Tangoganizani kuti chitoliro cha madzi m'nyumba mwanu chatsekedwa ndi chinachake. Kenako madziwo sakuyenda bwino ndipo amamatira pamalo amodzi, zomwe zimayambitsa vuto lalikulu. Izi ndi zomwe zimachitika m'thupi lathu panthawi ya "Sickle Cell Crisis". Izi ndi zopweteka kwambiri. Tiyeni tikambirane momveka bwino za izi lero.
Kodi matenda a sickle cell ( SCD ) ndi 'vuto' ndi chiyani?
Mwachidule, magazi athu ali ndi mtundu wa selo lotchedwa
maselo ofiira a magazi . Mwa munthu wathanzi, maselowa ndi ozungulira komanso osinthasintha. Ali ngati mipira yaying'ono. Izi zimawathandiza kuyenda m'mitsempha yaying'ono kwambiri yamagazi m'thupi popanda chopinga chilichonse ndikunyamula mpweya kupita ku ziwalo zonse za thupi. Komabe, mwa munthu yemwe ali ndi
Matenda a Sickle Cell (SCD) , maselo ena ofiira amagazi amapangidwa mosiyana. Si ozungulira, koma
amapindika kukhala mawonekedwe a C. Komanso, maselowa ndi olimba kwambiri komanso omata. Chifukwa chake, maselo ooneka ngati sikelo awa akamayenda m'mitsempha yaying'ono yamagazi, amakhala ndi mwayi woti amamatire pamalo amodzi.
Monga momwe madzi omwe ali mu chitoliro chomwe tatchula kale amamatirira, maselo amenewa amalumikizananso ndikuletsa kutuluka kwa magazi m'mitsempha yamagazi.
Magazi akasiya kuyenda motere, ziwalo za thupi zomwe zimadyetsedwa ndi njira imeneyo sizilandira mpweya wofunikira. Izi zimatchedwa
(Hypoxia) mu sayansi ya zamankhwala. Kusowa kwa mpweya kumeneku kumabweretsa ululu wosapiririka komanso woopsa kwambiri. Ndicho chimene timachitcha
"Sickle Cell Crisis" . Ululu uwu ukhoza kukhalapo kuyambira maola angapo mpaka milungu ingapo. Makamaka chifukwa cha kutsekeka kwa mitsempha yaing'ono yamagazi pachifuwa, matenda oopsa otchedwa
(Acute Chest Syndrome) amatha kuchitika. Izi zimakhudza odwala oposa 50% a sickle cell.
Kodi zizindikiro za 'sickle cell crisis' ndi ziti?
Pachifukwa ichi, munthu aliyense akhoza kusonyeza zizindikiro zosiyana. Koma pali zizindikiro zina zodziwika bwino. Tiyeni tiwone patebulo.
| Chizindikiro | Kufotokozera kwake |
|---|
| Ululu wosapiririka | Ichi ndiye chizindikiro chachikulu komanso chofala kwambiri. Ululu ukhoza kubwera mwadzidzidzi ndipo ukhoza kukhala wofooka, wobaya, wofinya, kapena wakuthwa. Umapezeka kwambiri m'manja ndi miyendo, m'mimba, pachifuwa, ndi pansi pa msana. Mwa ana aang'ono, ululu ukhoza kukhala wokulirapo m'manja ndi pansi pa mapazi. |
| Kuvuta kupuma | Kupuma movutikira, limodzi ndi kupweteka pachifuwa, kungachitike. Ichi ndi chizindikiro choopsa kwambiri. |
| Kutopa/kutopa kwambiri | Mungamve ngati mulibe moyo komanso mutopa kwambiri. |
| Khungu limakhala lachikasu (Jaundice) | Maso ndi khungu loyera likhoza kukhala lachikasu. |
| Zina mwazinthu | Chizungulire, mutu, kuvutika kusuntha ziwalo zina za thupi, komanso kupweteka kwa chiberekero mwa amuna kumatha kuchitika. |
Kodi pali zifukwa zenizeni za 'vuto' ili?
Nthawi zambiri zimakhala zovuta kudziwa chomwe chimayambitsa vutoli, koma pali zinthu zingapo zomwe zimayambitsa vutoli zomwe zapezeka.
- Kusowa madzi m'thupi : Kusamwa madzi okwanira.
- Kusintha kwa kutentha: Kupita kumalo komwe kutentha kumasinthasintha mwadzidzidzi. Mwachitsanzo, kuchoka m'chipinda chozizira bwino kupita kunja mwadzidzidzi ku dzuwa lotentha.
- Matenda: Ngakhale matenda ang'onoang'ono monga chimfine akhoza kukhala chifukwa cha izi.
- Kupsinjika maganizo: Kupsinjika maganizo kwambiri ndi chifukwa chachikulu chomwe chimayambitsa vutoli.
- Malo okwera: Kupita kumalo okwera kwambiri, monga mapiri, komwe kuli mpweya wochepa.
Kodi muyenera kuchita chiyani ngati pachitika vuto? Kodi mankhwala ake ndi otani?
Ngati muli ndi vutoli,
Chofunika kwambiri ndikulankhula ndi dokotala wanu ndikupeza njira yothandizira kuthana ndi 'vuto' ngati litachitika. Zinthu zomwe mungachite kunyumba
Ululu ukangoyamba, pali zinthu zingapo zomwe mungachite kunyumba.- Imwani madzi ambiri: Ndikofunikira kwambiri kuti thupi lanu likhale ndi madzi okwanira.
- Mankhwala Ochepetsa Ululu: Mutha kumwa mankhwala ochepetsa ululu monga Paracetamol kapena Ibuprofen . Koma funsani dokotala wanu mankhwala omwe ali abwino kwa inu. Mwachitsanzo, ngati muli ndi vuto la impso, Paracetamol ingakhale yoyenera kwambiri.
- Njira Zina: Kupaka botolo la madzi otentha, kusamba ndi madzi otentha, komanso kutikita minofu pang'ono kungathandize kuchepetsa ululu.
- Thanzi la maganizo: Khazikitsani mtima wanu pogwiritsa ntchito njira monga kusinkhasinkha. Funani thandizo kuchokera kwa abale ndi abwenzi.
Chithandizo chamankhwala
Pali mankhwala angapo omwe madokotala amalangiza kuti apewe ndikuthana ndi 'vuto' ili.- Hydroxyurea : Mankhwalawa amachepetsa kupangika kwa maselo ofiira a m'magazi ooneka ngati chikwakwa, zomwe zimachepetsa kuchuluka kwa mavuto opweteka.
- Ufa wa L-glutamine wopangidwa ndi mankhwala (Endari): Izi zimathandizanso kupewa 'mavuto' ndikuchepetsa kufunikira kogonekedwa kuchipatala.
- Crizanlizumab-tmca (Adakveo): Mankhwalawa amaletsa maselo a magazi kuti asamamatire pamodzi ndikutseka mitsempha yamagazi.
- Mfundo yofunika: Mankhwala otchedwa Voxeletor (Oxbryta) ankagwiritsidwa ntchito kale pa izi. Komabe, chifukwa cha nkhawa za chitetezo, adachotsedwa pamsika mu Seputembala 2024. Ngati mukumwa mankhwalawa pakadali pano, ndikofunikira kukambirana ndi dokotala wanu nthawi yomweyo ndikusintha mankhwala ena oyenera.
Ngati chithandizo cha kunyumba sichikuchepetsa ululu, pitani kuchipatala mwamsanga (ETU). Kumeneko mudzapatsidwa mankhwala amphamvu ochepetsa ululu. Mungafunike kukhala m'chipatala kwa masiku angapo mpaka ululuwo utachepa.
Kodi 'vuto' lingapewedwe?
Ngakhale kuti n'zosatheka kuimitsa kotheratu, pali zinthu zambiri zomwe mungachite kuti muchepetse chiopsezo cha 'mavuto' . Kusintha kwa moyo komwe kungapangitse:
- Dzitetezeni ku chimfine:Pewani kusamba kapena kusambira m'madzi ozizira. Valani zovala zofunda masiku ozizira komanso mukapita kumalo omwe ali ndi mpweya woipa.
- Imwani madzi ambiri: Imwani madzi ambiri tsiku lonse.
- Chepetsani kumwa mowa: Chepetsani kumwa mowa momwe mungathere.
- Ulendo wa pandege: Ngati mukuyenda, yendani pa ndege yamalonda yokhala ndi kabati yodzaza ndi mpweya.
- Pewani kupsinjika maganizo: Pezani njira zoti musamavutike maganizo.
Kuti mukhale ndi thanzi labwino,
- Pewani matenda: Pewani anthu odwala momwe mungathere. Sambani m'manja nthawi zambiri.
- Pewani kusuta fodya.
- Kuchita Masewera Olimbitsa Thupi: Kuchita masewera olimbitsa thupi pang'ono ndi kwabwino, koma pewani kuchita masewera olimbitsa thupi olemetsa kwambiri (monga kuchita masewera olimbitsa thupi olemera kwambiri). Imwani madzi ambiri mukamachita masewera olimbitsa thupi.
- Lamulirani matenda ena: Ngati muli ndi matenda ena, monga matenda a shuga, yang'anirani bwino malinga ndi malangizo a dokotala wanu.
- Katemera: Pezani katemera wonse wofunikira pa nthawi yake.
- Mimba: Ngati muli ndi pakati kapena mukukonzekera kutenga pakati, funsani upangiri wa dokotala nthawi yomweyo.
Uthenga Wopita Nawo Kunyumba
- Matenda a sickle cell ndi vuto lopweteka kwambiri lomwe limayamba chifukwa cha maselo ofiira a magazi ooneka ngati sickle omwe amatseka mitsempha yamagazi ing'onoing'ono, zomwe zimapangitsa kuti mpweya usamayende bwino.
- Zizindikiro zazikulu ndi kuyamba mwadzidzidzi kupweteka kwambiri, kuvutika kupuma, komanso kutopa kwambiri.
- Vutoli lingayambitsidwe ndi zinthu monga kusowa madzi m'thupi, matenda opatsirana, kupsinjika maganizo, komanso kusintha kwa kutentha.
- Nthawi zonse tsatirani ndondomeko ya chithandizo cha dokotala wanu. Ngati ululu sungathetsedwe kunyumba, pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala nthawi yomweyo.
- Chiwopsezo cha 'mavuto' chingachepe mwa kumwa madzi ambiri nthawi zonse, kudziteteza ku chimfine, komanso kukhala ndi moyo wathanzi.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu