Ropa rakawanda sei riri mumuviri wako? Ngatidzidzei nezveKuongororwa Kwehuwandu hweRopa nenzira iri nyore!

Wakambozvibvunza here kuti une ropa rakawanda sei mumuviri wako? Izvi hazvisi zvekungoziva chete, dzimwe nguva zvinogona kukuudza ruzivo rwakakosha nezvehutano hwako. Ndizvo zvatinodaidza kuti ``Blood Volume Test'', bvunzo inoyera huwandu hweropa. Iyi ichokwadi ``Nuclear Medicine Test'', zvinoreva kuti inoshandisa zvinhu zvishoma zvine radioactive kuti ione mashandiro emuviri. Usanetseke, izvi zvakachengeteka zvikuru. Ngatitaurei nezvazvo zvakadzama, zvakanaka here?

Chii chaizvo chinorehwa neropa?

Kunyangwe tichiti "ropa," mune marudzi ese ezvinhu mukati maro. Kutaura chokwadi, hezvino izvi:

• Plasma: Ichi chikamu cheropa chine mvura. Usashamisika, mvura inodarika 90%!
• Maplatelet: Aya masero madiki anobatsira kuumbwa kweropa. Akakosha zvikuru pakumisa kubuda ropa kana wakuvara.
• Masero Matsvuku Eropa: Aya akafanana nemabhora akatenderera. Aya ndiwo anotakura okisijeni kuenda kumatishu emuviri wese.
• Masero Machena Eropa: Aya akafanana nevarindi vemuviri. Ndivo vanotidzivirira kubva kuhutachiona nezvirwere.

Waizviziva here kuti kunyange zvazvo maplatelet aya nemasero machena eropa zvakakosha zvikuru, anoumba pasi pe1% yehuwandu hweropa redu rose. ``Blood Volume Test`` inonyanya kuyera huwandu hweplasma nemasero matsvuku eropa. Ndosaka dzimwe nguva ichinzi ``Plasma Volume Test`` kana ``Red Cell Mass Test``.

Huwandu hweropa mumuviri wedu hunodzorwa sei?

Iyi inzira inoshamisa zvikuru. Muviri wedu unogara uchigadzira nekuparadza masero matsvuku eropa. Muromo wedu wemapfupa unogadzira masero matsvuku eropa , uye chiropa chedu chinoaparadza. Asi maitiro aya anononoka zvishoma. Fungidzira, kana ukarasikirwa neropa rakawanda nekuda kwehurwere, tsaona, kana kukuvara, zvinogona kutora mazuva, pamwe mwedzi, kugadzira masero matsvuku matsva.

Asi kudzora plasma kunokurumidza zvikuru. Nekuti plasma inonyanya kuva mvura. Muviri unowana mvura kubva mumvura yatinonwa uye chikafu chatinodya. Mvura inorasikawo kuburikidza neweti, tsvina, ziya, uye kufema. Kana uine hutano hwakanaka, itsvo dzako dzinochengetedza huwandu hwemvura iyi muchiyero.

Ndezvipi zvinhu zvinokanganisa huwandu hweropa? Rinofanira kuva rakawanda sei?

Muviri wemunhu mukuru unowanzova neropa rinenge marita mashanu. Zvisinei, huwandu uhwu hunogona kusiyana nekuda kwezvikonzero zvakasiyana-siyana. Dzimwe nguva huwandu hweropa hunogona kuva hwakawanda (Hypervolemia) kana hushoma (Hypovolemia).

Kuwedzera kwehuwandu hweropa (Hypervolemia)

Zvimwe zvinhu zvinogona kukonzera chirwere ichi ndeizvi:

• Zvimwe zvirwere zvemwoyo (Congestive Heart Failure)
• Kudya munyu wakawandisa (sodium)
• Matambudziko eitsvo, semuenzaniso, kutadza kushanda zvakanaka kweitsvo uye chirwere chepfungwa
• Kukundikana kwechiropa

Kana huwandu hweropa hukawedzera (Hypervolemia), zviratidzo zvakaita se:

• Kuzvimba kwedumbu uye kusagadzikana (Ascites)
• Kukundikana kweMwoyo Wakavharika
• Kukwira Kweropa
• Kutadza kufema nekuda kwemvura inozadza mapapu
• Kuzvimba (Edema) – Kazhinji makumbo, zvitsitsinho, maoko , kana kumeso zvinozvimba.

Kuderera kwehuwandu hweropa (Hypovolemia)

Pane zvikonzero zviviri zvikuru zvinoita kuti ropa riderere:

• Kubuda ropa (kukuvara, kuvhiyiwa, kubuda ropa mukati)
• Kushaya mvura mumuviri - Izvi zvinoreva kushaya mvura yakakwana mumuviri.

Kana huwandu hweropa rako hukadzikira zvakanyanya, unogona kupinda munjodzi inonzi "Hypovolemic Shock." Apa ndipo apo muviri wedu unoita zvinotevera kuti utsigire kuderera kweropa mumuviri:

• Inoderedza BP.
• Inowedzera kurova kwemoyo.
• Inowedzera mwero wekufema.

Kana huwandu hweropa hukaramba huchiderera, kukuvara kusingagadzirisike kunogona kuitika kunhengo dzedu dzemukati nepfungwa. Saka izvi hazvisi zvekusetsa!

Pane hukama here pakati pehuwandu hweropa neBP?

Zviripo zvechokwadi! Kumanikidzwa kuri mukati metsinga dzedu dzeropa ndiko kunoita kuti ropa riyerere kunhengo dzese dzemuviri. Kana huwandu hweropa hwadzikira, BP inodzikirawo. Ipapo muviri unoedza kudzorera kuyerera kweropa nekuita kuti tsinga dzeropa dziite zvidimbu. Asi kana kurasikirwa neropa kwakanyanya (Severe Hypovolemia), muviri haugone kuidzora.

Saizvozvowo, kana huwandu hweropa huchiwedzera, hunotambanudza mitsipa yedu yeropa (tsinga dzeropa netsinga), izvo zvinowedzera BP. Hypervolemia inowanzoitika kana muviri usingakwanise kudzora huwandu hwemvura nekuda kwekusashanda zvakanaka kweitsvo kana chiropa.

Izvi (Blood Volume Test) zvinofanira kuitwa rini?

Vanachiremba vanoshandisa bvunzo iyi, kunyanya pavarwere vari mumakamuri evarwere vanorwara zvakanyanya . Semuenzaniso:

• Vanhu vakarasikirwa neropa rakawanda
• Vanhu vane mvura shoma mumuviri
• Vanhu vane chirwere chemwoyo
• Vanhu vane dambudziko reitsvo kana chiropa
• Vanhu vane maronda akanyanya
• Vanhu vari mukushamisika

Pamusoro peizvi, kune dzimwe nguva apo vanachiremba vanoshandisa bvunzo iyi.

• Ongorora kana une anemia.
• Tsvaga chikonzero chekufenda nguva nenguva (syncope).
• Ongorora kana BP yakakwira uye kana paine hypotension ye orthostatic.
• Senzira yekuongorora "Presurgical Screening" usati wavhiyiwa.

Bvunzo iyi inoitirwa kupi?

Izvi zvinogona kuitwa uri pamubhedha wechipatara, kana kuti zvinogona kuitwa mu "Nuclear Medicine Department" yechipatara.

Izvi (Blood Volume Test) zvinoshanda sei? Zvakaoma zvikuru here?

Kwete, hazvina kuoma kudaro. Zvichitaurwa zviri nyore, zvinoti:

Kuti muyere huwandu hweropa mumuviri wenyu, mutsinga yenyu munowanikwa chinhu chinonzi radioactive iodine tracer. Zvinhu zvakaita seizvi zvinoita kuti vanachiremba vatarise mamwe mabasa emuviri.

Mushure mekunge "(Tracer)" iyi yasanganiswa zvakanaka neropa rako, chiremba anotora ropa kubva kwauri oongorora radioactivity iri mariri.

Huwandu hweropa rako hunoverengerwa uchishandisa equation iri nyore yemasvomhu yakaita seiyi: `C1V1 = C2V2`.

Izvi zvinoreva:

• `C1` ndiko kuwanda kweradioactivity mu`(Tracer)` yakabayiwa.
• `V1` ivhoriyamu ye`(Tracer)` inopinzwa.
• `C2` ndiko kuwanda kweradioactivity muropa rako mushure mekunge `(Tracer)` yasanganiswa zvakanaka neropa rako.
• `V2` huwandu hweropa riri mumuviri wako (zvatiri kuedza kuwana).

Fungidzira, patinopa muviri mushonga unozivikanwa, tinoverenga huwandu hweropa rose nekutarisa kuti rinosanganiswa sei neropa uye rinodzikira.

Asi kuti uzive kana huwandu hweropa hunoyerwa nenzira iyi hwakajairwa, hwakakwira, kana kuti hwakaderera kwauri, unofanira kuenzanisa nehuwandu hweropa rako hwakajairika. Huwandu hweropa remunhu wese hwakasiyana. Huwandu hweropa rako hwakajairika hunoverengerwa zvichienderana nehurefu hwako, huremu, uye murume kana mukadzi.

Unofanira kugadzirira sei bvunzo isati yaitwa?

Chiremba wako achakupa mazano panyaya iyi. Kazhinji, zvakanaka kusadya kana kunwa chero chinhu kwemaawa mashoma bvunzo isati yaitwa.

Pazuva rekuongororwa, unofanira kurega kunwa zvinwiwa zvine caffeine (zvakaita sekofi netii). Caffeine inobvisa mvura mumuviri, zvinoreva kuti inowedzera weti uye inobvisa mvura mumuviri. Mimwe mishonga ine caffeine zvakare. Saka, zvakanaka kutaura nachiremba wako nezvemishonga yauri kutora usati waongororwa wobvunza kana ichifanira kuchinjwa, kana zvichidikanwa.

Chii chinoitika bvunzo isati yaitwa?

Nyanzvi yezvehutano ichayera hurefu hwako nehuremu . Zvadaro, mutsetse wemutsinga (IV) uchaiswa mutsinga iri muruoko rwako, paruoko, kana pahudyu. Uyu mudziyo wakaita secannula.

Chii chinoitika kana wanyora bvunzo?

Zvinhu zvinotevera zvinoitika panguva yebvunzo:

• Uchaitwa kuti urare patafura yekuongorora.
• Nyanzvi iyi inobaya muchina unoburitsa radioactive tracer unonzi Iodine-131 Human Serum Albumin (HSA) kuburikidza neIV line.
• Wobva wamirira kwemaminitsi angangoita gumi nemaviri kuti `(Tracer)` isanganiswe zvakanaka neropa.
• Mushure meizvozvo, ropa rakati wandei rinotorwa, anenge maminitsi matanhatu ega ega, uye rinotumirwa kurabhoritari.
• Bvunzo yese inowanzotora maminetsi asingapfuuri makumi mapfumbamwe.

Mushure mebvunzo?

Nyanzvi ichabvisa IV, wobva waenda kumba. Imwe yeradioactive tracer ichabuda muweti yako, uye imwe yese ichaputsika mumuviri wako.Unofanira kunwa mvura yakawanda mushure mekuongororwa, izvo zvichabatsira kuti tracer ibude mumuviri wako nekukurumidza.

Pane njodzi here mune izvi?

• Hazvina kunaka kuita bvunzo iyi kana uine pamuviri kana kuti uchiyamwisa. Saka, chiremba wako angangoda kuita bvunzo yekuzvitakura bvunzo isati yaitwa.
• Pane mukana mudiki wekuti munhu anzwe allergy. Unofanira kuudza chiremba wako kana uine allergy kune iodine, shellfish, kana mazai. Kana uine allergy, chiremba wako anogona kugadzirisa bvunzo kuti asave allergy.
• Iyo iodine ine radioactive ``(Tracer)`` inogona kukuvadza thyroid gland yako. Kuti izvi zvisaitike, chiremba achakupa piritsi re iodine usati waongororwa. Kana thyroid gland yako yangotora iodine, inomira kutora iodine ine radioactive.

Mhedzisiro yacho inoti chii? Unoitei nazvo?

Mhedzisiro yebvunzo icharatidza kana huwandu hweropa rako hwakajairwa, hwakaderera, kana kuti hwakakwira. Chiremba wako anogona kushandisa ruzivo urwu kuongorora mamiriro ako uye kusarudza kuti ndeapi marapirwo anodiwa.

Zvichitaurwa zviri nyore, "Kuongororwa kwehuwandu hweropa" kunoongorora kana huwandu hweropa mumuviri wako hwakajairika kana kuti kwete. Kuchinja kwehuwandu hweropa kunobatanidzwa nezvirwere zvakawanda, uye zvinogona kukonzera matambudziko akakomba. Kuongororwa uku kunowanzoitwa pavarwere vari mumakamuri evarwere vanorwara zvakanyanya. Kunogona kuvabatsira kuti mvura yavo idzokere payakajairika, uye kuvabatsira kupora nekukurumidza.

Mharidzo Yekuenda Nayo Kumba

• "Kuongororwa kwehuwandu hweropa" inzira inoyera huwandu hweropa riri mumuviri wako.
• Izvi zvinonyanya kutarisa huwandu hweplasma nemasero matsvuku eropa.
• Kuwedzera kwehuwandu hweropa (Hypervolemia) uye kudzikira kwehuwandu hweropa (Hypovolemia) zvinogona kukonzera matambudziko ehutano.
• Vanachiremba vanoshandisa bvunzo iyi kuongorora zvirwere zvakasiyana-siyana uye kuronga kurapwa, kunyanya mumamiriro ezvinhu ekukurumidzira.
• Kunyangwe bvunzo iyi ichishandisa zvinhu zvishoma zvine radioactive (Radioactive Tracer), haina njodzi. Zvisinei, haina kukodzera vanaamai vane pamuviri nevanoyamwisa.
• Kana uine allergies, usakanganwa kuudza chiremba pachine nguva.

Saka, izvi ndizvo zvinhu zvinonyanya kukosha zvaunofanira kuziva nezve `(Kuongororwa Kwehuwandu hweRopa)`. Kana uine mimwe mibvunzo nezveizvi, usatya kubvunza chiremba wako, zvakanaka here?

Huwandu hweropa, Huwandu hweropa, Kuongororwa kweHuwandu hweropa, Hypervolemia, Hypovolemia, Plasma, Masero matsvuku eropa, Kuongororwa kwehutano