Unonetsekawo here nekumedza chikafu? Ngatidzidzei nezvePlummer-Vinson syndrome?

Zvinokuomera here kumedza chikafu? Kana kuti unonzwa kuneta nguva dzese, uchinzwa usimbe? Dzimwe nguva zvinhu izvi zvinoita sezvinowanzoitika, asi panogona kunge paine chimwe chikonzero chiri shure kwazvo. Nhasi tichataura nezvechirwere chisingawanzoitiki asi chakakosha. Ndiyo chirwere chePlummer-Vinson.

Chii chinonzi Plummer-Vinson syndrome?

Zvichitaurwa zviri nyore, chirwere chePlummer-Vinson (PVS) chirwere umo zviratidzo zvitatu zvine chekuita nazvo zvinoitika pamwe chete. Dzimwe nguva vanachiremba vanoti izvi "triad," zvinoreva "musanganiswa wezvitatu." Ngatitarisei kuti zvirwere izvi zvitatu chii:

1. Kushaya iron: Apa ndipo apo muviri wako hauna iron yakakwana yekugadzira puroteni inonzi hemoglobin mumasero matsvuku eropa. Unoziva, hemoglobin ndiyo inotakura okisijeni kumasero ese ari mumuviri wako. Saka, kana usina iron yakakwana, hemoglobin haigadzirwe zvakanaka, uye muviri wako hauwani okisijeni yaunoda. Izvi ndizvo zvinokonzera zviratidzo zvakaita sekuneta uye kucheneruka.

2. Matanda emudumbu: Apa ndipo apo nyama dzakatetepa, dzisiri dzakajairika dzinoumbwa mukati megurokuro rako, kana pombi yechikafu. Funga nezvazvo sedandemutande rinoumbwa pamusoro pegurokuro rako. Izvi zvinoita kuti gurokuro ritete uye rivharike. Izvi zvinoita kuti zviomere kuti chikafu chipfuure pasi.

3. Kuoma kwekumedza (Dysphagia): Iri ndiro zita rinopihwa navanachiremba kune kuoma kwekumedza chikafu nezvinwiwa nekuda kwemasuru epahuro ataurwa pamusoro apa. Vamwe vanhu vanogona kunetseka kumedza kwete chikafu chakasimba chete asiwo mvura.

Izvi zvinodanwa nemamwe mazita. Rimwe rinonzi sideropenic dysphagia. Uye muUnited Kingdom, kureva kuti, muEngland, rinonzi Paterson-Brown Kelly syndrome.

Zvino, hechino chimwe chinhu chausingafaniri kutya. Vanhu vane chirwere chePlummer-Vinson syndrome (PVS) vanonzi vane mukana wakakura wekuva nekenza yegurokuro kana kenza yehypopharyngeal gare gare muhupenyu hwavo. Zvisinei, iyi ingori njodzi . Chiremba wako achakutarisa nguva nenguva uye achakutarisa sezvinodiwa kuti aone chero mamiriro ezvinhu akadaro nekukurumidza.

Ndezvipi zviratidzo zveizvi?

Zvakanaka, ngationei zviratidzo zvinoratidzwa nemunhu ane chirwere chePlummer-Vinson syndrome (PVS). Zviratidzo izvi hazviratidzike kune munhu wese nenzira imwe chete, uye vamwe vanhu vanogona kunge vaine zvimwe zvezviratidzo zvacho chete.

• Kunzwa kuneta uye kuneta nguva dzese: Ichi chiratidzo chikuru chekushaya iron. Unonzwa kuneta kunyangwe mushure mekuita mabasa madiki uye unonzwa hope zuva rese.
• Kuoma kufema (dyspnea): Unganzwa kushaya mweya, kwete chete kana uchifamba zvishoma, uchikwira masitepisi, asi dzimwe nguva kunyange kana wangomira wakadzikama.
• Kuoma kumedza chikafu:Ichi ndicho chiratidzo chinonyanya kuzivikanwa chechirwere ichi. Kunyanya kana munhu achimedza chikafu chakasimba, senge mupunga, chingwa, nyama nehove, panonzwa kusungwa pahuro nepachipfuva. Vamwe vanhu vanofanira kunwa mvura shoma kuti vamedze chikafu. Kunyange zvazvo chikafu chakasimba chichinetsa pakutanga, zvinogona kuoma kana munhu achimedza mvura zvakare.
• Rurimi runozvimba, runozvimba, uye rutsvuku (glossitis): Rurimi runova rwakatsetseka, rutsvuku, uye dzimwe nguva runogona kunzwa sekunge rwuri kupisa.
• Muromo wakaoma (xerostomia): Mukati memuromo munonzwa wakaoma nguva dzese, uye pane kunzwa kwekushaya mate.
• Angular cheilitis: Makona emuromo anotsemuka, kutsvuka, uye kuita seanorwadziwa.
• Nzara dzinoomarara uye dzakati sandara sezvipunu: Nzara hadzina simba uye dzinotyoka nyore nyore. Dzimwe nguva nzara dzinonyura pakati, sechipunu (koilonychia).
• Kuzvimba kwegland re thyroid uye mapundu (mapundu e thyroid): Gland re thyroid, riri pamberi pemutsipa, rinogona kukura uye kuita sebundu.
• Splenomegaly: Chirwatata inhengo iri kumusoro kuruboshwe kwedumbu redu. Inogonawo kuzvimba kana iri mumamiriro ezvinhu aya, asi kazhinji haikonzeri zviratidzo zvikuru.

Chikonzero cheizvi chii?

Kutaura zvazviri, vaongorori havasati vava nechokwadi chechokwadi kuti chii chinokonzera chirwere chePlummer-Vinson (PVS). Asi pane zvinhu zvishoma zvavanofunga uye zvavanofungidzira:

• Kushomeka kwesimbi ndiko kunofungidzirwa kukuru: Vanhu vazhinji vanofunga kuti kushomeka kwesimbi kwenguva refu kunokonzera kuti tsandanyama dziri mugurokuro dzishaye simba uye dzigadzire mawebhu. Iron inodiwa kune ma enzymes akawanda mumuviri wedu.
• Kusakwana kwezvekudya: Pane fungidziro yekuti kwete iron chete, asiwo mamwe mavitamini nemaminerari zvinogona kukanganisa izvi.
• Zvirwere zve autoimmune: Ungave wakambonzwa nezvezvirwere zvakaita se rheumatoid arthritis ne celiac disease. Izvi zvirwere zve autoimmune zvinoitika kana immune system yedu ichirwisa masero edu. Saka, sezvo vamwe vanhu vane PVS vainewo zvirwere izvi, vanachiremba vanofunga kuti zvingave zvine chekuita ne immune system.
• Kukanganiswa kwemajini: Vamwe vanotenda kuti ichi chirwere chemajini, zvichireva kuti kana mumwe munhu mumhuri aine chirwere ichi, vamwe vanogona kuchibatawo.

Asi idzi dzichiri dzidziso chete. Tsvagiridzo yakawanda inodiwa kuti tizive chikonzero chaicho.

Ndiani ari panjodzi huru yekuzviwana?

Chirwere chePlummer-Vinson (PVS) chirwere chisingawanzoitiki . Hachibate munhu wese. Zvisinei, zvichienderana nehuwandu, chinowanzoitika muvakadzi vachena. Chinowanzobata vakadzi vezera repakati, vari pakati pemakore makumi mana nemakumi manomwe.Ichi ndicho chikonzero chinowanzoitika. Zvisinei, kashoma, kureva kuti, kashoma, zvinonzi zvinoitika muvechidiki uye kunyange kuvana vadiki.

Kare, ndiko kuti, kutanga kwema1900, chirwere ichi chaive chakajairika munyika dzeScandinavia (semuenzaniso, Sweden, Norway). Zvisinei, pakupera kwema1900, ndiko kuti, mumakumi emakore apfuura, chakanga chava chidiki munyika idzodzo. Chikonzero chikuru cheizvi chinofungidzirwa kuti ndechekuvandudzika kwekudya kwevanhu munyika idzodzo panguva iyoyo, kunyanya kuwanikwa nyore nyore kwechikafu chine iron yakawanda.

Ndezvipi zvinetso zvinogona kuitika nekuda kwePVS?

Sezvatakambotaura kare, vanhu vane chirwere chePlummer-Vinson syndrome (PVS) vakawanikwa vaine mukana wakakura wekuva nekenza yemudumbu uye kenza yemudumbu, kenza iri muchikamu chezasi chehuro, inonzi hypopharynx, kupfuura vanhu vasina PVS.

Asi musavhunduke nazvo. Havasi vese vane PVS vanozobatwa negomarara. Izvi zvinongova zvinhu zvine njodzi.

Nekuti chirwere ichi hachiwanzoitiki, hapana ruzivo rwakakwana rwekutsvaga kuti vanhu vangani vane PVS vanorwara negomarara.

Asi kana uine chirwere ichi, chiremba wako achaedza kuona chero chinhu chakaita sekenza achiri mudiki , nekuti ipapo pane mukana wakakura wekurapwa uye kurapwa. Ndosaka zvichikosha kuenda kunoongororwa nguva nenguva, sezvinotaurwa nachiremba wako.

Chirwere chePlummer-Vinson (PVS) chinoonekwa sei?

Kana uine zviratidzo zvataurwa pamusoro apa, paunoenda kunoona chiremba, achakubvunza mibvunzo uye achakuongorora. Zvadaro, vachakuraira kuongororwa kweropa uye mamwe maitiro ekutora mifananidzo kuti vaone kana uine PVS.

• Kuongororwa kweropa: Izvi zvinonyanya kuongorora kana paine anemia yekushomeka kwesimbi mumuviri.
• Kuverengwa Kweropa Kwakakwana (CBC): Izvi zvinogona kuongorora zvinhu zvakawanda zvakaita semasero matsvuku eropa, masero machena eropa, uye huwandu hwehemoglobin.
• Kusveta Ropa Panze (PBS): Izvi zvinosanganisira kutarisa ropa uchishandisa maikorosikopu kuti uone chimiro nehukuru hwemasero matsvuku eropa. Kana paine kushomeka kwesimbi, masero matsvuku eropa anogona kunge ari madiki uye asina kucheneruka (microcytic, hypochromic).
• Kuongororwa kwemazinga esimbi: Kuongororwa kwakadai se serum ferritin, serum iron, uye TIBC (Total Iron Binding Capacity) kunogona kupa pfungwa yehuwandu hwesimbi mumuviri.

• Kuongororwa kwemifananidzo: Izvi zvinotsvaga matumbu egurokuro uye chikonzero che dysphagia.
• Endoscopy yepamusoro (OGD - Oesophago-Gastro-Duodenoscopy):Muizvi, chubhu ine kamera diki inopinzwa nemuromo uye gurokuro, dumbu, uye chikamu chekutanga cheura hudiki chinoongororwa. Izvi zvinokutendera kuti uone zvakananga kana mawebhu aripo. Kana zvichidikanwa, chidimbu chidiki chenyama (biopsy) chinogona kutorwa kuti chiongororwe.
• Barium swallow / Esophagram: Mubvunzo uyu, unonwa chinhu chinonzi barium wotorwa mifananidzo yeX-ray. Barium inoita kuti gumbo rionekwe paX-ray, zvichikubvumidza kuona chero nzvimbo dzakavharika kana kuti dzakakora.
• Videofluoroscopy: Iyi i X-ray test zvakare. Inorekodha vhidhiyo yako uchimedza mhando dzakasiyana dzechikafu. Izvi zvinogona kukubatsira kuona kuti uri kumedza sei uye kuti dambudziko riri papi.

Dzimwe nguva chiremba angada kuita bvunzo dzakawanda kuti awane chikonzero chaicho chekushaikwa kwesimbi mumuviri. Semuenzaniso, vanogona kutsvaga maronda emudumbu kana kubuda ropa mudumbu.

Izvi zvinorapwa sei?

Pane zvinangwa zvikuru zviviri pakurapa chirwere chePlummer-Vinson syndrome (PVS). Chimwe ndechekugadzirisa kushomeka kwesimbi mumuviri , uye chimwe ndechekugadzirisa dambudziko rekumedza chikafu .

• Kurapa kwekushomeka kwesimbi:
• Chinhu chikuru ndechekupa muviri wako iron yaunoda. Unogona kutora mishonga yekuwedzera iron pakuita izvi. Unofanira kuitora sezvakaudzwa nachiremba wako, kwenguva yaanokuudza.
• Kune vamwe vanhu, kana mapiritsi esimbi asina kunwiwa zvakanaka, kana kuti kushaya simbi kwakanyanya, dzimwe nguva simbi inogona kupiwa netsinga (IV - Iron inopinzwa mutsinga).
• Kana uine chimwe chirwere chiri kukonzera kushomeka kwesimbi mumuviri (semuenzaniso, kubuda ropa rakawanda panguva yekuenda kumwedzi, mamota, maronda emudumbu), unofanirawo kurapa izvozvo.

• Kurapa kwekuoma kwekumedza (Dysphagia):
• Kazhinji, kana kushomeka kwesimbi uku kukarapwa, uye muviri ukagamuchira simbi, matumbu egurokuro anonyangarika otomatiki, uye kuoma kwekumedza chikafu kunoderera zvikuru.
• Ngatitii kurapwa nesimbi chete hakugadzirise dambudziko rako rekumedza. Kana zvakadaro, pane nzira yekuwedzera, kana kurebesa, gumbo rako. Inonzi kuwedzera kwegumbo . Izvi zvinoitwa panguva yekuongorora masero. Mudziyo mudiki wakaita sebharumu unoiswa muchikamu chakamanikana chegumbo uye unogona kufemerwa kana kuwedzeredzwa kuti gumbo riwedzere. Uku hakusi kuvhiyiwa kukuru, asi nzira iri nyore, inowanzo rwadza inosanganisira kusachekwa gumbo. Vamwe vanhu vangada kuti izvi zviitwe kanopfuura kamwe chete.

Chii chiri kutarisira mamiriro ezvinhu aya?

Kutaura zvazviri, munhu ane chirwere chePlummer-Vinson (PVS) anogona kutarisira mhedzisiro yakanaka uye kupora .

Kune vanhu vazhinji, kana kushomeka kwesimbi kwagadziriswa, zviratidzo zveanemia (zvakadai sekuneta uye kufema zvishoma) zvinodzikira zvakanyanya. Uyewo, kuoma kwekumedza chikafu kunodzikira zvikuru.

Kana dambudziko rekumedza risingagadziriswe nekurapa nesimbi chete, kurapwa kwataurwa pamusoro apa kunowanzo vandudza dambudziko rekumedza. Vamwe vanhu vangangoda kurapwa uku kanopfuura kamwe chete. Asi inzira iri nyore uye ine njodzi shoma.

Chiremba wako angangoda kuita surveillance endoscopy kuti aongorore mamiriro akaita sekenza pahuro pako kana pahuro. Asi yeuka, kuva nePVS inongova njodzi yekenza chete . Kuva nePVS hazvirevi kuti uchava nekenza zvechokwadi.

Taura nachiremba wako nezvekuti kuva nePVS kunokanganisa sei njodzi yako yekenza, maitiro ekurapa nayo mune ramangwana, uye kuti unofanira kuongororwa kangani.

Ko chirwere chePlummer-Vinson Syndrome (PVS) chinogona kudzivirirwa here?

Vanachiremba havasati vaziva kuti chii chinokonzera chirwere chePlummer-Vinson syndrome (PVS), saka hazvigoneke kutaura chokwadi kana paine nzira chaiyo yekudzivirira chirwere ichi.

Zvisinei, kudzivirira kushomeka kwesimbi mumuviri uye kurapa nekukurumidza sezvinobvira kana uine chirwere chinokonzera kushomeka kwesimbi mumuviri kunogona kuderedza njodzi yako yekubatwa nePVS.

Saka, zvakanaka kuva nechokwadi chekuti uri kuwana iron yakakwana kubva pane zvaunodya nekunwa. Isa zvekudya zvine iron yakawanda (semuenzaniso nyama tsvuku, nyemba, sipinachi, nyemba, soya) mukudya kwako.

Ndinofanira kuona chiremba rini?

Kana uine zviratidzo zveanemia (semuenzaniso, kuneta kusingatsungiririki, kufema nguva dzose, ganda rakachenuruka), uye kana zviratidzo izvozvo zvikasavandudzika mushure memavhiki maviri, iva nechokwadi chekuona chiremba.

Uyewo, kana uchinzwa sekunge uri kunetseka nekumedza chikafu, kunyanya kana uchinzwa sekunge uri kubatwa nechikafu chakaoma , uye mamiriro acho asingagadzirisike, zvakanaka kuona chiremba kuti akupe mazano pane kungozvisiya.

Chii chandinofanira kubvunza chiremba?

Paunoenda kunoona chiremba, mubvunze nezvezvinokunetsa nezvaunotya. Semuenzaniso, unogona kubvunza mibvunzo yakaita seiyi:

• Chii chingave chiri chikonzero nei ndiri kuwana chirwere ichi chekushaya ropa?
• Ndedzipi bvunzo dzandinofanira kuita kuti ndizive zvechokwadi kana ndine chirwere chePlummer-Vinson (PVS)?
• Munondikurudzira kuti ndirapwe sei?
• Ndichafanira kuvhiyiwa here kuti ndigadzirise dysphagia yangu? Ndichafanira kuvhiyiwa kangani?
• Ndinofanira kunetseka here nezvenjodzi yangu yekubatwa nekenza mune ramangwana? Ndinofanira kuitei nazvo?

Kana uchifunga kuti une zviratidzo zvePlummer-Vinson syndrome (PVS), enda kuna chiremba nekukasika. Haufanire kurarama nekuneta kusingafadzi kunouya neanemia. Haufanirewo kurarama nemarwadzo ekumedza (dysphagia) anoita kuti kudya kuve basa rakaoma. Dzimwe nguva mhinduro yacho iri nyore semapiritsi mashoma esimbi. Kana zvisina kudaro, unogona kuwana zororo nekuwedzera huro. Zvisinei, kune marapirwo anogona kukubatsira kuti unzwe zviri nani .

Chekupedzisira, zvinhu zvinonyanya kukosha zvekurangarira

Chirwere chePlummer-Vinson syndrome (PVS) chirwere chisingawanzoitiki. Zvisinei, zviratidzo zvikuru zvacho ianemia yekushaikwa kwesimbi, kuoma kumedza (dysphagia), uye dumbu remudumbu . Kana uchineta nguva dzose, kuoma kumedza, kana kurwadziwa nerurimi, zvakakosha kuti uone chiremba pane kuzviramba sezvinhu zvakajairika.

Kune mishonga yakanaka yekurapa PVS. Kazhinji, zviratidzo zvakawanda zvinovandudzika kana dambudziko rekushomeka kwesimbi ragadziriswa uye gumbo remudumbu rava kuvhurika kana zvichidikanwa.

Kunyangwe tichitaura nezvengozi yekubatwa negomarara, yeuka kuti inongova njodzi chete. Kana ukataura nachiremba wako, ukaongororwa zvinodiwa, uye ukatora kurapwa kwakakodzera, unogona kuramba uine hutano hwakanaka. Saka usatya chero chinhu, uye kana uine dambudziko, tsvaga rubatsiro rwechiremba nekukasika. Hutano hwako hunokosha zvikuru kwauri!

Chirwere chePlummer -Vinson, PVS, kushomeka kwesimbi, dysphagia, kuoma kumedza, mitsipa yeropa yegurokuro, anemia