Yekutanga Thrombocythemia
Zvemukati
- Chii chinonzi primary thrombocythemia?
- Chii chinokonzera chikuru thrombocythemia?
- Ndezvipi zviratidzo zvekutanga thrombocythemia?
- Ndeapi matambudziko ekutanga eprombocythemia?
- Iyo yekutanga thrombocythemia inoonekwa sei?
- Inonyanya kurapwa sei thrombocythemia?
- Ndeapi marefu maonero kune vanhu vane primary thrombocythemia?
- Iyo yekutanga thrombocythemia inodzivirirwa uye kurapwa sei?
Isu tinosanganisira zvigadzirwa zvatinofunga zvinobatsira kuvaverengi vedu. Kana iwe ukatenga kuburikidza nehukama pane ino peji, isu tinogona kuwana diki komisheni. Heano maitiro edu.
Chii chinonzi primary thrombocythemia?
Primary thrombocythemia chirwere chisingawanzo kuvhara ropa chinokonzera mwongo wemapfupa kuburitsa maplatelet akawandisa. Iyo inozivikanwawo seyakakosha thrombocythemia.
Mongo wefupa idumbu rakaita sechipanji mukati memapfupa ako. Iine masero anogadzira:
- masero matsvuku eropa (RBCs), anotakura okisijeni uye zvinovaka muviri
- masero machena eropa (WBCs), ayo anobatsira kurwisa hutachiona
- maplatelet, ayo anoita kuti ropa rigwamba
Kuwanda kweplatelet kuverenga kunogona kukonzera kuwanda kweropa kukura nekukurumidza. Kazhinji, ropa rako rinotanga kugwamba kudzivirira kurasikirwa kukuru kweropa mushure mekukuvara. Mune vanhu vane primary thrombocythemia, zvisinei, kuwanda kweropa kunogona kuumbika nekukurumidza uye pasina chikonzero chiri pachena.
Kuvharika kweropa zvisina kujairika kunogona kuva nenjodzi. Ropa rakagwamba rinogona kudzivirira kuyerera kweropa kuenda kuuropi, chiropa, moyo, uye dzimwe nhengo dzakakosha.
Chii chinokonzera chikuru thrombocythemia?
Aya mamiriro anoitika kana muviri wako ukaburitsa maplatelet akawandisa, izvo zvinogona kutungamira mukugwamba kusingaite. Zvisinei, chikonzero chaicho cheizvi hachizivikanwi. Sekureva kweMPN Research Foundation, ingangoita hafu yevanhu vane primary thrombocythemia vane gene mutation muJanus kinase 2 (JAK2) gene. Iri jeni rine basa rekugadzira puroteni inosimudzira kukura uye kupatsanurwa kwemasero.
Kana yako platelet kuverenga yakanyanya kukwirira nekuda kwechimwe chirwere kana mamiriro, inonzi yechipiri kana inoitisa thrombocytosis. Primary thrombocythemia haina kujairika pane yechipiri thrombocytosis. Imwe fomu yetrombocythemia, yakagara nhaka thrombocythemia, ishoma kwazvo.
Primary thrombocythemia yakajairika pakati pevakadzi nevanhu vanopfuura makore makumi mashanu. Zvisinei, mamiriro acho anogona kubatawo vechidiki.
Ndezvipi zviratidzo zvekutanga thrombocythemia?
Primary thrombocythemia kazhinji haina kukonzera zviratidzo. Kuvhara ropa kunogona kuve chiratidzo chekutanga chekuti chimwe chinhu hachina kumira zvakanaka. Ropa clots rinogona kukura chero kupi mumuviri wako, asi ivo vanowanzo gadzira tsoka dzako, maoko, kana huropi. Zviratidzo zvekuvhara kweropa zvinogona kusiyana zvichienderana nekuti iko iko iko iko kuvhara. Zviratidzo zvinowanzo sanganisira:
- musoro
- musoro usina musoro kana dzungu
- kushaya simba
- kufenda
- chiveve kana kugwinha tsoka dzako kana maoko
- kutsvuka, kurova, uye kupisa marwadzo mutsoka dzako kana maoko
- shanduko pane zvakaratidzwa
- kurwadziwa pachipfuva
- pasle yakawedzera zvishoma
Muzviitiko zvisingawanzo, mamiriro acho anogona kukonzera kubuda ropa. Izvi zvinogona kuitika nenzira ye:
- kupwanya kuri nyore
- kubuda ropa kubva mumatadza ako kana mukanwa
- mhino dzemhino
- weti ine ropa
- ropa rine chigaro
Ndeapi matambudziko ekutanga eprombocythemia?
Vakadzi vane primary thrombocythemia uye zvakare vanonwa mapiritsi ekudzivirira kubereka vane njodzi huru yekugwamba kweropa. Mamiriro acho ane ngozi zvakanyanya kune vakadzi vane nhumbu. Ropa rakavhara riri muplacenta rinogona kutungamira kumatambudziko nekukura kwe fetus kana kupererwa nemimba.
Ropa rakavhara rinogona kukonzera kurwisa ischemic kurwisa (TIA) kana sitiroko. Zviratidzo zvekurohwa zvinosanganisira:
- kusaona zvakanaka
- kushaya simba kana chiveve mumakumbo kana kumeso
- kuvhiringidzika
- mweya wekufema
- kuoma kutaura
- pfari
Vanhu vane primary thrombocythemia variwo panjodzi yekurwadziwa nemoyo. Izvi zvinodaro nekuti kugwamba kweropa kunogona kutadzisa kuyerera kweropa kumoyo. Zviratidzo zvekurwadziwa kwemoyo zvinosanganisira:
- clammy ganda
- kusvina kurwadziwa mubhokisi kunogara kweinopfuura maminetsi mashoma
- mweya wekufema
- kurwadziwa kunosvika papfudzi rako, ruoko, musana, kana shaya
Kunyangwe isingawanzo kujairika, yakanyanya kukwirisa platelet kuverenga inogona kukonzera:
- mhino dzemhino
- kukuvadza
- kubuda ropa kubva mumatadza
- ropa muchitsiko
Fonera chiremba wako kana enda kuchipatara nekukasira kana iwe uine zviratidzo zve:
- ropa rakagwamba
- kumira kurova kwemoyo
- sitiroko
- kubuda ropa kwakanyanya
Aya mamiriro anoonekwa seanokurumidza kurapwa uye anoda kurapwa nekukurumidza.
Iyo yekutanga thrombocythemia inoonekwa sei?
Chiremba wako anotanga aongorora muviri uye obvunza iwe nezve nhoroondo yako yekurapa. Ita shuwa yekutaura chero kuwedzerwa kweropa, hutachiona, uye nzira dzekurapa dzawakave nadzo munguva yakapfuura. Uyezve udza chiremba wako nezve chero mushonga uye wepamusoro-the-counter (OTC) mishonga uye zvinowedzera zvauri kutora.
Kana primary thrombocythemia ichifungidzirwa, chiremba wako achamhanya kumwe kuongorora kweropa kuti asimbise kuongororwa. Kuongororwa kweropa kunogona kusanganisira:
- Yakazara kuverenga ropa (CBC). Iyo CBC inoyera huwandu hwemaplatelet muropa rako.
- Ropa kuzora. Ropa smear rinoongorora mamiriro emaplatelet ako.
- Kuongorora genetic. Muedzo uyu unobatsira kuona kana iwe uine hunhu hwakagarwa hunokonzera kukwirira kweplatelet kuverenga.
Kumwe kuongorora kuongororwa kunogona kusanganisira chishuwo chemongo wemapfupa kuti uongorore maplatelet ako pasi pe microscope. Maitiro aya anosanganisira kutora sampuro yemapfupa emwongo mune yakasviba fomu. Inowanzo bviswa kubva pachifuva kana muchiuno.
Iwe ungangodaro unogashira kuongororwa kwepuraimendi thrombocythemia kana chiremba wako asingakwanise kuwana chikonzero cheyako yakakwira platelet kuverenga.
Inonyanya kurapwa sei thrombocythemia?
Chirongwa chako chekurapa chinoenderana nezvinhu zvinoverengeka, zvinosanganisira njodzi yako yekukura kweropa.
Iwe unogona kusada kurapwa kana iwe usina chero zviratidzo kana zvimwe zvinowedzera njodzi. Pane kudaro, chiremba wako angasarudza kunyatsoongorora mamiriro ako. Kurapa kunogona kukurudzirwa kana iwe:
- vanopfuura makore makumi matanhatu
- vanosvuta
- vane zvimwe zvehutano mamiriro, akadai seshuga kana chirwere chemoyo
- vane nhoroondo yekubuda ropa kana kuwonda kweropa
Kurapa kunogona kusanganisira zvinotevera:
- OTC yakaderera-dose aspirin (Bayer) inogona kudzikisa kugwamba kweropa. Tenga aspirin yepasi-pamhepo.
- Mishonga yemishonga inogona kudzikisa njodzi yekugwamba kana kudzikisa kugadzirwa kweplatelet mumongo wemapfupa.
- Platelet pheresis. Maitiro aya anobvisa maplatelet kubva muropa.
Ndeapi marefu maonero kune vanhu vane primary thrombocythemia?
Maonero ako anoenderana nezvinhu zvakasiyana. Vanhu vazhinji havasangana nematambudziko kwenguva yakareba. Zvisinei, zvinetso zvakakomba zvinogona kuitika. Zvinogona kusanganisira:
- kubuda ropa kwakanyanya
- sitiroko
- kumira kurova kwemoyo
- kubata pamuviri kunetsekana, senge preeclampsia, kubereka nguva isati yakwana, uye kusununguka
Kubuda ropa nyaya hazviwanzo, asi zvinogona kutungamira kumatambudziko akadai se:
- acute leukemia, rudzi rwekenza yeropa
- myelofibrosis, inofambira mberi bone marrow kusagadzikana
Iyo yekutanga thrombocythemia inodzivirirwa uye kurapwa sei?
Iko hakuna inozivikanwa nzira yekudzivirira yekutanga thrombocythemia. Zvisinei, kana iwe uchangobva kugamuchira chirwere chepuraimari thrombocythemia, pane zvimwe zvinhu zvaunogona kuita kudzikisa njodzi yako yezvinetso zvakakomba.
Nhanho yekutanga kugadzirisa chero njodzi dzeropa. Kudzora yako yeropa, cholesterol, uye mamiriro akadai seshuga zvinogona kubatsira kudzikisa njodzi yekugwamba kweropa. Iwe unogona kuita izvi nekurovedza muviri nguva dzose uye kudya chikafu chinonyanya kuve nezvibereko, miriwo, zviyo zvakakwana, uye mapuroteni akaonda.
Zvakakoshawo kurega kusvuta. Kusvuta kunowedzera mukana wako wekuvhara ropa.
Kuti uwedzere kudzikisa njodzi yako yezvinetso zvakakomba, iwe unofanirwa zvakare:
- Tora mishonga yese sekurairwa.
- Dzivisa OTC kana inotonhora mishonga inowedzera njodzi yekubuda ropa.
- Dzivisa kusangana kwemitambo kana zviitiko zvinowedzera njodzi yekubuda ropa.
- Kurumidza kurondedzera kubuda kweropa zvisina kujairika kana zviratidzo zvekugwamba kweropa kuna chiremba wako.
Usati waita chero mazino kana ekuvhiya maitiro, ita shuwa yekuudza chiremba wako wemazino kana chiremba nezve chero mishonga iwe yaunogona kutora kudzikisa yako platelet kuverenga.
Vakasvuta uye vanhu vane nhoroondo yeropa clots vangangoda mishonga yekudzora yavo platelet kuverenga. Vamwe vangangoda chero kurapwa.