Isifo se-Hamburger singenzeka ngemva kokudla ukudla okungcolile ngu-E.coli
I-Hemolytic uremic syndrome (HUS), ngezinye izikhathi ebizwa ngokuthi isifo se-hamburger, yisimo esisongela ukuphila esilimaza izinso. I-HUS ibhubhisa amangqamuzana e-clotting (thrombocytopenia) nama-red cells (i-hemolytic anemia). Ukubhujiswa kwala maseli kubangelwa ukwakhiwa emithanjeni encane yegazi namashubhu wezinso, okuholela ekuhlulekeni kobuqili - izinso zivaliwe.
I-HUS ivame ukuthinta izingane ezineminyaka engama-1 kuya kwengu-10, kodwa futhi zingenzeka kubantu abadala. I-HUS ithinta cishe abantu ababili ku-100,000.
I-Hemolytic Uremic Syndrome no-E. Coli
I-Hemolytic uremic syndrome ivame ukuvela ngemva kokuba umuntu esenwe yisifo se-O157: H7 se-E.coli, esithathwa kakhulu ekudleni noma emanzini. Izifo ezinezifo ze-E.coli zibizwa ngokuthi yi-hamburger isifo okuthiwa yi-hamburger ngoba isifo singatholakala emzimbeni obomvu ophuziwe. Ezinye izinkinga ze-E.coli zingabangela i-HUS, futhi.
I-HUS ingenzeka futhi ekuphenduleni amanye amagciwane, ukukhulelwa, noma imithi ethile. Ezimweni ezingavamile, imbangela ingase ingaqiniseki. Uma abantu abadala beba ne-HUS, ngokuvamile kubangelwa into ngaphandle kokugula kokudla. Izakhi zakho zofuzo zingase zibe nokudlala, okwenza i-uremic syndrome ye-hemolytic - isimo esizuze njengefa.
Izimpawu
I-Hemolytic uremic syndrome kwenzeka ngemuva kwesisu somzimba (gastroenteritis) engase ihlanganise ukuhlanza, umkhuhlane kanye nokuhuda kwesifo.
Ezinsukwini ezimbili kuya kwezingu-14 kamuva, isimo siqala ngezimpawu ezinjengalezi:
- Ukuphazamiseka okungazelelwe (pallor) nokucasula
- Ukuphumula
- Ukunciphisa ukuchama
- Umchamo wegazi
- Izibhamu ezincane ezibomvu esikhumbeni
- Ukwanda kwengcindezi yegazi
- Ubuhlungu besisu
- Ukukhathala
- Ukuvuvukala ubuso, izandla, izinyawo, noma umzimba
Ukuthola Ukuxilongwa
I-HUS itholakala ngokuhlolwa kwegazi, umchamo, nesibalo.
Ukuhlolwa kwegazi kuzobheka izinga eliphansi elibomvu legazi kanye nezibalo zeplatelet, kanye namazinga aphezulu e-creatinine. Izivivinyo ze-urine zizohlola amazinga aphezulu amaprotheni kanye nokuba khona kwegazi. Izivivinyo zesitoreji zizobuka amabhaktheriya afana ne-E.coli. Odokotela bangase benze i-biopsy yezinso uma ezinye izivivinyo zingavumelani.
Ukwelapha i-HUS
Uma unesifo se-hamburger, kuzodingeka ungeniswe esibhedlela ukwelashwa. Ukunakekelwa kwezokwelapha kunikezwa ukuhluleka kwezinso futhi kungabandakanya i-dialysis, ukumpontshelwa igazi (ukubuyisela igazi ejwayelekile), imithi ephakeme yegazi, nokudla okukhethekile. I-intravenous immunoglobulin G (IgG) nayo inganikezwa. Akucaci ukuthi ngabe ama-antibiotics angasiza ekuphatheni lesi sifo. Ngeshwa, amaphesenti angama-4 kuya kwangu-5 eziguli ngeke asinde, futhi abaningi abaningi bayobe nezinkinga zempilo yesikhathi eside.
Kubantu abanokulimala kwezinso zesikhathi eside, udokotela wakho angancoma ukuthi athathe imishanguzo yegazi noma asebenzise ukudla okuphansi kwamaprotheni ukunciphisa izingozi zakho zokulimala kwezinso.
Ukuvimbela
Ungazivikela wena nabantwana bakho ekutholeni izifo zokudla ngoku:
- Ukupheka yonke inyama yenkomo nezinkukhu ngokugcwele. Thumela indawo yokudlela ukudla ukudla ekhishini uma kungaphekiwe kahle.
- Gwema ama-juice noma ubisi obungapheli
- Ukukhipha imfucumfucu yenkomo nokudla okuphakade ngemva kokuthenga
- Ukugeza izandla zakho nezitsha zokudla ngamanzi ashisayo, asosi emva kokuphatha inyama nezinkukhu
Imithombo:
I-Hemolytic Uremic Syndrome. I-National Isney kanye ne-Urologic Diseases Information Clearinghouse. Dec 2005. National Institute of Diabetes and Digestive and Kidney Diseases.
USims, uJudith. I-Hemolytic-uremic syndrome. Ezempilo AtoZ. 14 Aug 2006. HealthAtoZ.com.
I-National Institute of Diabetes kanye ne-Digestive and Kidney Diseases. I-Hemolytic Uremic Syndrome Ezinganeni. (2015)