Pulayimale Thrombocythemia

Zamkati

• Kodi thrombocythemia yoyamba ndi chiyani?
• Kodi chimayambitsa thrombocythemia chachikulu ndi chiyani?
• Kodi zizindikiro za thrombocythemia yoyamba ndi ziti?
• Kodi zovuta zoyambira ku thrombocythemia ndizotani?
• Kodi thrombocythemia yoyamba imapezeka bwanji?
• Kodi thrombocythemia yoyamba imathandizidwa bwanji?
• Kodi chiyembekezo chanthawi yayitali ndi chiyani kwa anthu omwe ali ndi thrombocythemia yoyamba?
• Kodi thrombocythemia wamkulu amatetezedwa bwanji ndikuchiritsidwa?

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Kodi thrombocythemia yoyamba ndi chiyani?

Primary thrombocythemia ndimatenda osowa magazi omwe amachititsa kuti mafupa apange ma platelet ochulukirapo. Amadziwikanso kuti thrombocythemia yofunikira.

Mafupa ndi minofu yofanana ndi siponji yomwe ili mkati mwa mafupa anu. Lili ndi maselo omwe amatulutsa:

• maselo ofiira ofiira (RBCs), omwe amanyamula mpweya ndi michere
• maselo oyera (WBCs), omwe amathandiza kulimbana ndi matenda
• othandiza magazi kuundana, amene amathandiza magazi kuundana

Kuwerengera kwa ma platelet apamwamba kumatha kupangitsa kuti magazi azigundana mwadzidzidzi. Nthawi zambiri, magazi anu amayamba kuwundana kuti mupewe kutaya magazi ambiri mukavulala. Mwa anthu omwe ali ndi thrombocythemia yoyamba, magazi amatundumukira amatha mwadzidzidzi komanso popanda chifukwa.

Kutseka magazi mosazolowereka kumatha kukhala koopsa. Kuundana kwa magazi kumalepheretsa magazi kupita kuubongo, chiwindi, mtima, ndi ziwalo zina zofunika.

Kodi chimayambitsa thrombocythemia chachikulu ndi chiyani?

Izi zimachitika thupi lanu likakhala ndi ma platelet ochulukirapo, omwe amatha kubweretsa kuundana kosazolowereka. Komabe, sizomwe zimayambitsa izi. Malinga ndi MPN Research Foundation, pafupifupi theka la anthu omwe ali ndi thrombocythemia oyambira amasintha majini mu jini la Janus kinase 2 (JAK2). Jini ili ndi udindo wopanga mapuloteni omwe amalimbikitsa kukula ndi kugawikana kwa maselo.

Masamba anu akakhala ochulukirapo chifukwa cha matenda kapena vuto linalake, amatchedwa thrombocytosis yachiwiri kapena yothandizira. Primary thrombocythemia siocheperako poyerekeza ndi thrombocytosis yachiwiri. Mtundu wina wa thrombocythemia, wobadwa nawo thrombocythemia, ndi wosowa kwambiri.

Primary thrombocythemia imafala kwambiri pakati pa azimayi komanso anthu azaka zopitilira 50. Komabe, vutoli limakhudzanso achinyamata.

Kodi zizindikiro za thrombocythemia yoyamba ndi ziti?

Primary thrombocythemia nthawi zambiri samayambitsa zizindikilo. Kutseka magazi kungakhale chizindikiro choyamba kuti china chake chalakwika. Mitsempha yamagazi imatha kukhala paliponse mthupi lanu, koma imatha kupangika kumapazi, m'manja, kapena muubongo wanu. Zizindikiro zakumagazi kwa magazi zimatha kusiyanasiyana kutengera komwe kumapezeka magaziwo. Zizindikiro zambiri zimaphatikizapo:

• mutu
• mutu wopepuka kapena chizungulire
• kufooka
• kukomoka
• dzanzi kapena kumva kulasalasa pamapazi kapena m'manja
• kufiira, kupweteka, ndi kupweteka kwamoto m'mapazi anu kapena m'manja
• kusintha kwa masomphenya
• kupweteka pachifuwa
• ndulu yokulitsa pang'ono

Nthawi zambiri, vutoli limatha kuyambitsa magazi. Izi zitha kuchitika motere:

• kuvulaza kosavuta
• Kutuluka magazi m'kamwa mwanu kapena mkamwa
• mwazi wa m'mphuno
• mkodzo wamagazi
• chopondapo chamagazi

Kodi zovuta zoyambira ku thrombocythemia ndizotani?

Amayi omwe ali ndi thrombocythemia oyambira komanso amamwa mapiritsi olera ali pachiwopsezo chachikulu chotseka magazi. Matendawa ndiwowopsa kwa azimayi omwe ali ndi pakati. Magazi omwe amapezeka mu placenta amatha kubweretsa zovuta pakukula kwa mwana kapena padera.

Magazi amatha kuyambitsa matenda osokoneza bongo (TIA) kapena sitiroko. Zizindikiro za sitiroko ndi monga:

• kusawona bwino
• kufooka kapena dzanzi m'miyendo kapena pankhope
• chisokonezo
• kupuma movutikira
• kuvuta kuyankhula
• kugwidwa

Anthu omwe ali ndi thrombocythemia oyambilira nawonso ali pachiwopsezo chodwala matenda amtima. Izi ndichifukwa choti kuundana kwamagazi kumatsekereza magazi kulowa mumtima. Zizindikiro za matenda a mtima ndizo:

• khungu lolimba
• kufinya kupweteka pachifuwa komwe kumatenga nthawi yopitilira mphindi zochepa
• kupuma movutikira
• ululu womwe umafikira paphewa panu, mkono, kumbuyo, kapena nsagwada

Ngakhale ndizosazolowereka, kuchuluka kwa ma platelet okwera kwambiri kumatha kubweretsa:

• mwazi wa m'mphuno
• kuvulaza
• Kutuluka magazi m'kamwa
• magazi mu chopondapo

Itanani dokotala wanu kapena pitani kuchipatala nthawi yomweyo ngati muli ndi zizindikiro za:

• magazi atsekemera
• matenda amtima
• sitiroko
• kutaya magazi kwambiri

Izi zimawerengedwa kuti ndi zoopsa zachipatala ndipo zimafunikira chithandizo mwachangu.

Kodi thrombocythemia yoyamba imapezeka bwanji?

Dokotala wanu adzakuyesani kaye ndikukufunsani za mbiri yanu yamankhwala. Onetsetsani kuti mwatchula za kuthiridwa magazi, matenda, ndi njira zamankhwala zomwe mudakhalapo m'mbuyomu. Muuzeni dokotala wanu za mankhwala aliwonse omwe akupatsani komanso owonjezera (OTC) ndi zowonjezera zomwe mumamwa.

Ngati poyambira thrombocythemia akukayikira, dokotala wanu adzayezetsa magazi kuti atsimikizire kuti ali ndi vutoli. Kuyezetsa magazi kungaphatikizepo:

• Kuwerengera kwathunthu kwa magazi (CBC). CBC imayesa kuchuluka kwa magawo amwazi m'mwazi mwanu.
• Kupaka magazi. Kupaka magazi kumawunika momwe magazi anu amapangidwira.
• Kuyesedwa kwachibadwa. Kuyesaku kukuthandizani kudziwa ngati muli ndi cholowa chomwe chimayambitsa kuchuluka kwamagazi.

Kuyezetsa kwina kungaphatikizepo chikhumbo cha mafupa kuti mufufuze maplatelet anu pansi pa microscope. Njirayi imaphatikizapo kutenga zina mwa mafupa am'mafupa. Amakonda kuchotsedwa pachifuwa kapena m'chiuno.

Mosakayikira mudzalandira matenda a thrombocythemia woyambirira ngati dokotala sangapeze chifukwa cha kuchuluka kwa ma platelet.

Kodi thrombocythemia yoyamba imathandizidwa bwanji?

Njira yanu yothandizira imadalira pazinthu zingapo, kuphatikiza chiopsezo chanu chokhala ndi magazi m'magazi.

Simungafunike chithandizo ngati mulibe zizindikiro zilizonse kapena zoopsa zina. M'malo mwake, dokotala wanu angasankhe kuyang'anitsitsa matenda anu. Chithandizo chingalimbikitsidwe ngati:

• ali ndi zaka zopitilira 60
• mumasuta
• ali ndi matenda ena, monga matenda ashuga kapena matenda amtima
• kukhala ndi mbiri yakukha magazi kapena magazi kuundana

Chithandizo chingaphatikizepo izi:

• OTC aspirin wochepa (Bayer) itha kuchepetsa magazi kuundana. Gulani ma aspirin ochepa pa intaneti.
• Mankhwala akuchipatala ikhoza kuchepetsa chiopsezo chotseka kapena kuchepetsa kupangidwa kwa ma platelet m'mafupa.
• Platelet pheresis. Njirayi imachotsa magazi m'mitsempha yamagazi mwachindunji.

Kodi chiyembekezo chanthawi yayitali ndi chiyani kwa anthu omwe ali ndi thrombocythemia yoyamba?

Maganizo anu amadalira pazinthu zosiyanasiyana. Anthu ambiri samakumana ndi zovuta kwa nthawi yayitali. Komabe, zovuta zazikulu zitha kuchitika. Zitha kuphatikiza:

• kutaya magazi kwambiri
• sitiroko
• matenda amtima
• zovuta zapakati, monga preeclampsia, kubereka msanga, ndi kupita padera

Kutulutsa magazi ndikosowa, koma kumatha kubweretsa zovuta monga:

• khansa ya m'magazi, mtundu wa khansa yamagazi
• myelofibrosis, matenda am'mafupa opita patsogolo

Kodi thrombocythemia wamkulu amatetezedwa bwanji ndikuchiritsidwa?

Palibe njira yodziwika yopewera thrombocythemia yoyamba. Komabe, ngati mwalandira kachilombo koyambitsa matenda a thrombocythemia, pali zinthu zina zomwe mungachite kuti muchepetse mavuto obwera.

Gawo loyamba ndikuwongolera zomwe zingayambitse magazi. Kulimbana ndi kuthamanga kwa magazi, cholesterol, ndi matenda monga matenda a shuga kungathandize kuchepetsa ngozi yamagazi. Mungathe kuchita izi mwa kuchita masewera olimbitsa thupi nthawi zonse ndikudya zakudya zomwe zimakhala ndi zipatso, ndiwo zamasamba, mbewu zonse, ndi mapuloteni owonda.

Ndikofunikanso kusiya kusuta. Kusuta kumawonjezera ngozi yanu yamagazi.

Kuti muchepetse chiopsezo chanu cha zovuta zazikulu, muyenera:

• Tengani mankhwala onse monga mwalamulidwa.
• Pewani OTC kapena mankhwala ozizira omwe amachititsa kuti magazi asatuluke.
• Pewani masewera olumikizana kapena zochitika zomwe zimawonjezera kutaya magazi.
• Muuzeni dokotala wanu mwadzidzidzi kutuluka mwazi kwachilendo kapena zizindikiro zamagulu a magazi.

Musanapange mano kapena opaleshoni iliyonse, onetsetsani kuti mumauza dokotala wanu wamankhwala kapena zamankhwala zilizonse zomwe mungamwe kuti muchepetse kuchuluka kwanu.

Osuta fodya komanso anthu omwe ali ndi mbiri yokhudzana ndi magazi angafunike mankhwala kuti achepetse kuchuluka kwa ma platelet. Ena sangasowe chithandizo chilichonse.