Saizvozvowo kune primary polycythemia vera, yechipiri polycythemia chirwere chinokonzera kudarika-kubudisa masero matsvuku eropa. Apo masero matsvuku akawanda eropa anobudiswa, ropa rinowedzera, richidzivirira kupfuurira kwaro kuburikidza nemidziyo miduku yeropa.
Kusiyana pakati pezviviri kune chokuita nechinonzi chirwere chinosanganiswa nayo. Secondary polycythemia inobatanidza ne-underlying disease process (yakadai seCOPD), asi primary polycythemia haisi .
Zvinokonzera
Nokuti yechipiri polycythemia inobatanidza nehutachiona hwehutano hwehutachiona, zvinhu zvinokanganisa masero matsvuku eropa zvinowanzova chikonzero. Basa rechechi yeropa tsvuku ndeyokutora okisijeni kumitumbi yomuviri. Kusvuta, somuenzaniso, kunopesana nehurongwa uhwu, naizvozvo iyo inowanzokonzera chekondory polycythemia. Zvimwe zvinosanganisira:
- Chronic carbon monoxide exposure
- Chirwere chemwoyo kana mapapu (kufanana neCOPD)
- Kureba kwakakwirira
- Tsamba dzetsvo
- Ubongo, chiropa kana uterine matumbo
Zviratidzo
Zviratidzo zve polycythemia zvinosanganisira zvinotevera:
- Kushaya simba
- Headache
- Kuneta
- Lightheadedness
- Kupfupika kwemhepo
- Kuvhiringidzwa kunoonekwa
- Pruritis (itching)
- Pain mubhokisi kana musungo wemakumbo
- Rudo rutsvuku
- Kusanganiswa
- Kuridza munzeve (tinnitus)
- Kupisa kwemaoko kana tsoka
Kuziva
Kuyera oksijeni muropa neropa rekuzivikanwa neropa rinokonzera ropa (ABG) rinogona kubatsira vanachiremba kuvaka chirwere chechipiri chechi polycythemia.
Mimwe miedzo yeropa inosanganisira kuenzaniswa kwe erythropoietin uye tsvuku yemasero masero mashoma.
Zvimwe kuongorora zvirwere zvinogona kusanganisira:
- Chifu x-ray
- Electrocardiogram (EKG)
- Kufungidzira zvidzidzo kuongorora kuwedzera kwepleen kana chiropa
Kurapa
Kurapa kwechipiri polycythemia kunofanira kudzora kana kubvisa mamiriro ezvinhu.
Kusunungurwa kwechiratidzo kunogona kusanganisira mishonga yakadai se antihistamines kuti isunungure kunhuwa, kana aspirin kunoderedza kurwadziwa uye kupisa kunobatanidza nedambudziko.
Nokuti zvinotora nguva yekurapa chirwere chepfungwa, vanachiremba dzimwe nguva vanoshandisa phlebotomy (ropaletting) mukuedza kuderedza nhamba yemasero matsvuku eropa muropa. Kufanana nehombodo inogona kubviswa mune imwe nzvimbo, chero bedzi murwere anokwanisa kuzvitsungirira.
Prognosis
Kana uri kutarisana nemamiriro ezvinhu anokwanisa kukonzera yechipiri polycythemia, yakadai seCOPD kana tumarara, kudzidza kuti une kachipiri kuongororwa kukunda zvinonzwisisika zvinogumbura. Iwe unoda kunzwa uchinaka, kwete zvakanyanya.
Yeuka kuti yechipiri polycythemia inokonzerwa nemamiriro ezvinhu epasi, mazhinji ayo anozivikanwa uye ane mazano akawanda ekurapa anowanikwa. Pane imwe nguva chinokonzera kukonzerwa, zviratidzo zve secondary polycythemia zvinowanzoenda. Mutapi wehutano wako achakutungamirira munzira yakanakisisa yekugadzirisa zvose.
Kunobva:
Smeltzer, S., Bare, Brenda. Brunner uye Suddarth's Bookbook yeArape-Surgical Nursing. Eight Edition. 1996. Lippincott-Raven Publishers.