Thrombositosis kumu
Anter
- He aha ka thrombositosis mua?
- He aha ke kumu o ka thrombocythemia mua?
- He aha nā hōʻailona o ka thrombocythemia mua?
- He aha nā pilikia o ka thrombocythemia mua?
- Pehea e ʻike ʻia ai ka thrombocythemia mua?
- Pehea e mālama ʻia ai ka thrombositosis mua?
- He aha ka wā lōʻihi e nānā ai no ka poʻe me ka thrombocythemia mua?
- Pehea e pale ai a mālama ʻia ai ka thrombocythemia mua?
Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.
He aha ka thrombositosis mua?
ʻO ka thrombocythemia mua he maʻi maʻi koko laha ʻole ia e kumu ai ka iwi o ka iwi e hana i nā pā nui he nui. ʻIke ʻia ia he thrombocythemia pono.
ʻO ka iwi iwi ka iwi ʻāpana i loko o kou mau iwi. Loaʻa iā ia nā pūnaewele e hoʻopuka:
- nā hunaola ʻulaʻula (RBC), lawe i ka oxygen a me nā meaola
- nā keʻokeʻo koko keʻokeʻo (WBCs), i kōkua i ke kaua ʻana i nā maʻi
- platelet, hiki i ke kāpili ʻana o ke koko
Hiki i kahi pālāki kiʻekiʻe ke kumu i ulu koke ke koko. ʻO ka maʻamau, hoʻomaka kou koko e kāpili e pale i ka lilo nui o ke koko ma hope o kahi ʻeha. I ka poʻe me ka thrombocythemia mua, eia nō naʻe, hiki ke kū koke ke koko a no ka kumu ʻole.
Hiki ke weliweli i ka hoʻopili ʻana i ke koko maʻamau. Hiki i nā kahe koko ke ālai i ke kahe o ke koko i ka lolo, ke ake, ka puʻuwai, a me nā mea ola ʻē aʻe.
He aha ke kumu o ka thrombocythemia mua?
Hana ʻia kēia ʻano ke hana a kou kino i nā platelet he nui loa, i hiki ai ke alakaʻi i ke kāʻei maʻamau. Eia naʻe, ʻaʻole maopopo ke kumu kūpono o kēia. Wahi a ka MPN Research Foundation, ma kahi o ka hapalua o ka poʻe me ka thrombocythemia mua i loaʻa kahi ʻano hoʻololi i ka moʻokūʻauhau Janus kinase 2 (JAK2). ʻO kēia gen ke kuleana no ka hana ʻana i kahi protein e hoʻolauna i ka ulu a me ka mahele ʻana o nā hunaola.
Ke kiʻekiʻe loa kāu helu platelet ma muli o kahi maʻi kikoʻī a kūlana paha, kapa ʻia ʻo thrombocytosis lua a i ʻole reactive. ʻOi aku ka liʻiliʻi o ka thrombocythemia mua ma mua o ka thrombositosis lua. ʻO kekahi ʻano o ka thrombocythemia, thrombocythemia hoʻoilina, kākaʻikahi loa.
ʻO ka thrombocythemia mua ka mea maʻamau i waena o nā wahine a me nā poʻe ma mua o 50 mau makahiki. Eia nō naʻe, hiki i ke ʻano ke hoʻopili i ka poʻe ʻōpio.
He aha nā hōʻailona o ka thrombocythemia mua?
ʻAʻole kumu ka thrombocythemia mua i nā ʻōuli. ʻO ke kōkō ʻana o ke koko paha ka hōʻailona mua e hewa ana kekahi mea. Hiki ke ulu ke koko i nā wahi āpau o kou kino, akā ʻoi aku ka nui o ka hoʻokumu ʻana i kou mau wāwae, lima, a i ʻole lolo. Hiki ke loli i nā ʻōuli o ke kōkō koko ma muli o kahi o ka paʻa. Pākuʻi ʻia nā ʻōuli me:
- ʻeha poʻo
- lightheadedness a ʻūpā paha
- nāwaliwali
- maule ana
- numbness a ʻūlū paha i kou mau wāwae a lima paha
- ʻulaʻula, ʻū ʻana, a me ka ʻeha e ʻā ana i kou mau wāwae a i ʻole nā lima
- nā hoʻololi i ka hihiʻo
- ʻeha ka umauma
- he pelu i hoʻonui iki ʻia
I nā hihia maʻamau, hiki i ke ʻano ke kumu i ke kahe ʻana o ke koko. Hiki paha kēia i ke ʻano o:
- paopao maʻalahi
- ke kahe ʻana o ke kō mai kou waha a waha paha
- ihu ihu
- mimi koko
- noho koko
He aha nā pilikia o ka thrombocythemia mua?
ʻO nā wahine i loaʻa i ka thrombocythemia mua a lawe pū i nā lāʻau kaohi o ka hānau ʻana he ʻoi aku ka kiʻekiʻe o ke kahe o ke koko. Kūpilikiʻi pū kekahi ke ʻano no nā wahine hāpai. Hiki i kahi pūpū koko i loko o ka placenta ke alakaʻi i nā pilikia me ka ulu ʻana o ka fetal a i ʻole ka hāpai keiki ʻole.
Hiki i ke kīpē koko ke hana i kahi hoʻouka ischemic kuikawa (TIA) a i ʻole hōʻeha. ʻO nā ʻōuli o ka hahau pū kekahi:
- ʻike hihi ʻole
- nāwaliwali a mū paha i nā lālā a i ʻole ke alo
- huikau
- pokole o ka hanu
- paʻakikī e ʻōlelo
- ka hopu ʻana
ʻO ka poʻe me ka thrombositosis mua ka makaʻu pū kekahi no ka hōʻeha puʻuwai. ʻO kēia no ka mea hiki i nā kahe koko ke ālai i ke kahe o ke koko i ka puʻuwai. ʻO nā ʻōuli o ke kuʻi puʻuwai pū kekahi:
- ʻili clammy
- ka ʻeha ʻana i ka ʻeha ma ka umauma i ʻoi aku ma mua o kekahi mau minuke
- pokole o ka hanu
- ʻeha e hoʻonui ʻia i kou poʻohiwi, lima, kua, a ʻāwi
ʻOiai ʻoi aku ka liʻiliʻi, hiki i kahi helu platelet kiʻekiʻe loa ke hopena i:
- ihu ihu
- ʻāpala
- kahe ana ke kahe mai ka gums
- ke koko i ka pahu holo
Kāhea i kāu kauka a hele koke i ka haukapila inā loaʻa iā ʻoe nā ʻōuli o:
- he koko koko
- maʻi hohola
- hahau
- kahe nui ke koko
Manaʻo ʻia kēia mau kūlana i nā pilikia olakino a koi koke ʻia i ka lāʻau.
Pehea e ʻike ʻia ai ka thrombocythemia mua?
E hana mua kāu kauka i kahi hoʻokolokolo kino a nīnau iā ʻoe e pili ana i kāu mōʻaukala. E hōʻoia e haʻi i nā hoʻololi koko, nā maʻi, a me nā kaʻina olakino āu i loaʻa ai i ka wā i hala. E haʻi pū aku i kāu kauka e pili ana i nā lāʻau lapaʻau a me nā mea hoʻopuka over-the-counter (OTC) e lawe nei.
Inā manaʻo ʻia ka thrombocythemia mua, e holo i kāu kauka kekahi mau hōʻoia koko e hōʻoia i ka ʻike. Pili pū paha nā hoʻokolohua koko:
- Helu piha ke koko (CBC). Ana ʻo CBC i ka helu o nā platelet i kou koko.
- ʻIli koko. Nānā kahi huna koko i ke ʻano o kāu platelet.
- ʻImi hoʻāʻo. E kōkua kēia hoʻokolohua inā he kūlana hoʻoilina kāu e kumu ai i kahi helu platelet kiʻekiʻe.
Hiki i nā hoʻokolohua diagnostical ʻē aʻe ke komo i ka makemake o ka iwi o ka iwi e nānā i kāu mau platelet ma lalo o kahi microscope. Pili kēia kaʻina hana i ka laʻana o nā iwi o ka iwi iwi i loko o ke ʻano wai. Lawe pinepine ia mai ka umauma a pelvis paha.
E loaʻa paha iā ʻoe kahi hōʻailona o ka thrombositosis mua inā ʻaʻole hiki i kāu kauka ke loaʻa kahi kumu no kāu helu platelet kiʻekiʻe.
Pehea e mālama ʻia ai ka thrombositosis mua?
E hilinaʻi kāu papa hana i nā kumu he nui, e like me kou makaʻu ʻana i ka ulu ʻana o ke koko.
ʻAʻole paha ʻoe e pono ke lapaʻau inā ʻaʻohe ou hōʻailona a i ʻole nā kumu pilikia ʻē aʻe. Ma kahi o, hiki i kāu kauka ke koho e nānā pono i kāu ʻano. Paipai ʻia ka lapaʻau inā ʻoe:
- ma luna o 60 mau makahiki
- he puhipaka
- loaʻa nā kūlana olakino ʻē aʻe, e like me ka maʻi kō a i ʻole ka maʻi maʻi ʻōpū
- he moʻolelo o ke kahe ʻana o ke koko a me ke koko
Hoʻomaopopo ʻia ka hana penei:
- ʻO ka aspirin haʻahaʻa haʻahaʻa OTC (Bayer) hoʻemi paha i ke kāpili ʻana o ke koko. Kūʻai no ka aspirin haʻahaʻa ma ka pūnaewele.
- Nā lāʻau lapaʻau hiki iā ia ke hoʻohaʻahaʻa i ka makaʻu o ka hoʻopili ʻana a hoʻoliʻiliʻi paha i ka hana platelet i ka iwi iwi.
- Platelet pheresis. Lawe pololei kēia hana i nā platelet mai ke koko.
He aha ka wā lōʻihi e nānā ai no ka poʻe me ka thrombocythemia mua?
Pili kāu kuanaʻike i nā ʻano like ʻole. ʻAʻole ʻike ka hapa nui o ka poʻe i kekahi pilikia no ka manawa lōʻihi. Eia nō naʻe, hiki i nā pilikia koʻikoʻi ke kū. Hiki iā lākou ke hoʻopili:
- kahe nui ke koko
- hahau
- maʻi hohola
- nā pilikia hāpai, e like me ka preeclampsia, ka wā hānau mua, a me ka hānau ʻole ʻana
He kakaikahi nā pilikia kahe ʻana, akā hiki ke alakaʻi i nā pilikia e like me:
- leukemia ʻaʻano, kahi ʻano maʻi ʻaʻai koko
- myelofibrosis, kahi maʻi ʻōiwi holomua holomua
Pehea e pale ai a mālama ʻia ai ka thrombocythemia mua?
ʻAʻohe ala i ʻike ʻia e pale aku ai i ka thrombositosis mua. Eia nō naʻe, inā ua loaʻa koke ʻoe kahi hōʻailona o ka thrombocythemia mua, aia kekahi mau mea hiki iā ʻoe ke hana e hoʻohaʻahaʻa i kou makaʻi i nā pilikia koʻikoʻi.
ʻO ka hana mua ka mālama ʻana i nā mea pilikia no ka hōʻeha ʻana o ke koko. ʻO ke kaohi ʻana i kou kaʻe koko, ka kolesterol, a me nā kūlana e like me ka maʻi kō e hiki ke kōkua i ka hoʻēmi ʻana i ka makaʻu o ke koko koko. Hiki iā ʻoe ke hana i kēia ma ka hoʻomaʻamaʻa pinepine ʻana a me ka ʻai ʻana i ka papaʻai i loko o nā huaʻai, nā mea kanu, nā kīʻaha āpau, a me nā protein momona.
He mea nui nō hoʻi e haʻalele i ka puhipaka. Hoʻonui ka puhihihi i kou makaʻi i ke kahe o ke koko.
I mea e hōʻemi hou ai i kou makaʻu i nā pilikia koʻikoʻi, pono ʻoe:
- Lawe i nā lāʻau āpau e like me ke kauoha.
- Hōʻalo iā OTC a i ʻole nā lāʻau anuanu e hoʻonui i ka makaʻu o ke kahe ʻana.
- Hōʻalo i nā haʻuki pili a i ʻole nā hana e hoʻonui i ka makaʻu o ke kahe.
- Hōʻike koke i ke kahe ʻana a i ʻole nā ʻōuli o ke koko clots i kāu kauka.
Ma mua o nā kaʻina hana niho a ʻoki lāʻau paha, e hōʻoia e haʻi i kāu kauka niho a i ʻole kauka e pili ana i nā lāʻau āu e lawe nei e hoʻohaʻahaʻa i kāu helu platelet.
Poe puhipaka a me ka poʻe me ka mōʻaukala o ke koko clots pono i nā lāʻau e hōʻemi i kā lākou helu platelet. ʻAʻole pono nā mea ʻē aʻe i kahi lāʻau.