Kodi muyenera kupereka aspirin kwa mwana yemwe ali ndi malungo oyambitsidwa ndi kachilomboka? Dziwani za matenda oopsa awa (Reye's Syndrome)

Kodi nthawi zambiri mumachita chiyani mwana wanu akamadwala malungo, chimfine, kapena matenda monga nthenda ya pox? Nthawi zina timaganiza kuti, "O... ingomupatsani aspirin pang'ono." Koma kodi mukudziwa kuti kupereka aspirin panthawi ngati imeneyo kungakhale koopsa kwambiri kwa mwana wanu? Lero tikulankhula za matenda omwe sakunenedwa kwambiri, koma oopsa kwambiri omwe amayambitsa matendawa. Umenewo ndi Reye's Syndrome, kapena Reye's Syndrome .

Mwachidule, kodi Reye's Syndrome ndi chiyani?

Matenda a Reye ndi matenda osowa koma oopsa kwambiri omwe amayambitsa kutupa kwa chiwindi ndi ubongo. Amatha kukhudza aliyense wa msinkhu uliwonse, koma amapezeka kwambiri mwa ana ndi achinyamata omwe akuchira matenda opatsirana ndi mavairasi monga chimfine kapena katsabola.

Kafukufuku wa madokotala wapeza kuti chiopsezo chachikulu cha izi ndi kupereka aspirin kapena mankhwala ena ofanana nawo, omwe ndi mankhwala okhala ndi salicylates, kwa mwana panthawi yomwe ali ndi kachilombo ka HIV.

N’chifukwa chiyani vutoli limachitika?

Madokotala sakumvetsa bwino chomwe chimayambitsa Reye's Syndrome, koma akudziwa kuti ana ena amakhala ndi vutoli ngati atapatsidwa aspirin panthawi yomwe ali ndi kachilombo ka HIV.

Kuphatikiza apo, ana ena ali pachiwopsezo chachikulu chotenga matendawa. Izi zikuphatikizapo:

• Ngati ali ndi vuto la majini lokhudzana ndi njira yogayira mafuta m'thupi (Fatty Acid Oxidation Disorder).
• Ngati mwakumanapo ndi mankhwala oopsa monga mankhwala ochepetsa utoto, mankhwala ophera tizilombo, ndi mankhwala ophera udzu.

Matenda a Reye akayamba, maselo a thupi amatupa ndipo mafuta amayamba kusonkhana mkati mwake. Nthawi yomweyo, shuga m'magazi amatsika mwadzidzidzi. Zinthu zoopsa monga ammonia ndi acidity zimawonjezeka m'magazi. Kusintha kumeneku kungayambitse kuwonongeka kwakukulu kwa chiwindi komanso makamaka ubongo, chifukwa ziwalozi zimatupa kwambiri.

Kodi zizindikiro zake ndi ziti? Kodi timazizindikira bwanji?

Zizindikiro za Reye's Syndrome nthawi zambiri zimawonekera patatha masiku atatu mpaka asanu kuchokera pamene kachilombo kakuyamba. Zizindikirozi zimatha kusiyana pang'ono kutengera zaka, choncho ndikofunikira kusamala kwambiri ndi izi.

Tiyeni tiwone makhalidwe awa mu tebulo kuti timvetsetse mosavuta.

Izi ndi zadzidzidzi! Ngati muwona zizindikiro zazikulu izi, monga kusintha kwakukulu kwa khalidwe, khunyu, kapena kutaya chidziwitso, tengani mwana wanu ku Dipatimenti Yodzidzimutsa ya Chipatala (ETU) mwachangu . Izi zitha kukhala zoopsa, kotero kupeza matenda mwachangu ndi chithandizo ndikofunikira.

Nthawi zina zizindikirozi zimatha kusokonezedwa ndi matenda a meningitis, matenda a shuga, kapena poizoni. Ngati mukukayikira kuti pali mankhwala oopsa (monga mankhwala ophera udzu), imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital kuti mudziwe zambiri.

Kodi dokotala amazindikira bwanji matendawa molondola?

Palibe mayeso amodzi okha okhudza Reye's Syndrome, kotero madokotala nthawi zambiri amafufuza mosamala zizindikiro ndi mbiri yake ndipo amachita mayeso angapo kuti apeze matenda ena.

Mwa iwo:

• Kuyezetsa magazi ndi mkodzo: Izi zimayesa zinthu monga momwe chiwindi chikuyendera, shuga m'magazi, ndi kuchuluka kwa ammonia.
• Kuwunika matenda a kagayidwe ka mafuta m'thupi: Kuyezetsa magazi kwapadera kumachitika pa izi.
• Kuboola Msana/Lumbar: Kuyesa kumeneku kumachitika kuti kuyeze kuthamanga kwa magazi mu ubongo ndi msana komanso kuwona ngati pali matenda.
• Kufufuza Chiwindi: Izi zimathandiza kudziwa kuchuluka kwa kuwonongeka kwa maselo a chiwindi.
• Kujambula kwa CT kapena MRI: Izi zimatha kuwona kutupa muubongo ndikupeza ngati pali mavuto ena.

Kodi pali mankhwala a izi?

Palibe chithandizo chapadera chomwe chingathetseretu Reye's Syndrome. Komabe, madokotala amatha kuthana ndi vutoli mwa kulola wodwalayo kuchipatala, kupewa zizindikiro zoopsa, makamaka kuchepetsa kutupa kwa ubongo. Nazi zina zomwe mungachite:

• Madzi olowa m'mitsempha (IV) ndi zakudya.
• Mankhwala ochepetsa kutupa ndi mankhwala omwe amachotsa madzi ndi mchere wochulukirapo m'thupi ndikuchepetsa kutupa.
• Mankhwala oletsa kutuluka magazi.
• Ngati vuto monga kutuluka magazi m'chiwindi litachitika, vitamini K, plasma, ndi ma platelet amaperekedwa kuti athandize magazi kuundana.

Kodi zotsatira zake zingakhale zotani kwa nthawi yayitali?

Nkhani yabwino ndi yakuti chifukwa cha kupita patsogolo kwa sayansi ya zamankhwala, matendawa tsopano amatha kupezeka msanga, ndipo chiwerengero cha imfa chatsika kuchoka pa 50% kufika pa 20%. Izi zikutanthauza kuti ana ambiri ndi achinyamata omwe amatenga matendawa amachira mokwanira.

Kuchuluka kwa momwe munthu amachira bwino komanso chiopsezo cha kuwonongeka kwa ubongo kwa nthawi yayitali zimadalira kuchuluka kwa kutupa kwa ubongo . Kuopsa kwa kuwonongeka kwa ubongo kumakhala kwakukulu zizindikiro zikakula mofulumira, zomwe zimapangitsa kuti munthu akhale ndi chikomokere.