Kodi dacryocytes ndi zifukwa zazikulu ndi ziti?

Zamkati

• Zomwe zimayambitsa ma dacryocyte
• 1. Myelofibrosis
• 2. Talassemias
• 3. Kuchepa kwa magazi m'thupi
• 4. Anthu ogwirizana

Ma dacryocyte amafanana ndi kusintha kwa mawonekedwe a maselo ofiira am'magazi, momwe ma cell amenewa amakhala ndi mawonekedwe ofanana ndi dontho kapena misozi, ndichifukwa chake amadziwika kuti khungu lofiira la magazi. Kusintha kwa maselo ofiira am'magazi ndi zotsatira za matenda omwe amakhudza kwambiri mafupa, monga momwe zimakhalira ndi myelofibrosis, koma amathanso kukhala chifukwa cha kusintha kwa majini kapena zokhudzana ndi ndulu.

Kukhalapo kwa ma dacryocyte oyenda kumatchedwa dacryocytosis ndipo sikumayambitsa zizindikilo ndipo kulibe chithandizo chamankhwala, kumangodziwika pakadali magazi. Zizindikiro zomwe munthuyo angapereke zimakhudzana ndi matenda omwe ali nawo ndipo amatsogolera pakusintha kwa khungu lofiira, kukhala kofunikira kuyesedwa ndi dokotala kapena hematologist.

Zomwe zimayambitsa ma dacryocyte

Kuwonekera kwa ma dacryocyte sikuyambitsa chizindikiro chilichonse kapena chizindikiro chilichonse, kutsimikiziridwa pokhapokha pakuwerengera magazi panthawi yomwe amawerengedwa, ndikuwonetsa kuti khungu lofiira la magazi limakhala ndi mawonekedwe osiyana ndi achibadwa, zomwe zikuwonetsedwa mu lipotilo.

Maonekedwe a dacryocyte nthawi zambiri amakhudzana ndi kusintha kwa mafupa, omwe amachititsa kupanga maselo m'magazi. Chifukwa chake, zomwe zimayambitsa dacryocytosis ndi izi:

1. Myelofibrosis

Myelofibrosis ndi matenda omwe amadziwika ndi kusintha kwa mafupa m'mafupa, omwe amachititsa kuti maselo amadzimadzi apangitse collagen yochulukirapo, zomwe zimapangitsa kuti fibrosis m'mafupa, yomwe imalepheretsa kupanga maselo a magazi. Chifukwa chake, chifukwa cha kusintha kwa mafupa, ma dacryocyte oyenda amatha kuwoneka, kuwonjezera apo pakhoza kukhalanso ndi ndulu yowonjezera komanso zizindikilo ndi kuchepa kwa magazi m'thupi.

Kuzindikira koyambirira kwa myelofibrosis kumachitika pogwiritsa ntchito kuwerengera kwathunthu kwa magazi ndipo, kutengera kuzindikira kwa kusintha, mayeso am'magulu atha kupemphedwa kuti azindikire kusintha kwa JAK 2 V617F, mafupa a m'mafupa ndi myelogram kuti atsimikizire momwe kupanga maselo amwazi . Mvetsetsani momwe myelogram imapangidwira.

Zoyenera kuchita: Chithandizo cha myelofibrosis chikuyenera kulimbikitsidwa ndi adokotala molingana ndi zizindikilo zomwe zimaperekedwa ndi munthuyo komanso m'mafupa. Nthawi zambiri, adotolo amalimbikitsa kugwiritsa ntchito mankhwala osokoneza bongo a JAK 2, kupewa kupitilira kwa matendawa ndikuchotsera zizindikilozo, komabe nthawi zina, kulimbikitsidwa kwama cell cell kungalimbikitsidwe.

2. Talassemias

Thalassemia ndi matenda am'magazi omwe amadziwika ndi kusintha kwa majini komwe kumabweretsa zolakwika mu hemoglobin synthesis process, zomwe zimatha kusokoneza mawonekedwe a khungu lofiira, popeza hemoglobin imapanga khungu ili, komanso kupezeka kwa dacryocyte kumatha kuwonedwa.

Kuphatikiza apo, chifukwa cha kusintha kwa mapangidwe a hemoglobin, mayendedwe a oxygen kumaziwalo ndi ziwalo zamthupi satha, zomwe zimapangitsa kuwonekera kwa zizindikilo monga kutopa kwambiri, kukwiya, kuchepa kwa chitetezo cha mthupi komanso kusowa njala Mwachitsanzo.

Zoyenera kuchita: Ndikofunika kuti adokotala azindikire mtundu wa thalassemia womwe munthuyo ayenera kuwonetsa chithandizo choyenera kwambiri, nthawi zambiri amawonetsedwa kugwiritsa ntchito zowonjezera mavitamini ndi kuthiridwa magazi. Mvetsetsani momwe mankhwala a thalassemia amachitikira.

3. Kuchepa kwa magazi m'thupi

Mu hemolytic anemia, maselo ofiira amafafanizidwa ndi chitetezo cha mthupi chomwe, chomwe chimapangitsa kuti mafupa apangitse maselo ochulukirapo ndikuwamasulira. Maselo ofiira ofiira omwe amasintha mwanjira zina, kuphatikiza ma dacryocyte, ndi maselo ofiira achikulire, omwe wotchedwa reticulocytes.

Zoyenera kuchita: Kuchepa kwa magazi m'thupi sikungachiritsidwe nthawi zonse, komabe kumatha kuwongoleredwa ndikugwiritsa ntchito mankhwala omwe akuyenera kuvomerezedwa ndi adotolo, monga corticosteroids ndi ma immunosuppressants, mwachitsanzo, kuwongolera chitetezo cha mthupi. Pazovuta kwambiri, kuchotsedwa kwa ndulu kumatha kuwonetsedwa, chifukwa nduluyo ndi chiwalo chomwe chiwonongeko cha maselo ofiira amachitika. Chifukwa chake, kuchotsedwa kwa chiwalochi, ndikotheka kuchepa kuchuluka kwa kuwonongeka kwa maselo ofiira ndikuwathandiza kuti azikhalabe m'magazi.

Dziwani zambiri za kuchepa kwa magazi m'thupi.

4. Anthu ogwirizana

Anthu omwe amagwiritsidwa ntchito ndi Splenectomized ndi omwe amayenera kuchitidwa opaleshoni kuti achotse nduluyo, motero, kuwonjezera pakusawononga maselo ofiira akale, sipapangidwanso maselo ofiira atsopano, chifukwa iyi ndiimodzi mwa ntchito zawo. Izi zitha kupangitsa "kuchuluka" m'mafupa kuti kuchuluka kwa maselo ofiira omwe atuluke ndikwanira kuti thupi ligwire bwino ntchito, zomwe zimatha kutulutsa ma dacryocyte.

Zoyenera kuchita: Zikatero, ndikofunikira kuti kutsata kwachipatala kuchitike kuti muwone momwe mayankho amthupi lilibe chiwalo ichi.

Onani pomwe kuchotsedwa kwa ndulu kukuwonetsedwa.