Mea Kākau: Lewis Jackson
Lā O Ka Hana: 5 Mei 2021
HōʻAno Hou I Ka Lā: 18 Nowemapa 2024
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Hōʻike Overview

Hana ʻia ʻo Cytopenia ke haʻahaʻa ma lalo o hoʻokahi a ʻoi paha o kāu mau ʻano cell o ke koko ma mua o ka wā.

Aia i kou koko nā ʻāpana nui ʻekolu. ʻO nā hunaola ʻulaʻula, i kapa ʻia hoʻi nā erythrocytes, lawe i ka oxygen a me nā meaola a puni kou kino. ʻO nā hunaola keʻokeʻo, a i ʻole nā ​​leukocytes, e hakakā i ka maʻi a kaua i nā bacteria maikaʻi ʻole. Pono pono nā platelet no ka hoʻopili ʻana. Inā aia kekahi o kēia mau mea ma lalo o nā pae maʻamau, loaʻa iā ʻoe ka cytopenia.

Nā ʻano

Aia kekahi mau ʻano cytopenia. Hoʻoholo ʻia kēlā me kēia ʻano e ka hapa o kou koko i haʻahaʻa a hoʻēmi ʻia paha.

  • Hana ʻia ka anemia ke haʻahaʻa kāu mau ʻulaʻula.
  • Leukopenia he pae haʻahaʻa o nā hunaola keokeo.
  • Thrombositopenia he hemahema o ka platelet.
  • Pancytopenia ʻo ia ka hemahema o nā ʻāpana ʻekolu o ke koko.

ʻO nā kumu kūpono o ka cytopenia paʻakikī a ʻano ʻokoʻa. Ma waena o kēia mau kumu he luku ʻia ākea, nā maʻi, a me nā hopena ʻē aʻe o ka lāʻau. ʻElua mau ʻano o ka cytopenia e pili ana i ke kumu kumu o ka helu haʻahaʻa o ke koko haʻahaʻa he cytopenia autoimmune a me ka cytopenia refractory.


Cytopenia autoimmune

Hoʻokumu ʻia ka cytopenia autoimmune e ka maʻi autoimmune. Hoʻopuka kou kino i nā mea pale kaua e kaua kūʻē i kou mau hunaola olakino maikaʻi, e luku iā lākou a pale iā ʻoe mai ka helu ʻana o ke kaola koko.

ʻO Cytopenia Refractory

Hana ʻia ka cytopenia Refractory ke hana ʻole ka iwi o kou iwi i oʻo, nā hunaola olakino olakino. ʻO kēia paha ka hopena o kahi hui o nā maʻi ʻaʻai, e like me ka leukemia a i ʻole ke ʻano o ka iwi pūpū. Aia kekahi mau ʻano cytopenia refractory. Wahi a ka American Cancer Society, wehewehe ʻia lākou e ka nānā ʻana o ke koko a me ka iwi iwi ma lalo o ka microscope.

Nā ʻōuli

Pili nā ʻōuli o ka cytopenia i ke ʻano o ke ʻano loaʻa āu. Hiki iā lākou ke hilinaʻi i ka pilikia a i ʻole ke ʻano o ka hopena e helu ana i nā helu haʻahaʻa o ke koko haʻahaʻa.

ʻO nā ʻōuli o ka anemia me:

  • luhi
  • nāwaliwali
  • pokole o ka hanu
  • hoʻohuihui maikaʻi ʻole
  • ʻūpī a ʻū paha i ka uila
  • anu lima a me nā wāwae

Nā ʻōuli o leukopenia e:


  • nā maʻi pinepine
  • fiva

ʻO nā ʻōuli o ka thrombositopenia:

  • ke kahe ʻana o ke kahe a me ka palapū maʻalahi
  • paʻakikī me ka hoʻōki ʻana i ke kahe ʻana
  • hoʻokahe kūloko

ʻO ka cytopenia Refractory ke kumu o nā ʻōuli i nā wā mua. Ke heleleʻi nei ke aʻa koko, hāʻule nā ​​ʻōuli e like me ka hanu, nā maʻi pinepine, nāwaliwali, a me ke kahe maʻalahi a manuahi paha. I ka hihia o ka cytopenia refactory, hiki i ka helu haʻahaʻa o ke koko ke alakaʻi i nā kauka i kahi pilikia pilikia e like me ka maʻi ʻaʻai a leukemia paha.

Hoʻokumu ʻia ʻo Cytopenia e kahi pane autoimmune me nā ʻōnaehana ʻōnaehana e hoʻohālike i nā ʻano o ka cytopenia. Loaʻa kēia mau ʻōuli:

  • luhi
  • nāwaliwali
  • nā maʻi pinepine
  • fiva
  • ke kahe ʻana o ke kahe a me ka palapū maʻalahi

He aha ke kumu o ka cytopenia?

Inā ʻoe e ʻike i nā helu o ke koko haʻahaʻa haʻahaʻa haʻahaʻa, e ʻimi kāu kauka no kahi kumu kumu e wehewehe i nā helu. Hiki i kēlā me kēia ʻano cytopenia ke kumu ʻia e nā ʻano ʻokoʻa a ʻokoʻa hoʻi.


Nā kumu o ka anemia pū kekahi:

  • pae hao haʻahaʻa
  • kahe pinepine ʻana o ke kahe
  • ka luku ʻia ʻana o nā hunaola ʻoiai ke holo nei i loko o kou kino
  • ʻole ka hana ʻana o ke aʻa koko ʻula mai ka iwi iwi

Nā kumu o leukopenia e:

  • maʻi kīnā ʻole, e like me HIV a i ʻole hepatitis
  • maʻi ʻaʻai
  • maʻi maʻi autoimmune
  • maʻi lapaʻau, e like me ka radiation a me ka chemotherapy

ʻO nā kumu o ka thrombositopenia:

  • maʻi ʻaʻai
  • maʻi maʻi ate
  • maʻi lapaʻau, e like me ka radiation a me ka chemotherapy
  • nā lāʻau

I kekahi poʻe me ka cytopenia, ʻaʻole hiki i nā kauka ke loaʻa kahi kumu kumu. I ka ʻoiaʻiʻo, ʻaʻole hiki i nā kauka ke loaʻa kahi kumu ma kahi o ka hapalua o ka poʻe me ka pancytopenia. Ke ʻike ʻole ʻia kahi kumu, kapa ʻia ia he idiopathic cytopenia.

Nā kūlana pili

E like me kāu e ʻike ai mai ka papa inoa o nā kumu kūpono, pili pinepine ka cytopenia me ka maʻi ʻaʻai a me ka leukemia. ʻO ia no ka luku ʻana o kēia mau maʻi ʻelua i nā hunaola olakino olakino i kou kino. Hiki iā lākou ke luku i kou iwi iwi. ʻO ke hoʻokumu a me ka hoʻomohala ʻana o nā hunaola i loko o kou iwi iwi. Hiki i kekahi mea ʻino i kēia kiko spongy i loko o kou mau iwi ke hoʻopili i kou mau huna koko a me ke olakino o kou koko.

ʻO nā kūlana ʻē aʻe e pili pinepine ʻia me ka cytopenia:

  • maʻi ʻaʻai, e like me leukemia, myeloma maha a i ʻole ʻo Hodgkin's a i ʻole non-Hodgkin's lymphoma
  • maʻi pūpū iwi
  • hemahema B-12 nui loa
  • maʻi maʻi ate
  • maʻi maʻi autoimmune
  • nā maʻi viral, me HIV, ka maʻi hepa, a me ka malaria
  • nā maʻi koko e hōʻino ana i nā hunaola koko a pale aku paha i nā hana o ke koko, e like me paroxysmal nocturnal hemoglobinuria a me aplastic anemia

Kānāwai

ʻIke ʻia ʻo Cytopenia me kahi hōʻike koko i kapa ʻia he helu koko piha (CBC). Hōʻike kahi CBC i ke koko koko keʻokeʻo, ke koko ʻulaʻula, a me nā helu platelet. No ke alakaʻi ʻana i kahi CBC, kau kau kauka a kahu wahine paha e huki i ke koko a hoʻouna iā ia i kahi keʻena hoʻokolohua no ka loiloi. ʻO kahi CBC kahi hōʻike koko maʻamau loa, a ʻike paha kāu kauka i ka cytopenia mai nā hopena me ka kānalua ʻole ʻole iā ia. Eia nō naʻe, inā kānalua kāu kauka he helu haʻahaʻa kou i ke koko, hiki i kahi CBC ke hōʻoia iā ia.

Inā hōʻike nā hopena i nā helu haʻahaʻa no nā ʻāpana o kou koko, hiki i kāu kauka ke kauoha i nā hoʻokolohua ʻē aʻe e kuhikuhi i ke kumu kumu a i ʻole e nānā i nā wehewehe kūpono. Hiki i kahi biopsy iwi iwi a me ka ʻiʻini o ka iwi ke hāʻawi i kahi nānā kikoʻī i kou iwi iwi a me ka hana ʻana o ke koko. Hiki ke hoʻohana ʻia kēia mau hoʻāʻo e hōʻoia a pale aku ai i nā maʻi pūpū iwi a i ʻole nā ​​pilikia e hiki ai ke hōʻemi i nā helu o ke koko haʻahaʻa.

Lapaʻau

Pili ka mālama ʻana no ka cytopenia i ke kumu.

No ka cytopenia i hoʻokumu ʻia e ka maʻi ʻaʻai a i ʻole leukemia, hiki i ka mālama ʻana no kēia mau maʻi ke mālama pū i nā huna koko haʻahaʻa. Eia nō naʻe, he nui nā mea maʻi e hana ana i ka lāʻau no kekahi o kēia mau maʻi i ʻike i ka helu haʻahaʻa o ke kahe o ke koko ma muli o ka hopena.

ʻO Corticosteroids ka lāʻau lapaʻau mua no nā ʻano he nui o ka cytopenia. Pane maikaʻi nā mea maʻi he nui i ka lāʻau. Eia nō naʻe, hoʻi hou paha kekahi a pane ʻole paha. I kēlā hihia, hiki ke hoʻohana i nā koho lapaʻau hōʻino aku. Pākuʻi ʻia kēia mau mea:

  • lāʻau hoʻoikaika kino
  • hoʻoiho iwi
  • hoʻoiho koko
  • splenectomy

Outlook

I ka manawa e ʻike ʻia, hiki i nā poʻe he nui ke mālama i ka cytopenia a hoʻihoʻi i ka helu o ke kaola olakino olakino. ʻO nā kānaka me ka anemia, no ka laʻana, hiki paha ke hoʻonui i kā lākou lawe hao mai nā meaʻai e like me ka ʻulaʻula, ka ʻio, a me nā legume. Hiki iā ia ke hoʻihoʻi i kāu helu o ke koko ʻulaʻula, a nānā pinepine paha kāu kauka i kāu helu o ke koko e kōkua iā ʻoe e mālama i nā pae olakino.

ʻO kekahi o nā kumu no ka cytopenia, eia naʻe, koi i ka lōʻihi a ʻoi aku ka hohonu o ka mālama ʻana. ʻO kēlā mau kumu e komo pū ana me ka maʻi ʻaʻai a me ka leukemia, nā mālama ʻana no kēia mau ʻano, a me nā kūlana koʻikoʻi ʻē aʻe e like me ka maʻi pūpū iwi a me ka anemia aplastic. No ka poʻe i ʻike ʻia me nā kumu kumu koʻikoʻi, hilinaʻi pinepine ka nānā i ka nui o ke ʻano a pehea ke kūleʻa ʻana o nā lāʻau.

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