Mwana wenyu ane zviratidzo izvi here? Ngatizivei nezveReye's Syndrome!

Wakamboona here kuti mwana wako ane fivha kana dzihwa, uye kamwe kamwe maitiro ake anochinja, achirutsa kakawanda, kana kuti achitanga kurara zvakanyanya? Kana ukaona shanduko dzakadaro, usadziregerere sezvakajairika. Nekuti, zvinogona kunge zviri chiratidzo chechirwere chisingawanzoitiki asi chinogona kuva nengozi chinonzi "Reye's Syndrome." Ngatitaurei nezvazvo nhasi.

Chii chinonzi Reye's Syndrome?

Zvichitaurwa zviri nyore, Reye's Syndrome chirwere chisingawanzoitiki asi chinogona kunge chakakomba. Chinoitika kana uropi hwemwana hukazvimba uye kushanda kwechiropa kukangoerekana kwamira mushure mehutachiona hwehutachiona, kazhinji dzihwa, furuu, kana chikosoro. Chirwere ichi chinowanzoonekwa kana vana vakapihwa aspirin kudzora zviratidzo zvehutachiona hwehutachiona. Zviratidzo izvi zvinogona kuonekwa mukati mevhiki imwe chete kubva pakutanga kwehutachiona hwehutachiona.

Ndiani anonyanya kukonzera Reye's Syndrome?

Ichi chirwere chinonyanya kuonekwa sechirwere chevana. Zvisinei, chinogona kuitika chero pazera ripi zvaro. Zvisinei, chinowanzoonekwa kuvana vari pasi pemakore gumi nemasere. Chirwere ichi chinowanzoonekwa kunyanya munguva yematsutso neyechando (munyika medu, munguva yemvura, apo zvirwere zvemavhairasi zvawanda).

Mamiriro ezvinhu aya akajairika zvakadii?

Kutaura zvazviri, chirwere cheReye's Syndrome chave chinhu chisingawanzoitiki. Semuenzaniso, muUnited States, vanhu vaviri chete ndivo vanobatwa nechirwere ichi gore rega rega.

Chikonzero chikuru cheizvi ndechekuti vanhu vava kuziva zvakawanda nezvechirwere ichi. Zvikuru sei, vabereki vazhinji vanoziva kuti hazvina kunaka kupa mwana aspirin yekurapa zviratidzo kana aine fivha. Uyewo, majekiseni ekudzivirira zvirwere zvemavhairasi zvakaita sefuruwenza negomarara akaderedza kuwanda kwechirwere ichi.

Chirwere cheReye chinokanganisa sei muviri wemwana?

Mushure mekubatwa nehutachiona, hwakadai sechikosoro kana chikosoro, mwana wako anogona kutanga kuratidza zviratidzo zvitsva mukati memazuva mashoma (zvichida vhiki imwe chete). Chinhu chakakosha chekurangarira ndechekuti usambofa wakapa mwana wako aspirin yezviratidzo zvake usina kupiwa mazano nachiremba. Kuita izvi kunogona kuwedzera njodzi yeReye's Syndrome.

Reye's Syndrome inokonzera kuwedzera kamwe kamwe kwekumanikidzwa muuropi hwemwana, izvo zvinogona kutungamira mukuchinja kamwe kamwe kwemaitiro nehunhu. Fungidzira mwana wako achitamba, anofara achingoerekana arasikirwa nehanya nematoyi ake aanofarira, kana kuti achikurumidza kugumbuka kana kutsamwa nezvinhu zvinoita sezvisina basa. Kuchinja uku kwemanzwiro kunogona kuva zviratidzo zvekutanga zveReye's Syndrome. Kana ukaona zviratidzo izvi nekukurumidza, unogona kutanga kurapwa nekukurumidza uye kubatsira mwana wako kupora.

Ndezvipi zviratidzo zveReye's Syndrome?

Zviratidzo zvinogona kusiyana kubva pamunhu nemunhu, uye zvinosiyanawo zvichienderana nekuoma kwechirwere. Zviratidzo zvekutanga ndezvehutachiona hunowanzoonekwa. Kureva dzihwa, pahuro, fivha, kana chickenpox. Mushure memazuva mashanu kusvika manomwe ezviratidzo zvehutachiona uhu, zviratidzo zvine chekuita neReye's Syndrome zvinotanga kuoneka. Izvi ndeizvi:

• Kurutsa kakawanda.
• Kunzwa kuneta zvakanyanya uye hope .
• Zvinhu zvakaita sekuzvidya mwoyo, kurasikirwa nendangariro, kuvhiringidzika, uye kuona zvinhu zvisipo .
• Kuchinja kwemaitiro: kuoma musoro, hasha dzinokurumidza, kupopotedzana.
• Kufema nekukurumidza.

Kuchinja uku mukushanda kwehuropi kunoitika nekuda kwekumanikidzwa kwakawedzerwa mukati medehenya (`(Intracranial pressure)`). Panguva imwe chete, kushanda kwechiropa kunokanganiswawo. Kana chirwere chikawedzera, unogona kuonawo zviratidzo zvakaita se:

• Kubatwa nepfari.
• Kushaya kuziva, kwakafanana nekurara hope huru.
• Kurasikirwa zvachose kwekuziva.
• Matambudziko ekugwamba kweropa.
• Kuwedzera kwehuwandu hweammonia muropa.

Zvakakosha: Kana mwana wako akaratidza chimwe chezviratidzo izvi, kungava panguva yefivha inotapukira kana mazuva mashoma fivha yapera, unofanira kutsvaga rubatsiro rwechiremba nekukasika, sezvo izvi zvinogona kuisa upenyu panjodzi.

Chii chinokonzera Reye's Syndrome?

Kutaura zvazviri, chikonzero chaicho cheReye's Syndrome hachisati chawanikwa.

Zvisinei, chirwere ichi chinowanzo kukonzerwa nekupa aspirin kana salicylates kumwana ane hutachiona hwehutachiona (hwakadai sefuruu kana chickenpox) kudzora zviratidzo. Zvimwe hutachiona hwehutachiona hunogona kukonzera Reye's Syndrome zvinosanganisira:

• Furuu
• Chikeni pokisi
• Utachiona hwekufema
• Dzihwa

Zviratidzo zveReye's Syndrome zvinokonzerwa nekuungana kwemvura mumuviri kana kuwedzera kwekumanikidzwa kweuropi (cerebral edema) uye kuchinja kwechiropa.

Dzimwe ongororo dzinoratidza kuti chirwere ichi muchiropa chinoitika nekuda kwekukuvadzwa kwe mitochondria (`(Mitochondria)`) mumasero. Mitochondria (`(Mitochondria)`), muchidimbu, ndiwo mafekitori madiki anopa simba kumasero edu. Kana izvi zvakuvadzwa, mashandiro echiropa anokanganiswa uye zviratidzo zvinoonekwa. Zvisinei, hazvisati zvanyatsojeka kuti sei mitochondria iyi (`(Mitochondria)`) yakakuvadzwa.

Aspirin Inokonzera Reye's Syndrome Here?

Ongororo dzakaratidza kuti aspirin kana chinhu chinonzi salicylate chinogona kukonzera Reye's Syndrome uye kuwedzera kuoma kwezviratidzo. Zvisinei, sezvambotaurwa, chikonzero chaicho chichiri chakavanzika. Saka, iva nechokwadi chekutaura nachiremba usati wapa mwana wako aspirin kana aine chirwere chehutachiona sefuruu. Verenga zvakanyorwa pamushonga chero upi zvawo waunopa mwana nokungwarira, uchiva nechokwadi chekuti unoenderana nezera rake uye kuti ungaupa sei. Bvunza chiremba wako kana uine mibvunzo.

Mashandiro anoita Reye's Syndrome mumuviri (Pathophysiology)

Ruzivo rwakazara (`(Pathophysiology)`) rwekuti chirwere ichi chinoshanda sei mumuviri wemwana harusati rwanyatsonzwisiswa.

Zvisinei, zvidzidzo zvinoratidza kuti chirwere ichi chinokura kana masero e mitochondria (`(Mitochondria)`) akakuvara akabatana nehutachiona hwehutachiona. Kana aspirin ikapinda mumuviri wemwana panguva ino, kukuvara kwe mitochondria (`(Mitochondria)`) kunowedzera uye zviratidzo zvinowedzera kuipa. Nekuda kwe mitochondria yakakuvara (`(Mitochondria)`), huwandu hwe ammonia muropa hunowedzera. Ipapo uropi hunotanga kuzvimba (`(Cerebral edema uye intracranial pressure)`). Kana kumanikidzwa kweuropi kwakawedzera zvakanyanya, mafuta ari muitsvo anotanga kukuvara (`(Fatty degeneration)`), uye mashandiro emasero etsinga (`(Neurons)`) anodererawo.

Reye's Syndrome inoonekwa sei? (Kuongororwa)

Vanachiremba vanogona kufungira Reye's Syndrome kana mwana aine hutachiona hwehutachiona obva aratidza zviratidzo zvinoenderana neReye's Syndrome, zvakaita sekurutsa uye kuchinja maitiro (sekuvhiringidzika, kuvhiringidzika). Vachazobva vaita bvunzo dzakasiyana-siyana kuti vaone kana paine zvimwe zvirwere zvinogona kukonzera zviratidzo zvakafanana.

Kana mwana wako akaonekwa kuti ane Reye's Syndrome, ichaiswa muzvikamu zvichienderana nekuoma kwayo. Matanho aya akanyorwa nenhamba dzechiRoma kubva paI (imwe - yakanyanya kuoma) kusvika paV (shanu - yakanyanya kuoma).

Ndezvipi zviedzo zvinoshandiswa kuongorora chirwere ichi?

Chiremba anogona kuita bvunzo dzinoverengeka kuti asimbise chirwere chacho. Idzi dzinosanganisira:

• Kuongororwa kweropa: Tarisa huwandu hweammonia muropa uye tarisa chepfu iri muweti.
• Kuongororwa kwemifananidzo: Kuongororwa kweuropi neMRI kana CT.
• Kuongororwa kwechiropa: Kutorwa kwechidimbu chidiki chechiropa kuti chiongororwe.
• Kubata kwemusana: Kuongorora mvura yakakomberedza uropi nemusana (cerebrospinal fluid).

Ko Reye's Syndrome inogona kuongororwa zvisizvo here?

Nekuti zviratidzo zveReye's Syndrome zvakafanana nezvezvimwe zvirwere zvakawanda, dzimwe nguva zvinogona kuongororwa zvisizvo. Zvisinei, izvi hazviwanzoitika. Mamwe ematambudziko anogona kuongororwa zvisizvo anosanganisira:

• Encephalitis (fivha yeuropi)
• Meningitis (`(Meningitis)`)
• Chirwere cheshuga (`(Chirwere cheshuga)`)
• Kunyanyisa kushandisa zvinodhaka
• Chepfu (`(Chepfu)`)
• Chirwere chekufa kwevacheche kamwe kamwe (`(chirwere chekufa kwevacheche kamwe kamwe)`)
• Kurwara kwepfungwa

Reye's Syndrome inorapwa sei?

Chinangwa chikuru chekurapa ndechekudzivirira uropi hwemwana. Izvi zvinoreva kuderedza kuzvimba kweuropi, kugadzirisa kukuvara kwechiropa uye maitiro ekugadzirisa muviri (`(Kukuvara kweMetabolic)`), uye kudzivirira matambudziko emapapu. Kurapa kunogona kusanganisira zvinotevera:

• Kuti kufema kuve nyore, isa chubhu mupaipi yemhepo (endotracheal intubation) kana kuibatanidza nemuchina wekufema.
• Kuchengeta musoro wemwana wakasimudzwa.
• Kupa mishonga yekuderedza huwandu hweammonia muropa (`(Ammonia detoxicants)`).
• Kupa mushonga wekudzora shuga muropa (`(Glucose)`).
• Ipa vhitamini K kana plasma kuti ropa riite kuti riwedzere kugwinha.

Kana mwana wako akaonekwa aine Reye's Syndrome, achaendeswa kuIntensive Care Unit (ICU) nekukasika uye kurapwa kuchatanga. Chikwata chevanachiremba chichagara chichitarisa zvese, kusanganisira tembiricha yemuviri wemwana uye mashandiro enhengo dzake, kuti vaone kana kurapwa kwacho kuchibudirira.

Pane migumisiro yakaipa here yekurapwa kwacho?

Vana vazhinji vanoonekwa vaine Reye's Syndrome vanopora zvachose. Zvisinei, kana kuzvimba kweuropi hwemwana kwakanyanya, mimwe migumisiro inogona kuitika. Izvi zvinosanganisira:

• Kurasikirwa nendangariro (`(Kurasikirwa nendangariro)`)
• Matambudziko ekudzidza (`(Kuomerwa nekudzidza)`)
• Kurasikirwa nekuona nekunzwa
• Dambudziko nekutaura nemutauro
• Kuomerwa nekufambisa muviri nekuita mabasa ezuva nezuva, akadai sekupfeka.

Muzviitiko zvakaita seizvi, mwana anoda rutsigiro rwakakosha uye kutarisirwa sezvaanokura.

Mwana achakurumidza sei kupora mushure mekurapwa?

Mushure mekurapwa, kana kuzvimba kweuropi hwemwana wenyu kwadzikira, anotanga kupora. Zvinogona kutora mazuva mashoma kusvika mavhiki mashoma kuti mwana wenyu apore zvakakwana kuti abude muchipatara. Chikwata chevanachiremba chichagara chichikuzivisai nezvekufambira mberi kwemwana wenyu.

Chii chandingatarisira kana mwana wangu aine Reye's Syndrome?

Kufanotaura kuti mwana acharwara kunoenderana nekuoma kwechirwere, kunyanya kuzvimba kweuropi uye huwandu hweammonia muropa. Kana chirwere chikawedzera nekukurumidza uye mwana akawira mukoma, mikana yekupora ishoma. Zvisinei, kana chirwere chikaonekwa uye chikarapwa nekukurumidza, mikana yekupora yakanyanya.

Huwandu hwevana vanofa neReye's Syndrome hunosvika 21%. Izvi zvinobva pavana vari pasi pe2% vane chirwere chedanho rekutanga (chishoma) kusvika pa80% yevana vane danho rechitatu (coma). Kuzivikanwa nekukurumidza uye kurapwa kunowedzera mikana yekupona.

Vana vanowana zviratidzo zvakakomba zveReye's Syndrome vanogona kuva nemigumisiro inogara kwenguva refu. Semuenzaniso, kukuvara kweuropi, matambudziko ekukura kwepfungwa, pfari, kushaya simba kwetsandanyama, uye matambudziko etsinga.

Pane mushonga chaiwo weReye's Syndrome here?

Hapana mushonga chaiwo weizvi. Zvisinei, vana vazhinji vanopora zvachose, zvichienderana nekuongororwa kwavakaitwa. Kurapa kwacho kunovavarira kuderedza zviratidzo uye kudzivirira matambudziko asingaperi kana rufu.

Nzira yekudzivirira Reye's Syndrome?

Ichi ndicho chinhu chakakosha chatinofanira kuziva tese. Sezvo paine hukama huripo pakati peaspirin neReye's Syndrome, chirwere ichi chinogona kudzivirirwa nekudzivisa kupa aspirin kuvana, kunyanya vana vari pasi pemakore gumi nematanhatu. Kana mwana wako achida aspirin yekurapa chirwere, usambomupa aspirin usina kutaura nachiremba nezvazvo.

Gara uchiverenga zviri papepa racho nokungwarira usati wapa mwana mushonga, tarisa kuti mushonga wacho unoenderana nezera rake here, uye tarisa mirairo yekuti ungaupa sei. Kana usina chokwadi, bvunza chiremba wako kana wemishonga.

Ndinofanira kuona chiremba rini?

Kana mwana wako akaratidza zviratidzo zveReye's Syndrome mushure mekurwara nefivha kana hutachiona, kana kuti kana wakapa mwana wako aspirin kana mushonga une salicylate usina kupiwa mazano nachiremba, enda kuna chiremba nekukasika.

Ndinofanira kuenda kuDhipatimendi reEmergency (ETU) riini?

Kana mwana wako aine pfari (`(Seizures)`), zvinoreva kuti anorasikirwa nepfungwa kwenguva pfupi, anozunza maoko nemakumbo asingadzoreki, anovhunduka, kana kuratidza zviratidzo zvekuvhiringidzika, fonera 911 nekukasika, kana kuti endesa mwana wako kukamuri rekukurumidzira riri pedyo. pfari dzinowanzo tora masekondi makumi matatu kusvika kumaminitsi maviri.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

• Mwana wangu anogona here kuva nezviratidzo zveReye's Syndrome mushure mekubuda muchipatara?
• Kuongororwa kweReye's Syndrome kuchakanganisa sei ramangwana remwana wangu?
• Mishonga ipi yandisingafaniri kupa mwana wangu kana achirwara?

Dosi imwe chete yePepto-Bismol® inogona kukonzera Reye's Syndrome here?

Pepto-Bismol® inewo chinhu chinonzi salicylate, chakafanana neaspirin. Saka, hazvikurudzirwi kuipa vana pasina kurairwa nachiremba. Kupa aspirin panguva yehutachiona hwakaita sefuruwenza kunogona kukonzera zviratidzo zveReye's Syndrome. Zvisinei, sezvambotaurwa, chikonzero chaicho cheReye's Syndrome hachisati chazivikanwa. Gara uchiverenga zviri papepa kana kubvunza wemishonga kana chiremba usati wapa mwana mushonga.

Pakupedzisira, meseji inonyanya kukosha

Kana uchiziva zviratidzo zveReye's Syndrome uye ukaona shanduko mumaitiro emwana wako kana zviratidzo zvitsva mushure mehutachiona hwehutachiona, zvakanaka kuona chiremba nekukurumidza. Ramba uchiziva nezvemajekiseni aanopiwa. Izvi zvinonyanya kukosha panguva iyo hutachiona hwehutachiona hunowanzoitika (senge mwaka wemvura). Kana mwana wako akaonekwa aine Reye's Syndrome, timu yako yezvekurapa ichakuzivisa nezvehutano hwemwana wako uye ichakupa rutsigiro rwakakodzera. Chinhu chakakosha kugara wakadzikama uye kuita nekuchenjera.

Reye 's syndrome, aspirin, zvirwere zvevana, fivha yemavhairasi, chirwere chechiropa, kuzvimba kweuropi, kurutsa