Chii chinonzi polycythemia, chinokonzeresa, maitiro ekuziva nekurapa

Zvemukati

• Polycythemia zviratidzo
• Maitiro ekuongororwa kunoitwa
• Zvinonyanya kukonzera polycythemia
• Kurapa sei

Polycythemia inoenderana nekuwedzera kwehuwandu hwamasero matsvuku eropa, anonziwo masero matsvuku eropa kana erythrocyte, muropa, kureva kuti, pamusoro pe 5.4 mamirioni matsvuku eropa paAL yeropa muvakadzi uye pamusoro pemamirioni mashanu emamiriyoni masere eropa paLL ye ropa muvarume.

Nekuda kwekuwedzera kwenhamba yemasero matsvuku eropa, ropa rinowedzera kuoneka, izvo zvinoita kuti ropa rifambe zvakanyanya kuoma kuburikidza nemidziyo, izvo zvinogona kukonzera zvimwe zviratidzo, senge kutemwa nemusoro, dzungu uye kunyangwe chirwere chemwoyo.

Polycythemia inogona kurapwa kwete chete kudzikisa huwandu hwesero dzvuku reropa uye viscosity yeropa, asi zvakare nechinangwa chekubvisa zviratidzo uye kudzivirira matambudziko, senge sitiroko uye pulmonary embolism.

Polycythemia zviratidzo

Polycythemia kazhinji haina kukonzeresa zviratidzo, kunyanya kana kuwanda kwenhamba yemasero matsvuku eropa isina kunyanyisa kukura, uchionekwa chete kuburikidza nekuongororwa kweropa. Nekudaro, mune dzimwe nguva, munhu anogona kusangana nekugara achirwadziwa nemusoro, kusaona zvakanaka, ganda rakatsvuka, kuneta zvakanyanya uye nekugwinha ganda, kunyanya mushure mekugeza, izvo zvinogona kuratidza polycythemia.

Izvo zvakakosha kuti munhu aite kuverenga kweropa nguva dzose uye, kana paine chero zviratidzo zvine chekuita necycycythemia zvamuka, enda pakarepo kuna chiremba, nekuti kuwedzera kweropa viscosity nekuda kwekuwedzera kwenhamba yemasero matsvuku eropa kunowedzera njodzi yekurohwa, acute myocardial infarction. myocardium uye pulmonary embolism, semuenzaniso.

Maitiro ekuongororwa kunoitwa

Kuongororwa kwepolycythemia kunoitwa kubva pamhedzisiro yekuverenga kweropa, uko kunoonekwa kwete chete kuwedzera kwenhamba yemasero matsvuku eropa, asiwo kuwedzera kwehematocrit uye hemoglobin kukosha. Tarisa uone kuti chii chiyero cheropa kuverenga mareferenzi.

Zvinoenderana nekuongororwa kweropa kuverenga uye mhedzisiro yemimwe bvunzo inoitwa nemunhu, polycythemia inogona kuiswa muchikamu:

• Yekutanga polycythemia, inonziwo polycythemia vera, chinova chirwere chemajini chinoratidzwa nekushomeka kwemasero eropa. Nzwisisa zvakawanda nezve polycythemia vera;
• Hukama polycythemia, iyo inoratidzirwa nekuwedzera kwenhamba yemasero matsvuku eropa nekuda kwekuderera kwehuwandu hweplasma, sepanyaya yekushayikwa kwemvura, semuenzaniso, hazvireve hazvo kuti kwaive nekugadzirwa kukuru kwemasero matsvuku eropa;
• Sekondari polycythemia, izvo zvinoitika nekuda kwezvirwere zvinogona kutungamira mukuwedzera kwete chete muhuwandu hwemasero matsvuku eropa, asi zvakare mune mamwe marabhoritari parameter.

Izvo zvakakosha kuti iyo chikonzero che polycythemia inozivikanwa kuitira kuti isimbise mhando yepamusoro yekurapa, kudzivirira kutaridzika kwezvimwe zviratidzo kana kunetsekana.

Zvinonyanya kukonzera polycythemia

Muchiitiko chepuraimendi polycythemia, kana polycythemia vera, iyo chikonzero chekuwedzera mukugadzirwa kwemasero matsvuku eropa shanduko yemajini iyo inokanganisa kugadzirwa kwekugadzirwa kwemasero matsvuku, zvichikonzera kuwedzera kwemasero matsvuku eropa uye, dzimwe nguva, leukocyte nemaplatelet.

Mune hama polycythemia, kune rimwe divi, iyo honzeri huru ndeye kupera mvura mumuviri, sezvo mune izvi zviitiko kune kurasikirwa kwemvura yemumuviri, zvichikonzera kuwedzera kuri pachena kwenhamba yemasero matsvuku eropa. Kazhinji kana iri hama yecycycythemia, mwero weerythropoietin, inova iyo hormone inotungamira mukugadzirisa maitiro ekugadzirwa kwemasero matsvuku eropa, zvakajairika.

Sekondari polycythemia inogona kukonzerwa nemamiriro ezvinhu akati wandei ayo anogona kutungamira mukuwedzera kwenhamba yemasero matsvuku eropa, akadai sehosha yemwoyo, hosha dzekufema, kufutisa, kuputa, Cushing's syndrome, hosha dzechiropa, yekutanga-danho risingaperi myeloid leukemia, lymphoma, itsvo kusagadzikana uye tibhii. Uye zvakare, huwandu hwemasero matsvuku eropa hunogona kuwedzera nekuda kwekushandisa kwenguva refu kwecorticosteroids, vhitamini B12 zvinowedzera uye mishonga inoshandiswa kurapa kenza yemazamu, semuenzaniso.

Kurapa sei

Kurapa kwepolycythemia kunofanirwa kutungamirwa nachiremba wezvematambudziko, kana ari munhu mukuru, kana nachiremba wevana kana ari mwana nemwana, uye zvinoenderana nechikonzero chekuwedzera kwenhamba yemasero matsvuku eropa.

Kazhinji, kurapwa kunovavarira kudzikisa huwandu hwesero tsvuku dzeropa, kuita kuti ropa riwedzere kuyerera uye, nekudaro, kubvisa zviratidzo uye kuderedza njodzi yezvinetso. Panyaya ye polycythemia vera, semuenzaniso, zvinokurudzirwa kuita kurapa phlebotomy, kana kubuda ropa, uko kwakanyanya maseru matsvuku eropa anobviswa.

Mukuwedzera, chiremba anogona kukurudzira kushandiswa kwemishonga, yakadai seaspirin, kuita kuti ropa riwedzere kuyerera uye kuderedza njodzi yekuumbika, kana yemimwe mishonga, yakadai seHydroxyurea kana Interferon alfa, semuenzaniso, kudzikisa huwandu hwe masero matsvuku eropa.