Momwe Mungasamalire Mavuto Amatenda

Zamkati

• Kodi vuto lama cell a zenga ndi chiyani?
• Nchiyani chimayambitsa vuto lama cell a zenga?
• Kodi mavuto am'magulu azitsulo amathandizidwa bwanji?
• Kuchiza kunyumba
• Chithandizo chamankhwala
• Kodi ndingadziwe bwanji nthawi yokaonana ndi dokotala?
• Kodi mavuto amtundu wa cellle amatha kupewedwa?
• Mfundo yofunika

Kodi vuto lama cell a zenga ndi chiyani?

Sickle cell matenda (SCD) ndi matenda obadwa nawo ofiira a magazi (RBC). Ndi zotsatira za kusintha kwa majini komwe kumayambitsa ma RBC olakwika.

SCD imadziwika ndi dzina la RBCs, lomwe limafanana ndi chida cham'munda chotchedwa chikwakwa. Nthawi zambiri, ma RBC amapangidwa ngati ma disc.

Ma RBC amanyamula mpweya ku ziwalo ndi minyewa ya thupi lanu. SCD zimapangitsa kuti zikhale zovuta kuti ma RBC atengere mpweya wokwanira. Maselo odwala amathanso kugwidwa m'mitsempha yanu, zomwe zimalepheretsa magazi kulowa m'thupi lanu. Izi zitha kuyambitsa matenda opweteka omwe amadziwika kuti cellle.

Zowawa zomwe zimabwera chifukwa cha vuto la khungu la zenga zimakonda kumva:

• chifuwa
• mikono
• miyendo
• zala
• zala zakumiyendo

Mavuto amtundu wa cellle amatha kuyamba mwadzidzidzi ndipo amatha masiku angapo. Zowawa zoopsa kwambiri zimatha kupitilira milungu ingapo mpaka miyezi.

Popanda chithandizo choyenera, vuto lama cell a zenga limatha kubweretsa zovuta zomwe zingakhale zovuta, kuphatikiza kuwonongeka kwa ziwalo ndi kutayika kwamaso.

Nchiyani chimayambitsa vuto lama cell a zenga?

Akatswiri samvetsa bwinobwino zifukwa zomwe zimayambitsa vuto la maselo a zenga. Koma amadziwa kuti zimakhudza kulumikizana kovuta pakati pa ma RBC, endothelium (maselo olumikizana ndi mitsempha), maselo oyera amwazi, ndi ma platelets. Zovuta izi nthawi zambiri zimangochitika zokha.

Zowawa zimachitika m'maselo ogulitsidwa akakakamira mumitsempha yamagazi, kutseka magazi. Izi nthawi zina zimatchedwa kukwera.

Kudwala kumatha kuyambitsidwa ndi zinthu zomwe zimakhudzana ndi kuchepa kwa oxygen, kuchuluka kwa acidity yamagazi, kapena kuchuluka kwamagazi ochepa.

Zomwe zimayambitsa zovuta zankhanza monga:

• kusintha kwadzidzidzi kwa kutentha, komwe kumatha kupangitsa mitsempha yamagazi kukhala yopapatiza
• zolimbitsa thupi kwambiri kapena zolimbitsa thupi kwambiri, chifukwa cha kuchepa kwa mpweya
• kusowa kwa madzi m'thupi, chifukwa chotsika magazi
• matenda
• nkhawa
• okwera kwambiri, chifukwa cha kuchepa kwa mpweya mumlengalenga
• mowa
• kusuta
• mimba
• matenda ena, monga matenda ashuga

Sikuti nthawi zonse zimakhala zotheka kudziwa chomwe chinayambitsa vuto linalake la zenga. Nthawi zambiri, pamakhala zifukwa zingapo.

Kodi mavuto am'magulu azitsulo amathandizidwa bwanji?

Sikuti mavuto onse amtundu wa zenga amafunikira ulendo wopita kwa dokotala. Koma ngati mankhwala kunyumba akuwoneka kuti sakugwira ntchito, ndikofunikira kutsatira dokotala kuti mupewe zovuta zina.

Kuchiza kunyumba

Mavuto ena am'manja amtundu wa cellle amatha kuthana ndi ochepetsa kupweteka kwamtundu, monga:

• acetaminophen (Tylenol)
• aspirin
• ibuprofen (Advil, Motrin)
• naproxen sodium (Aleve)

Njira zina zothanirana ndi ululu wofewa kunyumba ndi monga:

• mapepala otenthetsera
• kumwa madzi ambiri
• malo osambira ofunda
• kupumula
• kutikita

Chithandizo chamankhwala

Ngati mukumva kuwawa kwambiri kapena mankhwala akunyumba sakugwira ntchito, pitani kuchipatala posachedwa. Ayenera kuyamba pofufuza ngati pali zizindikiro zilizonse zomwe zingayambitse vutoli.

Chotsatira, adzakufunsani mafunso kuti mumve bwino za ululu wanu. Malingana ndi msinkhu wanu wopweteka, akhoza kukupatsani mankhwala ena othandizira.

Zosankha zowawa pang'ono pang'ono zimaphatikizapo:

• mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs), monga ibuprofen
• codeine, yokha kapena kuphatikiza ndi acetaminophen (Tylenol)
• oxycodone (Oxaydo, Roxicodone, OxyContin)

Zosankha zowawa kwambiri zimaphatikizapo:

• Mpweya (Duramorph)
• hydromorphone (Dilaudid, Exalgo)
• meperidine (Demerol)

Malingana ndi zizindikiro zanu, dokotala wanu angakupatseninso madzi amadzimadzi. Pazovuta kwambiri, mungafunike kuthiridwa magazi.

Kodi ndingadziwe bwanji nthawi yokaonana ndi dokotala?

Mavuto amtundu wa cellle ayenera kuthandizidwa nthawi yomweyo kuti apewe zovuta zazitali. Ndikofunika kuonetsetsa kuti mukudziwa omwe mungayitane komanso komwe mungapite kukalandira chithandizo chamankhwala chifukwa vuto la cell la zenga limatha kubwera mwadzidzidzi.

Musanakhale ndi vuto lowawa, lankhulani ndi dokotala wanu kuti mutsimikizire kuti zomwe zalembedwa pamagetsi anu azachipatala (EMR) zasinthidwa. Sungani mapepala anu osungira ululu ndi mndandanda wa mankhwala anu onse omwe mungapite nawo kuchipatala.

Muyenera kupita kuchipatala nthawi yomweyo ngati muli ndi SCD ndi zina mwa izi:

• kupweteka kosadziwika, kupweteka kumbuyo, mawondo, miyendo, mikono, chifuwa, kapena mimba
• malungo pamwamba pa 101 ° F (38 ° C)
• ululu wosaneneka
• chizungulire
• khosi lolimba
• kuvuta kupuma
• mutu wopweteka kwambiri
• khungu kapena milomo yotuwa
• erection yopweteka imatenga maola opitilira anayi
• kufooka mbali imodzi kapena mbali zonse ziwiri za thupi
• masomphenya mwadzidzidzi amasintha
• chisokonezo kapena mawu osalankhula
• kutupa mwadzidzidzi m'mimba, manja, kapena mapazi
• utoto wachikaso pakhungu kapena azungu amaso
• kulanda

Mukapita ku dipatimenti yadzidzidzi, onetsetsani kuti mukuchita izi:

• Uzani antchito nthawi yomweyo kuti muli ndi SCD.
• Fotokozani mbiri yanu yazachipatala komanso mndandanda wa mankhwala omwe mukumwa.
• Funsani namwino kapena dokotala kuti ayang'ane EMR yanu.
• Apatseni ogwira ntchito adilesi anu azachipatala pafupipafupi.

Kodi mavuto amtundu wa cellle amatha kupewedwa?

Simungaletse nthawi zonse vuto lama cell a zenga, koma kusintha kwamachitidwe ena kumathandizira kuchepetsa ngozi.

Nazi njira zina zomwe zingakuthandizeni kuchepetsa chiopsezo chanu chokhala ndi vuto la khungu la zenga:

• Tengani mankhwala onse omwe dokotala wanu akukulangizani.
• Yesetsani kumwa magalasi 10 amadzi patsiku, kuwonjezera nthawi yotentha kapena nthawi yochita masewera olimbitsa thupi.
• Yesetsani kuchita masewera olimbitsa thupi mopepuka kapena pang'ono, popewa chilichonse chotopetsa kapena chopambanitsa.
• Valani mofunda nyengo yozizira, ndikunyamula zina zowonjezera kuti zingachitike.
• Malire nthawi yomwe mumakhala m'malo okwera kwambiri.
• Pewani kukwera phiri kapena kuwuluka mu kanyumba kosafinyidwa (ndege zosachita malonda) zopitilira 10,000.
• Sambani m'manja nthawi zambiri kuti mupewe matenda.
• Pezani katemera wovomerezeka, kuphatikizapo katemera wa chimfine.
• Tengani chowonjezera cha folic acid, chomwe mafupa anu amafunika kupanga ma RBC atsopano.
• Samalani ndikuwongolera kupsinjika.
• Pewani kusuta.

Mfundo yofunika

Mavuto amtundu wa cellle akhoza kukhala owawa kwambiri. Ngakhale kupweteka pang'ono kumatha kuchiritsidwa kunyumba, kupweteka kwambiri ndi chizindikiro choti muyenera kukaonana ndi dokotala. Ngati sanalandire chithandizo, vuto lalikulu lamaselo achilengedwe limatha kulanda ziwalo, monga impso, chiwindi, mapapo, ndi ndulu, zamagazi ndi mpweya.