Lero tikambirana za matenda osowa koma omwe angakhale oopsa. Izi zimachitika makamaka kwa ana athu aang'ono, makamaka akakhala ndi malungo oyambitsidwa ndi kachilombo, chimfine, kapena china chake chonga nthenda ya nkhuku kenako n’kuchira. Izi ndi zomwe madokotala amatcha Reye Syndrome. Ndikofunikira kwambiri kuti tonsefe tidziwe izi, chifukwa tikazindikira msanga, mwayi wopulumutsa mwanayo umakhala waukulu.
Kodi matenda a Reye Syndrome ndi chiyani kwenikweni?
Mwachidule, matenda a Reye Syndrome ndi matenda oopsa kwambiri omwe angabwere mwadzidzidzi ndikuwononga ubongo ndi chiwindi cha mwana . Nthawi zambiri amapezeka mwana wamng'ono akamachira matenda opatsirana ndi kachilombo.
Ngakhale kuti chifukwa chenicheni sichikudziwikabe, kafukufuku wagwirizanitsa vutoli ndi kugwiritsa ntchito aspirin kapena salicylates pamene ana akudwala matenda opatsirana ndi kachilombo. Nthawi zina, zimatha kukhala zoopsa kwambiri moti zimatha kupha munthu pakangopita maola ochepa. Matenda a Reye amaonedwa ngati vuto ladzidzidzi ndipo amafunika thandizo lachipatala mwamsanga .
Kuzindikira matendawa msanga ndi kuyamba kulandira chithandizo msanga ndi mwayi wabwino kwambiri kuti mwana achire mokwanira.
Ndani amene ali ndi mwayi waukulu wopeza Reye Syndrome?
Matendawa nthawi zambiri amakhudza ana azaka zapakati pa 4 ndi 14. Komabe, amathanso kukhudza makanda aang'ono ndipo nthawi zina ana aang'ono.
Koma nkhani yabwino ndi yakuti kuyambira pamene madokotala anayamba kulangiza ana kuti asapereke aspirin, makamaka akakhala ndi matenda opatsirana ndi mavairasi, chiwerengero cha anthu omwe ali ndi matendawa chachepa kwambiri.
Matendawa nthawi zambiri amapezeka pa nthawi ya kufalikira kwa mavairasi. Mwachitsanzo, m'miyezi yozizira pamene pali chimfine kapena chimfine, kapena pa nthawi ya mliri wa nsabwe, nthawi zambiri amapezeka.
Kodi zizindikiro za Reye Syndrome ndi ziti? Kodi mungazindikire bwanji?
Zizindikiro za Reye Syndrome nthawi zambiri zimayamba mwana akadwala matenda a m'mapapo (monga chimfine kapena fuluwenza), matenda otsegula m'mimba, kapena matenda opatsirana ndi mavairasi monga nkhuku.
Zizindikirozi zimatha kuonekera mkati mwa tsiku limodzi kapena milungu iwiri kuchokera pamene kachilomboka kakufalikira. Nazi zina mwa zizindikiro zake:
- Kusanza pafupipafupi: Ichi nthawi zambiri chimakhala chizindikiro choyamba kuwonekera. Ngati kusanza kukupitirira, kumakhala kokayikitsa.
- Kutopa ndi kugona tulo kosazolowereka: Muyenera kuda nkhawa ngati mwana wanu nthawi zonse amakhala ndi tulo komanso kutopa.
- Kwa makanda aang'ono: Kutsegula m'mimba kungayambitsenso kupuma movutikira.
- Kukwiya, khalidwe laukali: Ngati khalidwe la mwana lasintha mwadzidzidzi, ndipo nthawi zambiri amakwiya kapena kuchita zinthu mwaukali, chimenechonso ndi chizindikiro.
Kuphatikiza apo, ana ena amathanso kusintha masomphenya, kumva zovuta, komanso kulankhula molakwika (monga kusokoneza mawu).
Pamene matendawa akupita patsogolo, mwanayo angasonyeze zizindikiro monga:
- Kuchita zinthu mosasamala komanso mopanda tanthauzo.
- Zinthu monga kusokonezeka maganizo ndi kuiwala zinthu.
- Kufooka kwakukulu kwa minofu, khunyu, ndi kutaya chidziwitso.
Choncho, ngati mwana wanu wangochira kumene ku matenda omwe ali ndi kachilombo ndipo akusanza nthawi zonse, kapena ngati muwona kusintha kwakukulu m'maganizo kapena machitidwe ake, musanyalanyaze zimenezo. Ngakhale kuti sizichitika kawirikawiri, zitha kukhala Reye Syndrome.
Kodi mwana amene ali ndi matenda a Reye Syndrome amachiritsidwa bwanji?
Ana omwe ali ndi Reye Syndrome nthawi zambiri amalandira chithandizo kuchipatala . Ngati vutoli ndi lalikulu, amasamaliridwa mu Intensive Care Unit (ICU).
Palibe mankhwala enieni a izi, kutanthauza kuti "perekani mankhwalawa ndipo adzachira." Chithandizo ndi chithandizo chothandizira . Izi zikutanthauza, kuwongolera zizindikiro ndikuthandiza thupi kugwira ntchito bwino. Gulu lachipatala lidzachita izi:
- Kuyang'ana ngati thupi la mwana lili ndi madzi ndi mchere wokwanira (electrolyte balance) .
- Kuonetsetsa kuti mwana akupeza zakudya zoyenera zomwe akufunikira.
- Kuyang'anira nthawi zonse kugunda kwa mtima ndi kupuma kwa mwana.
- Kuyang'anira kuthamanga kwa madzi muubongo wa mwana (kuthamanga kwa mkati mwa mutu) ndi kuthamanga kwa magazi .
Pachifukwa ichi, mayeso osiyanasiyana ayenera kuchitidwa. Mwachitsanzo:
- Kuyezetsa magazi (onani ma electrolyte ndi ntchito ya chiwindi).
- Mayeso owunikira ubongo (CT scan kapena MRI).
- Nthawi zina kupopera msana (kuboola lumbar), biopsy ya chiwindi, ndi EEG (Electroencephalogram) zimatha kuchitidwa.
Komanso, mwana akhoza kupatsidwa mankhwala monga:
- Insulin pang'ono imasintha kagayidwe ka shuga m'thupi.
- Mankhwala otchedwa corticosteroids amachepetsa kutupa kwa ubongo.
- Mankhwala ochepetsa mphamvu ya thupi (diuretics) ndi mankhwala omwe amagwiritsidwa ntchito kuchotsa madzi ochulukirapo m'thupi.
Ngati mwana ali ndi khunyu, izi zimachiritsidwanso ndi mankhwala. Ana ena angafunike kupatsidwa chopumira kuti chiwathandize kupuma ngati kupuma kwawo kuli pang'onopang'ono kapena sikukugwira ntchito bwino.
Ana omwe ali ndi Reye Syndrome ali ndi mwayi wabwino kwambiri wochira kuposa kale, chifukwa cha kuzindikirika msanga komanso chithandizo chabwino. Komabe, kumapeto kwa matendawa, kuwonongeka kwa ubongo, kulumala, komanso imfa zimatha kuchitika. Ichi ndichifukwa chake chithandizo choyambirira n'chofunika kwambiri.
Kodi ndiyenera kupita kwa dokotala liti?
Ngati mwana wanu akuwonetsa zizindikiro izi, pitani kwa dokotala nthawi yomweyo kapena mupite naye kuchipatala :
- Ngati mukusanza mosalekeza komanso pafupipafupi.
- Ngati pali kusintha kwakukulu mu khalidwe la mwana (monga kukwiya mwadzidzidzi, kukwiya, kapena kukhala chete kwambiri).
- Ngati muli ndi tulo tochuluka kuposa masiku onse ndipo mukuvutika kudzuka.
Zinthu izi ndizofunikira kwambiri ngati mwana wanu wangochira kumene ku matenda opatsirana ndi mavairasi monga chimfine kapena chimfine .
N’zoona kuti si ana onse omwe ali ndi matenda opatsirana omwe ali ndi kachilombo omwe ali ndi zizindikiro zina mwa izi, ndipo ambiri sadzakhala ndi Reye Syndrome. Komabe, popeza izi sizichitika kawirikawiri koma ndizoopsa, ndi bwino kupita kwa dokotala ngati muli ndi nkhawa . Chifukwa kuzindikira msanga ndikofunikira kuti chithandizo cha Reye Syndrome chikhale chopambana.
Kodi timateteza bwanji ana athu ku Reye Syndrome?
Iyi ndi gawo lofunika kwambiri. Pali zinthu zomwe tingachite kuti titeteze ana athu ku Reye Syndrome.
Musapatse mwana wanu aspirin kapena mankhwala ena okhala ndi salicylates ngati ali ndi nthenda ya nkhuku, chimfine, chimfine, kapena matenda ena opatsirana.
Mankhwala ambiri ogulitsidwa kunja kwa chipatala (OTC) amakhala ndi salicylates. Mwachitsanzo, mankhwala ena opweteka m'mimba, monga Pepto-Bismol, amakhala ndi bismuth subsalicylate. Chifukwa chake, musanapereke mankhwala kwa mwana, werengani mosamala chizindikirocho . Ngati simukudziwa ngati mankhwalawo ndi otetezeka kwa mwana wanu, funsani dokotala wa banja lanu kapena wamankhwala.
Kawirikawiri, si bwino kupereka aspirin kapena salicylates kwa ana aang'ono ndi achinyamata , pokhapokha ngati dokotala wakupatsani mankhwala okhudza matenda enaake.
Chinthu chofunika kwambiri kukumbukira kuchokera pa zomwe takambirana (Uthenga Wopita Nawo Kunyumba)
Chabwino, lero takambirana zambiri za Reye Syndrome. Zinthu zofunika kwambiri zomwe muyenera kukumbukira kuchokera pa zonsezi ndi izi:
- Matenda a Reye ndi matenda osowa koma oopsa kwambiri omwe angawononge ubongo ndi chiwindi cha mwana.
- Izi nthawi zambiri zimachitika munthu akatenga kachilombo ka HIV, makamaka ngati mwanayo anapatsidwa mankhwala okhala ndi aspirin kapena salicylates panthawiyo.
- Choncho, musapatse mwana aspirin ngati ali ndi zizindikiro za kachilombo pazifukwa zilizonse .
- Ngati mwana wanu wangochira kumene ku matenda omwe ali ndi kachilombo ndipo akusanza nthawi zonse, akuwonetsa kusintha kwakukulu mu khalidwe, kapena akugona tulo tosazolowereka, funsani thandizo la dokotala nthawi yomweyo .
- Kuzindikira matenda msanga ndi chithandizo ndi njira zabwino kwambiri zotsimikizira kuti mwana wanu akuchira mokwanira.
Ngati tikumbukira zinthu izi, tingapulumutse ana athu ku zoopsa zotere. Ndikofunikira kusamala nthawi zonse.
Matenda a Reye, Matenda a Reye, Matenda a Ana, Aspirin, Matenda a Viral, Chiwindi, Ubongo











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