He aha ka Cytopenia?
Anter
- Nā ʻano
- Cytopenia autoimmune
- ʻO Cytopenia Refractory
- Nā ʻōuli
- He aha ke kumu o ka cytopenia?
- Nā kūlana pili
- Kānāwai
- Lapaʻau
- Outlook
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.