Unonzwawo kuneta nguva dzese here? Unonzwa dzungu here kunyangwe mushure mekufamba kwenguva? Ganda rako dzimwe nguva rinochinja ruvara roita seyero here? Izvi zvinogona kuva zviratidzo zveanemia yakajairika. Asi dzimwe nguva pane nyaya yakaoma shure kwayo. Idambudziko risingawanzoitiki apo dziviriro yemuviri wako inotanga hondo nemasero ako eropa. Ndizvo zvatiri kutaura nezvazvo nhasi.
Chii chinonzi Autoimmune Hemolytic Anemia (AIHA)?
Zvichitaurwa zviri nyore, Autoimmune Hemolytic Anemia (AIHA) chirwere apo masoja emuviri wedu anorwisa nekuparadza masero edu matsvuku eropa ane hutano.
Funga nezvazvo, masero edu matsvuku eropa imotokari diki dzinotakura okisijeni mumuviri wese. Anogadzirwa mufekitori inonzi bone marrow mukati memapfupa edu. Paavhareji, sero dzvuku reropa rinorarama kwemazuva angangoita zana nemakumi maviri.
Asi mumunhu ane AIHA, masoja ekudzivirira muviri, akafanana nemasoja ekudzivirira muviri, anoona masero matsvuku aya semasero emuvengi. Zvadaro, masoja aya ekudzivirira, kureva masoja ekudzivirira muviri, anotora nekuparadza masero matsvuku aya. Mwero wekuparadza uku unokurumidza kupfuura kugona kwemupfupa kugadzira masero matsvuku matsva eropa. Dzimwe nguva, sero rinofanirwa kurarama kwemazuva zana nemakumi maviri rinoparadzwa mumazuva mashoma chete. Saka, muviri hauwani huwandu hunodiwa hweokisijeni uye zviratidzo zvakaita sekuneta nekushaya simba zvinotanga kuoneka.
Ndedzipi mhando huru dzeAIHA?
AIHA inonyanya kupatsanurwa kuita mhando mbiri, zvichienderana nekuti muviri unoita sei kana tembiricha yasvika.
- Warm Autoimmune Hemolytic Anemia: Iyi ndiyo mhando inonyanya kuwanikwa. Muizvi, masoja emuviri anoparadza masero matsvuku eropa patembiricha yemuviri kana kupfuura tembiricha yakajairika. Izvi zvinokonzerwa nerudzi rweantibody inonzi IgG.
- Chirwere cheCold Autoimmune Hemolytic Anemia (Cold Agglutinin Disease - CAD): Ichi chirwere chisingawanzoitiki. Muizvi, masero matsvuku eropa anoparadzwa kana muviri wabatwa nechando. Kazhinji patembiricha yakadzika kusvika pa3-4 degrees Celsius. Izvi zvinokonzerwa nerudzi rweantibody inonzi IgM.
Chinhu chakakosha ndechekuti, ichi hachisi chirwere chinotapuriranwa. Haugone kuchibata kubva kune mumwe munhu, uye haugone kuchiparadzira kune mumwe munhu. Zvisinei, zvimwe zvezvirwere zvinogona kukonzera chirwere ichi zvinogona kutapuriranwa.
Ndezvipi zviratidzo zvechirwere ichi?
Zviratidzo zvakawanda zveAIHA zvakafanana nezviratidzo zveanemia. Vamwe vanhu vanogona kunge vasina zviratidzo zvachose.
| Chiratidzo | Tsananguro |
|---|---|
| Kuneta uye kushaya simba | Chiratidzo chinowanzoitika kushaikwa kweokisijeni mumuviri. |
| Kurova kwemoyo nekukurumidza (Tachycardia) | Nekuti moyo unoshanda nekukurumidza kutsiva kushomeka kweokisijeni. |
| Kuoma kufema (dyspnea) | Kunyanya kana uchiita mabasa madiki kana kufamba netsoka. |
| Kuchenuruka kana kuti kutsvuka kweganda nemaziso (Jaundice) | Bilirubin, chinhu chinogadzirwa kana masero matsvuku eropa achiparara, chinoita kuti ganda nemachena emaziso zvishanduke kuita yero. |
| Weti yakasviba | Weti ine ruvara rwemvura yetii kana cola. |
| Chipembenene Chakakura | Chirwatata chinogona kuzvimba uye kuzvimba sezvo chichishanda nekufamba kwenguva kubvisa masero matsvuku eropa akakuvara. |
| Pamusoro peizvi, avo vane Cold AIHA (CAD) ... | |
| Maoko netsoka zvinotonhora uye ruvara ruchichinja | Kuchinja ruvara rwezvigunwe nezvigunwe zvemutsoka kana zvikatonhora. |
| Musoro nekurwadziwa kwemusana | Dzihwa rinogona kukonzera kukanganiswa kwekufamba kweropa. |
Chii chinokonzera AIHA?
Dzimwe nguva hapana chikonzero chaicho chingawanikwa. Tinochidana kuti Primary AIHA. Asi kazhinji inogona kukonzerwa nechimwe chirwere kana mushonga (Secondary AIHA).
Pane zvikonzero zvikuru zvinoverengeka:
- Zvimwe zvirwere zve autoimmune: Vanhu vane zvimwe zvirwere zve autoimmune, zvakaita se lupus, vari panjodzi yekubatwa neAIHA.
- Mamwe marudzi egomarara: kunyanya magomarara ane chekuita neropa akadai se (Chronic Lymphocytic Leukemia) uye (Non-Hodgkin Lymphoma) .
- Utachiona hwemavhairasi nemabhakitiriya: Utachiona hwakadai seEpstein -Barr virus (hutachiona hunokonzera mononucleosis, hwakafanana nedzihwa), Cytomegalovirus , HIV , uye Mycoplasma pneumoniae .
- Mimwe mishonga: Mimwe mishonga inorwisa mabhakitiriya (semuenzaniso, penicillin) nemimwe mishonga inogonawo kukonzera chirwere ichi. Saka, zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora.
Unoziva sei kana uine AIHA?
Kana uine zviratidzo izvi, iva nechokwadi chekuona chiremba wako . Achakubvunza nezvezviratidzo zvako, mishonga yauri kutora, uye achakuongorora. Kana zvichidikanwa, vachakutumira kuna chiremba weropa.
Kuongororwa ropa kwakawanda kunoitwa kuti kusimbiswe AIHA.
- Kuverengwa Kweropa Kwakakwana (CBC): Izvi zvinoongorora huwandu hwemasero matsvuku eropa, masero machena eropa, uye maplatelet. Kuwanda kwemasero matsvuku eropa kushoma chiratidzo chekushaya ropa.
- Kusveta ropa muropa: Ropa rinoongororwa nemaikorosikopu kuti rione chimiro chemasero matsvuku eropa uye kana akakuvara.
- Kuwanda kwemasero matsvuku eropa: Izvi zvinoyera huwandu hwemasero matsvuku eropa asina kukura ari kugadzirwa nemongo wemapfupa. Kana huwandu uhwu hwakakwira, zvinoreva kuti mongo uri kushanda nesimba kugadzira masero matsva ekutsiva ari kuparadzwa.
- Kuongororwa kwaCoombs: Iyi ndiyo bvunzo inonyanya kukosha pakuongorora AIHA. Inogona kuona kana muviri wako uchigadzira masoja ekudzivirira chirwere anorwisa masero matsvuku eropa.
- Mimwe miedzo: Pamusoro pezvo, bvunzo dzakadai seBilirubin neHaptoglobin dzinogona kuitwa.
Ndeipi mishonga yeAIHA?
Kana chirwere chako chisina kunyanya kuipa, ungasada kurapwa. Zvisinei, unofanira kugara uchitarisirwa nachiremba. Kana paine zviratidzo kana ropa rako rikakura, uchatanga kurapwa.
- MaSteroids: MaSteroids, akadai seprednisolone, ndiwo mushonga wekutanga. Aya anodzvinyirira masoja emuviri anoshanda zvakanyanya uye anomisa kuparadzwa kwemasero matsvuku eropa.
- Mimwe mishonga inodzora masoja emuviri (Immunosuppressants): Kana chirwere chikasapindura mishonga yesteroid, mishonga yakaita seRituximab neAzathioprine inoshandiswa.
- Kubviswa kwemasero matsvuku eropa: Kana mishonga isingashande, kunyanya muAIHA inodziya, tsandanyama, iyo iri nzvimbo inoparadzwa masero matsvuku eropa, inobviswa nekuvhiyiwa.
- Kuwedzerwa Ropa: Kana chirwere chekushaya ropa chakanyanya kuipa uye chichiisa upenyu panjodzi, kuwedzerwa ropa kunogona kudiwa.
- Mavhitamini nezvimwe zvinovaka muviri: Chiremba wako anogona kukurudzira zvinhu zvakaita se folic acid, iyo inodiwa kugadzira masero matsvuku eropa. Usambofa watora mavhitamini usina kubvunza chiremba wako.
Mazano akakosha kune avo vane chirwere cheCold AIHA
Kana uine rudzi rwechirwere chinokurumidza kutonhora, zvakakosha zvikuru kuzvidzivirira kubva kuchando .
- Pfeka magirovhosi paunenge uchiburitsa zvinhu mufiriji kana mufiriji.
- Kana uchibuda kunze kwemazuva anotonhora, pfeka zvakanaka, pfeka ngowani, uye muffler.
- Usadzikise AC zvakanyanya kana uri kumba.
- Usati wapinda mumotokari pazuva rinotonhora, itange kwechinguva worega mukati memota muchidziya.
Ndezvipi zvinetso zvinogona kuitika kana zvikasarapwa?
Kana AIHA ikasadzorwa, matambudziko makuru anogona kuitika.
- Kugwamba Kweropa: Pane njodzi huru yekugwamba kweropa, kunyanya mumakumbo nemumapapu. Kugwamba kweropa mumapapu (Pulmonary Embolism) kunogona kuisa hupenyu panjodzi.
- Chirwere chemwoyo: Kushaya simba kwenguva refu kweropa kunogona kunetesa mwoyo sezvo mwoyo uchifanira kushanda nesimba.
- Kukuvara kweitsvo: Kuparadzwa kwakanyanya kwemasero matsvuku eropa kunogona kukonzera kukuvara kweitsvo.
Mharidzo Yekuenda Nayo Kumba
- Autoimmune Hemolytic Anemia (AIHA) chirwere apo masoja emuviri wako anoparadza masero matsvuku eropa zvisizvo.
- Kana uine zviratidzo zvakaita sekuneta kamwe kamwe, dzungu, kana kuti ganda kana maziso zvakatsvuka, usazviregeredza wobva waona chiremba nekukasika.
- Ichi hachisi chirwere chinotapuriranwa. Saka, hapana chikonzero chekuzviparadzanisa kana kutya murwere.
- Kunyangwe chirwere ichi chisingarapike zvachose, kune mishonga inoshanda zvikuru inogona kubatsira kudzora chirwere ichi uye kukubatsira kurarama hupenyu hwakajairika.
- Zvakakosha kutevedzera mirairo yachiremba nemazvo, kunwa mishonga yako sezvakarairwa, uye kudya chikafu chinovaka muviri.
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