Matenda a Reye

Matenda a Reye ndiwadzidzidzi (pachimake) kuwonongeka kwa ubongo ndi zovuta zamagwiridwe a chiwindi. Vutoli lilibe chifukwa chodziwika.

Matendawa amachitika mwa ana omwe anapatsidwa aspirin akakhala ndi nkhuku kapena chimfine. Matenda a Reye asowa kwambiri. Izi ndichifukwa choti aspirin sakulimbikitsidwanso kuti azigwiritsidwa ntchito mwa ana.

Palibe chifukwa chodziwika cha Reye syndrome. Kawirikawiri amapezeka kwa ana a zaka zapakati pa 4 mpaka 12. Matenda ambiri omwe amapezeka ndi nkhuku ndi ana a zaka zapakati pa 5 ndi 9. Milandu yomwe imachitika ndi chimfine nthawi zambiri imakhala mwa ana azaka 10 mpaka 14.

Ana omwe ali ndi Reye syndrome amadwala mwadzidzidzi. Matendawa amayamba ndikusanza. Itha kukhala kwa maola ambiri. Kusanza kumatsatiridwa mwachangu ndi mkwiyo ndi machitidwe aukali. Matendawa akamakulirakulirabe, mwanayo amalephera kukhala maso komanso kukhala tcheru.

Zizindikiro zina za Reye syndrome:

• Kusokonezeka
• Kukonda
• Kutaya chidziwitso kapena kukomoka
• Kusintha kwa malingaliro
• Nseru ndi kusanza
• Kugwidwa
• Kukhazikitsidwa kwachilendo kwa mikono ndi miyendo (defrebrate posture). Manja amatambasulidwa molunjika ndikuyang'ana thupi, miyendo imagwiridwa molunjika, ndipo zala zimalozetsedwa pansi

Zizindikiro zina zomwe zingachitike ndi matendawa ndi monga:

• Masomphenya awiri
• Kutaya kwakumva
• Kutaya ntchito kwa minofu kapena kufooka kwa manja kapena miyendo
• Mavuto olankhula
• Kufooka m'manja kapena m'miyendo

Mayeso otsatirawa atha kugwiritsidwa ntchito pozindikira matenda a Reye:

• Kuyesedwa kwa magazi
• Mutu CT kapena mutu wa MRI scan
• Chiwindi
• Kuyesa kwa chiwindi
• Mayeso a serum ammonia
• Mphepete wamtsempha

Palibe mankhwala enieni a vutoli. Wothandizira zaumoyo adzawunika kukakamizidwa kwaubongo, mpweya wamagazi, ndi magazi acid-base balance (pH).

Chithandizo chitha kukhala:

• Chithandizo chopumira (makina opumira angafunike panthawi yakukomoka)
• Madzi a IV kuti apereke ma electrolyte ndi shuga
• Steroids yochepetsera kutupa muubongo

Momwe munthu amachitila bwino zimadalira kuuma kwa chikomokere chilichonse, komanso zinthu zina.

Zotsatira za iwo omwe adzapulumuke nthawi yovuta zitha kukhala zabwino.

Zovuta zingaphatikizepo:

• Coma
• Kuwonongeka kwamuyaya kwa ubongo
• Kugwidwa

Ngati munthu sanalandire chithandizo, kukomoka ndi kukomoka kungaike pangozi moyo.

Pitani kuchipinda chodzidzimutsa kapena itanani nambala yadzidzidzi yakomweko (monga 911) nthawi yomweyo ngati mwana wanu ali:

• Kusokonezeka
• Kukonda
• Zosintha zina zamaganizidwe

Osamupatsa mwana aspirin pokhapokha atamuuza kuti atero.

Mwana akamamwa mankhwala a aspirin, samalani kuti muchepetse chiopsezo cha mwana chotenga matenda a tizilombo, monga chimfine ndi nthomba. Pewani aspirin kwa milungu ingapo mwanayo atalandira katemera wa varicella (nkhuku).

Chidziwitso: Mankhwala ena ogulitsira, monga Pepto-Bismol ndi zinthu zamafuta a greengreen amakhalanso ndi ma aspirin omwe amatchedwa salicylates. Osamapereka izi kwa mwana amene akudwala chimfine kapena malungo.

• Zakudya zam'mimba ziwalo

Aronson JK. Acetylsalicylic acid. Mu: Aronson JK, mkonzi. Zotsatira zoyipa za Meyler za Mankhwala Osokoneza bongo. Wolemba 16. Waltham, MA: Elsevier BV ;; 2016: 26-52.

Cherry JD. Matenda a Reye. Mu: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, olemba. Feigin ndi Cherry's Bookbook of Pediatric Infectious Diseases. 8th ed. Philadelphia, PA: Elsevier; 2019: chap 50.

Johnston MV. Encephalopathies. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 616.