Ukuhlukana kwemisipha yakho kungalimaza izinso zakho
Iyini i-Rhabdomyolysis?
I-rhabdomyolysis, ngezinye izikhathi ebizwa ngokuthi "i-rhabdo" emaphilini emitholampilo, isho ukuthi " ukuhlukana kwemisipha ". I-syndrome yomtholampilo lapho imisipha iqala ukuphazamiseka futhi iholele ekuguquleni ezingeni likagesi kanye ne-electrolytes emzimbeni, ngaleyo ndlela eholela emiphumeleni eyingozi.
Izimbangela zeRhabdomyolysis
Izici eziningi ziye zahlotshaniswa ne-rhabdomyolysis.
Nazi izibonelo ezimbalwa:
- Imithi; isb. i-statins kanye ne-fibrate (izidakamizwa ezisetshenziselwa ukwehlisa i-cholesterol), i-colchicine (imithi ye-gout), ama-antibiotics, i-steroids, njll.
- Ukuvivinya umzimba okunamandla okuholela esimweni esibizwa ngokuthi i-rhabdomyolysis yokunyanyisa umzimba noma i-rhabdomyolysis yokunyusa
- Ukushisa okuphezulu okubangela ukushisa kwesifo kuyisimo esinqunyiwe.
- Izidakamizwa ezingekho emthethweni njenge-cocaine nama-amphetamines
Izimpawu ze-Rhabdomyolysis
Ngokuvamile, isiguli esithintekile sizobika ubuhlungu obukhulu be-muscle, ukuqina komzimba, ukuvuvukala, ubuthakathaka, futhi ngezinye izikhathi "umchamo omnyama / we-cola". Ukwehla kwamanzi emzimbeni kuvamile, futhi isiguli singase sibe nezinguquko esimweni sengqondo nokucindezela kwegazi okuphansi okuholela ekuhloleni ukukhanya, isizungu, ukuncipha komkhiqizo wokuvuthwa, njll. Umkhuhlane ungaba khona futhi.
Ukuthi i-Rhabdomyolysis ithinta kanjani i-Kidney
I-Rhabdomyolysis ithinta umsebenzi wezinso ngezindlela eziningi. Ukuwohloka kwemisipha kuholela ekuhambeni kwamanzi emzimbeni emithanjeni yegazi emzimbeni omele ukulimala, okwakhiwa futhi okwenyusa isimo sokukhulelwa kwamanzi.
Lokhu ngokwayo ngezinye izikhathi kwanele ngokwanele ukudala ukwehla okukhulu kwezinso zezinso, okuvame ukubizwa ngokuthi ukulimala kwezinso ezinzima. Amazinga e-Electrolyte angashintsha futhi egazini futhi angabonakaliswa ngu:
- Amazinga e-phosphorus enyukayo
- Ukunciphisa amazinga e-calcium
- Amazinga e-potassium akhula
- Ukwandisa amazinga e-uric acid
Enye indlela i-rhabdomyolysis ehlukumeza ngayo izinso kuyisimo esibizwa ngokuthi i-myoglobinuria.
I-Myoglobin iyiprotheni etholakala emisipha. Lapho imisipha ihlukana, le myoglobin ikhishwa egazini esuka lapho yenza khona indlela eya ezinso. Izinso akuzona ezinhle ekudambiseni i-myoglobin kanti le protheyini ngaphandle kokuyingozi kulowo mazinyo 'amangqamuzana, izovame ukuvala izinso' "uhlelo lwamanzi" olubizwa ngokuthi ama-tubules. Lokhu kungabangela ukwehluleka kwezinso. Ezimweni ezimbi kunazo zonke, ukwehluleka kwezinkinga ze-rhabdomyolysis ngenxa ye-myoglobinuria kungaholela ekuhlulekeni kwezinso okungenakuguquka okudinga i-dialysis yesikhathi eside .
I-Rhabdomyolysis Diagnosis
Ukuxilongwa kwe-rhabdomyolysis kuncike kwisethulo somtholampilo esibandakanya izimpawu kanye nezibonakaliso zesethulo njengama-acry aches. Ezinye izimpawu eziqondile zizofaka umchamo we-cola. Ukuhlolwa kweLeb kwenziwa ukusekela ukuxilongwa futhi kuzovame ukukhombisa izinga eliphakeme kakhulu lamakhemikhali egazini elibizwa nge-CPK noma i-creatinine phosphokinase. Ukuhluleka kwezinso kungase kubonakale ekuhlolweni kwegazi kanye namazinga aphezulu e-creatinine. Ukuhlolwa komchamo kungabonisa ukuthi kukhona i-myoglobin, iphrotheni engavamile ekhishwe emcimbini ukusuka ekuphukeni kwemisipha.
Ukwelashwa kwe-Rhabdomyolysis
Ngaphandle kokwelapha imbangela eyinhloko eyayiholela kuyo, i-crux yokwelapha i-rhabdomyolysis ilungisa amazinga angavamile e-electrolyte nokuhlushwa okunamandla kwesiguli esithintekile nge-fluid intravenous.
Kube khona impikiswano mayelana nokuthi yiluhlobo luni lwamanzi omzimba olulandelayo olungcono kakhulu esigulini kuleso simo. Esikhathini esidlule, alkalini umchamo nge-sodium bicarbonate ukusetshenziswa ukuze kube yindlela yokunakekelwa. Kodwa-ke, ukuphakama kwalo phezu kwamanye amanzi ashukela njenge-saline evamile akukaze kuboniswe ngokucacile.
Udokotela ozokwelapha uzokwenza umsebenzi wakho wezinso uphinde usebenze ngenkathi ukhona emanzini amanzi. Ngokuvamile, izimpawu zakho kanye nomsebenzi wezinso kufanele uqale ukuphola ezinsukwini ezimbalwa, futhi umchamo kufanele uqale ukucacisa. Kwezinye iziguli, izinso zingase zihlakulele ukulimala lapho i- dialysis ingase ibe khona .
Khumbula, i-dialysis iyindlela yokweseka. Ayiphathi ukuhluleka kwezinso nge-se; ishintsha kuphela umsebenzi wezinso. Uma izinso zizophola, zizokwenza zodwa, futhi konke lokho isiguli nomdokotela angakwenza ukuzinikela imvelo esekela. Ngokuvamile, isiguli singaba yi-dialysis-kuxhomeke ekuphileni.