Zvinodhaka-zvinoita immune hemolytic anemia

Zvinodhaka-zvinokonzeresa immune hemolytic anemia chirwere cheropa chinoitika apo mushonga unokonzeresa immune system (immune) system kurwisa maseru ayo matsvuku eropa. Izvi zvinokonzera masero matsvuku eropa kuti aputsike pakutanga pane zvakajairwa, maitiro anonzi hemolysis.

Anemia mamiriro ezvinhu umo muviri usina masero matsvuku eropa akagwinya. Masero matsvuku eropa anopa okisijeni kumatumbu emuviri.

Kazhinji, masero matsvuku eropa anogara kwemazuva angangoita zana nemakumi maviri mumuviri. Mune hemolytic anemia, matsvuku eropa muropa anoparadzwa pakutanga pane zvakajairwa.

Mune zvimwe zviitiko, mushonga unogona kukonzeresa kuti immune system ikanganise wega maseru matsvuku eropa kune zvekunze zvinhu. Muviri unopindura nekugadzira ma antibodies kurwisa masero matsvuku eropa emuviri. Masoja ekudzivirira chirwere anonamira kumasero matsvuku eropa uye anoita kuti akurumidze kukasira.

Zvinodhaka zvinogona kukonzera rudzi urwu rwehemolytic anemia zvinosanganisira:

• Cephalosporins (kirasi yemishonga inorwisa mabhakitiriya), inonyanya kukonzera chikonzero
• Dapsone
• Levodopa
• Svinidzo
• Methyldopa
• Nitrofurantoin
• Nonsteroidal anti-anogumbura zvinodhaka (NSAIDs)
• Penicillin uye zvigadzirwa zvayo
• Phenazopyridine (pyridium)
• Quinidine

Imwe nzira isingawanzoitika yechirwere iyi hemolytic anemia kubva mukushayikwa kweshuga-6 phosphate dehydrogenase (G6PD). Muchiitiko ichi, kuparara kwemasero matsvuku eropa kunokonzerwa neimwe mhando yekushushikana muchitokisi.

Zvinodhaka-zvinokonzerwa nehemolytic anemia hazviwanzo muvana.

Zviratidzo zvinogona kusanganisira chero zvinotevera:

• Weti yakasviba
• Kuneta
• Ruvara rweganda rakachenuruka
• Kukurumidza kurova kwemoyo
• Kufema kwekufema
• Yero ganda uye vachena vemeso (jaundice)

Bvunzo yemuviri inogona kuratidza yakakwidziridzwa spleen. Iwe unogona kuve neropa uye weti bvunzo kuti ubatsire kuongorora ichi chimiro.

Miedzo inogona kusanganisira:

• Absolute reticulocyte kuverenga kuti uone kana masero matsvuku eropa ari kugadzirwa mumongo wemapfupa pamwero wakakodzera
• Yakanangana kana isina kunangana Coombs bvunzo kuti uone kana paine masoja ekudzivirira anopesana nemasero matsvuku eropa ari kukonzera masero matsvuku eropa kufa nekukurumidza
• Zvisina kunangana bilirubin mazinga kuti utarise jaundice
• Tsvuku sero kuverenga
• Serum haptoglobin kutarisa kana masero matsvuku eropa ari kuparadzwa nekukurumidza
• Weti hemoglobin kutarisa hemolysis

Kumisa mushonga uri kukonzera dambudziko kunogona kurerutsa kana kudzora zviratidzo.

Ungangoda kutora mushonga unonzi prednisone kudzvinyirira immune immune kurwisa masero matsvuku eropa. Kuwedzerwa kweropa kwakakosha kunogona kudiwa kuti ubate zviratidzo zvakakomba.

Mhedzisiro yacho yakanaka kune vanhu vazhinji kana vakarega kutora mushonga uri kukonzera dambudziko.

Rufu runokonzerwa nekushomeka kwakanyanya kushoma.

Ona wako mupi wehutano kana iwe uine zviratidzo zveichi chiitiko.

Dzivisa mushonga wakakonzera chiitiko ichi.

Immune hemolytic anemia yechipiri kune zvinodhaka; Anemia - immune hemolytic - yechipiri kune zvinodhaka

• Antibodies

Michel M. Autoimmune uye intravascular hemolytic anemias. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 160.

Kukunda N, Richards SJ. Yakawana haemolytic anaemias. Mune: Bain BJ, Bates I, Laffan MA, eds. Dacie naLewis Vanoshanda Hematology. 12th ed. Philadelphia, PA: Elsevier; 2017: chits.