Unowanzobatwa nematombo eitsvo here? Kana kuti mwana wako anobatwa nawo here? Pamwe chikonzero cheizvi ndechekuti une kemikari yakawandisa inonzi oxalate muweti yako. Dambudziko iri ndiro ratinoti hyperoxaluria mune zvekurapa. Usatye kana ukanzwa zita iri, zviri nyore kwazvo. Ngatitaurei nezvazvo zvakajeka uye nenzira yaunogona kunzwisisa.
Zvichitaurwa zviri nyore, chii chinonzi Hyperoxaluria?
Oxalate ikemikari inogadzirwa nemiviri yedu uye inowanikwawo mune zvimwe zvekudya zvatinodya. Kazhinji, itsvo dzedu dzinobvisa maoxalate aya mumuviri kuburikidza neweti.
Zvisinei, mumunhu ane hyperoxaluria, huwandu hweoxalate muweti yake hunowedzera zvakanyanya. Izvi zvinogona kuva nengozi. Oxalate iyi yakawandisa inosanganiswa necalcium iri muweti kuti igadzire matombo eitsvo uye makristaro ecalcium oxalate .
Matombo aya nemakristaro zvinogona kukuvadza itsvo dzako uye kuderedza mashandiro adzo. Nekufamba kwenguva, izvi zvinogona kutokonzera kutadza kushanda kweitsvo . Kwete izvozvo chete, asi oxalate iyi yakawandisa inogonawo kutanga kuungana mune dzimwe nhengo dzemuviri.
Ndeapi marudzi makuru eHyperoxaluria?
Kune mhando nhatu huru zvichienderana nechikonzero chechirwere ichi. Kana wangonzwisisa misiyano iyi, zviri nyore kunzwisisa.
| Rudzi rwe hyperoxaluria | Tsananguro iri nyore |
|---|---|
| Kuwanda kweHyperoxaluria (PH) | Ichi chirwere chemajini , zvichireva kuti chinotorwa nhaka. Chinoitika pano ndechekuti pane kusakwana kwema enzymes muchiropa kunoita kuti muviri ugadzire oxalate zvisingadzoreki. Ichi ndicho chirwere chakakomba pane zvitatu izvi. |
| Kubuda kweropa mudumbu (Enteric Hyperoxaluria) | Izvi zvinokonzerwa nezvirwere zvemudumbu (mudumbu).Semuenzaniso, vanhu vane zvirwere zvakaita seCrohn's disease kana inflammatory bowel disease vanonwa oxalate yakawanda kubva muura hwavo. Dambudziko iri rinogonawo kuitika mushure mekuvhiyiwa kwekudzikisa huremu (gastric bypass surgery). |
| Kudya Kunorema Zvikuru | Zviri nyore kwazvo. Zvinokonzerwa nekudya zvekudya zvakawanda zvine maoxalate akawanda . Zvinhu zvakaita sespinachi, beets, soya, maarumondi, nembatatisi zvine maoxalate akawanda. |
Ndiani anowana izvi? Pazera ripi?
Zviratidzo zve hyperoxaluria zvinogona kuonekwa pazera ripi zvaro, kubva kuvacheche kusvika kuvakuru, asi zviratidzo zvinowanzoonekwa pazera remakore mashanu.
- Vanhu vane chirwere chePrimary Hyperoxaluria (PH) vanowanzoita matombo eitsvo kakawanda panguva yehudiki kana kuyaruka (kazhinji vasati vasvika makore makumi maviri). Kana chirwere ichi chikaitika kumwana mudiki, chinogona kuva chakakomba zvikuru.
- Mumhando dzese dzedumbu nedzekudya , matombo eitsvo nezvimwe zviratidzo zvinowanzoonekwa kana munhu akura.
Ndezvipi zviratidzo zvechirwere ichi?
Kazhinji chiratidzo chekutanga matombo eitsvo. Asi havasi vese vanowana matombo eitsvo. Ngatitarisei zviratidzo zvikuru.
| Zviratidzo zvakajairika | |
|---|---|
| Ropa muweti | Utachiona hwemunzira weti hunodzokororwa (UTIs) |
| Kukundikana kubudirira muvana vadiki | |
| Zviratidzo zvinokonzerwa nematombo eitsvo | |
| |
Zvakakosha: Matombo eitsvo mumwana mudiki anogona kuva chiratidzo chechirwere ichi, Hyperoxaluria. Saka, kana ukaona chimwe chinhu chakadai , endesa mwana wako kuna chiremba nekukurumidza.
Sei izvi zvichiitika? Ndiani ari panjodzi huru?
Sezvatakambokurukura, pane zvikonzero zvitatu:
- Kukanganisika kwemajini (Primary hyperoxaluria): Chimwe chinhu chinogarwa nhaka kubva kuvabereki kuenda kuvana.
- Zvirwere zvemudumbu: Kunwa oxalate zvakanyanya nekuda kwezvirwere zvemudumbu.
- Kudya: Kudya chikafu chine oxalate yakawanda zvakanyanya.
Kune mamiriro ezvinhu akati wandei anogona kuwedzera njodzi yechirwere ichi:
- Kana mumwe munhu mumhuri yako aine chirwere chePrimary Hyperoxaluria.
- Kana uchigara uchibuda matombo muitsvo.
- Kana wakambova nematombo eitsvo pawaiva mudiki (kunyangwe kamwe chete).
- Kana chiremba akakuudza kuti calcium iri muitsvo dzako.
Ndezvipi zvinetso zvinogona kukonzera izvi?
Dambudziko guru uye rine njodzi zvikuru re hyperoxaluria kukuvara kweitsvo uye kutadza kushanda kweitsvo.
Kana itsvo dzikatadza kushanda, hadzikwanisi kuburitsa oxalate yakawandisa inoungana mumuviri. Zvadaro, makristaro aya eoxalate anotanga kuungana mune dzimwe nzvimbo dzemuviri, dzakadai semapfupa, ropa, tsandanyama, mwoyo, nemaziso. Tinowanzoti chirwere ichi Oxalosis .
Oxalosis inogona kukonzera mamwe matambudziko ehutano:
- Chirwere chemapfupa
- Kushaya ropa
- Matambudziko emwoyo nemaziso
- Matambudziko ane chekuita nekukura nekukura kwevana
Ndingaziva sei kana izvi zviripo?
Chiremba wako achakubvunza nezvezviratidzo zvako, nhoroondo yezveutano hwemhuri yako, uye kudya kwako. Iye achakuraira bvunzo dzinoverengeka kuti asimbise chirwere chacho.
- Kuongororwa kweweti: Kuyera huwandu hweoxalate nema enzyme muweti.
- Kuongororwa kweropa: Tarisa mashandiro eitsvo uye huwandu hweoxalate muropa.
- Kuongororwa kwemifananidzo: X-rays, ultrasound, kana CT scan zvinogona kushandiswa kutarisa matombo eitsvo kana makristaro ecalcium oxalate.
- Kuongororwa kwemajini: Kana paine fungidziro yekuti pane chirwere chePrimary Hyperoxaluria, bvunzo iyi inoitirwa kusimbisa kana kushanduka kwemajini kuri kukonzera chirwere ichi kuripo.
Dzimwe nguva, ungangoda kuongororwa kwakakosha, senge echocardiogram , kuongororwa kwemaziso, kana bone marrow biopsies, kuti uone kana oxalate iri kumwewo mumuviri wako.
Inorapwa sei?
Chinangwa chikuru chekurapa ndechekuderedza huwandu hweoxalate mumuviri uye kudzivirira nekudzivirira itsvo nedzimwe nhengo kubva pakuumbwa kwekristaro. Kurapa kunoenderana nerudzi rwehyperoxaluria yaunayo uye kuoma kwechirwere chacho.
Mishonga
- Vanhu vane chirwere chepfungwa chinonzi primary hyperoxaluria vanopihwa vhitamini B6 (pyridoxine) yakawanda kuti vaderedze huwandu hweoxalate mumuviri.
- Mishonga yakaita se potassium citrate inopiwa kudzivirira kuumbwa kwe calcium oxalate crystals.
- Vanhu vane Enteric Hyperoxaluria vanokurudzirwa kutora mishonga yekuwedzera calcium pavanodya nekuti calcium inobatanidzwa neoxalate uye inobatsira kuti ibudiswe nyore nyore mumuviri.
Kuchinja kwemararamiro uye kudya
- Inwa mvura yakawanda: Zvakakosha kunwa marita matatu emvura pazuva. Izvi zvinobatsira kubvisa oxalate yakawandisa muweti uye kudzivirira kuumbwa kwematombo. Izvi zvakakosha kune marudzi ese emhuka.
- Kudya: Deredza munyu neshuga. Deredza mapuroteni emhuka akadai senyama, mukaka, nemazai. Dzivisa kudya zvine maoxalates akawanda (spinach, rhubarb, beets, chokoreti, tii, nzungu).
- Zvekudya zvine calcium yakawanda: Kuwedzera zvekudya zvine calcium yakawanda mukudya kwako kunogona kubatsira kuderedza huwandu hweoxalate.
Asi yeuka, kudya uku hakugoni kukanganisa zvakanyanya chirwere chemajini chinonzi Primary Hyperoxaluria. Zvinoda kurapwa nemishonga.
Kurapa matombo eitsvo
Mamwe matombo eitsvo anobuda ega kana ukanwa mvura yakawanda. Kana akasadaro, chiremba wako angafanira kuabvisa.
Kuvhiyiwa kweDialysis kana kuisirwa zvimwe zvinhu
Kana chirwere chikakura uye itsvo dzikatadza kushanda, mushonga wekuchenesa itsvo ungangodiwa kuti ropa richeneswe. Kana chirwere chePrimary Hyperoxaluria chakanyanya kuipa, itsvo kana chiropa zvinogona kudiwa.
Unofanira kuona chiremba rini?
Sezvo ichi chiri chiratidzo chekutanga chematombo eitsvo, enda kuna chiremba nekukasika kana uchifunga kuti une matombo eitsvo, kunyanya kana uine zviratidzo izvi:
- Kurwadziwa kumusana, pahudyu, kana pasi pedumbu.
- Weti tsvuku, yepingi, kana yebrown.
- Kuchinja kwehuwandu hweweti kana huwandu hwayo.
- Kurwadziwa kana uchiita weti.
Zvakajairika kuti unzwe kutya uye kunetseka paunoziva kuti une chirwere chakadai. Taura nachiremba wako, mhuri, neshamwari nezvezvinokunetsa. Yeuka, nekurapwa kwakakodzera, unogona kubata chirwere ichi zvakanaka uye kuramba uine hutano hwakanaka.
Mharidzo Yekuenda Nayo Kumba
- Hyperoxaluria chirwere apo kuwanda kwehuwandu hweoxalate muweti kunogona kukonzera matombo eitsvo uye kukuvara kweitsvo.
- Kune mhando nhatu huru dzeizvi: yekutanga, yemukati, uye yekudya.
- Kana uchigara uchirwara nematombo muitsvo, kunyanya mumwana mudiki, zvinogona kuva chiratidzo chechirwere ichi. Enda kuna chiremba nekukasika.
- Kurapwa kunosanganisira mishonga, kunwa mvura yakawanda, uye kuderedza kudya zvimwe zvekudya.
- Unogona kudzivirira kukuvara kweitsvo nekutevedzera mirairo yachiremba wako nemazvo.
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