Fungidzira kuti pombi yemvura mumba mako yakavharwa nechimwe chinhu. Ipapo mvura haifambi zvakanaka yobva yanamira panzvimbo imwe chete, zvichikonzera dambudziko guru. Ndizvo zvinoitika mukati memiviri yedu panguva ye "Sickle Cell Crisis". Ichi chiitiko chinorwadza zvikuru. Saka ngatitaurei nezvazvo zvakajeka nhasi.
Chii chinonzi chirwere ichi chesickle cell ( SCD ) uye 'dambudziko'?
Zvichitaurwa zviri nyore, ropa redu rine rudzi rwesero rinonzi
masero matsvuku eropa . Mumunhu ane hutano, masero aya akatenderera uye anochinjika. Akaita semabhora madiki. Izvi zvinoabvumira kufamba nepakati petsinga diki dzeropa mumuviri pasina chipingamupinyi uye kutakura okisijeni kunhengo dzese dzemuviri. Zvisinei, mumunhu ane
Sickle Cell Disease (SCD) , mamwe masero matsvuku eropa akaumbwa zvakasiyana. Haana kutenderera, asi
akakombama kuita chimiro cheC . Zvakare, masero aya akaomarara uye anonamira. Saka, kana masero aya akaita sejeko achifamba nepakati petsinga diki dzeropa idzodzo, anowanzo namatira panzvimbo imwe chete.
Kungofanana nemvura iri mupombi yataurwa pamusoro apa inonamira, masero aya anobatanawo pamwe chete omisa zvachose kufamba kweropa mutsinga dzeropa.
Kana ropa rikamira kufamba nenzira iyi, nhengo dzemuviri dzinodyiswa negwara iroro hadzigamuchire okisijeni inodiwa. Izvi zvinonzi
(Hypoxia) mune zvesainzi yekurapa. Kushaikwa kweokisijeni uku kunokonzera kurwadziwa kusingatsungiririki, kwakanyanya. Ndizvo zvatinodaidza kuti
"Sickle Cell Crisis" . Kurwadziwa uku kunogona kugara kubva pamaawa mashoma kusvika kumavhiki mashoma. Kunyanya nekuda kwekuvharika kwetsinga diki dzeropa muchipfuva, chirwere chakakomba chinonzi
(Acute Chest Syndrome) chinogona kuitika. Izvi zvinokanganisa vanopfuura 50% yevarwere vane sickle cell.
Ndezvipi zviratidzo zve 'sickle cell crisis'?
Mumamiriro ezvinhu aya, munhu wega wega anogona kuratidza zviratidzo zvakasiyana. Asi pane zvimwe zviratidzo zvakajairika. Ngatizvitarisei patafura.
| Chiratidzo | Tsananguro nezvazvo |
|---|
| Kurwadziwa kusingatsungiririki | Ichi ndicho chiratidzo chikuru uye chinowanzoonekwa. Marwadzo anogona kungoerekana aitika uye anogona kunge asina kusimba, achibaya, achidzvanya, kana kuti akapinza. Anowanzoonekwa mumaoko nemakumbo, mudumbu, pachipfuva, uye pasi pemusana. Muvana vadiki, kurwadziwa kunogona kunge kwakanyanya muzvanza zvemaoko netsoka. |
| Kuoma kufema | Kushaya mweya, pamwe nekurwadziwa muchipfuva, kunogona kuitika. Ichi chiratidzo chakakomba. |
| Kuneta/kuneta zvakanyanya | Unganzwa usina hupenyu uye wakaneta zvakanyanya. |
| Kutsvuka kweganda (Jaundice) | Machena emaziso neganda anogona kuita yero. |
| Zvimwe zvinhu | Kunzwa dzungu, musoro, kuoma kufambisa dzimwe nhengo dzemuviri, uye kurwadziwa kwenhengo dzemuviri kuvarume kunogona kuitika. |
Pane zvikonzero chaizvo zve 'dambudziko' iri here?
Kazhinji zvakaoma kuziva chikonzero chaicho chechirwere ichi, asi zvimwe zvinhu zvinowanzokonzera izvi zvakawanikwa zvinogona kukonzera chirwere ichi.
- Kushaya mvura yakakwana mumuviri : Kusanwa mvura yakakwana.
- Kuchinja kwetembiricha: Kuenda kunzvimbo ine shanduko yetembiricha kamwe kamwe. Semuenzaniso, kubva muimba ine mhepo inotonhorera zvakanaka kusvika pakungoerekana wabuda kunze muzuva rinopisa.
- Utachiona: Kunyangwe hutachiona hudiki hwakaita sedzihwa hunogona kukonzera izvi.
- Kushushikana: Kushushikana zvakanyanya ndicho chikonzero chikuru.
- Kukwira makomo: Kuenda kunzvimbo dzakakwirira zvikuru, dzakadai semakomo, uko kusina mweya wakawanda.
Unofanira kuitei kana pakaitika dambudziko? Mishonga yacho ndeipi?
Kana uine chirwere ichi,
Chinhu chinonyanya kukosha kutaura nachiremba wako wobva waronga nzira yekurapa nayo kana paine dambudziko. Zvinhu zvaunogona kuita kumba
Kana kurwadziwa kwangotanga, pane zvinhu zvakawanda zvaunogona kuita kumba.- Inwa mvura yakawanda: Zvakakosha kuti muviri wako ugare uine mvura yakakwana.
- Mishonga Inoderedza Kurwadziwa: Unogona kutora mishonga inorwadza yakafanana neParacetamol kana Ibuprofen . Asi bvunza chiremba wako kuti ndeupi mushonga wakakunakira. Semuenzaniso, kana uine matambudziko eitsvo, Paracetamol ingangove yakakodzera.
- Dzimwe nzira: Kuisa bhodhoro remvura inopisa, kugeza nemvura inopisa, uye kukwiza zvinyoro nyoro kunogona kubatsira kuderedza marwadzo.
- Hutano hwepfungwa: Dzikama mupfungwa dzako uchishandisa nzira dzakadai sekufungisisa. Tsvaga rutsigiro kubva kumhuri neshamwari.
Kurapwa
Kune mishonga yakati wandei inokurudzirwa navanachiremba kudzivirira uye kugadzirisa 'dambudziko' iri.- Hydroxyurea : Mushonga uyu unoderedza kuumbwa kwemasero matsvuku eropa akaita sejeko, izvo zvinoderedza kuwanda kwe'matambudziko' anorwadza.
- Upfu hweL-glutamine (Endari): Izvi zvinobatsirawo kudzivirira 'dambudziko' uye kuderedza kudiwa kwekuiswa muchipatara.
- Crizanlizumab-tmca (Adakveo): Mushonga uyu unomisa masero eropa kuti asanamatirane pamwe chete uye kudzivirira mitsipa yeropa.
- Ruzivo rwakakosha: Mushonga unonzi Voxelotor (Oxbryta) waimboshandiswa pachinangwa ichi. Zvisinei, nekuda kwekusachengetedzwa kwemushonga, wakabviswa pamusika munaGunyana 2024. Kana uri kutora mushonga uyu parizvino, zvakakosha kuti ukurukure nachiremba wako nekukasika wobva wachinja kuenda kune imwe nzira yakakodzera yekurapa.
Kana kurapwa kumba kusingadzore marwadzo, enda kuchipatara nekukurumidza. Ikoko uchapihwa mishonga yakasimba yekurwadziwa kwemusoro. Ungangoda kugara muchipatara kwemazuva mashoma kusvika marwadzo apera.
Ko 'dambudziko' rinogona kudzivirirwa here?
Kunyange zvazvo zvisingabviri kumisa zvachose, pane zvakawanda zvaunogona kuita kuti uderedze njodzi ye "dambudziko" . Kuchinja mararamiro emunhu:
- Zvidzivirire kubva kuchando:Dzivisa kugeza kana kushambira mumvura inotonhora. Pfeka mbatya dzinodziya mumazuva anotonhora uye paunenge uchienda kunzvimbo dzine AC.
- Inwa mvura yakawanda: Inwa mvura yakawanda zuva rese.
- Deredza doro: Deredza kunwa doro zvakanyanya sezvinobvira.
- Kufamba nendege: Kana uchifamba, famba nendege dzekutengeserana chete dzine kabhini ine pressure.
- Dzora kushushikana: Tsvaga nzira dzekuchengetedza pfungwa dzako dzakasununguka.
Kuti urambe uine hutano hwakanaka,
- Usanyanya kurwara: Usanyanya kurwara nevanhu vanorwara. Geza maoko ako nguva nenguva.
- Dzivisa kusvuta.
- Kurovedza muviri: Kurovedza muviri zvishoma kwakanaka, asi dzivisa maekisesaizi anorema zvakanyanya (sekurovedza muviri zvakanyanya). Inwa mvura yakawanda paunenge uchirovedza muviri.
- Dzora zvimwe zvirwere: Kana uine zvimwe zvirwere, zvakaita sechirwere cheshuga, zvidzore zvakanaka zvichienderana nemirairo yachiremba wako.
- Baiwa majekiseni: Wana majekiseni ese anodiwa nenguva.
- Kubata pamuviri: Kana uine pamuviri kana kuti uchironga kubata pamuviri, tsvaga rubatsiro rwechiremba nekukasika.
Mharidzo Yekuenda Nayo Kumba
- Dambudziko reSickle cell chirwere chinorwadza zvikuru chinokonzerwa nemasero matsvuku eropa akaita sesickle anovhara mitsipa midiki yeropa, zvichikonzera kushaya okisijeni.
- Zviratidzo zvikuru kutanga kamwe kamwe kwekurwadziwa kwakanyanya, kuoma kufema, uye kuneta kwakanyanya.
- Dambudziko iri rinogona kukonzerwa nezvinhu zvakaita sekushaya mvura mumuviri, hutachiona, kushushikana, uye kuchinja kwekushisa.
- Gara uchitevedzera hurongwa hwekurapa hwachiremba wako. Kana marwadzo asingagone kudzorwa uri kumba, enda kuchipatara cheEmergency Department (ETU) nekukasika.
- Njodzi ye "dambudziko" inogona kuderedzwa nekunwa mvura yakawanda nguva dzose, kuzvidzivirira kubva kuchando, uye kuchengetedza mararamiro ane hutano.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga