Shandura kuwedzerwa

Kuchinjana kuwedzerwa inzira inogona kuponesa-hupenyu inoitwa kupokana nemhedzisiro yejundice yakakomba kana shanduko muropa nekuda kwezvirwere zvakaita sejuru cell anemia.

Maitiro acho anosanganisira kubvisa zvishoma nezvishoma ropa remunhu uye kuritsiva nerutsva rweanopa ropa kana plasma.

Kuwedzeredzwa kuwedzerwa kunoda kuti ropa remunhu ribviswe rotsiviwa. Muzviitiko zvakawanda, izvi zvinosanganisira kuisa rimwe kana anopfuura machubhu matete, anonzi macatheters, mumudziyo weropa. Iyo yekuchinjana kuwedzerwa kunoitwa mukutenderera, imwe neimwe inowanzo kutora maminetsi mashoma.

Ropa remunhu rinobviswa zvishoma nezvishoma (kazhinji kazhinji anenge mashanu kusvika kumakumi maviri emamirimita panguva, zvinoenderana nesaizi yemunhu uye kukura kwehurwere). Chiyero chakaenzana cheropa nyowani, rakadzivirirwa kana kuti plasma inoyerera ichienda mumuviri wemunhu. Kutenderera uku kunodzokororwa kudzamara huwandu hweropa hwatsiviwa

Mushure mekuwedzeredzwa kuwedzerwa, makateti anogona kusiiwa munzvimbo kuitira kuti maitiro acho ade kudzokororwa.

Muzvirwere zvakaita se sickle cell anemia, ropa rinobviswa rotsiviwa neropa remupi.

Mumamiriro ezvinhu senge neonatal polycythemia, huwandu hweropa remwana hunobviswa hwotsiviwa neyakajairwa saline solution, plasma (iyo yakajeka mvura chikamu cheropa), kana albumin (mhinduro yemapuroteni eropa) Izvi zvinoderedza huwandu hwakazara masero matsvuku eropa mumuviri uye zvinoita kuti zvive nyore kuti ropa riyerere nemuviri.

Kuwedzeredzwa kuwedzerwa kunogona kudikanwa kuti urape zvinotevera mamiriro:

• Zvinotyisa zvakakwirira tsvuku masero eropa kuverenga mumwana achangozvarwa (neonatal polycythemia)
• Rh-inosimudzira hemolytic chirwere cheiye achangozvarwa
• Kukanganiswa kwakanyanya mumakemikari emuviri
• Yakanyanya ichangoberekwa jaundice iyo isinga pindure kune phototherapy nema bili mwenje
• Yakakomba jeko maseru dambudziko
• Zvinokanganisa mimwe mishonga

Njodzi dzakazara zvakafanana nekuwedzerwa kweropa. Zvimwe zvinogona kuitika zvinosanganisira:

• Ropa rinovhara
• Shanduko muropa kemesitiri (yakakwira kana yakaderera potasium, yakaderera calcium, yakaderera glucose, shanduko muasidhi-base chiyero muropa)
• Zvinetso zvemwoyo nemapapu
• Utachiona (yakaderera zvakanyanya njodzi nekuda kwekuchenjerera kuongororwa kweropa)
• Shock kana isina kukwana ropa rinotsiviwa

Murwere angangoda kuongororwa kwemazuva akati wandei muchipatara mushure mekuwedzerwa ropa. Kureba kwekugara zvinoenderana nemamiriro ezvinhu akaisirwa kuwedzerwa kuwedzerwa kurapa.

Hemolytic chirwere - kuchinjanisa kuwedzerwa

• Achangoberekwa jaundice - buditsa

• Shanduko kuwedzerwa - akateedzana

Costa K. Hematology. Mune: Hughes HK, Kahl LK, eds. Chipatara cheJohn Hopkins: Iyo Harriet Lane Handbook. 21st ed. Philadelphia, PA: Elsevier; 2018: chitsiko 14.

Josephson CD, Sloan SR. Chiremba chekuisira mushonga. Muna: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Basic Misimboti uye Maitiro. 7th ed. Philadelphia, PA: Elsevier; 2018: chits. 121.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Dambudziko reropa. 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 124.

Watchko JF. Neonatal isina kunangana hyperbilirubinemia uye kernicterus. Mune: Gleason CA, Juul SE, eds. Zvirwere zveAvery zveMucheche. 10th ed. Philadelphia, PA: Elsevier; 2018: chits. 84.