Une chirwere cheSickle Cell here? Saka kana uchirwadziwa pachipfuva, usatamba-tamba! Izvi ndezveAcute Chest Syndrome!

Dzimwe nguva unombonzwa kurwadziwa pachipfuva kamwe kamwe uye kuoma kufema here? Kana uine zviratidzo izvi pamwe nekukosora nefivha, kunyanya kana uine chirwere chinonzi Sickle Cell Disease (SCD) , usazvitore sezvisina basa. Zviratidzo izvi zvinogona kuva chiratidzo chechirwere chakakomba chinonzi Acute Chest Syndrome. Usazvidya mwoyo, tichataura nezvazvo nenzira yakajeka uye iri nyore nhasi.

Chii chinonzi Acute Chest Syndrome? Zvichitaurwa zviri nyore...

Zvakanaka, tarisai. Iyi `Acute Chest Syndrome` idambudziko guru rinokonzerwa nechirwere chesickle cell (`SCD`) . Zvichitaurwa zviri nyore, ndipo paunorwadziwa pachipfuva, kukosora, fivha, mwero weokisijeni muropa rako, uye zvinhu zvisina kujairika, kunyanya mvura, zvinotanga kuungana munyama yemapapu (`mapapu anopindira`).

Dambudziko iri rinogona kukura nekukurumidza . Kutaura zvazviri, chirwere ichi chinonzi 'Acute Chest Syndrome' ndicho chinokonzera kugara muchipatara uye dzimwe nguva kufa kwevanhu vane chirwere chesickle cell . Saka, zvakakosha kuziva izvi.

Zvino ungave uchishamisika kuti chirwere cheSickle Cell Disease (SCD) chii. Ngatikuyeuchidzei zvishoma nezvacho. Chirwere chemajini . Izvi zvinoreva kuti chinogara nhaka. Chinokanganisa puroteni iri mumasero edu matsvuku eropa inonzi hemoglobin . Kunyange zvazvo masero matsvuku eropa emunhu ane hutano akatenderera, masero matsvuku eropa emunhu ane SCD akaumbwa sejeko (secrencent). Saka masero aya akaita sejeko haagone kupfuura nepakati petsinga dzedu dzeropa dzakatetepa zviri nyore. Zvadaro, hemoglobin haigone kutakura okisijeni mumuviri wese zvakanaka. Iri ndiro dambudziko guru neSCD.

Chirwere cheAcute Chest Syndrome chakajairika zvakadii?

Kutaura zvazviri, `Acute Chest Syndrome` chirwere chinowanzoitika kuvanhu vane chirwere chesickle cell (`SCD`). Zvichienderana nehuwandu, vanhu vanosvika hafu vane `SCD` vachasangana nechirwere ichi kanenge kamwe chete muhupenyu hwavo . Kunyangwe zvichiita sekunge chakajairika muvana vadiki vari pakati pemakore maviri nemana , chinogona kunge chakanyanya kuipa muvakuru kupfuura muvana . Zvakaonekwawo kuti vanhu vane `SCD` uye asthma vari panjodzi huru yekubatwa ne`Acute Chest Syndrome` kupfuura vamwe.

Sei chirwere cheAcute Chest Syndrome chichiitika? Ndezvipi zvikonzero?

Masayendisiti haasati anyatsogona kutaura kuti chii chinokonzera `Acute Chest Syndrome`. Asi vanotenda kuti inogona kunge yakakonzerwa nechimwe chinhu kana kupfuura. Ngationei kuti chii:

• Kubuda kwemapfupa mumwongo:Waizviziva here kuti mwongo wemapfupa ndiwo chikamu chakapfava, chakaita sechinopfachukira chiri mukati memapfupa edu makuru? Kana mwongo uyu ukafa neimwe nzira (inonzi `necrosis`), zvidimbu zvidiki zvawo zvinogona kutyoka zvopinda muropa zvofamba mumuviri wese. Kana zvidimbu izvi zvikaenda kumapapu, zvinogona kukonzera `Acute Chest Syndrome`.
• Kuvimba nemafuta: Chimwe chikonzero chingangove chekutadza kushanda zvakanaka kwemapfupa chataurwa pamusoro apa ikuva nemafuta akawanda . Izvi zvinoitika kana chidimbu chemafuta (funga nezvacho sedonhwe remafuta) chanamatira mutsinga yeropa chovhara kufamba kweropa . Izvi zvinogona zvakare kukonzera Acute Chest Syndrome.
• Utachiona : Utachiona hwakasiyana-siyana, kunyanya pneumonia inokonzerwa nemabhakitiriya kana mavhairasi , hunogona kukonzera chirwere chechipfuva chinorwadza. Utachiona ndihwo hunonyanya kukonzera chirwere ichi muvana vadiki . Zvisinei, muvanhu vakuru , chinowanzokonzerwa ne fat embolism.

Ndezvipi zviratidzo zvemunhu ane Acute Chest Syndrome?

Zviratidzo zve `Acute Chest Syndrome` zvinogona kusiyana kubva pamunhu kuenda kune mumwe. Pane misiyano yakati siyanei, kunyanya pakati pevana vadiki nevakuru. Vana vadiki vanowanzo ratidza zviratidzo zvakawanda zvehutachiona:

• Kukosora
• Kupindwa nechando
• Kuderera kwehuwandu hweokisijeni muropa (hypoxemia)
• Kufema nekukurumidza zvisina kujairika (tachypnea)
• Kufema (ruzha rwunobva muchipfuva kana uchifema)

Vakuru vanogonawo kuona zviratidzo izvi. Pamusoro pezvo, unogona kuonawo:

• Kurwadziwa pachipfuva , kunyanya kana munhu achifema, kunogona kuwedzera.
• Kurwadziwa kwakanyanya, kwakangoerekana kwaitika mumaoko, makumbo, nemusana kunokonzerwa nekuvharika kweropa (kunonziwo `vaso-occlusive crisis`).
• Kuunganidzwa kwemvura mumapapu nemuchipfuva (pleural effusion).
• Kutadza kufema zvakanaka (dyspnea).

Kana uine chimwe chezviratidzo izvi kana kupfuura, kunyanya kana uine SCD, zvakakosha kutsvaga rubatsiro rwechiremba nekukasika .

Chirwere cheAcute Chest Syndrome chinoonekwa sei? (Kuongororwa)

Kuziva munhu nekukurumidza kuti ane chirwere cheAcute Chest Syndrome kunogona kuponesa hupenyu hwake.Kana uine SCD uye uri muchipatara, uchafanirwa kugara uchiongororwa uye kuongororwa zvinodiwa. Kune bvunzo dzinoverengeka dzinogona kubatsira vanachiremba kuona dambudziko iri:

• Kuongororwa kwegasi reropa re arterial: Izvi zvinogona kuyera acidity (pH), oxygen, uye carbon dioxide muropa rako.
• Kuongororwa kweropa: Kuongororwa kweropa rose kunogona kukupa ruzivo nezvemasero matsvuku eropa rako, masero machena eropa, uye maplatelet.
• X-ray yechipfuva: Izvi zvinogona kushandiswa kutarisa hutachiona hwemapapu kana kuungana kwezvinhu zvisina kujairika (zvinopinda) zvatakataura nezvazvo kare.
• Kuongororwa kwetsika: Kuongororwa uku kunobatsira kuona mhando dzakasiyana dzehutachiona nekuongorora ropa rako, madzihwa, kana zvimwe zvinwiwa zvemuviri.

Zvichibva pamhedzisiro yebvunzo idzi nezviratidzo zvako, chiremba wako anogona kuisa Acute Chest Syndrome muchikamu cheAcute Chest Syndrome seyakapfava , ine mwero, kana yakanyanya .

Ndeipi mishonga yeAcute Chest Syndrome?

Mumamiriro ezvinhu aya , kutanga kurapwa nekukurumidza ndiyo nzira yakanakisisa yekudzivirira matambudziko akakomba . Nzira dzekurapa dzinosanganisira:

• Kuwedzerwa ropa: Izvi zvinosanganisira kubvisa rimwe ropa rako uye kukupa ropa kana zvikamu zveropa kubva kune anopa ropa.
• Mvura yemutsinga: Izvi zvinobatsira kudzivirira kupera mvura mumuviri (kuchengetwa kwemvura), izvo zvinogona kuita kuti chirwere chesickle cell chiwedzere uye kuwedzera marwadzo.
• Mishonga inouraya marwadzo: Mishonga yakaita se `ketorolac` kana `opioids` inogona kupihwa kudzora marwadzo.
• Chinopa Simba reKukurudzira: Chishandiso chidiki ichi chinokubatsira kufema zvakadzika. Chinobatsira kuchengetedza mapapu ako akachena uye achishanda zvakanaka.
• Kurapa kwekuwedzera kweokisijeni: Kana huwandu hweokisijeni muropa huri pasi, okisijeni inopihwa.
• Mishonga inorwisa mabhakitiriya: Kana chirwere ichi chakakonzerwa nehutachiona hwebhakitiriya, mishonga inorwisa mabhakitiriya inopihwa.
• Mishonga inorwisa mavhairasi: Kana chikonzero chiri hutachiona hwehutachiona, mishonga yakakodzera inorwisa mavhairasi inopiwa.

Njodzi yekubatwa neAcute Chest Syndrome inogona kuderedzwa here?

Kana uine chirwere chesickle cell (SCD), zvakakosha kutaura nechikwata chako chekurapa nezvenzira dzekudzivirira Acute Chest Syndrome. Vanogona kukupa mazano akaita se:

• Kufemera mubhodhoro nguva dzose: Kunyange zvazvo zvingaita sechinhu chiri nyore, izvi zvinobatsira kuchengetedza nzira dzako dzekufema dzakachena uye zvinoderedza kuungana kwemvura isina kufanira mumapapu ako.
• Kurovedza muviri nguva dzose: Izvi zvinogona kuwedzera simba remapapu ako.
• Kuwedzerwa ropa nguva dzose: Vamwe vanhu vangada izvi.
• Kutora mishonga yakaita se `Hydroxyurea` kana `L-glutamine`: Mishonga iyi inogona kubatsira kuderedza marwadzo uye kuderedza njodzi yekuramba uchigara muchipatara. Zvisinei, iyi inofanira kungotorwa chete kana yapihwa zano nachiremba.

Chii chiri kutarisirwa (kupora) kune munhu ane chirwere ichi?

Zvakakosha kutsvaga kurapwa nekukasika kana chirwere che "Acute Chest Syndrome" chaitika. Kukundikana kuita izvi kunogona kukonzera matambudziko akakomba akadai se:

• Chirwere Chekufema Chinonetsa (ARDS): Ichi chirwere chemapapu chakanyanya chinogona kuisa upenyu panjodzi.
• Kuchinja kwehunhu hwepfungwa.
• Kukuvara kweitsvo.
• Kusashanda zvakanaka kwechiropa.
• Kukundikana kwenhengo dzakawanda.
• Kutadza kufema zvachose.
• Kurwadziwa kwakanyanya.
• Zvinosuwisa kuti kunyange rufu runogona kuitika.

Zvichienderana nehuwandu, huwandu hwevanhu vakuru vanofa nechirwere che'Acute Chest Syndrome' hunosvika 4% . Pakati pevana, nhamba iyi inosvika 1% . Izvi zvinoreva kuti hupenyu hwevanhu vazhinji hunogona kuponeswa nekurapwa nekukurumidza.

Uyewo, yeuka kuti kunyangwe chirwere che "Acute Chest Syndrome" chikarapwa zvinobudirira, munhu ane "SCD" anogona kusangana nechirwere ichi zvakare mune ramangwana .

Ndine chirwere chesickle cell. Ndingaitei kana ndikaona zviratidzo zveAcute Chest Syndrome?

Ichi ndicho chinhu chakakosha. Kana uine SCD uye ukatanga kuona chero zviratidzo zveAcute Chest Syndrome (kurwadziwa muchipfuva, kufema zvishoma, kukosora, fivha), usanonoka kweminiti imwe chete wobva watsvaga rubatsiro rwechiremba nekukasika .

• Udza vanachiremba kuti une chirwere chesickle cell paunoenda kuchipatara kana kune imwe nzvimbo yekurapa.
• Kumbira X-ray yechipfuva nekukasika . Izvi zvinogona kukurumidza kusimbisa kana uine Acute Chest Syndrome uye kutanga kurapwa nekukurumidza.

Yeuka, kuita zvinhu nekukurumidza panguva yakaita seiyi kunogona kubatsira zvikuru mukuponesa hupenyu hwako.

Mharidzo Yekuenda Nayo Kumba

Iye zvino wava kuziva kuti `Acute Chest Syndrome`, yatave tichitaura nezvayo, idambudziko guru rinokonzerwa nechirwere chesickle cell. Zviratidzo zvikuru kurwadziwa muchipfuva, kupererwa nemhepo, kukosora, uye fivha . Kana uine chirwere chesickle cell, tsvaga rubatsiro rwechiremba nekukasika kana ukaona chimwe chezviratidzo izvi.Musakanganwa kuzivisa vanachiremba venyu kuti mune chirwere chesickle cell. Kuongororwa nekukurumidza uye kurapwa nekukurumidza ndiyo nzira dzakanakisisa dzekuzvidzivirira kubva kuchirwere ichi. Rambai muine hutano! Acute Chest Syndrome, Sickle Cell Disease, Marwadzo eChipfuva, Kuoma Kwekufema, Acute Chest Syndrome, Sickle Cell Disease, Matumbu Infections