Zviratidzo uye Zviratidzo zvekusava nekunyaradza kwevana
Vana vanoita sevanokuvadza nyore nyore, ingave mucheche anotora matanho ake ekutanga kana kuti mwana wechikoro anotambudzika-anogara nguva yose. Nenzira yakanaka, kunyange vabereki vakawanda vanotya kuti kuputika uku chiratidzo chekurwara kwakakomba, nguva yakawanda iyo yakajairika.
Zviratidzo zveBruising Normal uye Bleeding
Zvechokwadi, zvakakosha kuparadzanisa vana vane chirwere chakakomba chekubuda ropa, chakadai sehemophilia , kubva kune avo vane ruvara rwemazuva ose nyore nyore pavanotanga kufamba uye kufamba-famba.
Kazhinji kugunun'una kunowanikwa pamakumbo emwana nokuti vanowanzoputika maziso avo pasi kune zvinhu sezvavanofamba kana kuti vanomhanya; idzi maronda zvinowanzoperera uye zviduku kudarika ukuru hwekota. Vana vaduku kazhinji vanowanzovhiringidza pamapfudzi avo kubva vachigumbusa misoro yavo uye vachiwa, zvakare.
Kakawanda nosebleeds imwe chiratidzo chinowanzoita kuti vabereki vafunge kuti mwana wavo ane chirwere chekubuda ropa, asi pasina zvimwe zvezviratidzo zvakanyorwa pasi apa, nosebleeds inogona kuva yakakwana muvana vaduku.
Inotarisa Matter?
Kazhinji kana munhu achivhiringidza ruvara rutsvuku runowanikwa pakutanga, izvo zvingave kana zvisingaoneki. Zuva rimwe kana kupfuura gare gare ruvara rwepepuru yakadzika kana ruvara rwebhuruu ratinowanzobatana nekupwanya rinowoneka. Sezvo maronda anoporesa, inoshanduka kuva bhuruu, yemazuva uye zvichida mavara machena asati apera. Izvi zvinogona kutora kusvika mavhiki maviri. Kana ukacherechedza marwadzo kumwana wako asingatevedzeri muenzaniso uyu kana usapore, kurukura naye nevana vako.
Zviratidzo zvekusawirirana nekubvongodza
Zvimwe zviratidzo zvakadai sokukura uye nzvimbo yemavhuni, kana nguva inotora kubuda ropa, kunogona kuva mirefu matsvuku kuti kupwanya uye kubuda ropa kunofanira kuongororwa nachiremba. Izvi zvinosanganisira:
- Matambudziko makuru akambomuka uye anoita seasina kuenzana nekukuvadzwa kwakakonzera. Semuenzaniso, kuputsika kwakakura kwazvo kwechinguva chiduku pamusoro petafura.
- Matambudziko asina kutsanangurwa anoitika pasina nhoroondo yekuwa kana kukuvara.
- Zvinotyisa zvinoratidza kuti zvinogara kwenguva refu (kupfuura kwemavhiki mashomanana).
- Mhuri ine nhoroondo yekubuda ropa kana kuti kuputika nyore mumhuri. Matambudziko akawanda ekubuda ropa, zvakadai sewave Willebrand uye hemophilia, ane mazita ehutachiona, saka nhoroondo yemhuri yekubuda ropa uye nyore kubvunda kunokonzera kushungurudzwa kuti mwana anogona kuva nechinetso chinokonzera ropa.
- Mhedziso ine ropa (epistaxis) inogara kwenguva refu kupfuura maminitsi gumi nemashanu, mushure mokurapa kwakakodzera nekudzvinyirira zvakananga.
- Kunyanya kubuda ropa shure kwemazino maitiro kana chirwere.
- Chero marwadzo mucheche asina kutanga kutamba, kufamba, kana kufamba zvakare.
- Inotinhira munzvimbo dzisina kujairika, sebhokisi remwana, kumashure, maoko, nzeve, chiso, kana zvigaro.
- Mukuyaruka, nguva yekuenda kumwedzi inogara kwenguva refu kupfuura mazuva manomwe kana iyo inorema kwemazuva matatu.
Miedzo yekusava nekunyanya kukwira nekubvongodza
Vazhinji vana vane ruvara rwekushaya ruzha havazodi kuongororwa. Kana marwadzo ari makuru kana akabatanidzwa nemamwe zviratidzo zvinogona kuratidza chirwere chekubuda ropa, ipapo kuedza kunogona kudiwa.
Miedzo yakajairika yevana vane kupwanya ingasanganisira:
- Kuzara ropa kuwanda (CBC) . Mukuwedzera kune nhamba kana masero matsvuku eropa uye masero machena eropa , nhamba yakakwana yeropa icharatidza huwandu hweplatelet mwana ane, izvo zvinokosha pakubatsira ropa kuvhara.
- Peripheral blood smear. Uyu muedzo unotarisa ropa remwana pasi pekroscope kuti uone huwandu uye hutano hwemasero eropa remwana.
- PT uye PTT, kana prothrombin nguva uye chikamu chepromboplastin nguva . Izvi zvinotarisa kuti ropa rakavhara sei uye rinobatsira kuziva kana mwana angave ane chirwere chekubuda ropa, zvakadai sehemophilia.
- Chinhu VIII, chikonzero IX, uye chinonzi XI . Izvi zvikonzero zvakananga hazvisi izvo kana zvakakosha mumhando dzakasiyana dzehemophilia.
- Fibrinogen . Iyi proteiniti inobatsira ropa kuvhara nekushayikwa inotungamirira kubuda ropa kwenguva refu.
- Bleeding time. Uyu muedzo unotarisa kuti zvinotora nguva yakareba sei mwana kusiya kubuda ropa.
- PFA-100 platelet function screen . Uyu muedzo unoongorora kuti maplatelets akashanda zvakadini uye ari kutora nguva shoma yeropa rinopedzisira kuedzwa mune dzakawanda mabhii.
- Ristocetin cofactor basa uye Von Willebrand antigen. Iyi miedzo inoshandiswa zvakananga kuzivisa von Willebrand chirwere .
Zvimwe Zvimwe Zvinokonzera Kuramba Nokubvongodza
Sezvo mwana wako wechidiki anodzidza kufamba, angangodaro achiwa uye achinyura muzvinhu zvakanyanya, achiwana marwadzo mashomanana munzira. Vana vakwegura vanowanzova nemakumbo pamakumbo avo nemakumbo kubva pakuitamba nekushanda. Kuvhiringidza kworudzi urwu kazhinji hakune chinhu chokufunganya pamusoro. Zvimwe zvinokonzera kupwanya zvinogona kusanganisira:
- Kupera nekukuvara. Hazvishamisi, kukuvadzwa kwakakomba kunogona kutungamirira kukuvhura kukuru. Panzvimbo pokungotarisa kuwanda kwekuputsika, zvakakosha zvikuru kufunga pamusoro pekuti kana kwete kwete kukuvadzwa kunokonzerwa nekukuvara. Saka iwe unotarisira kubvunda kukuru kana mwana wako akadonha kunze kwemuti pane kana iye achingofamba achiwira pasi pauswa.
- Mwana kushungurudzwa. Kuvhiringidza pamucheche, matambudziko asina kutsanangurwa, marwadzo munzvimbo dzisingazivikanwe (maoko ekumusoro, maoko, nzeve, mitsipa, mabheche, nezvimwewo), uye matambudziko mumamiriro akasiyana, sekumhanya kukuru, kusvuta fodya, kana bhanhire kunogona kuva zviratidzo zvemwana kushungurudza.
- Von Willebrand chirwere. Izvi zvakajairika, kunyange zvazvo kazhinji zvinyoro, chirwere chinokonzera kubuda ropa chinogona kukonzera kushungurudza nyore, kazhinji nosebleeds , kubuda kwemwedzi kunorema, nekubuda ropa mushure mokuvhiyiwa.
- Thrombocytopenia . Iri ndiro zita remakiriniki repasi replatelet count, iro rinogona kukonzerwa apo platelets haisi kubudiswa, iri kuparadzwa, kana kuti iyo inenge yakarongedzwa mune chirwere chakawedzerwa.
- Idiopathic thrombocytopenic purpura (ITP). Chirwere chemotokari, ITP inotungamirira pakaputsika kweplatelet muropa nemasikirini uye pasi peplatelet count. Kazhinji inofungidzirwa kuti inokonzerwa nehutachiona hwehutachiona huchangobva kuitika, mushure mokunge vana vaduku vanoita matambudziko makuru uye petechiae (mavara maduku epepuru pasi peganda).
- Henoch-Schonlein purpura (HSP). Izvi zvinogona kukonzera marwadzo emimba, ropa remvura, marwadzo akabatana, uye kuputika kwakasiyana pamakumbo emwana, makumbo, uye madonhwe anotarisa sematambudziko (purpura).
- Hemophilia A (chikonzero cheVIII kushaikwa) kana hemophilia B (chikonzero IX inoshaya). Hemophilia inowanzoonekwa kuti mwana asati ava nemakore maviri kusvika mashanu apo vana vanogona kunge vachinge vakuvadzwa, kubuda ropa muzvibatanidza, kana kubuda ropa zvakanyanya mushure mekucheka kana mazino.
- Leukemia . Mukuwedzera kune nyore kubvunda, kubuda ropa, uye nechepasi platelet count, vana vane leukemia vanowanzove nezvimwe zviratidzo nezviratidzo, zvakadai sechepasi red cell count, fever, uye kuora kurasikirwa, somuenzaniso.
- Vitamin K kusimba. Hazvina kukwana kana mavitamini K1 kana vitamini K2, izvo zvinodiwa kuti kuvhara ropa nekuda kwebasa rinokosha mukugadzirwa kweprothrombin (chivharo chekuvhara), kunogona kutungamirira kumatambudziko eropa.
- Zvimwe zvinokonzerwa nemamwe mishonga. Aspirin , mishonga inobata mishonga, uye mamwe maantibayoti inogona kukonzera kusuruvara kana kubuda ropa.
Shoko Rinobva
Kunyangwe kugunun'una kazhinji kunowanzoonekwa nevana, kana mwana wako achikuvadza zvakanyanya kana zviri nyore kuputika uye zvimwe zviratidzo zvehutano hwekubuda ropa, zvakakosha kutaura nemwana wako. Kuongorora kwakakwana uye kuedza kunogona kuita kuti pfungwa dzako dzive nyore kana kukubatsira iwe uye chiremba wemwana wako kutsanangura kuti ndeupi rudzi rwekutarisira uye kurapwa kunodiwa.
Ramba uchifunga kuti vana vanovhiringidza kazhinji uye zvinowanzoitika. Kazhinji yenguva, hapana chikonzero chekutambudzika.
> Sources
- > Hoffman R, Benz EJ, Silberstein LE, Heslop H, Weitz J, Anastasi J. Hematology: Nheyo Nheyo Nheyo, 6th ed . Philadelphia, PA. Elsevier. 2013.
- > Kliegman RM, Stanton B, St. Geme J, Schor NF. Nelson Nhamba yeBhuku rePediatrics, 20th ed . Philadelphia, PA. Elsevier. 2016.
- > Yee DL. Zvinokonzera thrombocytopenia muvana. In: UpToDate. Armsby C (ed). Kusvika pari zvino. 2016.