Polycythemia kekona (ʻErythrocytosis lua)

Anter

• Hōʻike Overview
• ʻO ke kula kiʻekiʻe vs.
• Inoa ʻenehana
• Nā kumu o ka polycythemia lua
• Nā kumu pilikia no ka polycythemia lua
• Nā ʻōuli o polycythemia lua
• ʻIke a me ka mālama ʻana i ka polycythemia lua
• Ke hoʻohaʻahaʻa ʻole i ka helu o ke koko ʻulaʻula
• Outlook

Hōʻike Overview

ʻO ka polycythemia lua ʻo ka hana nui ʻia o nā hunaola ʻulaʻula. Hoʻonui ia i kou koko, kahi e hoʻonui ai i ka maka o ka maʻi ʻōhū. ʻO kahi kūlana laha ʻole.

ʻO ka hana mua o kou mau ʻulaʻula koko e lawe i ka oxygen mai kou mau māmā i nā hunaola āpau i kou kino.

Ke hana mau ʻia nei nā hunaola ʻulaʻula i kou momona iwi. Inā neʻe ʻoe i kahi kiʻekiʻena ʻoi aku ka liʻiliʻi o ka oxygen, e ʻike ana kou kino i kēia a hoʻomaka e hana i nā hunaola ʻulaʻula hou ma hope o kekahi mau pule.

ʻO ke kula kiʻekiʻe vs.

ʻĀlua polycythemia ʻo ia hoʻi ke kumu o kekahi ʻano ʻē aʻe i kou kino e hana i nā hunaola ʻulaʻula he nui.

ʻO ka maʻamau e loaʻa iā ʻoe ka nui o ka hormone erythropoietin (EPO) e hoʻokele i ka hana ʻana o nā hunaola ʻulaʻula.

ʻO ke kumu:

• kahi hanu e hanu ai e like me ka sleep apnea
• mama a puʻuwai puʻuwai paha
• hoʻohana i nā hana hoʻonui-hoʻokō

Kumumua He genetic ka polycythemia. Hoʻokumu ʻia ia e ka hoʻololi ʻana i nā hunaola iwi iwi, nāna e hoʻopuka i kou mau ʻulaʻula koko.

Hiki i ke polycythemia lua ke kumu kumu. Akā ʻaʻole ia mai kahi hoʻololi i kou mau iwi pūnana iwi.

I ka polycythemia lua, e kiʻekiʻe kāu pae EPO a loaʻa iā ʻoe kahi helu ʻulaʻula koko kiʻekiʻe. I ka polycythemia mua, e kiʻekiʻe kou helu ʻulaʻula koko, akā loaʻa iā ʻoe ka pae haʻahaʻa o EPO.

Inoa ʻenehana

I kēia manawa ua ʻike loea ʻia ka polycythemia lua ma ke ʻano he erythrocytosis lua.

ʻO Polycythemia pili i nā ʻano koko āpau - nā ʻulaʻula, nā keʻokeʻo keʻokeʻo, a me nā platelet. ʻErythrocytes ʻo nā pūnaewele ʻulaʻula wale nō ia, e hana ana i ka erythrocytosis i ka inoa ʻenehana i ʻae ʻia no kēia ʻano.

Nā kumu o ka polycythemia lua

ʻO nā kumu maʻamau o polycythemia lua ʻo:

• ʻāpana moe
• puhihi a maʻi pūhū paha
• momona
• hoʻopunipuni
• ʻO Pickwickian Syndrome
• maʻi pulmonary pulupulu paʻa (COPD)
• diuretics
• nā lāʻau hoʻoikaika hoʻoikaika i ka hana, me EPO, testosterone, a me nā steroid anaboliko

ʻO nā kumu maʻamau ʻē aʻe o polycythemia lua e komo pū ana:

• lāʻau make kalapona
• ke noho nei ma kahi kiʻekiʻe
• maʻi kīnā a i ʻole cist

ʻO ka mea hope loa, hiki i kekahi mau maʻi ke hana i kou kino e hana nui i ka hormone EPO, kahi e hoʻoulu ai i ka hana ʻana o ke koko ʻulaʻula. ʻO kekahi o nā kūlana i hiki ke kumu i kēia.

• kekahi mau tumors lolo (cerebellar hemangioblastoma, meningioma)
• ʻōpū o ka gland parathyroid
• maʻi ʻaʻai hepatocellular (ate)
• ʻōpū lūlū (kidney) maʻi ʻaʻai
• ʻōpū tumala adrenal
• nā benroid fibroids i loko o ka kōpū

I, ke kumu o ka polycythemia lua hiki ke genetic. ʻO kēia ma muli o ka hoʻololi ʻana i hiki i kou mau ʻulaʻula koko e lawe i nā nui o ka oxygen.

Nā kumu pilikia no ka polycythemia lua

ʻO nā kumu pilikia no ka polycythemia lua (erythrocytosis):

• momona
• hōʻino ʻino
• puhipaka
• ke koko kiʻekiʻe (hypertension)

ʻO kahi pilikia i ʻike ʻia i kēia manawa ka loaʻa ʻana o kahi ākea ākea o ka ʻulaʻula o ka hāʻawi ākea (RDW), ʻo ia hoʻi ka nui o kāu mau hunaola ʻulaʻula e hiki ke loli nui. ʻIʻike ʻia kēia ʻo ka anisositosis.

Nā ʻōuli o polycythemia lua

Nā hōʻailona o ka polycythemia lua:

• hanu paʻakikī
• ʻeha o ka umauma a me ka ʻōpū
• luhi
• nāwaliwali a me nā ʻehaʻeha o nā mākala
• ʻeha poʻo
• kani i nā pepeiao (tinnitus)
• ʻike hihi ʻole
• puhi ʻana a i ʻole nā ​​"kui a me nā nila" i ka lima, nā lima, nā wāwae, a me nā wāwae
• lohi ka noʻonoʻo

ʻIke a me ka mālama ʻana i ka polycythemia lua

E makemake kāu kauka e hoʻoholo i nā polycythemia ʻelua a me kāna kumu kumu. E pili ana kāu mālama ʻana i ke kumu paʻa.

E lawe ke kauka i ka mōʻaukala olakino, e nīnau iā ʻoe e pili ana i kāu mau hōʻailona, ​​a nānā kino iā ʻoe. E kauoha lākou i nā hoʻokolohua kiʻi a me nā hoʻokolohua koko.

ʻO kekahi o nā hōʻailona polycythemia lua he hōʻike hematocrit. ʻO kēia kahi ʻāpana o kahi panakō koko piha. ʻO Hematocrit kahi ana o ka paʻa ʻana o nā hunaola ʻulaʻula i kou koko.

Inā kiʻekiʻe kou hematocrit a he pae kiʻekiʻe EPO hoʻi kou, he hōʻailona paha ia no polycythemia lua.

ʻO nā ʻano hana nui no polycythemia lua:

• aspirin haʻahaʻa haʻahaʻa e lahilahi i kou koko
• ke koko, ʻike ʻia ʻo phlebotomy a i ʻole venesection

Hana ka aspirin haʻahaʻa haʻahaʻa ma ke ʻano he lahilahi o ke koko a hiki ke hōʻemi i kou makaʻi o ka hahau (thrombosis) mai ka hana nui ʻana o nā hunaola ʻulaʻula.

ʻO ke kiʻi ʻana i kahi pint o ke koko e hōʻemi ai i ka hoʻohui o nā hunaʻula i kou koko.

E hoʻoholo kāu kauka i ka nui o ke koko e huki ai a me ka pinepine. ʻO ke kaʻina hana ʻaneʻane ʻole ʻeha a haʻahaʻa haʻahaʻa. Pono ʻoe e hoʻomaha ma hope o ke kahakaha ʻana o ke koko a e ʻike pono i kahi meaʻai māmā a me ka nui o nā wai ma hope.

Kau kauka paha i ke kauka i kekahi mau lāʻau no ke kōkua ʻana i kāu mau ʻōuli.

Ke hoʻohaʻahaʻa ʻole i ka helu o ke koko ʻulaʻula

I kekahi mau hihia, e koho kāu kauka ʻaʻole e hoʻohaʻahaʻa i kāu helu ʻulaʻula koko kiʻekiʻe. ʻO kahi laʻana, inā he hopena kāu i hāpai ʻia i ka puhipaka, loaʻa ʻana o carbon monoxide, a i ʻole he maʻi puʻuwai a i ʻole māmā, pono paha ʻoe i nā keʻa ʻulaʻula keu e loaʻa ai ka oxygen i kou kino.

Hiki i kahi manawa lōʻihi ke koho oxygen. Ke piʻi aʻe ka oxygen i nā akemāmā, uku ʻia kou kino e ka hana ʻana i nā hunaola ʻulaʻula. Hoʻoemi kēia i ka mānoanoa o ke koko a me ka maka o ka maʻi ʻōhū. Hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi pulmonologist no ka oxygen therapy.

Outlook

ʻO ka polycythemia kiʻekiʻe (erythrocytosis) kahi ʻano laha ʻole e hoʻonui ai i kou koko a hoʻonui i ka hopena o ka hahau.

ʻO ka mea maʻamau ma muli o kahi kūlana kumu, kahi hiki ke loaʻa i ka paʻakikī mai ka hiamoe a hiki i nā maʻi puʻuwai koʻikoʻi. Inā koʻikoʻi ʻole ke ʻano o ke kumu, hiki i ka hapanui o ka poʻe me ka polycythemia lua ke manaʻo i kahi ola maʻamau.

Akā inā hana ka polycythemia i ke koko i loko o ka viscous loa, aia ka nui o ka maʻi stroke.

ʻAʻole pono ka polycythemia lua i ka lapaʻau. I ka wā e pono ai, maʻamau ka mālama ʻana i ka aspirin haʻahaʻa a i ʻole ke kahakaha ʻana o ke koko (phlebotomy).