Honder chirwere chinogona kuitika mushure mekudya zvokudya zvakasvibiswa neE.coli
Hemolytic uremic syndrome (HUS), dzimwe nguva kunonzi homburger chirwere, chirwere chinopisa upenyu chinokuvadza itsvo. HUS inouraya mashizha (thrombocytopenia) uye masero matsvuku eropa (hemolytic anemia). Kuparadzwa kwemasero aya kunokonzera kuvaka mumidziyo midzi yeropa uye tubules yeitsvo, izvo zvinotungamirira kukundikana kwechirwere - mafyvo akavhara.
HUS kazhinji inobata vana pakati pemakore 1 kusvika ku10, asi inogonawo kuitika kune vanhu vakuru. HUS inobata vanenge vaviri muvanhu 100 000.
Hemolytic Uremic Syndrome naE E. Coli
Hemolytic uremic syndrome inowanzoitika mushure mekunge munhu atapukirwa ne O157: H7 dambudziko reE.coli, iro rinowanzosarudzwa kubva kune zvakasvibiswa zvokudya kana mvura. Utachiona nehutachiona hweE.coli hwakatumidzwa hamburger chirwere nokuti dambudziko rinogona kuwanikwa mune nyama yakatsvuka isina kuputika. Zvimwe zvinetso zveE.coli zvinogona kukonzera HUS, zvakare.
HUS inogonawo kuitika kune dzimwe mishonga, pamuviri, kana mimwe mishonga. Muzviitiko zvisingawanzoiti, mhaka yacho inogona kunge isingagoneki. Apo vanhu vakuru vane HUS, zvinowanzoita nekuda kwechinhu chimwe kunze kwekurwara kwekudya. Mazamu ako anogona kunge ari kutamba, zvichiita atypical hemolytic uremic syndrome - yakagarwa nhaka.
Zviratidzo
Hemolytic uremic syndrome inoitika mushure mekurwa kwechirwere (gastroenteritis) iyo inogona kusanganisira kurutsa, fivha, uye kurwara kwemaropa.
Mazuva maviri kusvika ku14 gare gare, mamiriro acho anotanga nezviratidzo se:
- Kungoerekana kushamiswa (pallor) nekutsamwa
- Kusagadzikana
- Yakaderedza urination
- Kuropa urine
- Mucheka mutsvuku mucheka
- Kuwedzerwa kweropa
- Marwadzo emudumbu
- Kuneta
- Kutamba kwechiso, maoko, tsoka, kana muviri
Kuwana Kuongororwa
HUS inoratidzwa neropa, urini, uye stool test.
Ropa rekuongorora rinotarisa pasi tsvuku tsvuku yeropa uye nhamba yeplatelet, pamwe chete nemazinga akadai e creatinine. Urinei miedzo inotarisa marefu eproteine uye kuvapo kweropa. Stool tests inotsvaka mabhakitiriya akadai eE.coli. Vanachiremba vanogonawo kuita tsvina yeutsvo kana imwe mimwe miedzo isingazivikanwi.
Kurapa HUS
Kana iwe uine humburger chirwere, iwe unoda kubvumirwa kuenda kuchipatara kunorapwa. Kuchengetedzwa kwechiremba kunowanikwa kushaya tsuro uye kunogona kusanganisira dialysis, kuwedzerwa ropa (kudzorera ropa kuzvinhu zvakarongeka), kurapa kwakanyanya kweropa, uye kudya kwakakosha. Intravenous immunoglobulin G (IgG) inogonawo kupiwa. Hazvisi pachena kana antibiotic inogona kubatsira kubata chirwere ichi. Zvinosuruvarisa, 4 kusvika ku5-muzana yevarwere havangapukunyuki, uye vazhinji vakawanda vachava nezvinetso zvehutano kwenguva refu.
Kune vanhu vane hutano husingaperi hwepfungwa, chiremba wenyu anogona kukurudzira kutora ropa remishonga yemishonga kana kutevera chirwere cheprotini chakaderera kuti kuderedze njodzi dzekuwedzererwa kwepvo kuora.
Kudzivirira
Iwe unogona kuzvidzivirira iwe nevana vako kubva pakuwana zvirwere zvekudya zvinowanikwa ne:
- Kubika mhuka dzose dzenzombe nekukuya zvakakwana. Tumirai resitorendi zvokudya zvakare kukicheni kana isina kubikwa zvakanaka.
- Kudzivisa majozi asina kunyoreswa kana mukaka
- Kufungira pasi nyama yenyuchi uye zvokudya zvinoparara mushure mekutengesa
- Kushambidza maoko ako uye midziyo yezvokudya nemvura inopisa, ine sipo mushure mushure mokubata nyama nehuku
Sources:
Hemolytic Uremic Syndrome. National Kidney uye Urologic Diseases Information Clearinghouse. Dec 2005. National Institute of Diabetes and Digestive and Kidney Diseases.
Sims, Judith. Hemolytic-uremic syndrome. Utano AtoZ. 14 Aug 2006. HealthAtoZ.com.
National Institute of Diabetes and Digestive and Kidney Diseases. Hemolytic Uremic Syndrome muvana. (2015)