Stroke chinhu chinonyanya kushamwaridzana nehama dzakwegura, saka zvinogona kuuya sekutya kuti vana vanogona kuva nadzo zvakare. Kurohwa kunoitika mumucheche nevana, asi neropafadzo, kazhinji, njodzi iri pasi (pasi pe1% yevana). Chirwere chemwoyo (cardiac (heart) chirwere uye sickle cell anemia (hemoglobin SS kana sickle beta zero thalassemia) ndizvo zvikonzero zvinowanzokonzera kurohwa muhuduku.
Pasina kuongororwa kwakakodzera, gumi nezana kubva muzana yevana vane sickle cell anemia vachawana chirwere chemakore makumi maviri. Inenge imwechete muvatano vana ichave nekurohwa nezera remakore makumi mashanu nemashanu. Kunzwa mashoko akadai pamusoro pomwana wako muduku kunogona kutyisa, asi nekuongorora kwakakodzera, dambudziko iri rinogona kuderedzwa zvikuru.
Nei Vanhu Vachirwara Semaini Anemia Vari Pangozi Nekurohwa?
Ruzhinji rwevana vane sickle cell anemia ruzivo rwechirwere ischemic , zvinoreva kuti kuteerera kweropa hakugoni kusvika kune imwe nzvimbo yeuropi. Utachiona masero anokanganisa rutivi rwemitsetse yakawanda (mutezo weropa unotakura okisijeni kumatumbu) europi, zvichiita kuti vave vaduku. Iyi midziyo ine simba yeropa inogona kunge yakavharidzirwa ne clump of sickle cells. Kana izvi zvichiitika, kuteura ropa kunodzivirirwa uye okisijeni haigone kuendeswa kune imwe nzvimbo yeuropi, zvichikonzera kukuvara.
Zviratidzo
Kurohwa muvana vane sickle cell anemia vanotarisa zvakafanana nekurova kwevanhu vakuru.
Vana vanogona kuwana:
- Kushaya simba kune rumwe rutivi rwemuviri
- Facial droop
- Slurred speech
- Kuchinja kwekuonekwa mune zvakasvibiswa kana kuonekwa kaviri
- Kutambudzika kufamba kana kuderedza kubatana
Chii Chandinofanira Kuita Kana Ndichifunga Mumwe Munhu Ane Stroke?
Dana 911. Kushungurudza, zvisinei nokuti chii chinokonzera, chirwere chemhepo chinokurumidza.
Kurapa kwokutanga ndiyo inokosha yekudzivirira matambudziko kwenguva refu.
Risk Factors
Ngozi yekurohwa neschemic yakanyanya kune vana vasati vava nemakore gumi. Iyi njodzi inoderera kusvika pazera remakore makumi matatu, ipapo njodzi inowedzera zvakare. Ngozi yemarwadzo ane simba (shamhu dzinokonzerwa nokubuda ropa) ndeyepamusoro pavechiri kuyaruka uye vaduku vakuru.
Ngozi yekurova chirwere yakanyanya kune varwere vane hemoglobin SS uye sickle beta zero thalassemia. Ngozi kune varwere vane hemoglobin SC uye sickle beta pamwe ne thalassemia (zvikurukuru muvana vaduku) inonyanya kuderera, saka kuongorora hazvikurudzirwi mune varwere kunze kwekuti kune zvimwe zvinonetsa.
Kudzivirira
Mukupera kwema1980 nekutanga kwema1990, vatsvakurudzi vakagadzira kuti chirwere chinonzi dcpler (DCD) chinogona kushandiswa kuvhara varwere vane sickle cell anemia kuti vaone dambudziko rekushaya chirwere chinonzi ischemic. TCD inonzi non-invasive ultrasound inoshandiswa kuyera kuyerera kweropa kuburikidza nemishonga yakakura yeuropi. Kuti uite izvi, shanduro ye ultrasound inowanikwa pane temberi apo fufupa rebhehenya rakapfava, zvichibvumira technician kuti aone kukurumidza kweropa ruchiyerera. Kubva maererano nemitemo iyi, TCDs inogona kunyorwa seyakasununguka, inogadziriswa, uye isina kujairika. Kunyange zvazvo vana vane maonero eTCD vane maitiro ari pangozi yakanyanya yekurohwa, avo vane TCD vasina kukodzera vari pangozi yakanyanya uye vanofanira kuiswa pachirongwa chekudzivirira chirwere.
Kunyange zvazvo TCD inoratidzika semuedzo wakajeka, hazvisi nyore sezvazvinonzwika. Kune zvinhu zvakawanda zvinogona kuchinja zviyero panguva yeTCD. Fivhiri uye zvirwere zvinokwidziridza kwenguva pfupi TCD tsika. Mukutaura, kuwedzerwa ropa kunononoka kuderedza TCD tsika. Chaizvoizvo, mwana wako anofanira kunge ari pahutano hwavo hwepakutanga kana TCD ichiitwa.
Kurara kunobatawo ropa kunopinda kuuropi so sedation (kupa mishonga kubatsira murwere kurara / kurara munguva yekufamba) kana kurara panguva yekuongorora hazvibvumirwi. Vana vaduku vangawana zvakaoma kushandira pamwe nekugara, asi vabereki vanogona kubatsira nokutamba mafirimu kana kuverenga mabhuku panguva iyi.
Zvakanaka Zvakadini TCD paKutsanangura Varwere Vari Pangozi Nekurohwa?
Kuzivikanwa kweTCD isina kujairika yakatevedzerwa nekukurumidza kwekurapa kwakaderedza dambudziko rekurohwa nevana vane sickle cell anemia kubva ku11 kusvika 1 kubva muzana. Havasi vana vose vane TCD dzisina kukodzera vaizoenderera mberi vachirova chirwere pasina kurapwa, asi nokuti chirwere chinogona kuva nemigumisiro yakareba kwenguva refu, varwere vose vanobatwa zvakafanana.
Sitiroko Inodzivirirwa Sei kana TCD Isina Kunaka?
Kana mwana wako ane sickle cell anemia ane TCD isina kukodzera, zvinokurudzirwa kuti TCD idzokorwe muvhiki imwe chete kusvika kune maviri. Kana zvakare TCD isingawanzoiti, inokurudzirwa kuti iye atange kutangwa purogiramu isingawedzeri ropa.
I STOP-1 kuchipatara kudzidza yakaratidza kuti kutanga kwe chirongwa chisingaperi chekuwedzerwa ropa kwakaderedza dambudziko rekurohwa. Kurapa kusingaperi kuwedzerwa kunopa kuwedzerwa ropa kwevhiki nhatu kusvika kuchina. Chinangwa chekuwedzerwa ropa ndechekuunza hemoglobin S kubva muzana kubva pasi pe95 muzana kusvika pasi pe30 muzana, kuti kuderedze njodzi yemagetsi evharivha inovhara kubuda kweropa mune mitsetse yeuropi.
Ko Mwana Wangu Achagara Achida Kuramba Asisina Kuchinja?
Zvichida kwete. Mune imwe nguva yechangororo yezvikwata zvinonzi TWiTCH, varwere vakasiyana-siyana (zvichibva pane zvinhu zvakadai semakemikari eHemoglobin S, kufungidzira kweuropi, TCD tsika dzakadzokera kumashure) dzakakwanisa kuchinjwa kubva kuhutano husingaperi huchienda kune hydroxyurea therapy. Ava varwere vakaneta zvishoma nezvishoma kuwedzerwa ropa sezvo chirwere che hydroxyurea chakanga chichiwedzera zvishoma.
Varwere vane ruzivo rwakakura mumidziyo yeropa muuropi vangada chirwere chisingaperi chisingawedzereri ropa, yakafanana nevarwere vane chirwere.
Sources:
George A. Kudzivirira chirwere (kutanga kana kuti chakadzoka) mu sickle cell chirwere. Mu: UpToDate, Post TW (Ed), UpToDate, Waltham, MA. (Yakasvika musi waMay 11, 2016.)