Chirwere chepachirwere varwere vane ngozi yakawanda yezvirwere
KUNYANYA KUDZIDZA KUNOGADZISA KUTANGA KWEMISIMA
Nokudaro, varwere vane chirwere chisingaperi chepfungwa (CKD) vari pangozi yakawanda yezvirwere. Kuwanda kwekudzivirirwa kwemuviri kunowedzera kusimba kazhinji kunowirirana zvakananga nekusvika kwatinoita basa rehso. Pfungwa inokosha yekuziva ndeyokuti kunyange kurerutsa kwepfungwa kunoshanda kunogona kuwirirana nehuwandu hukuru hwehupenyu hwakakomba hutachiona hutachiona.
Izvi zvinosanganisira zvirwere kubva kune chero mumiririri: mabhakitiriya, hutachiona, fungi, nezvimwewo. Ongororo dzakanyatsove dzakazivisa tsanangudzo dzinoratidza kusangana kwezvirwere zvepfungwa dzine zvirwere zvakakomba zvakadai sepneumonia uye herpes zoster.
ZVINOFANIRA KUTI ZVINHU ZVINOKUDZISA KUNOFU MUVANHU VAKASIMBA VANHU VANHU VANHU
Sezvandambotaura pamusoro apa, njodzi yehutachiona muvarwere vane chirwere chepfungwa inowedzera nekufambira mberi kwezvirwere zvepfungwa zvinokonzera zvirwere zvikonzero chikuru zvekufa, kunyanya kune varwere vane hosha kusakatika avo vari pane dialysis.
Kunyange zvazvo kwete mitezo yose inogona kudzivirirwa, vachirwere varwere vanorwisana nehutachiona iyo inopinda chirwere inofanira kuva yakakosha. Muzvokwadi, inofanirwa kuva inogara ichichengetedza chirwere chisingaperi chine chirwere chepfungwa. Izvi zvinogona kutungamirira kune njodzi yakaderera yekufa uye yekurapa munguva yemberi.
KUKUNDA KUNYANYA (VACCINES) MUVHAKATI VANHU VANHU VANHU VAKASIMBA
Kana uchinge wakaziva kuti CKD inonyanya kushandiswa nehurumende , inova nyore kunzwisisa kukosha kwekudzivirira kuvhara.
Zvirwere zvinofanira kuva chikamu chinokosha cherongwa hwekuchengetedza zvakakwana kune murwere weCKD. Mishonga yakananga inokurudzirwa zvichienderana nesiteji reCKD, uye chaizvoizvo, iyo yose yeCent for Disease Control and Prevention's (CDC) Komiti Yemazano Okudzivirira Kuzvidzivirira (ACIP) , uye masangano enyika dzakadai seDhinney Disease: Kuvandudza Global Outcomes (KDIGO) iye zvino anouya nemitemo yakanangana nehutano hwekudzivirira muvarwere vane chirwere chepvo.
Heino mhedziso shomanana yehutachiona hwehutachiona huripo hunoendeswa kune vakwegura vane CKD:
INFLUENZA (FLU)
Kuchengetedza kurwisa furuza, iyo inowanzofuridzira chirwere chekurwara iyo inotanga kuitika nguva dzose yechando ingangodaro chimwe chezvinhu zvakakosha zvehutano zvehupenyu munguva yedu.
Mhando mbiri dzezvirwere dzinowanikwa mukudzivirira kurwisa furuza: chirwere chisina kuvharwa (injiramu inonzi intramuscular) - iyo ine "kuurayiwa" utachiona, uye hupenyu hunopindwa neattenuated (nasal spray). Iyo yekare ndiyo "chirwere chinoputika" icho iwe ungangodaro wakajaira. ACIP inokurudzira chete chirwere chisina kuvharwa chinoputirwa kurwara kunorwara kune varwere vane CKD, uye varwere vose veCKD pasinei nechikwata chinofanira kunge chichidzivirirwa kurwisana nehutano gore rimwe nerimwe pamwe chete nemvura inoputika (kunze kwekuti vane zvimwe zvinopesana).
Zvakare kudzokorora, chirwere chinonzi "nasal spray" chirwere (live attenuated) chinopesana nezvirwere zvisingaperi zvepfungwa kana chirwere che dialysis , uye hachifaniri kutarisirwa.
PNEUMOCOCCAL INFECTIONS
Zvirwere izvi zvinogona kukonzera zvirwere zvakanyanya uye zvinotyisa zvingaita pneumonia uye meningitis. IAACIP inokurudzira kuvhara zvirwere izvi zvinoshandisa chirwere chinonzi "polyvalent" chirwere chepneumococcal muvarwere vane chirwere chinopfuudzwa chepfungwa.
Zvichienderana nezera rako, revaccination mumakore mashanu inogona kana inenge isingadiwi. Ichi chirwere chinofanira kupiwa kuvarwere vane zvikamu zveCKD 4 ne5.
HEPATITI B
Chirwere chakakomba chechiropa, chirwere cheHepatitis B chinogonawo kukanganisa dzimwe nhengo, kusanganisira itsvo nemitsipa yeropa. Nokudaro, panguva ino, kupemerwa kurwara neHepatitis B kunowanzokurudzirwa kuvarwere vane maCKD matanho 4 ne5. Purogiramu yakajairika inopfura pa 0, 1, uye 6 mwedzi.
CHIKOSORO
Hemukisi inopesana neTetanus, Diphtheria, uye Pertussis (Tdap) inokurudzirwa kune vakawanda vakura uye yakachengeteka kune varwere vane chirwere chepfungwa. Chirwere chimwechete, chinoteverwa neTd booster makore ose gumi anokurudzirwa.
KUFUNGA
Zvichibva pamigumisiro yakaipisisa iyo chirwere chepfungwa chiri pamatambudziko ako ekuvandudza hutachiwana hutachiona, zvirwere zvinorwisana nehutachiona, zvirwere zvepneumococcal, uye hepatitis B inofanira kunge iri chikamu chekuchengetedza kwakakwana mutwere weCKD . Bvunza nephrologist wako kana iwe uchikwanisa kufambidzana nazvo! Zvirineni zvinotsigirwa nehutano hunoshamisa hwehupupu hwokuti dzinoponesa upenyu; zvisinei nokuti chii chinorwisa chirwere chinopikisa uye Jenny McCarthy akuudza.