Erythrocytosis

Zvemukati

• Erythrocytosis vs. polycythemia
• Chii chinokonzera izvi?
• Ndezvipi zviratidzo?
• Izvi zvinoonekwa sei?
• Kurapa uye kugadzirisa erythrocytosis
• Ndeapi maonero?

Mhedziso

Erythrocytosis mamiriro ezvinhu umo muviri wako unoita masero matsvuku eropa akawandisa (RBCs), kana erythrocytes. RBCs dzinotakura okisijeni kunhengo dzako uye nyama. Kuva nezvakawanda zveaya maseru kunogona kuita kuti ropa rako rikobvu kupfuura zvakajairwa uye zvichitungamira kuropa reropa uye zvimwe zvinonetsa.

Kune maviri marudzi erythrocytosis:

• Primary erythrocytosis. Mhando iyi inokonzerwa nedambudziko nemasero ari mumongo wemapfupa, munogadzirwa maRBC. Primary erythrocytosis dzimwe nguva inogara nhaka.
• Sekondari erythrocytosis. Chirwere kana kushandiswa kwemimwe mishonga kunogona kukonzera mhando iyi.

Pakati pe44 ne57 kubva pavanhu 100 000 vese vane erythrocytosis yekutanga, zvinoenderana nechimiro. Huwandu hwevanhu vane erythrocytosis yechipiri hunogona kunge hwakawanda, asi zvinonetsa kuwana nhamba chaiyo nekuti pane zvakawanda zvinoita zvikonzero.

Erythrocytosis vs. polycythemia

Erythrocytosis dzimwe nguva inonzi polycythemia, asi mamiriro acho akati siyanei:

• Erythrocytosis iko kuwedzera kweRBCs zvine chekuita neropa reropa.
• Polycythemiaiko kuwedzera mune ese maviri RBC kusangana uye hemoglobin, protein mumasero matsvuku eropa anotakura okisijeni kumatumbu emuviri.

Chii chinokonzera izvi?

Primary erythrocytosis inogona kupfuudzwa kuburikidza nemhuri. Izvo zvinokonzerwa nekuchinja kwemajini ayo anodzora mangani maRBCs ako mapfupa emongo. Kana imwe yemageneti aya ikashandurwa, mwongo wemapfupa ako unoburitsa mamwe maRBC, kunyangwe kana muviri wako usingaade.

Chimwe chikonzero chekutanga erythrocytosis i polycythemia vera. Ichi chirwere chinoita kuti mapfupa ako abudise maRBCs akawandisa. Ropa rako rinova gobvu semhedzisiro.

Sekondari erythrocytosis kuwedzera kweRBCs kunokonzerwa nechirwere chiri pasi kana kushandiswa kwemimwe mishonga. Zvinokonzera sekondari erythrocytosis zvinosanganisira:

• kusvuta
• kushaya okisijeni, senge kubva kuzvirwere zvemapapu kana kuve munzvimbo dzakakwirira
• mamota
• mishonga yakadai seasteroid uye diuretics

Dzimwe nguva chikonzero chechipiri erythrocytosis hachizivikanwe.

Ndezvipi zviratidzo?

Zviratidzo zve erythrocytosis zvinosanganisira:

• kutemwa nemusoro
• dzungu
• mweya wekufema
• mhino dzemhino
• kuwedzerwa kweropa
• kusaona zvakanaka
• kuvava

Kuva neRBCs yakawandisa kunogona zvakare kuwedzera njodzi yako yekuvhara ropa. Kana hovha ikaiswa mune tsinga kana mutsinga, inogona kudzivirira kuyerera kweropa kunhengo dzakakosha senge moyo wako kana huropi. Kuvharika kweropa kuyerera kunogona kutungamira pakurwara kwemoyo kana sitiroko.

Izvi zvinoonekwa sei?

Chiremba wako anotanga nekubvunza nezve yako nhoroondo yezvokurapa uye zviratidzo. Ipapo vanozoita bvunzo dzepanyama.

Kuongororwa kweropa kunogona kuitwa kuyera yako RBC kuverenga uye erythropoietin (EPO) mazinga. EPO ihormone inosunungurwa neitsvo dzako. Inowedzera kugadzirwa kweRBCs kana muviri wako wakaderera mu oxygen.

Vanhu vane primary erythrocytosis vanozove neepasi EPO nhanho. Avo vane erythrocytosis yechipiri vanogona kunge vane EPO yepamusoro.

Iwe unogona zvakare kuve neropa kuongororwa kuti uone huwandu hwe:

• Hematocrit. Iyi ndiyo chikamu cheRBCs muropa rako.
• Hemoglobin. Iyi ndiyo protein iri muRBCs inotakura oxygen mumuviri wako wese.

Muedzo unonzi pulse oximetry unoyera huwandu hweoxygen muropa rako. Iyo inoshandisa clip-pane chishandiso chakaiswa pamunwe wako. Bvunzo iyi inogona kuratidza kuti kushayikwa kweoxygen kwakakonzera yako erythrocytosis.

Kana chiremba wako achifunga kuti panogona kunge paine dambudziko nefupa rako remafupa, ivo vangango bvunze genet mutation inonzi JAK2. Iwe unogona zvakare kuda kuve nefupa remongo wemafuta kana biopsy. Bvunzo iyi inobvisa sampuli yetishu, mvura, kana zvese zviri mukati memapfupa ako. Izvo zvinobva zvayedzwa murabhoritari kuti uone kana pfupa rako repfupa riri kuita maRBC akawandisa.

Iwe unogona zvakare kuongororwa kuongororwa kwemajini kunokonzera erythrocytosis.

Kurapa uye kugadzirisa erythrocytosis

Kurapa kunovavarira kudzikisa njodzi yako yekuvhara ropa uye kubvisa zviratidzo. Izvo zvinowanzo sanganisira kudzikisa yako RBC kuverenga.

Mishonga ye erythrocytosis inosanganisira:

• Phlebotomy (inonziwo venesection). Maitiro aya anobvisa shoma reropa kubva mumuviri wako kudzikisa huwandu hweRBCs. Iwe ungangoda kuve nemushonga uyu kaviri pavhiki kana kupfuura kazhinji kudzamara mamiriro ako ave pasi pesimba.
• Aspirin. Kutora yakaderera madosi yeiyi yezuva nezuva marwadzo reliever inogona kubatsira kudzivirira kuwanda kweropa.
• Mishonga inoderedza kugadzirwa kweRBC. Izvi zvinosanganisira hydroxyurea (Hydrea), busulfan (Myleran), uye interferon.

Ndeapi maonero?

Kazhinji mamiriro ezvinhu anokonzera erythrocytosis haakwanise kurapwa. Pasina kurapwa, erythrocytosis inogona kuwedzera njodzi yako yekugwamba kweropa, chirwere chemwoyo, uye sitiroko. Inogona zvakare kuwedzera njodzi yako yeleukemia uye mamwe marudzi ekenza yeropa.

Kuwana kurapwa kunoderedza huwandu hweRBCs hunogadzirwa nemuviri wako kunogona kudzikisa zviratidzo zvako uye kudzivirira kusagadzikana.