Chii chinonzi Pancytopenia?

Zvemukati

• Zviratidzo zvepancytopenia
• Pancytopenia inokonzera uye njodzi zvinhu
• Matambudziko anokonzerwa nepancytopenia
• Iyo pancytopenia inoonekwa sei
• Kurapa nzira
• Outlook
• Kudzivirira kwepancytopenia

Mhedziso

Pancytopenia mamiriro ekuti muviri wemunhu une mashoma masero matsvuku eropa, masero machena eropa, uye maplatelet. Imwe yeaya maseru eropa mhando ine rakasiyana basa mumuviri:

• Masero matsvuku eropa anotakura okisijeni mumuviri wako wese.
• Masero machena eropa chikamu chemuviri wako uye anobatsira kurwisa hutachiona.
• Maplatelet anobvumira ropa rako kuti riite mavhavha.

Kana iwe uine pancytopenia, iwe une mubatanidzwa wezvirwere zvitatu zvakasiyana zveropa:

• kupererwa neropa, kana mwero wakaderera wemasero matsvuku eropa
• leukopenia, kana yakaderera mwero yemasero machena eropa
• thrombocytopenia, kana yakaderera maplatelet mazinga

Nekuti muviri wako unoda ese aya maseru eropa, pancytopenia inogona kuve yakakomba. Zvinogona kutotyisidzira hupenyu kana ukasazvibata.

Zviratidzo zvepancytopenia

Nyoro pancytopenia kazhinji haina kukonzera zviratidzo. Chiremba wako anogona kuzviwana paanenge achiongorora ropa kune chimwe chikonzero.

Zvimwe zvakanyanya pancytopenia zvinogona kukonzera zviratidzo zvinosanganisira:

• mweya wekufema
• ganda rakachenuruka
• kuneta
• kushaya simba
• kupindwa nechando
• dzungu
• kupwanya kuri nyore
• kubuda ropa
• madiki epepuru mavara paganda rako, anonzi petechiae
• mahombekombe epepuru paganda rako, anonzi purpura
• maronda anobuda ropa nemumhino
• kukurumidza kurova kwemoyo

Kana iwe kana mumwe munhu wepedyo ane chimwe chezviratidzo zvakakomba zvinotevera uye pancytopenia, tora kurapwa pakarepo:

• Fivha inopfuura 101˚F (38.3˚C)
• pfari
• kubuda ropa kwakanyanya
• kufema kwakanyanya
• kuvhiringidzika
• kurasikirwa kwekuziva

Pancytopenia inokonzera uye njodzi zvinhu

Pancytopenia inotanga nekuda kwedambudziko nefupa rako. Ichi chinyama chinopisa mukati memapfupa ndipo panogadzirwa masero eropa. Zvirwere uye kuratidzwa kwemamwe madhiragi nemakemikari zvinogona kutungamira kukuvara kwemongo wefupa.

Iwe uri mukana wekuvandudza pancytopenia kana iwe uine imwe yeaya mamiriro.

• Kenza dzinokanganisa mwongo wemapfupa, senge:
  • leukemia
  • akawanda myeloma
  • Hodgkin's kana isiri-Hodgkin's lymphoma
  • myelodysplastic syndromes
  • megaloblastic anemia, mamiriro umo muviri wako unoburitsa akakura-kupfuura-akajairwa, maseru matsvuku eropa uye uine yakaderera tsvuku masero eropa kuverenga
• aplastic anemia, mamiriro umo muviri wako unomira kugadzira masero matsva eropa
• paroxysmal nocturnal hemoglobinuria, chirwere chisingawanzoitika cheropa chinokonzera masero matsvuku eropa kuparadzwa
• hutachiona hutachiona, hwakadai se:
  • Epstein-Barr hutachiona, iyo inokonzeresa mononucleosis
  • cytomegalovirus
  • HIV
  • hepatitis
  • marariya
  • sepsis (chirwere cheropa)
• zvirwere zvinokanganisa mwongo wemapfupa, senge chirwere cheGaucher
• kukuvara kubva kumakemotherapy kana kurapwa nemwaranzi yekenza
• kusangana nemakemikari munharaunda, senge radiation, arsenic, kana benzene
• mapfupa emongo anoshanda mumhuri
• vhitamini kushomeka, sekushomeka kwevhitamini B-12 kana folate
• kuwedzera kwepleen yako, inozivikanwa se splenomegaly
• chirwere chechiropa
• kunwisa doro kushandisa izvo zvinokuvadza chiropa chako
• autoimmune hosha, senge systemic lupus erythematosus

Munenge hafu yezviitiko zvese, vanachiremba havagone kuwana chikonzero che pancytopenia. Izvi zvinonzi idiopathic pancytopenia.

Matambudziko anokonzerwa nepancytopenia

Matambudziko kubva pancytopenia anobva mukushaikwa kwemasero matsvuku eropa, machena masero eropa, uye maplatelet. Aya matambudziko anogona kusanganisira:

• kubuda ropa zvakanyanya kana maplatelet akanganiswa
• yakawedzera njodzi yekutapukirwa kana masero machena eropa akanganiswa

Yakanyanya pancytopenia inogona kutyisidzira hupenyu.

Iyo pancytopenia inoonekwa sei

Kana chiremba wako achifungidzira kuti une pancytopenia, vangangokurudzira kuti uone hematologist - nyanzvi inobata zvirwere zveropa. Iyi nyanzvi ichada kudzidza nhoroondo yemhuri yako uye nhoroondo yezvekurapa. Munguva yekuongorora, chiremba achabvunza nezve ako zviratidzo uye otarisa nzeve dzako, mhino, huro, muromo, uye ganda.

Chiremba anozoitawo yakazara kuverenga ropa (CBC). Bvunzo iyi inoyera huwandu hwamasero matsvuku eropa, machena masero eropa, uye maplatelet muropa rako. Kana iyo CBC isina kujairika, ungangoda peripheral ropa smear. Bvunzo iyi inoisa donhwe reropa rako pasiraidhi kuti utarise pamhando dzakasiyana dzemasero eropa arimo.

Kuti utarise dambudziko nefupa rako, chiremba wako angangoita pfupa kushuva chishuwo uye biopsy. Mune bvunzo iyi, chiremba wako anoshandisa tsono kubvisa shoma remvura uye zvinyama kubva mukati mefupa rako iro rinogona kuyedzwa uye kuongororwa murabhoritari.

Chiremba wako anogona zvakare kuita bvunzo dzakasiyana kuti atsvage chikonzero che pancytopenia. Iyi bvunzo inogona kusanganisira kuongororwa kweropa kutarisa hutachiona kana leukemia. Unogona zvakare kuda CT scan kana imwe bvunzo yekufungidzira kuti utarise kenza kana mamwe matambudziko nenhengo dzako.

Kurapa nzira

Chiremba wako acharapa dambudziko rakakonzera pancytopenia. Izvi zvinogona kusanganisira kukubvisa pamushonga kana kumisa kuratidzwa kwako kune imwe kemikari. Kana immune system yako iri kurwisana nemongo wako wepfupa, iwe unowana mushonga wekuderedza mhinduro yemuviri wako.

Kurapa kwepancytopenia kunosanganisira:

• zvinodhaka zvekusimudzira kugadzirwa kwemasero eropa mumapfupa ako
• kuwedzerwa ropa kutsiva masero matsvuku eropa, masero machena eropa, uye maplatelet
• mishonga yekurapa hutachiona
• kufupa kwemongo wemapfupa, inozivikanwawo se stem cell transplant, iyo inotsiva yakanganisa mwongo wemapfupa nemahutano maseru maseru anovaka mwongo wemapfupa.

Outlook

Maonero epancytopenia anoenderana nechirwere chakakonzera mamiriro acho uye nemabatirwo anoitwa chiremba wako. Kana mushonga kana kemikari yakonzera pancytopenia, inofanira kuve zvirinani mukati mevhiki mushure mekumisa kuratidzwa. Mimwe mamiriro, sekenza, inotora nguva yakareba kuti irape.

Kudzivirira kwepancytopenia

Zvimwe zvezvikonzero zve pancytopenia, sekenza kana nhaka yezvirwere zvepfupa, hazvidzivirirwe. Iwe unogona kukwanisa kudzivirira mamwe marudzi ehutachiona nemaitiro akanaka ehutsanana uye nekudzivirira kusangana nemumwe munhu anorwara. Iwe unogona zvakare kudzivirira makemikari ayo anozivikanwa kukonzera iyi mamiriro.