Rhabdomyolysis: He aha ia mea, e hookomo ana, symptoms, lapaau o ka maʻi

Nā waiwai o ka trauma ma Muscle'aʻaʻa e ua 'ike nui i ka poʻe hana ma ka' oihana haʻuki. O ka poe i lawe i mau hoounauna a me ke kiʻi o ko lākou mau pono pū nō ia, a he pilikia kama'āina a me ka manaʻo o "rhabdomyolysis". Nā symptoms o keia maʻi ka mea nui. I loko nō netyazholoe no ka pathology ke alakai i keu o hopena no ka meaola. Rhabdomyolysis - He aha ka mea? No ka pane i kēia nīnau kauka nei,ʻaʻole wale nō, akā, i kekahi palapala hōʻoia no kanaka aʻo no kela a me keia o na haʻuki. Ke pathology He He loa mea pepehi a me ka loa ke kahua me ke alakai i ka make. Naʻe, ina ka mea, ua 'akomi i ka manawa, o hiki mai ka piha daimonio.

Maʻi rhabdomyolysis - He aha ka mea?

Kēia pathology ua oi pinepine i ka malamaia ma ka Muscle nā palapū. Ua komo ai i ka make ana o ka'aʻaʻa ma, a mai o nā palapala 'ona i loko o ke koko. No laila, e hiki iki wehewehe i ka pā o ka maʻi pale kapa rhabdomyolysis. He aha ia mea, ka mea e lilo houʻike inā e hoʻopaʻa haʻawina i ke kaʻina hana o ka? Acaeoey o ka mai, a me ka hopena o ua mau no ke kino. E hoʻomanaʻoʻoukou i ole na ino a physical hana hiki aku ai i ka maʻi. Rhabdomyolysis - he maʻi pale ma i he mea hoʻololi iho o ka Muscle'aʻaʻa. No ka luku ana o skeletal Muscle i loko o ke koko komo waiwai i maʻamau e ole e malaila. Kēia - ke kumuʻiʻo myoglobin. He mea he nui ke keʻena no ka Muscle. Ma maʻamau puʻupaʻa ua inactivated, a 'aʻole iʻino i ke kino. Akā, Muscle hoʻololi iho a me ka palaho i ka nui i loko o ke koko kīnā he kiʻekiʻe lehulehu. E like me ka hopena, myoglobin lōʻihi circulates ma ke kino, ka hoʻokuʻu 'nephrotoxic noa radicals. Mau waiwai i loa nā palapala i nā nā'aʻaʻa o kaʻaʻa puʻuwai tubules. Ma keia kumu, he mea hiki ke pane i ka nīnau: "? Rhabdomyolysis - aha ka mea, a pehea ka mea pilikia loa" Ma waho aʻeo i ka make ana o ke Muscle, i kēia maʻi pale ke alakai ia ia i ke kulana nui me huʻiʻaʻa puʻuwai ole. I ka untimely kōkua i hoʻolako arrester hiki ke ana i ka make.

Rhabdomyolysis: hookomo ana i ka maʻi

Aia nō 2 pūʻulu o nā kumu e alakai ai i ka hooulu ana o ka rhabdomyolysis. Ma ka hihia mua - ka mea, o ka eha ana o skeletal Muscle. Ka mea, e i hoʻokomo nīnūnē 'ole ma luna o nā nāʻiʻo (paopao koke mai oia). Iwaena oʻino wale i aʻe kaʻawale.

1. Kaumaha kalepa ulia.
2. Nui wahi'ā a me ka hohonu (hiki i ka muscular, ahu iho).
3. Waiwai o ka uila pono i ke kino.
4. ʻino hana e alakai i ka Muscle poino.
5. Toxicosis kena ae la ia e traumatic kŰia.
6. Lōʻihi-manawaʻoki lāʻau lapaʻau uao ai '.

Kekahi kumu o ka rhabdomyolysis e ikaika contraction o Muscle'aʻaʻa. Kēia hiki i loa physical stress (hana no ke kino), convulsions.

Eia hou kekahi, he mea 'ē aʻe e alakai i ka rhabdomyolysis. Ka mea, ua emi mai, he pono ole, akā nō hiki i ka ulu ana o keia pathology. Mau nā electrolyte imbalance, mea koʻohune a me ka mea hoʻomaʻi maʻi, e like me ka lāʻau 'intoxication. A pau kēia mau kumumea he hoʻonui i ka nele o ATP. Ua ua ike ia i ka deficiency o keia waiwai e loli ai i ka hooulu ana o ka rhabdomyolysis. A uuku ka nui o ATP ke kumu o ka emi i loko o ke kino o ka electrolyte. Mau nā 'ona e like me kalipuna, posapahate a me ka potasiuma. Ke keakea ana o kēia mau 'ona ua ike ia ma ka thermal a me ka sunstroke, hypothermia. Ma kekahi mau hihia, i ka make ana o ka Muscle'aʻaʻa kūpono ma hooloihi ae i kanaka noho ana i loko o ka supine kulana - immobilization.

Keʻano papa hana o ka rhabdomyolysis

Ke pathogenesis o rhabdomyolysis ka wā hilinaʻi nui ma luna o nā mea, kena ae la ke kumu o ka make ana o skeletal Muscle. Inā na nāʻiʻo i ua poino ma ka traumatic waiwai, aole hoi metabolic kāna hana, a laila, ma laila e haanou ana o na keena. Kēia ka hana ma muli o ka loli ingress mai i loko o kaʻili lahilahi o myocytes ke kaiapuni. Manawa a hiki i kēia 'aʻe ana i na keena hu nui ae la me ka lilo nui. Hoololi myocytes holo ikaika aku nei ma luna o ka puni'aʻaʻa a me nā aʻalolo olona. Penei, i ke koko a hiki i ka olakino Muscle aeee ua Nyos, e alakai ana i ko lakou lukuia'na. No ka mea, o ka hoʻololi iho o skeletal Muscle kumuʻiʻo hoʻokuʻu lŘlŘ - myoglobin. I mau, o ka waiwai a mea iʻawahia i ke kino. Aka hoi, ke kumuʻiʻo hiki iʻaʻa puʻuwai hana. Keia ia lŘlŘ like penei: myoglobin e hoopaa ana i ka waiwai? Ueony i loko o kaʻaʻa puʻuwai keena. Kēia hui hiki aku i ka ho okumu ana i paa Ka hoʻokū koko pele. Eia hou kekahi, myoglobin he nephrotoxic loa.

Lapaʻau na hoailona o ka maʻi

Līkaia kaumaha a me ka malamalama o ka symptoms rhabdomyolysis. Ma ka hihia mua i ka make ana o ke Muscle maʻi pale hui me kaʻaʻa puʻuwai insufficiency. Rabdomioz mehana huʻiʻaʻa puʻuwai hoʻokō 'ole' ia i kaumaha. Ka lapaʻau hoikeana o ka maʻi nā:

1. Muscle nawaliwali.
2. Dark mimi waihoʻoluʻu. Kēia hiʻona hōʻike i ka papa hakuʻala mea he PalekanaEND_LINK ana no ka rhabdomyolysis.
3. Haanou ana a me ka palupalu o ke skeletal nāʻiʻo.

Ma luna o ka piʻiʻana,ʻaʻa puʻuwai hoʻokō 'ole' ahonui i ka kulana deteriorates. Nā symptoms o ka huʻiʻaʻa puʻuwai ole nā:

1. lala edema.
2. Low mimi auaiaea, mai a hiki i kona wa e kaawale aku.
3. Pahu maʻi pale. He pono ke Muscle'aʻaʻa nani. Ua hiki ke alakai i ka mīkini'opihia o ka nui nā loko. Nā symptoms o kēia kāna hana i: pokole o ka hanu, ua hoʻemi ke koko, kŰia.
4. Tachycardia, a laila - thready lāʻau ikiʻai wale.
5. Electrolyte imbalance.
6. Coma.

PalekanaEND_LINK 'Oihana no ka rhabdomyolysis

Manaʻo pü 'maʻi hiki ke nānā' ana i: ka trauma waiho wale aku no ia e ka Muscle'aʻaʻa, Muscle soreness, a me ka nani, mimi poeleele hoi. Kēia mau symptoms ae i ka muaʻike, "rhabdomyolysis". I ka maʻi ua mau pu e loli i loko o ke koko a me ka mimi. Ua hookupaa iho la ia i kaʻike, inā na kēia mau 'aʻe' hōʻike 'ia ma keʻena hoʻokolohua haʻawina:

1. Ke kiekie pae o ka creatine kinase.
2. Keʻano o ka myoglobin i loko o ke koko.
3. Hoʻonuiʻia phosphorus a me ka potasiuma pae, hoemiia kalipuna Ion.
4. Me ka hooulu ana o kaʻaʻa puʻuwai 'ole - he nui nui o ka creatinine a me ka urea.
5. Myoglobinuria (kumuʻiʻo ma ka mimi).

Eia hou kekahi, e malama ia ma ka electrocardiogram (palena manawa ventricular eiiieaenu, o ka hanana o T-ale) loli. Ma na hiohiona mīkini'opihia o ka maʻi pale i e poino i na nā loko, iwi. No laila, no ka mea, keʻike, no kāna hana mea pono e hoʻomaka X-Ray.

Nā Papahana O Ka ana rhabdomyolysis

E kōkua i ke hoʻomanawanui, e hoʻomaka e hoolako koke, e like me kāna kaumahaʻana aku i diagnosed me "rhabdomyolysis". maʻi lapaʻau E hanaʻia nō ia i loko o ka haukapila, i loko o ka haukapila hoonoho iho la ia mea hiki ke kanaka hoʻoponopono i ke kiʻekiʻe o electrolytes. E hoʻomaʻemaʻe i ka kino paa rehydration. I Ina o loa rhabdomyolysis pono ai loli Inc me ka Saline. I nui o ka iaea o ka wai-paakai a me ka electrolyte pūnao. diuretics "Furosemide" ua wahahee no ka normalization o diuresis a "Mannitol". I loa loa hoopii, hemodialysis ua hoʻohana. Inā Muscle puʻe ihoiho 30 mm o. Hg. . Art, hea hanaʻoki lāʻau lapaʻau excision o'aʻaʻa - fasciotomy. Na wale ala, e lawe i ka hoopau ana i ka mea hou mīkini'opihia o na kino.

Hiki complications o ka maʻi

Oe e ike i ka manawa kokua i ka mehana maʻi, e pau ana rhabdomyolysis. Photo hoʻomanawanui iki mai me ka maʻi paleʻikepili, ma ka nui loa ma ka 'aoʻao o ka' ike waiwai pili o ka 'inikua kumuhana apau loa. E ike pehea e nana i ka maikaʻiʻole ia ma nāʻiʻo mea nui loa i ka kanaka e hana i ka mea kaumaha physical ka hana. Ma ka hihia o kēia rhabdomyolysis pono e lawe mai keʻena hoʻokolohua ho'āʻo ma o ke koko a me ka mimi. Inā ka maʻi ua hoʻomohala i ka nui loa, ia mea pilikia i ka kēia complications:

1. Poino i nā loko a me nā'aʻaʻa. Ua lŘlŘ manawa e pahu maʻi pale.
2. Huʻiʻaʻa puʻuwai ole.
3. DIC. He pono i ka poe ilihune ke koko clotting. I loa hoopii, e hiki aku ai i ka make.

Ei no ka ke ola me ka rhabdomyolysis

Ke prognosis hilinaʻi nui ma luna o ka degere o ka maʻi oolea. Ma ka loiloi mua ke kahua o ka maʻi mākou ke pane pono i ka lapaʻauʻia. Recurrences i malama wale i loko o ka hihia o ka hou-traumatization. Inā pathology ua pili ia mea degere, ka prognosis emi maikaʻi. Aka hoi, loaa mea hiki i kekahi hui malu pu ana o ka lāʻau Inc, aʻoki lāʻau lapaʻau 'uao. Ma ka hihia o ka huʻiʻaʻa puʻuwai ole i ka make ana o 20%.