Mavhesi Akajairika uye Zvavanoreva
Usati wamboonekwa kuti une myeloproliferative neoplasm unogona kunge usingadi kubasa ropa, pamwe kamwe kamwe pagore nekuongorora kwako gore negore. Zvino iwe unganetseka-chii icho yese ichi chinoshanda neropa? Chiremba wangu anotsvaga chii? Basa rega rega rega raigona kunge rakarongedzwa nderekuti tinogona kutarisa pano, asi ngatitarisei zvinhu zvakajairika.
Complete Blood Count (CBC)
ICBC ndiyo imwe yemhando yakawanda yebasa rebazi iro rinoshandiswa kuongorora zvinetso zveropa.
ICBC inobvunzurudza masero enyu eropa: masero eropa, masero matsvuku eropa, uye maplatelet. Iyi miedzo inowanzotanga kuziva kuti chii chinokonzera zviratidzo zvako, chikamu chebasa rekuongororwa-up, uye rinogona kutorwa kakawanda panguva yekurapa.
Maso matsvene eropa (WBC) ari chikamu chemuviri wechirwere chemuviri wako uye anobatsira kurwisa zvirwere. Kune marudzi mashanu eWBCs : neutrophils, lymphocytes, monocytes, eosinophils, uye basophils. Nhamba yeWBCs muropa rako kazhinji ndiyo nhamba yokutanga yakataurwa pamusoro peCBC. Chikamu cheCBC, chinonzi chinopesana kana chakasiyana, chinotarisa kuti zviyero zvipi zvemarudzi ose eWBC aripo.
Mu polycythemia vera ( PV ) kana kuti hutachiona hunokosha ( ET ), yako yeWBC count ingave yakasimudzwa (leukocytosis). Mukutanga myelofibrosis ( PMF ), vamwe vanhu vane huwandu hweWBC huwandu, humwe huripo, asi vamwe vachave neWBC count (leukopenia).
Masero matsvuku eropa (RBC) anotakura oksijeni kubva kumapapu kuenda kune nhengo.
Pane nzira dzakawanda dzekutarisa masero matsvuku eropa paCBC. Kutanga, RBC count ndiyo nhamba yemasero matsvuku eropa inoparadzirwa. Hemoglobin ipuroteni inowanikwa muRBC inotakura oxygen. Hematocrit inomiririra kuti yakawanda yeropa yakaumbwa neRBCs (yakaenzaniswa neWBC uye maplatelet).
Mumamiriro ezvinhu anokonzera kuwedzera kwenhamba yeRBC, yakafanana ne polycythemia vera, hemoglobin uye hematocrit yakakwirira. Iyo hematocrit inowanzoshandiswa kuongorora kubudirira kwehutano muPV. Mishonga uye phlebotomy (kubviswa kweropa) kunogadziriswa zvichienderana nehutachiwana hunoda humatocrit (inowanikwa pasi pe 45 muzana mumarume uye pasi pe42 muzana mune vakadzi).
Muchikamu cheMDC, hemoglobin yako yepamusoro inhengo yemirairo inoshandiswa kugadzirisa mararamiro ako ekufananidzira. Izvi zvinogona kuchinja pamusoro penzira yekurwara kwako. A hemoglobin inopfuura 10 gm per deciliter (g / dL) pachiyero chekutanga, inotora sezvikamu zviviri muhuwandu hwekufananidzira (mamwe mapepa akaenzana nehuwandu hwehutachiwana hwezvirwere). Inogonawo kushandiswa kuziva kana iwe uchida kuwedzerwa ropa.
Kuwedzerwa ropa kunowanzopiwa apo hemoglobin inodonha pasi peiri magiramu pasi pe deciliter kana iwe uri chiratidzo (kuneta, chizivo, kukwira kwemwoyo). Kuda kuwedzerwa ropa kunowedzera imwe nheyo mumashoko ekufananidzira.
Platelet count inowanikwawo muCBC. Kufanana ne hematocrit muPV, kune vanhu vane ET vanoda chirwere, platelet count inoshandiswa kugadzirisa kurapwa zvichienderana nekadikanwa seplatelet count. Muchikamu cheMDC, platelet inowanikwa pasi pe100,000 masero ne microliter inowedzera imwe pfungwa kuhuwandu hwekufananidzira kwako.
Ropa Smear
ET uye PV inogona kuchinja myelofibrosis uye leukemia, zviratidzo zvekutanga zvekuchinja uku zvinogona kuonekwa pamusoro peCBC, kunyanya kudonha kukuru mune hemoglobin uye platelet count. Iko tsvuku yakatsvuka neropa uye seplatelet inoitwa nenzira isingaenzaniswi myelofibrosis inogona kuonekwa paropa smear (microscope slide masero eropa).
von Willebrand Panel
Vanhu vane ET vari pangozi yekuvandudza chirwere cheW von Willebrand, chirwere chekubuda ropa. Iyi njodzi inoenda kumusoro apo platelet count inokwira (inopfuura mamiriyoni platelet per microliter). Kana iwe uine ET uye uchiteerera ropa, aW von Willebrand panel inogona kutumirwa kuti uone kana ichi chiri chikonzero.
Mishonga iri kuderedza platelet count.
Paunenge uchiita basa reropa nguva dzose, zvinogona kukanganisa uye zvakaoma kuona chikonzero. Kurukura zvinhu izvi nechiremba wako kuitira kuti iwe mose mugone kuve papeji imwe chete.
> Kwakabva:
> Teferri A. Kurapa uye Kurapa kweEntential Thrombocythemia, Kurapa kweMyerofibrosis Yepamusoro uye Kutungamirirwa Kwemusoro Myelofibrosis, uye Kurapa uye Kurapa kwePolycythemia Vera. Mu: UpToDate, Post TW (Ed), UpToDate, Waltham, MA. 2016.