I-Necrotizing Enterocolitis

Umxholo

• Ziintoni Iimpawu zeNecrotizing Enterocolitis?
• Yintoni ebangela i-Necrotizing Enterocolitis?
• I-Necrotizing Enterocolitis ichongwa njani?
• I-Necrotizing Enterocolitis ithathwa njani?
• Yeyiphi imbonakalo yabantwana abaneNecrotizing Enterocolitis?

Yintoni i-Necrotizing Enterocolitis (NEC)?

I-Necrotizing enterocolitis (NEC) sisifo esivelisayo xa izicwili ezisemgceni wangaphakathi wamathumbu amancinci okanye amakhulu zonakala kwaye ziqala ukufa. Oku kubangela ukuba amathumbu avuthe. Imeko ihlala ichaphazela ulusu lwangaphakathi lwamathumbu kuphela, kodwa ubukhulu bamathumbu bunokuchaphazeleka ekugqibeleni.

Kwiimeko ezinzima ze-NEC, umngxuma unokubakho eludongeni lwamathumbu. Ukuba oku kuyenzeka, ibhaktiriya efumaneka ngaphakathi emathunjini inokuvuza kwisisu kwaye ibangele ukosuleleka. Oku kuthathwa njengongxamiseko kwezonyango.

I-NEC inokukhula nakuluphi na usana kwiiveki ezimbini emva kokuzalwa. Nangona kunjalo, kuxhaphake kakhulu kwiintsana ezingaphambi kwexesha, ukubalwa kwama-60 ukuya kuma-80 eepesenti zamatyala. Phantse iipesenti ezili-10 zeentsana ezinobunzima obungaphantsi kweepawundi ezi-3, ii-ounces ezintlanu zikhulisa i-NEC.

I-NEC sisifo esibi esingaqhubela phambili ngokukhawuleza. Kubalulekile ukufumana unyango ngokukhawuleza ukuba umntwana wakho ubonakalisa iimpawu ze-NEC.

Ziintoni Iimpawu zeNecrotizing Enterocolitis?

Iimpawu ze-NEC zihlala zibandakanya oku kulandelayo:

• ukudumba okanye ukudumba kwesisu
• ukutshintsha kwesisu
• Isitulo segazi
• urhudo
• ukondla okungondlekanga
• ukugabha

Umntwana wakho unokubonisa iimpawu zosulelo, ezinje:

• i-apnea, okanye ukuphazamiseka kokuphefumla
• umkhuhlane
• ukungakhathali

Yintoni ebangela i-Necrotizing Enterocolitis?

Isizathu ngqo se-NEC asaziwa. Nangona kunjalo, kukholelwa ukuba ukunqongophala kweoksijini ngexesha lokuhanjiswa nzima kunokuba yinto enegalelo. Xa kuncitshiswe ioksijini okanye ukuphuma kwegazi emathunjini, kunokuba buthathaka. Isimo esibuthathaka senza ukuba kube lula kwiibhaktheriya ezivela kukutya okungena emathunjini ukudala umonakalo kwizicubu zamathumbu. Oku kunokukhokelela kuphuhliso losulelo okanye i-NEC.

Eminye imingcipheko ibandakanya ukuba neeseli ezibomvu ezininzi kakhulu kunye nokuba nesinye isimo sesisu. Umntwana wakho usemngciphekweni owandayo we-NEC ukuba wazalwa ngaphambi kwexesha. Iintsana ezizalwe ngaphambi kwexesha zihlala zinenkqubo zomzimba ezingaphuhliswanga. Oku kunokubangela ukuba babe nobunzima ekucoleni ukutya, ukulwa nosulelo, kunye nokujikeleza kwegazi kunye neoksijini.

I-Necrotizing Enterocolitis ichongwa njani?

Ugqirha unokuchonga i-NEC ngokwenza uvavanyo lomzimba kunye nokuqhuba iimvavanyo ezahlukeneyo. Ngexesha loviwo, ugqirha uyakuchukumisa kancinci isisu somntwana wakho ukujonga ukudumba, iintlungu, kunye nokuthamba. Baya kuthi emva koko benze i-X-ray esiswini. IX-reyi iya kunika imifanekiso eneenkcukacha yamathumbu, ivumela ugqirha ukuba akhangele imiqondiso yokudumba kunye nomonakalo ngokulula. Isitulo somntwana wakho sinokuvavanywa ukujonga ubukho begazi. Oku kubizwa ngokuba luvavanyo lwe-stool guaiac.

Ugqirha wosana lwakho unokuyalela iimvavanyo ezithile zegazi ukulinganisa amanqanaba eplatelet yomntwana wakho kunye nokubalwa kweeseli ezimhlophe zegazi. Iiplatelets zenza ukuba igazi ligqume. Iiseli ezimhlophe zegazi zinceda ukulwa usulelo. Amanqanaba eeplatelet asezantsi okanye ubalo oluphezulu lweeseli ezimhlophe kunokuba ngumqondiso we-NEC.

Ugqirha wosana lwakho kusenokufuneka afake inaliti kwisisu somntwana ukuze ajonge ulwelo emathunjini. Ubukho bencindi yamathumbu ngesiqhelo kuthetha ukuba kukho umngxuma emathunjini.

I-Necrotizing Enterocolitis ithathwa njani?

Zininzi iindlela ezahlukeneyo zokunyanga i-NEC. Isicwangciso sonyango esithile somntwana wakho siya kuxhomekeka kwizinto ezininzi, kubandakanya:

• ubungqongqo besifo
• ubudala bomntwana wakho
• impilo iyonke yomntwana wakho

Kwiimeko ezininzi, nangona kunjalo, ugqirha wakho uya kukuxelela ukuba uyeke ukuncancisa. Usana lwakho luya kufumana ulwelo kunye nezondlo ngaphakathi, okanye nge-IV. Umntwana wakho uya kufuna i-antibiotics ekuncedeni ukulwa nosulelo. Ukuba umntwana wakho unengxaki yokuphefumla ngenxa yesisu esidumbileyo, baya kufumana ioksijini eyongezelelweyo okanye uncedo lokuphefumla.

Utyando lunokuba yimfuneko kwiimeko ezinzima ze-NEC. Inkqubo ibandakanya ukususwa kwamacandelo amoshayo emathunjini.

Ngalo lonke ikhondo lonyango, umntwana wakho uya kujongwa ngeliso elibukhali. Ugqirha wosana lwakho uza kwenza ii-X-reyi kunye novavanyo lwegazi rhoqo ukuqinisekisa ukuba esi sifo asibi mbi.

Yeyiphi imbonakalo yabantwana abaneNecrotizing Enterocolitis?

I-Necrotizing enterocolitis inokuba sisifo esisongela ubomi, kodwa uninzi lweentsana luchacha ngokupheleleyo emva kokuba lufumene unyango. Kwiimeko ezinqabileyo, amathumbu angonakala kwaye anciphise, ekhokelela ekuvaleni kwamathumbu. Kwakhona kunokwenzeka ukuba i-malabsorption yenzeke. Le yimeko apho amathumbu engakwaziyo ukufunxa izakhamzimba. Kungenzeka ukuba kuphuhliswe kwiintsana ezazisuswe icandelo lamathumbu abo.

Imbonakalo ekhethekileyo yomntwana wakho ixhomekeke kwimpilo yabo iyonke kunye nokuba qatha kwesi sifo, phakathi kwezinye izinto. Thetha nogqirha wakho ngolwazi oluthe kratya malunga nemeko ethile yosana lwakho.