Kuki amaraso agabanuka mu buryo butunguranye? Reka tuvuge ku kibazo cya Aplastic

Ese wigeze ubona cyangwa wumva indwara aho abantu bamwe, cyane cyane abana bato, bahita batakaza amaraso menshi, bakumva bananiwe cyane, kandi rimwe na rimwe bashobora no gushyira ubuzima mu kaga? Iyo ni imwe mu ndwara zikomeye tugiye kuvugaho uyu munsi, yitwa aplastic crisis . Nubwo iri zina rishobora kumvikana nk'aho riteye ubwoba gato, niba tubizi, dushobora guhangana n'iyi ndwara neza.

Iki kibazo cy’ihungabana ry’ikirere ni iki mu by’ukuri?

Mu magambo make, ikibazo cya aplastic ni igihe umwongo w'amagufwa mu mubiri wacu uhagarara gukora uturemangingo dushya tw'amaraso . Noneho ushobora kuba urimo kwibaza uti "None se bigenda bite niba ikorwa ry'uturemangingo dutukura mu maraso rihagaze?" Utu turemangingo dutukura ni two dutwara umwuka wa ogisijeni mu mibiri yacu. Rero iyo turetse gukora, umubare w'uturemangingo dutukura mu mubiri ugabanuka cyane, bigatera amaraso make cyane . Iki ni ikibazo gishobora gushyira ubuzima mu kaga.

Indwara ya Aplastic ikunze kwibasira abantu bafite ibibazo by'amaraso nka sickle cell anemia . Impamvu nyamukuru ibitera ni indwara isanzwe yitwa Parvovirus B19 . Ntugatangare, nubwo iyi virusi ifata abantu benshi, indwara ya Aplastic ibaho gusa iyo abantu bafite ibibazo by'amaraso banduye iyi virusi. Iyi ndwara ikunze kugaragara cyane mu bana bato, cyane cyane impinja. Ariko hari inkuru nziza, hari uburyo bwo kuvura ibi nko guterwa amaraso no guterwa immunoglobulin mu mitsi (IVIG) .

Ese iyi ni indwara ifata buri wese?

Oya, oya rwose. Nkuko nabivuze mbere, Parvovirus B19 ni virusi ikunze kugaragara cyane. Ariko, si abantu bose banduye iyi virusi bagira ikibazo cyo kudakora neza kw'amaraso. Ibi bibaho gusa iyo umuntu ufite indwara runaka y'amaraso yanduye Parvovirus B19.

Impinja, impinja, n'abana bafite anemia ya sickle cell ni bo bafite ibyago byinshi. Abantu bafite izindi ndwara zitera kwangirika kw'uturemangingo dutukura tw'amaraso ndetse n'amaraso ya hemolytic na bo bafite ibyago byinshi byo kurwara indwara ya aplastic crisis baramutse banduye parvovirus B19. Zimwe muri izo ndwara zirimo:

• Ihererekanya ry'impinduka mu muryango
• Indwara ya Hemoglobin C
• Thalassemia
• Indwara yo kubura G6PD
• Kubura kwa Pyruvate Kinase
• Anemia yo mu maraso iterwa n'ubwiyongere bw'umubiri
• Hemoglobinuria yo mu ijoro iterwa na paroxysmal
• Indwara ya Elliptocytosis

Niba wowe cyangwa umwana wawe mufite ubwoko bw'indwara y'amaraso, ni ngombwa cyane kubyitaho cyane.

Ni ibihe bimenyetso by'ikibazo cya aplastic crisis?

Abantu bakuru, kimwe n'abana n'impinja, bafite ikibazo cyo kubura amaraso, bakunze kugira ibimenyetso bijyanye no kubura amaraso cyane. Impinja n'abana bato bashobora kuba barakara cyane kurusha uko bisanzwe. Urugero, niba umwana wawe arira cyane, nta kintu na kimwe akunda, cyangwa asa n'uhora arakaye, ibi bishobora kuba ikimenyetso cy'ikintu nk'iki.

Dore bimwe mu bimenyetso by'ingenzi:

• Umunaniro: Kumva unaniwe cyane, ntushobora gukora ikintu icyo ari cyo cyose.
• Umuriro: Ubushyuhe bw'umubiri bushobora kugera kuri dogere selisiyusi 38 (dogere selisiyusi 101 Fahrenheit) cyangwa hejuru.
• Kuzungera: Ukumva umutwe wawe urimo kuzunguruka, kandi amaso yawe ashobora no guhinduka ubururu.
• Guhumeka nabi / kubura umwuka: Guhumeka nabi nubwo waba ugenda gato, kumva unaniwe cyane iyo uzamuka ingazi.
• Umutima utera vuba cyangwa utari mwiza: Umutima ushobora gutera vuba kurusha uko bisanzwe, cyangwa ntutere na gato, ariko ushobora kuba utari mwiza.
• Uruhu rw'umukara: Uruhu, iminwa, ishinya cyangwa inzara birushaho kuba bibi cyane kurusha uko bisanzwe. Iri ni ibara rigaragara iyo amaraso abuze.

Ubonye kimwe cyangwa byinshi muri ibi bimenyetso, cyane cyane niba wowe cyangwa umwana wawe mufite ikibazo cy'amaraso, ni ngombwa cyane gushaka inama kwa muganga byihutirwa .

Kuki iki kibazo cya aplastic kibaho? Ni iyihe mpamvu?

Ijambo "aplastic" risobanura ko ikintu kiri mu mubiri wawe cyahagaze gukora. Ibyo ni byo bibaho muri iki kibazo cya aplastic. Umwongo wawe ntushobora gukora uturemangingo tw'amaraso dutukura dufite ubuzima bwiza. Impamvu ni Parvovirus B19 navuze mbere. Iyi virusi yibasira uturemangingo tw'amaraso dutukura tutarakura neza tutarakura. Iratwangiza.

Umubiri wacu ubona ibintu nk'uturemangingo dutukura tw'amaraso, utundi turemangingo twera tw'amaraso, na plasma biva mu musokoro w'amagufwa. Rero iyo ikorwa ry'uturemangingo dutukura rikomeje, urwara indwara yo kubura amaraso cyane . Tekereza, ibi ni byo bibaho iyo uruganda rw'amaraso rw'umubiri wacu ruhagaritse gukora mu buryo butunguranye.

Ni izihe ngorane zishobora guterwa n'iyi ndwara?

Ikibazo cya Aplastic gishobora gutera ingorane zitandukanye, cyane cyane ku bantu bafite ikibazo cyo kubura amaraso mu maraso . Izi nazo ni mbi cyane.

• Indwara y’igihe kirekire yo mu bwonko (VOC):VOC ni ububabare butunguranye kandi bukomeye bugaragara ku bantu bafite ikibazo cyo kubura amaraso mu maraso. Ubu bubabare bushobora kumara igihe kirekire bitewe n’ikibazo cyo kutagira imiterere y’umubiri.
• Myocarditis: Iyi ni indwara ifata imitsi y'umutima, ikaba isa n'iy'ibibyimba.
• Gufata uturemangingo tw’amaraso dutukura: Uturemangingo tw’amaraso dutukura tudakora neza dufatwa mu turemangingo, bigatuma turemangingo twiyongera.
• Glomerulonefrite: Iyi ni indwara y'impyiko, iyo idavuwe neza, ishobora gutuma impyiko zinanirwa gukora neza.

Niyo mpamvu tuvuga ko ari ingenzi cyane kumenya iki kibazo.

Abaganga babimenya bate?

Iyo wowe cyangwa umwana wawe mugaragaje ibi bimenyetso, iyo mugiye kwa muganga, azabanza kukubaza ibimenyetso byanyu. Hanyuma azakora isuzuma ry’umubiri. Byongeye kandi, hashobora gukorwa ibizamini byinshi kugira ngo byemezwe ko indwara ihari:

• Umubare wuzuye w'amaraso (CBC): Ibi bigenzura umubare w'uturemangingo dutukura tw'amaraso, uturemangingo twera tw'amaraso, n'uturemangingo dufasha mu mubiri. Mu gihe cy'indwara ya aplastic, umubare w'uturemangingo dutukura tw'amaraso uba muto cyane.
• Umubare wa reticulocytes: Reticulocytes ni uturemangingo dutukura tw’amaraso tudakuze. Iki kizamini gipima umubare w’uturemangingo dushya tw’amaraso dutukura tukorwa n’umusokoro w’amagufwa. Mu gihe cy’ibibazo bya aplastic, uyu mubare nawo uba uri hasi cyane.
• Ikizamini cya Parvovirus B19: Iki kizamini gikorwa kugira ngo hemezwe niba waranduye iyi virusi.

Nyuma y'ibi bizamini, muganga ashobora kumenya neza niba koko ari ikibazo cya aplastic cyangwa ikindi kintu.

Ni ubuhe buryo bwo kuvura ibi?

Uburyo bw'ingenzi bwo kuvura ikibazo cya aplastic ni ugutera amaraso . Ibi bivuze gutanga amaraso aturutse hanze. Ibi bishobora gusubiza vuba umubare muto w'uturemangingo dutukura tw'amaraso mu mubiri. Byongeye kandi, hatangwa ubuvuzi bwitwa Intravenous Immunoglobulin (IVIG) . Ubu buryo bushyirwa mu mubiri binyuze mu mutsi (IV).

Abarwayi benshi bakira mu minsi 10 kugeza kuri 14 uhereye igihe batangiriye kuvurwa. Ikindi kintu cyiza ni uko iyo umuntu amaze kwandura parvovirus B19, ahora afite ubudahangarwa ku cyorezo ubuzima bwe bwose. Ibi bivuze ko ibyago byo kongera kurwara indwara ya aplastic bivuye kuri virusi bigabanuka cyane.

Ese hari uburyo bwo gukumira ikibazo cy’ihungabana ry’ikirere (aplastic crisis)?

Mu by’ukuri biragoye kubivugaho. Kubera ko ikibazo cya aplastic kibaho iyo umuntu ufite ikibazo cy’amaraso yanduye parvovirus B19 . Parvovirus B19 ni virusi ikunze kugaragara cyane, kandi nta rukingo ruraboneka rwo kuyirwanya kugeza ubu.

Ariko, kuri wowe n'umwana waweNiba ufite indwara y'amaraso nka sickle cell anemia, ni ngombwa kubaza muganga wawe icyo wakora kugira ngo ugabanye ibyago byo kwandura parvovirus B19. Urugero, ibintu byoroshye nko kwirinda ahantu hahurira abantu benshi no gukaraba intoki kenshi bishobora gutanga uburinzi.

Ni iki kizaba nyuma y'iki kibazo? (Ibisobanuro)

Guhanura ni igisubizo cyitezwe ku ndwara yawe. Abantu bafite ikibazo cya aplastic bakunze gukira mu minsi 10 kugeza kuri 14 uhereye igihe batangiriye kuvurwa. Ariko, hari abantu bashobora kugira ibibazo bya aplastic bigaruka. Kubwibyo, ni ngombwa kwitondera ibimenyetso no gukurikiza amabwiriza ya muganga.

Ni gute nkwiye kwitaho? / Ni gute nkwiye kwita ku mwana wanjye?

Indwara ya Aplastic ni imwe mu ngorane nyinshi zishobora guterwa n'indwara z'amaraso nka sickle cell anemia . Ushobora kudashobora kwirinda parvovirus B19, ariko hari ibintu ushobora gukora kugira ngo ukomeze ubuzima bwawe muri rusange:

• Suzuma buri gihe: Ukomeje kuvugana na muganga wawe w’ibanze, ushobora kumenya ingorane zikomeye z’uburwayi mbere yuko ziba.
• Gabanya ibyago byo kwandura: Vugana na muganga wawe uburyo bwo kwirinda indwara zisanzwe nka grippe n'ibicurane.
• Kurya indyo yuzuye: Kurya indyo yuzuye kandi unywe ibirahuri 8-10 by'amazi ku munsi.
• Imyitozo ngororamubiri: Imyitozo ngororamubiri ihoraho ishobora gutuma wumva umerewe neza kandi ubuzima bwawe bugakomeza kuba bwiza. Ariko, fata akanya gato, ruhuka igihe wumva unaniwe, kandi wibuke kunywa amazi menshi.

Ibi bintu bifasha ubudahangarwa bw'umubiri wawe gukomeza imbaraga no kugutera kugira ubuzima bwiza muri rusange.

Ni ryari ngomba kujya kwa muganga?

Ikibazo cya Aplastic ni ikibazo cyihutirwa cy’ubuvuzi.

Niba wowe cyangwa umwana wawe mufite indwara y'amaraso nka sickle cell anemia , kandi mukagira impinduka zitunguranye mu buzima bwanyu, nko kumva mufite intege nke cyangwa munaniwe cyane , mugomba guhita mubonana na muganga. Uko mutangira kuvurwa vuba, niko biba byiza kurushaho.

Ni ibihe bibazo ngomba kubaza muganga?

Niba wowe cyangwa umwana wawe mufite ikibazo cyo kubura imiterere y'umubiri, mushobora kubaza muganga ibibazo nk'ibi:

• Ni ryari njye/umwana wanjye nzakira?
• Ni amahirwe angahe ko njye/umwana wanjye azongera kugira ikibazo nk'iki?
• Ni ibihe bintu nkwiye kwitondera cyane cyane mu gihe mbana n'iki kibazo?

Ni ingenzi cyane kubaza ibibazo nk'ibi no gukuraho gushidikanya kwawe.

Ese ikibazo cya aplastic crisis na aplastic anemia ni kimwe?

Yego, nubwo ibi bibazo byombi bifitanye isano no kugabanuka k'umubare w'uturemangingo dutukura mu maraso, hari itandukaniro hagati yabyo byombi.

Icyorezo cya Aplastic ni igabanuka ritunguranye ry’umubare w’uturemangingo dutukura tw’amaraso.

Aplastike anemia ni indwara igenda ikura buhoro buhoro uko igihe kigenda gihita. Muri ibi, si uturemangingo dutukura gusa, ahubwo n'ubundi bwoko bw'uturemangingo tw'amaraso (uturemangingo twera, plaquettes) dushobora kugabanuka.

Muri make, Aplastic Crisis ni ikibazo cy'igihe gito kandi gikomeye. Aplastic Anemia ni ikibazo cy'igihe kirekire, cyihariye mu magufwa.

Amaherezo, ubutumwa bwo kujyana mu rugo

Sawa, ndizera ko ubu usobanukiwe neza icyo twavuze uyu munsi, Aplastic Crisis. Iki ni ikibazo gikomeye gishobora kwibasira abantu barwaye indwara z'amaraso nka Sickle Cell Anemia . Icyaba gihari ni uko umwongo w'amagufwa yawe cyangwa uw'umwana wawe uhagarara mu buryo butunguranye gukora uturemangingo dutukura tw'amaraso, bigatera amaraso make cyane ashobora gushyira ubuzima mu kaga.

Ibibazo bya Aplastic bishobora gutera ubwoba kuko ibimenyetso bishobora kugaragara mu buryo butunguranye kandi bikaba bikomeye. Ku bw'amahirwe, abaganga bashobora kuvura baterwa amaraso n'imiti.

Niba wowe cyangwa umwana wawe mufite indwara y'amaraso ituma wowe cyangwa umwana wawe mu kaga gakomeye ko kurwara indwara ya aplastic, baza muganga wawe ibimenyetso bishobora kugaragaza ikibazo. Ushobora kudashobora gukumira ikibazo cya aplastic, ariko uzamenya icyo wakora nibibaho. Ubwo bumenyi ni bwo bw'ingenzi cyane.

Ikibazo cya Aplastic , Uturemangingo tw'amaraso dutukura, Umwotsi w'amagufwa, Anemia, Parvovirus B19, Anemia y'uturemangingo tw'umutsi