Thaum koj nyuam qhuav pom daim ntawv qhia txog kev kuaj ntshav, puas muaj lus hais tias koj cov qe ntshav liab muaj ntau? Nws yog ib qho ib txwm muaj uas koj yuav ntxhov siab thiab ntshai me ntsis thaum koj pom ib yam dab tsi zoo li ntawd. Tej zaum koj yuav xav tias, "Qhov no yog dab tsi? Kuv puas muaj mob hnyav?" Tab sis tsis txhob txhawj. Hnub no, peb yuav tham txog qhov no yooj yim, ib yam li koj yuav qhia rau ib tug phooj ywg.
Qhov kev nce ntxiv ntawm cov qe ntshav liab no txhais li cas?
Hais yooj yim xwb, qhov no txhais tau tias cov qe ntshav liab (RBCs) hauv koj cov ntshav ntau dua li qub. Peb cov ntshav feem ntau muaj peb ntu: qe ntshav liab, qe ntshav dawb, thiab qe ntshav dawb. Lub luag haujlwm tseem ceeb ntawm cov qe ntshav liab yog nqa cov pa oxygen los ntawm lub ntsws mus rau lwm qhov ntawm lub cev.
Xav txog nws zoo li cov tsheb ntawm txoj kev. Thaum muaj tsheb txaus, tsheb khiav mus zoo yam tsis muaj kev sib tsoo. Ib yam li ntawd, thaum muaj cov qe ntshav liab txaus, cov pa oxygen mus thoob plaws lub cev. Tab sis thaum tus lej ntawm cov qe ntshav liab nce ntau dhau, ib yam li thaum txoj kev puv nrog cov tsheb, kev sib tsoo tsheb, peb cov ntshav tuab. Qhov no hu ua "Erythrocytosis" hauv cov lus kho mob. Thaum cov ntshav tuab, qhov kev pheej hmoo ntawm cov ntshav txhaws tuaj yeem nce ntxiv. Nws kuj tseem tuaj yeem yog ib qho tsos mob ntawm teeb meem kev noj qab haus huv.
Muaj pes tsawg lub qe ntshav liab uas suav tias yog 'siab'?
Cov kws kho mob ntsuas koj cov qe ntshav liab kom nkag siab txog koj txoj kev noj qab haus huv thiab kuaj mob. Feem ntau, cov nqi no tuaj yeem sib txawv me ntsis nyob ntawm lub chaw kuaj mob uas ua qhov kev kuaj. Tab sis feem ntau, cov nqi ib txwm muaj yog raws li nram no.
| Tus Neeg | Qhov loj ntawm cov qe ntshav liab ib txwm muaj (ib microliter ntawm cov ntshav) |
|---|---|
| Cov txiv neej | 4.7 txog 6.1 lab |
| Cov poj niam | 4.2 txog 5.4 lab |
| Cov menyuam yaus | 4.0 txog 5.5 lab |
Feem ntau, thaum kuaj ntshav rau lwm yam teeb meem kev noj qab haus huv, koj tus kws kho mob yuav pom tias muaj cov qe ntshav liab ntau. Yog tias qhov no tshwm sim, koj tus kws kho mob yuav pom zoo kom kuaj ntxiv kom paub qhov ua rau muaj cov qe ntshav liab no.
Cov tsos mob ntawm cov qe ntshav liab ntau ntxiv yog dab tsi?
Txawm hais tias lawv cov qe ntshav liab muaj ntau heev los xij, tej zaum yuav muaj ib txhia neeg tsis muaj tsos mob dab tsi li. Txawm li cas los xij, tej zaum yuav muaj cov tsos mob hauv qab no:
| Cov tsos mob | Kev piav qhia |
|---|---|
| Kev qaug zog/kev qaug zog | Qaug zog heev tsis muaj laj thawj. |
| Ua pa nyuaj | Txawm tias siv zog me ntsis los xij, kuj ua tsis taus pa. |
| Mob taub hau thiab pom kev tsis meej | Mob taub hau ntau zaus thiab pom kev tsis meej. |
| Mob pob qij txha | Mob pob qij txha. |
| Khaus tawv nqaij | Khaus tawv nqaij, tshwj xeeb tshaj yog tom qab da dej hauv dej kub. |
| Teeb meem pw tsaug zog | Tsis tsaug zog los yog ua snoring ntau ntxiv. |
Vim li cas cov qe ntshav liab thiaj li nce ntxiv? Dab tsi yog cov ua rau muaj qhov teeb meem no?
Muaj ntau yam ua rau cov qe ntshav liab ntau tuaj yeem tshwm sim. Qhov no tsis yog ib txwm yog ib qho cim qhia txog kev mob hnyav. Nws kuj tseem tuaj yeem tshwm sim los ntawm qee yam hauv peb txoj kev ua neej. Cia peb saib cov laj thawj tseem ceeb.
Vim yog tej yam mob nkeeg
- Lub Plawv Tsis Ua Haujlwm: Thaum lub plawv qaug zog, nws tsis muaj peev xwm xa cov pa oxygen txaus mus rau lub cev. Txhawm rau them rov qab, lub cev pib tsim cov qe ntshav liab ntau dua.
- Kab Mob Plawv Thaum Yug Los: Vim muaj qee qhov teeb meem hauv lub plawv uas muaj thaum yug los.
- Polycythemia Vera: Qhov no yog ib hom mob qog ntshav tsawg uas cov pob txha tsim cov qe ntshav liab tawm ntawm kev tswj hwm.
- Cov Qog Mob Raum: Vim yog qhov ntau dhau ntawm cov tshuaj hormones (Erythropoietin) uas ua rau cov qe ntshav liab tsim los ntawm cov raum.
- Cov kab mob ntsws: Cov kab mob xws li 'COPD' thiab 'Emphysema' txo cov pa oxygen uas lub cev tau txais. Txhawm rau them rau qhov no, lub cev tsim cov qe ntshav liab ntau dua.
- Hypoxia: Txhua yam mob uas cov pa oxygen hauv cov ntshav qis.
- Pw Tsaug Zog Ua Pa Tsis Taus: Ib qho mob uas ua pa tsis taus ntau zaus thaum pw tsaug zog. Qhov no kuj txo cov pa oxygen hauv lub cev thiab ua rau cov qe ntshav liab tsim ntau ntxiv.
Qhov cuam tshuam ntawm peb txoj kev ua neej
- Haus Luam Yeeb: Cov pa roj carbon monoxide hauv cov pa luam yeeb khi rau hemoglobin, uas yog cov protein nqa oxygen hauv cov ntshav. Qhov no ua rau cov ntshav tsis khi rau oxygen. Lub cev ua kom cov ntshav rov qab zoo li qub los ntawm kev tsim cov qe ntshav liab ntau dua.
- Nyob rau thaj chaw siab: Xav txog koj tab tom tsiv ntawm Colombo mus rau Nuwara Eliya. Cov pa oxygen hauv huab cua ntawm thaj chaw siab yog qis. Yuav kom hloov tau qhov no, koj lub cev yuav tsim cov qe ntshav liab ntau ntxiv.
- Siv cov tshuaj uas ua rau lub cev ua haujlwm tau zoo: Qee cov neeg ncaws pob siv cov tshuaj anabolic steroids lossis erythropoietin, uas tuaj yeem ua rau cov qe ntshav liab ntau ntxiv.
Kev ntxhov siab puas ua rau cov qe ntshav liab ntau ntxiv?
Yog. Kev tshawb fawb tau pom muaj kev sib txuas ntawm kev ntxhov siab thiab cov qe ntshav. Kev ntxhov siab ntau tuaj yeem ua rau muaj cov qe ntshav liab, neutrophils, ib hom qe ntshav dawb, thiab platelets ntau ntxiv.
Yuav kho tus kab mob ntshav liab ntau ntxiv li cas?
Qhov tseem ceeb tshaj plaws yog tias kev kho mob nyob ntawm seb qhov ua rau muaj cov qe ntshav liab ntau npaum li cas . Nws yog ib qho tseem ceeb dua los nrhiav qhov ua rau thiab kho nws dua li tsuas yog txo cov qe ntshav liab xwb.
Piv txwv li, yog tias koj muaj ib yam mob hu ua 'Polycythemia Vera', koj tus kws kho mob yuav sau ntawv kom noj tshuaj xws li '(Hydroxyurea)' los tswj cov qe ntshav liab. Tsis tas li ntawd, qee zaum siv kev kho mob hu ua 'Therapeutic Phlebotomy'. Qhov no suav nrog kev tshem me ntsis ntshav ntawm koj lub cev tsis tu ncua , zoo ib yam li kev pub ntshav, los tswj koj cov qe ntshav liab.
Yog li ntawd, yog tias koj cov qe ntshav liab muaj ntau, koj yuav tsum mus ntsib koj tus kws kho mob thiab tham txog qhov teeb meem ntawd. Nws yuav yog tus uas yuav nrhiav tau qhov ua rau muaj qhov teeb meem no thiab txiav txim siab seb koj xav tau kev kho mob dab tsi.
Peb ua tau dab tsi los tiv thaiv cov qe ntshav liab kom tsis txhob loj hlob ntau?
Txawm hais tias peb tsis tuaj yeem tiv thaiv qhov no tas li, muaj ob peb yam uas peb tuaj yeem ua tau los txo qhov kev pheej hmoo:
- Haus dej ntau: Haus tsawg kawg 8-10 khob dej ib hnub tuaj yeem pab txo cov ntshav txhaws.
- Txo cov khoom xws li kas fes thiab dej qab zib: Cov no yog cov tshuaj diuretics uas ua rau lub cev poob dej thiab tuaj yeem ua rau cov ntshav tuab.
- Tsis txhob haus luam yeeb kiag li: Qhov no yog ib qho zoo tshaj plaws uas koj ua tau.
- Kev Ua Si: Kev ua si tsis tu ncua zoo heev rau lub plawv thiab cov ntshav ncig.
- Tsis txhob noj cov tshuaj hlau tsuas yog koj tsis tas yuav tsum noj xwb: Tsis txhob noj cov tshuaj hlau tsuas yog koj tus kws kho mob pom zoo kom noj xwb, vim hlau yog ib yam khoom noj tseem ceeb rau kev tsim cov qe ntshav liab.
- Yog koj muaj mob pw tsaug zog tsis taus pa: Siv cov khoom siv xws li 'CPAP' kom raug raws li koj tus kws kho mob qhia.
- Yog koj muaj kab mob plawv: Ua raws li txoj kev npaj kho mob uas koj tus kws kho mob tau muab rau koj raws nraim.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Tsis txhob ntshai yog tias koj pom cov qe ntshav liab (RBC) ntau hauv koj cov ntshav. Tab sis tsis txhob tsis quav ntsej nws thiab.
- Kev nce ntxiv ntawm cov qe ntshav liab txhais tau tias cov ntshav tuab thiab qhov kev pheej hmoo ntawm cov ntshav txhaws nce ntxiv.
- Qhov no tuaj yeem tshwm sim los ntawm cov yam ntxwv ntawm kev ua neej xws li kev haus luam yeeb thiab kev nyob hauv qhov chaw siab, nrog rau kab mob plawv, kab mob ntsws, lossis qee yam mob qog noj ntshav.
- Qhov tseem ceeb tshaj plaws yog mus ntsib kws kho mob tam sim ntawd thiab nrhiav seb qhov ua rau muaj qhov teeb meem tiag tiag.
- Kev kho mob nyob ntawm seb qhov ua rau mob yog dab tsi. Kev ua neej noj qab haus huv zoo tuaj yeem txo qhov kev pheej hmoo.
👩🏽⚕️ Cov Lus Nug Ntxiv (FAQs)
💬 'Cov Qog Ntshav Liab Ntau / Polycythemia' yog dab tsi?
Feem ntau, peb cov ntshav yuav tsum muaj cov qe ntshav liab los nqa cov pa oxygen. Tab sis hauv tus kab mob no, vim muaj qee qhov teeb meem loj hauv lub cev / pob txha pob txha, tus lej ntawm cov qe ntshav liab nce ntxiv los ntawm kaum tawm txhiab (Elevated RBC / Hematocrit), uas yog ib qho mob tuag taus uas cov ntshav dhau los ua 'tuab / tuab zoo li zib ntab' (Hyperviscosity) es tsis yog dej. Qhov no ua rau cov ntshav txhaws thiab tus neeg mob tuaj yeem muaj mob plawv / mob stroke txhua lub sijhawm thiab tuag!
💬 Dab tsi yog cov ua rau cov ntshav tuab thiab cov qe ntshav liab ntau ntxiv (Polycythemia)?
Muaj 2 qhov laj thawj tseem ceeb rau qhov no: 1) Mob Polycythemia Thib Ob - Qhov no tshwm sim vim koj haus luam yeeb ntau, muaj kab mob plawv/kab mob ntsws (COPD), lossis muaj mob pw tsaug zog tsis taus pa! Tom qab ntawd lub hlwb ntshai vim tias lub cev tshaib plab rau oxygen thiab hais kom lub raum tsim cov hlwb tshiab (EPO tso tawm). 2) Polycythemia Vera (PV) - Qhov no yog 'Kab Mob Ntshav / Kab Mob Pob Txha'! Tsis muaj laj thawj, cov pob txha tso tawm kaum txhiab tus hlwb liab rau hauv cov ntshav.
💬 Cov tsos mob txaus ntshai ntawm RBC siab yog dab tsi? Thaum twg koj yuav tsum mus ntsib kws kho mob?
Cov tsos mob loj tshaj plaws yog mob taub hau uas tsis tuaj yeem ua tau (vim yog ntshav siab), pom kev tsis meej, thiab khaus thoob plaws lub cev tom qab da dej / dej kub! Tsis tas li ntawd, lub ntsej muag yeej ib txwm liab heev (Plethora). Txawm li cas los xij, yog tias 1) lub hauv siab mob / nias, 2) koj ua tsis tau pa tam sim ntawd, 3) caj npab lossis ceg tsis muaj zog thiab koj tsis nco qab (Cov tsos mob ntawm Stroke), koj yuav tsum mus rau tsev kho mob tam sim ntawd vim tias cov ntshav txhaws (Cov ntshav txhaws / Thrombosis) yuav raug daig!
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus