Ungave uri kurapwa kenza. Kana kuti ungave usina simba rekudzivirira muviri. Dzimwe nguva dzakadai, matambudziko ese ehutano anogona kumuka. Nhasi tichataura nezvechirwere chakadai, kunyanya chine chekuita neura, icho chakakomba zvishoma, asi chinogona kudzorwa zvakanaka kana chikaonekwa nekukurumidza . Izvi ndizvo zvatinodaidza kuti Typhlitis.
Chii chinonzi Typhlitis? Zvichitaurwa zviri nyore...
Zvichitaurwa zviri nyore, Typhlitis kuzvimba kwakanyanya kwemudumbu medu, ndiko kuti, ura. Kuzvimba uku kunogona kukonzera hutachiona hwemabhakitiriya nefungus. Kunyangwe ichi chiri chirwere chisingawanzoitiki, chinowanzoitika kuvanhu vari kugamuchira chemotherapy yakasimba, kunyanya kune mamwe marudzi ekenza yeropa (semuenzaniso, leukemia, lymphoma, multiple myeloma).
Funga nezveura hwedu sechubhu refu. Typhlitis inogona kukanganisa zvikamu zvakasiyana zveura uhwu:
- Dambudziko iri rinowanzoonekwa mu cecum, chikamu cheura hukuru.
- Pamusoro pezvo, koloni inokwira
- Uye ileum, iyo iri chikamu cheura hudiki, inogonawo kukanganiswa.
Vanachiremba dzimwe nguva vanoshandisa mamwe mazita echirwere ichi, akadai se neutropenic enterocolitis , typhlenteritis, kana ileocecal syndrome. Asi ese anotaura nezvechirwere chimwe chete.
Ndiani ari panjodzi yeTyphlitis?
Njodzi iyi haisi yeavo vari kurapwa kenza chete, asiwo kune vamwe vanhu vakawanda.
- Vanhu vane HIV/AIDS vanogona kubatwa nefivha yetyphoid.
- Uyewo, vanhu vanotora mishonga inodzvinyirira immune system , semuenzaniso, avo vakamboisirwa stem cell/bone marrow, kana avo vakamboisirwa imwe nhengo, vari panjodzi yekuva nechirwere ichi.
Kunyangwe chirwere ichi chichigona kuisa hupenyu panjodzi , zvakakosha kuyeuka kuti chinogona kurapwa kana zviratidzo zvikaonekwa nekukurumidza uye kurapwa kukatanga nekukurumidza.
Ndezvipi zviratidzo zveTyphlitis?
Zviratidzo zveTyphlitis dzimwe nguva zvinogona kunzwika sekurwadziwa kwemudumbu kana kuti tupukanana mudumbu. Asi hazvisi kungorwadziwa nemudumbu chete. Zviratidzo zvakajairika zvinosanganisira:
- Marwadzo makuru emudumbu uye kurwadziwa kwemudumbu
- Dumbu rakazvimba/ rakazvimba
- Manyoka
- Kupindwa nechando
- Kusvotwa nekurutsa
Fungidzira mumwe munhu anonzi Nimali, ari kurapwa nekenza yeropa. Kamwe kamwe, anotanga kurwadziwa mudumbu, fivha, uye kurutsa. Anofunga kuti angangodaro akadya chikafu chine chepfu. Asi kana zviratidzo izvi zvikasapera mushure memazuva maviri kana matatu, zvakakosha kutsvaga rubatsiro rwechiremba nekukasika . Nekuti inogona kunge iri Typhlitis.
Sei Typhlitis ichiitika? Ndezvipi zvikonzero?
Vaongorori vanotenda kuti typhlitis inokonzerwa nezvinhu zvakasiyana-siyana. Zvinhu zvikuru zvitatu ndeizvi:
1. Mucositis: Uku kuzvimba kwemudumbu kunowanikwa mukati meura guru neura diki. Sekunge maronda anogona kuumbwa mumuromo medu, maronda nekuzvimba zvinogonawo kuitika mukati meura. Izvi zvinogona kunyanya kuitika semhedzisiro yekurapwa senge chemotherapy.
2. Neutropenia: Neutropenia kudzikira kwerudzi rwemasero machena eropa anonzi neutrophils. Aya ma neutrophils akafanana nemasoja akakosha muimmune system yedu . Ndiwo anorwisa hutachiona. Chemotherapy inogona kukonzera kudzikira kwema neutrophils aya.
3. Kusasimba kwemasoja emuviri: Kurapwa negomarara (senge chemotherapy) nehutachiona hwakaita seHIV/AIDS zvinogona kuderedza simba remasoja emuviri wedu.
Iye zvino ngationei kuti izvi zvinoitika sei. Kutanga, mucositis inokuvadza jira remukati meura. Izvi zvinobvumira mabhakitiriya akaipa nefungus kupinda muura zviri nyore . Panguva iyoyo, kana muviri wedu uine ma neutrophils mashoma (neutropenia) uye masoja emuviri asina simba, muviri haugone kurwisa vapanduki ava. Mugumisiro wacho unova hutachiona hwakakomba nematambudziko anogona kutyisidzira hupenyu. Mienzaniso:
- Kubuda ropa mudumbu
- Kuboorwa kwedumbu
- Sepsis uye septic shock - Urwu utachiona hwakakomba hunopararira mumuviri wese.
Ndeapi mabhakitiriya makuru anokonzera Typhlitis?
Ongororo yakawana kuti mhando dzakasiyana dzemabhakitiriya nefungus (dzatinoti pathogens) dzinogona kukonzera typhlitis. Mamwe emhando dzemabhakitiriya akajairika ndeaya:
- *Clostridium septicum*
- *Enterococci*
- *Mabhakitiriya asina giramu*
- *Pseudomonas aeruginosa*
- *Staphylococcus aureus*
- *Streptococcus*
Uyewo, mhando dzefungus dzinonyanya kuzivikanwa ndedzinotevera:
- *Aspergillus*
- *Candida*
Izvi zvingaita sezviri nyore, asi vanachiremba vanoziva nezvazvo saka haufanirwe kunetseka zvakanyanya nezvazvo. Chinhu chakakosha ndechekunzwisisa kuti mhando idzi dzehutachiona ndidzo dzinoita kuti dambudziko riwedzere.
Vanachiremba vanoongorora sei typhlitis?
Kana uine chimwe chezviratidzo zvakanyorwa pamusoro apa, chiremba wako achatanga akuongorora muviri. Zvadaro achakubvunza mibvunzo nezvenhoroondo yako yehutano. Semuenzaniso, achakubvunza kana wakamborapwa kenza, wakamboisirwa stem cell kana kuti wakaisirwa nhengo yemuviri, uye kana uine HIV/AIDS. Pamusoro pezvo, kuongororwa kweropa uye kuongororwa kwakakosha kwemifananidzo kunogona kuitwa.
Kuongororwa kweropa
Chiremba anogona kuraira kuongororwa kweropa seizvi:
- Kuverengwa Kweropa Rakazara (CBC): Izvi zvinogona kutarisa zvinhu zvakaita semazinga e neutrophil.
- Kuongororwa kwebasa reitsvo
- Kuongororwa kwebasa rechiropa
- Kuongororwa kwenguva yeprothrombin: Ona kuumbwa kweropa.
Miedzo yemifananidzo
Bvunzo inonyanya kushandiswa pakuita izvi ndeye CT scan (Computed Tomography - CT scan) . Bvunzo iyi inogona kuona kana madziro eura rako akakora kupfuura zvakajairika. Kukora uku kwemadziro eura kunokonzerwa nekuzvimba.
Typhlitis inorapwa sei?
Hapana mushonga weTyphoid Fiver unoshanda kune vese. Mamiriro emunhu wese akasiyana. Asi kazhinji, chinangwa chikuru chekurapa ndechekudzora hutachiona uye kutsigira masoja emuviri wako . Ungangoda musanganiswa wemishonga yakasiyana. Heano mamwe emishonga yakajairika:
- Mishonga inorwisa mabhakitiriya: Dzivisa hutachiona hwemabhakitiriya. Mishonga inorwisa fungus inogonawo kupihwa.
- Kuwedzerwa ropa: Kana uine BP yakaderera.
- Kuvhiyiwa kwe laparotomy yekuderedza kumanikidzwa kwedumbu: Kuvhiyiwa kunoitwa kuderedza kumanikidzwa kwedumbu kana kwakakwira zvakanyanya.
- Granulocyte Colony-Stimulating Factor (G-CSF): Uyu mushonga wekudzivirira unopiwa kuwedzera huwandu hwema neutrophil.
- Mvura inopinzwa mutsinga (IV fluids): Dzivirirai kushaya mvura mumuviri uye ipe muviri mvura yaunoda.
- Kudya Kwese Kwevabereki (TPN): Izvi zvinosanganisira kupa zororo kugadziriro yekugaya chikafu, kuchibvumira kupora, uye wozopa zvinovaka muviri zvinodiwa zvakananga kuburikidza netsinga.
Kana uri kurapwa kenza, chiremba wako wekenza anogona kuchinja marapirwo ako ekenza kusvika wapora kubva kutyphlitis. Kana typhlitis ikakonzera kuputika kweura, kuvhiyiwa kunogona kudiwa.
Huwandu hwevanhu vanofa hwakaita sei? Tinofanira kutya here?
Chirwere cheTyphoid chirwere chakakomba, chinogona kuuraya . Pane imwe nguva, vanhu vese vaibatwa nechirwere cheTyphoid vaifa nekuda kwematambudziko akadai sesepsis. Asi izvozvo hazvichaitiki . Nekuwanikwa nekukurumidza uye kurapwa nekukurumidza, vanhu vakawanda vava kupora kubva kuchirwere cheTyphoid. Ongororo ichangobva kuitwa yakaratidza kuti vanhu vanopfuura 60% vane hutachiona hwefungus hunokonzerwa nechirwere cheTyphoid vakapora mushure mekurapwa. Saka, zvakakosha kuti munhu arambe aine tariro .
Ndinofanira kuona chiremba wangu rini?
Zviratidzo zveTyphlitis zvingaita semamwe matambudziko anowanzoitika mudumbu mako. Asi sezvambotaurwa, zviratidzo zveTyphlitis zvinopfuura kungogumbuka kwemudumbu. Kana uine chimwe chezviratidzo izvi, enda kuna chiremba wako usingazenguriri :
- Kupindwa nechando
- Kusvotwa nekurutsa
- Kurwadziwa kwakanyanya mudumbu uye kukamhina
Kuva nezviratidzo izvi hazvirevi kuti une typhoid fiver zvakare, asi nguva dzose zvakanaka kutaura nachiremba wako kana ukaona shanduko mumuviri wako.
Mibvunzo ipi yandinofanira kubvunza chiremba wangu?
Ungave uine Typhlitis nekuda kwechirwere chinokanganisa masoja emuviri wako, kana kuti nekuti uri kurapwa kenza. Heano mimwe mibvunzo yaunogona kubvunza chiremba wako:
- Ungandiudza here kuti nei ndakaita Typhlitis?
- Zvinokwanisika here kuti izvi zviitike zvakare?
- Ndichafanira kurega kurapwa kenza here?
Kurapa chirwere chakakomba chakadai sekenza kana HIV/AIDS kunogona kunzwa sekukwira gomo. Sezvaunofamba nematambudziko akadai semigumisiro yekurapwa, chinangwa chekupora ndicho chinokuchengetedza uchienderera mberi. Kana dambudziko idzva rehutano rakakomba setyphlitis rikamuka, rinogona kunzwa sekunge rimwe gomo rekukwira. Asi yeuka, kune mishonga inogona kurapa typhlitis.
Kunyangwe zvakadaro, unganzwa kuora mwoyo. Ungashamisika kuti uchakunda sei chipingamupinyi ichi chitsva wodzokera munzira yako yekupora. Chikwata chako chekurapa chinonzwisisa kuti kuongororwa kutsva kunogona kuita sei dambudziko guru. Vachapindura mibvunzo yako nezvekurapa typhlitis uye kuti zvichakanganisa sei kupora kwako.
Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)
Typhlitis chirwere chinotyisa, asi chinogona kurapwa kana chikaonekwa nekukasika uye chikarapwa nemazvo.
- Zvakakosha zvikuru kune avo vari kurapwa nechemotherapy, avo vane HIV/AIDS, uye avo vari kutora mishonga inodzvinyirira masoja emuviri kuti vazive izvi.
- Kana ukaona zviratidzo zvakaita sekurwadziwa mudumbu zvakanyanya, fivha, uye kurutsa, usafunge kuti kungori kurwadziwa kwemudumbu chete uye enda kuna chiremba nekukasika.
- Tevedzera mirairo yachiremba nemazvo. Usamira kurapwa pakati penguva.
- Ramba wakasimba. Chikwata chako chekurapa chichakubatsira.
Ndinovimba ruzivo urwu ruchakubatsira. Ramba uine hutano hwakanaka!
Typhlitis , kuzvimba kweura, migumisiro yekurapa kenza, neutropenia, chemotherapy, kushushikana kwemudumbu, fivha
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