Ukuphazamiseka kwemisipha yakho kunokulimaza iintso zakho
Yintoni iRhabdomyolysis?
I-Rhabdomyolysis, ngamanye amaxesha ebizwa ngokuba yi "rhabdo" kwi-clinical parlance, ithetha " ukuhlukana kwemisipha ". Yisifo sekliniki apho izihlunu ziqala ukuphazamiseka kwaye zikhokelela ekutshintsheni kwinqanaba le-fluid kunye ne-electrolytes emzimbeni, oko kukukhokelela kwimiphumo emibi.
Iingxaki zeRhabdomyolysis
Izinto ezininzi zidibene ne-rhabdomyolysis.
Nazi izibonelo ezimbalwa:
- Imithi; umz. i-statins kunye ne-fibrate (iziyobisi ezisetyenziselwa ukunciphisa i-cholesterol), i-colchicin (iyeza-gout), i-antibiotics, i-steroids, njl njl.
- Ukunyamezela okugqithiseleyo okukhokelela kwinto ebizwa ngokuba yi-rhabdomyolysis okanye i-rhabdomyolysis
- Amaqondo okushisa aphezulu okubangela ukutshatyalaliswa kokushisa yinto ebangela ukuba kube lula.
- Iziyobisi ezingekho mthethweni njenge cocaine kunye nama-amphetamines
Iimpawu zeRhabdomyolysis
Ngokuqhelekileyo, isigulane esichaphazelekayo siya kubika ubuhlungu beentlungu, ukuqina komzimba, ukuvuvukala, ubuthathaka kunye namaxesha athile "umchamo omnyama / we-cola". Ukuxhatshazwa kwemvelo kuqhelekileyo, kwaye isigulane sinokutshintshwa kwimeko yengqondo kunye nokunyanzeliswa kwegazi ekhokelela ekukhanyeni ukukhanya, ukuxakeka kwegazi, ukunciphisa umbane, njl njl.
Indlela iRhabdomyolysis ithinta ngayo iintso
I-Rhabdomyolysis ichaphazela umsebenzi wezintso ngeendlela ezininzi. Ukuphazamiseka kwezihlunu kubangela ukuhamba komzimba emzimbeni kwimimandla yegazi kwi-muscle eyalimalayo, ngokudala ukudala nokunyusa izinga lokudambiswa kwamanzi.
Oku ngokwayo ngamanye amaxesha kunokwaneleyo ukubangela ukuhla kobunzima kwimisebenzi yengqondo, esoloko kuthiwa yingozi yokulimala kwentso. Amanqanaba e-Electrolyte angatshintsha kwakhona kwigazi kwaye ibonakaliswe ngu:
- Ukwandiswa kwamazinga e-phosphorus
- Ukunciphisa amanqanaba e-calcium
- Amanqanaba okwanda kwe potassium
- Ukwandisa amazinga e-uric acid
Enye indlela i-rhabdomyolysis ibangela ngayo intliziyo yinto ebizwa ngokuba yi-myoglobinuria.
I-Myoglobin iprotheni efumaneka kwiimisipha. Xa izihlunu zitheka, le myoglobin ikhutshelwe egazini apho iyenza khona iinjongo. Iinjongo azikho kakuhle ekugqibeleni i-myoglobin kwaye le protein ngaphandle kokuyityhefu kwiintso 'iiseli, ziya kuhlala zivale iinjongo' inkqubo yokuhambisa amanzi 'ebizwa ngokuba yi-tubules. Oku kunokukhokelela ekuphelelweni kwezintso. Kwiimeko ezinzima kakhulu, ukungaphumeleli kwezintso ze-rhabdomyolysis ngenxa ye-myoglobinuria kunokukhokelela ekuphelelweni kwezintso ezingenakuguquka ezifuna i-dialysis yesikhathi eside .
Rhabdomyolysis Diagnosis
Ukuxilongwa kwe-rhabdomyolysis kuxhomekeke kwinkcazo yeklinikhi equka iimpawu kunye nemiqondiso yokubonakalisa njengama-acry muscle. Ezinye iimpawu ezithile ziquka umchamo we-cola. Iimvavanyo zeLeb zenzelwe ukuxhasa ukuxilongwa kwaye ziza kubakhombisa iqondo eliphakamileyo kakhulu leekhemikhali egazini elibizwa ngokuba ngu-CPK okanye i-creatinine phosphokinase. Ukungaphumeleli kweengso kunokubonakala kwiingxaki zegazi, kunye namazinga aphezulu e-creatinine. Ukuhlolwa komchamo kungabonisa ubukho be-myoglobin, iprotheni engaqhelekanga ikhutshwe emcinini ukusuka ekuphahleni kwemisipha.
Rhabdomyolysis Treatment
Ngaphandle kokunyanga imbangela ebangela ukuba kukhokelela, i-crux yonyango ye-rhabdomyolysis ilungisa amanqanaba aqhelekileyo kagesi kunye ne-hydration eshukumisayo yesigulane esichaphazelekayo.
Kukho ingxoxo malunga naluphi uhlobo lwe-intravenous fluid elungileyo kwisigulane kule meko. Kwixesha elidlulileyo, i-alkalize umchamo nge-sodium bicarbonate ukusebenzisa ukuba ngumgangatho wokunyamekela. Nangona kunjalo, ukuphakama kwawo ngaphezu kwamanye amanzi afana ne-saline aqhelekanga akakaze aqinisekiswe.
Ugqirha unyango luya kuqhuba umsebenzi wakho wezintso ngelixa usebenza ngamanzi e-intravenous. Ngokuqhelekileyo, iimpawu zakho kunye nomsebenzi wezintso kufuneka uqalise ukubuyela emva kweentsuku ezimbalwa, kwaye umchamo kufuneka uqale ukucima. Kwezinye izigulane, nangona kunjalo, iinjongo ziyakhula ukulimala kwindawo apho i- dialysis ingaba yimfuneko .
Khumbula, i-dialysis yonyango oluxhasayo. Ayiphatheli ukungaphumeleli kwezintso nge-se; iphela kuphela yinto yokusebenza kwengqondo. Ukuba izintso ziya kubuyiselwa, ziza kwenza oko zodwa, kwaye zonke izigulane kunye nodokotela angenzayo kukunika indawo yokuxhasa. Ngokuqhelekileyo, isiguli sinokuxhomekeka kwi-dialysis-kuxhomekeke kubomi.