Inja yami ayiyena

Isizathu esivamile sokuletha isilwane esidlwaneni sezilwane ngoba isilwane "asiyona into yakhe evamile." Lesi sikhalazo sezempilo esingacacile singabonisa noma yikuphi kwezinkinga eziningana ezingase zibe khona, futhi kuthatha umsebenzi othile onzima kwiqembu lezilwane.

Izinguquko ezicashile noma ezincane ezempilo zingase zibe nzima ukuthola, kodwa ngokushesha lapho zibhekiswe khona, zingcono. Kwenzekani uma ungaqiniseki ukuthi kunenkinga noma cha?

Okuphephile kangcono kunesiziso - cela i-vet yakho. Kwenzekani uma wena lolo vet, futhi leso silwane isilwane sakho?

Le ndaba imayelana nenja yami ethandekayo, uSophie. Ngaqala ngibhala ngaye ngalesi sayithi, masinyane ngemva kokumthobela ngo-2002 kusuka endaweni yokukhosela.

Ukuphila Okuphilile

USophie wahola impilo enamandla, esekela ukukhulisa izingane zethu ezimbili nezilwane ezifuywayo eziningi eminyakeni yonke. Wayenempilo futhi engenabuhlungu, kuphela "okwakushiwo" kwakhe empilweni njengomsindo womsindo nokukhathazeka ngokwehlukana. Wangifundisa kakhulu ngalezo zimo eminyakeni edlule, futhi ndawonye sathola izixazululo ezisebenzayo.

Ihlobo lethu laliyinto esebenzayo, enokuhamba okuningi nokuhamba ngezinyawo nabantu-ukubingelela. Wayesoloko ehola phambili, uqhubekele phambili kwabakwa-Greyhound, abakwa- Argos ne-Purl bakhe abahamba kancane.

Khona-ke, Ushintsho

Kwakuyinguquko encane. I-pee yokuqala yasekuseni yayiyiphuthumayo kancane, hhayi ukushaya-ukushaya-ukuphunga ngaphambi kokukhamba, njengokujwayelekile. Wabeka okwesibili noma ngaphezulu kunalokho evamile kuye, naye.

Ngibhekisele kumyeni wami ngenkathi ngihamba ngosuku olunye. Uyabona lokho? Cha, akazange. Kodwa ngenza, futhi kwakubuhlungu.

I-Workup

Ngagijimela ukuhlolwa kwegazi futhi ngathola isampula yomchamo njengendlela yokuqala yokuqala.

Zonke izivivinyo zegazi (iphrofayli yamakhemikhali, inani eliphelele legazi) ukuthi u-Agasti kwakungokwemvelo, ngaphandle kwesimo sezinga eliphezulu - kodwa namanje ngaphakathi kwebanga elijwayelekile - le-BUN (i-Blood Urea Nitrogen) ne-creatinine evela emsebenzini wegazi okhishwe ngoFebhuwari.

Lezi zindinganiso ezimbili zegazi zamakhemikhali zihlobene nokusebenza kwezinso. I-urinalysis yayingakaze ibe yinto engavamile kodwa ngaphandle komvuthwandaba othize we- urine - owaveza isothenuria, umchamo ongenamandla.

Ingabe lokhu kwakukhona ukwehluleka kokuqala kwezinso? Ukuhlolwa okuningi kwakudingeka. Ngaxoxa nomngane wami kanye nochwepheshe wezokwelapha wangaphakathi wezilwane, uDkt Zikes.

Okulandelayo, i-cystocentesis, ukuqoqa umchamo ngokusebenzisa inaliti ngqo esiqandisini, ukuhambisa isiko lomchamo ukulawula ukutheleleka. Lokho kwakungalungile.

Ama-Radiographs ayengenangqondo. I-ultrasound yesisu - isibindi, izinso, izigulane eziyinkimbinkimbi, isisu, isisu somzimba nokuningi - konke okuvamile. Kwakukhona ukutholakala okungajwayelekile, kepha isilwane sasinezinye izilonda. I-spleen yayinobukhulu obujwayelekile nobujamo, kepha kwakunamaphutha amancane emathisheni wepeni.

Isinyathelo esilandelayo siyoba yisifo senaliti yesipula, kepha izibhamu ezibizwa ngokuthi i-petechiae, zaqaphela njengoba isisu sikaSophie lihlonywe ngokulungiselela i-ultrasound. Lokhu kutholakala kungabonisa inkinga yokuphuma, ngakho-ke inaliti ye-needle yayingewona umbono omuhle kuze kube yilapho uphenyo oluthe xaxa.

Enye i-lymph node (prescapular) yanyanyiswa kahle. Samphakamise, futhi sathola lesi sampula sifundwa yizilwane ezimbili zezilwane.

Labuya "njenge-active," ayikho amangqamuzana omdlavuza atholakele. Isizinda se-node saqala ukukhulisa kakhulu, ngemuva kwalokho. Ukukhipha igazi kwakwenzekile.

Kwabe sekuyiviki nesigamu kusukela emsebenzini wokuqala wegazi. Siphindaphinda inani legazi. Kule nkathi, bekungekho ama-platelets atholakalayo. Lesi isimo esibizwa ngokuthi i-thrombocytopenia. Ama-Platelets anesibopho sokugwedla igazi. Ngaphandle kwabo, ukulimaza nokuphuma (ukuphuma kwempua, ukuphuma kwegazi ngokulimala noma ukuhlinzwa) kwenzeka.

I-Thrombocytopenia ingenzeka ngezizathu ezihlukahlukene, ngezinye izikhathi azikho isizathu esaziwa (esibizwa nge-idiopathic thrombocytopenia, esivame kakhulu ezinja ezincane). Inja eneminyaka engu-12 ubudala, umdlavuza ungumuntu ovamile. Lokhu kwakudambisa, ukusho okungenani. Kwakudingeka ukuletha izinombolo zeplatelet ngaphambi kokuhamba ngokuqhubekayo ukuxilongwa.

Ngaqala u-Sophie ku-prednisone, ukulawula ukubhujiswa kwe-platelets, ne-melatonin, engasiza ukuletha izinombolo.

I-Prednisone ayiyona injabulo. Umnene wami, ngubani okhathalela inja oyedwa manje ekuzingeleni ukudla, ukudla, ukudla. Wayomile futhi kudingeka adinge ngaphezulu. Kodwa izinombolo zakhe zeplatelet zithuthukisiwe. Kuze kube yilapho bethatha khona. Nganezela i-cyclosporine, isidakamizwa sokusiza lapho i-prednisone iqala ukuhluleka khona.

USophie wenza kahle lezi zinyanga ezimbili. Wayelokhu emthanda ukuhamba kwakhe, ukuphatha kwakhe, nokuhlala nomndeni wakhe, njalonjalo. Kodwa wayekhathele. Inja yami eyayibonakala ingalokothi ithathele, njengoba nje yamuva nje ehlobo, yayikhathele.

Ukuxilongwa okungafaneleki: umdlavuza, mhlawumbe ugijima kulezo zilonda ze-splenic.

Ukusho Okuhle

Ngazi kusukela ekuqaleni ukuthi "kukhona okwakungenzeka" lapho eneminyaka eyishumi nambili. Futhi, ngangazi ukuthi ngeke ngihambe ngobude obukhulu ukusihlinzeka ngezinyanga ezimbalwa no-Sophie, kuphela ukunikeza uSophie izinyanga ezimbalwa zokungazizwa kahle. Ngaphansi, ukuhlelwa kwami ​​kwaqala ngokushesha nje lapho ngisazi ukuthi kukhona into enhle.

Uphi lo mgqa phakathi kokuzizwa "ulungile" futhi "uzizwa uhlaziye ngempela futhi unzima" isilwane esithandekayo? Kulezi zimo, insimu evulekile kakhulu. Izilinganiso zalokho "ezivamile" zilokhu ziguquka. Ukuvamile okusha kungase kuhambisane nokuhamba okuncane uma ngaphambi kwalokho lokho bekungeke kubalwe njengokuhamba kwangempela. Yilapho sasiyilapho.

USophie wayenenkinga lapho engekho "phezu" kubantu abathandekayo noma abahamba naye. Ukufisa kwakhe kwakunzima, ukulala kwakunzima, ukuphefumula kwakuqala ukusebenza, futhi ngabona ikhala elincane legazi, ngitshela ukuthi sekuyisikhathi.

Izingane zazikhethela ukuthi nini, futhi kanjani, zathi zitholela isilwane sabo sokuqala sokuphila. Wonke umuntu uhlukile endleleni abhekana nayo usizi, futhi kwakunzima kuwo wonke umuntu. Ngiyambonga ngemithi yokwenza uSophie abe nomuzwa wokuzola, ukuthula, nokulula.

Ihlale ibuhlungu. Akukaze kube lula. Thola okuhle umngane wami.