Rhabdomyolysis: chii icho, chikuru zviratidzo uye kurapwa

Zvemukati

• Zviratidzo zvikuru
• Maitiro ekusimbisa kuongororwa
• Chii chinokonzera rhabdomyolysis
• Kurapwa kunoitwa sei
• Zvinogona kuitika

Rhabdomyolysis chinhu chakakomba chinoratidzwa nekuparadzwa kwemhasuru, izvo zvinotungamira mukuburitswa kwezvinhu zviripo mukati memasero emaseru muropa, senge calcium, sodium uye potasium, myoglobin, creatinophosphokinase uye enzyme pyruvic transaminase (TGP). Huwandu hwakawanda hwezvinhu izvi muropa hunogona kukonzeresa kushaya simba, kupera weti, kuneta kwemhasuru uye kukundikana kwetsvo, kana zvisina kuzivikanwa nekurapwa.

Sezvo zvinhu zvaburitswa zvine chepfu muhuwandu hwakawanda, zvakakosha kuti kurapwa kutange nekukurumidza sezvazvinogona, uye zvinokurudzirwa kuenda kuchipatara kana mukamuri rekukurumidzira nekukurumidza apo rhabdomyolysis inofungidzirwa. Rhabdomyolysis inogona kuitika nekuda kwekuita kwekuremedza uye kwenguva refu zviitiko zvemuviri kana semhedzisiro yekutwasanuka kana kusanzwisisika kune mhasuru mumuviri, uye zvakakoshawo kuti uone chinokonzeresa kuti kurapwa kutariswe zvakanyanya.

Zviratidzo zvikuru

Zviratidzo zve rhabdomyolysis zvinogona kusiyana zvichienderana neuwandu hwema enzymes aburitswa kubva mukati memaseru maseru, zviratidzo zvinowanzo kuve:

• Kurwadziwa kwetsandanyama;
• Kushaya simba;
• Zvakaoma kufambisa makumbo ako kana maoko;
• Kuomesa kwetsandanyama;
• Joint kurwadziwa;
• Weti muzvidiki zvidiki uye yakasviba kwazvo, yakafanana neruvara rwecoca-cola.

Pamusoro pezviratidzo izvi, zvimwe zviratidzo zvakawandisa zvinogona kuoneka, zvakaita sefivha, kuda kurutsa, kurwadziwa mudumbu, kunzwa kwekuneta kwakawanda, kurutsa, kuvhiringidzika nekushungurudzika. Sezvo zviratidzo zvichisiyana zvinoenderana nechakakonzera, pamwe nemuviri wemunhu wega wega, zvinogona kuve zvakaoma kuti uone nyaya ye rhabdomyolysis.

Naizvozvo, kuitira kuti rhabdomyolysis izivikanwe uye matambudziko adzivirirwe, zvakakosha kuenda kuchipatara kunoongororwa chaiwo kuti uone chirwere ichi, kuitira kuti zvikwanisike kutanga kurapwa kwakakodzera.

Maitiro ekusimbisa kuongororwa

Kuongororwa kwerhabdomyolysis kunowanzoitwa nachiremba mushure mekuongorora zviratidzo zvemunhu uye nhoroondo yekurapa. Uye zvakare, chiremba anokurudzira kuita ropa uye weti bvunzo kuti atarise huwandu hwama electrolyte anotenderera muropa, pamwe neyakaunganidzwa myoglobin, creatine phosphokinase uye TGP. Kuburikidza nekuita urinalysis, chiremba anogona zvakare kuongorora huwandu hwemyoglobin, izvo zvakakosha kuti uzive kukura kwe rhabdomyolysis uye kana paine zviratidzo zvinoratidza kukundikana kweitsvo.

Myoglobin ndeimwe yemiedzo mikuru yakakumbirwa nachiremba, nekuti iyo yakanyanya kuparadza tsinga dzemhasuru, iyo yakawanda huwandu hwemyoglobin inosunungurwa muropa nemurini, ichisiya rakasviba. Uye zvakare, iyo yakawandisa iyo myoglobin yakaburitswa, iyo yakawedzera mukana wekuvharirwa kwemaronda matubules, ayo anogona kukonzera kukuvara kwehubhu uye, nekudaro, kukundikana kwetsvo kwakanyanya. Dzidza zvakawanda nezve myoglobin.

Chii chinokonzera rhabdomyolysis

Rhabdomyolysis inowanzoitika nekuda kwekuita kwekumanikidza uye kwenguva refu chiitiko chemuviri, izvo zvinoguma nekunyanyisa kushushikana kwemhasuru. Zvimwe zvikonzero zve rhabdomyolysis ndezvi:

• Tsaona dzakakomba, senge kudonha kwakanyanya kana tsaona dzemumigwagwa;
• Kushandiswa kwenguva refu kwemimwe mishonga, kunyanya antipsychotic kana statins;
• Kushandisa zvinodhakakunyanya cocaine, heroin kana amphetamines;
• Yakareba immobilization nekuda kwekufenda kana kurwara;
• Zvirwere, iyo inogona kutungamira mukuunganidzwa kwehupfu mumuviri, ndicho chikonzero chikuru che rhabdomyolysis muvana;
• Tsandanyama zvirwere, senge myopathy neporiyo;
• Chinja mukushisa kwemuviri.

Uye zvakare, rhabdomyolysis inogona zvakare kuitika semhedzisiro yekunyanyisa kunwa zvinwiwa zvinodhaka, kuvhunduka kwemagetsi, zvirwere zvemagetsi uye sitiroko.

Kurapwa kunoitwa sei

Kana rhabdomyolysis isina matambudziko, inowanzo gadzirisa mukati memazuva mashoma kusvika mavhiki. Zvisinei, mune dzimwe nguva zvinogona kudiwa kuti kurapwa kuitwe nemunhu akabvumirwa kuchipatara kuitira kuti serum igadziriswe yakananga mutsinga kudzivirira matambudziko akakomba echirwere, sekushomeka kwemvura kana itsvo kutadza, kunokonzerwa nemhasuru yakawandisa marara muropa.

Mukuwedzera, zvakakosha kuziva chikonzero che rhabdomyolysis kutanga kurapa kwakakodzera, kana zvichidikanwa. Nekudaro, kana iri kukonzerwa nekushandiswa kwemushonga chero, semuenzaniso, unofanirwa kurega kuutora wochinjira kune mumwe mushonga maererano nezano rekurapa.

Iyo nguva yekurapwa inosiyana zvichienderana nechikonzero uye shanduko yemurwere, uye panguva yekurara muchipatara inofanirwa kusungwa kuti uongorore huwandu hweti pazuva uye nekuita imwe ongororo yeitsvo kuona kuti itsvo inoshanda haisi kukanganiswa. Murwere anowanzo kuburitswa kana bvunzo dzajairika uye hapana njodzi yekukundikana itsvo.

Mune zviitiko zvakakomba, umo itsvo dzinotanga kuburitsa weti shoma, chiremba anogona kupa dialysis kubatsira itsvo kushanda, kubvisa zvinhu zvakawandisa kubva muropa izvo zvingave zvichiita kuti kurapwa kuve kwakaoma.

Zvinogona kuitika

Dambudziko rakakomba uye rakajairika rhabdomyolysis ndeyekuonekwa kwekukuvara kweitsvo, izvo zvinogona kupedzisira zvichikonzera itsvo kutadza. Zvisinei, kuvepo kwemasara muropa kunotungamira mukuwedzera kweiyo potasium uye phosphorus mumuviri, izvo zvinogona kupedzisira zvichikanganisa mashandiro emoyo.

Muzviitiko zvisingawanzoitika, chimwe chirwere chinozivikanwa secomputer syndrome chinogona kusimuka, umo kutenderera kweropa kunokanganiswa munharaunda yemuviri, senge makumbo, maoko kana dzimwe mhasuru dzemudumbu, zvichikonzera kufa kwetishu. Nzwisisa chinonzi compartment syndrome chii.