Hemolytic Uremic Syndrome: nws yog dab tsi, ua rau thiab kho mob

Zoo Siab

• Cov tseem ceeb ua
• Cov tsos mob ntawm Hemolytic Uremic Syndrome
• Kev kuaj mob tus mob HUS
• Yuav kho tus mob li cas

Hemolytic Uremic Syndrome, los yog HUS, yog ib qho kev mob tshwm sim los ntawm peb yam mob tseem ceeb: hemolytic anemia, mob raum khiav tsis zoo thiab mob thrombocytopenia, uas sib raug rau txo qis hauv plasmaets hauv cov ntshav.

Cov tsos mob no tshwm sim yooj yim dua rau menyuam yaus vim kev noj zaub mov tsis huv los ntawm cov kab mob xws li Escherichia coli, tab sis nws kuj tuaj yeem tshwm sim rau cov neeg laus ob leeg los ntawm kev kis tus kab mob thiab kuj yog vim lwm yam xwm txheej, xws li kub siab thiab scleroderma, piv txwv.

Cov tseem ceeb ua

Qhov tseem ceeb ua rau HUS, tshwj xeeb yog rau cov menyuam yaus, yog kis los ntawm Escherichia coli, Salmonella sp., lossis Shigella sp., uas yog cov kab mob uas muaj peev xwm tso tawm cov co toxins rau hauv cov hlab ntshav thiab ua rau muaj kev tsim cov kabmob me me rau hauv cov hlab ntsha, uas ua rau cov ntshav liab thiab lub raum puas tsuaj. Hom kev sib kis no feem ntau tshwm sim los ntawm kev noj cov zaub mov uas muaj cov kab mob me me, yog li ntawd, nws yog qhov tseem ceeb uas yuav tsum tau them sai sai txog kev nyiam huv thiab zaub mov. Nkag siab tias khoom noj huv si zoo li cas.

Txawm hais tias muaj ntau tshwm sim rau cov menyuam yaus, Hemolytic Uremic Syndrome kuj tuaj yeem tshwm sim rau cov neeg laus, uas tuaj yeem ua rau ob qho tib si los ntawm kev noj zaub mov kis kab mob, nrog rau qhov cuam tshuam ntawm lwm qhov xwm txheej, xws li tom qab lub raum tsis ua haujlwm, scleroderma, tus kab mob HIV thiab antiphospholipid syndrome, piv txwv.

Cov tsos mob ntawm Hemolytic Uremic Syndrome

Cov tsos mob pib ntawm HUS zoo ib yam li ua mob plab, nrog kub ib ce, ua daus no, raws plab, nkees ntau dhau, ntuav thiab tsis muaj zog. Hauv lub sijhawm ua mob, lwm yam tsos mob tuaj yeem tshwm sim, xws li:

• Mob raum tsis ua haujlwm;
• Cov zis me me;
• Cov kua muag daj;
• Muaj ntshav nyob hauv zis thiab faeces;
• Pallor;
• Cov tsos ntawm cov kab mob liab doog ntawm daim tawv nqaij;
• Qhov muag daj.

Txawm hais tias tsis tshua pom tshwm sim los, tseem yuav muaj cov tsos mob ntawm lub paj hlwb, xws li qaug dab peg, kev npau taws, tsis nco qab thiab tsis nco qab, piv txwv. Tsis tas li ntawd, nws tseem ceeb tias tsis yog txhua tus neeg mob HUS ua ntej los ntawm kev zawv plab, thiab nws yog ib qho tseem ceeb uas muaj qhov tsos mob tshwm sim, tus neeg mus cuag kws kho mob txhawm rau kuaj thiab pib kho, tiv thaiv. muaj teeb meem xws li lub plawv tsis ua haujlwm.

Kev kuaj mob tus mob HUS

Kev kuaj mob HUS yog tsim los ntawm kev ntsuas cov tsos mob thiab cov txiaj ntsig kev kuaj ntshav tau thov los ntawm tus kws kho mob, uas yog txhawm rau txhawm rau txheeb xyuas peb yam tseem ceeb ntawm tus kabmob, uas yog hemolytic anemia, qis platelet suav thiab kev hloov pauv ntawm kev ua haujlwm ntawm lub raum. Cov.

Yog li, tus kws kho mob feem ntau thov kev ua haujlwm ntawm cov ntshav suav, uas qhov nce ntawm cov leukocytes tau txheeb xyuas qhov tseeb, qhov tsawg dua ntawm cov platelets, cov ntshav liab thiab hemoglobin, nrog rau schizocytes, uas yog tawg tsam ntawm cov qe ntshav liab qhia tias cov hlwb no tau tawg vim qee qhov xwm txheej, uas feem ntau muaj nyob ntawm thrombi. Kawm kev txhais cov ntshav suav li cas.

Kev ntsuam xyuas uas ntsuas lub raum kev ua haujlwm, xws li ntsuas ntsuas ntawm urea thiab creatinine hauv cov ntshav, kuj tau thov, uas tau nce hauv qhov xwm txheej no. Tsis tas li ntawd, muaj qhov nce ntxiv ntawm qhov kev nkag siab ntawm indil bilirubin hauv cov ntshav thiab LDH, uas feem ntau qhia tau ntawm microangiopathic hemolysis, uas yog, cov ntshav liab tau raug rhuav tshem vim muaj cov kabmob me me hauv cov hlab ntsha.

Ntxiv rau cov kev sim no, tus kws kho mob kuj tuaj yeem thov kom muaj kev coj noj coj ua, uas lub hom phiaj txhawm rau txheeb xyuas cov kab mob ua lub luag haujlwm rau tus mob, yog tias muaj li ntawd, thiab yog li txhais tau tias dab tsi yog qhov kev kho mob zoo tshaj plaws los kho HUS.

Yuav kho tus mob li cas

Txoj kev kho rau Hemolytic Uremic Syndrome yog ua rau txo cov tsos mob thiab txhawb nqa kev tshem tawm cov kab mob, yog tias tus mob tshwm sim vim kis tus kab mob. Yog li, nws yog ib qho tseem ceeb uas yuav tau haus dej kom ntau kom tiv thaiv lub cev kom qhuav dej, ntxiv rau kom txo qis kev noj cov protein kom tiv thaiv kev puas tsuaj rau lub raum ntau dua.

Muaj qee kis, tus kws kho mob yuav pom zoo siv cov tshuaj tua kab mob los tiv thaiv kev kis mob lossis tso ntshav ntxiv, uas feem ntau qhia rau cov menyuam yaus uas muaj ntshav raws plab ua cov tsos mob. Hauv ntau qhov mob hnyav, uas yog, thaum lub raum raug mob twb dhau los lawm thiab tus neeg muaj cov tsos mob ntawm lub raum mob raum, lim ntshav thiab lub raum hloov pauv yuav tsim nyog, uas lub raum cuam tshuam hloov los ntawm lwm qhov noj qab haus huv. Saib seb lub raum hloov ua tiav li cas thiab kev ua haujlwm tom qab yog zoo li cas.

Txhawm rau kom tsis txhob noj zaub mov SHU nws yog ib qho tseem ceeb kom tsis txhob noj nqaij nyoo lossis nqaij siav, vim tias lawv yuav tuaj yeem ua kom tsis huv, nrog rau kev zam cov zaub mov uas tau los ntawm mis uas tsis tau quav, ntxiv li ntxuav koj txhais tes kom zoo ua ntej npaj khoom noj thiab tom qab siv chav dej.