Kodi muli ndi matenda a Sickle Cell? Ngati muli ndi ululu pachifuwa, musasewere! Izi ndi zokhudza Acute Chest Syndrome!

Kodi nthawi zina mumamva kupweteka pachifuwa mwadzidzidzi komanso kuvutika kupuma? Ngati muli ndi zizindikiro izi pamodzi ndi chifuwa ndi malungo, makamaka ngati muli ndi matenda otchedwa Sickle Cell Disease (SCD) , musatenge mopepuka. Zizindikiro izi zitha kukhala chizindikiro cha matenda oopsa kwambiri otchedwa Acute Chest Syndrome. Musadandaule, tikambirana izi momveka bwino komanso mosavuta lero.

Kodi Acute Chest Syndrome ndi chiyani? Mwachidule...

Chabwino, onani tsopano. 'Acute Chest Syndrome' iyi ndi vuto lalikulu la matenda a sickle cell ('SCD') . Mwachidule, ndi pamene mukumva kupweteka pachifuwa, chifuwa, malungo, mpweya wochepa m'magazi mwanu, ndipo zinthu zachilendo, makamaka madzimadzi, zimayamba kudziunjikira m'minofu ya mapapo ('mapapo amalowa').

Matendawa amatha kukhala oopsa kwambiri mwachangu kwambiri . Ndipotu, 'Acute Chest Syndrome' iyi ndi yomwe imayambitsa kwambiri kugonekedwa m'chipatala komanso nthawi zina imfa kwa anthu omwe ali ndi matenda a sickle cell . Chifukwa chake, ndikofunikira kwambiri kudziwa izi.

Tsopano mwina mukudabwa kuti matenda a Sickle Cell Disease (SCD) ndi chiyani. Tiyeni tikukumbutseni pang'ono za matendawa. Ndi matenda a majini . Izi zikutanthauza kuti amabadwa nawo. Amakhudza mapuloteni omwe ali m'maselo ofiira a magazi athu otchedwa hemoglobin . Ngakhale maselo ofiira a munthu wathanzi ndi ozungulira, maselo ofiira a magazi a munthu yemwe ali ndi SCD amaoneka ngati chikwakwa (ngati kachigawo kakang'ono). Choncho maselo ofiira amenewa sangadutse mosavuta m'mitsempha yathu yopyapyala yamagazi. Kenako, hemoglobin singathe kunyamula mpweya m'thupi lonse moyenera. Ili ndiye vuto lalikulu ndi SCD.

Kodi matenda a chifuwa chachikulu (Acute Chest Syndrome) ndi ofala bwanji?

Ndipotu, `Acute Chest Syndrome` ndi matenda ofala kwambiri pakati pa anthu omwe ali ndi matenda a sickle cell (`SCD`). Malinga ndi ziwerengero, pafupifupi theka la anthu omwe ali ndi `SCD` adzakumana ndi vutoli kamodzi pa moyo wawo . Ngakhale kuti zikuoneka kuti ndilofala kwambiri kwa ana aang'ono azaka zapakati pa 2 ndi 4 , likhoza kukhala loopsa kwambiri kwa akuluakulu kuposa ana . Zapezekanso kuti anthu omwe ali ndi `SCD` ndi mphumu ali pachiwopsezo chachikulu chotenga `Acute Chest Syndrome` kuposa ena.

Kodi n’chifukwa chiyani matenda a chifuwa chachikulu (Acute Chest Syndrome) amachitika? Kodi zimayambitsa chiyani?

Asayansi sakudziwabe chomwe chimayambitsa 'Acute Chest Syndrome'. Koma amakhulupirira kuti mwina imayambitsidwa ndi chinthu chimodzi kapena zingapo. Tiyeni tiwone zomwe zili:

• Kutupa kwa mafupa:Kodi mumadziwa kuti mafuta a m'mafupa ndi gawo lofewa komanso lopanda siponji mkati mwa mafupa athu akuluakulu? Ngati mafuta a m'mafupa awa afa mwanjira ina (yomwe imatchedwa `necrosis`), zidutswa zazing'ono zake zimatha kusweka ndikulowa m'magazi ndikuyenda m'thupi lonse. Ngati zidutswazi zipita ku mapapo, zimatha kuyambitsa `Acute Chest Syndrome`.
• Kutsekeka kwa mafuta m'thupi: Chifukwa china chomwe chingayambitse kulephera kwa mafuta m'thupi chomwe chatchulidwa pamwambapa ndi kutsekeka kwa mafuta m'thupi. Mwachidule, izi zimachitika pamene tinthu tamafuta (tiyerekeze kuti ndi dontho la mafuta) timakakamira mumtsempha wamagazi ndikuletsa kuyenda kwa magazi . Izi zingayambitsenso matenda a chifuwa chachikulu.
• Matenda : Matenda osiyanasiyana, makamaka chibayo choyambitsidwa ndi mabakiteriya kapena mavairasi , angayambitse matenda a chifuwa chachikulu. Matenda ndi omwe amachititsa vutoli mwa ana aang'ono . Komabe, mwa akuluakulu , nthawi zambiri amayamba chifukwa cha mafuta olowa m'thupi.

Kodi zizindikiro za munthu amene ali ndi matenda a chifuwa chachikulu (Acute Chest Syndrome) ndi ziti?

Zizindikiro za `Acute Chest Syndrome` zimatha kusiyana malinga ndi munthu. Pali kusiyana kwina, makamaka pakati pa ana aang'ono ndi akuluakulu. Ana aang'ono nthawi zambiri amasonyeza zizindikiro zambiri za matenda:

• Chifuwa
• Malungo
• Kuchepa kwa kuchuluka kwa okosijeni m'magazi (hypoxemia)
• Kupuma mofulumira kwambiri (tachypnea)
• Kupuma movutikira (phokoso lochokera pachifuwa pamene mukupuma)

Akuluakulu nawonso akhoza kukhala ndi zizindikiro zomwezi. Kuphatikiza apo, mungazindikirenso:

• Kupweteka pachifuwa , makamaka popuma, kungawonjezereke.
• Kupweteka kwakukulu, mwadzidzidzi m'manja, miyendo, ndi msana komwe kumachitika chifukwa cha kutsekeka kwa magazi (komwe kumatchedwanso `vaso-occlusive crisis`).
• Kuchulukana kwa madzi m'mapapo ndi pachifuwa (pleural effusion).
• Kuvuta kupuma (kupuma movutikira).

Ngati muli ndi chimodzi mwa zizindikiro izi, makamaka ngati muli ndi SCD, ndikofunikira kwambiri kufunafuna upangiri wa dokotala nthawi yomweyo .

Kodi matenda a chifuwa chachikulu (Acute Chest Syndrome) amawapeza bwanji? (Kuzindikira)

Kuzindikira msanga `Acute Chest Syndrome` kungapulumutse moyo wa munthu.Ngati muli ndi SCD ndipo muli m'chipatala, muyenera kuyang'aniridwa nthawi zonse ndikuyesedwa kofunikira. Pali mayeso angapo omwe angathandize madokotala kuzindikira vutoli:

• Kusanthula mpweya m'magazi: Izi zimatha kuyeza kuchuluka kwa acidity (pH), mpweya, ndi carbon dioxide m'magazi anu.
• Kuyezetsa magazi: Kuyezetsa magazi mokwanira kungakupatseni chidziwitso chokhudza maselo ofiira a magazi anu, maselo oyera a magazi, ndi ma platelet.
• X-ray ya pachifuwa: Izi zingagwiritsidwe ntchito pofufuza matenda a m'mapapo kapena kuchulukana kwa zinthu zachilendo (zomwe zimalowa m'mapapo) zomwe tidakambirana kale.
• Zikhalidwe: Mayesowa amathandiza kuzindikira mitundu yosiyanasiyana ya matenda pofufuza magazi anu, mamina, kapena madzi ena amthupi.

Kutengera zotsatira za mayesowa ndi zizindikiro zanu, dokotala wanu angasankhe Acute Chest Syndrome kukhala yofatsa, yapakati, kapena yoopsa .

Kodi mankhwala a Acute Chest Syndrome ndi ati?

Pachifukwa ichi , kuyamba chithandizo msanga ndiyo njira yabwino kwambiri yopewera mavuto aakulu . Njira zina zochiritsira zikuphatikizapo:

• Kuika magazi: Izi zikuphatikizapo kuchotsa magazi ena ndi kukupatsani magazi kapena zigawo za magazi kuchokera kwa wopereka magazi.
• Madzi a m'magazi: Izi zimathandiza kupewa kutaya madzi m'thupi (kusunga madzi m'thupi), zomwe zingapangitse matenda a sickle cell kuipiraipira ndikuwonjezera ululu.
• Mankhwala ochepetsa ululu: Mankhwala monga `ketorolac` kapena `opioids` angaperekedwe kuti achepetse ululu.
• Chowunikira cha Spirometer: Chipangizo chaching'ono ichi chimakuthandizani kupuma mozama. Chimathandiza kuti mapapu anu akhale oyera komanso ogwira ntchito bwino.
• Chithandizo chowonjezera cha mpweya: Ngati mpweya m'magazi uli wochepa, mpweya umaperekedwa.
• Mankhwala Opha Utoto: Ngati vutoli layamba chifukwa cha matenda a bakiteriya, mankhwala opha tizilombo amaperekedwa.
• Mankhwala Oletsa Mavairasi: Ngati chifukwa chake ndi kachilombo ka HIV, mankhwala oyenera oletsa mavairasi amaperekedwa.

Kodi chiopsezo chotenga matenda a chifuwa chachikulu chingachepe?

Ngati muli ndi matenda a sickle cell (SCD), ndikofunikira kulankhula ndi gulu lanu lachipatala za njira zopewera matenda a chifuwa chachikulu. Angakulangizeni zinthu monga:

• Kupumira m'botolo nthawi zonse: Ngakhale kuti zingawoneke ngati chinthu chosavuta, izi zimathandiza kuti njira zanu zopumira zikhale zoyera komanso zimachepetsa kuchuluka kwa madzi osafunikira m'mapapo mwanu.
• Kuchita masewera olimbitsa thupi nthawi zonse: Izi zingathandize kuti mapapo anu akhale ndi mphamvu zambiri.
• Kuikidwa magazi nthawi zonse: Anthu ena angafunike izi.
• Kumwa mankhwala monga `Hydroxyurea` kapena `L-glutamine`: Mankhwalawa angathandize kuchepetsa ululu ndikuchepetsa chiopsezo chogonekedwa m'chipatala pafupipafupi. Komabe, awa ayenera kumwedwa pokhapokha ngati dokotala akuwalangiza.

Kodi chiyembekezo (kuchira) kwa munthu amene ali ndi vutoli ndi chotani?

Ndikofunikira kupeza chithandizo mwachangu ngati `Acute Chest Syndrome` yachitika. Kulephera kutero kungayambitse mavuto aakulu monga:

• Matenda Ovuta Kwambiri Okhudza Kupuma (ARDS): Uwu ndi matenda oopsa a m'mapapo omwe angakhale oopsa kwa moyo.
• Kusintha kwa maganizo.
• Kuvulala kwa impso.
• Kulephera kugwira ntchito kwa chiwindi.
• Kulephera kwa ziwalo zambiri.
• Kulephera kupuma mokwanira.
• Ululu waukulu kwambiri.
• Mwatsoka, ngakhale imfa ikhoza kuchitika.

Malinga ndi ziwerengero, chiwerengero cha imfa chifukwa cha `Acute Chest Syndrome` pakati pa akuluakulu ndi pafupifupi 4% . Pakati pa ana, chiwerengerochi ndi pafupifupi 1% . Izi zikutanthauza kuti miyoyo yambiri ingapulumutsidwe ngati chithandizo chamankhwala chikuyamba msanga.

Komanso, kumbukirani kuti ngakhale `Acute Chest Syndrome` itachiritsidwa bwino ndikuchiritsidwa, munthu amene ali ndi `SCD` angakumanenso ndi vutoli mtsogolo .

Ndili ndi matenda a sickle cell. Kodi ndiyenera kuchita chiyani ngati ndili ndi zizindikiro za Acute Chest Syndrome?

Ichi ndiye chinthu chofunikira kwambiri. Ngati muli ndi SCD ndipo mwayamba kuona zizindikiro za Acute Chest Syndrome (kupweteka pachifuwa, kupuma movutikira, chifuwa, malungo), musachedwe kwa mphindi imodzi ndipo funsani upangiri wa dokotala nthawi yomweyo .

• Uzani madokotala kuti muli ndi matenda a sickle cell mukapita ku chipinda chodzidzimutsa kapena kuchipatala china.
• Funsani kuti akuwonetseni X-ray pachifuwa nthawi yomweyo . Izi zitha kutsimikizira mwachangu ngati muli ndi Acute Chest Syndrome ndikuyamba chithandizo mwachangu.

Kumbukirani, kuchitapo kanthu mwachangu panthawi ngati iyi kungathandize kwambiri kupulumutsa moyo wanu.

Uthenga Wopita Nawo Kunyumba

Tsopano mukudziwa kuti `Acute Chest Syndrome`, yomwe takhala tikukamba, ndi vuto lalikulu la matenda a sickle cell. Zizindikiro zazikulu ndi kupweteka pachifuwa, kupuma movutikira, chifuwa, ndi malungo . Ngati muli ndi matenda a sickle cell, funsani upangiri wa dokotala nthawi yomweyo ngati mukukumana ndi zizindikiro izi.Musaiwale kuuza madokotala anu kuti muli ndi matenda a sickle cell. Kuzindikira msanga ndi kulandira chithandizo mwachangu ndi njira zabwino kwambiri zodzitetezera ku vutoli. Khalani athanzi! Matenda a Chifuwa Oopsa, Matenda a Sickle Cell, Kupweteka kwa Chifuwa, Kuvuta Kupuma, Matenda a Chifuwa Oopsa, Matenda a Sickle Cell, Matenda a M'mapapo