenzeka yini ukuthi lokhu kwenzeke futhi?
• Ingabe kuzodingeka ngiyeke ukwelashwa komdlavuza?

Ukwelapha isifo esingathi sína njengomdlavuza noma i-HIV/AIDS kungazwakala njengokukhuphuka intaba. Njengoba ubhekana nezinselele ezifana nemiphumela emibi evela ekwelashweni, umgomo wokululama yiwo okugcina uqhubeka. Lapho kuvela inkinga entsha yezempilo efana ne-typhlitis, kungazwakala njengentaba enye ongayikhuphuka. Kodwa khumbula, kunezindlela zokwelapha ezingalapha i-typhlitis.

Noma kunjalo, ungase uzizwe udikibele. Ungase uzibuze ukuthi uzosinqoba kanjani lesi sithiyo esisha futhi ubuyele endleleni yakho yokululama. Ithimba lakho lezokwelapha liyaqonda ukuthi ukuxilongwa okusha kungazwakala kuyisithiyo esingakanani. Bazophendula imibuzo yakho mayelana nokwelashwa kwe-typhlitis nokuthi kuzokuthinta kanjani ukululama kwakho.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Typhlitis iyisimo esesabekayo, kodwa ingelapheka uma itholakala kusenesikhathi futhi yelashwa kahle.

• Kubaluleke kakhulu kulabo abathola ukwelashwa ngamakhemikhali, labo abane-HIV/AIDS, kanye nalabo abathatha imithi ecindezela amasosha omzimba ukuba baqaphele lokhu.
• Uma uzwa izimpawu ezifana nobuhlungu obukhulu besisu, umkhuhlane, nokuhlanza, ungacabangi ukuthi kumane nje kuyisisu esibuhlungu futhi thintana nodokotela ngokushesha.
• Landela imiyalelo kadokotela kahle. Ungayeki ukwelashwa phakathi nesikhathi.
• Hlala uqinile. Ithimba lakho lezokwelapha lizokusiza.

Ngiyethemba ukuthi lolu lwazi luwusizo kuwe. Hlala uphilile!

I- Typhlitis, ukuvuvukala kwamathumbu, imiphumela emibi yokwelashwa komdlavuza, i-neutropenia, i-chemotherapy, ukucasuka kwesisu, umkhuhlane