Ukuthi yini i-Stevens-Johnson Syndrome? Izimpawu, Izimbangela, & Ukwelashwa

I-Stevens-Johnson syndrome iyisimo esingavamile kodwa esibuhlungu sesikhumba esibangela amabhubhu abuhlungu nokubola kwesikhumba nakwimishini yomlomo. Cabanga ngayo njengesimiso somzimba wakho sokuvikela esihlasela ngephutha amangqamuzana esikhumba sakho, ngokuvamile kubangelwa imithi ethile noma ukutheleleka.

Lesi simo sithinta abantu abacishe babe ngu-1 kuya ku-6 ngemiliyoni unyaka ngamunye, ngakho-ke nakuba kungavamile, ukuqonda izimpawu zexwayiso kungasindisa impilo. Lesi simo ngokuvamile siqala ngezimpawu ezifana ne-influenza ngaphambi kokuthuthuka ekuthuthukeni okukhethekile kwesikhumba okudinga ukunakekelwa okusheshayo kwezokwelapha.

Ukuthi yini i-Stevens-Johnson Syndrome?

I-Stevens-Johnson syndrome (SJS) iyisifo sesimiso sokuvikela somzimba lapho izindlela zokuzikhusela zomzimba wakho ziphendukela esikhumbeni sakho nakwimishini yomlomo. Amangqamuzana akho okuvikela ahlonza ngephutha ithusi lesikhumba elimpilo njengabaphangi bangaphandle futhi aqale ukulihlasela.

Lesi simo sihlala esigabeni sezifo ezifanayo, i-SJS iyingxenye ephansi uma iqhathaniswa ne-toxic epidermal necrolysis (TEN). Uma i-SJS ithinta ngaphansi kuka-10% wesikhumba somzimba wakho, ihlala ihlelwe njenge-SJS, kodwa uma isakazeka ngaphezu kwalokho, odokotela bayibheka njenge-TEN.

Lesi simo siqondiswe ikakhulukazi ekuhlanganeni phakathi kwezendlalelo zesikhumba sakho, kubangela ukuthi zihlukaniswe futhi zenze amabhubhu abuhlungu. Imishini yakho yomlomo emlonyeni, emehlweni, nasezindaweni zocansi ngokuvamile iyizindawo zokuqala nezibuhlungu kakhulu ezihlaselekayo.

Zithini izimpawu ze-Stevens-Johnson Syndrome?

I-Stevens-Johnson syndrome ngokuvamile iqala ngezimpawu ezizwa zifana kakhulu ne-influenza, okwenza ukubona kusenesikhathi kube nzima. Lezi zimpawu zokuqala zexwayiso ngokuvamile zivele ezinsukwini eziyi-1 kuya kwezi-3 ngaphambi kokuthuthuka kokuguquka kwesikhumba okukhethekile.

Izimpawu zokuqala ongazihlangabezana nazo zihlanganisa:

• Ukuthuthumela okungafika ku-102°F (39°C) noma ngaphezulu
• Ukuzizwa ngokujwayelekile ungaphili kahle futhi udiniwe
• Ubuhlungu ehlombe oluzwakala lubi futhi lubuhlungu
• Ukuzwakala kokushisa emehlweni akho
• Izinhlungu zikhanda nezinhlungu zomzimba
• Ukuhlanza okungase kube komile noma okukhiqizayo

Phakathi nezinsuku ezimbalwa, izimpawu ezibonakalayo zesikhumba nezimpawu ze-mucous membrane ziqala ukubonakala. Lezi yizimpawu ezibalulekile ezihlukanisa i-SJS kwezinye izimo futhi zibonisa isidingo sokufuna ukunakekelwa kwezokwelapha ngokushesha.

Izimpawu zesikhumba ezibonakalayo zihlanganisa:

• Isiboshwa esibomvu noma esibomvu oluvela ngokushesha
• Izilonda ezilinganayo, ezizungezile ezibukeka njengezibonakaliso ezinamaphesenti amnyama
• Amabhilisa avela esikhuneni sakho nangaphakathi emlonyeni wakho
• Ukuqothuka okuhlungu kwesikhumba, ikakhulukazi ebusweni nasezingxenyeni eziphezulu zomzimba
• Isikumba esizwa sibuhlungu uma siqondwa

I-mucous membranes yakho ihlala ihlushwa kakhulu yilesi simo. Ungase uqaphele ubuhlungu obukhulu kanye namabhilisa emlonyeni wakho, okwenza ukudla nokuphuza kube nzima kakhulu. Amehlo akho angase abe bomvu, avuvuke, futhi abe buhlungu, ngokuguquka okungenzeka kokubona.

Ezimweni ezinzima kakhulu, ungase uhlushwe amabhilisa endaweni yakho yobudoda, okwenza ukuthamba kube buhlungu. Abanye abantu baphuthuma futhi izimpawu zokuphefumula uma isimo lithinta ukugqoka kwezindlela zabo zokuphefumula.

Yini ebangela i-Stevens-Johnson Syndrome?

I-Stevens-Johnson syndrome ivela lapho i-immune system yakho iqala ukuhlasela okungafanele kuma-tissues akho, kodwa lokhu kuphendula cishe kuhlale kunesici esithile. Ukuqonda lezi zici kungakusiza wena nodokotela wakho ukuthi nibone izingozi ezingaba khona ngaphambi kokuba zibe yingozi.

Imithi iyona ebangela i-SJS cishe ku-80% yezimo. I-immune system yomzimba wakho ngezinye izikhathi ingase ichaze imithi ethile njengezingozi, okubangela lokhu kuphendula okukhulu ngokuvamile emavikini angu-1 kuya kwangu-3 ngemuva kokuqala ukusebenzisa imithi entsha.

Imithi evame ukuxhumana ne-SJS ihlanganisa:

• Ama-antibiotics, ikakhulukazi ama-sulfonamides, ama-penicillin, nama-quinolones
• Imithi yokulwa nokuhlushwa njengephenytoin, carbamazepine, nelamotrigine
• Allopurinol, esetshenziswa ekwelapheni i-gout
• Ezinye izilondolozi zobuhlungu, kufaka phakathi ama-NSAIDs athile
• Nevirapine, imithi ye-HIV

Ukutheleleka kungase futhi kubangele i-SJS, nakuba lokhu kwenzeka kancane kunamacala abangelwa imithi. Ukutheleleka ngama-virus kuyizimbangi ezivamile zokutheleleka, ikakhulukazi i-herpes simplex virus, i-Epstein-Barr virus, ne-hepatitis A.

Ukutheleleka ngama-bacteria, kufaka phakathi i-mycoplasma pneumonia, ngezinye izikhathi kungabangela i-SJS. Ezinganeni, ukutheleleka kungenzeka kube yimbangela uma kuqhathaniswa nabantu abadala, lapho imithi iyimbangela eyinhloko.

Kwezinye izimo, odokotela abakwazi ukuthola imbangi ethile naphezu kokuhlola okuhleliwe. La macala, abizwa ngokuthi i-idiopathic SJS, asikhumbuza ukuthi ukuqonda kwethu le meko kuqhubeka nokukhula.

Nini Okufanele Ubone Udokotela Nge-Stevens-Johnson Syndrome?

I-Stevens-Johnson syndrome iyimo ephuthumayo lezokwelapha elidinga ukunakekelwa kwesibhedlela ngokushesha. Lapho ukwelashwa kuqala ngokushesha, amathuba akho okuphulukisa nokugwema izinkinga ezinkulu amakhulu.

Kufanele ufuna ukunakekelwa kwezokwelapha okusheshayo ngokushesha uma uthuthukisa ukuxubana komkhuhlane nanoma yiluphi uhlobo lwesikhumba, ikakhulu uma usanda kuqala imithi entsha. Ungalindi ukubona uma izimpawu ziphulukana zodwa, njengoba i-SJS ingathuthuka ngokushesha futhi ibe yingozi eyingozi empilweni.

Izimpawu zokuqapha ezithile ezidinga ukunakekelwa okusheshayo kwesimo esiphuthumayo zifaka phakathi:

• Ukusabela okubuhlungu okubomvu okusakazwa ngokushesha
• Ama-blisters esikhumbeni sakho noma emlonyeni wakho
• Isikhumba esiqothula noma esizizwa siqonde uma sithintwa
• Ubuhlungu obukhulu emehlweni noma ukushintsha kokubona
• Ukukhuluphala ukugwinya noma ukudla ngenxa yamaqhubu emlonyeni
• Ukuthambisa okuhlungu

Uma usebenzisa imithi njengamanje futhi uthola lezi zimpawu, letha uhlu oluphelele lwemithi yakho yonke endlini yokuhlinzwa ephuthumayo. Ulwazi lolu lusiza odokotela ukuthi bafumane ngokushesha izinto ezingase zibangele lezi zimpawu bese beqala ukwelashwa okufanele.

Khumbula ukuthi ukungenela ngokushesha kungathuthukisa kakhulu imiphumela. Abahlinzeki bezempilo bangathanda kakhulu ukuhlola izimpawu eziphuma ziyinto engathí sina kunokungaphoswa izigaba zokuqala ze-SJS.

Iyini Izingozi Ze-Stevens-Johnson Syndrome?

Nakuba i-Stevens-Johnson syndrome ingathinta noma ubani, izinto ezithile zingase zikwenze kube lula ukuthi uthole leli gciwane. Ukuqonda lezi zingozi kuzokusiza wena nodokotela wakho ukuthi nithathe izinqumo ezinolwazi mayelana nemithi nokulandelela.

Ukwakheka kwakho kwe-genetic kudlala indima ebalulekile engozini ye-SJS. Ukuguqulwa okuthile kwe-genetic, ikakhulukazi e-genes ezinqamula indlela i-immune system yakho eqaphela ngayo izingozi, kungakwenza ube sengozini enkulu yokuthola i-SJS uma uthola izinto ezibangela.

Abantu abavela e-Asia banengozi enkulu yokuthola i-SJS ngemithi ethile, ikakhulukazi i-carbamazepine ne-allopurinol. Ukuhlolwa kwe-genetic manje kukhona futhi kunconywa kubantu abavela e-Asia ngaphambi kokuthi baqale le mithi.

Ukuba ne-immune system ebuthakathaka kukwandisa ingozi yakho ye-SJS. Lokhu kufaka abantu abane-HIV/AIDS, labo abaphathwa ukwelashwa komdlavuza, noma abantu abasebenzisa imithi ecindezela i-immune system.

Izehlakalo zangaphambili ze-SJS zikwandisa kakhulu ingozi yakho yokuthola leli gciwane futhi, ikakhulukazi uma ubuyela esintweni esibangela.

Uma usuke waba ne-SJS, kuzodingeka ugweme imithi ethile noma into eyabangela ukusabela kwakho impilo yakho yonke.

Ubudala bungathinta nezingozi, abantu abadala beba nethuba elikhulu lokutheleleka yi-SJS ebangelwa imithi, kuyilapho abantwana beba nethuba elikhulu lokutheleleka yi-SJS ngezifo. Ubulili bungaba nendima encane, ezinye izifundo zibonisa ukuthi abesifazane bangaba nethuba elikhulu kancane.

Ziyini Izingozi Ezingenzeka Ze-Stevens-Johnson Syndrome?

I-Stevens-Johnson syndrome ingabangela ubunzima obukhulu obuthinta izici eziningi zomzimba, kungakho ukwelashwa ngokushesha okungokwedokotela kubaluleke kakhulu. Ukuqonda lezi zingozi ezingenzeka kusiza ekuchazeni ukuthi leli simo lidinga ukunakekelwa okukhulu esibhedlela.

Ubunzima besikhumba bakho bungaba yinto ebonakala ngokushesha futhi ekhathazayo. Ukonakala okukhulu kwesikhumba kungabangela ukutheleleka ngamabhaktheriya, okungaba yingozi uma kungelashwa kahle ngama-antibiotics nokunakekelwa kwesilonda.

Ukulimala okukhulu kungenzeka, ikakhulukazi ezindaweni lapho kukhona khona ukuqhuma okukhulu. Abanye abantu baba nezinguquko ezingapheli emibalabala noma ezingqikweni zesikhumba ezindaweni ezibuthintekile, yize ukunakekelwa kwesilonda okuhle kunganciphisa le miphumela.

Ubunzima amehlweni bungaba nemiphumela ehlala njalo ekuqondeni kwakho nasempilweni yakho. Ukuvuvukala nokukhahlela emehlweni kungabangela:

• Amehlo omile adinga ukwelashwa okuqhubekayo
• Ukulimala kwe-cornea okuthinta ukubona
• Izinkinga ze-eyelid ezingadinga ukulungiswa ngokuhlinzwa
• Ezimweni ezinzima, ukulahlekelwa ukubona okungapheli

I-respiratory system yakho ingathinteka uma i-SJS ihilela ukugqoka kwe-airways yakho. Lokhu kungabangela ubunzima bokuqeda futhi kungadinga ukuphefumula ngomshini ezimweni ezinzima.

Ubunzima bezinso bungenzeka, ikakhulukazi uma isimo siqhubekela e-toxic epidermal necrolysis. Izinso zakho zingalwa ukusebenza kahle ngenxa yokuphendula komzimba nokulahlekelwa amanzi.

Izinkinga zesikhathi eside zingafaka ubuhlungu obuhlala njalo, ukuzwela kwesikhumba okuqhubekayo, kanye nemiphumela yezingqondo evela ekuhlangenwe nakho okulimaza. Noma kunjalo, ngokwelashwa okuqondile nokusekelwa, abantu abaningi bayaphila kahle ngemuva kwe-SJS.

Singathintekani Kanjani I-Stevens-Johnson Syndrome?

Nakuba ungakwazi ukuvimbela ngokuphelele i-Stevens-Johnson syndrome, ungathatha izinyathelo ezibalulekile zokunciphisa ingozi yakho, ikakhulukazi uma unazo izici ezaziwayo zengozi. Ukuvimbela kugxila ikakhulukazi ekuphatheni kahle imithi nokukhethwa kwezakhiwo ze-genetic lapho kufaneleka.

Uma ungowesizwe sase-Asia, buza udokotela wakho ngokuhlolwa kwe-genetic ngaphambi kokuthatha i-carbamazepine noma i-allopurinol. Lovivinyo oluqondile lwegazi lungabonisa ukuguquguquka kwe-genetic okwandisa kakhulu ingozi yakho ye-SJS kule mithi.

Hlala uqaphelisa abahlinzeki bakho bezempilo mayelana nanoma yimiphi imiphumela emibi yemithi yangaphambili, ngisho noma ibonakala incinci ngaleso sikhathi. Gcina irekhodi elilotshwe lemithi ebangelwe yimiphi imiphumela emibi yesikhumba noma izimpendulo ezingqondo.

Uma uqala imithi emisha, qaphela izimpawu zokuqala zokuqaphela futhi uxhumane nodokotela wakho ngokushesha uma uthola umkhuhlane kanye nanoma yiluphi uhlobo lwesikhumba. Ungayidediseli izimpawu njengokungathintani nemithi yakho emisha.

Uma uke waba ne-SJS ngaphambili, kufanele ugweme ngokuphelele imithi noma into ebangelwe ukusabela kwakho. Phatha i-identification ye-medical alert ehlulayo ukungaphatheki kwakho kwemithi, futhi uqinisekise ukuthi bonke abahlinzeki bakho bezempilo bayazi ngomlando wakho.

Kubantu abanesistimu yokuvikela umzimba ebuthakathaka, sisebenzisana eduze neqembu lakho lezempilo ukuze uqonde izingozi nezinzuzo zemithi engase ibe yimbangela ye-SJS. Ngezinye izikhathi izinzuzo zokwelashwa okudingekayo zidlula izingozi, kodwa lokhu kudinga ukulandelelwa okucophelelayo.

I-Stevens-Johnson Syndrome Ihlonishwa Kanjani?

Ukuxilongwa kwe-Stevens-Johnson syndrome kudinga ukuhlolwa ngokucophelela yiqembu labasebenzi bezempilo ababona iphethini evelele yezimpawu nezinguquko zesikhumba. Ukuxilongwa kusekelwe ikakhulukazi ekuhlonzweni, okusho ukuthi odokotela bathembele ekuhlolweni kwezimpawu zakho nembali yakho yezokwelapha kunokuhlolwa olulodwa oluqinisekile.

Udokotela wakho uzoqala ngokuthatha imbali eningiliziwe yezimpawu zakho, kufaka phakathi ukuthi zaqala nini nanoma yimiphi imithi oyithathe muva nje. Uyakuqondisa ngemithi emisha, izongezelelo, noma ngisho nezinye izidakamizwa ongazithathe ezinyangeni ezimbalwa ezedlule.

Ukuhlolwa komzimba kugxile esikhumbeni sakho nasemahlathini. Udokotela wakho uzobuka izilonda ezifanayo nezehlakalo, ahlole ubukhulu besikhumba esithintekile, ahlole umlomo wakho, amehlo, kanye nezindawo zangasese ukuze abone izimpawu zokubola.

Kwezinye izimo, udokotela wakho angenza i-biopsy yesikhumba, lapho isampula encane yesikhumba esithintekile isuswa bese ihlolwa ngaphansi komkhiqizo. Lo mkhuba ungasiza ekuqinisekiseni ukuxilongwa nasekuqedeni ezinye izimo ezingase zibonakale zifana.

Izivivinyo zegazi zingase ziyalwe ukuze kuhlolwe izimpawu zokutheleleka, kuhlolwe impilo yakho yonke, nokuqapha umsebenzi wezitho. Lezi zihloko zisiza iqembu lakho lezokwelapha ukuqonda ukuthi umzimba wakho uyaphendula kanjani kule simo.

Ngezinye izikhathi odokotela kudingeka baqede ezinye izimo ezingabangela izimpawu ezifanayo, njengokuphendula okukhulu kwemithi, izifo zokubola kwe-autoimmune, noma ezinye izifo. Ukuhlanganiswa kwezimpawu zakho, isikhathi, kanye nemiphumela yomzimba kuvame ukwenza ukuxilongwa kucace.

Iyini Ukwelashwa kwe-Stevens-Johnson Syndrome?

Ukuphathwa kwe-Stevens-Johnson syndrome kudinga ukungena esibhedlela ngokushesha, ngokuvamile kwindawo ekhethekile yokushisa noma kwindawo yokunakekelwa okuqakathekile lapho iqembu lakho lezokwelapha lingakunikeza khona ukunakekelwa okuqakathekile okudingayo. Imigomo eyinhloko iwukumisa ukuqhubeka kwesimo, ukuphatha izinkinga, nokwesekela inqubo yokululama yomzimba wakho.

Isinyathelo sokuqala nesibaluleke kakhulu ukubona nokumisa ngokushesha noma iyiphi imithi engase ibe yimbangela ye-SJS yakho. Iqembu lakho lezokwelapha lizohlola yonke imithi yakho futhi liyeke noma yikuphi okungenzeka kube yizimbangela, ngisho noma lingaqiniseki ukuthi yikuphi okubangela.

Ukukhathalelwa okusekela kuyisisekelo sokwelashwa kwe-SJS. Iqembu lakho lezokunakekelwa kwezempilo lizoganekela ekugcineni ibhalansi yamanzi omzimba wakho, njengoba isikhumba esihlushwe singabangela ukulahleka okukhulu kwamanzi okufana nokushiswa okukhulu.

Ukukhathalelwa kwesikhumba sakho kuzokwenziwa njengokwelashwa kokushiswa. Lokhu kuhlanganisa:

• Ukuhlanza okuthambile nokubopha izindawo ezihlushwe
• Ukuphathwa kobuhlungu ngemithi efanele
• Ukuvimbela ukutheleleka okwesibili ngokunakekelwa okucophelelayo kwezindawo ezilimele
• Ukugcina ukushisa nokungqimba okufanele

Ukukhathalelwa kwamehlo kubaluleke kakhulu ukuvimbela izinkinga zesikhathi eside. Ochwepheshe bezokwelapha amehlo (ophthalmologist) cishe bayoba yingxenye yokunakekelwa kwakho ukuvimbela amabala nokugcina umbono wakho.

Indima yemithi ethile efana ne-corticosteroids noma imithi yokucindezela amasosha omzimba isalwela impikiswano. Abanye odokotela bangase basebenzise lezi zindlela zokwelapha ezimweni ezithile, kodwa azinconywa njalo ngenxa yokukhathazeka ngokwanda komngcipheko wokutheleleka.

Isikhathi sakho sokuphulukisa sizoxhomeka ezingeni lobukhulu besimo sakho, kodwa abantu abaningi baqala ukubona ukuthuthuka ezinsukwini ezimbalwa kuya kwesonto lokumisa imithi ebangela ukuphazamiseka nokufumana ukunakekelwa okusekela.

Indlela Yokuthatha Ukwelashwa Ekhaya Ngesikhathi Se-Stevens-Johnson Syndrome?

I-Stevens-Johnson syndrome idinga ukwelashwa esibhedlela futhi ayikwazi ukuphathwa ngokuphephile ekhaya ngesikhathi sesigaba esibuhlungu. Noma kunjalo, uma usuphumule esibhedlela, iqembu lakho lezokwelapha lizonika imiyalo ethile yokuthi uqhubeke nokuphulukisa kwakho ekhaya.

Uhlelo lwakho lokunakekela ulusu luyoba yigama elibalulekile phakathi nokubuyiselwa. Landela imiyalo yomhlinzeki wakho wezempilo ngokuqondile ngokuhlanza nokubopha noma yiziphi izilonda ezisele. Gcina izindawo ezibuhlungu zicocekile futhi zimanzi njengoba kuyalelwe, bese uqaphela izimpawu zokutheleleka.

Ukuphathwa kobuhlungu kungaqhubeka ekhaya ngemithi ebekiwe. Thatha imithi yokunciphisa ubuhlungu njengoba kuyalelwe, futhi ungangabazi ukuthintana nodokotela wakho uma ubuhlungu bakho bungalawulwa kahle noma uma uhlangabezana nemiphumela emibi ebandakanyekayo.

Vivikele ulusu lwakho oluphulukayo ekukhanyeni kwelanga, njengoba lungase lube luzwakalayo kunokujwayelekile. Sebenzisa imikhiqizo yokunakekela ulusu oluthambile, engenamphumulo futhi ugweme amasoseji noma amakhemikhali aqinile angase achoboze ulusu lwakho oluphulukayo.

Ukukhathalela amehlo akho kungase kudinge ukunakekelwa okuqhubekayo ngamaconsi noma amafutha amehlo abhalwe. Landela imiyalo yonyango wamehlo wakho ngokucophelela ukuvimbela izinkinga zesikhathi eside.

Hlanganyela kuyo yonke imiqhudelwano yokulandelela nabahlinzeki bakho bezempilo. Lezi zivivinyo zivumela iqembu lakho lezokwelapha ukulandelela intuthuko yakho yokwelapha futhi ukulungisa noma yiziphi izinkinga ekuqaleni.

Qaphela izimpawu zezexwayiso ezidinga ukunakekelwa kwezokwelapha ngokushesha, njengezimpawu zokutheleleka, ubuhlungu obukhulu, noma izimpawu ezintsha. Iqembu lakho lezokwelapha lizonikeza imiyalo ethile mayelana nokuthi nini kufanele ufune ukunakekelwa okuphaphandayo.

Kufanele Uzilungiselele Kanjani Ukuya Kudokotela?

Uma ucindezela ukuthi ungase ube ne-Stevens-Johnson syndrome, lokhu kuyisimo esiphuthumayo sezokwelapha esidinga ukunakekelwa okuphaphandayo kwe-emergency room kunokuba yi-aphoyintimenti ehlelwe. Noma kunjalo, uma uzilungiselela ukunakekelwa okulandelayo noma unezinkinga mayelana nezici zakho ezingozi, ukulungiselela okuhle kungakusiza ukuthola okuningi ekuhambeni kwakho.

Letha uhlu oluphelele lwazo zonke izidakamizwa ozithathayo njengamanje noma ozithathe muva nje, kufaka phakathi imithi ebhaliwe, imithi yokuthengwa ngaphandle kwesikripthi, izithasiselo, nezimithi zolukhuni. Faka imithamo nokuthi uqale nini imithi ngayinye.

Bhala ngemininingwane yonke imimonyo yakho, kufaka phakathi ukuthi yaqala nini, indlela eyaqhubeka ngayo, nokuthi yini eyenza ibe ngcono noma ebi. Qaphela noma iyiphi imiqondo oyibonile noma izici ocinga ukuthi uzibonile.

Lungisa uhlu lwemibuzo onayo kubanikezeli bakho bezempilo. Ungase ufune ukubuza ngokuthi:

• Izici zakho ezingozi zokuthuthukisa i-SJS
• Imithi okufanele uyigweme esikhathini esizayo
• Izimpawu zezexwayiso okumele uzilinde
• Imiphumela yesikhathi eside noma izinhlanganisela ongazihlangabezana nazo
• Uma ungabuya nini ngokuphephile emisebenzini evamile

Letha ilungu lomndeni noma umngani ozosiza ukukhumbula ulwazi olubalulekile, ikakhulukazi uma ungazizwa kahle. Bangakwazi futhi ukusiza ukukukhuthaza uma kudingeka.

Uma une-inshorensi, letha amakhadi akho we-inshorensi futhi ulungele ukuxoxa nganoma yikuphi ukugunyazwa kwangaphambili okungase kudingeke ekwelapheni noma ezinkomba.

Iyini i-Key Takeaway Mayelana ne-Stevens-Johnson Syndrome?

I-Stevens-Johnson syndrome iyimo elibi kodwa eliqhelile elidinga ukunakekelwa kwezokwelapha ngokushesha lapho kwenzeka. Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukuqaphela kwasekuqaleni nokuphathwa okusheshayo kungathuthukisa kakhulu imiphumela futhi kunciphisa ingozi yezinhlanganisela.

Uma uthuthukisa ubushushu kanye nanoma yiluphi uhlobo lwesikhumba, ikakhulukazi ngemuva kokuqala imithi entsha, ungalindi ukubona ukuthi kuya ngcono yini ngokwalo. Funani ukunakekelwa kwezokwelapha okusheshayo ngokushesha, njengoba i-SJS ingaqhubeka ngokushesha futhi ibe yingozi eyingozi.

Uma usuvele une-SJS, kuzodingeka ugweme isithintelo esithile esibangele ukusabela kwakho impilo yakho yonke. Lokhu kusho ukugcina amarekhodi aqinile we-allergies yakho yemithi nokuqinisekisa ukuthi bonke abanikezeli bakho bezempilo bayazi ngomlando wakho.

Nakuba i-SJS ingesaba, abantu abaningi abamukela ukwelashwa okusheshayo bayaphila kahle. Abanye bangaba nemiphumela yesikhathi eside, ikakhulukazi ebandakanya amehlo noma isikhumba, kodwa ukunakekelwa kwezokwelapha okufanele nokulandelwa kungasiza ukunciphisa lezi zinhlanganisela.

Ukuqaphela, ukusebenza ngokushesha, nokusebenzisana eduze neqembu lakho lezeMpilo kubalulekile ukuvimbela izigameko ezizayo nokuphatha imiphumela ehlala isikhathi eside evela ekuhlangenwe nakho kwakho ne-SJS.

Imibuzo Evame Ukubuzwa Mayelana ne-Stevens-Johnson Syndrome

Ingabe i-Stevens-Johnson syndrome ingelapheka ngokuphelele?

I-Stevens-Johnson syndrome ingaphathwa ngempumelelo, futhi abantu abaningi bayaphila ngokuphelele ngenxa yokunakekelwa kwezokwelapha okusheshayo. Kodwa-ke, ayikho “imithi” ngomqondo wesiko, njengoba ukwelashwa kugxile ekuqedeni ukusebenza komzimba wokulwa nezifo nokusekela inqubo yokululama yomzimba wakho. Okubalulekile ukuthola nokususa isithintelo ngokushesha, bese unikeza ukunakekelwa okusekayo ngenkathi umzimba wakho ululama.

Kuthatha isikhathi esingakanani ukululama kusuka ku-Stevens-Johnson syndrome?

Isikhathi sokululama sihluka kuye ngokubaluleka kwezimo zakho, kodwa abantu abaningi baqala ukubona intuthuko ezinsukwini ezimbalwa kuya kwesonto ngemuva kokuba ukwelashwa kuqalile. Ukuphulukiswa okuphelele kwesikhumba kwakho kungathatha amasonto ambalwa kuya ezinyangeni. Amehlo akho ne-mucous membranes kungathatha isikhathi eside ukululama ngokuphelele, futhi abanye abantu bangaba nemiphumela ehlala isikhathi eside edinga ukuphathwa isikhathi eside.

Ingabe i-Stevens-Johnson syndrome iyadluliseleka?

Cha, i-Stevens-Johnson syndrome ayidluliseleki futhi ayikwazi ukudluliselwa komunye umuntu. Kungukusebenza komzimba wokulwa nezifo okwenzeka emzimbeni wakho, ngokuvamile kubangelwa imithi noma ukutheleleka. Ngisho noma ukutheleleka kubangele i-SJS yakho, i-syndrome ngokwayo ayikwazi ukudluliselwa kwabanye.

Ngizophinde ngithole i-Stevens-Johnson syndrome uma ngiyitholile kanye?

Ingozi yakho yokuthola i-SJS futhi iphakeme uma usuke uyitholile ngaphambili, kodwa lokhu ngokuvamile kwenzeka kuphela uma ubuyele esithintelweni esifanayo esibangele isigameko sakho sokuqala. Kungakho kubalulekile ukugwema ngokuphelele imithi noma into ebangelwe ukusebenza kwakho kokuqala nokukwazisa bonke abahlinzeki bezempilo ngomlando wakho.

Ingabe izingane zingathuthukisa i-Stevens-Johnson syndrome?

Yebo, abantwana bangathuthukisa i-Stevens-Johnson syndrome, nakuba kungavamile kunabantu abadala. Kubantwana, ukutheleleka kungenzeka kube yimbangela uma kuqhathaniswa nemithi. Izimpawu nokwelashwa kufana nalezo zabantu abadala, kodwa abantwana bangadinga ukunakekelwa okukhethekile kwabantwana kanye nokulinganiswa okuhlukile kwemithi ngokusekelwe ebudaleni nasezindlekweni zabo.