Hemolytic Uremic Syndrome: menene shi, yana haifar da magani

Wadatacce

• Babban Sanadin
• Kwayar cututtukan cututtukan mahaifa
• Binciken asali na HUS
• Yadda ake yin maganin

Hemolytic Uremic Syndrome, ko HUS, cuta ce da ke tattare da manyan alamomi guda uku: anemia, ƙarancin ƙwayar koda da thrombocytopenia, wanda ya yi daidai da raguwar adadin platelets a cikin jini.

Wannan ciwo yana faruwa cikin sauƙi a cikin yara saboda cin abincin da ƙwayoyin cuta suka ɓata kamar Escherichia coli, amma kuma yana iya faruwa a cikin manya duka saboda kamuwa da cuta da kuma sakamakon wasu yanayi, kamar hauhawar jini da scleroderma, misali.

Babban Sanadin

Babban dalilin HUS, musamman a yara, shine kamuwa da cuta ta Escherichia coli, Salmonella sp., ko Shigella sp., waɗanda kwayoyin cuta ne waɗanda ke iya sakin gubobi a cikin hanyoyin jini kuma suna haifar da samuwar ƙaramin thrombi a cikin tasoshin, wanda ke haifar da lalata jajayen ƙwayoyin jini da cutar koda. Wannan nau'in kamuwa da cuta yawanci yana faruwa ne ta hanyar cin abincin da waɗannan ƙananan ƙwayoyin cuta suka gurɓata, saboda haka, yana da mahimmanci a kula da tsabtar mutum da abinci. Fahimci yadda tsabtar abinci yake.

Duk da kasancewa mafi yawanci ga yara, Hemolytic Uremic Syndrome na iya faruwa a cikin manya, wanda ana iya haifar da shi ta cin abincin da ƙwayoyin cuta suka ɓata, da kuma kasancewa sakamakon wasu yanayi, kamar gazawar koda bayan haihuwa, scleroderma, kwayar cutar HIV da cututtukan antiphospholipid, misali.

Kwayar cututtukan cututtukan mahaifa

Alamomin farko na HUS suna kama da gastroenteritis, tare da zazzabi, sanyi, gudawa, yawan gajiya, amai da rauni. Yayin cutar, wasu alamu na iya bayyana, kamar su:

• M gazawar koda;
• Kadan fitsari;
• Jaundice;
• Kasancewar jini cikin fitsari da najasa;
• Gwanin;
• Bayyanar launuka masu launin shuɗi akan fata;
• Jaundice.

Kodayake baƙon abu, har yanzu akwai alamun bayyanar cututtukan jijiyoyin jiki, kamar kamuwa, ƙaiƙayi, rashin sani da suma, misali. Bugu da kari, yana da mahimmanci a lura cewa ba duk lamuran HUS ake samun gudawa ba, kuma yana da mahimmanci a gaban duk wata alama da ke nuna cutar, mutum ya je likita don yin bincike da fara magani, hana rikitarwa irin su ciwon zuciya.

Binciken asali na HUS

Binciken HUS ana yin sa ne ta hanyar kimantawar alamomi da kuma sakamakon gwaje-gwajen gwaje-gwajen da likitan ya nema, wanda ke da nufin gano manyan halaye guda uku na cutar, wadanda su ne cutar rashin jini, rage yawan kwayar platelet da canje-canje a aikin kodan .

Don haka, likita galibi yana neman ayi amfani da ƙididdigar jinin, wanda a cikin sa ake tabbatar da ƙaruwar adadin leukocytes, da rage adadin platelet, jajayen jinin jini da haemoglobin, da kuma kasancewar schizocytes, waɗanda gutsure ne na jajayen jinin da ke nuna cewa wadannan ƙwayoyin sun fashe ne saboda wani yanayi, wanda yawanci kasancewar thrombi. Koyi yadda ake fassara ƙididdigar jini.

Hakanan ana buƙatar gwaje-gwajen da ke kimanta aikin koda, kamar auna urea da creatinine a cikin jini, waɗanda aka ƙaru a wannan yanayin. Bugu da kari, akwai karuwar yawan bilirubin kai-tsaye a cikin jini da LDH, wanda galibi ke nuni da hemolysis na microangiopathic, wato, cewa ana lalata jajayen kwayoyin jini saboda kasancewar ƙananan ƙwayoyin cuta a cikin jiragen ruwa.

Baya ga waɗannan gwaje-gwajen, likita na iya neman haɗin gwiwa, wanda ke da nufin gano ƙwayoyin cuta da ke da alhakin kamuwa da cutar, idan haka ne, kuma ta haka ne aka bayyana wane magani mafi kyau da za a bi da HUS.

Yadda ake yin maganin

Kulawar cutar Hemolytic Uremic Syndrome ana yin ta ne don sauƙaƙa alamun cutar da haɓaka kawar da ƙwayoyin cuta, idan cutar ta faru saboda kamuwa da cutar. Don haka, yana da mahimmanci a sha ruwa mai yawa don hana rashin ruwa a jiki, ban da rage cin sunadaran don hana mummunar lalacewar koda.

A wasu lokuta, likita na iya ba da shawarar yin amfani da maganin rigakafi don yaƙi da kamuwa da cuta ko ƙarin jini, wanda galibi ana nuna shi ne ga yaran da suka kamu da gudawar jini a matsayin alama. A cikin al'amuran da suka fi tsanani, wato, lokacin da ciwon koda ya riga ya ci gaba kuma mutum yana da alamun rashin lafiyar cutar koda, dialysis har ma da dashen koda na iya zama dole, inda za a maye gurbin koda da wani mai lafiya. Duba yadda ake yin dashen koda da yadda aikin bayan gida yake.

Don kaucewa SHU yana da muhimmanci a guji cin danyen nama ko wanda ba a dafa ba, domin suna iya gurbata, haka kuma a nisanci abincin da aka samo daga madara wanda ba a manna shi ba, da kuma wanke hannuwanku da kyau kafin shirya abinci da kuma bayan an yi wanka.