Sengoli: Lewis Jackson
Letsatsi La Creation: 10 Mots’Eanong 2021
Ntlafatsa Letsatsi: 17 November 2024
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Litaba

Bothata ba sele ea sekele ke eng?

Boloetse ba Sickle cell (SCD) ke lefu le futsitsoeng la lisele tse khubelu tsa mali (RBC). Ke litholoana tsa phetoho ea lefutso e bakang li-RBC tse fosahetseng.

SCD e fumana lebitso la eona ho tloha sebopeho sa li-RBC, se ts'oanang le sesebelisoa sa polasing se bitsoang sekele. Hangata, li-RBC li bopehile joalo ka li-disc.

Li-RBC li tsamaisa oksijene lithong le 'meleng oa' mele oa hau. SCD e thatafalletsa li-RBC ho jara oksijene e lekaneng. Lisele tse kulang le tsona li ka ts'oaroa methapong ea hau ea mali, li sitise phallo ea mali ho litho tsa hau. Sena se ka baka boemo bo bohloko bo tsejoang ka hore ke bothata ba sele ea sekele.

Bohloko bo tsoang bothateng ba sele ea sekele bo atisa ho utloahala ho:

  • sefuba
  • matsoho
  • maoto
  • menoana
  • menoana ea maoto

Bothata ba sele ea sekele bo ka qala ka tšohanyetso mme ba nka matsatsi. Bohloko bo tsoang bothateng bo matla bo ka phehella libeke le likhoeli.

Ntle le kalafo e nepahetseng, bothata ba sele ea sekele bo ka lebisa ho mathata a ka bang kotsi, ho kenyeletsoa tšenyo ea setho le tahlehelo ea pono.


Ke eng se bakang qaka ea lisele tsa sekele?

Litsebi ha li utloisise ka botlalo mabaka a bakang koluoa ​​ea lisele tsa sekele. Empa baa tseba hore e kenyelletsa litšebelisano tse rarahaneng lipakeng tsa li-RBC, endothelium (lisele tse koahelang methapo ea mali), lisele tse tšoeu tsa mali le liplatelete. Hangata mathata ana a hlaha ka boithatelo.

Bohloko bo ba teng ha lisele tse kulisitsoeng li kenella ka hara methapo ea mali, li thibela phallo ea mali. Ka linako tse ling ho thoe ke sickling.

Ho kula ho ka bakoa ke maemo a amanang le maemo a tlase a oksijene, ho eketseha ha asiti ea mali, kapa bophahamo ba mali.

Lisosa tse tloaelehileng tsa koluoa ​​ea sekele li kenyeletsa:

  • phetoho ea tšohanyetso ea mocheso, e ka etsang hore methapo ea mali e be mosesane
  • boikoetliso bo boima kapa bo feteletseng, ka lebaka la khaello ea oksijene
  • ho felloa ke metsi 'meleng, ka lebaka la bophahamo ba mali
  • tšoaetso
  • khatello ea maikutlo
  • bophahamo bo phahameng, ka lebaka la maemo a tlase a oksijene moeeng
  • joala
  • ho tsuba
  • boimana
  • maemo a mang a bongaka, joalo ka lefu la tsoekere

Hase kamehla ho ka khonehang ho tseba hantle hore na ke eng e bakileng bothata bo itseng ba sele ea sekele. Ka makhetlo a mangata, ho na le mabaka a fetang a le mong.


Bothata ba lisele tsa sekele bo phekoloa joang?

Ha se likoluoa ​​tsohle tsa lisele tsa sekele tse hlokang ho ea ngakeng. Empa haeba kalafo ea malapeng e bonahala e sa sebetse, ho bohlokoa ho latela ngaka ho qoba mathata afe kapa afe a mang.

Kalafo ea lapeng

Mathata a mang a lisele tsa sekele a ka laoleha ka liphokotso tsa bohloko bo holimo ho li-counter, tse kang:

  • acetaminophen (Tylenol)
  • aspirin
  • ibuprofen (Advil, Motrin)
  • naproxen sodium (Aleve)

Litsela tse ling tsa ho sebetsana le bohloko bo bonolo lapeng li kenyelletsa:

  • mekhabiso ea ho futhumatsa
  • ho noa metsi a mangata
  • libaka tsa ho tola tse futhumetseng
  • phomolo
  • sililoa

Kalafo ea bongaka

Haeba u e-na le mahlaba a bohloko kapa kalafo ea lapeng ha e sebetse, bona ngaka kapele kamoo ho ka khonehang. Ba kanna ba qala ka ho lekola matšoao afe kapa afe a tšoaetso ea 'mele kapa ho felloa ke metsi' meleng ho kanna ha baka mathata.

E latelang, ba tla u botsa lipotso ho fumana mohopolo o motle oa boemo ba hau ba bohloko. Ho ipapisitse le boemo ba hau ba bohloko, ba kanna ba fana ka litlhare tse ling bakeng sa phomolo.


Khetho ea bohloko bo bonolo ho isa ho bo akaretsang e kenyelletsa:

  • lithethefatsi tse seng khahlanong le ho ruruha (li-NSAID), joalo ka ibuprofen
  • codeine, e le mong kapa e kopane le acetaminophen (Tylenol)
  • oxycodone (Oxaydo, Roxicodone, OxyContin)

Khetho ea bohloko bo boholo e kenyelletsa:

  • Mofumahali (Duramorph)
  • hydromorphone (Dilaudid, Exalgo)
  • meperidine (Demerol)

Ho latela matšoao a hau, ngaka ea hau e kanna ea u fa maro a kenang ka har'a methapo. Maemong a boima haholo, o kanna oa hloka tšelo ea mali.

Ke tseba joang hore na ke lokela ho bona ngaka neng?

Bothata ba lisele tsa sekele bo lokela ho phekoloa hang-hang ho qoba mathata a nako e telele. Ho bohlokoa ho netefatsa hore o tseba hore na o letsetsa mang le hore na o ea kae bakeng sa kalafo ea bongaka hobane bothata ba sele ea sekele bo ka hlaha ka tšohanyetso.

Pele o ba le bothata ba ho opeloa, bua le ngaka ea hau ea kamehla ho etsa bonnete ba hore tlhaiso-leseling e rekotong ea hau ea bongaka ea bongaka (EMR) ea ntlafatsoa. Boloka kopi e hatisitsoeng ea moralo oa hau oa taolo ea bohloko le lenane la meriana eohle eo u tla ea le eona sepetlele.

U lokela ho ea ngakeng hang-hang haeba u na le SCD le a mang a matšoao a latelang:

  • bohloko bo sa hlalosoang, bo bohloko mokokotlong oa hao, mangole, maoto, matsoho, sefuba kapa mpa
  • feberu e kaholimo ho 101 ° F (38 ° C)
  • bohloko bo bohloko bo sa hlaloseheng
  • ho tsekela
  • molala o sataletseng
  • ho hema ka thata
  • ho opeloa ke hlooho haholo
  • letlalo le molomo kapa molomo
  • erection e bohloko e nka nako e fetang lihora tse 'ne
  • bofokoli ka lehlakore le leng kapa a mabeli a mmele
  • pono ea tšohanyetso ea fetoha
  • pherekano kapa puo e sa hlakang
  • ho ruruha ka tšohanyetso mpeng, matsohong kapa maotong
  • bosehla bo bosehla letlalong kapa bosweu ba mahlo
  • ho tshoara

Ha u etela lefapha la maemo a tšohanyetso, etsa bonnete ba ho etsa tse latelang:

  • Tsebisa basebetsi hang-hang hore u na le SCD.
  • Fana ka nalane ea hau ea bongaka le lenane la meriana eohle eo u e sebelisang.
  • Kopa mooki kapa ngaka ho batla EMR ea hau.
  • Fa basebeletsi lintlha tsa puisano tsa ngaka tse tloaelehileng.

Na mathata a sele ea sekele a ka qojoa?

Hase kamehla u ka thibelang koluoa ​​ea sele ea sekele, empa liphetoho tse itseng tsa bophelo li ka thusa ho fokotsa kotsi ea hau.

Mona ke mekhoa ea ho thusa ho theola menyetla ea ho ba le bothata ba sele ea sekele.

  • Nka meriana eohle e khothalletsoang ke ngaka ea hau.
  • Leka ho noa likhalase tse ka bang 10 tsa metsi ka letsatsi, o eketsa tse ling ha ho chesa kapa nakong ea boikoetliso.
  • Khomarela boikoetliso bo bobebe kapa bo itekanetseng, o qoba eng kapa eng e boima kapa e feteletseng.
  • Apara ka mofuthu ha ho bata, 'me u nke lera le eketsehileng haeba ho ka etsahala.
  • Fokotsa nako e sebelisoang libakeng tse phahameng.
  • Qoba ho hloa lithaba kapa ho fofa ka ntlong e sa sebetsoang (lifofane tse seng tsa khoebo) tse fetang maoto a 10 000.
  • Hlapa matsoho khafetsa ho qoba tšoaetso.
  • Fumana liente tsohle tse khothalletsoang, ho kenyeletsoa le ente ea ntaramane.
  • Nka folic acid e tlatsetsang, eo moko oa hau o hlokang ho etsa li-RBC tse ncha.
  • Ela hloko le ho sebetsana le khatello ea maikutlo.
  • Qoba ho tsuba.

Ntlha ea bohlokoa

Bothata ba sele ea sekele bo ka ba bohloko haholo. Le ha bohloko bo bonolo bo ka phekoloa lapeng, bohloko bo bohloko le ho feta ke sesupo sa hore o lokela ho bona ngaka. Haeba e sa phekoloe, bothata bo matla ba lisele tsa sekele bo ka hlokisa litho, joalo ka liphio, sebete, matšoafo le spleen, mali le oksijene.

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