Kodi pali vuto lalikulu m'thupi lanu? Tiyeni tiphunzire za Waterhouse-Friderichsen Syndrome!

Kodi mudamvapo kuti tiziwalo tiwiri tating'onoting'ono m'thupi timasiya kugwira ntchito, ndipo tingakhudze kwambiri moyo wanu? Lero tikambirana za vuto loopsa kwambiri, ndipo ngati silichiritsidwa mwachangu, likhoza kupha. Izi zimatchedwa Waterhouse-Friderichsen Syndrome. Ngakhale dzinalo lingawoneke lalitali pang'ono, tiyeni tikambirane mwachidule za zomwe zili, chifukwa chake zimachitika, komanso momwe tingapulumukire.

Kodi matenda a Waterhouse-Friderichsen ndi chiyani?

Mwachidule, Waterhouse-Friderichsen Syndrome (WFS) ndi vuto lalikulu kwambiri. Chomwe chimachitika ndichakuti ma adrenal glands anu, omwe ndi ma glands awiri ang'onoang'ono omwe ali pamwamba pa impso zanu, amatuluka magazi (timatcha izi kuti 'adrenal hemorrhage') ndipo glands imodzi kapena zonse ziwirizi zimasiya kugwira ntchito. Nthawi zambiri, izi zimachitika chifukwa cha matenda oopsa. Ngati sanalandire chithandizo, ma adrenal glands awa amasiya kutulutsa mahomoni otchedwa cortisol, omwe ndi ofunikira m'thupi lathu. Izi ndi zomwe timatcha adrenal crisis . Kunena zoona, ndi vuto ladzidzidzi!

Palinso dzina lina la izi, lomwe ndi "hemorrhagic adrenalitis." Izi zikutanthauza kuti ma adrenal glands amatuluka magazi ndikutupa.

Kodi vutoli ndi lofala bwanji?

Ndipotu, matenda a Waterhouse-Friderickson ndi osowa kwambiri . Kawirikawiri, kuyezetsa mitembo kumawonetsa kuti vutoli limayambitsa pafupifupi 1% ya imfa. Izi zikutanthauza kuti si matenda omwe amakhudza aliyense, koma ngati achitika, ndi owopsa kwambiri.

Kodi zizindikiro za matendawa ndi ziti?

Tangoganizirani, mwadzidzidzi mwatenga kachilombo kapena mabakiteriya ndipo mwayamba matenda a WFS. Kenako mwadzidzidzi mungayambe kusonyeza zizindikiro za matenda. Kodi mukudziwa chomwe chiri?

• Ndikumva malungo kwambiri.
• Thupi limamva kuzizira komanso kunjenjemera (Chills).
• Mutu wanga ukupweteka kwambiri.
• Ndisanza, ndisanza.
• Minofu m'thupi langa imapweteka, makamaka m'malo monga msana wanga wapansi, m'mimba, ndi miyendo.
• Mafupa anga amapweteka.
• Nthawi zina pangakhale kutaya chidziwitso (syncope).

Pamene kutuluka magazi kumeneku kukuyamba kukhudza osati ma adrenal glands okha komanso ziwalo zina za thupi, zizindikiro zina zingawonekere. Izi zikuphatikizapo:

• Kugawanika kwa magazi m'mitsempha yamagazi (DIC): Izi zikumveka ngati zovuta pang'ono, sichoncho? Mwachidule, ndi vuto lomwe njira yothira magazi m'thupi lonse imasokonekera. Pamene magazi amaundana pamalo amodzi, sangathe kuletsa kutuluka magazi pamalo ena.
• Kutupa pakhungu:Nthawi zina amatha kuwoneka pakhungu ngati madontho ang'onoang'ono kapena madontho akuluakulu.
• Kugwedezeka kwa magazi: Imeneyi ndi vuto lomwe kuthamanga kwa magazi kumatsika kwambiri chifukwa cha matenda, zomwe zimapangitsa kuti ziwalo za thupi zisalandire magazi okwanira. Izi ndizoopsa kwambiri.

Kodi zizindikiro za kutuluka magazi mu adrenal gland ndi ziti?

WFS imagwirizanitsidwa ndi kutuluka magazi m'thupi, komwe kungaphatikizepo zizindikiro zina:

• Kuwawa kwam'mimba.
• Ululu m'dera lomwe lili pamwamba pa chiuno, pansi pa nthiti (chiuno).
• Kutopa, kumva kusasangalala.
• Ulesi.
• Kusanza ndi kusanza.
• Kutsegula m'mimba.

Kodi n’chiyani chimayambitsa izi?

Nthawi zambiri, chomwe chimayambitsa matenda a Waterhouse-Friderickson ndi matenda a bakiteriya ndi mavairasi (sepsis) . Kunena zoona, kachilombo kamalowa m'thupi ndikufalikira m'thupi lonse popanda kulamulidwa.

Mitundu ina ya mabakiteriya imatha kugwidwa ndi izi. Nazi zitsanzo zingapo:

• `Pseudomonas aeruginosa`
• Mabakiteriya a Meningococcus: Uwu ndi woopsa kwambiri womwe ungayambitse WFS.
• `Streptococcus pneumoniae`
• `Hemophilus influenzae`
• `Escherichia coli (E. coli)`
• 'Staphylococcus aureus'

Mitundu ina yambiri ya mabakiteriya ingayambitse izi.

Komanso, mitundu ina ya ma virus ingayambitse izi:

• Kachilombo ka Cytomegalovirus (CMV)
• Parvovirus `(Parvovirus)`
• Kachilombo ka Epstein-Barr
• Kachilombo ka Ebola `(matenda a Ebola virus)`
• Kachilombo ka Varicella-zoster (ichi ndi chomwe chimayambitsa matenda monga nkhuku ndi herpes)

Kuwonjezera pa matenda amenewa, palinso zinthu zina zomwe zingachititse kuti munthu akhale ndi WFS:

• Kugwiritsa ntchito mankhwala oletsa magazi kutuluka magazi. Izi zimawonjezera chiopsezo cha kutuluka magazi.
• Thrombocytopenia: Izi zikutanthauza kuchepa kwa chiwerengero cha ma platelet (maselo omwe amathandiza magazi kuundana) m'magazi.
• Ma adrenal glands awonongeka mwanjira ina.

Ndani amene akukhudzidwa kwambiri ndi vutoli?

Matenda a Waterhouse-Friderickson amapezeka kwambiri mwa ana aang'ono kuposa akuluakulu . Chifukwa chake, ngati mwana wamng'ono akuwonetsa zizindikiro monga malungo ndi kupweteka kwa thupi, muyenera kusamala kwambiri.

Kodi izi zingayambitse mavuto otani?

Ichi ndiye chinthu chofunikira kwambiri. Ngati sichilandira chithandizo mwachangu komanso moyenera, matenda a Waterhouse-Friderickson ndi oopsa. Izi zikutanthauza kuti akhoza kupha munthu. Choncho izi ziyenera kuonedwa ngati zadzidzidzi.

Kodi matendawa amapezeka bwanji?

Kuti mudziwe matendawa, muyeneradi thandizo la dokotala. Dokotala adzakufunsani za zizindikiro zanu, adzakufunsani za matenda anu akale, kenako adzafufuza thupi lanu.

Koma kuzindikira WFS kungakhale kovuta pang'ono, chifukwa zizindikiro zake zimafanana kwambiri ndi za septic shock . Chifukwa chake, kuti atsimikizire ngati ndi WFS, dokotala adzalamula mayeso osiyanasiyana.

Ndi mayeso ati omwe amagwiritsidwa ntchito pozindikira matendawa?

Kuti atsimikizire ngati pali matenda, dokotala angachite mayeso otsatirawa:

Mayeso ojambula zithunzi

• Kujambula kwa ultrasound kapena CT (computed tomography) kungachitike kuti muwone ngati magazi akuchulukana mkati mwa adrenal glands. Kujambula kumeneku kumatenga zithunzi za mkati mwa thupi, kuti athe kuona bwino malo omwe magazi akutuluka.

Kuyezetsa magazi

• Kuyezetsa magazi kungakuthandizeni kudziwa ngati muli ndi kachilombo ka bakiteriya. Izi zimaphatikizapo kutenga singano yaying'ono kuchokera mumtsempha womwe uli m'dzanja lanu, kutenga magazi ochepa, ndikuyang'ana pansi pa maikulosikopu. Izi zidzakuthandizani kuona zizindikiro za kachilomboka.

Mayeso a mabakiteriya a Meningococcus

Ngati dokotala akuganiza kuti chifukwa chake ndi mabakiteriya a meningococcus, ndiye kuti akhoza kuchita mayeso monga awa:

• Kuboola kwa msana/kuboola lumbar: Izi zimaphatikizapo kulowetsa singano yopyapyala m'munsi mwa msana wanu, pakati pa mafupa awiri a msana, ndikutenga madzi pang'ono a msana. Izi zingamveke zoopsa, koma madokotala amachita izi mosamala.
• Kufufuza za khungu: Ngati muli ndi chotupa pakhungu lanu, chidutswa chaching'ono cha khungu chidzatengedwa kuchokera ku chotupacho ndikuchiyang'ana.
• Kuyesa kwa madontho a gramu: Chitsanzo chimatengedwa kuchokera pamalo omwe akukayikiridwa (monga bala) kuti afufuze mabakiteriya.
• Kusanthula mkodzo: Mudzafunsidwa kuti mukodzere m'chidebe chapadera. Kenako chitsanzo cha mkodzo chidzayesedwa ngati pali zizindikiro za matenda.

Mayeso a adrenal crisis ovuta kwambiri

Mayeso awa amathandiza kudziwa ngati mukukumana ndi vuto la adrenal , vuto lomwe ma adrenal glands sakugwira ntchito bwino:

• Mayeso olimbikitsa mahomoni otchedwa Adrenocorticotropic hormone (ACTH): Mu mayesowa, dokotala wanu akukupatsani jakisoni kakang'ono ka mahomoni otchedwa ACTH. Kenako, patatha mphindi 30 mpaka 60, amayesa magazi kuti awone momwe ma adrenal glands anu amayankhira ku ACTH. Uwu ndi mayeso omwe amayesa momwe ma adrenal glands anu amagwirira ntchito.
• Mayeso a shuga m'magazi:Magazi ochepa amatengedwa ndipo kuchuluka kwa shuga (shuga) mkati mwake kumayesedwa. Kuchuluka kwa shuga kumatha kukhala kochepa panthawi ya vuto la adrenal.
• Kuyesa kwa Cortisol: Chitsanzo cha magazi anu, mkodzo, malovu, kapena kuphatikiza ziwiri kapena zitatu mwa izi chimatengedwa kuti chiwone kuchuluka kwa cortisol yomwe adrenal glands yanu imapanga.
• Kuyezetsa magazi a pH: Chitsanzo cha magazi chimatengedwa ndipo mulingo wake wa acid-base (pH) umayesedwa. Izi zitha kuchitika pogwiritsa ntchito mayeso a arterial blood gas (ABG) kapena electrolyte panel. Kawirikawiri, pH ya magazi athu iyenera kukhala pakati pa 7.35 ndi 7.45.
• Kuyezetsa magazi a potaziyamu: Kuyezetsa magazi kuti muyeze kuchuluka kwa potaziyamu m'magazi mwanu. Potaziyamu ndi michere yomwe imathandiza mitsempha ndi minofu yathu kugwira ntchito bwino. Miyezo imeneyi imatha kusintha panthawi ya vuto la adrenal.
• Kuyezetsa magazi a Sodium: Kuyezetsa magazi kumayesa kuchuluka kwa sodium m'magazi mwanu. Sodium ndi yofunikanso kuti mitsempha ndi minofu yanu zizigwira ntchito bwino. Miyezo imeneyi imathanso kusiyana.

Kodi izi zimachiritsidwa bwanji?

Ngati muli ndi WFS, mwina muli ndi sepsis . Chifukwa chake, chinthu choyamba chomwe madokotala angachite ndikuyambitsa kumwa maantibayotiki nthawi yomweyo pamene akuyesa kuti adziwe chomwe chimayambitsa WFS. Adzayang'aniranso kuchuluka kwa electrolyte (mchere) ndi madzi.

Zizindikiro za sepsis zikatha, madokotala adzayamba kukupatsani mankhwala otchedwa glucocorticoids ndi mineralocorticoids . Awa ndi mahomoni otchedwa steroid. Glucocorticoids amagwira ntchito yochepetsa kutupa m'thupi. Mineralocorticoids amagwira ntchito yowongolera kuchuluka kwa mchere ndi madzi m'thupi lanu. Mwachidule, ali ngati kukupatsani mahomoni omwe adrenal glands yanu iyenera kupanga, koma osati.

Mungafunike kuikidwa magazi kapena njira yotchedwa angioembolization . Izi zimaphatikizapo kugwiritsa ntchito angiogram ndi magazi kuundana (embolization) kuti mudziwe ndikutseka mitsempha yomwe imapereka magazi ku adrenal glands. Izi zimachitika kuti magazi asiye kutuluka.

Chofunika kwambiri, pambuyo pa WFS, anthu ambiri adzafunika kumwa mankhwala ena a mahomoni kwa moyo wawo wonse , chifukwa adrenal glands ikawonongeka, sangathenso kupanga mahomoni moyenera.

Kodi ndidzamva bwino msanga bwanji nditalandira chithandizo?

Anthu ambiri amayamba kumva bwino pasanathe sabata imodzi kapena ziwiri kuchokera pamene anayamba kulandira chithandizo. Komabe, ngakhale mutachira mokwanira, mungakhalebe ndi mavuto ena akuthupi kapena amisala kwa miyezi ingapo, kapena zaka. Mwachitsanzo:

• Chakudyacho sichikoma.
• Ndatopa kwambiri.
• Kuvutika kugona (kusowa tulo).
• Chizolowezi chodwala mosavuta.
• Nkhawa.
• Kuvutika maganizo.

Choncho, ndikofunikira kukumbukira kuti zingatenge nthawi kuti munthu achire bwino.

Kodi mungayembekezere chiyani ngati mutadwala matendawa?

Monga tanenera kale, ngati sichilandira chithandizo, WFS ndi matenda oopsa. Palibe kukayika za izi.

Komabe, anthu ambiri omwe ali ndi WFS akalandira chithandizo choyenera komanso kuchira msanga, amachira msanga. Komabe, mungafunike chithandizo chamankhwala champhamvu, ndipo zotsatira za WFS zimatha kwa miyezi ingapo, ngakhale zaka. Chifukwa chake, si chinthu chongopeka.

Kodi vutoli lingapewedwe?

Pali zinthu zingapo zomwe mungachite kuti muchepetse chiopsezo chanu chotenga matenda a Waterhouse-Friderickson:

• Kusamba m'manja nthawi zonse komanso bwino kungathandize kupewa matenda. Ichi ndi chinthu chosavuta, koma chingakupulumutseni ku matenda ambiri.
• Kulandira katemera wa meningococcal bacteria ndikofunikira kwambiri kwa ana.
• Ngati mukuganiza kuti muli ndi matenda, funani chithandizo nthawi yomweyo. Musanyalanyaze kutentha thupi pang'ono kapena chifuwa.

Kodi mumadzisamalira bwanji pamene mukuchira?

Pamene mukuchira, inu ndi dokotala wanu muyenera kugwira ntchito limodzi kuti mupange dongosolo lothandizira odwala lomwe ndi loyenera, lotetezeka, komanso labwino kwa inu. Dongosolo limenelo likhoza kuphatikizapo zinthu monga:

• Pumulani mokwanira. Thupi ndi maganizo onse amafunika kupuma.
• Kudya zakudya zopatsa thanzi zomwe zingakuthandizeni kubwezeretsanso mphamvu zanu ndi lingaliro labwino. Zingakhale bwino ngati mutapeza upangiri kuchokera kwa katswiri wa zakudya pankhaniyi.
• Khalani ndi zolinga zazing'ono. Mwachitsanzo, kukhala tsonga pabedi, kuimirira, kuvala nokha, kusamba, kuyenda mtunda waufupi, kukwera masitepe.
• Kulankhula za momwe mukumvera ndi banja lanu, anzanu, kapena katswiri wa zamaganizo ndikofunikira panthawi yovutayi.
• Chitani masewera olimbitsa thupi mukakhala ndi mphamvu ndi mphamvu. Yambani pang'onopang'ono ndipo chita masewera olimbitsa thupi motsatira malangizo a dokotala wanu.

Ndiyenera kupita liti kwa dokotala? / Ndiyenera kupita liti ku chipinda chadzidzidzi?

Ngati simukumvabe bwino mutalandira chithandizo, kapena ngati mukuvutika kukwaniritsa zolinga zanu zobwezeretsa thanzi lanu, onetsetsani kuti mwalankhula ndi dokotala wanu.

WFS ndi matenda oopsa omwe amatha kupha ngati sanachiritsidwe. Ngati muli ndi zizindikiro zilizonse za WFS, mwachitsanzo, matenda omwe akuipiraipira omwe satha, ndiye kuti muyenera kupita kuchipatala chadzidzidzi (ETU) nthawi yomweyo.Si bwino kuchedwetsa izi.

Ndi mafunso ati omwe muyenera kufunsa dokotala wanu?

Mukazindikira kuti muli ndi WFS, mungakhale ndi mafunso ambiri. Musachite mantha, funsani dokotala wanu mafunso ngati awa kuti muthetse kukayikira kwanu:

• Kodi mukudziwa bwanji kuti ndili ndi matenda a Waterhouse-Friderickson?
• Ngati ndilibe Waterhouse-Friderickson syndrome, ndi vuto lina liti lomwe ndingakhale nalo?
• Kodi chifukwa cha matenda anga a Waterhouse-Friderickson ndi chiyani?
• Kodi ndiyenera kuchitidwa opaleshoni kuti ndikonze ma adrenal glands anga?
• Mukuganiza kuti ndidzachira kwathunthu?
• Kodi ndiyenera kumwa mahomoni owonjezera?
• Kodi ndiyenera kumwa mahomoni ena kwa nthawi yayitali bwanji?

Kotero, ndi zinthu ziti zofunika kwambiri zomwe tiyenera kukumbukira kuchokera apa?

Matenda a Waterhouse-Friderichsen (WFS) ndi matenda oopsa kwambiri omwe amafunika thandizo lachipatala mwachangu. Ngati muli ndi zizindikiro izi, kapena ngati muli ndi matenda omwe sakuchira, ndikofunikira kupita kuchipatala mwamsanga.

Tsatirani malangizo onse a chithandizo omwe dokotala wanu wakupatsani molondola. Mukatero ndiye kuti mungathe kuwongolera vuto la WFS ndikuchira mwachangu momwe mungathere. Kumbukirani, chithandizo choyambirira chingapulumutse moyo! Komanso, ndikofunikira kwambiri kuti mudzisamalire bwino mukachira.

Matenda a Waterhouse-Friderichsen, adrenal glands, cortisol, sepsis, matenda opatsirana, chisamaliro chadzidzidzi, mahomoni