Kodi mukudziwa za ngozi imeneyi yomwe imachitikira mapapo mutapereka magazi? (TRALI)

Kodi munayamba mwapatsidwa magazi? Kapena kodi munthu amene mumamudziwa anapatsidwapo magazi? Kawirikawiri, kupereka magazi ndi chinthu chomwe chimathandiza kupulumutsa moyo. Koma nthawi zambiri, ndiko kuti, nthawi zambiri, anthu ena amakhala ndi vuto la thanzi ladzidzidzi chifukwa cha kupereka magazi kumeneku. Ichi ndi chimodzi mwa matenda omwe tikambirane lero, otchedwa TRALI. Dzinali likhoza kukhala latsopano kwa inu, koma ndikofunikira kwambiri kudziwa za ilo.

Kodi (TRALI) ndi chiyani? Tiyeni timvetse mosavuta

Mwachidule, (TRALI) - yomwe imatanthauza kuikidwa magazi - ndi vuto ladzidzidzi lomwe limakhudza mapapu anu, kaya mukalandira magazi kapena mkati mwa maola 6 mutalandira magazi. Mapapu athu ali ndi timatumba tating'onoting'ono ta mpweya, ngati timipira tating'ono tooneka ngati mphesa. Malinga ndi madokotala timatcha izi (alveoli) . Chabwino, chomwe chimachitika mu vuto ili (TRALI) ndikuti mtundu wina wa madzi umadzaza mkati mwa (alveoli).

Taganizirani izi, monga siponji yomwe imayamwa madzi, chimachitika ndi chiyani matumba a mpweya awa akadzaza ndi madzi? Zimakhala zovuta kupuma, eti? Mapapu amasiya kugwira ntchito bwino. Sikuti zokhazo, komanso kuthamanga kwa magazi anu kumathanso kutsika kwambiri. Izi ndi ngozi yayikulu kwambiri yachipatala . Chifukwa chake ngati izi zitachitika, ndikofunikira kufunafuna upangiri wachipatala nthawi yomweyo.

Kodi zizindikiro za (TRALI) ndi ziti? Kodi mumazindikira bwanji?

Kodi vuto la (TRALI) limamveka bwanji? Kodi zizindikiro zake ndi ziti? Tiyeni tidziwenso izi.

• Mungamve kupuma movutikira kapena kupuma movutikira (dyspnea) . Zingamveke ngati mukupuma movutikira mutakwera masitepe, kapena ngati chifuwa chanu chachepa.
• Chifuwa chingayambe mwadzidzidzi .
• Nthawi zina khungu lanu, milomo yanu, ndi zikhadabo zanu zimakhala zabuluu (cyanosis) . Izi zimachitika chifukwa magazi m'thupi lanu salandira mpweya wokwanira. Ichi ndi chizindikiro choopsa pang'ono.
• Mungadwale malungo , ndipo mungamve ngati muli ndi chimfine.
• Mungamve chizungulire kapena mutu wopepuka .
• Anthu ena amathanso kukomoka . Izi zimachitika chifukwa kuthamanga kwa magazi awo kumatsika kwambiri.

Zizindikirozi zingayambe panthawi yopereka magazi kapena mkati mwa maola 6 kuchokera pamene zatha. Chifukwa chake, ndikofunikira kusamala kwambiri panthawiyi. Ngati inu kapena munthu amene mumamudziwa ndi amene amapereka magazi, ndikofunikira kudziwa zizindikirozi.

N’chifukwa chiyani izi (TRALI) zikuchitika? Chifukwa chake n’chiyani?

Chabwino, tsopano tiyeni tiwone chifukwa chake izi (TRALI) zikuchitika. Izi ndi zasayansi pang'ono, koma ndifotokoza mwachidule kuti mumvetse.

Matupi athu ali ndi chitetezo chamthupi. Ndicho chimatiteteza ku matenda. Dongosololi lili ndi ziwalo zapadera monga 'asilikali' otchedwa ma antibodies.Ntchito yawo yaikulu ndi kutiteteza mwa kuzindikira ndikulimbana ndi zinthu zoopsa monga majeremusi ndi mavairasi omwe amachokera kunja kwa thupi.

Tsopano, mukalandira magazi, ma antibodies ena m'magazi a woperekayo amatha kumangirira ku maselo otchedwa maselo oyera m'thupi lanu, makamaka m'mapapu anu. Izi zimachitika mwangozi. Kenako chitetezo chanu cha mthupi chimaganiza kuti, "O, china chake choipa chalowa m'thupi lanu, mdani walowa!" Kotero, dongosolo limenelo mwadzidzidzi limayamba kugwira ntchito ndipo limayambitsa kutupa . Kutupa kumeneku ndiko komwe kumayambitsa mitsempha yaying'ono yamagazi m'mapapu anu, alveoli yomwe ndatchula kale, kuwonongeka, ndi madzi kutuluka m'mapapu. Zili ngati chitetezo chathu chikutivulaza mosadziwa. Ndi zovuta pang'ono, koma mukumvetsa lingaliro, eti?

Ndani ali pachiopsezo chachikulu chotenga matenda a TRALI?

Ngakhale kuti vutoli (TRALI) lingachitike kwa aliyense amene wapatsidwa magazi, anthu ena amakhala ndi mwayi waukulu woti adwale matendawa. Tiyeni tiwone kuti ndi ndani:

• Anthu omwe ali ndi makina opumira (makina opumira). Izi zikutanthauza kuti, odwala omwe amalandira thandizo la kupuma kuchokera ku makina kuchipatala chifukwa amavutika kupuma okha.
• Anthu omwe ali ndi vuto la kumwa mowa kwambiri (vuto la kugwiritsa ntchito mowa mopitirira muyeso). Chifukwa kumwa mowa mopitirira muyeso kumafooketsa machitidwe osiyanasiyana m'thupi.
• Anthu omwe amagwiritsa ntchito fodya pafupipafupi. Izi zikutanthauza zinthu monga ndudu ndi bidis. Tikudziwa kuti kusuta fodya kumawononga mapapo.
• Anthu omwe ali kale ndi matenda a chiwindi kapena impso. Ziwalo zimenezi zikalephera kugwira ntchito bwino, thupi limasokonezeka.
• Odwala omwe ali kale odwala kwambiri. Mwachitsanzo, omwe ali ndi matenda oopsa, monga omwe atatha opaleshoni.
• Chiwopsezochi chingawonjezekenso mwa anthu omwe amalandira magazi ambiri nthawi imodzi kapena omwe amalandira zinthu zinazake m'magazi (monga plasma, ma platelets) .

Izi sizikutanthauza kuti mudzakhala ndi TRALI ngati muli m'gululi, koma zikutanthauza kuti chiopsezocho ndi chachikulu pang'ono.

Kodi madokotala amazindikira bwanji matenda a TRALI? (Kuzindikira)

Kodi dokotala amazindikira bwanji matenda a TRALI? Izi zingakhale zovuta pang'ono, chifukwa zizindikiro zake zimatha kufanana ndi mavuto ena a m'mapapo.

Choyamba, adzayesa kuchotsa zinthu zina zomwe zingayambitse zizindikiro zanu, mwachitsanzo, vuto lalikulu la ziwengo (anaphylaxis) , kutupa kwa m'mapapo chifukwa cha kulephera kwa mtima, kapena matenda oopsa. Kuti achite izi, adza:

• Tidzakufunsani mosamala za mbiri yanu yachipatala komanso zopereka magazi zomwe mwapereka posachedwapa.
• Kuyezetsa thupi kumachitika.
• Mayeso angapo a magazi amachitika. Izi zimayesa zinthu monga kuchuluka kwa mpweya ndi momwe matenda alili.
• Mayeso ojambulira zithunzi amachitidwa pachifuwa . Izi nthawi zambiri zimaphatikizapo X-ray pachifuwa . Pankhani ya TRALI, izi zitha kuwonetsa bwino madzi omwe akudzaza mapapo onse awiri. Nthawi zina CT scan ingachitikenso. Dziwani zambiri.
• Mungathenso kuyesedwa mtima kotchedwa echocardiogram kuti muwone momwe mtima wanu ukugwira ntchito. Izi zingathandize kuchotsa mavuto a m'mapapo omwe amayamba chifukwa cha kugwira ntchito kwa mtima.

Atachita zonsezi, madokotala afika potsimikiza kuti ndi (TRALI).

Kodi mankhwala a (TRALI) ndi otani?

Mwatsoka, palibe 'mankhwala' enieni a vutoli (TRALI), zomwe zikutanthauza kuti palibe mankhwala omwe angachiritse matendawa kwathunthu. Koma, musachite mantha. Madokotala akhoza kukusungani bwino ndikukusamalirani bwino mpaka vutoli litachira lokha. Izi zimatchedwa chisamaliro chothandizira . Angakupatseni chithandizo monga:

• Chithandizo cha mpweya: Mpweya umaperekedwa kudzera mu chigoba kapena kannula ya m'mphuno kuti uthandize kupuma ndikupatsa thupi mpweya wofunikira.
• Mankhwala ochepetsa kuthamanga kwa magazi: Awa ndi mankhwala omwe amaperekedwa kuti abwezeretse kuthamanga kwa magazi m'njira yabwinobwino. Mankhwalawa amaperekedwa kudzera m'mitsempha.
• Mankhwala ochepetsa kuthamanga kwa magazi kapena madzi a m'magazi: Kutengera ndi matenda anu, mankhwala ochepetsa kuthamanga kwa magazi (mankhwala omwe amakupangitsani kutaya madzi kudzera mu mkodzo) angaperekedwe kuti achepetse madzi ochulukirapo m'mapapo ndi m'thupi lanu. Kapena, ngati pakufunika, madzi a m'magazi angaperekedwe kuti magazi asamayende bwino. Izi zimatsimikiziridwa ndi dokotala.
• Kupuma mpweya pogwiritsa ntchito makina: Ngati kupuma kuli kovuta kwambiri ndipo simungathe kupuma bwino nokha, mungafunike kupatsidwa mpweya pogwiritsa ntchito makina ngati njira yopulumutsira moyo. Pachifukwa ichi, chubu chimayikidwa mu chitoliro cha mphepo ndipo makina amawongolera njira yopumira.

Ndi chithandizochi, matenda a odwala ambiri amayamba pang'onopang'ono.

Kodi mungayembekezere chiyani ngati mutayamba matenda (TRALI)?

Kodi chimachitika ndi chiyani ngati mutadwala TRALI? Izi ndizofunikiranso kudziwa.

Nthawi zambiri, TRALI imachira mkati mwa masiku awiri kapena anayi . Kwa anthu ena, zimatha kutenga nthawi yayitali, kutengera kuopsa kwa vutoli komanso thanzi lanu lonse. Panthawi imeneyi, madokotala ndi anamwino amakusungani kuchipatala, nthawi zambiri m'chipinda chosamalira odwala kwambiri (ICU), ndipo nthawi zonse amawunika momwe mukumvera (kupuma, kuchuluka kwa mpweya, kuthamanga kwa magazi) ndikukupatsani chithandizo chothandizira. Izi zikutanthauza kuti adzachita zonse zomwe angathe kuti athetse zizindikiro zanu ndikuletsa mavuto ena.

Kodi muyenera kupita ku Emergency Treatment Unit (ETU) liti?

Ichi ndi chinthu chomwe muyenera kukumbukira. Mukapereka magazi:

• Kupuma movutikira mwadzidzidzi
• Kupweteka pachifuwa kapena kulimba
• Chifuwa chachikulu
• Malungo
• Chizungulire, kusawona bwino
• Kusinthika kwa khungu ndi milomo kukhala buluu

Ngati mukukumana ndi zizindikiro izi kapena zizindikiro zina zachilendo, pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) yapafupi nthawi yomweyo, kapena ngati muli kuchipatala, dziwitsani gulu lachipatala nthawi yomweyo. Musataye nthawi. Izi ndizofunikira kwambiri, chifukwa kuwunika msanga ndi chithandizo kungapulumutse moyo.

Kodi TRALI ingapewedwe?

"Kodi izi sizingapeweke?" mwina mukudzifunsa. Ndipotu, pakadali pano palibe njira yopewera TRALI kwathunthu. Komabe, ogulitsa magazi ndi zipatala akuchita zonse zomwe angathe kuti afufuze magazi operekedwa, makamaka omwe ali ndi mitundu ina ya ma antibodies, kuti achepetse chiopsezo cha mavuto obwera chifukwa cha kuikidwa magazi. Mwachitsanzo, akusamala kwambiri kugwiritsa ntchito plasma kuchokera kwa amayi omwe adakhalapo ndi pakati kale, chifukwa nthawi zambiri amakhala ndi ma antibodies amenewa m'magazi mwawo.

Ndipotu, n'zoopsa kuganiza kuti chinthu chabwino chingatipweteke, eti? Komabe, kupereka magazi ndi njira yodziwika bwino yachipatala yomwe imapulumutsa miyoyo yambiri padziko lonse lapansi. Zochita zoika magazi monga (TRALI) sizichitika kawirikawiri. Komabe, ngati zitachitika, zimatha kupha anthu. Chifukwa chake, ngati mukumva zachilendo mutapereka magazi, pitani kwa dokotala mosazengereza. Chofunika kwambiri ndikupeza chithandizo mwachangu momwe mungathere.

Kodi ndi zinthu ziti zomwe tiyenera kukumbukira kuchokera munkhaniyi?

Chabwino, mwachidule, mfundo zazikulu zoti tikumbukire zokhudza TRALI zomwe tinakambirana ndi izi:

• (TRALI) ndi matenda oopsa omwe amabwera mwadzidzidzi (nthawi zambiri mkati mwa maola 6) munthu atapatsidwa magazi, zomwe zimapangitsa kuti munthu avutike kupuma komanso kuthamanga kwa magazi kuchepe chifukwa cha madzimadzi omwe amasonkhana m'mapapo.
• Zizindikiro monga kupuma movutikira, chifuwa, khungu labuluu, kutentha thupi, ndi chizungulire zingaoneke. Dziwani izi.
• Izi nthawi zambiri zimachitika pamene ma antibodies m'magazi a woperekayo amachititsa kuti chitetezo cha mthupi cha wolandirayo chiyambe kugwira ntchito molakwika ndikuwononga mapapo.
• Anthu ena (monga omwe amamwa ma ventilator, omwe ali ndi matenda a chiwindi/impso, ndi omwe amamwa mowa kwambiri) ali pachiwopsezo chachikulu chotenga izi.
• Izi ndi zadzidzidzi zachipatala. Ndikofunikira kupeza upangiri wa dokotala nthawi yomweyo ngati zizindikiro zayamba.
• Ngakhale kuti palibe mankhwala enieni a TRALI, anthu ambiri amachira pasanathe masiku angapo ndi chithandizo chochirikiza chomwe chimaperekedwa kuchipatala.
• Ngakhale kuti TRALI ndi matenda osowa kwambiri , ndikofunikira kudziwa ndi kuzindikira zizindikiro zake.

Mumadziwa bwino thupi lanu. Ngati mukumva chinthu chachilendo, chosiyana, kapena chosasangalatsa mutapereka magazi, musachione ngati 'chinthu chaching'ono.' Musachitenge mopepuka. Uzani dokotala nthawi yomweyo. Zingapulumutse moyo wanu! Khalani ndi thanzi labwino!

Kupereka magazi , mapapo, mavuto opuma, TRALI, kuikidwa magazi, ma antibodies, chisamaliro chadzidzidzi