Kumvetsetsa Polycythemia Vera ndi Momwe Amathandizidwira

Zamkati

• Zizindikiro zodziwika bwino za polycythemia vera
• Chifukwa chiyani polycythemia vera imafunika kuyendetsedwa?
• Mankhwala a Polycythemia vera
• Kodi ndingadziwe bwanji ngati mankhwala akugwira ntchito?
• Kutenga

Polycythemia vera (PV) ndi khansa yosawerengeka yamagazi pomwe mafupa amapanga maselo ambiri amwazi. Maselo ofiira owonjezera amachititsa magazi kukhuthala ndikuwonjezera chiopsezo chotenga magazi.

Palibe mankhwala apano a PV, koma mankhwala angathandize kupewa zovuta ndikuthana ndi zizindikilo.

Dokotala wanu amakonza zoyeserera pafupipafupi ndi maimidwe oyang'anira thanzi lanu. Ndikofunika kumayendera pafupipafupi ndi gulu lanu lazachipatala kuti adziwe momwe mukumvera.

Werengani kuti mudziwe zambiri za momwe PV imayendetsedwera, ndi momwe mungadziwire ngati mankhwala akugwira ntchito.

Zizindikiro zodziwika bwino za polycythemia vera

PV imapezeka kudzera muntchito yamagazi m'malo mongokhala ndi zizindikilo. Zizindikiro zambiri za PV zili ndi zifukwa zina, motero sikuti nthawi zonse amakhala mbendera zofiira. Lankhulani ndi dokotala ngati muwona kusintha kulikonse momwe mukumvera.

Ngati muli ndi zizindikilo, mutha kukhala ndi izi:

• kumva kutopa kapena kufooka
• kupweteka mutu
• chizungulire
• kulira m'makutu (tinnitus)
• khungu lofiira
• mavuto owonera, kuphatikiza mawanga akhungu kapena kusawona bwino
• khungu loyabwa, makamaka mukatha kusamba kapena kusamba
• kupweteka m'mimba kapena kumverera kwodzaza (chifukwa cha nthata yotakasa)
• kupweteka pachifuwa
• kupweteka pamodzi kapena kutupa

Chifukwa chiyani polycythemia vera imafunika kuyendetsedwa?

Maselo ochuluka a magazi mu PV amachititsa kuti magazi azikhala ochepa komanso otheka. Izi zitha kubweretsa matenda am'mimba, opha ziwalo, kapena mapapo am'mapapo am'magazi omwe amalumikizidwa ndi thrombosis yakuya.

Ngakhale PV siyichiritsidwa, sizitanthauza kuti siyingayendetsedwe bwino kwakanthawi. Mankhwala a PV amayesetsa kuchepetsa zizindikilo ndikuchepetsa chiopsezo cha zovuta zokhudzana ndi magazi m'magazi pochepetsa kuchuluka kwa maselo amwazi.

Mankhwala a Polycythemia vera

Gulu lanu losamalira azaumoyo lidzakambirana za mankhwala abwino kwambiri a PV yanu kutengera kuchuluka kwa magazi ndi zizindikiritso zanu.

Dokotala wanu akhoza kukupatsani mankhwala kuti:

• magazi owonda
• kupewa zovuta
• sungani zizindikiro

Ndikofunika kumwa mankhwala monga momwe adalangizira.

Mankhwalawa amagwiritsidwa ntchito kwambiri pochiza PV:

• Phlebotomy, kapena kuchotsa magazi m'thupi, kumachepetsa kwakanthawi kuchuluka kwa maselo ofiira ndikuthira magazi anu.
• Mankhwala ochepetsa aspirin kumathandiza kuchepa magazi anu.
• Anagrelide (Agrylin) amachepetsa ma platelet m'magazi anu, omwe amachepetsa chiopsezo cha magazi.
• Antihistamines chitani khungu loyabwa, chizindikiro chodziwika bwino cha PV.
• Mankhwala osokoneza bongo monga hydroxyurea imachepetsa kuchuluka kwa maselo amwazi omwe amapangidwa m'mafupa.
• Ruxolitinib (Jakafi) ingathandize ngati PV yanu siyiyankha hydroxyurea, kapena ngati muli ndi chiopsezo chapakati kapena chachikulu cha myelofibrosis.
• Interferon alfa amachepetsa kutulutsa kwa maselo amwazi koma samauzidwa kawirikawiri, chifukwa amayamba kuyambitsa zovuta zina kuposa mankhwala ena.
• Mankhwala owala Kugwiritsa ntchito psoralen ndi kuwala kwa ultraviolet kumatha kuthandizira kuthetsa kuyabwa komwe kumalumikizidwa ndi PV.
• Kuwaza mafuta m'mafupa nthawi zina amagwiritsidwa ntchito kuchepetsa kuchuluka kwa maselo amwazi m'mafupa.

Kodi ndingadziwe bwanji ngati mankhwala akugwira ntchito?

PV ndi matenda osachiritsika omwe amatha kuyendetsedwa bwino kwazaka zambiri. Kugwira ntchito limodzi ndi gulu lanu lazachipatala kumatsimikizira kuti akudziwa zosintha paumoyo wanu kuti athe kusintha njira yanu yothandizira pakufunika.

Kusamalira PV kumafunikira kuyendera pafupipafupi katswiri wa khansa (oncologist) ndi dokotala wamagazi (hematologist). Madokotalawa nthawi zonse amayang'anira kuchuluka kwama cell anu kuti azitsogolera posankha chithandizo.

Onetsetsani kuti opereka chithandizo chamankhwala adziwe ngati mukukumana ndi zatsopano, monga kupweteka m'mimba kapena kutupa kwamagulu.

Mankhwala anu apano sangakhale akugwira ntchito ngati sakuthana ndi zizindikilo, kapena ngati ntchito yamagazi ikuwonetsa magawo osadziwika am'magazi.

Poterepa, dokotala akhoza kusintha njira yanu yothandizira PV. Izi zitha kuphatikiza kusintha kwa mankhwala anu kapena kuyesa chithandizo chatsopano.

Kutenga

Polycythemia vera (PV) ndi mtundu wa khansa yamagazi yomwe imatha kuthira magazi ndikuwonjezera chiwopsezo cha kuundana. Kuwunika mosamala ndikuwongolera kumatha kuchepetsa zizindikilo komanso chiwopsezo cha zovuta.

Management for PV imaphatikizapo kugwira ntchito magazi nthawi zonse, ndipo atha kuphatikizira mankhwala ndi phlebotomy. Lumikizanani ndi gulu lanu lazachipatala ndipo tsatirani dongosolo lanu lamankhwala kuti mumve bwino.

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