Koj tus menyuam puas mob plab heev? Tej zaum nws yog Hemolytic Uremic Syndrome (HUS)!

Koj tus me nyuam puas tau raws plab thiab mob plab tau ob peb hnub lawm? Tej zaum koj yuav pom ntshav hauv. Nws yog ib qho ib txwm rau koj, ua niam txiv, kom txhawj heev thaum qhov ntawd tshwm sim. Thaum koj muaj cov tsos mob zoo li no, nws yuav ntau dua li tsuas yog mob plab yooj yim xwb. Hnub no peb yuav tham txog ib qho mob uas tuaj yeem loj heev, tab sis kho tau zoo heev yog tias paub thaum ntxov. Ntawd yog (Hemolytic Uremic Syndrome) , lossis luv luv (HUS) .

Hemolytic Uremic Syndrome (HUS) yog dab tsi? Cia peb nkag siab yooj yim.

Zoo, tam sim no cia peb saib seb qhov no (HUS) yog dab tsi. Hais yooj yim xwb, nws yog ib qho mob uas cov hlab ntsha me me hauv peb lub raum raug thaiv . Xav txog nws zoo li cov yeeb nkab dej raug thaiv thiab cov dej tsis ntws. Qhov kev thaiv no ua rau peb yam tseem ceeb tshwm sim:

1. Koj cov qe ntshav liab raug rhuav tshem: Hauv kev kho mob, qhov no hu ua hemolytic anemia . Cov qe ntshav liab yog cov uas nqa oxygen thoob plaws peb lub cev. Yog li thaum lawv raug rhuav tshem, qhov ntau ntawm oxygen uas lub cev xav tau txo qis.

2. Tus naj npawb ntawm cov platelets hauv cov ntshav txo qis: Qhov mob no hu ua thrombocytopenia . Platelets yog cov qe me me uas pab peb cov ntshav khov thaum peb los ntshav. Thaum cov no txo ​​qis, nws nyuaj rau kom tsis txhob los ntshav, thiab cov qhov txhab tuaj yeem tshwm sim thoob plaws lub cev.

3. Kev puas tsuaj rau lub raum: Qhov no yog qhov txaus ntshai tshaj plaws. Thaum lub raum tsis ua haujlwm zoo, lawv tsis muaj peev xwm tshem tawm cov khoom pov tseg uas khaws cia rau hauv lub cev. Qhov no kuj hu ua (Kev Raug Mob Raum Ceev - AKI) .

Txawm hais tias HUS tuaj yeem cuam tshuam rau leej twg los xij, feem ntau nws yog los ntawm kev kis kab mob , tshwj xeeb tshaj yog Escherichia coli , feem ntau hu ua E. coli . Cov kab mob no yog qhov ua rau raws plab, tshwj xeeb tshaj yog raws plab ntshav. Txawm li cas los xij, ib qho mob yog kev sib sau ua ke ntawm cov tsos mob, thiab HUS kuj tuaj yeem tshwm sim los ntawm lwm yam ua rau tsis yog E. coli.

Tus mob no (HUS) tsis yog tsuas yog cuam tshuam rau lub raum xwb, tab sis qee zaum kuj cuam tshuam rau lwm yam kabmob xws li lub plawv thiab lub hlwb. Txawm li cas los xij, feem ntau nws cuam tshuam rau lub raum.

Qhov tseem ceeb tshaj plaws: Yog tias koj lossis koj tus menyuam raws plab los yog raws plab ntev tshaj peb hnub, nco ntsoov mus ntsib kws kho mob. Yog tias tsis kho, HUS tuaj yeem ua rau mob hnyav thiab txawm tias tuag taus.

Puas muaj ntau hom HUS sib txawv?

Yog, muaj ntau hom tseem ceeb ntawm (HUS). Cia peb kawm me ntsis txog lawv:

1. "Tej yam li qub" (HUS): Qhov no yog hom mob uas feem ntau pom . Feem ntau nws yog los ntawm kev kis kab mob, tshwj xeeb yog E. coli, uas cuam tshuam rau peb txoj hnyuv me thiab txoj hnyuv loj.

2. "Atypical" (HUS) (aHUS): Qhov no tsis tshua muaj.Qhov no feem ntau yog vim muaj cov laj thawj caj ces, uas txhais tau tias nws tau txais los ntawm niam txiv mus rau cov menyuam.

3. "Tshooj Thib Ob" (HUS): Hom no tshwm sim nrog rau lwm yam mob. Piv txwv li, nws tuaj yeem tshwm sim los ntawm qee cov tshuaj, lwm yam kab mob, lossis cev xeeb tub.

Cia peb kawm ntxiv me ntsis txog "Atypical" (HUS) (aHUS)

(aHUS) yog ib yam mob uas tsis tshua muaj. Nws kuj tseem ua rau muaj cov tsos mob zoo ib yam li cov mob ua ntej:

• Cov qe ntshav liab txo qis.
• Txo cov platelet suav.
• Mob raum tsis ua haujlwm sai sai (mob raum tsis ua haujlwm sai) .
• Ntshav siab (ntshav siab) lossis tsis muaj peev xwm tswj ntshav siab.

Tus mob no (aHUS) feem ntau yog ib qho kev mob caj ces . Uas yog, nws yog tshwm sim los ntawm qee qhov kev hloov pauv (kev hloov pauv) hauv peb cov noob caj ces. Txawm li cas los xij, txawm tias tus mob caj ces no muaj nyob, nws yog tshwm sim los ntawm qee qhov kev kis kab mob, kab mob, lossis ib puag ncig.

Kab mob (HUS) no muaj ntau npaum li cas?

Ntawm 5% thiab 15% ntawm cov neeg uas raws plab los ntawm cov kab mob (E. coli) yuav mob HUS . Hom hu ua (aHUS) tsis tshua muaj. Nws tshwm sim rau kwv yees li ib ntawm ib lab tus neeg.

Cov tsos mob tseem ceeb ntawm (HUS) yog dab tsi?

Nws yog ib qho tseem ceeb heev uas koj yuav tsum paub txog cov tsos mob no.

Cov tsos mob thawj zaug pom:

• Raws plab: Feem ntau nrog ntshav los.
• Mob plab.
• Xeev siab thiab ntuav.
• Mob taub hau .
• Mob khaub thuas thiab kub taub hau.

Lwm yam nta pom tau:

• Mob tawv nqaij yooj yim.
• Tawv nqaij daj ntseg (ntshav dawb): Sab hauv ntawm lub qhov ntswg thiab txawm tias sab hauv ntawm lub qhov ncauj kuj yuav daj ntseg.
• Kev tsis meej pem.
• Qaug dab peg.
• Cov mob zoo li mob stroke.
• Lub plawv dhia ceev ceev (arrhythmia).

Yog tias tus mob (HUS) hnyav zuj zus, cov qe ntshav liab uas raug puas tsuaj tuaj yeem ua rau cov ntshav txhaws thiab ua rau cov kab mob xws li lub raum puas tsuaj. Ces lub raum tsis tuaj yeem lim cov khoom pov tseg kom zoo. Qhov no yog qhov peb hu ua (Kev Raug Mob Raum Ceev - AKI) . Nov yog cov tsos mob ntawm nws:

• Ntshav nyob rau hauv cov zis (hematuria).
• Cov tshuaj lom ntau ntxiv hauv cov ntshav: Qhov no tuaj yeem ua rau tsis xis nyob thiab muaj mob.
• Ntshav siab.
• Ua pa nyuaj (ua tsis taus pa).
• Edema: Tej zaum yuav o, tshwj xeeb tshaj yog nyob rau hauv ob txhais ceg thiab pob luj taws.
• Cov zis tso zis tsawg dua (oliguria).

Cov ua rau mob (HUS) yog dab tsi?

Feem ntau cov mob HUS yog tshwm sim los ntawm qee hom kab mob E. coli. Cov kab mob no tsim cov tshuaj lom hu ua Shiga toxin . Cov tshuaj lom no ua rau lub txheej ntawm peb txoj hnyuv me puas tsuaj thiab ua rau raws plab. Cov tshuaj lom no kuj nkag mus rau hauv cov ntshav, rhuav tshem cov qe ntshav liab thiab ua rau lub raum puas tsuaj.

Koj muaj feem yuav kis tau tus kab mob E. coli los ntawm:

• Cov nqaij tsis tau siav: tshwj xeeb tshaj yog nqaij nyuj, nqaij nyuj av.
• Mis nyuj thiab dej txiv hmab txiv ntoo uas tsis tau muab tua kab mob: Kev muab tua kab mob yog ib qho txheej txheem ua kom sov maj mam uas tua cov tshuaj lom neeg xws li cov kab mob.
• Cov txiv hmab txiv ntoo thiab zaub uas tsis tau ntxuav, qias neeg.

Cov kab mob E. coli uas tsim cov tshuaj lom no kuj hu ua Shiga toxin-producing E. coli (STEC) . Cov kab mob STEC feem ntau nyob hauv North America yog E. coli O157:H7 .

Tsis tshua muaj, qee cov tshuaj thiab cov tshuaj uas ua rau muaj "HUS theem ob". Piv txwv li:

• Cov tshuaj tiv thaiv kab mob qog noj ntshav (Cov tshuaj kho mob qog noj ntshav): xws li (bleomycin), (cisplatin), (gemcitabine).
• Cov tshuaj tiv thaiv kab mob: xws li (cyclosporine), (tacrolimus).
• Quinine: Ib yam tshuaj kho mob malaria.
• Qee cov tshuaj : (oxymorphone), (ecstasy), (cocaine).

Puas yog (HUS) kis tau?

Tsis yog, HUS tsis kis tau.

Txawm li cas los xij, cov kab mob E. coli tuaj yeem kis tau. Cov kab mob no tuaj yeem kis tau los ntawm cov khoom noj lossis dej haus uas muaj kuab lom, lossis los ntawm kev kov cov quav ntawm ib tus neeg lossis tsiaj uas raws plab uas muaj kuab lom E. coli. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum ceev faj txog kev huv.

Leej twg yuav muaj feem mob (HUS) tshaj?

Txawm hais tias leej twg los yeej muaj peev xwm mob HUS tau, cov neeg hauv qab no muaj feem yuav mob ntau dua:

• Rau cov menyuam yaus hnub nyoog qis dua 5 xyoos.
• Rau cov neeg uas lub cev tiv thaiv kab mob tsis muaj zog (immunocompromised).
• Yog tias muaj ib tug neeg hauv koj tsev neeg tau muaj tus mob HUS ua ntej (tshwj xeeb yog aHUS).
• Yog tias koj kis tau tus kab mob E. coli: Tshwj xeeb tshaj yog los ntawm cov khoom xws li nqaij tsis tau siav thiab mis tsis tau pasteurized.
• Sib cuag ncaj qha nrog ib tus neeg uas raws plab los ntawm (E. coli).

Koj paub li cas yog tias koj muaj (HUS)? (Kuaj mob)

Thaum koj mus ntsib kws kho mob, nws yuav ua cov no:

• Nug txog koj keeb kwm kev kho mob .
• Nug txog koj tsev neeg keeb kwm kev kho mob .
• Yuav kuaj lub cev .

Yog tias tej yam no ua rau muaj kev xav tias muaj tus mob hu ua (HUS), tus kws kho mob yuav xaj kom kuaj ntxiv ntau zaus.

Yuav ua li cas thiaj kuaj tau?

• Kev kuaj zis: Yuav muab ib qho qauv ntawm koj cov zis thiab kuaj seb puas muaj protein lossis ntshav.
• Kuaj ntshav: Yuav muab cov ntshav coj mus kuaj seb koj cov ntshav liab suav li cas, cov ntshav platelet, thiab seb koj lub raum thiab lub siab ua haujlwm zoo li cas.
• Kuaj quav: Yuav muab ib daim qauv quav coj mus kuaj seb puas muaj cov kab mob uas ua rau mob HUS, xws li E. coli O157.
• Kev kuaj noob caj noob ces: Qee zaum, yuav muaj ib qho qauv ntawm koj cov ntshav xa mus kuaj noob caj noob ces. Qhov no tuaj yeem pab txiav txim siab seb koj puas muaj mob caj noob ces zoo li aHUS thiab kev kho mob twg zoo tshaj plaws rau koj.
• Kev kuaj mob raum: Qhov no suav nrog kev muab ib daim me me ntawm lub raum thiab kuaj nws hauv lub tshuab microscope kom pom tias lub raum puas tsuaj npaum li cas thiab yog vim li cas ho ua rau nws puas tsuaj. Tsis yog txhua tus neeg xav tau qhov no.

Cov kev kuaj mob yuav ua li cas thiaj paub tseeb tias koj muaj HUS?

• Los ntawm kev kuaj zis: Yog tias muaj ntshav lossis protein nyob rau hauv cov zis.
• Kev kuaj ntshav: Yog tias cov qe ntshav liab thiab cov platelet qis, lossis yog tias cov nqi qhia txog kev ua haujlwm ntawm lub raum (xws li creatinine) siab dua.
• Kev kuaj quav: Yog tias pom muaj cov kab mob zoo li (E. coli O157).
• Kev kuaj lub raum: Yuav pom kev puas tsuaj tshwj xeeb rau lub raum.

Yuav kho tus mob (HUS) li cas?

Yog koj kuaj pom tias koj muaj HUS, koj yuav tsum tau mus pw hauv tsev kho mob thiab kho koj tus mob. Cov kev kho mob muaj xws li:

• Cov kua dej hauv cov hlab ntsha (IV) thiab/lossis cov raj pub mis (kev noj zaub mov hauv plab): Qhov no pab tiv thaiv kom tsis txhob qhuav dej thiab muab cov khoom noj khoom haus tsim nyog.
• Cov Tshuaj:
• Lawv sim txo qhov kev puas tsuaj rau lub raum los ntawm kev muab cov tshuaj txo cov ntshav siab (antihypertensives) .
• Cov neeg uas muaj aHUS yuav tau txais cov tshuaj tshwj xeeb xws li eculizumab lossis ravulizumab . Ua ntej pib noj cov tshuaj no, nws yog ib qho tseem ceeb kom tau txhaj tshuaj tiv thaiv kab mob meningococcal thiab pneumococcal , vim tias cov tshuaj no ua rau muaj kev pheej hmoo ntawm kev mob cov kab mob no.
• Tej zaum koj yuav tau noj tshuaj tua kab mob tsawg kawg yog ob lub lis piam.
• Kev hloov ntshav: Kev muab cov qe ntshav liab thiab cov platelets rau ib tus neeg uas muaj (HUS) yog ib qho tseem ceeb heev. Cov qe ntshav liab txo cov tsos mob ntawm kev tsis muaj ntshav txaus, xws li ua pa luv luv thiab lub plawv dhia ceev. Cov platelets pab kom cov ntshav khov zoo, txo cov ntshav los ntshav thiab mob nqaij.

Yog tias ob lub raum puas tsuaj loj heev, tej zaum yuav tsum tau ntxuav ntshav kom huv si kom txog thaum ob lub raum zoo. Yog tias ob lub raum tsis ua haujlwm tag nrho vim yog HUS, tej zaum yuav tsum tau hloov ob lub raum .

Puas kho tau HUS kom zoo tag nrho?

Yog, muaj coob tus neeg zoo los ntawm HUS yam tsis muaj kev puas tsuaj rau lawv txoj kev noj qab haus huv mus tas li.

Txawm li cas los xij, qee tus neeg, tshwj xeeb tshaj yog cov menyuam yaus, yuav muaj mob raum me me (CKD) li ntawm 20% txog 50%. Mob raum theem kawg (ESK) tuaj yeem tshwm sim li ntawm 3% txog 5%. Cov kev tshawb fawb qhia tau tias CKD cuam tshuam rau kwv yees li 45% ntawm cov neeg laus.

Ntau tshaj 85% ntawm cov neeg uas muaj tus kab mob HUS rov zoo li qub. Txawm li cas los xij, txawm tias lawv zoo tag nrho los xij, muaj feem me me uas lawv yuav muaj ntshav siab lossis lwm yam teeb meem raum yav tom ntej.

Puas tiv thaiv tau HUS?

Nov yog qee yam uas koj ua tau los pab tiv thaiv kev kis tus kab mob E. coli, uas yog ib qho ua rau mob HUS loj heev. Cov no tseem ceeb heev rau koj thiab koj tsev neeg:

• Tsis txhob ua luam dej rau hauv cov chaw qias neeg (pas dej, dej ntws), tshwj xeeb yog tias koj xav tias cov dej muaj cov kab mob ntau heev.
• Yog koj raws plab, tsis txhob mus ua luam dej.
• Tsis txhob haus cov dej haus uas tsis tau muab tua kab mob (mis nyuj, kua txiv hmab txiv ntoo).
• Ib txwm ntxuav cov khoom siv hauv chav ua noj (riam, diav rawg, diav) thiab cov chaw npaj zaub mov (cov txee, cov laug txiav, cov tais diav).
• Ua kom cov qe thiab cov nqaij sib xyaws kom huv si kom txog thaum qhov kub sab hauv tsawg kawg yog 71 degrees Celsius (160 degrees Fahrenheit), thiab cov nqaij qaib kom txog thaum qhov kub sab hauv yog 74 degrees Celsius (165 degrees Fahrenheit).
• Thaum koj yaj nqaij, muab tso rau hauv lub tshuab ua kom sov (microwave) lossis lub tub yees (refrigerator). Tsis txhob yaj nqaij rau hauv qhov chaw ua zaub mov lossis hauv dej kub.
• Khaws cov khoom noj nyoos thiab cov khoom noj siav sib cais.
• Ntxuav koj txhais tes kom huv si nrog xab npum thiab dej kub ua ntej noj mov, tom qab siv chav dej, tom qab hloov cov ntaub so ntswg me me rau menyuam yaus, thiab tom qab kov cov tsiaj txhu hauv teb.

Xav txog seb, los ntawm kev ua raws li cov kauj ruam yooj yim no, koj tuaj yeem tiv thaiv koj tus kheej ntawm qhov xwm txheej loj heev zoo li no.

Yog koj muaj (HUS) koj yuav tau txais dab tsi?

Yog kuaj pom thiab kho tau zoo, feem ntau cov neeg uas muaj HUS yuav zoo tag nrho yam tsis muaj kev puas tsuaj rau lawv txoj kev noj qab haus huv mus tas li. Txawm li cas los xij, muaj kev pheej hmoo ntawm kev mob ntshav siab lossis lwm yam mob uas cuam tshuam rau lub raum yav tom ntej.

Cov mob HUS hnyav, tshwj xeeb yog tias nws cuam tshuam rau lwm yam kabmob, xws li lub hlwb, tuaj yeem ua rau tuag taus yog tias tsis kho.

Muaj pes tsawg feem pua ​​uas yuav muaj sia nyob (HUS)?

Yog kuaj pom thiab kho mob zoo, ntau tshaj 90% ntawm cov neeg yuav muaj sia nyob HUS. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum tsis txhob ntshai thiab nrhiav kev pab kho mob sai sai yog tias koj muaj cov tsos mob.

Kuv yuav saib xyuas kuv tus kheej li cas?

Yog tias koj lossis koj tus menyuam raws plab hnyav heev, nws yog ib qho tseem ceeb heev uas yuav tsum sim ua kom koj lub cev rov qab muaj dej.Cov dej haus kom rov qab muaj dej, xws li Jeevani, tuaj yeem pab hloov cov electrolytes uas ploj lawm. Cov menyuam mos thiab cov menyuam yaus yuav tsum tau haus mis niam lossis mis mos. Nug kws kho mob txog txoj hauv kev zoo tshaj plaws los ua kom koj tus menyuam muaj dej txaus.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Mus ntsib kws kho mob tam sim ntawd yog tias koj muaj cov tsos mob no:

• Raws plab ntshav.
• Raws plab uas kav ntev tshaj peb hnub.
• Lub cev o.
• Tawv nqaij uas yooj yim mob.
• Qaug zog heev.

Kuv yuav tsum nug tus kws kho mob li cas?

Koj tuaj yeem nug tus kws kho mob cov lus nug no:

• Yuav ua li cas koj thiaj paub tseeb tias kuv muaj tus kab mob Hemolytic Uremic Syndrome?
• Kuv tau mob Hemolytic Uremic Syndrome li cas?
• Yog tias kuv tsis muaj Hemolytic Uremic Syndrome, kuv yuav muaj lwm yam mob dab tsi ntxiv?
• Koj pom zoo kom muaj kev kho mob dab tsi?
• Puas yog kuv ob lub raum yuav puas tsuaj mus tas li?
• Kuv puas yuav muaj ntshav siab lossis lwm yam teeb meem raum yav tom ntej?

Dab tsi yog qhov peb ntawm Hemolytic Uremic Syndrome?

Ib qho triad yog kev sib xyaw ua ke ntawm peb cov tsos mob tseem ceeb uas qhia txog qee yam mob.

Cov tsos mob ntawm Hemolytic Uremic Syndrome triad muaj xws li:

1. Kev puas tsuaj rau koj cov qe ntshav liab (microangiopathic hemolytic anemia) .

2. Cov ntshav platelets hauv koj cov ntshav maj mam txo qis (thrombocytopenia) .

3. Raug mob raum sai sai .

Yog tias kuv raws plab, qhov ntawd puas txhais tau tias kuv muaj Hemolytic Uremic Syndrome?

Tsuas yog vim koj raws plab tsis tau txhais hais tias koj muaj Hemolytic Uremic Syndrome. Txawm li cas los xij, yog tias koj raws plab ntshav, lossis yog tias koj raws plab hnyav (mus txog rau qhov raws plab dej lossis kav ntev tshaj peb hnub), koj yuav tsum mus ntsib kws kho mob.

Qhov txawv ntawm (Hemolytic Uremic Syndrome) thiab (Thrombotic Thrombocytopenic Purpura - TTP) yog dab tsi?

Kab mob Hemolytic Uremic Syndrome (HUS) thiab Thrombotic Thrombocytopenic Purpura (TTP) yog ob yam mob zoo sib xws. Hauv TTP, cov ntshav txhaws tsim nyob rau hauv cov hlab ntsha me me. Txawm hais tias cov kws kho mob yav dhau los muab HUS thiab TTP ua ke, tam sim no suav tias yog cov mob sib cais.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Feem ntau raws plab yog ib qho mob luv luv xwb, tab sis tsis xis nyob. Feem ntau nws yuav zoo dua hauv ib lossis ob hnub. Txawm li cas los xij, yog tias koj raws plab ntshav, lossis yog tias koj raws plab ntev tshaj peb hnub, nrog rau kev nkees, ntsej muag daj ntseg, lossis tso zis tsawg dua thaum koj mus chav dej, nws yog lub sijhawm mus ntsib kws kho mob tam sim ntawd.

Ib qho mob hu ua Hemolytic Uremic Syndrome tuaj yeem ua rau koj lub raum puas tsuaj loj heev thiab cuam tshuam rau lwm yam kabmob.Thaum koj kho qhov no sai npaum li cas, koj yuav tsis muaj feem yuav raug mob mus sij hawm ntev rau koj lub raum. Yog li ntawd, yuav tsum paub txog cov tsos mob, tu cev kom huv si, thiab nrhiav kev pab kho mob yog tias koj muaj kev txhawj xeeb. Koj txoj kev noj qab haus huv tseem ceeb heev rau koj!

Kab mob Hemolytic Uremic Syndrome, HUS, Kab mob raum, Mob raws plab, E. coli, Cov qe ntshav liab, Cov ntshav platelets, Kev Noj Qab Haus Huv ntawm Menyuam