Mavuto a Matenda a Sickle Cell: Zimene Muyenera Kudziwa

Mwina munamvapo za Matenda a Sickle Cell . Mwachidule, ndi vuto lomwe limakhudza momwe thupi lathu limapangira maselo ofiira a magazi . Mukudziwa, maselo ofiira awa ndi omwe amanyamula mpweya m'thupi lonse. Nthawi zambiri, maselowa amakhala athyathyathya, ozungulira, komanso osinthasintha. Koma munthu amene ali ndi matenda a sickle cell amakhala ndi maselo ofiira a magazi olimba, ooneka ngati sickle. Chifukwa chake, mawonekedwe osazolowereka awa angayambitse mavuto angapo azaumoyo, kapena ' zovuta '. Koma musadandaule, dokotala wanu angathandize kuchiza mavuto ambiriwa, komanso kupewa ena mwa iwo. Tiyeni tikambirane za aliyense.

Ululu - vuto lofala kwambiri

Vuto lofala komanso losasangalatsa la matenda a sickle cell ndi ululu . Izi zimachitika chifukwa maselo ofanana ndi sickle amamatira m'mitsempha yaying'ono yamagazi . Taganizirani zomwe zimachitika galimoto yayikulu ikamatira pamsewu wopapatiza. Izi ndi zomwe zimachitika maselowa akamatseka mitsempha yamagazi.

Ululu uwu nthawi zambiri umapezeka m'munsi mwa msana, miyendo, manja, mimba, kapena pachifuwa. Ungabwere mwadzidzidzi ngati kuukira kwakukulu (vuto kapena nthawi). Kwa achinyamata ndi achikulire, nthawi zina umakhala ululu wa nthawi yayitali.

Kawirikawiri, mukakhala ndi ululu ngati uwu, mutha kupeza mpumulo ndi mankhwala ochepetsa ululu monga Paracetamol kapena Ibuprofen . Koma kumbukirani, musapereke aspirin kwa aliyense wosakwana zaka 19. Nthawi zina, ngati ululuwo ndi waukulu, dokotala angakulembeni mankhwala amphamvu ochepetsa ululu ochokera ku gulu la opioid. Anthu ena amafunika kugonekedwa m'chipatala kuti akalandire chithandizo.

Dokotala wanu angakulangizeni izi kuti mupewe kapena kuchepetsa ululu uwu:

• Imwani madzi ambiri.
• Pewani kutentha kwambiri komanso kuzizira kwambiri.
• Musamakhale nthawi yayitali m'malo okwera, monga m'mapiri.
• Mankhwala otchedwa Hydroxyurea amathandiza kuchepetsa kuchuluka kwa ululu umenewu mwa ana ndi akuluakulu.

Kuchepa kwa magazi m'thupi

Ichi ndi vuto lina lofala la matenda a sickle cell. Apa ndi pomwe maselo ofiira a m'magazi ofanana ndi sickle amafa msanga kuposa maselo wamba.. Choncho thupi silingathe kupanga maselo atsopano pamlingo womwewo womwe amafa nawo. Zotsatira zake, kuchuluka kwa mpweya womwe umafika m'maselo a thupi kumachepa, ndipo mungamve kutopa kwambiri, kufooka, komanso chizungulire . Muthanso kukumana ndi zinthu monga kugunda kwa mtima mofulumira komanso kupuma movutikira. Mwa mwana, kuchepa kwa magazi m'thupi kungayambitsenso kukula mochedwa.

Ngati kuchepa kwa magazi kuli kwakukulu, kuikidwa magazi kungakhale kofunikira. Komabe, kuikidwa magazi pafupipafupi kungayambitse kuchuluka kwa chitsulo m'thupi lanu ndikuwononga mtima, chiwindi, ndi kapamba. Chifukwa chake, dokotala wanu adzayang'ana kuchuluka kwa chitsulo m'thupi lanu nthawi zonse kuti akuthandizeni kuthana ndi vutoli. Kwa akuluakulu, mankhwala a Hydroxyurea angathandizenso ndi kuchepa kwa magazi m'thupi.

Matenda ndi zina zadzidzidzi

Kuwonjezeka kwa chiopsezo cha matenda

Anthu omwe ali ndi matenda a sickle cell, makamaka ana aang'ono, ali ndi mwayi waukulu wopeza matenda. Izi zili choncho chifukwa matendawa amawononga ndulu . Mukudziwa, ndulu ndi chiwalo chofunikira chomwe chimasefa majeremusi monga mabakiteriya m'magazi athu. Choncho ngati sichigwira ntchito bwino, matenda amatha kulowa m'thupi mosavuta.

Kuchotsa Splenic

Izi ndi ngozi yaikulu, makamaka kwa ana aang'ono. Izi zimachitika pamene maselo otupa amatseka magazi kupita ku ndulu. ndulu imatupa ndipo imapweteka. Ana ena sangakhale ndi zizindikiro zazikulu. Komabe, ena angakumane ndi zizindikiro monga kufooka, khungu lotumbululuka ndi milomo, kugona tulo topitirira muyeso, kupweteka kumanzere kwa mimba, komanso kugunda kwa mtima mofulumira . Ngati mukukumana ndi zizindikirozi, pitani kuchipatala nthawi yomweyo .

Matenda Oopsa a Chifuwa

Uwu ndi matenda oopsa kwambiri. Apa ndi pomwe matenda a sickle cell amatseka mitsempha yamagazi m'mapapo. Ngati muli ndi zizindikiro monga malungo, kuvutika kupuma, kupweteka pachifuwa, ndi chifuwa , pitani kuchipatala nthawi yomweyo. Madokotala angakupatseni mpweya, maantibayotiki, komanso mwina kuikidwa magazi.

Mavuto ena a nthawi yayitali

Matenda a sickle cell angayambitse mavuto ambiri pakapita nthawi.

• Kutaya Mafupa (Avascular Necrosis): Magazi akamapita ku ziwalo zazikulu (monga chiuno) akadulidwa, minofu ya mafupa imayamba kufa. Izi zimachitika kawirikawiri kwa achinyamata ndi achikulire. Mankhwala ochepetsa ululu angapereke mpumulo, koma anthu ena angafunike opaleshoni.
• Kuwonongeka kwa ziwalo zina: Mavuto a maso, mtima, impso, ndi chiwindi ali pachiwopsezo chachikulu cha magazi kuundana ndi sitiroko. Ichi ndichifukwa chake dokotala wanu nthawi zonse amafufuza momwe ziwalozi zimagwirira ntchito.

Kusamutsa Bone Marrow ndi Mankhwala Amakono

Kwa iwo omwe nthawi zambiri amakumana ndi mavuto aakulu, chithandizo chotchedwa bone marrow transplant chingaganizidwe. Izi zikuphatikizapo kusintha maselo a bone marrow omwe amapanga sickle-cell ndi maselo athanzi. Izi zitha kuchiritsa matendawa kwathunthu.

Koma izi sizinthu zomwe aliyense angachite. Muyenera kupeza wopereka wathanzi yemwe angagwirizane ndi minofu yanu. Komanso, ngati muli ndi mavuto ndi ziwalo monga mtima kapena impso, opaleshoniyi ikhoza kukhala yoopsa. Mungafunike kukhala m'chipatala kwa nthawi yayitali. Nthawi zina chithandizochi sichingapambane. Chifukwa chake, banja liyenera kulankhula ndi dokotala mosamala ndikusankha ngati chithandizochi chili choyenera kwa iwo.

Kuphatikiza apo, pali mankhwala atsopano, monga Crizanlizumab, omwe angathandize kuchepetsa ululu. Funsani dokotala wanu za izi.