Rhabdomyolysis

Rhabdomyolysis ndiko kuputsika kwemhasuru nyama inotungamira mukuburitswa kwemhasuru fiber zvirimo muropa. Izvi zvinhu zvinokuvadza kuitsvo uye zvinowanzo kukonzera kukuvara kwetsvo.

Kana tsandanyama ikakuvara, puroteni inonzi myoglobin inosunungurwa muropa. Inozosvinwa kunze kwemuviri neitsvo. Myoglobin inodonha kuita zvinhu zvinogona kukuvadza itsvo maseru.

Rhabdomyolysis inogona kukonzerwa nekukuvara kana chero imwe mamiriro anokanganisa marunda mhasuru.

Matambudziko anogona kutungamira kuchirwere ichi anosanganisira:

• Kushungurudzika kana kukuvara kukuvara
• Kushandiswa kwemishonga yakadai secocaine, amphetamines, statins, heroin, kana PCP
• Zvirwere zvetsandanyama
• Kunyanyisa kwetembiricha yemuviri
• Ischemia kana kufa kwemhasuru yemhasuru
• Low phosphate mazinga
• Kufenda kana mhasuru kudedera
• Kuedza kwakasimba, senge kumhanya kwemarathon kana calisthenics
• Yakareba nzira dzekuvhiya
• Kunyanya kupera mvura mumuviri

Zviratidzo zvinogona kusanganisira:

• Rima, tsvuku, kana kola-mavara weti
• Yakaderera weti kubuda
• Kazhinji kushaya simba
• Kuomesa kwemhasuru kana kurwadziwa (myalgia)
• Tsitsi nyoro
• Kushaya simba kwemhasuru dzakabatwa

Zvimwe zviratidzo zvinogona kuitika nechirwere ichi:

• Kuneta
• Joint kurwadziwa
• Kufenda
• Kurera huremu (hwaisaziva)

Kuongorora kwemuviri kucharatidza nyoro kana kukuvara mhasuru yemhasuru.

Iyi bvunzo inotevera inogona kuitwa:

• Creatine kinase (CK) nhanho
• Serum calcium
• Serum myoglobin
• Serum potasium
• Kuongorora urinal
• Weti myoglobin bvunzo

Chirwere ichi chinogona kukanganisa mhedzisiro yemiedzo inotevera:

• CK isoenzymes
• Serum creatinine
• Weti creatinine

Unofanira kuwana zvinwiwa zvine bicarbonate kubatsira kudzivirira kukuvara kweitsvo. Ungangoda kuwana zvinwiwa kuburikidza nemutsinga (IV). Vamwe vanhu vangangoda itsvo dialysis.

Anokuchengetedza hutano anogona kukunyorera mishonga inosanganisira diuretics uye bicarbonate (kana paine weti yakakwana inobuda).

Hyperkalemia uye yakaderera ropa calcium calcium (hypocalcemia) inofanira kurapwa ipapo ipapo. Itsvo kukundikana kunofanirwa kurapwa.

Mhedzisiro yacho inoenderana nehuwandu hwekukuvara kweitsvo. Acute itsvo kutadza kunoitika muvanhu vazhinji. Kurapwa munguva pfupi yapfuura rhabdomyolysis ichadzora njodzi yekukuvara kweitsvo zvachose.

Vanhu vane kesi dzakaomarara vanokwanisa kudzokera kumabasa avo akajairwa mukati memavhiki mashoma kusvika pamwedzi. Zvisinei, vamwe vanhu vanoramba vaine matambudziko nekuneta uye kurwadziwa kwemhasuru.

Zvinetso zvinogona kusanganisira:

• Acute tubular necrosis
• Chakakomba itsvo kutadza
• Kukuvadza kusaenzana kwemakemikari muropa
• Shock (yakaderera BP)

Fonera mupiki wako kana iwe uine zviratidzo zve rhabdomyolysis.

Rhabdomyolysis inogona kudzivirirwa ne:

• Kunwa mvura yakawanda mushure mekurovedza muviri.
• Kubvisa dzimwe mbatya uye kunyudza muviri mumvura inotonhorera kana paine kupisa sitiroko.

• Itsvo anatomi

Haseley L, Jefferson JA. Pathophysiology uye etiology yekukuvara kwetsvo kwakanyanya. Muna: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Yakakwana Kliniki Nephrology. 6th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 66.

O'Connor FG, Deuster PA. Rhabdomyolysis. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier; 2020: chits. 105.

Parekh R.Rhabdomyolysis. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 119.