Tiyerekeze kuti muli ndi thanzi labwino, liri pakati pa nyengo ya chimfine, ndipo mumakhala ndi malungo ndi pakhosi, kupweteka kwa m'mimba, chifuwa, mutu, ndi kutopa. Ndipo mwana wanu amadwala ndi chimfine sabata yatha.
Khansa ya m'magazi ndi ma lymphoma sizingatheke pa mndandanda wafupipafupi wa dokotala wanu chifukwa chakuti muli ndi chimfine.
Koma nthawi zina chimfine , kaya chokha kapena chogwirizana ndi zizindikiro zina, ndi gawo la chinthu china, ndipo dokotala wanu amaphunzitsidwa kutenga zizindikiro zomwe zimasonyeza kufunikira koyang'anitsitsa.
Matenda ambiri omwe madokotala amawawona angachoke ku zifukwa zosayipa.
Chiwopsezo Chosazindikira Choyamba
Kwachipatala, FUO imayimira "malungo osadziwika." Kukhala ndi FUO sikukutanthauza kuti uli ndi khansa. Ndipotu, pali zifukwa zambiri zosawonetsera za FUO.
Koma monga anthu ena omwe ali ndi khansa ya m'magazi kapena amphineli amatha kuwonetsa, malungo omwe sangawatheke-mwinamwake pamodzi ndi kutopa ndi mtanda-ndiye momwe onse anayambira, kwa iwo.
FUO si nthenda yamtundu wakale yomwe ilibe chifukwa chodziwikiratu. Mu FUO, malungo amayenera kutalika, ndipo payenera kukhala chithandizo chokwanira cha mankhwala kuti athetse mavuto ambiri omwe amachititsa kuti malungo asadzatchulidwe kuti ndi malungo osadziwika.
FUO imatchedwa "malungo a 38.3 C (101 F) kapena ochulukirapo, omwe amakhala osachepera masabata atatu, omwe palibe chifukwa chodziwikiratu patatha masiku atatu kufufuzidwa kuchipatala kapena patapita katatu kapena maulendo oposa ." Kutalika Nthawi mu tanthawuzoyi imayesetsa kuchotsa zina mwazimene zimayambitsa malungo omwe amatsimikiza mkati mwa masabata atatu.
Nchiyani Chimachititsa FUO?
Mwatsoka madokotala ndi odwala, mndandanda wa zovuta zomwe zimayambitsa-ngakhale nkhuku zomwe zimatenga nthawi yaitali kuposa masabata atatu-ndizitali.
Momwemo, kusokonekera kumene kumayambitsa kumadalira zinthu monga geography (kumene mumakhala m'dziko) ndi chiwerengero chanu (mwachitsanzo, kaya ndinu mwana kapena ndinu wamkulu).
Kuwonongeka kwakukulu kwa zifukwa za akulu akulu a US akutsatira:
- Matendawa amachititsa pafupifupi 15-25 peresenti ya FUO.
- Matenda osokoneza bongo, matenda osokoneza bongo komanso / kapena matenda a rheumatologic, ndipo mndandanda wautali wazinthu zingapo zimayambitsa zotsalira zotsalira.
- Palibe chifukwa chimene chingapezekanso pafupifupi 20 mpaka 50 peresenti ya milandu.
Matenda ambiri omwe amapezeka ndi malungo oyambirira amakhala ndi lymphoma (makamaka osati Hodgkin) ndi khansa ya m'magazi.
Nchifukwa chiyani Mankhwala Amagazi Amayambitsa Magazi?
Kulemera kwa thupi, kutopa, ndi malungo mwina onse amapita limodzi ngati khansa, ndipo mitundu iwiri ya khansa ya magazi makamaka-khansa ya m'magazi ndi lymphoma-imadziwika kuti imatulutsa malungo.
Ngakhale kuti matenda nthawi zonse amatha chifukwa cha malungo, amakhulupirira kuti, nthawi zina khansa ya m'magazi ndi lymphoma, maselo owopsawo, amatha kupanga zizindikiro za mankhwala zomwe zimachititsa kuti thupi likweze kutentha kwakukulu.
Pamene khansa ya magazi imayambitsa malungo, malungowa nthawi zina amachititsa masewerawa komanso kutengera matenda. M'magazi ena a khansa, kukhalapo kwa malungo, kutukumula usiku, ndi kutayika kosafuna mwangozi kumasonyeza kuti khansa yakula kwambiri komanso kuti chithandizo chochuluka kwambiri chingakhale chofunika.
Kodi N'chiyani Chingayambitse FUO?
Kuika matenda, malignancy, ndi autoimmune ndi rheumatologic pambali, mndandanda wautali wa zifukwa zosawerengeka za FUO zatsala.
Nthawi zina mankhwala osokoneza bongo angakhale olakwa, kuphatikizapo ma antibiotic omwe angakhalepo, komanso mankhwala omwe amatengedwa kuti asatengeke, komanso ngakhale mankhwala opweteka monga NSAIDs .
Nthawi zina magwero a malungo ali ndi matenda, koma omwe amanyalanyaza madokotala ndi odwala mofanana, monga matenda a mano omwe ali ndi abscess. FUO ikhoza kukhala yokhudzana ndi kachilombo ka HIV kapena kusamalidwa pamodzi ndi chitetezo cha mthupi. Komabe, zina zotere zimaphatikizapo kuledzera kwa chiwindi ndi magazi m'mitsempha yakuya (deep veous thrombosis).
Mawu Ochokera
Ngakhale kuti khansa ya magazi monga khansa ya m'magazi ndi imfine imachitika nthawi zambiri ndi malungo omwe satha, nkofunika kuti mugwire ntchito ndi dokotala kuti muwone zomwe zimawoneka bwino, monga matenda, ndi kuganizira chithunzi chanu chonse cha kuchipatala pamodzi ndi dokotala wanu, kuphatikizapo zizindikilo zina zomwe zingapangitse matenda osiyanasiyana kuti athe.
> Zosowa
> Kutentha kwa chiyambi chosadziwika. http://umm.edu/health/medical/altmed/condition/fever-of-unknown-origin. Idapezeka mu September 2014.
> Kouijzer IJ, Bleeker-Rovers CP, Oyen WJ. FDG-PET mu malungo osadziwika. Masemina mu mankhwala a nyukiliya. 2013; 43 (5): 333-339.
> American Cancer Society. Zizindikiro ndi Zizindikiro za Khansa. http://www.cancer.org/cancer/cancerbasics/signs-and-symptoms-of-cancer. Idapezeka mu September 2017.
> Ergönül O, Willke A, Azap A, ndi al. Ndemanga yowonetsedwa ya 'fever yosadziwika chiyambi': zoperewera ndi mwayi. The Journal of Infection . January 2005; 50 (1): 1-5.