Kusokonezeka kwa minofu yanu kungapweteke impso zanu
Kodi Rhabdomyolysis ndi chiyani?
Rhabdomyolysis, yomwe nthawi zina imatchedwa "rhabdo" mu parlance yachipatala, imatanthauza " kupweteka kwa minofu ". Ndi matenda opatsirana omwe amayamba kusweka ndipo amachititsa kusintha kwa mlingo wamadzi ndi electrolytes m'thupi, motero kumabweretsa mavuto.
Zifukwa za Rhabdomyolysis
Zinthu zambiri zakhala zikugwirizana ndi rhabdomyolysis.
Nazi zitsanzo zingapo:
- Mankhwala; mwachitsanzo. statins ndi fibrates (mankhwala ogwiritsira ntchito kuchepetsa mafuta m'thupi), colchicine (mankhwala a gout), antibiotics, steroids, ndi zina zotero.
- Kuchita masewera olimbitsa thupi kwambiri komwe kumayambitsa chinthu chodabwitsa chomwe chimatchedwa rhabdomyolysis yochita masewera olimbitsa thupi kapena rhabdomyolysis yogwira ntchito
- Kutentha kwakukulu kumayambitsa kupweteka kwa mpweya ndi chinthu chofunika kwambiri.
- Mankhwala osokoneza bongo monga cocaine ndi amphetamines
Zizindikiro za Rhabdomyolysis
Kawirikawiri, wodwala wodwalayo adzafotokozera kupweteka kwa minofu, kupweteka kwa minofu, kutupa, kufooka, ndipo nthawi zina "mdima wamdima / cola". Kusokonezeka kwa madzi m'thupi kumakhala kofala, ndipo wodwala angasinthe mkhalidwe wamaganizo ndi kutsika kwa magazi kutsegula kumutu, chizunguliro, kuchepa kwa mkodzo, etc. Chimodzinso chingakhalepo.
Kodi Rhabdomyolysis Imakhudza Bwanji Impso?
Rhabdomyolysis imakhudza ntchito ya impso m'njira zosiyanasiyana. Kutaya kwa minofu kumabweretsa kusuntha kwa madzi m'thupi mwa mitsempha yowonongeka, kumangoyambitsa komanso kuwononga mkhalidwe wa kuchepa kwa madzi.
Izi zokha nthawi zina zimapangitsa kuti kuchepa kwakukulu kuntchito, komwe kumatchedwa kuvutika kwa impso. Maselo a Electrolyte amatha kusintha m'magazi ndipo akhoza kuwonetseredwa ndi:
- Phosphorous yowonjezereka
- Kuchepetsa kuchepa kwa calcium
- Kuwonjezeka kwa potaziyamu
- Kuwonjezeka kwa uric acid levels
Njira ina imene rhabdomyolysis imapweteka impso ndi chodabwitsa chotchedwa myoglobinuria.
Myoglobin ndi mapuloteni omwe amapezeka minofu. Pamene minofu ikutha, myoglobiniyi imamasulidwa m'magazi kuchokera kumene imapangitsa njira kuti ifike ku impso. Impso sizili bwino pa excreting myoglobin ndipo mapuloteniwa kuphatikizapo poizoni kwa impso 'maselo, nthawi zambiri amawaphimba impso' "kayendedwe ka madzi" otchedwa tubules. Izi zingachititse kuti impso zilephereke. Pa zochitika zovuta kwambiri, rhabdomyolysis-yomwe imayambitsa matenda a impso chifukwa cha myoglobinuria ingayambitse kusokonezeka kwa impso zomwe zimafuna dialysis ya nthawi yaitali .
Rhabdomyolysis Amadziwika
Kutulukira kwa rhabdomyolysis kumadalira mauthenga omwe akuphatikizapo zizindikiro ndi ziwonetsero za kuwonetsera ngati zowawa za minofu. Zizindikiro zina zowonjezereka zimaphatikizapo mkodzo wa cola. Mayeso a labwino amachitika kuti athandizidwe ndi matendawa ndipo nthawi zambiri amasonyeza mlingo wokwera kwambiri wa mankhwala mu magazi otchedwa CPK kapena creatinine phosphokinase. Kulephera kwa impso kungakhale kowonekeranso pamayeso a magazi, ndi maulendo opambana a creatinine. Kuyezetsa mkodzo kungasonyeze kukhalapo kwa myoglobin, mapuloteni osadziwika omwe amasulidwa mu mkodzo kuchokera ku kusokonezeka kwa minofu.
Rhabdomyolysis Treatment
Kuphatikizapo kuthana ndi chifukwa chachikulu chimene chinayambitsa, crux ya mankhwala a rhabdomyolysis akukonzekera miyeso yodabwitsa ya electrolyte ndi kumenyana kwapakati kwa wodwala wodwalayo ndi madzi amkati.
Pakhala pali mkangano wokhudza mtundu wa intravenous fluid yabwino kwa wodwalayo mkhalidwe uno. M'mbuyomu, alkaliniza mkodzo ndi ntchito ya sodium bicarbonate kuti akhale mlingo wa chisamaliro. Komabe, kupambana kwake kwa madzi ena osakanikirana monga saline wamba sikungatsimikizidwe mozama.
Dokotala wothandizira adzalimbikitsa ntchito ya impso pamene mukukhala m'madzi amadzimadzi. Kawirikawiri, zizindikiro zanu ndi ntchito ya impso ziyenera kuyamba kuyambiranso masiku angapo, ndipo mkodzo uyenera kuyamba. Komabe, kwa odwala ena, impso zingayambe kuvulaza mpaka pamene dialysis ikhoza kukhala yofunikira .
Kumbukirani kuti dialysis ndi mankhwala othandizira. Sichimagwira impso kulephera pa se; imangobweretsanso ntchito ya impso. Ngati impso zibwezeretsa, adzichita okha, ndipo zonse zomwe wodwala ndi dokotala angachite ndikuwapatsa chilengedwe chothandizira. Kawirikawiri, wodwalayo angakhale dialysis-amadalira moyo.