Ingabe kufanele unike ingane ene-aspirin enomkhuhlane obangelwa yigciwane? Qaphela lesi sifo esiyingozi (i-Reye's Syndrome)

Uvame ukwenzani uma ingane yakho inomkhuhlane, umkhuhlane, noma isifo esifana ne-chickenpox? Ngezinye izikhathi sicabanga ukuthi, "O... mnike nje i-aspirin encane." Kodwa bewazi ukuthi ukunikeza i-aspirin ngesikhathi esinjengaleso kungaba yingozi kakhulu enganeni yakho? Namuhla sikhuluma ngesimo esingakhulunywa ngaso kakhulu, kodwa esibucayi kakhulu esibangela lokho. Leso yi-Reye's Syndrome, noma i-Reye's Syndrome .

Kalula nje, iyini i-Reye's Syndrome?

I-Reye's Syndrome yisifo esingavamile kodwa esibi kakhulu esibangela ukuvuvukala kwesibindi nobuchopho. Singathinta noma ubani wanoma yimuphi ubudala, kodwa sivame kakhulu ezinganeni nakubantu abadala abasebasha abalulama ekuthelelekeni ngegciwane njenge-flu noma i-chickenpox.

Ucwaningo lodokotela luthole ukuthi ingozi enkulu yalokhu ukunikeza ingane i-aspirin noma eminye imithi efanayo, okungukuthi, imithi equkethe ama-salicylates, ngesikhathi sokutheleleka ngegciwane.

Kungani lesi simo senzeka?

Odokotela abakaqondi ngokugcwele imbangela eqondile ye-Reye's Syndrome, kodwa bayazi ukuthi ezinye izingane zinamathuba amaningi okuba nalesi simo uma zinikwa i-aspirin ngesikhathi sokutheleleka ngegciwane.

Ngaphezu kwalokho, ezinye izingane zisengozini enkulu yokuthola lesi sifo. Lokhu kufaka phakathi:

• Uma benesifo sofuzo esihlobene nenqubo yokuqhekeka kwama-fatty acid emzimbeni (i-Fatty Acid Oxidation Disorder).
• Uma uke wachayeka kunoma yimaphi amakhemikhali anobuthi njengemithi yokunciphisa upende, imithi yokubulala izinambuzane, kanye nemithi yokubulala ukhula.

Uma kwenzeka i-Reye's Syndrome, amangqamuzana omzimba ayavuvukala bese amafutha eqala ukuqongelela ngaphakathi kwawo. Ngesikhathi esifanayo, izinga likashukela egazini liyehla ngokuzumayo. Izinto eziyingozi njenge-ammonia kanye ne-asidi ziyanda egazini. Lezi zinguquko zingabangela umonakalo omkhulu esibindini ikakhulukazi ebuchosheni, ngoba lezi zitho ziyavuvukala kakhulu.

Ziyini izimpawu? Sizibona kanjani?

Izimpawu ze-Reye's Syndrome zivame ukuvela ezinsukwini ezi-3 kuya kwezi-5 ngemuva kokuqala kokutheleleka ngegciwane. Lezi zimpawu zingahluka kancane kuye ngobudala, ngakho-ke kubalulekile ukukunaka lokhu.

Ake sibheke lezi zici etafuleni ukuze kube lula ukuziqonda.

Lesi yisimo esiphuthumayo! Uma ubona noma yiziphi zalezi zimpawu ezinzima, njengokushintsha okukhulu kokuziphatha, ukuquleka, noma ukulahlekelwa ingqondo, yisa ingane yakho eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngaphandle kokulibala . Lokhu kungaba yingozi empilweni, ngakho-ke ukuxilongwa nokwelashwa ngokushesha kubalulekile.

Ngezinye izikhathi lezi zimpawu zingadidaniswa ne-meningitis, ukusabela kwesifo sikashukela, noma ubuthi. Uma usola ukuthi kukhona into enobuthi (isb. i-herbicide), shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.

Udokotela usithola kanjani lesi sifo ngqo?

Akukho ukuhlolwa okukodwa okuqondene ngqo ne-Reye's Syndrome, ngakho odokotela bavame ukubheka ngokucophelela izimpawu nomlando bese benza izivivinyo eziningana ukuze banqume ezinye izimo.

Phakathi kwazo:

• Ukuhlolwa kwegazi nomchamo: Lokhu kuhlola izinto ezifana nokusebenza kwesibindi, ushukela egazini, kanye namazinga e-ammonia.
• Ukuhlolwa kwezinkinga ze-metabolism yamafutha: Kuhlolwa igazi okukhethekile ngalokhu.
• Ukubhoboza Umgogodla/Ukushaya Ithambo: Lokhu kuhlolwa kwenziwa ukuze kulinganiswe ingcindezi ebuchosheni nasemgogodleni kanye nokuhlola ukutheleleka.
• Ukuhlolwa Kwesibindi: Lokhu kusiza ekunqumeni izinga eliqondile lomonakalo kumaseli esibindi.
• Ama-CT noma ama-MRI scan: Lokhu kungabheka ukuvuvukala kobuchopho bese kuthola ukuthi kukhona yini ezinye izinkinga.

Ingabe ikhona indlela yokwelapha lokhu?

Akukho ukwelashwa okuqondile okungayimisa ngokuphelele i-Reye's Syndrome. Kodwa-ke, odokotela bangayiphatha le nkinga ngokungenisa isiguli esibhedlela, ukuvimbela izimpawu ezinzima, futhi ikakhulukazi ukulawula ukuvuvukala kobuchopho. Nazi ezinye izinto okufanele zenziwe:

• Uketshezi olufakwa emthanjeni (IV) kanye nokudla okunomsoco.
• Ama-diuretics yimithi esusa amanzi amaningi nosawoti emzimbeni futhi inciphise ukuvuvukala.
• Imithi yokuvimbela ukopha.
• Uma kwenzeka isimo esinjengokuphuma kwegazi esibindini, kunikezwa i-vitamin K, i-plasma, nama-platelet ukusiza ekuqhekekeni kwegazi.

Kungaba yini imiphumela yesikhathi eside?

Izindaba ezinhle ukuthi ngentuthuko kwezesayensi yezokwelapha, lesi sifo manje singatholakala kusenesikhathi, futhi izinga lokufa lehle lisuka ku-50% laya ngaphansi kuka-20%. Lokhu kusho ukuthi iningi lezingane nabantu abadala abasebasha abathola lesi sifo bayalulama ngokugcwele.

Ukuthi umuntu ululama kahle kangakanani kanye nengozi yokulimala kobuchopho isikhathi eside kuncike ekutheni ubuchopho buvuvukele kangakanani . Ingozi yokulimala kobuchopho iphakeme uma izimpawu ziba zimbi ngokushesha, okuholela ekuqulekeni.