Ndinonzwisisa kutya nekuzvidya mwoyo kunonzwa amai kana baba pavanoona chimwe chinhu chisinganzwisisike pamuviri wemwana wavo. Kunyanya kana mwana achangoberekwa angoerekana aita mavanga ebhuruu-pepuru paganda rake, zvinogona kunetsa zvikuru. Dambudziko iri ndiro ratinodaidza kuti "Blueberry Muffin Rash" mukurapa. Zita iri rinogona kunzwika serisinganzwisisike, asi zvakakosha kuriziva nekuti panogona kunge paine zvikonzero zvakawanda zvakakomba zviri shure kwaro.
Chii chinonzi 'blueberry muffin rash' iyi?
Zvichitaurwa zviri nyore, ichi chirwere cheganda chinogona kukanganisa vacheche nevacheche vadiki. Chinonzi 'blueberry muffin rash' nekuti mavara acho anoita semadonhwe ebhuruu-pepuru ari pablueberry muffin. Anogona kuoneka semapundu akatenderera kana semapundu akasimudzwa paganda.
Chinhu chakakosha ndechekuti mavara aya haasi pamusoro peganda, asi anoita seakaita mukati meganda . Uku hakusi mapundu akajairika.
Pane zvikonzero zvikuru zvitatu nei mavara aya angaonekwa:
1. Kubuda kweropa muropa kunze kwemudumbu: Kazhinji, ropa redu rinogadzirwa mumwongo wemapfupa. Zvisinei, nekuda kwezvimwe zvirwere, masero anogadzira ropa anotanga kuungana uye kugadzira mapoka kunze kwemwongo wemapfupa, senge muganda. Maboka aya emasero ndiwo anoita semavanga.
2. Kubuda ropa muganda (Purpura): Rudzi urwu rweruvara rwepepuru runogona kuitika kana ropa rikadonhera muganda nekuda kwekukuvara kwetsinga dzeropa kana kusasimba kwemaitiro ekugwamba kweropa.
3. Kupararira kwemasero ekenza (Metastasis): Mune mamwe marudzi ekenza, masero ekenza anogona kupararira achienda kuganda achibva kune dzimwe nhengo dzemuviri uye kukonzera mapundu akadai.
Zvirwere zvakawanda zvinokonzera zvese izvi zvitatu hazviwanzoitiki. Zvakare, mwana wako anowanzova nezvimwe zviratidzo pamwe chete nemavara aya. Mavara aya haazopori ega. Saka, 'blueberry muffin rash' chiratidzo chakasimba chekuti mwana wako anoda rubatsiro rwechiremba nekukurumidza.
Ndezvipi zvinhu zvikuru zvinogona kukonzera izvi?
Musazvidya moyo, tichataura zvakajeka nezvezvikonzero zvikuru zvinokanganisa izvi, chimwe nechimwe.
Utachiona hweTorch
TORCH ishoko rinotsanangura mapoka akasiyana-siyana ezvirwere zvinobata mwana ari mudumbu kana mwana achangoberekwa. Zvirwere izvi zvinogona kutapuriranwa kubva kuna amai kuenda kumwana panguva yekuzvitakura, panguva yekusununguka, kana mushure mekusununguka.
TOCHI inomiririra:
- T - Toxoplasmosis
- O - Zvimwe zvirwere - semuenzaniso syphilis, chicken pox, parvovirus B19
- R- Rubella
- C - Cytomegalovirus (CMV)
- H - Utachiona hweHerpes simplex (HSV)
Pamwe chete nehutachiona uhwu, mwana anogonawo kuratidza zvimwe zviratidzo zvakaita sefivha, kuoma kwekudya, jaundice, kuzvarwa aine huremu hushoma, kusanzwa zvakanaka, uye kukura kwechiropa netsvina (hepatosplenomegaly).
Izvi zvinoratidza kukosha kwekushanyira chiremba nenguva uye kuongororwa kwakakodzera panguva yekuzvitakura. Kuburikidza neizvi, unogona kuziva pachine nguva kana uine mhando idzi dzezvirwere kana kuti hauna dziviriro kubva kuzvirwere izvi.
Mamwe Matumbu neKenza
Dzimwe mhando dzegomarara revana dzinogonawo kukonzera 'blueberry muffin rash'. Idzi idambudziko risingawanzoitiki.
- Histiocytosis
- Leukemia (kenza yeropa)
- Mastocytosis
- Neuroblastoma
- Rhabdomyosarcoma
- Dambudziko rekukurumidza re myeloproliferative - Izvi zvinonyanya kuitika kuvana vane Down syndrome.
Zvirwere izvi zvinogona kuperekedzwa nezviratidzo zvakaita sekuneta zvakanyanya, fivha, kudzikira kwehuremu, kucheneruka (nekuda kwekushaya ropa), kuzvimba kwema lymph nodes, uye kuoma kufema.
Mamwe matambudziko ane chekuita nekugadzirwa kweropa (Extramedullary Hematopoiesis)
Sezvatakambokurukura, mavara aya anokonzerwawo ne extramedullary hematopoiesis. Zvimwe zvinhu zvinokonzera izvi ndeizvi:
- Chirwere cheHemolytic chemwana achangoberekwa: Kukurumidza kuparara kwemasero matsvuku eropa emwana nekuda kwezvinhu zvakaita sekusawirirana kwerudzi rweropa reABO pakati paamai nemwana.
- Hereditary spherocytosis: Chirwere chenhaka chinokonzera shanduko muchimiro chemasero matsvuku eropa.
- Chirwere chekuisirwa ropa kubva paTwin-to-twin: Kusaenzana kweropa pakati pemapatya ane placenta imwe chete.
Vanachiremba vanowana sei chikonzero chaicho?
Chiremba wemwana wako achatanga aongorora mwana wako nokungwarira uye oongorora zvimwe zviratidzo. Zvadaro, vachakurudzira kuongororwa kwakawanda kuti vaone chikonzero chaicho.
| Bvunzo | Chii chinoongorora? |
|---|---|
| Kuongororwa kweropa | Kuverengwa kweropa rose (CBC), kuongororwa kwezvirwere nezvimwe zvirwere zveropa. |
| Kuongororwa kweweti | Zviratidzo zvehumwe utachiona uye zvirwere. |
| Kuboorwa kwemusana/Kuboorwa kweLumbar | Ongorora cerebrospinal fluid (CSF) kuti uone zviratidzo zvehutachiona. |
| Kuongororwa kweganda | Kutarisa kana paine leukemia kana mamwe masero ekenza. |
| Kuongororwa kwemwongo wemapfupa | Ndiri kutsvaga leukemia, zvimwe zvirwere zveropa, hutachiona, uye kenza. |
| Ultrasound yemudumbu | Kuongorora kana chiropa, chirebvu, uye mapundu akakura akadai se neuroblastoma. |
Kana paine fungidziro yekuti pane hutachiona hweTORCH, chiremba anogonawo kukurudzira kuti amai vaongororwe bvunzo dzakakodzera.
Ndezvipi zvinorapwa izvi?
Iri idambudziko rinosangana nevanhu vazhinji. Yeukai kuti kurapwa kwe'blueberry muffin rash' kurapa chirwere chiripo chakakonzera. Kureva kuti, sezvo mavara aya ari chiratidzo, tinofanira kurapa chirwere chiripo chakakonzera chirwere chacho.
Semuyenzaniso:
- Kana chikonzero chiri hutachiona hweTORCH, mishonga inorwisa mabhakitiriya, mishonga inorwisa tupukanana, kana mishonga inorwisa mavhairasi inopihwa.
- Kana chikonzero chiri kenza yakaita se neuroblastoma, kuvhiyiwa, chemotherapy, immunotherapy, kana radiation therapy zvingangodiwa.
Chikwata chevanachiremba chemwana wenyu chichatsanangura nzira yakanakisisa yekurapa mwana wenyu, saka musazeza kutaura navo nezvemibvunzo kana zvinokunetsai.
Unofanira kuona chiremba nekukasika rini?
Mhinduro chete kune izvi ndeyekuti "Pakarepo!"
Kana ukaona chivara chebhuruu-pepuru kana bundu rakadai pamuviri wemwana wako, usazviregeredza. Kana mwana wako atove kurapwa muchipatara, zivisa chiremba kana mukoti nekukasika. Kana uri kumba, kurumidza kuenda nemwana wako kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Kunyangwe chirwere ichi chisingawanzoitiki, chinogona kuva chiratidzo chekuti pane chimwe chinhu chakakomba chiri kuitika mumuviri wemwana wako. Izvi zvinogona kutyisa zvikuru, asi chinonyanya kukosha kusavhunduka woita chimwe chinhu nekukurumidza. Chikwata chekurapa chichakurumidza kuwana chikonzero uye kupa kurapa kwakanakisa kumwana wako.
Mharidzo Yekuenda Nayo Kumba
- Mapundu eBlueberry Muffin haasi mapundu eganda chete, asi anogona kunge ari chiratidzo chechirwere chakakomba chiripo.
- Chinhu chakakosha ndechekuti mavara aya anoita seanoumbwa mukati meganda, kwete pamusoro paro.
- Kana ukaona mhando idzi dzemavanga paganda remwana wako, usanonoka wobva waaratidza kuna chiremba nekukasika kana kuenda kuEmergency Treatment Unit (ETU) yechipatara.
- Zvakakosha kutsvaga mazano akakodzera echiremba uye kuongororwa panguva yekuzvitakura kuti udzivirire kana kuona hutachiona hwakadai seTORCH nekukurumidza.
- Taura pachena nechikwata chako chezvekurapa nezvehurongwa hwako hwekuongororwa chirwere uye kurapwa. Vachakupa rutsigiro rwaunoda iwe nemwana wako.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga