I-Hemolytic Uremic Syndrome: kuyini, izimbangela nokwelashwa

-Delile

• Izimbangela eziyinhloko
• Izimpawu ze-Hemolytic Uremic Syndrome
• Ukuxilongwa kwe-HUS
• Yelashwa kanjani

I-Hemolytic Uremic Syndrome, noma i-HUS, yisifo esivezwa yizimpawu ezintathu eziyinhloko: i-hemolytic anemia, ukwehluleka okukhulu kwezinso kanye ne-thrombocytopenia, ehambelana nokwehla kwenani lama-platelet egazini.

Lesi sifo senzeka kalula ezinganeni ngenxa yokusetshenziswa kokudla okungcoliswe amagciwane afana ne-Escherichia coli, kepha kungenzeka nakwabantu abadala ngenxa yokutheleleka nangenxa yezinye izimo, njenge-hypertension kanye ne-scleroderma, isibonelo.

Izimbangela eziyinhloko

Imbangela enkulu ye-HUS, ikakhulukazi ezinganeni, ukutheleleka ngu Escherichia coli, Salmonella sp., noma Shigella sp., okungamagciwane akwazi ukukhipha ubuthi egazini futhi aholele ekwakhekeni kwe-thrombi encane ezitsheni, okuholele ekubhujisweni kwamangqamuzana egazi abomvu nokulimala kwezinso. Lolu hlobo lokutheleleka luvame ukwenzeka ngokusetshenziswa kokudla okungcoliswe yilezi zinambuzane, ngakho-ke, kubalulekile ukunaka inhlanzeko nokudla komuntu siqu. Qonda ukuthi inhlanzeko yokudla injani.

Yize ivame kakhulu ezinganeni, iHemolytic Uremic Syndrome nayo ingavela kubantu abadala, engadalwa kokubili ngokudla ukudla okungcoliswe amagciwane, kanye nomphumela wezinye izimo, njengokuhluleka kwezinso zangemva kokubeletha, i-scleroderma, ukutheleleka ngegciwane i-HIV kanye i-antiphospholipid syndrome, isibonelo.

Izimpawu ze-Hemolytic Uremic Syndrome

Izimpawu zokuqala ze-HUS ziyefana nesifo sokugaya emathunjini, ngemfiva, ukugodola, uhudo, ukukhathala ngokweqile, ukuhlanza nobuthakathaka. Ngesikhathi sokugula, ezinye izimpawu zingavela, njenge:

• Ukwehluleka okukhulu kwezinso;
• Umchamo omncane;
• I-jaundice;
• Ubukhona begazi emchameni nasendleni;
• Pallor;
• Ukubukeka kwamabala ansomi esikhunjeni;
• I-jaundice.

Yize kungavamile, kusengaba khona ukuvela kwezimpawu zemizwa, njengokuquleka, ukucasuka, ukuquleka kanye nokuquleka, ngokwesibonelo. Ngaphezu kwalokho, kubalulekile ukuthi wazi ukuthi akuzona zonke izimo ze-HUS ezandulelwa isifo sohudo, futhi kubalulekile ukuthi lapho kukhona noma yiluphi uphawu olusikisela lesi sifo, umuntu lowo uya kudokotela ayokwenza ukuxilongwa bese eqala ukwelashwa, ukuvimbela izinkinga ezifana nokuhluleka kwenhliziyo.ukuhluleka kwezinso okungapheli.

Ukuxilongwa kwe-HUS

Ukuxilongwa kwe-HUS kwenziwa ngokuhlolwa kwezimpawu kanye nomphumela wokuhlolwa kwelabhorethri okucelwe ngudokotela, okuhlose ukukhomba izici ezintathu eziyinhloko zalesi sifo, okuyi-hemolytic anemia, ukwehla kwesibalo seplatelet kanye nezinguquko ekusebenzeni kwezinso .

Ngakho-ke, udokotela uvame ukucela ukusebenza kwesibalo segazi, lapho kuqinisekiswa khona ukwanda kwenani lama-leukocyte, ukwehla kwenani lama-platelets, amaseli abomvu egazi ne-hemoglobin, kanye nokuba khona kwama-schizocyte, okuyizingcezu kwamangqamuzana egazi abomvu akhombisa ukuthi la maseli aqhekeziwe ngenxa yesimo esithile, okuvamise ukuba khona kwe-thrombi. Funda ukuthi ungasihumusha kanjani isibalo segazi.

Kucelwa nokuhlolwa okuhlola ukusebenza kwezinso, njengokukalwa kwe-urea ne-creatinine egazini, okwandiswa kulesi simo. Ngaphezu kwalokho, kukhona ukwanda kokuhlushwa kwe-bilirubin engaqondile egazini nase-LDH, okuvame ukukhombisa i-microangiopathic hemolysis, okungukuthi, ukuthi amangqamuzana abomvu egazi ayabhujiswa ngenxa yokuba khona kwe-thrombi encane ezitsheni.

Ngaphezu kwalezi zivivinyo, udokotela futhi angacela isiko elihlangene, elihlose ukukhomba amabhaktheriya abhekene nokutheleleka, uma kunjalo, futhi ngaleyo ndlela achaze ukuthi yiluphi ikhambi elingcono kakhulu lokwelapha i-HUS.

Yelashwa kanjani

Ukwelashwa kweHemolytic Uremic Syndrome kwenziwa ukunciphisa izimpawu futhi kukhuthaze ukuqedwa kwamagciwane, uma kwenzeka lesi sifo sivela ngenxa yokutheleleka. Ngakho-ke, kubalulekile ukuphuza uketshezi oluningi ukuvimbela ukuphelelwa amandla kwamanzi, ngaphezu kokunciphisa ukusetshenziswa kwamaprotheni ukuvimbela ukulimala okukhulu ezinsweni.

Kwezinye izimo, udokotela angancoma ukusetshenziswa kwama-antibiotics ukulwa nokutheleleka noma ukumpontshelwa igazi, okuvame ukukhonjiswa ezinganeni ezinesifo sohudo olunegazi njengophawu. Ezimweni ezinzima kakhulu, okuwukuthi, lapho ukulimala kwezinso sekuvele sekuthuthukile futhi umuntu enezimpawu zesifo esingapheliyo sezinso, i-dialysis kanye nokufakelwa kwezinso kungadingeka, lapho izinso ezithintekayo zithathelwa indawo enye enempilo. Bona ukuthi ukufakelwa izinso kwenziwa kanjani nokuthi i-post-operative injani.

Ukugwema i-SHU kubalulekile ukuthi ugweme ukudla inyama eluhlaza noma engaphekiwe, ngoba ingangcoliseka, kanye nokugwema ukudla okutholakala obisini olungafakwanga namanzi, kanye nokugeza izandla zakho kahle ngaphambi kokulungisa ukudla nangemva kokusebenzisa indlu yangasese.