Pane dambudziko guru mumuviri wako here? Ngatidzidzei nezve Waterhouse-Friderichsen Syndrome!

Wakambonzwa here kuti matumbu maviri madiki mumuviri anomira kushanda, uye zvinogona kukanganisa hupenyu hwako zvikuru? Nhasi tichataura nezvechirwere chine njodzi zvikuru, uye kana chikasarapwa nekukurumidza, chinogona kuuraya. Ichi chinonzi Waterhouse-Friderichsen Syndrome. Kunyange zvazvo zita racho ringaita serakareba, ngatitaurei nezvechinomboitika, nei chichiitika, uye kuti ungararama sei.

Chii chinonzi Waterhouse-Friderichsen Syndrome iyi?

Zvichitaurwa zviri nyore, Waterhouse-Friderichsen Syndrome (WFS) chirwere chakakomba zvikuru. Chinoitika ndechekuti ma adrenal glands ako, ayo ari ma glands maviri madiki ari pamusoro peitsvo dzako, anobuda ropa (tinoti 'adrenal hemorrhage') uye rimwe kana ese ari maviri aya anomira kushanda. Kazhinji, izvi zvinokonzerwa nehutachiona hwakakomba. Kana dzikasarapwa, ma adrenal glands aya anenge arega zvachose kugadzira hormone cortisol, iyo inokosha mumuviri wedu. Izvi ndizvo zvatinodaidza kuti adrenal crisis . Kutaura chokwadi, idambudziko re emergency!

Kune rimwe zita reizvi, iro rinonzi "hemorrhagic adrenalitis." Izvi zvinoreva kuti adrenal glands inobuda ropa yozvimba.

Dambudziko iri rakajairika zvakadii?

Kutaura zvazviri, chirwere cheWaterhouse-Friderickson hachiwanzoitiki . Kazhinji, kuongororwa kwezvitunha kunoratidza kuti chirwere ichi ndicho chinokonzera 1% chete yerufu. Izvi zvinoreva kuti hachisi chirwere chinokanganisa munhu wese, asi kana chikaitika, chine njodzi huru.

Ndezvipi zviratidzo zvechirwere ichi?

Fungidzira, wakangoerekana wava nehutachiona kana mabhakitiriya wobva wava nechirwere ichi cheWFS. Ipapo unogona kutanga kuratidza zviratidzo zvehutachiona. Unoziva here kuti chii ichocho?

• Ndiri kunzwa fivha yakanyanya.
• Muviri unonzwa kutonhora uye kudedera (kutonhora).
• Musoro wangu unorwadza zvikuru.
• Ndicharutsa, ndicharutsa.
• Tsandanyama dzemuviri wangu dzinorwadza, kunyanya munzvimbo dzakadai semusana wepazasi, mudumbu, nemakumbo.
• Mapfundo angu anorwadza.
• Dzimwe nguva panogona kuva nekurasikirwa nepfungwa (syncope).

Kana kubuda ropa uku kukatanga kukanganisa kwete ma adrenal glands chete asiwo dzimwe nhengo dzemuviri, zvimwe zviratidzo zvinogona kuoneka. Izvi zvinosanganisira:

• Kuvharika kweropa mumuviri (DIC): Izvi zvinonzwika zvakaoma, handiti? Zvichitaurwa zviri nyore, chirwere chinoita kuti ropa rigwambe mumuviri wese. Kana ropa rikagwamba panzvimbo imwe, harigoni kumisa kubuda ropa panzvimbo imwe.
• Mapundu paganda:Dzimwe nguva dzinogona kuoneka paganda semadonhwe madiki kana madonhwe makuru.
• Kuvhunduka kweropa: Ichi chirwere chinokonzerwa nekuderera kweropa nekuda kwehutachiona, zvichiita kuti nhengo dzemuviri dzisawane ropa rakakwana. Izvi zvine njodziwo zvikuru.

Ndezvipi zviratidzo zvekubuda ropa muadrenal gland?

WFS inobatanidzwa nekubuda ropa muadrenal adrenal, izvo zvinogona kuperekedzwa nezvimwe zviratidzo:

• Marwadzo emudumbu.
• Kurwadziwa munzvimbo iri pamusoro pechiuno, pasi pembabvu (chiuno).
• Kuora mwoyo, kunzwa kusagadzikana.
• Husimbe.
• Kusvotwa nekurutsa.
• Manyoka.

Chii chinokonzera izvi?

Kazhinji, chikonzero chikuru cheWaterhouse-Friderickson syndrome hutachiona hwemabhakitiriya nemavhairasi (sepsis) . Kutaura chokwadi, utachiona hunopinda mumuviri uye hunopararira mumuviri wese pasina kudzorwa.

Mamwe marudzi emabhakitiriya anogona kunyanya kubatwa neizvi. Heano mimwe mienzaniso:

• `Pseudomonas aeruginosa`
• Mabhakitiriya eMeningococcus: Uyu ndiwo ane njodzi huru anogona kukonzera WFS.
• `Streptococcus pneumoniae`
• `Hemophilus influenzae`
• `Escherichia coli (E. coli)`
• `Staphylococcus aureus`

Mamwe marudzi mazhinji emabhakitiriya anogona kukonzera izvi.

Uyewo, mamwe marudzi emavhairasi anogona kukonzera izvi:

• Cytomegalovirus (CMV)
• Parvovirus `(Parvovirus)`
• Utachiona hweEpstein-Barr
• Virusi reEbola `(chirwere cheEbola virus)`
• Varicella-zoster virus (izvi ndizvo zvinokonzera zvirwere zvakaita sechickenpox neherpes)

Pamusoro pezvirwere izvi, kune zvimwe zvinhu zvinokonzera njodzi yeWFS:

• Kushandisa mishonga inorwisa ropa kuti ribude ropa. Iyi mishonga inowedzera njodzi yekubuda ropa.
• Thrombocytopenia: Izvi zvinoreva kudzikira kwehuwandu hwemaplatelet (masero anobatsira kuumbwa kweropa) muropa.
• Matumbu eadrenal akakuvara neimwe nzira.

Ndiani anonyanya kukanganiswa nemamiriro ezvinhu aya?

Chirwere cheWaterhouse-Friderickson chinowanzoitika kuvana vadiki kupfuura vakuru . Saka, kana mwana mudiki akaonekwa nezviratidzo zvakaita sefivha nekurwadziwa kwemuviri, unofanira kungwarira zvikuru.

Ndezvipi zvinetso zvinogona kukonzera izvi?

Ichi ndicho chinhu chakakosha. Kana chikarapwa nekukurumidza uye nemazvo, chirwere cheWaterhouse-Friderickson chinouraya. Izvi zvinoreva kuti chinogona kuisa hupenyu panjodzi. Saka izvi zvinofanira kutorwa sedambudziko rekukurumidza.

Chirwere ichi chinoonekwa sei?

Kuti uzive chirwere ichi, unofanira kubatsirwa nachiremba. Chiremba achakubvunza nezvezviratidzo zvako, obvunza nezvezvirwere zvako zvekare, obva aongorora muviri wako.

Asi kuongorora WFS kunogona kuoma zvishoma, sezvo zviratidzo zvayo zvakafanana zvikuru nezviratidzo zve septic shock . Saka, kuti vaone kana iri WFS, chiremba acharaira bvunzo dzakasiyana-siyana.

Ndezvipi zviedzo zvinoshandiswa kuongorora chirwere ichi?

Kuti asimbise kana paine hutachiona, chiremba anogona kuita bvunzo dzinotevera:

Miedzo yemifananidzo

• Kuongororwa kwe ultrasound kana kuti CT (computed tomography) kunogona kuitwa kuti vaone kana ropa rakaungana mukati me adrenal glands. Kuongororwa uku kunotora mifananidzo yemukati memuviri, kuitira kuti vagone kuona zvakajeka nzvimbo dzine ropa.

Kuongororwa kweropa

• Kuongororwa ropa kunogona kuratidza zvechokwadi kana uine hutachiona hwebhakitiriya. Izvi zvinosanganisira kutora tsono diki kubva mutsinga iri muruoko rwako, kutora ropa shoma, uye kuritarisa uchishandisa maikorosikopu. Izvi zvichatsvaga zviratidzo zvehutachiona.

Kuedzwa kwebhakitiriya reMeningococcus

Kana chiremba achifunga kuti chikonzero chacho ibhakitiriya remeningococcus, vanogona kuita bvunzo dzakadai sedzinotevera:

• Kuboorwa kwemusana/kupwanywa kwechiuno: Izvi zvinosanganisira kuisa tsono diki mumusana wako wepazasi, pakati pemapfupa maviri emusana, uye kutora mvura shoma yemusana. Izvi zvinganzwika zvinotyisa, asi vanachiremba vanozviita nokungwarira.
• Kuongororwa kweganda: Kana uine ronda paganda rako, ganda diki rinotorwa kubva paronda racho roongororwa.
• Kuongororwa kweGram stain: Sampuro inotorwa kubva panzvimbo inofungidzirwa (senge ronda) kuti ionekwe mabhakitiriya.
• Kuongororwa kweweti: Uchakumbirwa kuti uise weti mumudziyo wakakosha. Muenzaniso weweti uchaongororwa kuti uone kana paine zviratidzo zvehutachiona.

Kuongororwa kwedambudziko readrenal

Miedzo iyi inobatsira kuona kana uri kusangana nedambudziko readrenal , chirwere chekuti adrenal glands haisi kushanda nemazvo:

• Kuyedzwa kweAdrenocorticotropic hormone (ACTH): Muyedzo uyu, chiremba wako anokupa jekiseni diki rehomoni inonzi ACTH. Zvadaro, mushure memaminitsi makumi matatu kusvika makumi matanhatu, vanotora ropa kuti vaone kuti adrenal glands yako inopindura sei kuACTH. Iyi bvunzo inoyera kuti adrenal glands yako inoshanda sei.
• Kuongororwa kweshuga muropa:Ropa diki rinotorwa uye huwandu hweshuga (glucose) huri mariri hunoyerwa. Huwandu hweshuga hunogona kuderera panguva yedambudziko readrenal.
• Kuongororwa kweCortisol: Muenzaniso weropa rako, weti, mate, kana musanganiswa wezviviri kana zvitatu zveizvi unotorwa kuti uone kuti cortisol yakawanda sei iri kugadzirwa neadrenal glands ako.
• Kuongororwa kweropa re pH: Sampuro yeropa inotorwa uye huwandu hwayo hwe acid-base (pH) hunoyerwa. Izvi zvinogona kuitwa ne arterial blood gas (ABG) test kana electrolyte panel. Kazhinji, pH yeropa redu inofanira kuva pakati pe7.35 ne7.45.
• Kuongororwa kweropa rePotassium: Kuongororwa kweropa kuti uone huwandu hwepotassium muropa rako. Potassium chinhu chinovaka muviri chinobatsira tsinga dzedu netsandanyama kushanda zvakanaka. Mazinga aya anogona kuchinja panguva yedambudziko readrenal.
• Kuongororwa kweropa reSodium: Kuongororwa kweropa kunoyera huwandu hwesodium muropa rako. Sodium inokoshawo pakushanda zvakanaka kwetsinga dzako netsandanyama. Mazinga aya anogonawo kusiyana.

Izvi zvinorapwa sei?

Kana uine WFS, unogona kunge uine sepsis . Saka, chinhu chekutanga chinoitwa navanachiremba ndechekutanga kutora mishonga inorwisa mabhakitiriya nekukasika pavanenge vachiita bvunzo kuti vaone kuti chii chaizvo chakakonzera WFS. Vachatarisawo huwandu hwe electrolyte (munyu) nemvura.

Kana zviratidzo zve sepsis zvadzikama, vanachiremba vanotanga kukupa mishonga inonzi glucocorticoids uye mineralocorticoids . Aya mahormone e steroid. Glucocorticoids anoshanda kuderedza kuzvimba mumuviri. Mineralocorticoids anoshanda kudzora huwandu hwemunyu nemvura mumuviri wako. Muchidimbu, akafanana nekupa mahormone ayo adrenal glands yako inofanira kunge ichigadzira, asi asiri.

Ungangoda kuwedzerwa ropa kana nzira inonzi angioembolization . Izvi zvinosanganisira kushandisa angiogram neblood clot (embolization) kuti uone uye uvhare tsinga dzinoendesa ropa kuadrenal glands. Izvi zvinoitirwa kumisa kubuda ropa.

Chinonyanya kukosha ndechekuti mushure meWFS, vanhu vazhinji vachazofanira kutora mimwe mishonga yemahormone kweupenyu hwavo hwese , nekuti kana adrenal glands yakuvara, vanogona kusakwanisa kugadzira mahormone nemazvo.

Ndichakurumidza sei kunzwa zviri nani mushure mekurapwa?

Vanhu vazhinji vanotanga kunzwa zviri nani mukati mevhiki imwe kana maviri mushure mekutanga kurapwa. Zvisinei, kunyangwe wapora zvakakwana, unogona kunge uchiri nematambudziko emuviri kana epfungwa kwemwedzi, kana kutoti makore. Semuenzaniso:

• Chikafu hachina kunaka.
• Ndaneta zvikuru.
• Kuomerwa nekurara (kushaya hope).
• Kuda kurwara zviri nyore.
• Kuzvidya mwoyo.
• Kuora mwoyo.

Saka, zvakakosha kuyeuka kuti zvinogona kutora nguva kuti munhu apore zvizere.

Chii chaungatarisira kana ukabatwa nechirwere ichi?

Sezvatakambotaura, kana ikasarapwa, WFS chirwere chinouraya. Hapana mubvunzo nezvazvo.

Zvisinei, kana vanhu vazhinji vane WFS vakarapwa nekukurumidza uye vakapora, vanopora. Zvisinei, ungangoda kurapwa kwakanyanya, uye migumisiro yeWFS inogona kugara kwemwedzi, kunyange makore. Saka, haisi chinhu chekurerutsa.

Mamiriro ezvinhu aya anogona kudzivirirwa here?

Pane zvinhu zvakawanda zvaunogona kuita kuti uderedze njodzi yako yekubatwa neWaterhouse-Friderickson syndrome:

• Kugeza maoko ako nguva dzose uye zvakakwana kunogona kubatsira kudzivirira hutachiona. Ichi chinhu chiri nyore kwazvo, asi chinogona kukudzivirira kubva kuzvirwere zvakawanda.
• Kuwana mushonga wekudzivirira meningococcal bacteria kwakakosha zvikuru kuvana.
• Kana uchifungidzira kuti une hutachiona, tsvaga kurapwa nekukasika. Usaregeredza fivha kana kukosora zvishoma.

Unozvitarisira sei paunenge uchipora?

Paunenge uchipora, iwe nachiremba wako munofanira kushanda pamwe chete kugadzira hurongwa hwekurapwa hwakakodzera, hwakachengeteka, uye hwakakunakira. Hurongwa ihwohwo hunogona kusanganisira zvinhu zvakaita se:

• Zorora zvakakwana. Muviri nepfungwa zvinoda kuzorora.
• Kutevera kudya kwakaringana kuchakubatsira kuti uwane simba rako ipfungwa yakanaka. Zvingava zvakanaka kana ukakwanisa kuwana mazano kubva kune nyanzvi yezvekudya.
• Zviise zvinangwa zvidiki. Semuenzaniso, kugara pamubhedha, kumira, kupfeka wega, kugeza, kufamba chinhambwe chipfupi, kukwira masitepisi.
• Kutaura nezvemanzwiro ako nemhuri yako, shamwari, kana nyanzvi yezvehutano kwakakosha munguva dzino dzakaoma.
• Rovedza muviri kana uine simba. Tanga zvishoma nezvishoma woita maekisesaizi uchitevedzera mirairo yachiremba wako.

Ndinofanira kuona chiremba rini? / Ndinofanira kuenda kuchipatara rini?

Kana uchiri kusanzwa zvakanaka mushure mekurapwa, kana kuti uri kunetseka kuzadzisa zvinangwa zvako zvekupora, iva nechokwadi chekutaura nachiremba wako.

WFS chirwere chakakomba chinogona kuuraya kana chikasarapwa. Kana uine zviratidzo zveWFS, semuenzaniso, hutachiona huri kuramba huchiwedzera husingapere, saka unofanira kuenda kuchipatara (ETU) nekukasika.Hazvina kunaka kunonoka.

Mibvunzo ipi yaunofanira kubvunza chiremba wako?

Kana ukaona kuti une WFS, ungave nemibvunzo yakawanda. Usatya, bvunza chiremba wako mibvunzo yakaita seiyi kuti ubvise kusava nechokwadi kwako:

• Unoziva sei kuti ndine Waterhouse-Friderickson syndrome?
• Kana ndisina Waterhouse-Friderickson syndrome, ndeipi imwe dambudziko randingasangana naro?
• Chii chinokonzera chirwere changu cheWaterhouse-Friderickson?
• Ndichafanira kuvhiyiwa here kuti ndigadzirise adrenal glands yangu?
• Unofunga kuti ndichapora zvachose here?
• Ndichafanira kutora mamwe mahormone here?
• Ndichatora mamwe mahormone kwenguva yakareba sei?

Saka, ndezvipi zvinhu zvinonyanya kukosha zvatinofanira kurangarira kubva pane izvi?

Dambudziko reWaterhouse-Friderichsen syndrome (WFS) chirwere chakakomba chinoda kurapwa nekukurumidza. Kana uine chimwe chezviratidzo izvi, kana kuti uine hutachiona husiri kupera, zvakakosha kuenda kuchipatara nekukurumidza.

Tevedzera mirairo yese yekurapwa yakapihwa nachiremba wako nemazvo. Ipapo ndipo chete paunogona kudzora dambudziko iri reWFS uye kupora nekukurumidza sezvinobvira. Yeuka, kurapwa nekukurumidza kunogona kuponesa hupenyu! Zvakare, zvakakosha kuti uzvitarisire zvakanaka panguva yekupora kwako.

` Waterhouse-Friderichsen syndrome, adrenal glands, cortisol, sepsis, hutachiona, rubatsiro rwekukurumidzira, mahormone