Ungave wakambonzwa nezveSickle Cell Disease . Zvichitaurwa zviri nyore, chirwere chinokanganisa mashandiro anoita muviri wedu masero matsvuku eropa . Unoziva, aya masero matsvuku eropa ndiwo anotakura okisijeni mumiviri yedu yese. Kazhinji, masero aya anenge akati sandara, akatenderera, uye anochinjika. Asi munhu ane chirwere chesickle cell anowana masero matsvuku eropa akaomarara, akaita sesickle. Saka, chimiro ichi chisina kujairika chinogona kutungamira kumatambudziko akawanda ehutano, kana kuti ' matambudziko '. Asi usazvidya mwoyo, chiremba wako anogona kubatsira kurapa akawanda ematambudziko aya, uye kutodzivirira mamwe acho. Ngatitaurei nezvechimwe nechimwe.
Marwadzo - dambudziko rinowanzoitika
Dambudziko rinowanzo itika uye rinonetsa rechirwere chesickle cell marwadzo . Izvi zvinokonzerwa nekuti masero akaita sejeko anonamira mutsinga diki dzeropa . Funga nezvezvinoitika kana mota hombe yanamira mumugwagwa wakamanikana. Ndizvo zvinoitika kana masero aya akavhara tsinga dzeropa.
Kurwadziwa uku kunogona kuitika kumusana wepazasi, makumbo, maoko, dumbu, kana pachipfuva. Kunogona kuitika kamwe kamwe sechirwere chakakomba (dambudziko kana chiitiko). Muvanhu vadiki nevakuru, dzimwe nguva kunogona kuva kurwadziwa kwenguva refu.
Kazhinji, kana uine kurwadziwa kwakadai, unogona kuwana zororo nemishonga inoderedza marwadzo yakaita seParacetamol kana Ibuprofen . Asi yeuka, usape aspirin kune chero munhu ari pasi pemakore gumi nemapfumbamwe. Dzimwe nguva, kana kurwadziwa kwacho kwakanyanya, chiremba anogona kunyora mushonga une simba wekuderedza marwadzo kubva kuboka reopioid. Vamwe vanhu vanotofanira kuendeswa kuchipatara kuti vanorapwa.
Chiremba wako anogona kukurudzira zvinotevera kudzivirira kana kuderedza kurwiswa uku kwemarwadzo:
- Inwa mvura yakawanda.
- Dzivisa kupisa kwakanyanya uye kutonhora zvakanyanya.
- Usapedza nguva yakawanda uri munzvimbo dzakakwirira, dzakadai senzvimbo dzine makomo.
- Mushonga unonzi Hydroxyurea unobatsira kuderedza kuwanda kwekurwadziwa uku kuvana nevakuru.
Kushaya ropa
Iri ndiro rimwe dambudziko rinowanzoitika rechirwere chesickle cell. Apa ndipo panofa masero matsvuku eropa akaita sesickle nekukurumidza kupfuura masero akajairwa.Saka muviri haugone kugadzira masero matsva nekukurumidza kwaanofa. Nekuda kweizvozvo, huwandu hweokisijeni hunosvika kumasero emuviri hunoderera, uye unogona kunzwa kuneta zvakanyanya, kushaya simba, uye dzungu . Unogonawo kusangana nezvinhu zvakaita sekurova kwemoyo nekukurumidza uye kuoma kufema. Mumwana, anemia inogona kutokonzera kukura kwakanonoka.
Kana anemia yakanyanya, kuwedzerwa ropa kunogona kudiwa. Zvisinei, kuwedzerwa ropa nguva nenguva kunogona kukonzera kuti mazinga esimbi awedzere uye kukuvadza mwoyo, chiropa, nepancreas. Saka, chiremba wako achagara achiongorora mazinga esimbi yako kuti abatsire kudzora. Kune vakuru, mushonga weHydroxyurea unogona zvakare kubatsira neanemia.
| Dambudziko | Zviratidzo zvikuru | Zvekuita |
|---|---|---|
| Kubviswa kweSplenic | Marwadzo emudumbu ari kuruboshwe, kucheneruka, hope dzakanyanya, kurova kwemoyo nekukurumidza. | Iyi injodzi inouraya. Enda kuchipatara kuEmergency Department (ETU) nekukasika. |
| Chirwere Chechipfuva Chakanyanya | Fivha, kuoma kufema, kurwadziwa pachipfuva, kukosora. | Ichi chirwere chakakombawo. Enda kuchipatara kuEmergency Treatment Unit (ETU) nekukasika. |
Utachiona nezvimwe zvinhu zvinokurumidzira
Kuwedzera kwekutapukirwa nezvirwere
Vanhu vane chirwere chesickle cell, kunyanya vana vadiki, vane mukana wekuwana hutachiona. Izvi zvinokonzerwa nekuti chirwere ichi chinokuvadza chiropa . Unoziva, chiropa inhengo inokosha inobvisa utachiona hwakaita semabhakitiriya muropa redu. Saka kana chikasashanda zvakanaka, hutachiona hunogona kupinda mumuviri zviri nyore.
Zvakakosha kuti upiwe mushonga wehutachiona hudiki husati hwanyanya kuipa. Kana iwe kana mwana wako muine fivha inodarika 38.3°C, ona chiremba kana kuti enda kuchipatara (ETU) nekukurumidza.
Kubviswa kweSplenic
Iyi injodzi inouraya, kunyanya kuvana vadiki. Izvi zvinoitika kana masero eropa akavharira ropa kuenda kune chiropa. Chiropa chinozvimba uye chinorwadza. Vamwe vana vanogona kunge vasina zviratidzo zvikuru. Zvisinei, vamwe vanogona kuona zviratidzo zvakaita sekushaya simba, ganda rakachenuruka nemiromo, hope dzakanyanya, kurwadziwa kuruboshwe rwedumbu, uye kurova kwemoyo nekukurumidza . Kana ukaona zviratidzo izvi, enda kuchipatara nekukasika .
Chirwere Chechipfuva Chakanyanya
Ichi chirwere chakakombawo. Apa ndipo panovharira chirwere chesickle cell mutsinga dzeropa mumapapu. Kana uine zviratidzo zvakaita sefivha , kuoma kufema, kurwadziwa pachipfuva, uye kukosora , enda kuchipatara nekukasika. Vanachiremba vanogona kukupa okisijeni, mishonga inorwisa mabhakitiriya, uye pamwe kuwedzerwa ropa.
Mamwe matambudziko enguva refu
Chirwere cheSickle cell chinogona kukonzera matambudziko akawanda nekufamba kwenguva.
- Kurasikirwa nemapfupa (Avascular Necrosis): Kana ropa richiyerera richienda kumapfundo makuru (senge muhudyu) parinochekwa, mapfupa anotanga kufa. Izvi zvinowanzoitika kuvanhu vadiki nevakuru. Mishonga inouraya marwadzo inogona kubatsira, asi vamwe vanhu vangada kuvhiyiwa.
- Kukuvadzwa kwenhengo dzemuviri: Matambudziko emaziso, mwoyo, itsvo, nechiropa ari panjodzi huru yekugwamba kweropa uye sitiroko. Ndosaka chiremba wako achigara achiongorora mashandiro enhengo idzi.
Kudyara Bone Morrow uye Kurapa Kwemazuva Ano
Kune avo vanowanzosangana nematambudziko akakomba, mushonga unonzi bone marrow transplant ungafungwa nezvawo. Izvi zvinosanganisira kutsiva masero e bone marrow anogadzira sickle-cell nemasero ane hutano. Izvi zvinogona kurapa chirwere chose.
Asi ichi hachisi chinhu chinogona kuitwa nemunhu wese. Unofanira kutsvaga munhu ane hutano hwakanaka anoenderana nenyama yako. Zvakare, kana uine matambudziko nenhengo dzakadai semwoyo kana itsvo, kuvhiyiwa uku kunogona kuva nengozi. Ungafanira kugara muchipatara kwenguva yakareba. Dzimwe nguva kurapwa uku kungasabudirira. Saka, mhuri inofanira kutaura nachiremba nokungwarira uye kusarudza kana kurapwa uku kwakakodzera kwavari.
Pamusoro pezvo, kune mishonga mitsva, yakaita seCrizanlizumab, inogona kubatsira kuderedza marwadzo. Bvunza chiremba wako nezvemishonga iyi zvakare.
Mharidzo Yekuenda Nayo Kumba
- Chirwere cheSickle cell chirwere chinokonzerwa nemajini chinochinja chimiro chemasero matsvuku eropa. Izvi zvinogona kukonzera matambudziko akakomba akadai sekurwadziwa, kupererwa neropa, uye kukuvara kwenhengo dzemuviri.
- Kana ukaona zviratidzo zvakaita sekurwadziwa, fivha, kuoma kufema, kana kucheneruka zvakanyanya, tsvaga rubatsiro rwechiremba nekukasika kana kuenda kuEmergency Treatment Unit (ETU) yechipatara.
- Matambudziko mazhinji anogona kudzorwa nekunwa mvura yakawanda, kuchengetedza mararamiro ane hutano, uye kutora mishonga (yakadai seHydroxyurea) sezvakarairwa nachiremba wako.
- Kune vana, zvakakosha zvikuru kudzivirira hutachiona nekuwana majekiseni ese nenguva uye kuvapa mishonga inorwisa mabhakitiriya zuva nezuva.
- Kana muine mibvunzo kana zvinokunetsai nezvechirwere chenyu kana chemwana wenyu, garai muchikurukura nachiremba wenyu. Munogona kurarama nechirwere ichi musingatyi, nekuziviswa.
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