Umbhali: Eugene Taylor
Umhla Wokudalwa: 14 Eyethupha 2021
Hlaziya Umhla: 18 Isilimela 2024
Anonim
Haemolytic Uraemic Syndrome
Ividiyo: Haemolytic Uraemic Syndrome

Umxholo

Yintoni iHemolytic Uremic Syndrome?

IHemolytic uremic syndrome (HUS) yimeko entsonkothileyo apho amajoni omzimba ahlasela kakhulu, ikakhulu emva kokosulelwa sisisu, kubangela amanqanaba egazi abomvu, amanqanaba eeplatelet asezantsi kunye nokulimala kwezintso.

Usulelo lwe-gastrointestinal tract (isisu sakho kunye namathumbu) zezona zinto zixhaphakileyo kwesi sifo. Amajoni omzimba aphendula kwityhefu ekhutshwe ngexesha losulelo lwebhaktiriya emathunjini. Oku kubangela ukonakaliswa kunye nokutshatyalaliswa kweeseli zegazi njengoko zijikeleza kwimithambo yegazi. Oku kubandakanya iiseli ezibomvu zegazi (RBC) kunye neeplatelets, ezibangela ukuba bafe ngaphambi kwexesha. Izintso zichaphazeleka ngeendlela ezimbini.Ukuphendula komzimba kunokungonakalisa ngqo kwiiseli zezintso ezikhokelela ekonzakaleni kwezintso. Ngenye indlela, ukwakhiwa kwee-RBCs okanye iiplatelets ezitshatyalalisiweyo kunokuvala inkqubo yokuhluza izintso kwaye kubangele ukonzakala kwezintso okanye ukwakhiwa kweemveliso zenkunkuma emzimbeni, kuba izintso azisakwazi ukuphelisa inkunkuma egazini.


Ukulimala kwezintso kunokuba nzima kakhulu xa kushiywe kunganyangwa. Ukusilela kwezintso, ukunyuka okuyingozi kuxinzelelo lwegazi, iingxaki zentliziyo, kunye nokubetha zizinto zonke ezixhalabisayo ukuba i-HUS iqhubela phambili ngaphandle konyango olukhawulezileyo.

I-HUS ngoyena nobangela uqhelekileyo wokungaphumeleli kwezintso ebantwaneni.Kuqheleke kakhulu kubantwana abangaphantsi kweminyaka emi-5, nangona abantwana abadala kunye nabantu abadala benengxaki yokuphazamiseka.

Ngethamsanqa, uninzi lwabantu olufumana unyango olukhawulezileyo lunokuphola ngokupheleleyo ngaphandle kokonakala kwezintso ngokusisigxina.

Ukuqonda iimpawu zeHemolytic Uremic Syndrome

Iimpawu zeHUS ziyahluka. Iimpawu zinokubandakanya:

  • Urhudo olunegazi
  • intlungu zesisu
  • ulusu oluthuthu
  • ukucaphuka
  • ukudinwa
  • ifiva
  • imivumbo engachazwanga okanye ukopha
  • ukuncipha kokuchama
  • ukudumba kwesisu
  • igazi kumchamo
  • ukudideka
  • ukugabha
  • ubuso obudumbileyo
  • amalungu adumbileyo
  • ukuxhuzula (okungaqhelekanga)

Yintoni ebangela iHemolytic Uremic Syndrome?

I-HUS yenzeka apho amajoni omzimba abangela ukutshabalalisa iiseli zegazi. Oku kubangela amanqanaba asezantsi obomvu weeseli, amanqanaba asezantsi eplatelet kunye nokulimala kwezintso


HUS ebantwaneni

Oyena nobangela uqhelekileyo we-HUS ebantwaneni kukosuleleka EscherichiaUColi (E. coli). Zininzi iindlela ezahlukeneyo ze E. coli, kwaye uninzi azibangeli zingxaki. Inyaniso, E. coli Iibhaktheriya zihlala zifumaneka emathunjini abantu kunye nezilwanyana ezisempilweni. Nangona kunjalo, ezinye iintlobo ezithile ze E. coli, Ukugqithiselwa kukutya okungcolileyo, banoxanduva losulelo olunokukhokelela kwi-HUS. Amanzi amanzi angcoliswe lilindle nawo anokuhamba E. coli.

Ezinye iintsholongwane ezinje ShigellaUnyango lwesisifo kwaye Salmonella typhi ingabangela HUS.

HUS kubantu abadala

I-HUS kubantu abadala inokubangelwa sisifo E. coli.. Kukho izizathu ezininzi ezingezizo zebacteria ze-HUS kubantu abadala ezingafane zixhaphake, kubandakanya:

  • ukukhulelwa
  • Usulelo lwe-HIV / AIDS
  • quinine
  • ichemotherapy kunye neyeza lokuzikhusela emzimbeni
  • iipilisi zokulawula inzala
  • amayeza anti-zegazi
  • umhlaza
  • inkqubo lupus kunye glomerulonephritis

Ukuchonga isifo seHemolytic Uremic Syndrome

Olunye uvavanyo olusisiseko kunokuyalelwa ukuba kuqinisekiswe ukuba iiseli zegazi zonakalisiwe okanye umsebenzi wezintso wonakalisiwe:


I-CBC

Inani elipheleleyo legazi (CBC) lilinganisa ubungakanani kunye nomgangatho wee-RBCs kunye neeplatelets kwisampulu yegazi.

Olunye Uvavanyo lwegazi

Ukuze uvavanye ukulahleka komsebenzi wezintso, ugqirha wakho unokuyalela uvavanyo lwe-BUN (olujonga iimveliso eziphakamileyo ze-urea) kunye novavanyo lwe-creatinine (ukukhangela izihlunu eziphakamileyo zemveliso). Iziphumo ezingaqhelekanga zingabonisa iingxaki zezintso.

Uvavanyo lomchamo

Ugqirha wakho uya kufuna ukuvavanya igazi okanye iprotheni kumchamo wakho.

Isitayile seSampuli

Ibhakteria okanye igazi kwisitulo sakho sinokukunceda ugqirha ukuba abone oyena nobangela weempawu zakho.

Inyangwa njani iHemolytic Uremic Syndrome?

Unyango oluqhelekileyo lwe-HUS lunokubandakanya:

Ukutshintshwa kweFluid

Unyango oluphambili lwe-HUS lubuyisela endaweni yolwelo. Olu nyango luthatha indawo yee-electrolyte ekufuneka zenziwe ngumzimba. Ii-Electrolyte zizimbiwa ezifana ne-calcium, i-potassium, ne-magnesium. Ukutshintshwa kolwelo kukonyusa ukuhamba kwegazi ngezintso .. Ugqirha wakho uya kukunika ulwelo olufakwa emithanjeni, kodwa angakukhuthaza ukuba unyuse umthamo wakho wamanzi ngokusela amanzi okanye izisombululo ze-electrolyte.

Utofelo-gazi

Igazi elibomvu linokuba yimfuneko ukuba unenqanaba eliphantsi lee-RBCs. Utofelo lwenziwa esibhedlele. Ukutshintshelwa kunokunciphisa iimpawu ezinxulumene nokubala okuphantsi kwe-RBC, njengokuphefumla kancinci kunye nokudinwa okukhulu.

Ezi mpawu ziyahambelana neanemia, imeko apho umzimba wakho ungenako ukuvelisa iiseli ezibomvu zegazi ukubonelela amalungu omzimba ngeoksijini eyaneleyo yokuqhuba imetabolism eqhelekileyo. Oku kubangelwe kukuphulukana nee-RBC.

Olunye unyango

Ugqirha wakho uyakukhupha kuwo nawaphi na amayeza anokuba ngunobangela weHUS.

Ukudluliselwa kweplatelet kunokuba yimfuneko ukuba unexabiso eliphantsi leplatelet.

Ukutshintshiselana ngePlasma lolunye uhlobo lonyango, apho ugqirha wakho atshintsha iplasma yakho ngeplasma evela kumnikeli. Uya kufumana iplasma esempilweni ukuxhasa ukujikeleza kweeseli ezibomvu zegazi kunye neeplatelets.

Ziziphi iingxaki ezinokwenzeka kwiHemolytic Uremic Syndrome?

Kwiimeko ezigabadeleyo ukuba izintso zakho zisilele, i-dialysis yezintso ingasetyenziselwa ukucoca inkunkuma emzimbeni wakho. Olu lunyango lwethutyana de izintso zikwazi ukusebenza ngokwesiqhelo. Ukuba abaphindanga bafumane umsebenzi oqhelekileyo, unokufuna ukufakelwa kwezintso.

Iingxaki zexesha elide

Eyona ngxaki iphambili ye-HUS kukusilela kwezintso. Nangona kunjalo, i-HUS inokubangela:

  • igazi elonyukayo
  • ukudumba komzimba
  • imeko yengqondo etshintshileyo
  • ukuxhuzula
  • isifo sentliziyo
  • ukubetha
  • ikhoma

Ngethamsanqa, uninzi lwabantu luyakwazi ukwenza ukuchacha okupheleleyo kwi-HUS.

Yeyiphi imbonakalo yeHemolytic Uremic Syndrome?

I-HUS inokuba yimeko embi kakhulu. Nangona kunjalo, kunokwenzeka ukuba ufumane ukubuyiswa ngokupheleleyo ukuba ufunyaniswe kwisigaba sokuqala semeko kwaye uqale unyango kwangoko. Biza ugqirha wakho nanini na uvelisa iimpawu onomdla kuzo.

Ungayikhusela njani i-Hemolytic Uremic Syndrome?

Unobangela oqhelekileyo we-HUS zizifo E. coli. Nangona ungeke ukwazi ukuziphepha ngokupheleleyo ezi bhakteria, ungawunciphisa umngcipheko wosulelo ngo:

  • uhlambe izandla zakho rhoqo
  • ukuhlamba kakuhle izixhobo
  • ukugcina iindawo zokulungiselela ukutya zicocekile
  • ukugcina ukutya okuluhlaza okwahlukileyo kokulungele ukutyiwa
  • ukukhupha inyama kwifriji endaweni yekhawuntara
  • ungashiyi inyama kubushushu begumbi (oku kunokubangela ukukhula kweentsholongwane).
  • ukupheka inyama ukuya kwi-160 degrees Fahrenheit ukubulala iintsholongwane eziyingozi
  • ukuhlamba iziqhamo kunye nemifuno kakuhle
  • ungaqubhi emanzini angcolileyo
  • ukunqanda ukungenisa ijusi engaxutywanga okanye ubisi

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