Wakambonzwa kana kuona mamiriro ezvinhu apo mumwe munhu—kunyanya mwana mudiki—kamwe kamwe anonzwa kudzikira kwakanyanya kwehuwandu hweropa, zvichimusiya achinzwa kuneta uye, mune dzimwe nguva, akatarisana nenjodzi inotyisidzira hupenyu? Ndizvo chaizvo zvatiri pano kuti tikurukure: Aplastic Crisis . Kunyange zvazvo zita racho ringanzwika serinotyisa, kunzwisisa chirwere ichi ndiyo nhanho yako yekutanga yekuchibata zvinobudirira uye kuona kuti uri kutarisirwa nenguva. KuNirogi Lanka, tiri pano kuti tikutungamirire pane zvaunoda kuziva kuti ugare wakagadzirira.
Chii chaizvo chinonzi Aplastic Crisis?
Zvichitaurwa zviri nyore, Aplastic Crisis inoitika kana mapfupa ako akangoerekana arega kugadzira masero matsvuku eropa . Ungashamisika kuti, "Sei izvi zvichikosha?" Ehe, masero matsvuku eropa ndiwo anotakura okisijeni mumuviri wako wese. Kana kugadzirwa kwawo kukamira, huwandu hwemasero matsvuku eropa rako hunodzikira, zvichikonzera anemia yakanyanya . Ichi chirwere chakakosha chinogona kuisa hupenyu panjodzi.
Kazhinji, dambudziko re aplastic rinonyanya kukanganisa vanhu vane zvirwere zveropa, zvakaita seSickle Cell Anemia . Rinowanzo kukonzerwa neParvovirus B19 , hutachiona hunowanzoonekwa. Kunyange hazvo vanhu vazhinji vachibata hutachiona uhwu vasina matambudziko akakomba, hune njodzi huru kune avo vane zvirwere zveropa kare. Rinowanzoonekwa muvana, kunyanya vacheche. Zvisinei, kune mashoko akanaka: mishonga inoshanda, kusanganisira kuwedzerwa ropa uye Intravenous Immunoglobulin (IVIG) , inowanikwa kuNirogi Lanka nedzimwe nzvimbo dzekurapa.
Izvi zvinowanzoitika kune munhu wese here?
Kwete zvachose. Sezvambotaurwa, Parvovirus B19 yakajairika, asi haikonzeri dambudziko rekusagadzikana kweropa muvanhu vazhinji. Inonyanya kukanganisa avo vanorarama nechirwere cheropa chisingaperi.
Vacheche nevana vane Sickle Cell Anemia ndivo vari panjodzi huru yekubatwa nechirwere ichi. Pamusoro pezvo, kana uine zvimwe zvirwere zvinokonzera hemolytic anemia (uko masero matsvuku eropa anoparadzwa nguva isati yakwana), uri panjodzi yakakura kana ukabatwa neParvovirus B19. Izvi zvinosanganisira:
- Spherocytosis yenhaka
- Chirwere cheHemoglobin C
- Thalassemia
- Chirwere chekushaya simba kweG6PD
- Kushaikwa kwePyruvate Kinase
- Kushaya ropa mumuviri kweAutoimmune Hemolytic Anemia
- Kubuda kweropa usiku muropa (Paroxysmal nocturnal hemoglobinuria)
- Dumbu reEriptocytosis
Kana iwe kana mwana wako muine chero chezvirwere izvi zveropa, zvakakosha kuti murambe makangwarira nezvezviratidzo izvi.
Ndezvipi zviratidzo zveAplastic Crisis?
Muvanhu vakuru nevana, dambudziko rekushaya simba rinoonekwa nezviratidzo zvine chekuita neanemia yakanyanya. Vacheche nevana vadiki vanogona kuratidzika sevasina kugadzikana kana kuti vane hasha dzisinganzwisisike . Kana ukaona mwana wako achichema zvisinganyaradziki kana kuti achiratidzika kunge akashatirwa zvisingawanzoitiki, ichi chingave chiratidzo chekuyambira.
Zviratidzo zvikuru zvinosanganisira:
- Kuneta: Kunzwa kuneta uye kushaya simba rekuita mabasa ezuva nezuva.
- Fivha: Kupisa kwemuviri kuri kusvika 38°C (101°F) kana kupfuura.
- Dzungu: Kunzwa musoro wakareruka kana kunzwa vertigo.
- Kushaya mweya (dyspnea): Kunzwa kushaya mweya panguva yekushanda zvishoma kana kukwira masitepisi.
- Kurova kwemoyo kusingawanzoitiki kana kuti nekukurumidza: Mwoyo wako unganzwa sekunge uri kumhanya kana kuti uri kusvetuka-svetuka.
- Kutsvuka: Ganda rako, miromo, matadza, kana mibhedha yenzara zvinoita sezvisina kujairika.
Kana iwe kana mwana wako muine chimwe chezviratidzo izvi—kunyanya kana muine chirwere cheropa chinozivikanwa— ndapota tsvagai rubatsiro rwechiremba nekukasika kudhipatimendi rekukurumidzira riri pedyo.
Sei paine Aplastic Crisis?
Izwi rekuti "aplastic" rinoreva kumira kwekukura kana kugadzirwa. Munguva yedambudziko re aplastic, mupfupa wako unotadza kugadzira masero matsvuku eropa ane hutano. Chinokonzera, Parvovirus B19 , inotarisa uye inokuvadza masero matsvuku eropa asati akura. Sezvo mupfupa wako uri iwo unokonzera kugadzirwa kwemasero matsvuku eropa nguva dzose, kupindira uku kwehutachiona kunovhara "fekitori" yeropa remuviri wako, zvichikonzera anemia yakanyanya .
Ndezvipi zvinetso zvinogona kuitika nekuda kwechirwere ichi?
Dambudziko re aplastic crisis rinogona kukonzera matambudziko akasiyana-siyana akakomba, kunyanya kune vanhu vane Sickle Cell Anemia . Matambudziko aya akakomba uye anoda rubatsiro rwechiremba nekukurumidza.
- Dambudziko reVaso-occlusive rinogara kwenguva refu (VOC): VOC chirwere chinongoerekana chaitika, chakakomba chinowanzoonekwa nevanhu vane sickle cell anemia. Dambudziko reaplastic rinogona kuwedzera nguva yekurwadziwa uku.
- Myocarditis: Izvi zvinoreva kuzvimba kwetsandanyama yemwoyo, izvo zvinogona kukonzera kuzvimba uye kutadza kushanda zvakanaka kwemoyo.
- Kubviswa kwemasero matsvuku eropa: Izvi zvinoitika kana masero matsvuku eropa asina kujairika akabatwa mukati memasero matsvuku eropa, zvichiita kuti akure nekukurumidza.
- Glomerulonephritis: Ichi chirwere chinokanganisa itsvo. Kana chikasarapwa, chinogona kukonzera chirwere cheitsvo chisingaperi kana kutadza kushanda zvakanaka kweitsvo.
Ndosaka tichisimbisa kuti kugara wakangwarira uye uchinyatsotarisa hutano hwako kwakakosha.
Vanachiremba vanoongorora sei chirwere ichi?
Kana iwe kana mwana wako muine zviratidzo zvine chekuita nechirwere ichi, chiremba wenyu anotanga aongorora nhoroondo yezvekurapa uye oita ongororo yemuviri. Kuti vasimbise chirwere ichi, vanogona kuraira bvunzo dzinoverengeka:
- Kuverengwa Kweropa Kwakakwana (CBC): Izvi zvinoyera huwandu hwemasero matsvuku eropa, masero machena eropa, uye maplatelet. Kana paine dambudziko re aplastic, huwandu hwemasero matsvuku eropa hunowanzova hwakaderera zvakanyanya.
- Kuwanda kwemasero eropa: Mamasero eropa matsvuku asina kukura. Kuongororwa uku kunoratidza kuti mupfupa wako uri kugadzira masero matsva eropa. Munguva yedambudziko re aplastic, huwandu uhwu hunenge hwakadererawo zvakanyanya.
- Kuongororwa kweParvovirus B19: Kuongororwa kweropa uku kunosimbisa kana uine hutachiona hweParvovirus B19 huripo kana kuti hwazvino.
Nemhedzisiro iyi, chiremba wako anogona kuona kana uri kusangana neAplastic Crisis kana imwe dambudziko rehutano.
Ndezvipi zvingasarudzwa pakurapa?
Kurapa kukuru kweAplastic Crisis kuwedzerwa ropa . Izvi zvinopa masero matsvuku eropa ane hutano nekukurumidza kuti atsive izvo muviri wako usingakwanisi kugadzira parizvino. Pamusoro pezvo, kurapwa kweIntravenous Immunoglobulin (IVIG) kunogona kupihwa zvakananga kuburikidza netsinga.
Varwere vazhinji vanopora mukati memazuva gumi kusvika gumi nemana mushure mekutanga kurapwa. Chinhu chakanaka ndechekuti kana wangobatwa neParvovirus B19, muviri wako unowanzo gadzira dziviriro yemuviri kwehupenyu hwako hwese, izvo zvinoderedza zvakanyanya njodzi yematambudziko emunguva yemberi anokonzerwa nehutachiona uhu.
Dambudziko reAplastic rinogona kudzivirirwa here?
Zvakaoma kudzivirira zvachose, sezvo dambudziko re aplastic rinokonzerwa kana munhu ane chirwere cheropa chiripo akatapukirwa neParvovirus B19 . Iri ivhairasi yakajairika, uye zvinosuwisa kuti hapana mushonga wekudzivirira chirwere ichi parizvino.
Zvisinei, kana iwe kana mwana wako muine Sickle Cell Anemia kana chirwere cheropa chakafanana, bvunzai chiremba wenyu nezvenzira dzekudzivirira nadzo. Matanho akareruka akadai sekudzivirira nzvimbo dzine vanhu vakawanda panguva yekupararira kwechirwere uye kuchengetedza hutsanana hwakanaka hwemaoko zvinogona kubatsira kuderedza njodzi yekubatwa nechirwere ichi.
Chii chinoitika mushure mechirwere ichi?
Kufanotaura kwechirwere ichi kunoreva kuti chirwere chako chingangoitika. Vanhu vane Aplastic Crisis vanowanzo pora mukati memazuva gumi kusvika gumi nemana kana rubatsiro rwechiremba rwatanga. Kunyange hazvo vamwe vanhu vachigona kuramba vachirwara, kuramba vachicherechedza zviratidzo zvako uye kutevedzera chirongwa chekuchengeta chiremba wako kwenguva refu kuNirogi Lanka kwakakosha kuti urambe uine hutano hwakanaka.
Ndingazvichengeta sei ini kana mwana wangu?
Dambudziko reAplastic rinongova rimwe rematambudziko akawanda anokonzerwa nezvirwere zveropa zvakaita seSickle Cell Anemia . Kunyange zvazvo ungasakwanisa kudzivirira hutachiona nguva dzose, unogona kuchengetedza hutano hwako hwese:
- Ramba uchiongororwa nachiremba nguva dzose: Kugara uchisangana nechikwata chako chehutano kuNirogi Lanka kunobatsira kubata matambudziko anogona kuitika nekukurumidza.
- Deredza njodzi yekutapukirwa: Kurukura nachiremba wako nzira dzekuzvidzivirira kubva kuzvirwere zvinowanzoonekwa sefuruwenza kana dzihwa.
- Idya chikafu chine hutano uye chakaringana: Isa chikafu chine hutano pakutanga uye iva nechokwadi chekuti unoramba uine mvura yakakwana nekunwa magirazi emvura 8-10 pazuva.
- Ita maekisesaizi akapfava: Kurovedza muviri nguva dzose kunowedzera manzwiro uye hutano. Teerera muviri wako, zorora kana uchinzwa kuneta, uye ramba uine mvura yakakwana.
Maitiro aya anosimbisa masoja emuviri wako uye anobatsira pahutano hwako.
Ndinofanira kuona chiremba rini?
Dambudziko reAplastic idambudziko rehutano.
Kana iwe kana mwana wako muine Sickle Cell Anemia , ndapota tsvagai rubatsiro rwechiremba nekukasika kana mukasangana nekuneta kwakanyanya, kushaya simba kwakanyanya, kana zvimwe zviratidzo zvinotyisa. Musanonoka; kurapwa nekukurumidza kwakakosha kuti mupore zvakachengeteka. Kana zvichidikanwa, endai kuchipatara chiri pedyo kana kufonera 911.
Mibvunzo ipi yandinofanira kubvunza chiremba wangu?
Kana iwe kana mwana wako mukasangana neAplastic Crisis, zvakakosha kutaurirana pachena nechikwata chenyu chehutano. Heano mimwe mibvunzo mikuru yaungada kubvunza:
- Ndirini pandingatarisira kuti mwana wangu/mwana wangu achapora?
- Chii chingangoitika zvakare kuti izvi zviitike?
- Pane matanho chaiwo andinofanira kutora pandinenge ndichitarisira chirwere ichi here?
Kubvunza mibvunzo iyi idanho rakakosha mukuderedza kunetseka kwako uye kugara uchiziva nezvehurongwa hwako hwekutarisirwa.
Dambudziko reAplastic neAplastic Anemia zvakafanana here?
Kunyange zvazvo mamiriro ese ari maviri achisanganisira kudzikira kwehuwandu hwemasero matsvuku eropa, inyaya dzakasiyana dzehutano.
Dambudziko reAplastic rinoreva kumira kamwe kamwe uye kwenguva pfupi kwekugadzirwa kwemasero matsvuku eropa.
Aplastic Anemia chirwere chisingaperi chinokura nekufamba kwenguva, chinowanzo kanganisa marudzi ese emasero eropa—kusanganisira masero machena eropa nemaplatelet—kwete masero matsvuku eropa chete.
Muchidimbu, Aplastic Crisis idambudziko renguva pfupi, asi Aplastic Anemia idambudziko renguva refu rinotangira mumongo wemapfupa.
Zvinhu Zvikuru Zvaunofanira Kuziva
Tinovimba kuti ongororo iyi ichakupa kunzwisisa kwakajeka nezveAplastic Crisis. Iri idambudziko guru rinogona kukanganisa vanhu vane matambudziko eropa akadai seSickle Cell Anemia . Rinoitika kana mupfupa ukangoerekana wamira kugadzira masero matsvuku eropa, zvichikonzera anemia yakanyanya, inogona kuisa hupenyu pangozi.
Nekuti zviratidzo zvinoonekwa nekukurumidza, zvinogona kuva chiitiko chinonetsa zvikuru. Zvisinei, vanachiremba vanogona kubata izvi zvinobudirira kuburikidza nekuwedzerwa ropa uye kurapwa kwakanangana.
Kana iwe kana mwana wako muri panjodzi, kurukurai zviratidzo zvekunyevera nachiremba wenyu. Kunyange zvazvo musingakwanise kudzivirira Aplastic Crisis nguva dzose, kuziva chaizvo zvekuita uye nguva yekutsvaga rubatsiro rwekukurumidzira (911) kwakakosha. Kugadzirira zvine ruzivo ndiyo nzira yakanakisisa yekuzvidzivirira.
👩🏽⚕️ Mibvunzo Inowanzo bvunzwa (Mibvunzo Inowanzo bvunzwa)
💬 Chii chinonzi Aplastic Crisis?
Mupfupa wedu une basa rekugadzira masero matsvuku eropa. Dambudziko reAplastic rinoitika kana, kazhinji kacho rikakonzerwa nehutachiona (hwakadai seParvovirus B19), mupfupa unongoerekana wamira kugadzirwa kwemazuva akati wandei.
💬 Chii chinoitika kumurwere panguva yekudonha uku kwakamwe kamwe?
Sezvo masero matsvuku eropa achitakura okisijeni mumuviri wako wese, kudonha kamwe kamwe kunotungamira kune anemia yakanyanya. Unogona kuona ganda rakachenuruka, miromo, uye nzara, kurova kwemoyo kwakanyanya, kuoma kufema, kana kutopera simba.
💬 Izvi zvinorapwa sei, kunyanya kuvana?
Izvi zvinonyanya kukosha kuvana vane chirwere cheSickle Cell. Kana vakaiswa muchipatara, vanachiremba vanoisa ropa kuti murwere agadzikane. Kazhinji, mupfupa unotanga kupora zvakanaka mukati memazuva gumi kusvika gumi nemana mushure mekurapwa.
Dambudziko reAplastic reNirogi Lanka , Masero Matsvuku eRopa, Bone Marrow, Anemia, Parvovirus B19, Sickle Cell Anemia
