Yini i-kernicterus, izimbangela nendlela yokwelapha

-Delile

• Izimpawu eziyinhloko
• Yelashwa kanjani
• I-sequelae engenzeka

I-Kernicterus iyinkinga ye-jaundice ebelethayo ebangela ukulimala ebuchosheni bosana, lapho i-bilirubin eyeqile ingalashwa kahle.

I-Bilirubin yinto ekhiqizwa ukubhujiswa kwemvelo kwamangqamuzana abomvu egazi futhi okweqile kwayo kususwa yisibindi ekukhiqizeni i-bile. Kodwa-ke, njengoba izingane eziningi zizalwa nesibindi singakakhuli kahle, i-bilirubin igcina iqoqana egazini, ikhiphe i-jaundice ebelethayo edala izimpawu ezifana nombala ophuzi wesikhumba.

Ukuze kuvinjelwe le nto ukuthi iqhubeke nokuqongelela nokuvimbela ukukhula kwe-kernicterus, udokotela wezingane uncoma ukwelashwa ngohlobo lwezibani ezikhethekile, ngokushesha nje lapho kutholakala ukuthi kutholakala i-jaundice, kuvumela i-bilirubin eyeqile isuswe emzimbeni wengane .

Izimpawu eziyinhloko

Izimpawu ezingakhombisa ukuthi ingane isengozini enkulu yokuthola i-kernicterus yilezi:

• Isikhumba esiphuzi namehlo;
• Kunzima ukuncelisa ibele;
• Umchamo omnyama kakhulu;
• Izitulo zokukhanya.

Lezi zimpawu azibonisi ukuthi umntwana une-kernicterus, kuyinkomba nje yokuthi angaba ne-jaundice engakazalwa, okuyilapho kuba khona i-bilirubin eyeqile emzimbeni. I-kernicterus izokhula kuphela uma ukwelashwa kungenziwa futhi i-bilirubin iyaqhubeka nokuqongelela, ize ifike ebuchosheni futhi ibangele ukulimala okungadala ukukhubazeka noma isithulu, isibonelo.

Yelashwa kanjani

Indlela engcono yokwehlisa amazinga e-bilirubin egazini nokuvikela ukuthi i-kernicterus ingaveli noma iqhubeke nokukhula ukubeka ingane embhedeni ngamalambu akhethekile. Le nqubo yaziwa ngokuthi i-phototherapy futhi ivumela i-bilirubin ukuthi ibhujiswe futhi isuswe kalula emzimbeni.

Kodwa-ke, lapho amazinga e-bilirubin ephezulu kakhulu noma i-kernicterus ibangela ukulimala kobuchopho, udokotela wakho futhi angakweluleka ukuthi ufakwe igazi ukuze ungene esikhundleni segazi lomntanakho.

I-sequelae engenzeka

Lapho amazinga we-bilirubin ephakanyisiwe isikhathi eside egazini, i-bilirubin ingafinyelela ebuchosheni, idale ukulimala okungaholela ku-sequelae njenge:

• Ukukhubazeka kobuchopho;
• Izithulu;
• Izinkinga zombono;
• Ubunzima ekuthuthukiseni ubuhlakani.

La ma-sequelae angahluka ngokuya ngobukhulu bokulimala nezindawo zobuchopho ezithintekile.