Koj tus menyuam puas muaj cov tsos mob no? Cia peb paub txog Reye's Syndrome!

Koj puas tau pom tias koj tus me nyuam kub taub hau lossis mob khaub thuas, thiab tom qab ntawd lawv tus cwj pwm hloov pauv, ntuav ntau zaus, lossis tsaug zog heev? Yog tias koj pom cov kev hloov pauv no, tsis txhob tsis quav ntsej lawv li qub. Vim tias, nws yuav yog ib qho tsos mob ntawm tus mob tsis tshua muaj tab sis muaj peev xwm txaus ntshai hu ua "Reye's Syndrome." Cia peb tham txog qhov no hnub no.

Reye's Syndrome yog dab tsi?

Hais yooj yim xwb, Reye's Syndrome yog ib yam mob uas tsis tshua muaj tab sis tej zaum yuav mob hnyav. Nws tshwm sim thaum lub hlwb ntawm ib tug me nyuam o thiab lub siab ua haujlwm tam sim ntawd nres tom qab muaj kab mob viral, feem ntau yog mob khaub thuas, mob ntsws, lossis mob qaib ntxhw. Cov mob no feem ntau pom thaum cov me nyuam noj tshuaj aspirin los tswj cov tsos mob ntawm kab mob viral. Cov tsos mob no tuaj yeem tshwm sim hauv ib lub lim tiam tom qab pib muaj kab mob viral.

Leej twg yuav muaj feem mob Reye's Syndrome tshaj?

Qhov no feem ntau suav hais tias yog kab mob thaum yau. Txawm li cas los xij, nws tuaj yeem tshwm sim rau txhua lub hnub nyoog. Txawm li cas los xij, nws feem ntau pom ntawm cov menyuam yaus hnub nyoog qis dua 18 xyoo. Qhov mob no tau tshaj tawm tshwj xeeb tshaj yog thaum lub caij nplooj zeeg thiab lub caij ntuj no (hauv peb lub tebchaws, thaum lub caij ntuj nag, thaum muaj cov kab mob sib kis).

Qhov teeb meem no feem ntau tshwm sim li cas?

Qhov tseeb, Reye's Syndrome tam sim no yog ib qho mob tsis tshua muaj. Piv txwv li, hauv Tebchaws Meskas, tsuas muaj ob tus neeg mob no xwb uas tau tshaj tawm txhua xyoo.

Qhov laj thawj tseem ceeb rau qhov no yog vim tias tam sim no tib neeg paub ntau ntxiv txog tus kab mob no. Tshwj xeeb, ntau tus niam txiv paub tias nws tsis yog lub tswv yim zoo los muab tshuaj aspirin rau tus menyuam los kho cov tsos mob thaum lawv kub taub hau. Tsis tas li ntawd, kev txhaj tshuaj tiv thaiv kab mob xws li mob khaub thuas thiab mob qhua pias tau txo qhov tshwm sim ntawm tus kab mob no.

Reye's Syndrome cuam tshuam li cas rau lub cev ntawm tus menyuam?

Tom qab muaj kab mob viral xws li mob khaub thuas lossis mob qhua pias, koj tus menyuam yuav pib muaj cov tsos mob tshiab hauv ob peb hnub (tej zaum ib lub lim tiam). Qhov tseem ceeb tshaj plaws uas yuav tsum nco ntsoov yog tsis txhob muab tshuaj aspirin rau koj tus menyuam rau lawv cov tsos mob yam tsis tau kev qhia los ntawm kws kho mob. Ua li ntawd yuav ua rau muaj kev pheej hmoo ntawm Reye's Syndrome ntau ntxiv.

Kab mob Reye's Syndrome ua rau muaj kev nce siab sai sai hauv lub hlwb ntawm tus menyuam, uas tuaj yeem ua rau muaj kev hloov pauv sai sai ntawm tus cwj pwm thiab tus cwj pwm. Xav txog koj tus menyuam uas nyiam ua si, zoo siab tam sim ntawd poob kev txaus siab rau lawv cov khoom ua si nyiam, lossis npau taws thiab ntxhov siab yooj yim rau tej yam tsis tseem ceeb. Cov kev hloov pauv ntawm lub siab no tuaj yeem yog thawj cov cim qhia ntawm Kab Mob Reye's Syndrome. Yog tias koj paub txog cov tsos mob no thaum ntxov, koj tuaj yeem pib kho sai sai thiab pab koj tus menyuam rov zoo.

Cov tsos mob ntawm Reye's Syndrome yog dab tsi?

Cov tsos mob yuav txawv ntawm ib tus neeg mus rau ib tus neeg, thiab lawv kuj txawv nyob ntawm seb tus mob hnyav npaum li cas. Cov tsos mob thawj zaug yog cov tsos mob ntawm tus kab mob viral uas feem ntau pom. Uas yog, mob khaub thuas, mob caj pas, kub taub hau, lossis mob qaib ntxhw. Tom qab li tsib txog xya hnub ntawm cov tsos mob ntawm tus kab mob viral no, cov tsos mob ntsig txog Reye's Syndrome pib tshwm sim. Lawv yog:

• ntuav ntau zaus.
• Xav tias nkees heev thiab tsaug zog heev.
• Tej yam xws li kev ntxhov siab, kev nco tsis zoo, kev tsis meej pem, thiab kev pom tej yam tsis muaj tseeb .
• Kev hloov pauv ntawm tus cwj pwm: kev tawv ncauj, kev chim siab sai, kev sib cav sib ceg.
• Ua pa sai.

Cov kev hloov pauv no hauv kev ua haujlwm ntawm lub hlwb tshwm sim vim muaj kev nce siab hauv lub taub hau ('(Intracranial pressure)'). Tib lub sijhawm, kev ua haujlwm ntawm daim siab kuj raug cuam tshuam. Yog tias tus kab mob hnyav zuj zus, koj kuj tseem yuav pom cov tsos mob xws li:

• Qaug dab peg.
• Coma yog ib qho mob uas tsis nco qab, zoo li pw tsaug zog tob.
• Poob siab tag nrho.
• Teeb meem ntshav txhaws.
• Cov ammonia ntau ntxiv hauv cov ntshav.

Tseem Ceeb: Yog tias koj tus menyuam muaj ib lossis ntau yam ntawm cov tsos mob no, txawm tias thaum muaj mob ua npaws los yog ob peb hnub tom qab tus mob ploj mus lawm, koj yuav tsum nrhiav kev pab kho mob tam sim ntawd, vim tias cov no tuaj yeem ua rau tuag taus.

Dab tsi ua rau muaj Reye's Syndrome?

Qhov tseeb, qhov ua rau muaj tus mob Reye's Syndrome tseem tsis tau pom tseeb.

Txawm li cas los xij, qhov mob no feem ntau yog tshwm sim los ntawm kev muab tshuaj aspirin lossis salicylates rau ib tug menyuam uas muaj kab mob viral (xws li mob khaub thuas lossis mob qhua pias) los tswj cov tsos mob. Qee qhov kab mob viral uas tuaj yeem ua rau Reye's Syndrome suav nrog:

• Mob khaub thuas
• Kab mob qaib
• Kab mob ua pa
• Mob khaub thuas

Cov tsos mob ntawm Reye's Syndrome yog tshwm sim los ntawm cov kua dej sib sau ua ke lossis muaj kev ntxhov siab ntau ntxiv hauv cov ntaub so ntswg ntawm lub hlwb (cerebral edema) thiab kev hloov pauv hauv lub siab.

Qee qhov kev tshawb fawb qhia tias qhov mob no hauv lub siab tshwm sim vim yog kev puas tsuaj rau mitochondria ('(Mitochondria)') hauv cov hlwb. Mitochondria ('(Mitochondria)') yog, hais yooj yim, cov chaw tsim hluav taws xob me me uas muab lub zog rau peb cov hlwb. Thaum cov no raug puas tsuaj, kev ua haujlwm ntawm lub siab yuav tsis zoo thiab cov tsos mob tshwm sim. Txawm li cas los xij, nws tseem tsis tau meej tias vim li cas cov mitochondria ('(Mitochondria)') no thiaj li raug puas tsuaj.

Puas yog Aspirin ua rau Reye's Syndrome?

Cov kev tshawb fawb tau qhia tias aspirin lossis ib yam khoom hu ua salicylate tuaj yeem ua rau Reye's Syndrome thiab ua rau cov tsos mob hnyav dua. Txawm li cas los xij, raws li tau hais ua ntej lawm, qhov ua rau muaj qhov tseeb tseem tsis tau paub meej. Yog li ntawd, nco ntsoov tham nrog kws kho mob ua ntej muab aspirin rau koj tus menyuam thaum nws muaj tus kab mob viral xws li mob khaub thuas. Nyeem daim ntawv lo ntawm cov tshuaj uas koj muab rau ib tug menyuam kom zoo, xyuas kom meej tias nws tsim nyog rau hnub nyoog thiab yuav muab li cas. Nug koj tus kws kho mob yog tias koj muaj lus nug.

Reye's Syndrome Ua Haujlwm Li Cas Hauv Lub Cev (Pathophysiology)

Cov ntsiab lus tag nrho ((Pathophysiology)) ntawm seb tus kab mob no ua haujlwm li cas hauv lub cev ntawm tus menyuam tseem tsis tau nkag siab tag nrho.

Txawm li cas los xij, kev tshawb fawb qhia tau hais tias qhov mob no tshwm sim thaum cov hlwb mitochondria ((Mitochondria)) puas tsuaj sib xyaw nrog kev kis kab mob viral. Yog tias aspirin nkag mus rau hauv lub cev ntawm tus menyuam lub sijhawm no, qhov kev puas tsuaj rau mitochondria ((Mitochondria)) nce ntxiv thiab cov tsos mob yuav hnyav zuj zus. Vim yog mitochondria ((Mitochondria)) puas tsuaj, qib ammonia hauv cov ntshav nce ntxiv. Tom qab ntawd lub hlwb pib o ((Cerebral edema thiab intracranial pressure)). Thaum lub siab ntawm lub hlwb nce ntau dhau, cov nqaij rog hauv lub raum pib raug puas tsuaj ((Fatty degeneration)), thiab kev ua haujlwm ntawm cov hlwb hlab ntsha ((Neurons)) kuj txo qis.

Yuav kuaj mob Reye's Syndrome li cas? (Kev kuaj mob)

Cov kws kho mob yuav xav tias muaj tus kab mob Reye's Syndrome yog tias ib tug me nyuam muaj tus kab mob viral thiab tom qab ntawd qhia cov tsos mob zoo ib yam li tus kab mob Reye's Syndrome, xws li ntuav thiab hloov tus cwj pwm (xws li ntxhov siab, tsis meej pem). Tom qab ntawd lawv yuav ua ntau yam kev kuaj mob kom paub tseeb tias muaj lwm yam mob uas ua rau muaj cov tsos mob zoo sib xws.

Yog koj tus menyuam raug kuaj pom tias muaj tus kab mob Reye's Syndrome, nws yuav raug muab faib ua ntau theem raws li nws qhov hnyav. Cov theem no muaj cov lej Roman cim los ntawm I (ib - qhov hnyav tsawg tshaj plaws) mus rau V (tsib - qhov hnyav tshaj plaws).

Cov kev kuaj twg siv los kuaj mob?

Tus kws kho mob yuav ua ntau yam kev kuaj mob kom paub tseeb tias yog mob. Cov no suav nrog:

• Kev kuaj ntshav: Xyuas seb cov ammonia nyob rau hauv cov ntshav thiab xyuas seb puas muaj cov tshuaj lom nyob rau hauv cov zis.
• Kev kuaj duab: Kev luam theej duab MRI lossis CT ntawm lub hlwb.
• Kev kuaj mob siab: Muab ib daim me me ntawm lub siab los kuaj.
• Kev Ntsuas Tus Ntxaib: Kev kuaj cov kua dej uas nyob ib puag ncig lub hlwb thiab cov hlab ntsha hauv tus txha caj qaum (cov kua dej hauv hlwb).

Puas tuaj yeem kuaj mob Reye's Syndrome tsis raug?

Vim tias cov tsos mob ntawm Reye's Syndrome zoo ib yam li lwm yam mob, qee zaum nws tuaj yeem kuaj tsis raug. Txawm li cas los xij, qhov no tsis yog qhov tsis tshua muaj. Qee qhov mob uas tuaj yeem kuaj tsis raug suav nrog:

• Kab mob hlwb (mob hlwb)
• Kab mob hlwb (Meningitis)
• Kab mob ntshav qab zib ((Diabetes))
• Tshuaj ntau dhau
• Kev lom ((Kev lom))
• Kab mob tuag sai sai rau menyuam mos ((Sudden infant death syndrome))
• mob hlwb

Yuav kho tus mob Reye's Syndrome li cas?

Lub hom phiaj tseem ceeb ntawm kev kho mob yog los tiv thaiv tus menyuam lub hlwb. Qhov no txhais tau tias txo qhov o ntawm lub hlwb, kho qhov puas tsuaj rau lub siab thiab cov txheej txheem metabolic ('(Kev raug mob Metabolic)'), thiab tiv thaiv cov teeb meem ntawm lub ntsws. Kev kho mob tuaj yeem suav nrog cov hauv qab no:

• Yuav kom ua pa tau yooj yim dua, muab ib lub raj tso rau hauv lub raj cua (endotracheal intubation) lossis txuas rau lub tshuab ua pa.
• Khaws tus menyuam lub taub hau kom siab.
• Muab cov tshuaj kom txo cov ammonia hauv cov ntshav ((Ammonia detoxicants)).
• Muab tshuaj los tswj cov ntshav qab zib ('(Glucose)').
• Muab vitamin K los yog plasma kom cov ntshav khov zoo dua.

Yog tias koj tus menyuam raug kuaj pom tias muaj tus kab mob Reye's Syndrome, lawv yuav raug xa mus rau Chav Saib Xyuas Mob Hnyav (ICU) tam sim ntawd thiab kev kho mob yuav pib. Pawg neeg kho mob yuav saib xyuas txhua yam tas li, suav nrog tus menyuam lub cev kub thiab kev ua haujlwm ntawm cov kab mob tseem ceeb, kom pom tias kev kho mob puas ua tiav.

Puas muaj tej yam tshwm sim ntawm kev kho mob?

Feem ntau cov menyuam yaus uas kuaj pom tias muaj tus kab mob Reye's Syndrome no yuav zoo tag nrho. Txawm li cas los xij, yog tias tus menyuam lub hlwb o heev, tej zaum yuav muaj qee yam kev mob tshwm sim. Cov no suav nrog:

• Kev tsis nco qab ((Kev tsis nco qab))
• Kev nyuaj kawm ((Kev nyuaj kawm))
• Tsis pom kev thiab hnov ​​lus
• Teeb meem nrog kev hais lus thiab lus
• Nyuaj siab txav lub cev thiab ua tej haujlwm niaj hnub, xws li hnav khaub ncaws.

Hauv cov xwm txheej zoo li no, tus menyuam yuav tsum tau txais kev txhawb nqa thiab kev saib xyuas tshwj xeeb uas lawv xav tau thaum lawv loj hlob tuaj.

Tus me nyuam yuav zoo sai npaum li cas tom qab kho mob?

Tom qab kho mob tas, thaum qhov o ntawm koj tus menyuam lub hlwb ploj mus lawm, nws yuav pib zoo. Tej zaum yuav siv sijhawm ob peb hnub mus rau ob peb lub lis piam rau koj tus menyuam kom zoo txaus kom tawm hauv tsev kho mob. Pawg kws kho mob yuav qhia koj txog kev nce qib ntawm koj tus menyuam.

Yog tias kuv tus menyuam muaj tus kab mob Reye's Syndrome, kuv yuav tsum tau tos li cas?

Qhov kev kwv yees ntawm tus menyuam tus mob nyob ntawm seb qhov mob hnyav npaum li cas, tshwj xeeb tshaj yog qhov o ntawm lub hlwb thiab qib ammonia hauv cov ntshav. Yog tias tus mob loj zuj zus sai thiab tus menyuam poob rau hauv lub xeev tsis nco qab, qhov muaj feem yuav zoo rov qab los yuav tsawg heev. Txawm li cas los xij, yog tias tus mob raug kuaj pom thiab kho thaum ntxov, qhov muaj feem yuav zoo rov qab los yuav ntau heev.

Tus nqi tuag rau cov menyuam yaus uas kuaj pom tias muaj tus kab mob Reye's Syndrome yog kwv yees li 21%. Qhov no suav nrog tsawg dua 2% ntawm cov menyuam yaus uas muaj tus kab mob theem I (me me) mus txog 80% ntawm cov menyuam yaus uas muaj theem V (tsis nco qab). Kev paub thiab kev kho mob thaum ntxov ua rau muaj feem yuav ciaj sia ntau dua.

Cov menyuam yaus uas muaj cov tsos mob hnyav ntawm Reye's Syndrome yuav muaj cov kev mob tshwm sim uas kav ntev mus txog thaum lawv loj hlob. Piv txwv li, kev puas tsuaj rau lub hlwb, teeb meem kev loj hlob ntawm kev xav, qaug dab peg, cov leeg tsis muaj zog, thiab teeb meem ntawm lub paj hlwb.

Puas muaj ib txoj kev kho tshwj xeeb rau Reye's Syndrome?

Tsis muaj ib txoj kev kho mob tshwj xeeb rau qhov no. Txawm li cas los xij, feem ntau cov menyuam yaus yuav zoo tag nrho, nyob ntawm seb lawv kuaj mob li cas. Kev kho mob lub hom phiaj yog kom txo cov tsos mob thiab tiv thaiv cov teeb meem mus sij hawm ntev lossis kev tuag.

Yuav ua li cas thiaj tiv thaiv tau tus kab mob Reye's Syndrome?

Qhov no yog qhov tseem ceeb tshaj plaws uas peb txhua tus yuav tsum paub. Vim muaj kev sib txuas ntawm aspirin thiab Reye's Syndrome, tus kab mob no tuaj yeem tiv thaiv tau los ntawm kev tsis txhob muab aspirin rau cov menyuam yaus, tshwj xeeb tshaj yog cov menyuam yaus hnub nyoog qis dua 16 xyoo. Yog tias koj tus menyuam xav tau aspirin los kho ib qho mob, tsis txhob muab aspirin yam tsis tau tham nrog kws kho mob txog nws.

Ua ntej muab tshuaj rau menyuam yaus, nyeem daim ntawv lo rau kom zoo zoo, xyuas seb cov tshuaj puas haum rau hnub nyoog, thiab xyuas cov lus qhia txog yuav muab li cas. Yog tias tsis paub meej, nug koj tus kws kho mob lossis kws muag tshuaj.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj tus menyuam muaj cov tsos mob ntawm Reye's Syndrome tom qab kub taub hau lossis kis kab mob los yog koj tau muab tshuaj aspirin lossis tshuaj salicylate rau koj tus menyuam yam tsis tau kev qhia los ntawm kws kho mob, mus ntsib kws kho mob tam sim ntawd.

Kuv yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) thaum twg?

Yog tias koj tus menyuam muaj mob qaug dab peg ('(Seizures)'), uas txhais tau tias lawv tsis nco qab ib ntus, co lawv txhais tes thiab ob txhais ceg tsis tuaj yeem tswj tau, ntxhov siab, lossis qhia tias lawv tsis meej pem, hu rau 911 tam sim ntawd, lossis coj koj tus menyuam mus rau chav kho mob ceev ze tshaj plaws. Mob qaug dab peg feem ntau kav ntev li 30 vib nas this mus txog li ob feeb.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

• Puas yog kuv tus menyuam tseem muaj cov tsos mob ntawm Reye's Syndrome tom qab tawm hauv tsev kho mob lawm?
• Yog kuaj pom tias muaj tus kab mob Reye's Syndrome no ces yuav cuam tshuam li cas rau yav tom ntej ntawm kuv tus menyuam?
• Cov tshuaj twg kuv yuav tsum tsis txhob muab rau kuv tus menyuam thaum nws mob?

Ib koob tshuaj Pepto-Bismol® puas ua rau muaj Reye's Syndrome?

Pepto-Bismol® kuj muaj ib yam khoom hu ua salicylate, uas zoo ib yam li aspirin. Yog li ntawd, tsis pom zoo kom muab rau cov menyuam yaus yam tsis tau kev qhia los ntawm kws kho mob. Kev muab aspirin thaum muaj kab mob viral xws li mob khaub thuas tuaj yeem ua rau muaj cov tsos mob ntawm Reye's Syndrome. Txawm li cas los xij, raws li tau hais ua ntej lawm, tseem tsis tau paub meej tias yog vim li cas thiaj muaj Reye's Syndrome. Ib txwm nyeem daim ntawv lo lossis nug koj tus kws muag tshuaj lossis kws kho mob ua ntej muab tshuaj rau menyuam yaus.

Thaum kawg, cov lus tseem ceeb tshaj plaws

Yog tias koj paub txog cov tsos mob ntawm Reye's Syndrome thiab pom tias koj tus menyuam tus cwj pwm hloov pauv lossis cov tsos mob tshiab tom qab kis tus kab mob viral, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob sai li sai tau. Qhia koj tus menyuam kom paub txog lawv cov tshuaj tiv thaiv kab mob. Qhov no tseem ceeb heev thaum lub sijhawm uas muaj kab mob viral ntau (xws li lub caij los nag). Yog tias koj tus menyuam raug kuaj pom tias muaj Reye's Syndrome, koj pab neeg kho mob yuav qhia koj txog koj tus menyuam txoj kev noj qab haus huv thiab muab kev txhawb nqa rau koj. Qhov tseem ceeb tshaj plaws yog nyob twj ywm thiab ua tib zoo.

Reye 's syndrome, aspirin, cov kab mob thaum yau, mob ua npaws los ntawm tus kab mob viral, kab mob siab, o ntawm lub hlwb, ntuav