He aha nā Pancytopenia, nā ʻōuli a me nā kumu nui

Anter

• Nā hōʻailona nui
• Nā kumu o pancytopenia
• Pehea ka hōʻailona
• Pehea e hana ai i ka lāʻau

Kūlike ʻo Pancytopenia i ka hoʻemi ʻana o nā hunaola āpau, ʻo ia hoʻi, ʻo ka hōʻemi ʻana o ka nui o nā hunaola ʻulaʻula, nā leukosit a me nā platelet, nā mea e hana ai nā hōʻailona a me nā ʻōuli e like me ka pallor, ka luhi, ka ʻeha, ke kahe ʻana o ke kō, ke kuni a me ka mālama ʻana i nā maʻi.

Hiki ke ala aʻe ma muli o ka emi o ka hana ʻana o nā hunaola e ka iwi o ka iwi, ma muli o nā hanana e like me ka lawa ʻole o ka wikamina, nā maʻi genetical, leukemia a i ʻole leishmaniasis, a me ka luku ʻia ʻana o nā hunaola koko i ke kahe o ke koko, ma muli o ka pale a pale hoʻonāukiuki i nā maʻi hana. o ka pelepela, no ka laʻana.

Pono e hana i ka hoʻomaʻamaʻa no ka pancytopenia e like me nā kulekele o ka mea hana maʻamau a i ʻole hematologist e like me ke kumu o ka pancytopenia, i hiki ke hoʻopili ʻia me ka hoʻohana ʻana o corticosteroids, immunosuppressants, antibiotics, transfusions of Blood, a i ʻole ka hemo ʻana o ka palapū hōʻike wale ʻia e like me nā pono o kēlā me kēia mea maʻi.

Nā hōʻailona nui

ʻO nā ʻōuli a me nā ʻōuli o ka pancytopenia e pili ana i ka hōʻemi ʻana o nā hunaola ʻulaʻula, nā leukosit a me nā platelet i loko o ke koko, ʻo nā mea nui:

Kaukaʻi ʻia i ka hihia, aia paha he mau hōʻailona a me nā ʻōuli i hopena ʻia mai ka maʻi e kumu i ka pancytopenia, e like me ka hoʻonui ʻana o ka ʻōpū ma muli o kahi spleen hoʻonui ʻia, hoʻonui ʻia nā lymph node, hana hewa ʻole i nā iwi a i ʻole nā ​​hoʻololi o ka ʻili, no ka laʻana.

Nā kumu o pancytopenia

Hiki i ka Pancytopenia ke hana ma muli o nā hanana ʻelua: ke hana pololei ʻole ka iwi o ke iwi a i ʻole ke hana pololei ʻana o ka iwi iwi akā ua luku ʻia nā hunaola i ke kahe o ke koko. ʻO nā kumu nui o ka pancytopenia:

• Hoʻohana i nā lāʻau ʻona, e like me kekahi antibiotic, chemotherapy, antidepressants, anticonvulsants a me nā mea hoʻohiamoe;
• Nā hopena o ka pāhawewe a i ʻole nā ​​ʻākena kemika, e like me benzene a i ʻole DDT, no ka laʻana;
• Ka nele o ka wikamina B12 a i ʻole ka folic acid i ka meaʻai;
• Nā maʻi genetic, e like me ka anemia o Fanconi, congenital dyskeratosis a i ʻole Gaucher maʻi;
• Nā maʻi pūpū iwi, e like me ka myelodysplastic syndrome, myelofibrosis a i ʻole nocturnal paroxysmal hemoglobinuria;
• Nā maʻi maʻi autoimmune, e like me lupus, Sjögren's Syndrome a i ʻole autoimmune lymphoproliferative Syndrome;
• Nā maʻi lele, e like me leishmaniasis, brucellosis, tuberculosis a i ʻole HIV;
• Kanesa, e like me leukemia, myeloma maha, myelofibrosis a i ʻole metastasis o nā ʻano ʻē aʻe o ka maʻi ʻaʻai i ka momona o ka iwi.
• Nā maʻi e hoʻonāukiuki i ka hana o ka mahuna a me nā kino pale o ke kino e luku i nā hunaola koko, e like me ka cirrhosis ate, nā maʻi myeloproliferative a me nā hemophagosittic syndrome.

Hoʻohui ʻia, hiki i nā maʻi infectious infectious i hoʻokumu ʻia e nā bacteria a i ʻole nā ​​mea ʻino, e like me cytomegalovirus (CMV), ke hoʻonāukiuki i ka hopena immune ʻole i loko o ke kino, hiki ke luku i nā hunaola koko i kahi ala koʻikoʻi i ka wā o ka maʻi.

Pehea ka hōʻailona

Hana ʻia ke kuhi o ka pancytopenia e kahi helu piha o ke koko, kahi e nānā ʻia ai nā pae o nā ʻulaʻula, nā leukosit a me nā platelet i hoʻoliʻiliʻi ʻia i ke koko. Eia nō naʻe, he mea nui e hoʻomaopopo i ke kumu i alakaʻi ai i ka pancytopenia, i pono e hana ʻia ma o ka loiloi ʻana o ka loio a hematologist paha ma o ka nānā ʻana i ka mōʻaukala olakino a me ka hoʻokolohua kino i hana ʻia ma ka mea maʻi. Hoʻohui ʻia, koi ʻia paha nā hōʻike ʻē aʻe e ʻike i ke kumu o ka pancytopenia, e like me:

• ʻO ka hao serum, ferritin, saturation transferrin a me ka helu retikulosit;
• Ka hana o ka wikamina B12 a me ka folic acid;
• ʻImi maʻi maʻi;
• Kaha pili koko;
• Nā hoʻāʻo Immunological, e like me Coombs pololei;
• ʻO Myelogram, kahi i makemake ʻia ai ka iwi iwi e kiʻi i ka ʻike hou aku e pili ana i nā ʻano o nā hunaola i kēia wahi. E nānā pehea e hana ʻia ai ka myelogram a ke kuhikuhi ʻia ia;
• ʻO ka biopsy pūpū iwi, ka mea e loiloi i nā ʻano o nā hunaola, ke kū ʻana o nā infiltrations e ka maʻi ʻaʻai a i ʻole nā ​​maʻi ʻē aʻe a me fibrosis. E ʻike pehea e hana ʻia ai ka biopsy o ka iwi iwi a he aha ia.

Hiki ke kauoha ʻia kekahi mau hoʻokolohua kikoʻī no ka maʻi i manaʻo ʻia e ke kauka, e like me immunoelectrophoresis no myeloma he nui a i ʻole moʻomeheu iwi iwi e ʻike ai i nā maʻi, e like me leishmaniasis, no ka laʻana.

Pehea e hana ai i ka lāʻau

Alakaʻi ʻia ka mālama ʻana i ka pancytopenia e ka hematologist e like me ke kumu, a komo pū paha me ka hoʻohana ʻana i nā lāʻau i hana ka palekana Eia hou, inā pili ka pancytopenia i ka maʻi ʻaʻai, pili paha ka mālama ʻana i ka hoʻoneʻe iwi iwi.

I ka hihia o nā maʻi, hōʻike ʻia nā ʻano lapaʻau kūikawā no kēlā me kēia microorganism, e like me nā lāʻau ʻino, antivirals a i ʻole nā ​​antimonial pentavalent i ka hihia o leishmaniasis, no ka laʻana. ʻAʻole hōʻike mau ʻia ke kāpili koko, akā pono paha ia i nā hihia koʻikoʻi e pono ai ka hoʻōla wikiwiki, e like me ke kumu.