Yintoni i-kernicterus, izizathu kunye nendlela yokuphatha

Umxholo

• Iimpawu eziphambili
• Unyango lwenziwa njani
• I-sequelae enokwenzeka

I-Kernicterus yingxaki ye-neonatal jaundice ebangela ukonakala kwengqondo yosana, xa i-bilirubin engaphezulu inganyangwa ngokufanelekileyo.

I-Bilirubin yinto eveliswa kukutshabalalisa kwendalo kweeseli ezibomvu zegazi kwaye ukugqithisa kwayo kususwa sisibindi kwimveliso yenyongo. Nangona kunjalo, njengoko uninzi lwabantwana luzalwa ngesibindi lungaphuhlanga, i-bilirubin iphelela ekuqokeleleni egazini, inika i-jaundice ye-neonatal ebangela iimpawu ezinje ngombala omthubi wolusu.

Ukuthintela le nto ekuqhubekeni kokuqokelela kunye nokuthintela ukukhula kwe-kernicterus, ugqirha wabantwana ucebisa ukuba kwenziwe unyango ngohlobo lwezibane ezizodwa, nje ukuba kuqinisekisiwe ukuxilongwa kwe-jaundice, ukuvumela ukuba kususwe i-bilirubin egqithisileyo emzimbeni womntwana .

Iimpawu eziphambili

Iimpawu ezingabonisa ukuba umntwana usemngciphekweni wokukhula kernicterus zezi:

• Isikhumba esimthubi namehlo;
• Ubunzima bokuncancisa;
• Umchamo omnyama kakhulu;
• Izitulo zokukhanya.

Ezi mpawu azibonisi ukuba umntwana une-kernicterus, luphawu nje lokuba unokuba ne-jaundice engekazalwa, kulapho kukho i-bilirubin egqithisileyo emzimbeni. I-kernicterus iya kukhula kuphela ukuba ngaba unyango alwenziwanga kwaye i-bilirubin iyaqhubeka nokuqokelelana, ide ifike kwingqondo kwaye ibangele ukonzakala okunokubangela ukukhubazeka okanye isithulu, umzekelo.

Unyango lwenziwa njani

Eyona ndlela yokunciphisa amanqanaba e-bilirubin egazini kunye nokuthintela i-kernicterus ekuveleni okanye ekuqhubekeni nokukhula kukubeka umntwana ebhedini ngezibane ezizodwa. Obu buchule baziwa ngokuba yi-phototherapy kwaye buvumela i-bilirubin ukuba itshatyalaliswe kwaye isuswe ngokulula emzimbeni.

Nangona kunjalo, xa amanqanaba e-bilirubin ephezulu kakhulu okanye i-kernicterus ibangela ukonakala kwengqondo, ugqirha unokukucebisa ukuba utofelwe igazi endaweni yegazi lomntwana wakho.

I-sequelae enokwenzeka

Xa amanqanaba e-bilirubin ephakanyisiwe ixesha elide egazini, i-bilirubin inokufikelela kwingqondo, ibangele ukulimala okungakhokelela kwi-sequelae enje:

• Umvakalelo yokitazo;
• Ukungeva;
• Iingxaki zombono;
• Ubunzima kuphuhliso lwengqondo.

Ezi sequelae zinokwahluka ngokobunzima bokwenzakala kunye neendawo zobuchopho ezichaphazelekayo.