Kuparara kwemisumbu yenyu kunogona kukuvadzai itsvo dzenyu zvakare
Chii chinonzi Rhabdomyolysis?
Rhabdomyolysis, dzimwe nguva inonzi "rhabdo" muchipatara parlance, zvinoreva " kuputsika kwemisimba ". Icho chirwere chemakirini apo misungo inotanga kuputsika uye inotungamirira kuchinja mumwero we fluid uye electrolytes mumuviri, zvichidaro zvinotungamirira kumigumisiro inokuvadza.
Zvinokonzera Rhabdomyolysis
Zvinhu zvakawanda zvakabatanidzwa ne rhabdomyolysis.
Heano mienzaniso mishomanana:
- Mishonga; semuenzaniso. statins uye fibrates (zvinodhaka zvinoshandiswa kuderedza cholesterol), colchicine (gout medication), antibiotics, steroids, nezvimwewo.
- Kuwedzerwa kushanda kwakanyanya kunotungamirira kune chimwe chinhu chinonzi chiito-induced rhabdomyolysis kana kuti rervdomyolysis yakashingaira
- Kutonhora kwakanyanya kunokonzera kupisa kupisa ndiko kunokonzera.
- Zvinodhaka zvisina kuchena sekhocaine uye amphetamine
Zviratidzo zveRhabdomyolysis
Kazhinji, murwere anorwara acharondedzera kurwadziwa kwepfungwa, kuoma kwemisimba, kuzvimba, kushaya simba, uye dzimwe nguva "rima / cola-ruvara rwemuti". Kunetseka kwemvura kunowanzoshamisa, uye murwere anogona kuchinja mamiriro epfungwa uye kuderera kwemuviri wekutapira kunotungamirira ku-kuchena-mutsipa, mucheche, kunonoka kwemukoro, pamwe nefivha inogona kuvapo zvakare.
Iko Rhabdomyolysis Inobata Ipiyo
Rhabdomyolysis inobata mafungiro epiyo nenzira dzakawanda. Kuparara kwemasumbu kunotungamirira ku kufamba kwemuviri wemvura kubva mumidziyo yeropa kusvika mumusungo wakakuvadzwa, zvichida kugadzira uye kuwedzera hurumende yekushaya mvura.
Izvi pachedu dzimwe nguva zvinokonzera kukanganisa kwakanyanya kwepfungwa, iyo inowanzonzi yakaoma yepvo kukuvara. Mazinga eElectrolyte anogonawo kuchinja muropa uye anogona kuratidzwa ne:
- Kuwedzera kwephosphorus mazinga
- Yakaderera calcium mazinga
- Kuwedzera kwenhamba ye potassium
- Kuwedzerwa uric acid mazinga
Imwe nzira iyo rhabdomyolysis inoshungurudza itsvo ndeye chinonzi myoglobinuria.
Myoglobin ipuroteni inowanikwa mumisungo. Kana masumbu akadzika, myoglobin iyi inosunungurwa muropa kubva kwainoita nzira yayo kuenda kuneiyo. Iyo itsvo haisi yakanaka pakuchengetedza myoglobin uye iyi proteiniti kunze kwekuve yakasviba kusvika kune itsvo 'masero, inowanzovhara itsvo' "mvura yakasviba" inonzi tubules. Izvi zvinogona kutungamirira kuinso kusakundikana. Mumamiriro ezvinhu akaipisisa, rhabdomyolysis-inokonzerwa neutsvo kusagadzikana nekuda kwemyoglobinuria inogona kutungamirira kukundikana kusinganzwisisiki kwepfungwa kunoda kwenguva refu dialysis .
Rhabdomyolysis Kuziva
Kuongororwa kwerhabdomyolysis kunoenderana nekutaura kwechipatara izvo zvinosanganisira zviratidzo uye zviratidzo zvekuratidzira sezvakaita muscle aches. Zvimwe zviratidzo zvakananga zvinosanganisira uranda wekhola. Dhiyabhorosi miedzo inoitwa kuti inotsigire kufungidzirwa uye inowanzoratidza huwandu hwepamusoro hwekemikisi muropa inonzi CPK kana creatinine phosphokinase. Kukundikana kwepyi kunogona kuve pachena pane kuongororwa ropa pamwe chete, nekwakakwirira ye creatinine. Muchiratidzo unogona kuratidza kuvapo kwemyoglobin, proteiniti isina kukwana yakabudiswa mumuginho kubva musimba kuputsika.
Rhabdomyolysis Treatment
Kunze kwekutarisa chikonzero chikuru chakakonzera, crux yerapi ye rhabdomyolysis iri kugadzirisa maitiro asingasviki e electrolyte uye kushungurudzika kwemurwere ane chirwere ichi.
Pakave nedzimwe nharo pamusoro pemhando ipi yehutachiona yakakosha yakakosha kune murwere mune izvi. Munguva yakapfuura, alkalinisa urini ne sodium bicarbonate kushandiswa kuti uve mutemo wekutarisira. Zvisinei, kukwirira kwaro pamusoro peimwe mvura inopisa yakafanana neyakasanganiswa saline haina kumbosimbiswa pachena.
Chiremba uyo achirapa achaita kuti mafungiro ako ave nehupenzi paunenge uri pamvura inopisa. Kazhinji, zviratidzo zvako uye zvinetso zvepfungwa zvinofanira kutanga kutorazve mazuva mashoma, uye urini inofanira kutanga kubuda. Mune vamwe varwere, zvisinei, itsvo dzinogona kukura nekukuvadza kusvika apo dialysis inogona kudiwa .
Yeuka, dialysis inobatsira kurapa. Hazvibate kukanganisa kwetsvo pa se; iyo inongotora nzvimbo yehupi basa. Kana itsvo dzichienda kuzodzoka, dzichazviita ivo pachavo, uye zvose izvo murwere uye chiremba anogona kuita ndechokuvapa mamiriro ekutsigira. Kazhinji, murwere anogona kuve dialysis-anovimba nehupenyu.