Mwana wako, kana kuti iwewe, wakangoerekana watanga kurutsa zvine simba pasina chikonzero chakajeka uye zvakatora zuva rimwe kana maviri here? Zvadaro zvakadzokera kune zvakajairika sekunge hapana chakaitika? Kana izvi zvikaitika kakawanda kwemwedzi yakati wandei, unofanira kuziva nezvechirwere ichi chatiri kutaura nezvacho nhasi chinonzi Cyclic Vomiting Syndrome (CVS). Ichi hachisi chirwere chemudumbu chete, asi chimwe chinhu chakasiyana zvikuru.
Chii chinonzi cyclic vomiting syndrome (CVS)?
Zvichitaurwa zviri nyore, CVS chirwere chinoita kuti unzwe kuda kurutsa kwakanyanya uye kurutsa pasina chikonzero chakajeka. Zviitiko izvi zvekurutsa zvinogona kutora maawa mashoma kusvika kumazuva mashoma. Zvinogona kuva zvakanyanya zvekuti ungasakwanise kubuda pamubhedha. Nekuti mvura yakawanda inorasika mumuviri wako, ungangoda kuenda kuchipatara kana kuchipatara (ETU) kuti uwane mvura inoyerera mumuviri kudzivirira kupera mvura mumuviri.
Asi chinoshamisa ndechekuti, kana nguva iyi yekurutsa zvakanyanya yapera, unova neutano hwakanaka uye wava munhu kwaye zvakare, sekunge usina matambudziko zvachose.
Dambudziko iri rinogona kugara kwemwedzi, makore, kana kutoti makumi emakore. Zvisinei, zviratidzo hazviwanzoonekwa nguva dzose. Kazhinji, kurutsa kwakadai kunogona kuitika kakawanda pagore. Kune vamwe vanhu, kunogona kutoitika kamwe chete kana kaviri pamwedzi.
Maitiro ekurutsa, nguva yezuva, kuti kwakaoma sei, uye kuti kwagara kwenguva yakareba sei zvinogona kusiyana kubva pamunhu kusvika pamunhu. Asi kumunhu mumwe chete, zviratidzo zvinowanzova zvakafanana, zvichitevera maitiro akafanana nguva imwe neimwe.
Izvi zvinoitika kakawanda here?
CVS inowanikwa zvakanyanya muvana kupfuura muvakuru. Zvinofungidzirwa kuti vana vanosvika vatatu pavana 100,000 vanogona kunge vaine chirwere ichi. Chinowanzo tanga muvana vari pakati pemakore matatu nechinomwe. Zvisinei, chinogona kutanga chero pazera ripi zvaro.
Ndezvipi zviratidzo zvechirwere ichi?
Chiratidzo chikuru cheCVS kuda kurutsa kwakakomba kamwe kamwe, kunodzokororwa, uye kurutsa. Kune matanho akasiyana-siyana eizvi.
| Danho | Tsananguro iri nyore yezviri kuitika |
|---|---|
| Chikamu cheProdrome | Maminetsi mashoma kana maawa usati watanga kurutsa, unogona kutanga kunzwa kuda kurutsa uye kudikitira. Kune vanhu vazhinji, kunzwa uku kunouya mangwanani-ngwanani. Unganzwa sekuti "Nhasi hazvizove zvakanaka." |
| Danho rekurutsa | Munguva iyi, ucharutsa nguva dzose. Dzimwe nguva kakawanda paawa. Vana vadiki vanogona kurutsa nekukurumidza (kurutsa kwakapararira). Izvi zvinogona kutora maawa mashoma kusvika kumazuva mashoma. Zvinogona kuva zvakanyanya zvekuti unganzwa sekunge haugone kutaura uye uchida kugara uri wega pamubhedha. |
| Danho rekupora | Kurutsa nekurutsa zviri kudzikira zvishoma nezvishoma uye zviri kuita nani. Ndiri kunzwa sekunge ndiri kuwedzera simba zvishoma nezvishoma. |
| Chikamu chetsime | Uchanzwa zvakanaka uye uine hutano zvakare, sekunge hauna dambudziko. Uchave wakanaka kusvika padanho rinotevera rekurutsa. |
Kuwedzera kune izvi, panogona kunge paine zvimwe zviratidzo:
- Marwadzo emudumbu
- Manyoka (kurwadziwa kwemudumbu)
- Dzungu
- Kudonhedza mate kana kudonhedza mate
- Nyota yakanyanya
- Kuda kudya
- Ganda rakachenuruka
- Musoro wakanyanya uye kuneta zvakanyanya
- Kunzwa chiedza kana ruzha (semunhu ane migraine)
- Fivha (kusvika 101°F / 38.3°C)
- Kubvisa dumbu (dry-heaving): Izvi zvinoreva kuti unonzwa sekunge wava kuda kurutsa, asi hapana chinobuda nekuti hapana chiri mudumbu mako.
Chii chinogona kukonzera CVS?
Hazvisati zvazivikanwa kana ichi chiri icho chega chinokonzera CVS, asi pane zvinhu zvakati wandei zvinofungidzirwa kuti ndizvo zvinokonzera izvi.
Chinhu chakakosha ndechekuti ichi hachisi chinhu chawaifungidzira, uye hachisi mhosva yako. Izvi zvinongoitika nekuda kwechiitiko chinoitika mumuviri.
- Matambudziko ane chekuita neuropi hwako:Zvichitaurwa zviri nyore, kana paine dambudziko mu'kutaurirana' pakati pehuropi hwedu nehurongwa hwetsinga mudumbu, kurutsa kusingadzoreki kunogona kuitika. Mamwe masayendisiti anotiwo izvi idambudziko reuropi nedumbu.
- Kuchinja kwetsinga dzemuviri wako: Ichi chikamu chemuviri wako chinodzora zvinhu zvausingakwanise kudzora, zvakaita sekurova kwemoyo wako, BP, uye kurutsa. Kana paine dambudziko nehurongwa uhwu, unogona kurasikirwa nekutonga kurutsa kwako.
- Musoro wemusoro unonzi migraine: Vana vanosvika 80% vane CVS uye 25% yevanhu vakuru vanewo migraine. Migraine haisi nyaya yemusoro inongorwadza chete. Kufanana neCVS, migraine inogona kusagadzikana pakutanga. Vanhu vazhinji vane CVS vane nhoroondo yemhuri yavo yemigraine.
- DNA yemitochondrial isina kujairika: Mitochondria yakafanana ne'magetsi' anopa simba kumasero ese mumuviri wedu. Mirayiridzo yekuti anofanira kushanda sei iri muDNA. Kana paine chikanganiso muDNA iyi nekuda kwechirwere, mamiriro ejini, kana chimwe chikonzero, masero etsinga ari muura haawani simba raanoda. Izvi zvinogonawo kukonzera kurutsa kusingadzoreki.
Ndezvipi 'Zvinokonzera' Zvinokonzera Kurutsa?
Zvimwe zviitiko, manzwiro, kana mamiriro ezvinhu zvinogona kukonzera kurutsa. Tinozviti 'zvinokonzera'. Kana uine CVS, zvakakosha kuziva zvinokonzera.
- Kuchinja kwemamiriro ekunze (kunyanya mumatsutso nemuchando).
- Zvimwe zvekudya: zvinhu zvakaita sechokoreti, chizi, kofi, uye MSG (zvinonhuhwirira).
- Mufaro wakawandisa wevana: Fungidzira, izvi zvinogona kutanga panguva iyo mwana anofara zvikuru, sehusiku husati hwasvika rwendo rwechikoro, kana mangwanani ezuva rekuzvarwa.
- Kushushikana kwepfungwa muvanhu vakuru: Zvinhu zvakaita sekuzvidya mwoyo zvakanyanya uye kushushikana.
- Kurwara nepfungwa, hutachiona hwe sinus, kana dzihwa.
- Kuneta mumuviri.
- Kutsanya kwenguva refu.
- Kushandiswa kwembanje kwenguva refu.
- Kuenda kumwedzi kuvakadzi.
- Kurwara nekufamba.
Matambudziko anogona kuitika kana kurutsa kukaramba kuripo
Kana CVS isingadzorwi, kurutsa kwakanyanya kunogona kukonzera mamwe matambudziko ehutano.
| Dambudziko | Tsananguro iri nyore |
|---|---|
| Kushaya mvura mumuviri | Kurasikirwa nemvura yakawanda mumuviri nekuda kwekurutsa nekuita manyoka. Izvi zvinogona kuva nengozi. |
| Kuvhiyiwa kwegurokuro | Chubhu inoyerera kubva pahuro ichienda mudumbu (esophagus) inokuvara uye yakazvimba nekuda kweacid yemudumbu inouya nekurutsa. |
| Mallory-Weiss kubvaruka | Kumanikidzwa nekurutsa kwakanyanya kunogona kubvarura chikamu chezasi chegurokuro. Izvi zvinogona kukonzera kuti ropa ribude pamwe chete nekurutsa. |
| Kuora kwezino | Kugara uchinwa acid yemudumbu kunoita kuti enamel yemazino inyungudike uye zviite kuti mazino aore. |
Chiremba anoongorora sei chirwere ichi?
Kuongororwa kweCVS kwakaoma nekuti hapana bvunzo chaiyo yekuongorora chirwere ichi. Chiremba wako achava nechokwadi chekuti hauna zvimwe zvirwere zvinokonzera zviratidzo zvakafanana.
Chiremba wako achakubvunza mibvunzo yakawanda nezvenhoroondo yako yezvekurapwa, nhoroondo yemhuri yako yezvekurapwa, uye maitiro ako ekurutsa. Iye achabva aita bvunzo yemuviri uye oraira mimwe miedzo kana zvichidikanwa.
Miedzo ipi inoitiswa?
- Kuongororwa kweropa neweti: Tarisai kana paine matambudziko ekugaya chikafu, zvirwere zvemitochondrial, kana matambudziko ane dzimwe nhengo dzemuviri.
- Kuongororwa kwemifananidzo: Unogona kukumbirwa kuti uitwe scan yeultrasound yemudumbu, MRI kana CT scan yeuropi, kana X-ray yedumbu. Izvi zvinogona kutarisa chero chipi zvacho chakavharika mudumbu kana mutsinga.
- Kuongororwa kwepamusoro pedumbu: Izvi zvinosanganisira kushandisa chubhu diki ine kamera kuti uongorore gurokuro, dumbu, uye kutanga kweura hwako hudiki kuti uone kana paine zvimwe zvinetso zvinogona kukonzera kurutsa kwako.
Zvimwe zvirwere zvinogona kusanganiswa neCVS
Chiremba asati aongorora CVS, anofanira kuva nechokwadi chekuti hauna zvimwe zvirwere zvinokonzera zviratidzo zvakafanana.
- Utachiona hwemudumbu kana gastritis
- Maronda emudumbu
- Kuzvimba kwepancreatitis (pancreatitis)
- Appendicitis
- Kutenderedza ura (volvulus kana malrotation)
Ndezvipi zvirongwa zvekurapa CVS?
Kurapwa kweCVS kunoenderana nekuti uri muchikamu chekurutsa here kana kuti uri muchikamu cheutano chauri kuedza kudzivirira.
- Danho reProdrome: Kana zviratidzo zvangotanga, chiremba wako anogona kukupa mishonga yekuderedza kuda kurutsa, kuderedza acid yemudumbu, uye kuderedza migraines/kurwadziwa kwemudumbu.
- Danho rekurutsa: Munguva iyi, ucharamba uchipiwa mishonga yekurwadziwa kwemusoro, chirungurira, uye kuzvidya mwoyo. Ungangoda kuendeswa kuchipatara kuti uwane mvura inoyerera mumuviri uye kudya kunovaka muviri kudzivirira kupera mvura mumuviri. Kuzorora muimba ine rima, yakanyarara kunogona kubatsira kuderedza zviratidzo panguva iyi.
- Danho rekupora: Ramba uchipa munyu kana zvichidikanwa. Zvishoma nezvishoma, mvura uye zvekudya zvakasimba zvinogona kuiswa.
- Chikamu chetsime: Munguva iyi, chiremba wako anogona kukupa mishonga yezuva nezuva yekudzivirira kurutsa mune ramangwana.
Mhando dzemishonga inoshandiswa
- Mishonga yekurwisa migraine
- Mishonga yekurwisa kuda kurutsa
- Mimwe mishonga yekurwisa kubatwa nepfari
Pamusoro pezvo, vamwe vanhu vanowana zororo kubva mukuwedzera mishonga senge coenzyme Q10, riboflavin, uye L-carnitine. Zvisinei, usambofa watanga chinhu chakadai usina mvumo yachiremba wako.
Chii chaunofanira kutarisira paunenge uchirarama nechirwere ichi?
Vana vazhinji vanokura vachipfuura chirwere ichi cheCVS sezvavanokura. Zvisinei, vanogona kuva nemusoro wakanyanya pavanenge vakura. Kurutsa uku kunoramba kuripo kunogona kutadzisa vana kuenda kuchikoro uye vakuru kuenda kubasa. Izvi zvinogona kukanganisa zvikuru hupenyu hwavo hwezuva nezuva.
Chinhu chinonyanya kukosha ndechekushanda nachiremba wako kuti uwane kuti mishonga ipi inoshanda kwauri uye kuti chii chinokonzera chirwere chako. Ruzivo rwemunhu wese rwakasiyana, saka zvinogona kutora nguva kuti uwane kuti chii chinokubatsira.
Chii chingaitwe kudzivirira kurutsa?
Unogona kuderedza kurutsa kwako nekudzivisa zvinokukonzera uye kutora mishonga yawakanyorerwa nachiremba. Fungawo nezvezvinhu izvi:
- Kana uine allergies uye matambudziko e sinus, kurumidza kurapwa.
- Ramba uchishingaira, asi usazvinyanyisa.
- Dzivisa zvekudya nezvinotapira zvisina kunaka kwauri.
- Dzivisai kudya zvakanyanya kana kutsanya.
- Wana hope dzakakwana.
- Gadzirisa kushushikana nekuzvidya mwoyo.
Mibvunzo yekubvunza chiremba wako
Paunoenda kunoona chiremba, usakanganwa kubvunza mibvunzo iyi:
- Ndedzipi bvunzo dzandinofanira kuva nadzo kuti ndizive chokwadi kana ndine CVS?
- Mushonga upi wandinofanira kutora kuti ndirege kurutsa kana kwatanga, uye kuti ndisazozvidzokorora?
- Ndezvipi zvandinofanira kuchinja muhupenyu hwangu kuti ndidzivise zvinondikonzera matambudziko?
- Ndezvipi zvimwe zvandingaita kuti ndideredze zviratidzo?
- Ndezvipi zviratidzo zvandinofanira kuona kwamuri, kana kuti kuenda kuETU (Emergency Treatment Unit) ?
CVS inogona kuva chirwere chinoshungurudza uye chinotyisidzira hupenyu. Hapana mushonga mumwe chete kana mhinduro. Iwe nachiremba wako munofanira kuva nemoyo murefu pamunowana kurapwa kwakakodzera uye zvinokukonzerai. Nekufamba kwenguva, vanhu vazhinji vanova nani pakuziva nekudzivirira zvinokukonzerai. Panguva ino, kana kurutsa kukaitika, kune mishonga inogona kubatsira kudzora zviratidzo.
Mharidzo Yekuenda Nayo Kumba
- CVS chirwere chaicho chinoratidzwa nekurutsa kwakanyanya kakawanda pasina chikonzero chakajeka, zvichiteverwa nenguva dzekupora zvachose.
- Zvinotendwa kuti izvi hazvisi "kurwadziwa kwemudumbu" chete, asi zvinokonzerwa nedambudziko riri pakati pehuropi nehurongwa hwekugaya chikafu.
- Kuziva uye kudzivirira zvinhu zvinokonzera kurutsa mauri kana mwana wako chikamu chakakosha chekurapa.
- Zvakakosha kushanda pamwe chete nachiremba wako kuti unyatsoongorora chirwere ichi uye uwane hurongwa hwekurapa.
- Kana munhu achirutsa zvakanyanya, zvingave zvakakosha kuti apiwe mushonga wemushonga une intravenous saline (IV fluids) muchipatara kana kuETU kudzivirira kupera mvura mumuviri.
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