Rhabdomyolysis: abin da shi ne, yana sa, cututtuka, magani na cutar

A sakamakon rauni a tsoka nama suna da kyau da aka sani ga mutane tsunduma a sana'a wasanni. Wadanda suka sami m motsa jiki da kuma hoto na amfanin da hatsarori saba da manufar "rhabdomyolysis". A bayyanar cututtuka da wannan cuta ne ƙwarai da gaske. Duk da netyazholoe for Pathology iya kai wa ga dire aqibar da kwayoyin. Rhabdomyolysis - abin da yake da shi? Don amsa wannan tambaya yiwu ba kawai likitoci, amma wani m nasiha ga kowane daga cikin wasanni. A Pathology ne mai matukar hatsari kuma mai tsanani mataki na iya kai ga mutuwa. Duk da haka, idan aka gano a cikin lokaci, yiwu cikakken magani.

Cuta rhabdomyolysis - abin da yake da shi?

Wannan Pathology ne mafi sau da yawa lura a tsoka raunin. Ya unshi halakar nama a kuma daga abubuwa masu cutarwa a cikin jini. Saboda haka za ka iya taƙaice bayyana jigon da ciwo kira rhabdomyolysis. Abin da shi ne, shi zai zama mafi bayyana idan ka yi nazarin aiwatar da ci gaban da cutar da kuma sakamakon daga gare domin jiki. Ka tuna cewa ba kowane rauni ko jiki aiki take kaiwa zuwa da cutar. Rhabdomyolysis - wani ciwo a cikinsa akwai wulakanci da tsoka nama. Saboda halakar kwarangwal tsoka a jini shiga abu wanda kullum kada ta kasance a can. Wannan - da furotin myoglobin. Shi ne wani muhimmin bangaren for tsoka. A al'ada kodan aka inactivated kuma ba ya cutar da jiki. Amma tsoka ƙasƙanci da kuma lalata da adadin a cikin jini ya kai wani babban taro. A sakamakon haka, myoglobin dogon circulates ta cikin jiki, sakewa nephrotoxic free radicals. Wadannan abubuwa su ne musamman cutarwa ga tsokoki na koda tubules. A wannan hasashe, yana yiwuwa ya amsa tambaya: "Rhabdomyolysis - abin da yake da shi da kuma yadda yake da illa?" Bugu da kari zuwa ga halaka tsoka, wannan ciwo zai iya kai wa ga irin wannan tsanani yanayin yadda m na koda gazawar. Lokacin da untimely taimako bayar arrester iya haddasa mutuwa.

Rhabdomyolysis: Sanadin cutar

Akwai 2 kungiyoyin na haddasawa da kai ga ci gaban da rhabdomyolysis. A cikin farko idan - shi ne rauni da kwarangwal tsoka. Ba su hada da qananan effects a kan tsokoki (bruises). Daga cikin tareda žata abubuwan ware:

1. Tã zirga-zirga hatsari.
2. Babban yankin konewa da kuma zurfin (kai murdede Layer).
3. Gurbin lantarki ga jiki.
4. Tashin hankali ayyukan da kai ga tsoka rauni.
5. Toxicosis sa ta zafi tura.
6. Dogon lokacin da m shisshigi.

Wani dalili na rhabdomyolysis ne karfi ƙanƙancewa na tsoka nama. Wadannan za su iya sa mai tsanani jiki danniya (m ga jiki), convulsions.

Bugu da kari, akwai wasu dalilai da kai ga rhabdomyolysis. Su ne ƙasa da na kowa, amma har yanzu za a iya haifar da ci gaban wannan Pathology. Wadannan sun hada da electrolyte rashin daidaituwa, kwayan da kwayar cututtuka, kazalika da miyagun ƙwayoyi maye. Duk wadannan abubuwan da taimakawa ga rashin ATP. An sani cewa wani rashi na wannan abu rinjayar da cin gaban rhabdomyolysis. A kananan adadin ATP sa wani karu a jikin electrolyte. Wadannan sun hada da abubuwa kamar alli, phosphate da potassium. A hasara daga cikin wadannan abubuwa da aka lura a cikin thermal da kuma bugun zafin rana, hypothermia. A wasu lokuta, da lalata tsoka nama sakamakon shafe tsawon mutum tsaya a cikin supine matsayin - immobilization.

Ginshikai na rhabdomyolysis

A pathogenesis na rhabdomyolysis a lokacin da ya dogara da abin da ya sa cikin hanyar halakar kwarangwal tsoka. Idan tsokoki da aka lalace ta traumatic effects ko rayuwa cuta, to, a can ne ƙaruwa daga cikin sel. Wannan ya faru saboda ruwa ingress daga yanayi a cikin membrane na myocytes. Saboda wannan take hakkin da Kwayoyin ƙara da kuma zama ya fi girma. Canza myocytes latsa a kewaye da nama da kuma jijiya zaruruwa. Saboda haka, jini ya kwarara da lafiya tsoka Kwayoyin zai lalace, manyan zuwa ga halaka su. Saboda lalacewar kwarangwal tsoka gina jiki saki ya auku - myoglobin. A general, abu ne ba mai guba ga jiki. Duk da haka, da furotin da zai iya sa koda aiki. Wannan na faruwa ne kamar haka: myoglobin ta ɗaure da wani abu data kasance a cikin koda Kwayoyin. Wannan fili take kaiwa zuwa samuwar m impeding jini ya kwarara. Bugu da kari, myoglobin yana nephrotoxic effects.

Clinical ãyõyin cuta

Ware nauyi da haske bayyanar cututtuka na rhabdomyolysis. A cikin farko idan halakar tsoka ciwo a hade tare da na koda insufficiency. Rabdomioz m m na koda gazawar da aka ba nauyaya. The asibiti manifestations da cutar sun hada da:

1. Muscle rauni.
2. Dark fitsari launi. Wannan yanayin na nuna koda aiki ne mai bincike rarrabẽwa ga rhabdomyolysis.
3. Kumburi da kuma taushi da kwarangwal tsokoki.

Bayan Accession, koda gazawar da haƙuri da yanayin tabarbarewa.Idan. A bayyanar cututtuka na m na koda gazawar sun hada da:

1. reshe edema.
2. Low fitsari fitarwa, har zuwa ta rashi.
3. Sashe ciwo. Shi ne saboda tsoka nama kumburi. Yana iya kai ga matsawa daga muhimmanci gabobin. A bayyanar cututtuka da wannan cuta ne: shortness na numfashi, rage hawan jini, bugu.
4. Tachycardia, baya - thready bugun jini.
5. Electrolyte rashin daidaituwa.
6. Coma.

Bincike da sharudda ga rhabdomyolysis

Ake zargi da cutar za a iya dogara ne a kan: rauni sha wahala da tsoka nama, tsoka soreness, da kuma kumburi, fitsari duhun. Wadannan cututtuka ba da damar a na farko ganewar asali "rhabdomyolysis". Cutar da ake da yaushe tare da canje-canje a cikin jini da kuma fitsari. A ganewar asali aka tabbatar idan da wadannan keta gano a cikin dakin gwaje-gwaje karatu:

1. Dagagge matakan creatine kinase.
2. A bayyanar myoglobin a cikin jini.
3. Karuwan phosphorus da potassium matakan, rage alli ions.
4. Tare da ci gaba na koda gazawar - babban adadin creatinine da urea.
5. Myoglobinuria (furotin a fitsari).

Bugu da kari, canje-canje suna lura a wani electrocardiogram (tsawo na ramin zuciya gidaje, da ya faru na T-tãguwar ruwa). A alama matsawa na ciwo iya zama lalacewar kayan ciki, kasusuwa. Saboda haka, ga ganewar asali na cuta wajibi ne a gudanar da X-ray.

Hanyar zalunta rhabdomyolysis

Taimaka da mãsu haƙuri a fara samar da nan da nan, da zaran ya kamu da "rhabdomyolysis". cuta magani ya kamata a yi a asibiti, kamar yadda a wani asibiti da kafa shi ne zai yiwu ka saka idanu da matakin na Wutan. Don tsarkake jiki da aka gudanar rehydration. A hali mai tsanani da ake bukata rhabdomyolysis ruwa far da Saline. Har ila yau muhimmanci shi ne gyara na ruwa-gishiri da kuma electrolyte metabolism. diuretics "Furosemide" da aka gabatar don daidaita diuresis ko "mannitol". A musamman mai tsanani lokuta, hemodialysis da ake amfani. Idan tsoka matsa lamba kai 30 mm. Hg. Art., Bukata m excision na nama - fasciotomy. Iyakar hanyar kawo ƙarshen da kara matsawa daga cikin jikinsu.

Zai yiwu da rikitarwa da cuta

Ya kamata ka sani cewa lokacin taimaka a m cuta zai daina rhabdomyolysis. Photo marasa lafiya da ciwo data, a yalwace a shafukan da dacewa bayanai albarkatun kiwon lafiya batutuwa. Don san yadda za a duba shafa tsokoki da matukar muhimmanci a mutane tsunduma a nauyi jiki aiki. A cikin hali na zargin rhabdomyolysis zama dole don gudanar da wani dakin gwaje-gwaje gwaje-gwaje na jini da kuma fitsari. Idan cutar ta ~ ullo da wani tsanani digiri, shi ne kawo hadari ga wadannan matsalolin:

1. Lalacewar gabobin da kyallen takarda. Yana auku saboda daki ciwo.
2. M na koda gazawar.
3. DIC. Shi ne saboda matalauta jini clotting. A tsanani lokuta, shi take kaiwa zuwa mutuwa.

Forecast for rayuwa tare da rhabdomyolysis

A hangen nesa dogara a kan mataki na cuta mai tsanani. A can farko da cutar amsa da kyau zuwa magani. Recurrences ne kiyaye kawai a yanayin saukan sake traumatization. Idan Pathology ya isa tsanani digiri, da hangen nesa kasa m. Duk da haka, dawo da mai yiwuwa ne da wani hade da miyagun ƙwayoyi far da kuma m baki. A cikin hali na m na koda gazawar da mace-mace kudi ne 20%.