Zuva rega rega vazhinji vedu tinowedzera humwe humwe hutano huno husingakwanisi kuita. Dzimwe nguva, zvisinei, zvinoratidzika kunge zviduku zvoutano kana zvimwe zvinowanzoitika zvinogona kuva zvakakomba uye zvinoda kurapwa. Zvisinei zvisingawanzoitiki, heino kutarisa zvinhu zvishoma zvakakomba zvingaguma kubva pazvirwere zvishanu zvinowanzoenderana nemamiriro ezvinhu.
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Necrotizing FasciitisVanhu vakawanda vanoita uhu hwakanaka uye vane utano hwakasimba nehutachiona hwemasimba havamboiti necrotizing fasciitis (mune mamwe mazwi, "benyama-kudya" mabhakitiriya). Zvisinei, mune dzimwe, chirwere cheganda chiri nyore chinogona kupararira mumuviri wose unotungamirira kuhutachiona hweropa, chigunwe chechigunwe, uye nezvimwe zvakadaro.
Necrotizing fasciitis, mabhakitiriya anopararira kubva kumeso akareruka kusvika kune-fascia, kana zvidimbu zvakadzika zvezvishandiso zvinobatana zvinokomberedza mitsipa yeropa, nerve, mafuta, nemisumbu. Izvozvo zvinokonzerwa nemabhakitiriya aya zvinoparadzawo mhuka dzakapoteredza.
Iko kune maitiro maviri anowanikwa necrotizing fasciitis .
Ita 1 necrotizing fasciitis ipamuviri inokonzera chirwere, iyo inokonzerwa nemhando dzakasiyana dzebhakitiriya, zvose aerobic uye anaerobic. Yezvinyorwa, mabhakitiriya aerobic anokura mumamiriro eokisijeni; asi, vanaerobic mabhakitiriya haadi kuti okisijeni ikure. Mavanga anonyadzisa, akadai seaya anokonzerwa nemhuka uye nekurumwa kwemunhu, kazhinji ane musanganiswa webhakitiriya reaerobic uye anaerobic.
Tora 2 necrotizing fasciitis inobva kuhutachiona nehutachiona hweganda, kusanganisira Staphylococcus aureus, methacidin-resistant Staphylococcus aureus ( MRSA ), uye Streptococcus pyogenes .
Necrotizing fasciitis, chirwere cheganda chinogona kuva chakatsvuka (erythematous) nekuumbwa kwehando (bubble-like) zvipembenene uye kuputika (ecchymosis). Uyezve, mvura inoshandiswa serosanguinous fluid kana pus inowanikwawo. Pakupedzisira, ganda rinopedzisira rafa (rinova necrotic) uye rinogona kuva rakanyanyisa.
Necrotizing fasciitis inogona kukanganisa chero chikamu chemuviri-kusanganisira kumusoro kwepamusoro uye mudumbu-asi, chirwere ichi chinowanzokonzera miganhu yakadzika. Pamusoro pekuchinja kweganda, pano pane zvimwe zviratidzo nezviratidzo zve necrotizing fasciitis:
- Uturu hunenge huchienzaniswa nehutachiona hwehutachiona
- Kuzvimba uye kupera kweruwa rakapoteredza
- High fever
- Crepitus, kana gasi mumasukisi
Kurapa kwekushaya necrotizing fasciitis kunoitika muchipatara uye kunosanganisira zvinotevera:
- Mishonga inorwisa mabhakitiriya inogadzira MRSA nedzimwe mishonga inopesana nemishonga yebhakitiriya
- Kugadzirisa kukwikwidzana kana kubviswa kwezvisikwa zvakafa, izvo zvinogona kureva kusunungura
- Kusvibiswa kwakasvibiswa (fungidzira zvinopisa mvura)
- Kukuvara kwevanga (funga zvisina kunaka-kukuvadzwa kurapa chirwere)
Pano pane zvimwe zvinokonzera njodzi izvo zvinokonzera munhu kumusana wekucheka necrotizing fasciitis:
- Diabetes mellitus
- Kudya kwakashata
- Recent operation
- Decubitus ulcer, kana kusuruvara kwechirwere, izvo zvinowanzoitika kubva kune munhu akarara asina simba kwenguva refu
- Intravenous drug use
- Kunwa doro
Nzira yakanakisisa yekugadzirisa necrotizing fasciitis ndeyokudzivisa iyo pakutanga, kunyanya kana iwe unotarisana nehutachiona hwechirwere ichi. Somuenzaniso, kana iwe ukava nehutachiona hweganda kana ronda, ramba rakafukidzwa nemabhandeji akachena uye akaoma. Iwe unofanirwawo kushamba maoko ako kazhinji nekudzivisa kuvhara chironda mumadziva, mavhiripuru uye mamwe mimwe mitumbi yemvura.
Pamashoko ekupedzisira, necrotizing fasciitis iyo inokanganisa (kunyanya murume) nzvimbo yebonde inonzi Fournier gangrene.
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Upper Respiratory InfectionsKumusoro kuputika kwezvirwere (URIs) zvakanyanya kudarika uye chikonzero chinowanzoita kuti vanhu vazhinji vatsvake kubva kunechiremba. Isu tose tinowana URIs nguva nenguva.
Mazhinji eRIs anokonzerwa nemavirusi uye anozvimirira, izvo zvinoreva kuti ivo vachaenda vari voga vasina kurapwa. Kazhinji, asi URI inogona kuva yakaoma uye inogona kuva kuratidzwa kwekusagadzikana, kana utachiona nehuwandu hwehutachiona hwehutachiona. Nyaya, mabhakitiriya URIs anobatwa nemishonga inorwisa mabhakitiriya, zvakadai se amoxicillin, penicillin , ceftriaxone nezvimwewo.
Heano mamwe maitiro eRIs:
- Inotonhora
- Pharyngitis
- Otitis media (utachiona hwehutano hwepakati)
- Acute sinusitis
- Croup
- Laryngitis
- Epiglottitis
Pamusoro pezvikamu zvakawanda, URIs inogona kurapwa muchirwere chekubuda kunze kana kuisa maziso. Dzimwe nguva, URIs yakaisvonaka yakakomba uye inoda kurapwa muchipatara-zvikurukuru muvana.
Imwe rudzi rweRI inoda kurapwa nokukurumidza epiglottitis . Iyo epiglottis inenge yakagadzirwa nekatetila iyo inobatanidza trachea, kana mhepo yemhepo kana iwe ukamedza (kuitira kuti usashuva kana kuwana zvokudya mumutambo). Epiglottitis inoreva kubhurwa kwechigunwe ichi chechipiri kune utachiona nebhakitiriya kana utachiona.
Epiglottitis inogona kukonzera kupisa kwe epiglotti kana kuti kunodzivisa chetrachea uye kubvisa mhepo kupa mapapu, zvichiita kuti kusungwa kwemwoyo uye kunyange kufa. Mishonga ye epiglottitis inosanganisira intubation, umo tube inogadzirirwa mu trachea, intravenous fluids uye antibiotics, uye corticosteroids kubetsera nekuputika.
Nenzira yakanaka, epiglottitis yakaisvonaka isina kuwanikwa nekuti isu iye zvino tine chirwere cheH H. chirenzae B (Hib), ndicho chikonzero chinonyanya kukosha chechiitiko ichi.
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HeadacheMisoro yepamusoro ndiyo inowanzosangana neurological disorder, ine 50 muzana yevanhu vose vanotambura nemusoro pane imwe nguva mukati megore, uye 90 muzana yevanhu vanotambura nemusoro pane imwe nguva muupenyu hwavo.
Kazhinji yenguva, misoro inobata uye inogona kuenda kune yoga kana mushure mekutora Tylenol ( acetaminophen ) kana imwe inopfuura-the-counter pain reliever. Dzimwe nguva, zvisinei, musoro wepamusoro unogona kuratidza chimwe chinhu zvakanyanya pamusoro pekurohwa. Inenge 25 muzana yevanhu vanoona chirwere chakanyanya uye vanobatanidza musoro.
Stroke ndiyo yechishanu inokonzera kukonzera rufu muUnited States. Maererano neCDC, vanhu vanosvika 795 000, gore roga roga vane chirwere uye vanhu 130 000 vanofa nekurohwa.
Heano zvimwe zviratidzo zvinowanzoonekwa zviratidzo zvekurohwa, izvo zvinowanzoerekana zvaitika:
- Unhu kana kushaya simba kwemaoko, gumbo kana rutivi rwese rwemuviri, runoenderana nenzvimbo yekurohwa
- Trouble kuona
- Dambudziko rinofamba nekuda kwechezzinesi kana kurasikirwa kweyero
- Kusanganiswa
- Dambudziko kutaura
- Musoro
Pakati pezviratidzo zvose izvi, zvirwere zvepfungwa zvishoma kune stroke zvinonyanya kukanganiswa navanachiremba pavanoona sitiroko. Kazhinji, vanachiremba vanoisa pfungwa kune dzimwe (chinangwa) zviratidzo zvakadai sekushaya simba kana kushaya simba uye vari kunetseka nezvekugadzirisa kushanda kwekurohwa. Ndapota yeuka kuti nekurohwa, nguva ndeyekudzivirira uye kukurumidza kukura kunogona kudzivirira kukwana kwekushure.
Musoro unogona kusanganiswa nemhando dzakasiyana-siyana dzekurohwa, kusanganisira zvinotevera:
- Intracranial hemorrhage
- Subarachnoid homorrhage
- Giant cell arteritis
- Carotid kana vertebral arterial dissection
- Intracranial venous sinus thrombosis.
Mune vanhu vanoona chirwere chepfungwa, kusuruvara kwepfungwa hakuchina chokuita nehukuru hwepasina nzvimbo. Uyezve, unilateral musoro, kana kuti musoro unobata kune rumwe rutivi rwemusoro, kazhinji unokonzerwa nekurohwa pamativi mamwechete edzimusoro. Zvinyorwa, kutsvakurudza mberi kunofanira kuitwa kuongorora kushandiswa kwekliniki yemusoro unobata musoro.
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Kuora mwoyoTisati tatarisa kuora mwoyo sechikonzero chekuzviuraya, tapota ziva kuti huwandu hwevanhu vanoona kuora mwoyo hazvizviiti kuzviuraya.
Kunyanya, maererano neNational Institute of Mental Health (NIMH) muna 2014, vaAmerica 15.7 mamiriyoni vakaona imwe huru yekuora mwoyo episode; asi, muna 2011 maererano neCenters for Disease Control, kwaive nevakafa 41 149 vaikwanisa kuzviuraya.
Uyezve mune rimwe bhuku rinodzidza rakanzi "Kuora mwoyo: Zvaunoda Kuziva," iyo NIMH inosimbisa zvinotevera:
- Kuora mwoyo ndiko chirwere chaicho
- Kuora mwoyo kunobata vanhu nenzira dzakasiyana
- Kuora mwoyo kunoporesa
- Kana uine kuora mwoyo, iwe hausi woga
Kunyange zvakadaro, ngozi yekuzviuraya inofanira kuongororwa kuvanhu vose vane zviratidzo zvekuora mwoyo. Kuzviuraya chinetso chikuru uye ndicho chikonzero chikuru chekufa muzera rose.
Pano pane zvimwe zvinokonzera ngozi yekuzviuraya:
- Gender (vakwegura vakuru vepanyika vari pangozi huru)
- Kunwa doro
- Zvirwere zvepanyama
- Kusakwanisa kutsigirwa nevamwe
- Psychosis
- Recent humiliation
Uyezve, vechidiki vane kuora mwoyo pamwe neve LGBT vechidiki vane kuora mwoyo kune ngozi chaiyo.
Zvinoshungurudza zvirwere zvekuzviuraya zvinosanganisira kutaura zvakajeka kuzvipira kuzviuraya, kusava netariro (kuora mwoyo) uye chirongwa chakaumbwa zvakanaka.
Kana iwe kana mumwe munhu waunoziva uchinzwa kuzviuraya, unofanira kutaurira chiremba wako, shamwari, nhengo yemhuri kana kudana National National Prevention Prevention Hotline pa1-800-273-TALK kana 1-800-273-8255.
Chimwe chekupedzisira chinyorwa pamusoro pekuora mwoyo: Kunyangwe kuora mwoyo kunowanikwa mune urongwa pamwe nezvimwe zvinhu zvinogona kuonekwa sekushushikana kwechidiki-kufanana nechirwere cheganda kana kuora musoro- kune vanhu vakawanda vanoona kuora mwoyo, hapana chinhu chiduku pamusoro pechiitiko ichi.
Kushungurudzika kunosanganiswa pane urongwa huno nokuti kuora mwoyo kwakawanda kupfuura vanhu vakawanda vanoziva. Uyezve, tinofanira kugara tichiedza kuti tive nekunyatsonzwisisa pane zviratidzo zvinorwadza zvatinoona kana zviratidzo zvinorwadza zvinowanikwa nevanodiwa.
Kana kuora mwoyo uye kusava netariro zvichienda kune dzimwe zviratidzo zvekuzviuraya, tapota tsvaka rubatsiro pakarepo. Kuora mwoyo kunoporesa, uye mumatambudziko mazhinji, kuzviuraya kunogona kudziviswa nekurapa kwakanaka uye kutarisirwa.
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Chest PainApo vanhu vazhinji vanofunga nezve "kurwadziwa kwepfuva," kurwisa kwemoyo, kana myocardial infarction, inouya mupfungwa. Zvisinei, kune zvakawanda zvinokonzera zvinokonzera kurwadziwa kwepfupa; saka, hapana munhu anofanira kungofunga kuti zvose zvinorwadza pachipfu zvinoreva moyo yekurwa.
Kutambudzika kwepfungwa kunoratidzira kurwisa kwemoyo kunowanzove kusingagumi, kupararira uye kupenya kana ikatanga kupa. Mune mamwe mazwi, kurwadziwa uku hakusi kuitika kwenguva pfupi. Uyezve, zviratidzo zvekurwadziwa kwemoyo zvinogona kunge "zvinotyisa" uye zvinosanganisira zvinopfuura kurwadziwa kwepfupa kana kusagadzikana kwega. Vanogona kupa sezvinorwadza, kusagadzikana kana kunetseka mukati mudumbu, maoko, kumashure nezvakadaro. Pakupedzisira, zviratidzo zvakadaro zvinowanzobatanidzwa nezvimwe zviratidzo zvinoratidza zviratidzo, kusanganisira kutuka, kusuruvara, kuneta, uye syncope (kuneta).
Hurwa hupfuva huripo kwenguva refu, kuverenga, kubereka kana kuvandudza kunogona kuratidza chikonzero chinonyanyisa chakadai
- Rubi rakapwanyika
- Musungo wakanyungudutswa mudanda rechifuva
- Herpes zoster (shingles)
- Asthma
- Pneumonia
- Gastroesophageal reflux chirwere (GERD) ("heartburn")
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Hazvambovi Mamiriro Akashata Kuona Chiremba WakoHungu, ndezvechokwadi kuti kunyange zvimwe zvezvinhu zvehutano zvakanyanya izvo isu tose tinotarisana panguva imwe chete, zvinosanganisira musoro wepamusoro kana bondo, zvinogona kunge zvakanyanya kuoma. Nenzira yakanaka, zvisinei, matambudziko akawanda ehutano atinotarisana nawo mukurwadziwa kwezuva nezuva kugadzirisa ivo pachavo.
Kunyange zvakadaro, kana iwe uchinzwa uchida kutsvaga rubatsiro kana kurapwa kunyangwe nyaya inoratidzika seyocheche, nguva dzose iri pfungwa yakanaka yekuita musangano nechiremba wako wepamusoro.
Ndapota yeuka kuti hapana kumboita chinhu chakadai sokugadzwa kwechiremba "kurasikirwa." Kunyange kana mupi wako achiguma achingoti akusimbisa, achaita kuti unzwe zviri nani uye kazhinji kuongororwa utano hwako uye hukama hwakanaka. Pakupedzisira, kushanyirwa kwakadaro kunogona kushanda semutambo wegore rako rekunyama kana kutarisa.
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Eisendrath SJ, Cole SA, Christensen JF, Gutnick D, Cole M, Feldman MD. Kuora mwoyo. Muna: Feldman MD, Christensen JF, Satterfield JM. eds. Kurapa Kwokurapa: Murairo weKuita zveKliniki, 4e. New York, NY: McGraw-Hill; 2014.
Raghunathan S, Richard, B, Khanna B. Zvinokonzera uye hutachiona hunhu hwehutachiona mune ischemic stroke. Kufambira mberi muNeurology uye Psychiatry 2008.
Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr. Chitsauko 122. Necrotizing Fasciitis. Mu: Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr .. eds. The Color Atlas of Family Medicine, 2e. New York, NY: McGraw-Hill; 2013.
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