Reye chirwere

Reye syndrome inongoerekana (yakaoma) kukuvara kwehuropi uye matambudziko echiropa. Aya mamiriro haana chikonzero chinozivikanwa.

Iyi syndrome yakaitika muvana vakapihwa maaspirin pavakave nehukupfu kana dzihwa. Reye chirwere chave chisingawanzoitika. Izvi zvinodaro nekuti aspirin haichakurudzirwe kuti ishandiswe muvana.

Iko hakuna chikonzero chinozivikanwa cheReye syndrome. Inowanzoonekwa muvana vane makore mana kusvika gumi nemaviri. Kazhinji zviitiko zvinowanzoitika nehukuku zviri muvana vane makore mashanu kusvika pa9. Nyaya dzinoitika nefuruwenza dzinowanzoitika muvana vane makore gumi kusvika gumi nemana.

Vana vane Reye syndrome vanorwara nekukasira. Iyo syndrome inowanzo kutanga nekurutsa. Inogona kutora kwemaawa mazhinji. Kurutsa kwacho kunokurumidza kuteverwa nehunhu uye hasha. Sezvo mamiriro ari kuwedzera, mwana anogona kutadza kuramba akamuka uye akasvinura.

Zvimwe zviratidzo zveReye syndrome:

• Kuvhiringidzika
• Lethargy
• Kurasikirwa kwekuziva kana coma
• Kuchinja kwepfungwa
• Kusvotwa uye kurutsa
• Kufenda
• Kuisa zvisina kujairika kwemaoko nemakumbo (kunyengedza mamiriro). Maoko akatambanudzwa akananga uye akatendeukira kumuviri, makumbo akabatwa akananga, uye zvigunwe zvakanongedzwa pasi

Zvimwe zviratidzo zvinogona kuitika neichi chirwere zvinosanganisira:

• Kuona kaviri
• Kunzwa kurasikirwa
• Tsandanyama basa kurasikirwa kana kuoma kwemaoko kana makumbo
• Matambudziko ekutaura
• Kuneta mumaoko kana mumakumbo

Iyi bvunzo inotevera inogona kushandiswa kuongorora Reye syndrome:

• Ropa kemisitiri bvunzo
• Musoro CT kana musoro MRI scan
• Chiropa biopsy
• Chiropa basa bvunzo
• Serum ammonia bvunzo
• Musana pombi

Iko hakuna chaiyo kurapwa kweichi chiitiko. Mutapi wezvehutano anoongorora kumanikidza muuropi, gasi reropa, uye ropa acid-base base (pH).

Mishonga inogona kusanganisira:

• Kufema rutsigiro (muchina wekufema ungangodiwa panguva yekufa kwakadzika)
• Mvura ne IV kupa maelectrolyte uye glucose
• Steroid yekudzora kuzvimba muuropi

Kuita zvakanaka kwemunhu kunoenderana nekuomarara kwecoma, pamwe nezvimwe zvinhu.

Mhedzisiro yeavo vanopona episode yakaoma inogona kunge yakanaka.

Zvinetso zvinogona kusanganisira:

• Coma
• Kukuvara kwehuropi zvachose
• Kufenda

Kana isina kurapwa, kufenda uye coma zvinogona kutyisidzira hupenyu.

Enda kuimba yekukurumidzira kana kufonera iyo yemuno emergency emergency (se911) nekukasira kana mwana wako aine:

• Kuvhiringidzika
• Lethargy
• Dzimwe shanduko dzepfungwa

Usambofa wakapa mwana aspirin kunze kwekunge waudzwa kudaro nemupi wako.

Kana mwana achifanira kutora asipurini, chengetedza kudzikisa njodzi yemwana yekubata hutachiona hutachiona, senge furuwenza nehukuku. Dzivisa asipurini kwemavhiki akati wandei mushure mekunge mwana agamuchira mushonga wevaricella (chickenpox).

Ongorora: Mimwe mishonga inopfuura-ye-counter, yakadai sePepto-Bismol uye zvinhu zvine mafuta echando chegreen zvinewo maaspirin makomponi anonzi salicylates. Usape izvi kune mwana ane fivha kana fivhiri.

• Digestive system nhengo

Aronson JK. Acetylsalicylic acid. Mune: Aronson JK, ed. Meyler's Side Migumisiro yeMishonga. 16 ed. Waltham, MA: Elsevier BV ;; 2016: 26-52.

Cherry JD. Reye chirwere. Mune: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. Feigin naCherry's Bhuku reBhuku rePediatric Infectious Diseases. 8th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 50.

Johnston MV. Encephalopathies. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 616.