Kodi munamvapo za liwu lakuti G6PD? Mwina dokotala anakuuzanipo za izi, kapena wina m'banja mwanu wakuuzanipo. Kapena mwina ndi chinthu chatsopano kwa inu. Komabe, musachite mantha mukamva dzinalo. Kusowa kwa G6PD ndi vuto lofala kwambiri la majini lomwe limakhudza anthu pafupifupi 400 miliyoni padziko lonse lapansi. Lili ngati kusintha pang'ono m'thupi lathu osati matenda. Choncho tiyeni tikambirane zonsezi mosavuta komanso mwaubwenzi lero.
Kodi vuto la G6PD kwenikweni ndi chiyani?
Chabwino, tiyeni tinene mwachidule. Magazi athu ali ndi mtundu wa selo lotchedwa maselo ofiira a magazi . Maselo amenewa amanyamula mpweya m'thupi lonse. Ali ngati galimoto yomwe imanyamula katundu kupita kunyumba.
Tsopano, pali enzyme yapadera yomwe imathandiza maselo ofiira a magazi kukhala athanzi komanso amphamvu. Timaitcha `Glucose-6-Phosphate Dehydrogenase`, kapena mwachidule G6PD . Taganizirani enzyme iyi ngati chitetezo cha maselo ofiira a magazi, kapena 'magetsi' omwe amawapatsa mphamvu. Enzyme iyi ya G6PD imateteza maselo ofiira a magazi ku zinthu zina zoopsa m'magazi.
Chomwe chimachitika m'thupi la munthu amene ali ndi vuto la G6PD ndichakuti enzyme ya G6PD siipangidwa mokwanira. Kapena enzyme yomwe imapangidwa sigwira ntchito bwino. Izi ndi zobadwa nazo . Izi zikutanthauza kuti mumalandira izi kuchokera kwa amayi kapena abambo anu, ndipo si matenda opatsirana.
Kawirikawiri, kukhala ndi vuto la kuchepa kwa G6PD si vuto lalikulu. Komabe, ngati mumwa mankhwala enaake, mankhwala, kapena zakudya zina (makamaka mitundu ina ya nyemba), maselo ofiira a magazi amayamba kuwonongeka chifukwa chitetezo chimenecho sichipezeka. Ichi ndi chomwe timachitcha kuti 'hemolytic anemia.' Tiyeni tiwone zambiri.
Kodi zizindikiro zake ndi ziti? Kodi tingazizindikire bwanji izi?
Chodabwitsa apa ndichakuti anthu ambiri omwe ali ndi vuto la G6PD sasonyeza zizindikiro zilizonse . Amakhala moyo wabwinobwino. Vutoli limayamba pokhapokha akakumana ndi chimodzi mwa zinthu zomwe tatchula kale, zomwe ndi mankhwala kapena chakudya.
Komabe, nthawi zina mwana amatha kukhala ndi jaundice (khungu limasintha chikasu) akangobadwa, zomwe nthawi zambiri zimachiritsidwa mosavuta.
Ngati munthu amene ali ndi vuto la G6PD akumana ndi vuto linalake loopsa, akhoza kukhala ndi vuto lotchedwa `hemolytic anemia`. Mwachidule, izi zimachitika pamene maselo ofiira amagazi amawonongeka ndipo amawonongeka mofulumira kuposa momwe angapangidwire. Maselo ofiira amagazi ndi omwe amanyamula mpweya m'thupi lonse. Choncho akawonongeka, ziwalo za thupi sizilandira mpweya womwe zimafunikira.
Ngati vuto la `hemolytic anemia` litachitika, likhoza kukhala lalikulu kwambiri. Chifukwa chake, ndikofunikira kwambiri kudziwa zizindikiro izi.
Gome ili m'munsimu likuwonetsa zizindikiro zodziwika bwino za kuchepa kwa magazi m'thupi.
| Chizindikiro | Kufotokozera |
|---|---|
| Khungu lotumbululuka | Khungu limasanduka mtundu ndi kuwala, ngati kuti thupi likusowa magazi. |
| Kutuluka kwachikasu pakhungu ndi maso (Jaundice) | Bilirubin, chinthu chomwe chimapezeka maselo ofiira a m'magazi akamawonongeka, chimapangitsa khungu ndi oyera a maso kukhala achikasu. |
| Mkodzo wakuda | Mkodzo umakhala wakuda kapena wamtundu wa cola. |
| Malungo | Mungamve kutentha thupi popanda chifukwa. |
| Kutopa ndi kufooka | Kumva ngati wopanda moyo, kupuma movutikira, komanso kutopa kwambiri. |
| Kusokonezeka maganizo | Ubongo ukapanda kupeza mpweya wokwanira, ungamve kusokonezeka komanso kusokonezeka maganizo. |
| Kugunda kwa mtima | Kugunda kwa mtima kumawonjezeka. |
Ngati zizindikirozi zili zazikulu komanso zikupitirira, muyenera kuonana ndi dokotala nthawi yomweyo . Nthawi zina mungafunike kupita ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) ya chipatala.Ingafunikenso kuchotsedwa. Koma nthawi zambiri, chomwe chimayambitsa vutoli chikachotsedwa, chimachira chokha mkati mwa milungu iwiri.
Kodi chifukwa chake n’chiyani? Ndani amene ali ndi mwayi waukulu woti adwale matendawa?
Monga tanenera kale, kusowa kwa G6PD ndi vuto lomwe limabwera chifukwa cha majini . Izi zikutanthauza kuti mumalandira kuchokera kwa makolo anu. Palibe njira yopewera vutoli.
Komabe, magulu ena a anthu ali ndi mwayi waukulu wopeza vutoli.
- Kwa amuna (kuposa akazi).
- Kwa iwo omwe ali m'maiko aku Africa, Asia, Middle East, ndi dera la Mediterranean.
Ngati mukudziwa kuti wina m'banja mwanu ali ndi vuto la G6PD, pali mwayi woti nanunso mungakhale nalo. Choncho ndi bwino kulankhula ndi dokotala wanu za vutoli.
Kodi mungadziwe bwanji ngati muli ndi vuto la G6PD?
Pali njira yosavuta yodziwira. Izi ndi poyesa magazi . Dokotala wanu adzakulangizani kuti muyesedwe kutengera mbiri ya banja lanu komanso ngati muli ndi zizindikiro.
Kawirikawiri, mayeso owunikira amayamba kaye kuti aone ngati pali vuto la G6PD. Ngati likusonyeza kuti pali vuto, mayeso ena amachitidwa kuti aone ngati ndi lalikulu bwanji. `Mayeso a Beutler` ndi amodzi mwa mayeso otere.
Kudzera mu mayeso awa, mutha kudziwa ngati muli ndi vuto la G6PD ndipo, ngati ndi choncho, mulingo wake ndi wotani.
Kodi mungakhale bwanji ndi vuto la kusowa kwa G6PD? Kodi ndi zinthu ziti zomwe muyenera kupewa?
Ichi ndi gawo lofunika kwambiri. Ngati mwapezeka ndi vuto la kuchepa kwa G6PD, palibe chithandizo chapadera chomwe chikufunika . Chomwe muyenera kuchita ndikupewa 'zimayambitsa' zomwe zimawononga maselo ofiira a magazi anu ndikuyambitsa vuto lotchedwa hemolytic anemia.
Izi zikutanthauza kuti muyenera kupewa mankhwala enaake, mankhwala, ndi zakudya. Izi zimatchedwa zinthu zomwe zimayambitsa 'kupsinjika kwa okosijeni'.
Kumbukirani tebulo ili m'munsimu. Ndikofunikira kwambiri kuti zinthu izi zisakulowerereni m'moyo wanu.
| Zinthu zomwe anthu omwe ali ndi vuto la G6PD ayenera kupewa | |
|---|---|
| Mtundu | Zitsanzo |
| Chakudya | Nyemba za Fava - Ichi ndi chakudya chofunikira komanso choopsa kwambiri. M'mayiko ena, izi zimatchedwanso nyemba zazikulu. |
| Mankhwala | Mankhwala ena ochepetsa ululu (monga aspirin wambiri) |
| Maantibayotiki okhala ndi "Sulf" (monga Sulfonamides) | |
| Mankhwala oletsa malungo omwe ali ndi "quine" | |
| Mankhwala | Naphthalene - Izi zimapezeka m'mabolo a njenjete omwe amaikidwa m'mawodi. Ngakhale kupuma fungo lawo n'koopsa. |
Chofunika: Ngati muli ndi vuto la kuchepa kwa G6PD, muyenera kuuza dokotala nthawi iliyonse mukapita naye kuchipatala. Kenako, akakupatsani mankhwala, adzasankha mankhwala otetezeka kwa inu. Musamwe mankhwala aliwonse musanafunse dokotala kaye.
Uthenga Wopita Nawo Kunyumba
- Kusowa kwa G6PD si matenda oti munthu aziopa. Ndi matenda a majini omwe anthu ambiri padziko lonse ali nawo, ndipo amapatsirana kuchokera ku mibadwomibadwo.
- Anthu ambiri alibe zizindikiro ndipo amadwala pokhapokha ngati akumwa mankhwala enaake oipa, chakudya (makamaka nyemba za fava), kapena mankhwala enaake.
- Kuti muyendetse bwino moyo wanu, muyenera kudziwa bwino zomwe zili zoipa kwa inu ndikupewa.
- Ngati mukumva zizindikiro monga kutentha thupi, kutopa kwambiri, khungu kukhala lachikasu, ndi mkodzo wakuda, pitani kwa dokotala nthawi yomweyo.
- Kumbutsani dokotala wanu nthawi iliyonse mukamuwona kuti muli ndi vuto la G6PD. Ndikofunikira kwambiri pa chitetezo chanu.
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