I-Necrotizing Enterocolitis

-Delile

• Ziyini Izimpawu Ze-Necrotizing Enterocolitis?
• Yini Ebangela i-Necrotizing Enterocolitis?
• Ihlonza Kanjani I-Necrotizing Enterocolitis?
• Iphathwa Kanjani i-Necrotizing Enterocolitis?
• Uyini Umbono Wezingane ezineNecrotizing Enterocolitis?

Kuyini i-Necrotizing Enterocolitis (NEC)?

I-Necrotizing enterocolitis (NEC) yisifo esiqubuka lapho izicubu ezingaphakathi kolwelwesi lwamathumbu amancane noma amakhulu zilimala bese ziqala ukufa. Lokhu kubangela ukuthi amathumbu avuthe. Isimo ngokuvamile sithinta ulwelwesi lwangaphakathi lwamathumbu kuphela, kepha ubukhulu bawo bonke bamathumbu bungathinteka ekugcineni.

Ezimweni ezinzima ze-NEC, umgodi ungakheka odongeni lwamathumbu. Uma lokhu kwenzeka, amabhaktheriya ajwayelekile atholakala ngaphakathi emathunjini angavuza esiswini futhi abangele ukutheleleka okwandile. Lokhu kubhekwa njengesimo esiphuthumayo sezokwelapha.

I-NEC ingakhula kunoma iyiphi ingane esanda kuzalwa kungakapheli amasonto amabili izelwe. Kodwa-ke, kuvame kakhulu ezinganeni ezizalwe ngaphambi kwesikhathi, kubalwa amaphesenti angama-60 kuya kwangama-80 wamacala. Cishe amaphesenti ayishumi ezingane ezinesisindo esingaphansi kwamakhilogremu ama-3, ama-ounces ama-5 athuthukisa i-NEC.

I-NEC yisifo esibi esingaqhubeka ngokushesha okukhulu. Kubalulekile ukuthola ukwelashwa ngokushesha uma ingane yakho ikhombisa izimpawu ze-NEC.

Ziyini Izimpawu Ze-Necrotizing Enterocolitis?

Izimpawu ze-NEC zivame ukufaka okulandelayo:

• ukuvuvukala noma ukuqumba kwesisu
• ukushintsha kombala kwesisu
• indle enegazi
• isifo sohudo
• ukungondli kahle
• ukuhlanza

Ingane yakho ingakhombisa nezimpawu zesifo, njenge:

• ukuphelelwa umoya, noma ukuphazamiseka kokuphefumula
• umkhuhlane
• ukukhathala

Yini Ebangela i-Necrotizing Enterocolitis?

Imbangela ngqo ye-NEC ayaziwa. Kodwa-ke, kukholakala ukuthi ukungabi khona komoya-mpilo ngesikhathi sokulethwa okunzima kungaba yimbangela. Lapho kukhona oksijini encishisiwe noma ukugeleza kwegazi kuya emathunjini, kungaba buthakathaka. Isimo esibuthakathaka senza kube lula ngamagciwane avela ekudleni okungena emathunjini ukudala ukulimala kwezicubu zamathumbu. Lokhu kungaholela ekwakhiweni kwesifo noma i-NEC.

Ezinye izinto eziyingozi zibandakanya ukuba namaseli abomvu amaningi kakhulu nokuba nesinye isimo samathumbu. Ingane yakho nayo isengozini eyengeziwe ye-NEC uma izalwe ngaphambi kwesikhathi. Izingane ezizalwe ngaphambi kwesikhathi zivame ukuba nezinhlelo zomzimba ezingathuthuki kahle. Lokhu kungadala ukuthi babe nobunzima ngokugaya, ukulwa nokutheleleka, nokusakazwa kwegazi nokomoya.

Ihlonza Kanjani I-Necrotizing Enterocolitis?

Udokotela angaxilonga i-NEC ngokwenza ukuhlolwa komzimba nokwenza izivivinyo ezahlukahlukene. Ngesikhathi sokuhlolwa, udokotela uzothinta ngobumnene isisu sengane yakho ukuze ahlole ukuvuvukala, ubuhlungu, nobumnene. Bese bezokwenza i-X-ray esiswini. I-X-ray izohlinzeka ngemifanekiso eningiliziwe yamathumbu, ivumela udokotela ukuthi abheke izimpawu zokuvuvukala nokulimala kalula. Indle yengane yakho nayo ingahlolwa ukubheka ukuba khona kwegazi. Lokhu kubizwa ngokuthi yi-stool guaiac test.

Udokotela wengane yakho futhi angayalela ukuhlolwa kwegazi okuthile ukukala amazinga eplatelet yengane yakho nokubalwa kwamaseli amhlophe egazi. Ama-platelet enza ukuthi igazi likwazi ukujiya. Amaseli egazi amhlophe asiza ukulwa nokutheleleka. Izinga eliphansi leplatelet noma inani eliphakeme lamaseli amhlophe egazi kungaba uphawu lwe-NEC.

Udokotela wengane yakho angadinga ukufaka inaliti esiswini somntwana ukuze ahlole uketshezi emathunjini. Ukuba khona koketshezi lwamathumbu ngokuvamile kusho ukuthi kunembobo emathunjini.

Iphathwa Kanjani i-Necrotizing Enterocolitis?

Kunezindlela eziningi ezahlukahlukene zokwelapha i-NEC. Uhlelo lokwelashwa olukhethekile lwengane yakho luzoxhomeka ezicini eziningana, kufaka phakathi:

• ubunzima besifo
• iminyaka yengane yakho
• impilo yonke yengane yakho

Ezimweni eziningi, noma kunjalo, udokotela wakho uzokutshela ukuthi uyeke ukuncelisa. Ingane yakho izothola uketshezi nezakhi zayo ngemithambo yegazi, noma nge-IV. Ingane yakho cishe izodinga ama-antibiotics ukusiza ukulwa nokutheleleka. Uma ingane yakho inenkinga yokuphefumula ngenxa yesisu esivuvukile, izothola usizo olwengeziwe lwe-oxygen noma lokuphefumula.

Ukuhlinzwa kungadingeka ezimweni ezinzima ze-NEC. Le nqubo ifaka phakathi ukususwa kwezingxenye ezilimele zamathumbu.

Kuwo wonke umuthi wokwelashwa, ingane yakho izobhekwa ngeso elibukhali. Udokotela wengane yakho uzokwenza ama-X-ray nokuhlolwa kwegazi njalo ukuze aqiniseke ukuthi lesi sifo asibi sibi.

Uyini Umbono Wezingane ezineNecrotizing Enterocolitis?

I-Necrotizing enterocolitis ingaba yisifo esisongela impilo, kepha izingane eziningi zilulama ngokuphelele lapho zithola ukwelashwa. Ezimweni ezingavamile, amathumbu angalimala futhi anciphise, okuholele ekuvinjelweni kwamathumbu. Kungenzeka futhi ukuthi i-malabsorption yenzeke. Lesi yisimo lapho amathumbu engakwazi khona ukuncela izakhamzimba. Kungenzeka kakhulu ukukhula ezinganeni ezazisuswe ingxenye yamathumbu azo.

Umbono wengane yakho oqondile uncike empilweni yayo yonke nobukhulu besifo, phakathi kwezinye izinto. Khuluma nodokotela wakho ngolwazi oluthe xaxa maqondana necala elithile lomntanakho.