Hemolytic Uremic Syndrome: chomwe chiri, chomwe chimayambitsa ndi chithandizo

Zamkati

• Zoyambitsa zazikulu
• Zizindikiro za Hemolytic Uremic Syndrome
• Kuzindikira kwa HUS
• Momwe mankhwalawa amachitikira

Hemolytic Uremic Syndrome, kapena HUS, ndimatenda omwe amadziwika ndi zizindikilo zitatu zazikuluzikulu: kuchepa kwa magazi m'thupi, kulephera kwamphamvu kwa impso ndi thrombocytopenia, komwe kumafanana ndi kuchepa kwa ma platelet m'magazi.

Matendawa amapezeka mosavuta kwa ana chifukwa chodya zakudya zoyipitsidwa ndi mabakiteriya monga Escherichia coli, koma zimathanso kuchitika mwa akulu chifukwa cha matenda komanso chifukwa cha zovuta zina, monga matenda oopsa komanso scleroderma, mwachitsanzo.

Zoyambitsa zazikulu

Choyambitsa chachikulu cha HUS, makamaka kwa ana, ndi matenda opatsirana Escherichia coli, Salmonella sp., kapena Shigella sp., omwe ndi mabakiteriya omwe amatha kutulutsa poizoni m'magazi ndikupangitsa kuti apange tinthu tating'onoting'ono tating'onoting'onoting'onoting'onoting'onoting'onoting'onoting'onoting'onoting'onoting'onoting'onoting'ono tating'onoting'onoting'onoting'onoting'onoting'onoting'ono tomwe timayambitsa matendawa. Matenda amtunduwu nthawi zambiri amachitika chifukwa chodya zakudya zoyipitsidwa ndi tizilomboto, chifukwa chake, ndikofunikira kulabadira zaukhondo ndi chakudya. Mvetsetsani momwe ukhondo wa chakudya ulili.

Ngakhale ndizofala kwambiri mwa ana, Hemolytic Uremic Syndrome amathanso kupezeka mwa achikulire, zomwe zimatha kuyambitsidwa ndi kudya chakudya chodetsedwa ndi mabakiteriya, komanso chifukwa cha zinthu zina, monga impso za postpartum, scleroderma, kachirombo ka HIV HIV ndi Mwachitsanzo, antiphospholipid syndrome.

Zizindikiro za Hemolytic Uremic Syndrome

Zizindikiro zoyambirira za HUS ndizofanana ndi gastroenteritis, malungo, kuzizira, kutsegula m'mimba, kutopa kwambiri, kusanza ndi kufooka. Pakadwala matendawa, zisonyezo zina zitha kuwoneka, monga:

• Pachimake aimpso kulephera;
• Mkodzo pang'ono;
• Jaundice;
• Kupezeka kwa magazi mumkodzo ndi ndowe;
• Zovuta;
• Kuwonekera kwa mawanga ofiira pakhungu;
• Jaundice.

Ngakhale sizachilendo, pakhoza kukhalabe kuwonekera kwa matenda amitsempha, monga khunyu, kukwiya, chikomokere ndi kukomoka, mwachitsanzo. Kuphatikiza apo, ndikofunikira kudziwa kuti si milandu yonse ya HUS yomwe imayambitsidwa ndi kutsegula m'mimba, ndipo ndikofunikira kuti pamaso pa chizindikiro chilichonse chokhudzana ndi matendawa, munthuyo amapita kwa dokotala kukamupeza ndikuyamba chithandizo, kupewa zovuta monga mtima kulephera.

Kuzindikira kwa HUS

Kupezeka kwa HUS kumachitika kudzera pakuwunika kwa zotsatira zake komanso zotsatira za mayeso a labotale omwe amafunsidwa ndi adotolo, omwe cholinga chake ndi kuzindikira mikhalidwe itatu yayikulu ya matendawa, yomwe ndi kuchepa kwa magazi m'thupi, kuchepa kwamaplatelet count ndi kusintha kwa impso .

Chifukwa chake, dokotala nthawi zambiri amapempha kuchuluka kwa kuchuluka kwa magazi, komwe kumatsimikizika kuwonjezeka kwa leukocyte, kuchepa kwa ma platelets, maselo ofiira a magazi ndi hemoglobin, komanso kupezeka kwa schizocytes, zomwe ndi zidutswa ya maselo ofiira ofotokoza kuti maselowa adang'ambika chifukwa cha zochitika zina, zomwe nthawi zambiri zimakhala ndi thrombi. Phunzirani kutanthauzira kuchuluka kwa magazi.

Kuyesedwanso komwe kumawunika momwe impso imagwirira ntchito, monga muyeso wa urea ndi creatinine m'magazi, nawonso amafunsidwa, omwe akuwonjezeka motere. Kuphatikiza apo, kuchuluka kwa bilirubin kosazungulira m'magazi ndi LDH, komwe nthawi zambiri kumawonetsa microangiopathic hemolysis, ndiko kuti, maselo ofiira a magazi akuwonongedwa chifukwa chakupezeka kwa thrombi yaying'ono m'mitsuko.

Kuphatikiza pa kuyesaku, adotolo amathanso kufunsa chikhalidwe, chomwe cholinga chake ndi kudziwa mabakiteriya omwe amachititsa kuti matendawa athe, ngati ndi choncho, ndikutanthauzira njira yabwino kwambiri yothandizira HUS.

Momwe mankhwalawa amachitikira

Mankhwala a Hemolytic Uremic Syndrome amachitika kuti athetse vutoli ndikulimbikitsa kuthana ndi mabakiteriya, ngati matendawa angachitike chifukwa cha matendawa. Chifukwa chake, ndikofunikira kumwa zakumwa zambiri kuti tipewe kuchepa kwa madzi m'thupi, kuphatikiza pakuchepetsa kumwa mapuloteni kuti ateteze impso.

Nthawi zina, adokotala amalimbikitsa kugwiritsa ntchito maantibayotiki polimbana ndi matenda kapena kuthiridwa magazi, zomwe zimawonetsedwa nthawi zambiri kwa ana omwe atsekula m'mwazi ngati chizindikiro. M'mavuto ovuta kwambiri, ndiye kuti, kuvulala kwa impso kutha kale ndipo munthuyo ali ndi zizindikilo za matenda a impso, dialysis ngakhalenso kusintha kwa impso kungakhale kofunikira, komwe impso zomwe zakhudzidwa zimasinthidwa ndi zina zathanzi. Onani momwe kupatsirana kwa impso kumachitikira ndi momwe post-operative ilili.

Kuti mupewe SHU ndikofunikira kupewa kudya nyama yaiwisi kapena yosaphika, chifukwa imatha kukhala yoyipitsidwa, komanso kupewa zakudya zomwe zimachokera mkaka zomwe sizinathiridwe mafuta, komanso kusamba m'manja musanaphike chakudya komanso mukamaliza kubafa.