Kubatana kweCancer uye Anemia
Kanzira uye kuperevedza muviri kunobatanidza nenzira dzakawanda. Kana iwe une kenza, unogona kunge une anemia nekuda kwekenza pachayo kana nekuda kwemishonga yekenza, yakadai sedhemotherapy . Vanhu vane kenza vanogonawo kukura chirwere cheperesi nekuda kwezvikonzero zvimwe kunze kwekenza (nekuda kwezvikonzero izvo vanhu vasina kenza vanogona kukura anemia.) Kana iwe une chirwere chekushaya ropa asi usina kenza, chiremba wako angakurudzira kutarisa kenza sechikonzero chinokonzera.
Ngatitarise nzira iyo mamiriro maviri aya akabatanidzwa, uye chii chaunoda kuziva kuti iwe uri mutongi wako muhutano hwako.
Ivai pakati peConon nedzimwe mimwe mishonga inokonzerwa neropa uye anemia
Kanzira uye kuperevedza muviri kunobatanidza nenzira dzakawanda. Kune avo vanotambura nekenza, kunyanya chirwere chekoloni kana kenza yakabatana neropa, yakadai seyeukemia kana lymphoma, anemia inogona kuva imwe yezviratidzo zvekutanga zvechirwere. Kana uine chirwere chekushaya chirwere chisingazivikanwi chikonzero (chakadai sokukurumidza kubuda kumwedzi) chiremba wako angataura newe pamusoro pekuongororwa kwekenza yekoloni , kana zvimwe zviedzo.
Kune vanhu vanorarama nekenza, kune huwandu hwezvinokonzera kukonzerwa neanemia, zvose izvo zvine chokuita nekenza, uye izvo zvinogona kukanganisa munhu ane kana asina kenza. Chii chaunoda kuziva kana iwe uchidzidza kuti une chirwere chepwere?
Maererano neAnemia
Anemia inoshaya masero matsvuku eropa kana oxygen-kutakura simba. Anemia haisi kuongororwa, asi pane chiratidzo chinowanzokonzera.
Inogona kuguma kubva mumamiriro ezvinhu anokonzera masero matsvuku eropa zvakananga, kana kuti panzvimbo pacho angave anokonzerwa nekushaya simba kwesimbi. Hemoglobin ndiyo mamokokine ane iron mukati memasero matsvuku eropa ayo anoshanda kusungiridza uye kutakura okisijeni kumatumbu ako.
Paunenge uine anemia (ingave ropa rako rekuyera ropa riri pasi kana hemoglobin iri mumasero matsvuku eropa ari pasi) une uwandu hwakakosha hwekusunungura okisijeni kumatumbu mumuviri wako.
Izvi zvinogona kutungamirira kune zviratidzo zvakadai sokuneta, kupera kwekufema, uye kunyange kusaziva kana chirwere chako chirwere chakanyanya.
Zvimwe Zvinokonzera Anemia Ane kana Asina Kanzera
Zvimwe zvezvinokonzera kukonzerwa neanemia zvinosanganisira
- Kurasikirwa kweropa - Kurasikirwa kweropa kunokonzera kushaya ropa kunokonzerwa nekurasikirwa kwehuwandu hweropa (sekubva pakuvhiyiwa, kuenda kumwedzi, kana ngozi yemotokari) kana kurasikirwa kusingagumi kwemazana mashoma eropa (zvakadai semapuropiti nemamota mu chirwere chekudya, zvipembenene, kana kunyange zvironda.) Kurasikirwa neropa kunogonawo kuenzanisa asi kwakakura kukura kwemuviri wako kuramba uchirasikirwa nekurasikirwa sezvinowanzoonekwa pakati pevakadzi vane chirwere chakaoma.
- Kudyidzana kwezvokudya - Kudya kusakwana mune zvakagadzirwa nevesimbi-kunokonzera kushaya simba kwesimbi, kunyanya kune vakadzi vane nguva yekuenda kumwedzi. Zvokudya zvakakosha mu vitamini B12 zvinogona kukonzera kuora ropa kunoratidzwa nemasero matsvuku eropa (zvinoparadza anemia.) Kushayikwa kwechirwere kunogonawo kukonzera kupera ropa.
- Chirwere Chisingaperi - Zvimwe zvirwere zvehutano, zvakadai sezvirwere zvisingagumi zvepfungwa zvinogona kukonzera kushaya ropa mune masero matsvuku eropa asiri maduku (sezvakaitwa nesimbi inoshaiwa anemia) kana huru (sekunetseka kweanemia.) Izvi zvinonzi anemia wekusingaperi chirwere .
- Kusakwanisa kudhonza simbi yaunodya - Malabsorption inogona kuva mugumisiro wezvirwere zvisingaperi zvemukati, zvakadai seCrohn's, kana kuti chikonzero chehutachiona husingaperi (muviri wako haugoni kuunganidza simbi nokukurumidza.)
- Kuparadzwa kwemasero matsvuku eropa - Mamiriro akadai se autoimmune hemolytic anemia anogona kutungamirira kuparadzwa kwemasero matsvuku eropa. Izvi zvinogona kuitika kune vanhu vasina kenza asi inonyanyoonekwa kuvanhu vane lymphomas. Kune mishonga yakawanda inogona kuguma nemishonga-induced hemolytic anemia kusanganisira mamwe antibiotic.
Zvinokonzera Anemia Zvakafanana neKenza
Zvinokonzerwa nehutachiwana hwehutachiona hunobatana nekenza (zvichida nekuda kwekenza pachayo kana nekuda kwezviremba zvekenza dzinosanganisira:
- Mushonga wemapfupa anoputika - Mimwe mishonga, yakadai se lymphomas kana metastases kubva mumukamu webonde inogona kupinda mumuti wemapfupa uye inoshandura masero emasafu anoita masero matsvuku eropa.
- Chemotherapy-induced anemia (ona pasi apa)
- Marefu emakirinikine akaenzana nemamwe makondombera anogona kunonoka kugadzirwa kwemasero matsvuku eropa nemapfupa emapfupa.
- Kuchinja mukudya - Kanera pachayo inogona kukonzera chido chisina kunaka chinogona kukonzera kukanganisa kwezvokudya zvinokonzera kupererwa kwehutachiwana. Pamusoro pekukanganisa mapfupa emapfupa, chemotherapy inogona kukonzera zviratidzo zvakadai semaronda emumuromo , kuravira kuchinja , uye kurasikirwa kwechido chinogona kutapira kushaya ropa.
- Hemolytic anemia (sezvakataurwa pamusoro apa)
Anemia Pamusana Chemotherapy
Chemotherapy inowanzokonzera kukonzera ropa kune vanhu vane kenza, uye izvi zvinoitika nemishonga yakawanda inowanzoshandiswa. Chemotherapy inorwisa masero ose anokurumidza kukura, kwete masero ekenza chete, uye masero ari mumapfupa emasese ayo anoshandiswa kutora masero eropa eropa, masero matsvuku eropa, uye maplatelet mamwe emakamuri mashoma anokamura mumuviri. Ropa rakawanda rinowanzoitwa mushure memukemikari yega yega, uye kana iyo yeropa tsvuku yakawanda ichikanyanya, chemotherapy inogona kudikanwa kunonoka. Vamwe vanhu vane kenza vanorapwa nemishonga inokurudzira kugadzirwa kwemasero matsvuku eropa kuitira kuti chemotherapy inogona kuramba ichipiwa.
Mune chidzidzo che2016, 90 muzana yevanhu vanowana chemotherapi yezvipembenene zvakasimba vakaonekwa vane ropa rekushaya ropa.
Anemia uye Kanon Canon
Kusakwana kwesimbi kunogona kuva yekutanga zviratidzo zvekenza yekoloni. Nokuti rutivi rworudyi rwekoloni yako rwuri kure kure rectum yako, ropa riri muchitsiva rine nguva yekuderedza uye zvichida hazvizovi kuonekwa nenguva yaunenge uchipfuura muchikwata chemuviri. Zviremara zvakakura mumucheto uyu wekoloni zvinogona kuramba zvichibuda ropa, uye nekufamba kwenguva, izvi zvicharatidzwa muhuwandu hwekuverenga ropa. Dzidza zvakawanda nezvekushaya ropa kwemuviri sechiratidzo chekenza yemukironi .
Mune rumwe ruzivo, 6 muzana yevanhu vakataurira kliniki nekuda kwekushaiwa kwesimbi kunoshaya vakawanikwa vane kenza yekoloni. Pakati pevanhu ava, huwandu hwekenza hwakanga huri mukodoni yakarurama. Anemia panguva yekuongororwa nekenza yekoloni yaibatanidza nehurombo husina kunaka munguva yakapfuura, asi izvi hazvirevi kuti ndizvo zviri mune zvidzidzo zvenguva pfupi.
Zviratidzo zveAnemia
Anemia inogona kuendeswa nezviratidzo zvinoratidza kusakwana kwemuviri wemasero matsvuku eropa, kusanganisira:
- Kunzwa kusisina simba kana kuneta nguva yose
- Kupfupika kwepfufu (isina kufananidzwa nehupenyu hwechirwere kana chirwere chemwoyo)
- Kuwedzerwa kunzwisisika kune utachiona
- Maoko akaoma kana tsoka
- Pallor (yakaoma nyore kuona mu mucous membrane)
- Pica (inonzwa kudiwa kwekudya zvinhu izvo zvisingatauri sekudya, zvakadai semasvi)
Zvakakosha kucherechedza, zvisinei, kwete kuti munhu wose ane chirwere chinokonzera zviratidzo.
Kana iwe uri kutambura imwe kana zvimwe zvezviratidzo izvi, kunyanya kana iwe uine nhoroondo yemhuri yekenza yekoloni, usanonoka kutaura nachiremba wako.
Kuongororwa kweAnemia
Anemia inowanikwa mune imwe nhamba yeropa umo muchengeti weropa tsvuku yakadzika kana mazinga e hemoglobin anozivikanwa.
- Ropa tsvuku yeropa - Inowanzo tsvuku yeropa yakawanda inokwana 4.32 kusvika 5.72 maseriyeri masero / L muvarume uye 3,90 t0 5.03 trillion masero / L muvakadzi.
- Hemoglobin - Hemoglobine yepamusoro ye 13,5 gramu / 100 ml muvarume kana 12,0 gm / 100 ml muvakadzi inonzi inenge yakaderera.
- Hematocrit - A normal hematocrit iri 42 kusvika 54 muzana mumurume uye 38 kusvika 46 muzana yevakadzi.
Mukuwedzera kune mazinga, vanachiremba vanotarisa mamwe maitiro ekuraira kuti vadzidze zvakawanda pamusoro pezvinokonzera kukonzerwa nekushaya ropa. Zvimwe zvezvi zvinosanganisira:
- MCV (inoreva kurema kwemazwi) - MCV inopa ruzivo pamusoro pehukuru hwemasero matsvuku eropa, angave akajeka, maduku (akadai sekushayikwa kwesimbi) kana yakakura (zvakadai seyeta uye B12 inoshaya.)
- RDW (red cell cell distribution width) - RDW inopa mamwe mashoko pamusoro pehukuru hwemasero matsvuku eropa.
- MCHC (zvinoreva kuwirirana kwehemoglobin concentration) - MCHC inopa mamwe mashoko pamusoro pehupenyu hwemasero matsvuku eropa.
Kurapa kweAnemia Nekenza
Sezvakataurwa, kana chinokonzera chirwere cheperesi chisingazivikanwi kune umwe munhu asina kenza, miedzo yekudzivirira kunze kwekenza, kunyanya kanaroni yekoloni nemukenza ane chokuita neropa zvinogona kutaridzirwa, zvichienderana nezvinhu zvinosanganisira zera remunhu nezvimwe.
Kurapa kweanemia kune vanhu vane kenza kunosanganisira matanho maviri ekutanga. Yokutanga ndiko kurapwa kwechikonzero chinokonzera chirwere chekushaya ropa, chinogona dzimwe nguva kubvisa chikonzero. Mishonga inobatwawo pakurapa anemia pachayo, kunyanya kana ichikonzera zviratidzo kana kuti yakakurumidza kukura.
Kurapa kwechikonzero chinokonzera - Kurapa kweanemia kunobva pane chinokonzera chinokonzera, iyo sezvakataurwa, inogona kuva zvinhu zvakasiyana-siyana. Kwechimotherapy-induced anemia, kukanganisa kwako kunotevera kunogona kuregererwa kana kunonoka kusvikira kuverenga kwako kwawedzera. Kana kenza yako yasvika pfupa rako remarepa, kurapwa kunotarisana nekenza mumapfupa ako kuchava danho rokutanga.
Mishonga yeanemia - Mishonga chaiyo yeanemia inogona kusanganisira:
- Kana chirwere chenyu chemaini chiri munyoro, kungodya kudya zvakagadzirwa nesimbi kungave kwakakwana. Zvinotora nguva (panguva yakatarwa yemwedzi) kuti udzorere sero yako yakatsvuka yeropa kuburikidza nenzira iyi chete. Zvokudya zvine pfuma zvinogona kuita sarudzo dzakanaka zvinosanganisira chiropa (huku kana nyama), nyama tsvuku, zviyo zvakasimbiswa nematare, nemafuta.
- Iron inowedzera - Iron inowedzera inogona kupiwa, asi ingotora izvi pasi pezano rechiremba wako. Zvidzidzo zvenguva pfupi zvinoratidza kuti insimbi yakawanda inogona kubatsira zvikuru kune vamwe vanhu vane chirwere chekushaya ropa nemhaka yekenza. Zvinosuruvarisa, zvizhinji zvezvigadziro izvi zvakanyanyisa kuvhiringidza, uye chiremba wako angakukurudzira iwe kutanga chigaro chechitsiva panguva imwe chete.
- Kuwedzerwa ropa ndiyo nzira yekuwedzera nokukurumidza ropa rako rekundu kuverenga uye rinowanzoshandiswa kana chirwere chako chinokonzera ropa chinokonzera zviratidzo zvikuru.
- Mishonga yekukurudzira kugadzirwa kwemasero matsvuku eropa mumapfupa ako. Mishonga inorondedzerwa kana Epogen (epoetin alfa) kana Aranesp (darbepoetin alfa) yakafanana nemishonga yakaitwa nemitumbi yedu yekukurudzira masero matsvuku ekugadzirwa kweropa.
- Steroid dzimwe nguva inoshandiswa pakurapa hemolytic anemia ne lymphomas.
Kurarama neAriemia NeKenza
Kuora muviri kunogona kuva kwakaoma kutsungirira, kunyanya kuneta kunoguma. Kunyange zvazvo kuneta hakuna ngozi kune zvayo, vanhu vazhinji vanowana kenza yekuneta kuva imwe yezvinonyanya kuvhiringidza zvekenza uye mishonga yekenza.
Zvimwe zviyero zvakajeka zvinogona kubatsira sezvo simba rako rezvemari riri kuongororwa uye kurapwa. Kumira kana kugara pasi zvishoma kunogona kubatsira kudzivisa hutano hwehutano kana kuderera kweropa iro rinogona kutungamirira kumusoro kana kuti "kubuda" paunenge uchibva pakurara kusvika pakamira panzvimbo yakakurumidza.
Kuzviisa mukati mezuva rose uye kuisa mberi zvinhu zvinobatsira zvakare, sekudzidza kukumbira rubatsiro. Kudya zvakanaka uye kuve nechokwadi kuti uri hydrated zvakakosha zvose zvekushaya ropa uyewo kurwisana nekenza pachayo.
> Sources:
> DeLoughery, T. Kushayiwa Kwemhepo Anemia. Makliniki ekurapa eNorth America . 2017. 101 (2): 319-332.
> Kasper, Dennis L .., Anthony S. Fauci, naStefano L .. Hauser. Harrison's Principles of Internal Medicine. New York: Mc Graw Hill yembudzi, 2015. Print.
> Lebrun, F., Klastersky, J., Levacq, D., Wissam, Y., uye M. Paesmanns. Intravenous Iron Therapy yeAinemic Cancer Mutezo: Kuongorora Kwezvakave Zvabudiswa Studies. Kuchengetedza Kuchengetedza muCancer . 2017. 25 (7): 2313-2319.