Dzimwe nguva hatinyanyi kunetseka nezvechimwe chinhu chakadai sekurwadziwa kwemudumbu kana manyoka anowanikwa nemwana wenyu, handiti? Asi dzimwe nguva, kunyanya kana paine ropa mutsvina (bloody diarrhea), panogona kunge paine chimwe chinhu chakakomba chakavanzika shure kwacho. Ndosaka tiri kutaura nezvechirwere chinofanira kutariswa, chinotyisa zvishoma, asi chinogona kudzorwa kana ukaziviswa zvakanaka. Ichocho iHUS, kana Hemolytic Uremic Syndrome.
Chii chinonzi HUS?
Zvichitaurwa zviri nyore, Hemolytic Uremic Syndrome (HUS) chirwere chinokuvadza tsinga dzeropa dzakatetepa dziri muitsvo dzako. Kana tsinga idzi dzeropa dzakuvara, tsinga diki dzeropa dzinotanga kuumbwa mukati madzo.
Funga nezvazvo nenzira iyi: itsvo dzedu dzakaita sesefa yemvura inochenesa ropa redu. Magwamba eropa ataurwa kare anovhara mafirita madiki ari muitsvo idzi. Izvi zvinoreva kuti itsvo hadzikwanise kuita basa radzo rakajairika, iro rekusefa nekubvisa tsvina kubva muropa. Kana chirwere ichi chikanyanya, chinogona kutokonzera kutadza kushanda kweitsvo .
Dambudziko iri rinogona kuitika chero nguva muhupenyu, kunyangwe kuvana vadiki. Kana rikasarapwa nekukasika, rinogona kuisa upenyu panjodzi. Asi mashoko akanaka ndeekuti vana vazhinji vanopora zvizere nekurapwa kwakakodzera.
Ndezvipi zvikonzero zvikuru zveHUS?
HUS inowanzo itika mushure mehutachiona hwakakomba hwemudumbu . Chinhu chikuru chinokonzera hutachiona uhwu imhando yebhakitiriya ine utachiona inonzi `E. coli`. Utachiona uhwu hunowanzo pararira kuburikidza nemvura yakasviba nechikafu chisina kubikwa zvakanaka (kunyanya nyama). Dzimwe nguva hunogona kupararira kubva kumunhu ane hutachiona kuenda kune mumwe.
Kana utachiona uhu hukapinda mumuviri, chepfu yahunogadzira inoungana muropa, ichikuvadza tsinga dzeropa dziri muitsvo zvokonzera HUS.
Pamusoro pehutachiona hweE. coli, kune zvimwe zvikonzero zvakawanda zvinogona kukonzera HUS.
| Chikonzero | Tsananguro pfupi |
|---|---|
| Zvimwe zvirwere | Zvirwere zvemavhairasi zvakaita seHIV kana furuwenza. |
| Mimwe mishonga | Kunyanya mishonga inopiwa kudzora dziviriro yemuviri mushure mekuisirwa nhengo. |
| Matambudziko panguva yekuzvitakura | Izvi zvinogona kukonzerwa nemamwe matambudziko panguva yekuzvitakura. |
| Zvirwere zve autoimmune | Zvirwere apo masoja emuviri anorwisa masero awo. |
| Kenza (kashoma) | Izvi zvinogonawo kukonzerwa nedzimwe zvirwere zvegomarara. |
Kune imwe mhando inonzi HUS isingawanzoitiki. Iyi inyaya inogarwa nhaka. Izvi zvinoreva kuti inopfuudzwa kubva kuzvizvarwa kusvika kuzvizvarwa. Kazhinji haingoitiki yoga, asi chirwere ichi chinogona "kuitwa kuti chishande" nekuda kwechimwe chezvikonzero zvataurwa pamusoro apa.
Tinoziva sei zviratidzo zveHUS?
Zviratidzo zveHUS zvinogona kusiyana kubva pamunhu kusvika pamunhu. Zvinoenderanawo nechikonzero chechirwere ichi. MuHUS, iyo inokonzerwa nebhakitiriya rinonzi 'E. coli', zviratidzo zviri mudumbu rako zvinotanga kuonekwa zvisati zvaita kuti itsvo dzako dzikuvare .
Zviratidzo zvepakutanga
Izvi ndizvo zviratidzo zvekutanga zvekurwadziwa kwemudumbu :
- Manyoka ane ropa - Ichi chiratidzo chakakosha chekunyevera!
- Kupindwa nechando
- Kurwadziwa kwakanyanya mudumbu
- Kuzvimba kana kuzvimba mudumbu
- Kurutsa
Zviratidzo zvakakomba zvinogona kuitika gare gare
Zviratidzo izvi zvinogona kuonekwa kana chirwere chacho chanyanya kuipa, mitsipa yeropa ikakuvara, masero matsvuku eropa anotanga kuputsika (tinoti izvi anemia), uye ropa rinogwamba muitsvo.
| Chiratidzo | Zvinoreva |
|---|---|
| Ruvara rwakachenuruka | Kuchinja ruvara rweganda nekuda kwekushaya ropa. |
| Kurara zvakanyanya, kuneta | Kuneta kwakanyanya kunokonzerwa nekushaya simba kwemuviri. |
| Kukwira kweropa | Nekuda kwekusashanda zvakanaka kweitsvo. |
| Kuoma kufema | Nekuda kwekuungana kwemvura mumuviri kana kushaikwa kweropa. |
| Kudzikira kweweti kana ropa muweti | Chiratidzo chikuru chekutadza kushanda zvakanaka kweitsvo. |
| Kukuvara pasina chikonzero | Nekuda kwekudzikira kwehuwandu hwemaplatelet anobatsira kugandira kweropa. |
| Kubuda ropa kubva mumhino nemuromo | Ichi chimwe chiratidzo chekushaikwa kwemaplatelet mumuviri. |
| Kuzvimba | Nekuda kwekutadza kweitsvo kubvisa mvura yakawandisa. |
| Kubatwa nepfari kana sitiroko | Matambudziko akakomba zvikuru anogona kuitika kana uropi hukakanganiswa. |
HUS inorapwa sei?
Ichi hachisi chirwere chinogona kurapwa kumba. Kupinda muchipatara nekukasika kwakakosha. Muchipatara, kurapwa kwakakosha kunodiwa.
Kune nzira dzakasiyana-siyana dzekurapa:
- Kuisirwa ropa: Kuisirwa ropa kunoitwa kuti kutsive masero matsvuku eropa akatyoka. Maplatelet anopiwawo kudzora kubuda ropa kana huwandu hwemaplatelet hwakaderera.
- Mvura inopinzwa mutsinga (IV fluids): Mvura yakaita semunyu inopihwa kuti muviri urambe uine mvura yakakwana uye munyu wakaringana.
- Mishonga: Muzviitiko zvakakosha zvakaita seHUS isingawanzoitiki, chiremba anogona kunyora mishonga yakakosha yakaita se'Eculizumab (Soliris)` kudzivirira kukuvara kwetsinga dzeropa.
- Kuchenesa ropa: Kana itsvo dzikatadza kushanda zvakanaka, basa radzinofanira kuita, iro rekusefa nekubvisa tsvina muropa, rinoitwa nerubatsiro rwemuchina unonzi 'Dialysis'.
- Kuwedzerwa ropa muropa: Kupa ropa muropa kuti ropa ridzokere kutenderera kwaro.
- Kuisirwa itsvo: Varwere vakakuvara itsvo zvakanyanya zvachose vangangoda kuisirwa itsvo itsva.
Chii chatingaita kuti tizvidzivirire kubva kuHUS?
Chikonzero chikuru cheHUS chirwere chemudumbu, saka kana tikakwanisa kudzivirira hutachiona ihwohwo, tinogona kuderedza zvakanyanya njodzi yeHUS. Izvi zvinoreva kuti kuchena ndicho chinhu chakakosha.
Heano zvimwe zvinhu zviri nyore zvaunogona kutevera:
- Geza maoko ako nguva nenguva: Iva nechokwadi chekuti unogeza maoko ako nesipo zvakanaka usati wagadzira chikafu, usati wadya, wapedza kushandisa chimbuzi, uye wapedza kuchinja manapukeni emwana wako.
- Kuchengetedzeka kwechikafu: Geza michero nemiriwo zvakanaka usati wadya. Bika nyama, kunyanya nyama yemombe, zvakanaka (zvichida kusvika patembiricha inosvika 71 degrees Celsius kana 160 degrees Fahrenheit).
- Kuisa mufiriji: Usabika nyama zvakananga kubva mufiriji. Bika kana yanyunguduka zvakanaka, kungave mu microwave kana patembiricha yemumba. Chengeta nyama mbishi nechikafu chakabikwa zvakasiyana mufiriji.
- Zvekudya zvisina kupiswa: Dzivisa kushandisa mukaka, chizi, kana zvinwiwa zvemichero zvisina kupiswa.
- Madziva ekushambira: Kana uine manyoka, usapinda mumadziva ekushambira. Uyewo, usashambire munzvimbo dzakasviba.
Mharidzo Yekuenda Nayo Kumba
- Hemolytic Uremic Syndrome (HUS) chirwere chinotanga nezviratidzo zvakaita semanyoka ane ropa uye chinogona kukanganisa itsvo zvakanyanya.
- Izvi zvinonyanya kuonekwa muvana, kunyanya mushure mekutapukirwa nebhakitiriya rinonzi `E. coli`.
- Kana mwana wako kana iwe uine zviratidzo zvakaita semanyoka ane ropa, kuneta kwakanyanya, kucheneruka, uye kudzikira kwekuita weti , usatambisa nguva uye enda kuna chiremba nekukasika kana kuenda kuEmergency Department (ETU) yechipatara.
- Kunyange zvazvo ichi chiri chirwere chinotyisa, vanhu vazhinji vanopora zvizere nekurapwa kwakakodzera muchipatara.
- Kuchena, kuchengetedzeka kwechikafu, uye kunwa mvura yakachena zvinogona kudzivirira kubva kuzvirwere zvinokonzera chirwere ichi.
HUS Sinhala, Hemolytic Uremic Syndrome Sinhala, Chirwere cheItsvo, E. coli Infection, Ropa Rinokonzera Manyoka, Chirwere cheVana, Kukundikana kweItsvo
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