💬 Chii chinonzi Derced Skin Turgor?

Uku hakusi kukwegura kwakajairika! 'Decreased Skin Turgor' inoitika kana ganda riri kumashure kweruoko rwako (ruoko rwekumashure) kana padumbu (pinch test) risingadzokeri pakare ipapo, asi panzvimbo pezvo 'tende' kwemasekondi/maminitsi mashoma (chiratidzo chetende / tende reganda) uye idambudziko rehutano rine njodzi! Izvi zvinoreva kuti mvura yemuviri wemurwere inenge yapera 100% (Severe Dehydration).

💬 Ndezvipi zvikonzero zvikuru zvinoita kuti ganda remunhu risanyanya kusimba/kudonha (Decreased Turgor)?

Chikonzero chikuru uye chega cheizvi pasi rose ndechekuti marita emvura mumuviri anongoerekana abuda uye 'Kushaya mvura mumuviri zvakanyanya' kunoitika! 1) 'Kurwara kweManyoka (Severe Diarrhea/Cholera-like)' kusingatsungiririki uye kurutsa kunoramba kuripo (Kurutsa). 2) Varwere vane chirwere cheshuga vane huwandu hweshuga hwe500-600 uye vanoita weti zuva rese (DKA / Hyperosmolar state). 3) Kudikitira nekuda kwekupisa kwakanyanya (Heat stroke). 4) Vanhu vakwegura vanokanganwa/havagoni kunwa mvura.

💬 Sei murwere ane turgor yakaderera asi asina kupora mushure mekudhonzwa nekuburitswa achifanira kuendeswa kuchipatara nekukasika, pane kupa ORS kumba?

Kuisa ganda mutende seizvi zvinoreva kuti zvisinei nekuti unonwa mvura/mvura yakawanda sei kumba, hazvina basa! Njodzi huru uye inouraya zvikuru! Pamwe chete nezviratidzo izvi, 1) 'Kuvhiringidzika/Kuneta', 2) Kusaita weti zuva rese/weti inoshanduka kuita yero yakasviba (Oliguria-kukundikana kweitsvo!), 3) Kurova kwemoyo nekukurumidza (Kurova kwemoyo nekukurumidza >120), murwere anogona kupinda mukoma (Hypovolemic shock) mukati memaawa mashoma, uye unofanira kuendeswa kuchipatara nekukurumidza wopiwa mvura yemuchina!

Rurimi rwemwana wako rutsvuku sestrawberry here? (Rurimi rweStrawberry)…

Zvingatyisa zvishoma kana ukatarisa mugirazi rimwe zuva ukaona kuti rurimi rwako, kana rurimi rwemwana wako, rwakatsvuka kupfuura zvakajairika, ruine maronda madiki aitaridzika sembeu dziri pamusoro pestrawberry. Mukurapa, iyi ndiyo yatinodaidza kuti 'Strawberry Tongue'. Vamwe vanhu vanoidaidzawo kuti 'Raspberry Tongue' nekuda kwechitarisiko chayo. Kunyangwe zita iri ringakuyeuchidza nezvemuchero unonaka, chirwere ichi hachisi chinhu chakanaka. Asi usazvidya moyo. Nhasi, tichataura nezve zvekuita kana ukaona izvi uye zvinogona kunge zvichikonzera.

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Chii chinonzi 'Strawberry Language'?

Zvichitaurwa zviri nyore, rurimi rune hutano runowanzova ruvara rwepingi, uye rune mapundu madiki akanaka (papillae) pamusoro parwo. Asi kana ruri rurimi rwestrawberry, rurimi runoshanduka kuva rutsvuku, uye mapundu iwayo madiki anova nekuzvimba uye akakura, achitaridzika sembeu dzestrawberry.

Chinhu chakakosha ndechekuti, 'rurimi rwestrawberry' harusi chirwere. Chiratidzo chechimwe chirwere. Kungofanana nekuva nefivha. Fivha haisi chirwere, chiratidzo chehutachiona. Uye ndizvo zvazviriwo.

Saka, kana iwe kana mwana wako muine chimwe chezviratidzo izvi, zvakakosha kuti muone chiremba kuti muzive kuti chii chiri kukonzera izvi.

Ndezvipi zvikonzero zvikuru zve 'rurimi rwestrawberry'?

Kune zvirwere zvitatu zvikuru zvinogona kukonzera chiratidzo che 'rurimi rwestrawberry'. Izvi zvinoda kurapwa nekukasika.

1. Fivha tsvuku

2. Toxic Shock Syndrome (TSS)

3. Chirwere cheKawasaki

Kuwedzera kune izvi zvitatu zvikuru zvinokonzera, chiratidzo ichi chinogonawo kukonzerwa nezvimwe zvinhu zvisingawanzoitiki. Semuenzaniso, allergies kune zvimwe zvekudya kana mishonga, kushomeka kwevhitamini B12, uye zvimwe zvirwere zvisingawanzoitiki zvinotapukira (semuenzaniso Yersinia pseudotuberculosis, yellow fever). Zvisinei, zvikonzero zvitatu zvekutanga ndizvo zvinonyanya kuzivikanwa.

Ngatitarisei zvirwere zvitatu zvikuru izvi uye zvimwe zviratidzo zvavangave nazvo pamusoro pechiratidzo che'strawberry tongue' chiri patafura ino. Izvi zvichaita kuti zvive nyore kuti unzwisise mutsauko uripo pakati pezvirwere izvi.

Mamiriro	Zviratidzo Zvinoenderana
Fivha tsvuku	Mapundu matsvuku anoita sejecha paganda. Mitsetse mitsvuku inoonekwa mumapepa eganda, akadai semagokora nehapwa. Matonsi akazvimba uye pahuro panorwadza. Mavara matsvuku (petechiae) pamusoro pemuromo. Kupindwa nechando.
Chirwere chekuvhunduka kweganda (TSS)	Mapundu akanyanya anotaridzika sekupiswa nezuva. Kutsvuka kwemaziso nehuro. Kurutsa uye manyoka. Fivha yakakwira kamwe kamwe. Zviratidzo izvi zvinoonekwa nekukurumidza (mukati memaawa makumi mana nemasere).
Chirwere cheKawasaki	Maziso matsvuku kana matsvuku. Kurwadziwa muchipfuva, mudumbu, nemusana. Kuzvimba uye kutsvuka kwemaoko netsoka. Kubvisa ganda rakatenderedza minwe. Fivha yakanyanya inogara kwemazuva akati wandei.

Zvimwe zvishoma nezve scarlet fever

Utachiona uhwu hunokonzerwa nebhakitiriya rinonzi boka reA Streptococcus. Uhu ndihwo hunokonzera strep throat. Asi mu scarlet fever, bhakitiriya iyi inoburitsa chepfu. Chepfu iyoyo inokonzera maronda matsvuku uye 'rurimi rwestrawberry'. Kunyangwe chirwere ichi chichigona kubata chero ani zvake wezera ripi zvaro, chinonyanya kuitika kuvana vari pakati pemakore mashanu negumi nemashanu. Rurimi runogona kutanga rwachena, rwozotsvuka mukati memazuva mashoma.

Chirwere chekuvhunduka kweganda (TSS)

Ichi chirwere chisingawanzoitiki asi chakakomba. Chinokonzerwa nekukura kusingadzoreki kwebhakitiriya reStaphylococcus neStreptococcus uye chepfu yavanoburitsa inopinda mumuviri. Vanhu vazhinji vanofunga kuti ichi chinhu chinongoitika kuvakadzi chete kana vachishandisa ma tampons, asi izvi hazvisi zvechokwadi. Munhu wese, zvisinei nekuti murume kana mukadzi, anogona kuwana chirwere ichi. Sezvo zviratidzo zveTSS zvichionekwa nekukurumidza, kana uine zviratidzo izvi, unofanira kuenda kuchipatara (ETU) nekukurumidza.

Chirwere cheKawasaki

Ichi chirwere chisingawanzoitiki. Chinokonzerwa nekuzvimba kwetsinga dzeropa mumuviri. Kana chikarapwa zvakanaka, tsinga dzinopa ropa kumoyo (coronary arteries) dzinogona kukuvara. Chikonzero chaicho cheizvi hachisati chazivikanwa. Zvisinei, chinowanzoitika kuvana vadiki vari pakati pemwedzi mitanhatu nemakore mashanu. Saka, kana mwana mudiki aine rurimi rwakaita sestrawberry uye zviratidzo zvataurwa pamusoro apa pamwe nefivha, vanachiremba vanofungira zvakanyanya.

Saka unobata sei izvi?

Sezvo 'rurimi rwestrawberry' rwuri chiratidzo, kurapwa kwacho kwakanangana nechirwere chakakonzera chirwere ichi. Kana chirwere ichocho chapera, rurimi ruchadzokera pakuva rwakajairika.

Mishonga inorwisa mabhakitiriya: Pazvirwere zvebhakitiriya zvakaita se scarlet fever neTSS, chiremba wako achakupa mishonga inorwisa mabhakitiriya. Kurapwa kwemazuva angangoita gumi kunowanzo dikanwa.
Immune globulin (IVIG): Kurapa uku kunopihwa netsinga (IV) kumwana ane chirwere cheKawasaki ari muchipatara. Kunodzora kuzvimba kunokonzera zviratidzo.
Mishonga yekudzivirira kurwara: Kana chiratidzo chacho chichikonzerwa ne allergy, mishonga iyi inogona kubatsira kuderedza kuzvimba nekutsvuka.
Vhitamini B12: Ichi chikonzero chisingawanzoitiki. Kana chiri chekushaikwa kwevhitamini B12, ungangoda kudya chikafu chine vhitamini B12 kana kutora chimwe chikafu chekuwedzera sezvakarairwa nachiremba wako.

Chii chingaitika kana chikasarapwa?

Izvi ndizvo zvatinotya tese. Asi musavhunduka. Kana mukaona chiremba nekukurumidza mowana kurapwa, hapana kana imwe yenjodzi idzi ichamuka. Asi kana mukasawana kurapwa, zvinogona kukonzera njodzi huru kuhutano.

Semuenzaniso, kana chirwere cheKawasaki chikasarapwa, chinogona kukuvadza tsinga dzeropa dziri mumoyo wemwana zvachose, zvichikonzera chirwere chemwoyo chehupenyu hwese. Saizvozvowo, scarlet fever nehutachiona hweTSS zvisina kurapwa zvinogona kupararira mumuviri wese, zvichikuvadza nhengo dzemukati dzakadai seitsvo.

Saka, kana ukaona chiratidzo che'strawberry tongue', usazvidya mwoyo zvisina kufanira nezvemigumisiro yakaipa yakadaro. Zvisinei, yeuka kuti ichi chiratidzo chakakomba zvekuti chinoratidzwa kuna chiremba.

Mharidzo Yekuenda Nayo Kumba

'Rurimi rweStrawberry' harusi chirwere, asi chiratidzo chechimwe chirwere.
Izvi zvinogona kuva chiratidzo chechirwere chakakomba chakadai se scarlet fever, toxic shock syndrome (TSS), kana chirwere cheKawasaki.
Kana ukaona chiratidzo ichi parurimi rwako kana rwemwana wako, usavhunduka wobva waona chiremba ane hunyanzvi nekukasika.
Kurapa chirwere chiri kukonzera chiratidzo ichi nekukurumidza kunogona kudzivirira matambudziko akakomba zvachose.
Ichi hachisi chirwere chinopora chega, saka usambochiregeredza.

Rurimi rweStrawberry, Zvirwere zveRurimi, Zvirwere zveVana, Scarlet Fever, Chirwere cheKawasaki, Toxic Shock Syndrome

Rurimi rwemwana wako rutsvuku sestrawberry here? (Rurimi rweStrawberry) - Ngatizivei izvi!