Rhabdomyolysis: kodi ndi osiyanasiyana, zizindikiro, mankhwala a matenda

Zotsatira za zoopsa mu minofu minofu ndi lodziwika bwino kwa anthu a katswiri wa mpira. Anthu amene amalandira masewera olimbitsa thupi nthawi zonse ndi chithunzi cha ubwino wawo ndi kuopsa bwino mfundo "rhabdomyolysis". Zizindikiro za matenda ndi yaikulu kwambiri. Ngakhale netyazholoe kwa kudwala angakhale ndi zotsatira yoopsa lake. Rhabdomyolysis - ndichiyani? Kuti tiyankhe funso limeneli madokotala mulole osati mphunzitsi aliyense woyenerera aliyense wa masewera a. The kudwala ndi woopsa kwambiri ndipo aakulu siteji kungachititse kuti imfa. Komabe, ngati wapezeka mu nthawi, mwina mankhwala wathunthu.

Disease rhabdomyolysis - ndichiyani?

kudwala Izi nthawi zambiri anamuona pa kuvulala minofu. Zimatengera kuwonongedwa kwa minofu ndi mwa zinthu zoipa m'magazi. Kotero inu mukhoza mwachidule kufotokoza akamanena za matenda lotchedwa rhabdomyolysis. Chimene icho chiri, izo idzawonetsedwa kwambiri ngati mukuphunzira njira ya chitukuko cha matenda ndi zotsatira zake kwa thupi. Kumbukirani kuti si choipa kapena zolimbitsa thupi kumabweretsa matenda. Rhabdomyolysis - syndrome limene pali kunyoza minofu minofu. Chifukwa chiwonongeko cha chigoba minofu mu magazi alowa mankhwala amene zambiri sayenera kumeneko. Izi - mapuloteni myoglobin. Iye ndi chofunika kwambiri kwa minofu. Mu impso wabwinobwino ndi inactivated ndi sikukuvulaza thupi. Koma minofu kudzitsitsa ndi kuwola kuchuluka m'magazi kufika ndende mkulu. Chifukwa, myoglobin zikamamvekamveka yaitali m'thupi, kumasuka nephrotoxic ufulu ankafuna kusintha zinthu mopitirira. zinthu zimenezi zili zoipa kwambiri kwa zimakhala za tubules ndi aimpso. Pa mfundo imeneyi, n'zotheka muyankhe funso ili: "? Rhabdomyolysis - ndichiyani ndi mmene n'koopsa" Kuwonjezera pa chiwonongeko cha minofu, syndrome zimenezi zingapangitse chikhalidwe akuluakulu monga kulephera pachimake aimpso. Pamene mwadzidzidzi thandizo anapereka arrester amatha kuchititsa imfa.

Rhabdomyolysis: Zimayambitsa matenda

Pali 2 magulu a matenda kungathandize kuti apange wa rhabdomyolysis. Mbali yoyamba - ndi kuvulala minofu chigoba. Iwo mulibe zotsatira zazing'ono pa minofu (mikwingwirima). Zina mwa zinthu sichikupindulitsani olekanitsidwa:

1. Lolemera ngozi pamsewu.
2. Large m'dera amayaka ndipo kuya (akuyesetsa wosanjikiza minofu).
3. Zotsatira za magetsi kwa thupi.
4. zachiwawa chopatsa kuvulala minofu.
5. Toxicosis chifukwa cha mantha zoopsa.
6. Yaitali opaleshoni zikunena.

Chinthu china rhabdomyolysis amphamvu chidule cha minofu minofu. Izi zingachititse kwadzaoneni m'thupi nkhawa (zachilendo kwa thupi), khunyu.

Komanso, pali zinthu zina zimene zingachititse kuti rhabdomyolysis. Iwo sakhala wamba, koma angachititse chitukuko cha kudwala izi. Zikuphatikizapo electrolyte vutoli, matenda bakiteriya ndi tizilombo komanso kuledzera mankhwala. Mfundo zonsezi zimathandiza kuti kupanda ATP. Amadziwika kuti akusowa zinthu izi zimakhudza chitukuko cha rhabdomyolysis. A pang'ono ATP zimayambitsa kuchepa thupi la electrolyte. Zikuphatikizapo zinthu monga calcium, phosphate ndi potaziyamu. The sangathe wa zinthu zimenezi zimawonedwa mu ikukhudzana ndi sunstroke, hypothermia. Nthawi zina, kuwonongedwa kwa minofu minofu chifukwa mu yaitali anthu mu malo supine - immobilization.

Limagwirira wa rhabdomyolysis

The pathogenesis wa rhabdomyolysis pamene zimatengera zimene zinachititsa chifukwa cha kuwonongedwa kwa minofu chigoba. Ngati minofu awonongedwa ndi zotsatira zoopsa kapena matenda kagayidwe kachakudya, ndiye pali kutupa kwa maselo. Izi zimachitika chifukwa ingress madzimadzi ku malo mu nembanemba wa myocytes. Chifukwa kuphwanya izi maselo pathupi ndi kukhala zazikulu. Adasandulika myocytes kupitiriza minofu ndi mitsempha ozungulira ulusi. Choncho, nthenda yotaya magazi kwa ena a minofu wathanzi ndi akusokoneza, kuchiwonongeko awo. Chifukwa cha kunyoza chigoba minofu mapuloteni kumasulidwa amapezeka - myoglobin. Ambiri, mankhwala si poizoni kuti thupi. Komabe, mapuloteni zingachititse ntchito aimpso. Izi zimachitika motere: myoglobin chimango ndi chinthu alipo mu maselo aimpso. pawiri Zimenezi zimabweretsa mapangidwe olimba otaya impeding magazi. Komanso, myoglobin mavuto nephrotoxic.

Matenda zizindikiro za matenda

Kuonetsetsa zizindikiro olemera ndi kuwala kwa rhabdomyolysis. Mbali yoyamba chiwonongeko cha matenda minofu pamodzi insufficiency aimpso. Rabdomioz wofatsa pachimake aimpso ayi wolemedwa. Mawonetseredwe matenda a matenda monga:

1. Minofu kuchepa mphamvu.
2. Mdima mkodzo mtundu. Mbali imeneyi ikusonyeza ntchito impso ndi muyezo matenda kwa rhabdomyolysis.
3. Kutupa ndi chikondi cha minofu chigoba.

Pa inalowa, chikhalidwe aimpso kulephera wodwalayo chatsitsa. Zizindikiro za kulephera pachimake aimpso monga:

1. nthambi edema.
2. Low mkodzo linanena bungwe, kuti sanamwe.
3. Chipinda syndrome. Ndi chifukwa minofu minofu kutupa. Zimenezi zingachititse kuti psinjika a ziwalo zofunika kwambiri. Zizindikiro za matendawa ndi: kufupika kwa mpweya, kuthamanga kwa magazi kuchepa mantha.
4. Tachycardia, kenako - thready zimachitika.
5. Electrolyte vutoli.
6. Chikomokere.

Matenda muyezo chifukwa rhabdomyolysis

matenda akuganiza akhoza zochokera: zoopsazo anavutika ndi minofu minofu minofu soreness ndi kutupa, mkodzo asiyane. Zizindikiro zimenezi kulola kuyambirira matenda "rhabdomyolysis". Matendawa nthawi zonse limodzi ndi kusintha kwa magazi ndi mkodzo. matenda zikutsimikiziridwa ngati kuyan'anila zotsatirazi anafotokozedwa maphunziro zasayansi:

1. misinkhu apamwamba creatine kinase.
2. Maonekedwe a myoglobin m'magazi.
3. Kuchuluka phosphorous ndi potaziyamu misinkhu, yafupika kashiamu ayoni.
4. Ndi chitukuko cha kulephera aimpso - wambirimbiri creatinine ndi urea.
5. Myoglobinuria (mapuloteni mu mkodzo).

Komanso, n'kusintha anaona pa electrocardiogram (kutambasuka yamitsempha yamagazi maofesi, pakutchulidwa wa T-mafunde). Mu psinjika Amowabu wa matendawa akhoza kukhala kuwonongeka kwa ziwalo, mafupa. Choncho, kwa matenda a matenda ndi zofunika kuchita X-ray.

Njira amachitira rhabdomyolysis

Kuthandiza wodwalayo kuyamba kupereka nthawi yomweyo, mwamsanga pamene iye anapezeka ndi "rhabdomyolysis". matenda mankhwala ayenera kuchitidwa mu chipatala, monga kuchipatala atakhala n'zotheka kuti aziona mlingo wa electrolytes. Kutisambitsa thupi unachitikira zakumwa zobwezeretsa. Mu nkhani ya aakulu rhabdomyolysis zofunika madzimadzi mankhwala ndi saline. Chofunikanso ndi malangizo a madzi amchere ndipo thupi electrolyte. okodzetsa "Furosemide" umayamba kuti normalization wa diuresis kapena "Mannitol". Zikavuta kwambiri, hemodialysis ntchito. Ngati minofu kuthamanga ukufika 30 mm. Hg. . Art, Ayenera excision opaleshoni minofu - fasciotomy. Njira yokhayo adzacotsapo kwa psinjika zina za matupi.

zosokonezeka zotheka matenda

Muyenera kudziwa nthawi kuti akathandize pa matenda osawopsa adzaleka rhabdomyolysis. Photo odwala deta syndrome, wochuluka pa masamba a zogwirizana zinthu zambiri zokhudza zachipatala. Kudziwa momwe kuyang'ana minofu akhudzidwa ndi wofunika kwambiri kwa anthu a yakalavulagaga thupi. Pankhani ya amaganiziridwa rhabdomyolysis zofunika kuchita mayesero zasayansi magazi ndi mkodzo. Ngati matenda zachitika mlingo lalikulu, ndi ngozi mavuto otsatirawa:

1. Kuwonongeka kwa ziwalo ndipo zimakhala. Kumachitika chifukwa chipinda syndrome.
2. Pachimake aimpso kulephera.
3. DIC. Ndi chifukwa osauka clotting magazi. Zikavuta, ndi njira za imfa.

Mapa moyo rhabdomyolysis

Kuti madokotala ananena zawo zimadalira mlingo wa kusalekerera matenda. Pa siteji koyamba za matenda amayankha bwino mankhwala. Recurrences ali kokha mu nkhani ya kukonzanso traumatization. Ngati kudwala wafika digiri aakulu, madokotala ananena zawo zochepa yabwino. Komabe, pochira n'zotheka ndi osakaniza mankhwala ndi alowererepo pa opaleshoni. Pankhani ya kulephera pachimake aimpso mlingo kumapha 20%.