Chii chinonzi Cytopenia?

Zvemukati

• Mhando
• Autoimmune cytopenia
• Inopikisa cytopenia
• Zviratidzo
• Chii chinokonzera cytopenia?
• Yakabatana mamiriro
• Kuongorora
• Kurapa
• Outlook

Mhedziso

Cytopenia inoitika kana imwe kana yakawanda yeropa rako maseru mhando iri pasi pane zvayaifanira kunge iri.

Ropa rako rine zvikamu zvikuru zvitatu. Masero matsvuku eropa, anonziwo erythrocyte, anotakura okisijeni uye zvinovaka muviri zvakakomberedza muviri wako. Masero machena eropa, kana leukocyte, anorwisa hutachiona uye anorwisa mabhakitiriya asina hutano. Maplatelet akakosha pakuvhara. Kana chimwe chezvinhu izvi chiri pazasi pematanho, unogona kunge uine cytopenia.

Mhando

Mhando dzinoverengeka dzecytopenia dziripo. Mhando yega yega inotariswa nechikamu cheropa rako chakaderera kana kuderera.

• Anemia inoitika kana masero matsvuku eropa akaderera.
• Leukopenia yakaderera mwero yemasero machena eropa.
• Thrombocytopenia kushomeka kwemaplatelet.
• Pancytopenia kushomeka kwezvikamu zvitatu zveropa.

Izvo zvinogona kukonzera cytopenia zvakaoma uye zvakasiyana. Pakati pezvikonzero izvi kuparara kwekupararira, kutapukirwa, uye mhedzisiro yemishonga. Mhando mbiri dzecytopenia dzinoenderana nechakakonzera kukwira kweropa masero kuverenga ndeye autoimmune cytopenia uye refractory cytopenia.

Autoimmune cytopenia

Autoimmune cytopenia inokonzerwa nechirwere chekuzvimiririra. Muviri wako unoburitsa masoja ekudzivirira anorwisa maseru eropa ane hutano, achiaparadza uye achikutadzisa kuve nemasero eropa akakwana.

Inopikisa cytopenia

Refractory cytopenia inoitika kana pfupa rako risina kuburitsa masero eropa akakura. Izvi zvinogona kuve mugumisiro weboka rekenza, senge leukemia kana imwe mamiriro emongo. Mhando dzinoverengeka dzekufungidzira cytopenia dziripo. Sekureva kweAmerican Cancer Society, zvinotsanangurwa nekutaridzika kweropa nemongo wemapfupa pasi pe microscope.

Zviratidzo

Zviratidzo zvecytopenia zvinoenderana nerudzi rwechiitiko chauinacho. Vanogona zvakare kuvimba padambudziko riri pasi kana mamiriro ari kukonzera kuwanda kwemasero eropa kuverenga.

Zviratidzo zvekushaya ropa zvinosanganisira:

• kuneta
• kushaya simba
• mweya wekufema
• kutarisisa kwakashata
• dzungu kana kunzwa musoro wakareruka
• kutonhora maoko netsoka

Zviratidzo zveleukopenia zvinosanganisira:

• kazhinji hutachiona
• kupindwa nechando

Zviratidzo zvetrombocytopenia zvinosanganisira:

• kubuda ropa uye kupwanya nyore
• kuoma nekumira kubuda ropa
• kubuda ropa mukati

Refractory cytopenia inogona kukonzera mashoma zviratidzo mumatanho ekutanga. Sezvo masero eropa anoverengeka kudonha, zviratidzo senge kupfupika kwemweya wekufema, kutapukirwa kazhinji, kuneta, uye nyore kana kwemahara kubuda ropa kunogona kuitika. Muchiitiko che refractory cytopenia, zvinokwanisika iyo yakaderera masero eropa kuverenga kunotungamira vanachiremba kuchinetso chakakomba senge kenza kana leukemia.

Cytopenia inokonzerwa ne autoimmune mhinduro inogona kuitika nemamwe masystemic zviratidzo ayo anoteedzera iwo mamwe marudzi ecytopenia. Zviratidzo izvi zvinosanganisira:

• kuneta
• kushaya simba
• kazhinji hutachiona
• kupindwa nechando
• kubuda ropa uye kupwanya nyore

Chii chinokonzera cytopenia?

Kana iwe uchinge uchinge uchinge uchinge uchinge uchiona zvisina kujairika masero eropa kuverenga, chiremba wako achatsvaga chikonzero chakakonzera kutsanangura iyo nhamba. Mhando yega yega cytopenia inogona kukonzerwa nemamiriro akasiyana uye akasarudzika.

Zvinokonzera kupererwa neropa zvinosanganisira:

• pasi simbi mazinga
• kubuda ropa kazhinji
• kuparadzwa kwemasero panguva yekutenderera mukati memuviri wako
• isina kujairika tsvuku masero eropa kugadzirwa kubva kumongo wemapfupa

Zvinokonzera leukopenia zvinosanganisira:

• chirwere chisingaperi, chakadai seHIV kana hepatitis
• gomarara
• autoimmune chirwere
• kurapwa kwekenza, kusanganisira radiation uye chemotherapy

Zvinokonzera thrombocytopenia zvinosanganisira:

• gomarara
• chirwere chisingaperi chechiropa
• kurapwa kwekenza, kusanganisira radiation uye chemotherapy
• mishonga

Mune vamwe vanhu vane cytopenia, vanachiremba havakwanise kuwana chinokonzera chikonzero. Muchokwadi, vanachiremba havagone kuwana chikonzero mune inenge hafu yevanhu vane pancytopenia. Kana chikonzero chisingazivikanwe, chinonzi idiopathic cytopenia.

Yakabatana mamiriro

Sezvauri kuona kubva pane izvo zvinokonzeresa, cytopenia inowanzo kuve nekenza uye leukemia. Izvi zvinodaro nekuti zvese izvi zvirwere zvinoparadza masero eropa ane hutano mumuviri wako. Ivo vanogona zvakare kuparadza yako pfupa mwongo. Iko kuumbwa uye kukura kwemasero eropa kunoitika mupfupa rako. Chero kukuvadzwa kweichi chipenga chechipunu mukati memapfupa ako kunogona kukanganisa masero ako eropa uye hutano hweropa rako.

Mimwe mamiriro anowanzo kuve necytopenia anosanganisira:

• gomarara, senge leukemia, yakawanda myeloma kana Hodgkin's kana isiri-Hodgkin's lymphoma
• chirwere chemafupa
• kushomeka kwakanyanya B-12
• chirwere chisingaperi chechiropa
• autoimmune chirwere
• hutachiona hutachiona, kusanganisira HIV, hepatitis, uye malaria
• zvirwere zveropa zvinoparadza masero eropa kana kudzivirira kugadzirwa kwemasero eropa, senge paroxysmal nocturnal hemoglobinuria uye aplastic anemia

Kuongorora

Cytopenia inoonekwa ine kuongororwa kweropa kunodaidzwa kuti kwakazara kuwanda kweropa (CBC). Iyo CBC inoratidza chena sero reropa, tsvuku reropa masero, uye platelet kuverenga. Kuti uite CBC, chiremba wako kana mukoti anotora ropa ndokuritumira kubazi kuti riongororwe. Iyo CBC ndeye yakajairika bvunzo yeropa, uye chiremba wako anogona kuwana cytopenia kubva kumhedzisiro asingazvifungire. Nekudaro, kana chiremba wako achifungidzira kuti une yakaderera masero eropa kuverenga, iyo CBC inogona kuzvisimbisa.

Kana zvabuda zvichiratidza manhamba akaderera kune chero chikamu cheropa rako, chiremba wako anogona ipapo kuraira kumwe kuyedzwa kuti aone chiri kukonzera chikonzero kana kutsvaga zvingangotsanangurwa. Iko bone marrow biopsy uye bone marrow aspiration inogona kupa zvakadzama kutarisisa pane rako pfupa remongo uye reropa maseru kugadzirwa. Iyi bvunzo inogona kushandiswa kusimbisa kana kutonga kunze kwemongo mapfupa hosha kana nyaya dzinogona kukonzera yakaderera masero eropa kuverenga.

Kurapa

Kurapa kwecytopenia kunoenderana nechikonzero.

Kune cytopenia inokonzerwa nekenza kana leukemia, kurapwa kwezvirwere izvi kunogona zvakare kubata mashoma masero eropa. Nekudaro, varwere vazhinji vari kurapwa kurapwa kweimwe yeizvi hosha vanogona kuwana yakaderera masero eropa semhedzisiro yekurapwa.

Corticosteroids inowanzo kuve yekutanga-kurapwa kurapwa kwemhando dzinoverengeka dzecytopenia. Varwere vazhinji vanopindura mushe pakurapwa. Zvisinei, vamwe vanogona kudzokera zvakare kana kusapindura zvachose. Muchiitiko ichocho, dzimwe nzira dzechisimba dzekurapa dzinogona kushandiswa. Izvi zvinosanganisira:

• immunosuppressive kurapa
• pfupa remongo
• kuwedzerwa ropa
• splenectomy

Outlook

Kana vachinge vaongororwa, vanhu vazhinji vanozokwanisa kurapa cytopenia uye kudzoreredza hutano masero eropa. Vanhu vane chirwere chekushaya ropa, semuenzaniso, vanogona kukwanisa kuwedzera kudya kwavo kwesimbi kubva muzvikafu zvakaita senyama tsvuku, hove, uye nyemba. Izvo zvinogona kudzoreredza yako tsvuku masero eropa kuverenga, uye chiremba wako anogona kugara achiongorora kuwanda kweropa rako kuti akubatsire iwe kuchengetedza hutano hwakanaka.

Zvimwe zvezvikonzero zve cytopenia, zvisinei, zvinoda kurapwa kwenguva refu uye zvakanyanya. Izvo zvikonzero zvinosanganisira cancer uye leukemia, kurapwa kweaya mamiriro, uye zvimwe zvakakomba mamiriro senge bone marrow chirwere uye aplastic anemia. Kune vanhu vanoonekwa kuti vane zvikonzero zvakakomba zvinokonzera, maonero anowanzoenderana nekuomarara kwechimiro uye nemabatiro anoita kurapwa.