Erythrocytosis

Anter

• Erythrocytosis vs. polycythemia
• He aha ke kumu o kēia?
• He aha nā hōʻailona?
• Pehea kēia maʻi?
• Ka mālama ʻana a me ka mālama ʻana i ka erythrocytosis
• He aha ke kuanaʻike?

Hōʻike Overview

ʻO ka Erythrocytosis kahi ʻano e hana ai kou kino i nā keʻa ʻulaʻula nui (RBC), a i ʻole nā ​​erythrocytes. Hāpai nā RBC i ka oxygen i kou mau lālā a me nā mākia. Hiki i ka nui o kēia mau keena ke hoʻonui i kou koko ma mua o ka maʻamau a alakaʻi i ke koko a me nā pilikia ʻē aʻe.

ʻElua ʻano erythrocytosis:

• Erythrocytosis kumu. Hoʻokumu ʻia kēia ʻano e kahi pilikia me nā hunaola i ka iwi iwi, kahi e hana ʻia ai nā RBC. Hoʻoilina ʻia ka erythrocytosis mua.
• Erythrocytosis lua. Hiki i kahi maʻi a i ʻole ka hoʻohana ʻana i kekahi mau lāʻau ke kumu i kēia ʻano.

Ma waena o 44 a me 57 mai loko o kēlā me kēia 100,000 mau kānaka i loaʻa ka erythrocytosis mua, e like me ke ʻano o ke ʻano. ʻOi aku ka nui o ka poʻe me ka erythrocytosis ʻelua, akā paʻakikī e loaʻa kahi helu kikoʻī no ka mea he nui nā kumu kūpono.

Erythrocytosis vs. polycythemia

Kuhi ʻia ʻo Erythrocytosis i kekahi manawa he polycythemia, akā ʻokoʻa iki nā ʻano:

• Erythrocytosis kahi hoʻonui o RBC e pili ana i ka nui o ke koko.
• ʻO Polycythemiakahi hoʻonui i ka hoʻonui RBC ʻelua a hemoglobin, ka protein i loko o nā hunaola ʻulaʻula e lawe i ka oxygen i nā aʻa o ke kino.

He aha ke kumu o kēia?

Hiki ke hoʻoiho ʻia ka erythrocytosis ma waena i nā ʻohana. Hoʻokumu ʻia ia e ka hoʻololi ʻana i nā gen e kaohi i ka nui o nā RBC e hana ʻia e kou iwi iwi. Ke hoʻololi ʻia kekahi o kēia mau gen, e hoʻohua hou kāu iwi iwi i nā RBC keu, ʻoiai ke makemake ʻole kou kino iā lākou.

ʻO kekahi kumu o ka erythrocytosis mua he polycythemia vera. Hana kēia maʻi i kou iwi iwi i kahi nui o nā RBC. Ua mānoanoa kou koko i kahi hopena.

ʻO ka erythrocytosis ʻelua ka hoʻonui ʻia o nā RBC i hoʻokumu ʻia e kahi maʻi kūlohelohe a i ʻole ka hoʻohana ʻana o kekahi mau lāʻau. ʻO nā kumu o ka erythrocytosis lua:

• puhipaka
• ka nele o ka oxygen, e like me mai nā maʻi ākea a i ʻole i nā kiʻekiʻe kiʻekiʻe
• ʻōiwi
• nā lāʻau e like me nā steroid a me nā diuretics

I kekahi manawa ʻaʻole ʻike ʻia ke kumu o ka erythrocytosis lua.

He aha nā hōʻailona?

ʻO nā ʻōuli o ka erythrocytosis:

• ʻeha poʻo
• ʻūpā
• pokole o ka hanu
• ihu ihu
• hoʻonui i ke kahe o ke koko
• ʻike hihi ʻole
• ʻūlili

Hiki i ka nui o nā RBC ke hoʻonui i kou makaʻi no ke kahe o ke koko. Inā komo i kahi ʻeke i loko o ke aʻa a i ʻole uaua, hiki iā ia ke pale i ke kahe o ke koko i nā mea pono e like me kou puʻuwai a i ʻole lolo. Hiki i kahi paʻa i ke kahe o ke koko ke alakaʻi i kahi puʻuwai puʻuwai a i ʻole hahau.

Pehea kēia maʻi?

E hoʻomaka kāu kauka ma ka nīnau ʻana e pili ana i kāu mōʻaukala a me nā ʻōuli. A laila e hana lākou i kahi hoʻokolohua kino.

Hiki ke hana i nā hoʻokolohua koko e ana i kāu helu RBC a me nā pae erythropoietin (EPO). ʻO ka EPO kahi homone e hoʻokuʻu ai kou puʻupaʻa. Hoʻonui ia i ka hana ʻana o RBC ke haʻahaʻa kou oxygen i ka oxygen.

E loaʻa i ka poʻe me ka erythrocytosis mua kahi pae EPO haʻahaʻa. ʻO ka poʻe me ka erythrocytosis lua e loaʻa i kahi pae EPO kiʻekiʻe.

Loaʻa paha iā ʻoe nā hoʻokolohua koko e nānā i nā pae o:

• Hematocrit. ʻO kēia ka pākēneka o nā RBC i kou koko.
• Hemoglobin. ʻO kēia ka protein i nā RBC e hāpai ana i ka oxygen ma loko o kou kino.

ʻO kahi hoʻokolohua i kapa ʻia ka pulse oximetry e ana i ka nui o ka oxygen i loko o kou koko. Hoʻohana ia i kahi hāmeʻa clip-i kau ʻia ma kou manamana lima. Hiki i kēia hōʻike ke hōʻike inā ʻo ka nele o ka oxygen i kumu i kāu erythrocytosis.

Inā manaʻo kāu kauka aia paha he pilikia me kou iwi iwi, e hoʻāʻo paha lākou no ka hoʻololi kūʻē i kapa ʻia ʻo JAK2. Hiki paha iā ʻoe ke loaʻa kahi ʻiʻini iwi a biopsy paha. Lawe kēia hoʻāʻo i kahi laʻana o kaʻaʻaʻa, wai, a i ʻole ʻelua mai loko o kou mau iwi. A laila hoʻāʻo ʻia i loko o kahi keʻena e ʻike ai inā hana nui kāu iwi iwi i nā RBC.

Hiki iā ʻoe ke hoʻāʻo no ka hoʻololi ʻana o ka ʻē aʻe i kumu i ka erythrocytosis.

Ka mālama ʻana a me ka mālama ʻana i ka erythrocytosis

Hoʻopaʻa ka lāʻau e hōʻemi i kou makaʻi i ke kahe o ke koko a hoʻomaha i nā hōʻailona. Hoʻohui pinepine ia i ka hoʻohaʻahaʻa ʻana i kāu helu RBC.

Nā hana no ka erythrocytosis:

• Phlebotomy (i kapa ʻia ʻo venesection). Lawe kēia hana i kahi koko liʻiliʻi mai kou kino e hoʻohaʻahaʻa i ka helu o nā RBC. Pono paha ʻoe e hana i kēia lapaʻau i ʻelua mau manawa o ka pule a ʻoi aku paha a hiki i ka kaohi ʻia ʻana o kāu maʻi.
• ʻAspirin. ʻO ka lawe ʻana i nā lāʻau liʻiliʻi o kēia mea hōʻoluʻolu i kēlā me kēia lā e kōkua i ka pale ʻana i ke kahe o ke koko.
• Nā lāʻau e hoʻohaʻahaʻa i ka hana RBC. Hoʻopili kēia i ka hydroxyurea (Hydrea), busulfan (Myleran), a me interferon.

He aha ke kuanaʻike?

ʻO nā manawa pinepine ʻaʻole hiki ke hoʻōla ʻia nā ʻano kumu erythrocytosis. Me ka ʻole o ka mālama ʻana, hiki i ka erythrocytosis ke hoʻonui i kou makaʻi no ke koko koko, ka puʻuwai puʻuwai, a me ka hahau ʻana. Hiki iā ia ke hoʻonui i kāu makaʻu no ka leukemia a me nā ʻano maʻi ʻaʻai koko.

ʻO ka loaʻa ʻana o ka lāʻau e hoʻohaʻahaʻa i ka helu o nā RBC a kou kino e hana ai hiki ke hōʻemi i kāu mau hōʻailona a pale i nā pilikia.