Pane chinhu chakadai semasero matsvuku akawanda eropa here? Apo vanhu vazhinji vanofunga nezvematambudziko ane masero matsvuku eropa, vanofunga nezvekushaya ropa , nhamba yakaderedzwa yemasero matsvuku eropa, asi akawanda akawanda masero matsvuku eropa anogona kuva dambudziko zvakare. Izvi zvinonzi polycythemia, kana erythrocytosis. Iko kune mamwe maitiro ehutano pakati pezviviri asi anowanzoshandiswa zvakasiyana.
Dambudziko reTo Many Many Red Blood Cells
Chikonzero nei iwe ungafunga zvakanyanya zviri nani kudarika zvakakwana, polycythemia inogona kukonzera matambudziko makuru. Izvi zvinowedzera ropa nokuti ikozvino pane mamwe masero muzana rakafanana remvura (inonzi plasma). Iri ropa rine chinetso chokufamba nemumidziyo yeropa uye rinogona kuguma nekurova, kushaya mwoyo, ropavha kana ropa remapummoni (ropa clot mumapapu).
Zviratidzo zvePolycythemia
Zviratidzo zve polycythemia hazvina kujeka uye vamwe vanhu havana zviratidzo uye vanoongororwa mushure mekushanda kwema laboratory.
- Kushaya simba kana chirwere
- Kuneta kana kuneta
- Headaches
- Itching, dzimwe nguva mushure mokugeza kana kugeza
- Joint Pain, kazhinji guru guru
- Marwadzo emudumbu
- Rutsvuku rwechiso
Kuziva
Polycythemia inoratidzirwa nehuwandu hwekuverenga ropa . Ropa rekuyera ropa rinonzi (rakanyorwa RBC), hemoglobin, uye / kana hematocrit yakakwirira. Basa reropa richadzokororwa kuti ritonge kunze kwe laboratory error.
Zvakakosha kucherechedza tsika dzakasiyana dzinofananidzwa nezera uye zvepabonde (mushure mekupera) uye zvinokanganisa tsanangudzo ye polycythemia.
Mamwe mabasa-up anoitwa kuti aone kana chikonzero chinogona kuonekwa. Izvi zvinosanganisira kuenzana neyeroji yepamusoro (inowanzozivikanwa seyemhepo inopisa) nekuita kuongorora mwoyo nemapapu (chifu x-ray, EKG, uye echocardiogram) kutonga kunze kwezinga re oksijeni sechikonzero.
Erythropoietin level, hormone yakachengetwa nehvo inokurudzira kushamba kwemasero matsvuku, inogona kuyerwa. Tsvina yemafuta aspirate uye biopsy inogonawo kuitwa.
Zvose izvi zvinogona kunge zvitsva kwauri. Kana chiremba wako achivashandisa, kana kana iwe ukawana ruzivo rwebazi uye uri nekutambudzika kuchidzidzira, bvunza rubatsiro. Kuita tsvakurudzo yako pachako kunogona kubatsira, asi kuva neruzivo kukutsanangurira kwauri kunowedzera kubatsiro: ivo vachatsanangura kuti zvinoguma zvinorevei maererano nezvako zvakananga.
Zvinokonzera
- Polycythemia vera : Ichi chinhu chisingawanzoitiki chepfupa remafu. Kazhinji, iwewo une yepamusoro yeropa rekuyera masero (leukocytosis) uye yakakwirira platelet count (thrombocytosis). Izvi zvinogona kukonzerwa nehutano hwechimiro chinonzi JAK2.
- Mhuri: Izvi zvakagadzirirwa mamiriro ezvinhu apo muviri unobereka masero matsvuku eropa kupfuura zvinotarisirwa.
- Mamiriro ezvinhu anokonzera kukwirira kwe okisijeni muropa (hypoxia), se:
- Chirwere chekudzivirira chirwere chepachimona (COPD)
- Chirwere chemoyo
- Kurara kuputika
- Pulmonary Hypertension
- Tumhe dzinokonzera erythropoietin, kufanana:
- Hepatocellular carcinoma (kansa yeropa)
- Renal cell carcinoma (musha wepfungwa)
- Tumhanho yemadonal glands
- Dzimwe nguva cysts muitsvo
Vacheche vanogonawo kuva ne polycythemia inowanzobatanidzwa
- Mamiriro ezvinhu anokonzerwa neakadzikidzi yepamhepo yakakosha muUtero
- Twin to twin kuiswa ropa: Muchiitiko ichi, rimwe twine rinogamuchira ropa rinopfuura kubva kune placenta kupfuura rimwe.
Kurapa
- Kucherechedza: Kana seineymptomatic, chiremba wako angangokucherechedza
- Kurapa kwechikonzero chiripo chinokonzera polycythemia
- Phlebotomy: Ropa rinobviswa kubva mumutsipa purogiramu yenguva dzose kudzivirira zvinetso. Ropa rinowanzosvibiswa neruzhinji rune saline (inoyerera inopiwa mune mutsara).
- Hydroxyurea: Hydroxyurea, mushonga wemuromo, inogona kushandiswa kana phlebotomy isingabvumiri. Hydroxyurea inoderedza zvose zvinodiwa neropa: masero eropa, masero matsvuku eropa, uye maplatelet.
- Interferon-alpha: Interferon-alpha inogona kushandiswa kukurudzira muviri wako wekuzvidzivirira kurwisana nehuwandu hwemasero matsvuku eropa.
- Aspirin: Aspirin inogona kushandiswa kuderedza dambudziko rekuvhara. Aspirin inodzivirira maplatelet kubva kuvhara.
- Ruxolitinib: Ruxolitinib inogona kushandiswa kune varwere vane mutemo weJAK2 uye kana vasingabvumiri kana kuti vasingatauri kurapwa kwehydroxyurea.