Hemolytic Uremic Syndrome

Zoo Siab

• Pom txog cov tsos mob ntawm Hemolytic Uremic Syndrome
• Dab tsi Ua Rau Hemolytic Uremic Syndrome?
• HUS Hauv Cov Menyuam Yaus
• HUS hauv Cov Neeg Loj
• Kev kuaj mob Hemolytic Uremic Syndrome
• CBC
• Lwm Cov Ntshav Ntshav
• Kuaj Ntsuas
• Quav Quav
• Kho Mob Hemolytic Uremic Syndrome li cas?
• Kev Hloov Ua Khaub Ncaws
• Kev Hloov Ntshav
• Lwm Yam Kho Mob
• Yuav muaj dab tsi tshwm sim los cuam tshuam rau Hemolytic Uremic Syndrome?
• Lub Sijhawm Ntev Nyiam
• Qhov Kev Pom Zoo rau Hemolytic Uremic Syndrome yog dab tsi?
• Koj Yuav Tiv Thaiv Tus Mob Hemolytic Uremic Syndrome li cas?

Hemolytic Uremic Syndrome yog dab tsi?

Hemolytic uremic syndrome (HUS) yog ib txoj kev mob ua rau lub cev tiv thaiv kab mob, feem ntau tom qab lub plab zom mov, ua rau cov qe ntshav liab tsawg, cov ntshav qis thiab lub raum.

Kev mob tshwm sim ntawm txoj hnyuv (koj lub plab thiab cov hnyuv) yog qhov tshwm sim ntawm tus mob no. Lub cev tiv thaiv kab mob tawm tsam cov taug ua kom lub cev tawm thaum lub plab hnyuv tawm. Qhov no ua rau kev puas tsuaj thiab rhuav tshem cov qe ntshav thaum lawv mus dhau ntawm cov hlab ntshav. Cov no suav nrog cov ntshav liab (RBC) thiab cov qe ntshav, ua rau lawv tuag ua ntej. Lub raum cuam tshuam nrog ob txoj hauv kev.Qhov cov tshuaj tiv thaiv kab mob tuaj yeem ua rau lub raum puas tsuaj ua rau lub raum raug mob. Txoj kev xaiv, kev tsim cov RBCs lossis cov platelets tuaj yeem ua rau lub raum lim tau cov kab mob thiab ua rau lub raum raug mob lossis lub cev tsim cov khoom pov tseg hauv lub cev, txij li lub raum tsis tuaj yeem tshem tawm cov pov tseg cov ntshav tau zoo.

Raum raug mob rau lub raum tuaj yeem yog nyaum heev yog tias tsis kho. Lub raum tsis ua hauj lwm, qhov phom sij txaus ntshai ntshav siab, teeb meem plawv, thiab mob stroke yog txhua qhov kev txhawj xeeb yog tias HUS ua tsis tau kho tam sim.

HUS yog qhov ua kom mob raum ua tsis tau dabtsi rau menyuam yaus.Nws yog feem ntau rau cov menyuam yaus hnub nyoog qis dua 5 xyoos, txawm hais tias cov menyuam loj dua thiab cov laus kuj tuaj yeem cuam tshuam los ntawm qhov tsis zoo.

Hmoov zoo, feem ntau cov neeg uas tau txais kev kho sai yuav tuaj yeem kho kom rov zoo yam tsis muaj mob raum.

Pom txog cov tsos mob ntawm Hemolytic Uremic Syndrome

Cov tsos mob ntawm tus HUS txawv. Cov tsos mob tuaj yeem suav nrog:

• ntshav zawv plab
• mob plab
• daj ntseg tawv nqaij
• txob taus
• nkees
• ua npaws
• piav tsis tau nqaij doog lossis los ntshav
• tsis tso zis tsawg
• mob plab o
• cov ntshav hauv cov zis
• tsis meej pem
• ntuav
• o ntsej muag
• o nqua
• qaug dab peg (tsis tshua muaj tshwm sim)

Dab tsi Ua Rau Hemolytic Uremic Syndrome?

HUS tshwm sim qhov uas cov tshuaj tiv thaiv kab mob ua rau kev puas tsuaj rau cov qe ntshav. Qhov no ua rau cov qe ntshav liab tsawg, cov ntshav plasma tsawg, thiab lub raum raug mob

HUS Hauv Cov Menyuam Yaus

Feem ntau ua rau tus mob HUS hauv menyuam yaus yog kis tau EschiasColi (E. coli)Cov. Muaj ntau hom ntau ntawm E. coli, thiab feem ntau tsis ua teeb meem. Nyob rau hauv qhov tseeb, E. coli cov kab mob feem ntau pom nyob hauv cov hnyuv ntawm cov neeg noj qab nyob zoo thiab tsiaj. Txawm li cas los xij, qee qhov kev txawv txawv ntawm E. coli, kis dhau los ntawm cov khoom noj tsis huv, yog lub luag haujlwm rau cov kabmob uas tuaj yeem ua rau HUS. Lub cev ntawm cov dej uas paug nrog quav quav kuj yuav nqa mus E. coli.

Lwm cov kab mob xws li Ntxaug Yajdysenteriae thiab Salmonella typhi tuaj yeem ua rau HUS

HUS hauv Cov Neeg Loj

HUS rau cov laus kuj tuaj yeem yog kis los ntawm kev kis mob E. coli.Cov. Tseem muaj ntau yam uas tsis yog-cov kab mob ua rau HUS rau cov neeg laus uas muaj tsawg dua, suav nrog:

• cev xeeb tub
• Kab mob HIV / AIDS
• quinine (siv rau cov leeg mob)
• Siv tshuaj khomob thiab siv tshuaj kho mob los tiv thaiv kab mob
• tshuaj noj tiv thaiv tsis pub muaj menyuam
• tshuaj tiv thaiv platelet
• mob cancer
• mauj lupus thiab glomerulonephritis

Kev kuaj mob Hemolytic Uremic Syndrome

Qee qhov kev sim ua tau yooj yim tuaj yeem txiav txim siab seb cov qe ntshav puas tau puas los yog raum ua haujlwm tsis zoo:

CBC

Kev ua tiav cov ntshav suav (CBC) ntsuas qhov ntau thiab zoo ntawm RBCs thiab cov qe ntshav hauv cov ntshav ntsuas.

Lwm Cov Ntshav Ntshav

Txhawm rau kuaj ntsuas qhov ua haujlwm ntawm lub raum, koj tus kws kho mob yuav xaj BUN kuaj (uas zoo rau kev ua haujlwm ntawm urea los ntawm cov khoom lag luam) thiab kev sim creatinine (saib rau cov nqaij ua kom nce siab). Cov txiaj ntsig tsis zoo yuav qhia tau tias muaj teeb meem lub raum.

Kuaj Ntsuas

Koj tus kws kho mob yuav xav ntsuas ntshav lossis protein nyob hauv koj cov zis.

Quav Quav

Cov kab mob lossis ntshav hauv koj cov quav yuav pab koj tus kws kho mob cais qhov ua rau koj tus tsos mob.

Kho Mob Hemolytic Uremic Syndrome li cas?

Cov kev kho mob feem ntau rau HUS yuav suav nrog:

Kev Hloov Ua Khaub Ncaws

Cov kev kho mob tseem ceeb rau HUS yog kev hloov dej. Qhov kev kho no hloov cov khoom hluav taws xob uas lub cev xav tau kev ua haujlwm. Electrolytes yog cov zaub mov xws li calcium, potassium, thiab magnesium. Kev hloov ua kua dej kuj ua rau cov ntshav ntws mus hauv lub raum .. Koj tus kws kho mob yuav muab dej rau koj cov ntshav, tab sis kuj yuav txhawb kom koj muaj dej txaus los ntawm kev haus dej ntau dua los yog siv tshuaj electrolyte.

Kev Hloov Ntshav

Kev hloov ntshav liab yuav tsim nyog yog tias koj muaj qib qis hauv RBCs. Hloov ntshav yuav ua nyob hauv tsev kho mob. Hloov ntshav tuaj yeem daws cov tsos mob cuam tshuam nrog qhov RBC tsawg, xws li ua pa luv thiab ua rau lub cev qaug zog.

Cov tsos mob no zoo sib xws nrog rau kev ua kom ntshav khov, ib qho mob uas koj lub cev tsis tuaj yeem tsim cov ntshav liab txaus rau lub cev cov kab mob hauv lub cev kom muaj pa oxygen txaus kom muaj cov metabolism hauv lub cev. Qhov no tshwm sim los ntawm qhov poob ntawm RBC.

Lwm Yam Kho Mob

Koj tus kws kho mob yuav coj koj tawm ntawm cov tshuaj uas yuav yog qhov ua rau HUS.

Platelet transfusion tuaj yeem tsim nyog yog tias koj muaj ib lub cev ntshav khov tsawg.

Kev sib pauv ntshav ntshav yog lwm txoj kev kho mob, hauv koj tus kws kho mob hloov koj cov ntshav ntshav nrog ntshav los ntawm tus neeg pub. Koj yuav tau txais cov plasma kom muaj kev noj qab haus huv los pab txhawb cov kev noj qab haus huv, cov ntshav liab thiab ntshav khov.

Yuav muaj dab tsi tshwm sim los cuam tshuam rau Hemolytic Uremic Syndrome?

Feem ntau yog tias koj ob lub raum ua tsis tau, lub raum lim yuav siv los lim cov zaub mov hauv koj lub cev. Qhov no yog kev kho mob ib ntus kom txog thaum lub raum ua haujlwm zoo li qub. Yog tias lawv tsis rov qab ua haujlwm li qub, koj yuav tsum tau hloov raum.

Lub Sijhawm Ntev Nyiam

Qhov tseem ceeb tshaj plaws ntawm HUS yog lub raum tsis ua hauj lwm. Txawm li cas los xij, HUS tuaj yeem ua rau:

• ntshav siab
• pancreatitis
• teeb meem kev xav hauv lub xeev
• qaug dab peg
• cardiomyopathy
• mob stroke
• coma

Hmoov zoo, neeg feem coob muaj peev xwm ua kom rov zoo los ntawm HUS.

Qhov Kev Pom Zoo rau Hemolytic Uremic Syndrome yog dab tsi?

Tus HUS no uas yog ib qho muaj mob loj heev. Txawm li cas los xij, koj zoo li yuav rov qab kho mob tag nrho yog tias koj raug kuaj pom thaum ntxov ntawm tus mob thiab pib kho mob tam sim ntawd. Hu rau koj tus kws kho mob txhua lub sijhawm koj txhim kho cov tsos mob uas koj muaj kev txhawj xeeb.

Koj Yuav Tiv Thaiv Tus Mob Hemolytic Uremic Syndrome li cas?

Feem ntau ua rau HUS yog kis los ntawm E. coli. Txawm hais tias koj tsis tuaj yeem zam cov kab mob no nkaus, koj tuaj yeem txo qhov kev pheej hmoo kis mob los ntawm:

• ntxuav koj txhais tes tsis tu ncua
• ntxhua khaub ncaws tais diav
• ua kom cov zaub mov ua noj huv si
• khaws cov zaub mov nyoos cais tawm ntawm cov khoom noj npaj tau
• defrosting cov nqaij hauv lub tub yees es tsis txhob nyob ntawm lub txee
• tsis tawm cov nqaij ntawm chav sov (qhov no yuav ua rau cov kab mob loj hlob).
• ua nqaij rau 160 degrees Fahrenheit tua cov kab mob phom sij
• ntxuav txiv hmab txiv ntoo thiab zaub kom huv si
• tsis ua luam dej hauv dej tsis huv
• zam kev haus cov dej tsis muaj kua lossis mis