Bartter's syndrome: chii icho, chikuru zviratidzo uye kurapwa
Zvemukati
Bartter's chirwere chirwere chisingawanzo chinokanganisa itsvo uye chinokonzera kurasikirwa kwe potassium, sodium uye chlorine mumugini. Chirwere ichi chinoderedza kuwanda kwecalcium muropa uye chinowedzera kugadzirwa kwealdosterone nerein, mahormone anobatanidzwa mukutonga kweropa.
Chikonzero cheBartter's Syndrome chizvarwa uye chirwere chinopfuura kubva kuvabereki kuenda kuvana, chinokanganisa vanhu kubva paudiki. Iyi syndrome haina mushonga, asi kana ikakurumidza kuongororwa, inogona kudzorwa kuburikidza nemushonga uye zvicherwa zvinowedzera.
Zviratidzo zvikuru
Zviratidzo zveBartter's Syndrome zvinoonekwa muhudiki, makuru acho ari:
- Kushaya zvinovaka muviri;
- Kukurumidza kudzora;
- Tsvina kushaya simba;
- Kuderera kwepfungwa;
- Kuwedzera weti vhoriyamu;
- Nyota kwazvo;
- Kupera mvura mumuviri;
- Kupindwa nechando;
- Manyoka kana kurutsa.
Vanhu vane Bartter's Syndrome vane mashoma ezasi e potasium, klorini, sodium uye calcium muropa ravo, asi havana shanduko mumazinga eropa. Vamwe vanhu vanogona kunge vaine hunhu hunoratidza nezvechirwere, senge kumeso kwetatatu, pahuma rakakurumbira, maziso makuru uye nzeve dzakatarisa kumberi.
Kuongororwa kweBartter's Syndrome kunoitwa nachiremba wezveuropi, kuburikidza nekuongororwa kwezviratidzo zvemurwere uye kuongororwa kweropa kunoona zvisina mwero huwandu mukukanganiswa kwe potassium uye mahormone, senge aldosterone uye renin.
Kurapwa kunoitwa sei
Kurapa kweBartter's Syndrome kunoitwa nekushandiswa kwe potassium zvinowedzeredza kana zvimwe zvicherwa, zvakaita semagniziyamu kana calcium, kuwedzera kuwanda kwezvinhu izvi muropa, nekumwa kwemvura zhinji, kubhadhara kurasikirwa kukuru kwemvura weti.
Mishonga yeDiuretic inochengetedza potasium, senge spironolactone, inoshandiswawo pakurapa chirwere, pamwe neasina-steroidal anti-anogumbura madhiragi senge indomethacin, iyo inofanirwa kutorwa kusvika kupera kwekukura kugonesa kukura kweiye munhu .
Varwere vanofanirwa kuve neweti, ropa uye itsvo kuongororwa kwe ultrasound. Izvi zvinoshanda kuongorora kushanda kwetsvo uye mudumbu, zvichidzivirira mhedzisiro yekurapa pane idzi nhengo.