Koj puas muaj peb hom qe ntshav tsawg? Cia peb tham txog pancytopenia!

Koj puas muaj tej lub sij hawm koj nkees tas li? Los yog koj puas mob me ntsis xwb, los yog koj puas pom muaj qhov mob thoob plaws koj lub cev? Tej zaum qhov no yog vim muaj qee qhov kev hloov pauv hauv koj cov ntshav. Hnub no peb yuav tham txog ib qho mob uas tshwm sim rau lub sij hawm zoo li no, uas cov kws kho mob hu ua "pancytopenia". Tsis txhob txhawj, peb yuav tham txog qhov no yooj yim xwb.

Pancytopenia yog dab tsi?

Hais yooj yim xwb, pancytopenia yog ib qho mob uas tag nrho peb hom qe ntshav loj hauv peb lub cev - qe ntshav liab, qe ntshav dawb, thiab platelets - qis dua li qub. Xav txog nws zoo li lub Hoobkas loj. Muaj cov neeg ua haujlwm sib txawv hauv lub Hoobkas no rau ntau txoj haujlwm sib txawv. Cov qe ntshav no kuj zoo ib yam. Txhua hom muaj ib txoj haujlwm tshwj xeeb.

Tam sim no saib seb muaj dab tsi tshwm sim thaum cov hom cell no txo ​​qis:

• Cov qe ntshav liab txo qis: Cov no yog cov qe ntshav uas nqa cov pa oxygen thoob plaws peb lub cev. Cov qe ntshav no muaj cov protein tshwj xeeb hu ua hemoglobin . Qhov ntawd yog qhov uas tuav cov pa oxygen. Yog li, thaum muaj kev txo qis ntawm cov qe ntshav liab lossis hemoglobin, peb hu nws tias "anemia" lossis "ntshav tsis txaus."
• Cov qe ntshav dawb suav: Cov qe ntshav dawb, lossis leukocytes, zoo li lub cev tiv thaiv kab mob. Lawv tawm tsam cov kab mob thiab tiv thaiv peb ntawm kab mob. Ntawm cov qe ntshav dawb no, hom muaj ntau tshaj plaws hu ua neutrophils . Kev txo qis ntawm cov qe ntshav dawb hu ua leukopenia . Kev txo qis ntawm neutrophils kuj hu ua neutropenia .
• Cov ntshav platelet tsawg: Cov ntshav platelets yog cov cell me me. Tab sis lawv ua haujlwm zoo heev. Thaum peb raug txiav, cov ntshav platelets no pab tiv thaiv kom tsis txhob los ntshav. Lawv tseem ceeb heev rau kev txhaws ntshav. Yog li, thaum cov ntshav platelet tsawg, qhov mob no hu ua thrombocytopenia .

Yog tias koj muaj mob pancytopenia, koj yuav muaj cov tsos mob los ntawm ib qho, ntau qhov, lossis tag nrho cov mob no, nyob ntawm seb koj cov qe ntshav qis npaum li cas.

Pancytopenia feem ntau tshwm sim li cas?

Qhov tseeb, tus mob hu ua pancytopenia tsis yog ib qho mob uas tshwm sim tsawg li koj xav. Vim tias muaj ntau yam ua rau muaj, nws nyuaj rau hais tias muaj pes tsawg tus neeg mob.

Cov tsos mob ntawm tus mob pancytopenia yog dab tsi?

Qee zaum pancytopenia tuaj yeem tsis hnyav heev. Tej zaum koj yuav tsis pom muaj cov tsos mob loj. Qee zaum, tus kws kho mob yuav pom nws thaum lawv ua cov ntshav kuaj niaj hnub. Txawm li cas los xij, muaj qee lub sijhawm uas tus mob tuaj yeem hnyav heev thiab txaus ntshai rau lub neej. Hauv cov xwm txheej zoo li no, koj yuav tsum nrhiav kev kho mob tam sim ntawd.

Tam sim no cia peb saib seb cov tsos mob sib txawv yog dab tsi thaum cov hom qe ntshav no txo ​​qis.

Cov tsos mob ntawm cov qe ntshav liab qis (anemia)

Yog koj tsis muaj cov qe ntshav liab txaus, koj lub cev lwm yam kab mob thiab cov nqaij yuav tsis tau txais oxygen txaus. Tej zaum koj yuav muaj cov tsos mob xws li:

• Xav tias nkees tas li (Qaug zog): Ib qho kev xav tias nkees thiab tsis xav ua dab tsi.
• Ua pa nyuaj (dyspnea): Ua pa tsis taus txawm tias siv zog me ntsis los xij.
• Hnov kiv taub hau.
• Mob taub hau.
• Arrhythmia yog ib qho kev xav tias lub plawv dhia ceev lossis tsis sib xws.
• Tawv nqaij dawb los yog txias, tawm hws.

Cov tsos mob ntawm cov qe ntshav dawb qis (leukopenia)

Thaum koj tsis muaj cov qe ntshav dawb txaus, koj lub cev lub peev xwm los tawm tsam kab mob yuav txo qis. Qhov no txhais tau tias koj tuaj yeem kis tau kab mob yooj yim. Cov kab mob no tuaj yeem ua rau muaj cov tsos mob xws li:

• Xav tias nkees txhua lub sijhawm (Qaug zog).
• Kub taub hau thiab mob khaub thuas.
• Mob caj pas los yog kab mob (pharyngitis).
• Mob qhov ncauj.
• Hnoos ntau heev.
• Mob raws plab.
• Ua pa nyuaj.
• Cov qog ntshav o.
• Cov kua qaub ntws los ntawm cov qhov txiav.

Cov tsos mob ntawm cov ntshav platelet qis (thrombocytopenia)

Thaum koj cov ntshav platelets qis, koj cov ntshav tsis khov zoo. Qhov no tuaj yeem ua rau muaj tej yam xws li:

• Tau txais cov qhov txhab ntawm koj lub cev txawm tias yog qhov me tshaj plaws.
• Kev los ntshav uas nyuaj rau nres lossis uas kav ntev heev.
• Kev los ntshav ntau dhau thaum lub sijhawm muaj hli rau cov poj niam.
• Los ntshav nrog quav, zis , los yog ntuav.
• Cov pob liab los yog xim av ntawm daim tawv nqaij (petechiae) - zoo ib yam li pob khaus. Qee zaum cov pob liab, xim av, los yog xim av (purpura) kuj tseem yuav tshwm sim.

Dab tsi ua rau muaj tus mob pancytopenia no?

Feem ntau, tus kab mob Pancytopenia yog tshwm sim los ntawm qhov tsis zoo ntawm cov txheej txheem tsim cov qe ntshav hauv peb cov pob txha . Koj puas paub tias peb cov qe ntshav raug tsim tawm hauv cov pob txha? Cov txheej txheem no hu ua hematopoiesis . Cov qe ntshav no tawm hauv cov pob txha thiab nkag mus rau hauv peb cov ntshav tsuas yog tom qab lawv loj hlob lawm.

Yog li, pancytopenia tuaj yeem tshwm sim yog tias koj cov pob txha tsis tsim cov qe ntshav txaus, lossis yog tias cov qe ntshav no raug rhuav tshem sai dhau tom qab tsim tawm.

Muaj ntau yam uas cuam tshuam rau kev tsim cov qe ntshav no lossis ua rau lawv puas tsuaj:

• Cov kab mob ntsig txog pob txha:Muaj qee yam kab mob uas ua rau cov pob txha tsim cov qe ntshav tsis zoo. Feem ntau ntawm cov no yog 'tau txais' thaum peb tseem muaj sia nyob. Qee qhov yog 'tau txais los ntawm noob caj noob ces'. Piv txwv li:
• Aplastic anemia
• Kab mob Fanconi anemia
• Kab mob Diamond-Blackfan anemia

• Mob qog noj ntshav: Thaum cov qog noj ntshav kis mus rau cov pob txha, lawv cuam tshuam rau kev tsim cov qe ntshav zoo. Qee hom mob qog noj ntshav uas tuaj yeem ua rau muaj mob pancytopenia suav nrog:
• Kab mob ntshav dawb (leukemia)
• Lymphoma
• ntau yam mob myeloma
• Kev mob Myelofibrosis
• Cov tsos mob ntawm Myelodysplastic
• Kev kis mob qog noj ntshav los ntawm lwm qhov chaw mus rau pob txha pob txha (mob qog noj ntshav metastatic)

• Kev tsis txaus noj haus thiab haus cawv: Yog tias koj lub cev tsis tau txais cov as-ham txaus xws li vitamin B12 thiab folate , nws yuav tsis muaj peev xwm tsim cov qe ntshav zoo. Tsis tas li ntawd, haus cawv ntau dhau tuaj yeem yog qhov ua rau muaj mob pancytopenia.

• Cov kab mob sib kis: Tus mob no kuj tuaj yeem tshwm sim los ntawm qee hom kab mob. Piv txwv li:
• Kab mob Mononucleosis `(Mononucleosis - mono)`
• HIV (tus kab mob tiv thaiv kab mob ntawm tib neeg)
• Kab mob siab C
• Kab mob Parvovirus B19 `(Parvovirus B19)`
• Kab mob ntsws
• Kab mob npaws

• Cov kab mob autoimmune: Qhov no yog thaum koj lub cev cov qe ntshav dawb tawm tsam cov qe ntshav dawb zoo. Cov kab mob autoimmune uas ua rau pancytopenia suav nrog:
• Lupus
• Mob pob qij txha caj qaum

• Kev Kho Mob Tshuaj: Qee cov tshuaj, tshwj xeeb yog cov tshuaj chemotherapy rau mob qog noj ntshav, tuaj yeem txo cov qe ntshav tsim.

• Kev raug tshuaj lom: Cov tshuaj lom ib puag ncig xws li benzene thiab arsenic tuaj yeem ua rau koj cov qe ntshav puas tsuaj. Kev raug tshuaj lom los ntawm hluav taws xob kuj tseem tuaj yeem ua rau koj cov qe ntshav tsawg dua.

• Kev cais cov noob qes:Qee yam mob nkeeg ua rau cov qe ntshav sib sau ua ke hauv koj lub qhov ntswg. Cov kab mob autoimmune, cirrhosis ntawm lub siab, thiab qee yam mob qog noj ntshav ua rau qhov no. Thaum qhov no tshwm sim, lub qhov ntswg tuaj yeem o thiab mob (splenomegaly).

Muaj tej yam tsawg tsawg uas cov kws kho mob tsis tuaj yeem nrhiav tau qhov ua rau cov qe ntshav tsawg zuj zus no. Qhov no hu ua idiopathic pancytopenia .

Leej twg muaj feem yuav mob pancytopenia ntau dua?

Txhua tus neeg uas muaj cov mob uas peb tau tham ua ntej lawm yuav muaj mob pancytopenia. Txawm li cas los xij, yog tias ib tug neeg hauv koj tsev neeg muaj teeb meem ntshav, lossis yog tias koj tau txais kev kho mob chemotherapy uas cuam tshuam rau kev tsim cov qe ntshav, koj yuav muaj feem ntau dua rau qhov mob no.

Yuav kuaj mob pancytopenia li cas?

Kev suav cov ntshav tag nrho (CBC) niaj hnub tuaj yeem kuaj xyuas seb puas muaj cov qe ntshav qis. Cov nqi no tuaj yeem sib txawv me ntsis nyob ntawm cov yam xws li hnub nyoog, haiv neeg, thiab kev noj qab haus huv.

Cov no yog cov theem uas feem ntau suav tias yog qis:

• Cov qe ntshav liab: Rau cov poj niam, tsawg dua 4.2 lab lub qe ntshav hauv ib microliter ntawm cov ntshav lossis tsawg dua 12 grams (g) ntawm hemoglobin (ib deciliter). Rau cov txiv neej, tsawg dua 4.7 lab lub qe ntshav hauv ib microliter ntawm cov ntshav lossis tsawg dua 13 grams ntawm hemoglobin (ib deciliter).
• Cov qe ntshav dawb: Tsawg dua 4,000 cov qe ntshav dawb rau ib microliter ntawm cov ntshav, lossis suav cov neutrophil tsawg dua 1,800 rau ib microliter ntawm cov ntshav. Neutrophils yog hom qe ntshav dawb uas muaj ntau tshaj plaws, yog li qhov suav no tseem ceeb heev.
• Cov Platelets: Tsawg dua 150,000 platelets ib microliter ntawm cov ntshav.

Muaj kev ntsuam xyuas dab tsi ntxiv uas tab tom ua los nrhiav qhov ua rau?

Thaum koj tus kws kho mob txiav txim siab tias koj muaj tus kab mob pancytopenia, lawv yuav ua qee qhov kev kuaj ntxiv kom paub seb yog dab tsi ua rau nws. Tej zaum koj yuav tsum mus ntsib kws kho mob uas tshwj xeeb hauv cov kab mob ntshav (hematologist) .

Cov kev ntsuam xyuas no yuav suav nrog:

• Kev kuaj ntshav ntawm cov hlab ntsha sab nraud: Qhov kev kuaj no saib koj cov qe ntshav hauv qab lub tshuab tsom iav. Yog tias muaj cov qe ntshav uas tsis zoo li qub, nws yuav qhia tau tias yog vim li cas.
• Kev kuaj xyuas cov vitamin B12 thiab folate: Pancytopenia feem ntau yog tshwm sim los ntawm kev tsis txaus zaub mov zoo. Yog li kev kuaj xyuas cov qib no tuaj yeem pab txiav txim siab seb qhov ntawd puas yog qhov ua rau.
• Kev rho cov pob txha thiab kuaj cov nqaij hauv lub cev: Hauv cov txheej txheem no, tus kws kho mob yuav ib qho qauv me me ntawm koj cov pob txha thiab kuaj nws seb puas muaj cov kab mob uas ua rau muaj mob pancytopenia, xws li mob qog noj ntshav.

Nyob ntawm koj cov txiaj ntsig kuaj, keeb kwm kho mob, thiab cov tsos mob, koj tus kws kho mob kuj tseem yuav ua cov kev kuaj zoo li no los nrhiav lwm yam ua rau:

• Kev kuaj mob kab mob.
• Kev kuaj mob.
• Kev ntsuam xyuas rau cov mob autoimmune.
• Kev kuaj xyuas kev hloov pauv ntawm cov noob caj noob ces (kev hloov pauv hauv koj cov DNA).

Yuav kho tus mob pancytopenia li cas?

Kev kho mob feem ntau yog tsom mus rau kev nrhiav qhov ua rau muaj tus mob no, kho nws, thiab txo cov tsos mob. Kuj tseem muaj kev kho mob uas tuaj yeem ua rau koj cov qe ntshav ntau ntxiv. Cov no suav nrog:

• Cov Tshuaj: Muaj qee cov tshuaj uas ua rau cov pob txha ua haujlwm thiab pab nws tsim cov qe ntshav ntau dua.
• Kev ntxiv ntshav: Yog tias koj cov qe ntshav qis dhau thiab yuav ua rau koj txoj kev noj qab haus huv puas tsuaj, koj yuav raug muab cov qe ntshav liab lossis cov platelets rau koj.
• Kev hloov hlwb pob txha los yog kev hloov hlwb pob txha: Cov txheej txheem no suav nrog kev tshem tawm cov hlwb pob txha uas tsis ua haujlwm zoo (cov no yog cov hlwb tseem ceeb hauv cov hlwb pob txha uas ua cov hlwb ntshav) thiab kev hloov cov hlwb pob txha noj qab haus huv.

Yog tias koj cov neutrophil qis heev thiab koj muaj feem yuav kis tau kab mob ntau, koj kuj tseem yuav tau muab cov tshuaj tua kab mob dav dav .

Ib tug neeg uas muaj tus kab mob pancytopenia yuav tsum xav li cas?

Koj txoj kev muaj feem rov zoo nyob ntawm seb yog dab tsi ua rau cov qe ntshav qis. Tam sim no tsis muaj cov ntaub ntawv tseeb txog kev vam meej ntawm kev kho mob rau pancytopenia. Hloov chaw, cov kws tshawb fawb saib seb kev kho mob zoo li cas rau qhov mob tseem ceeb.

Qhov tseem ceeb yog tias thaum kev kho mob rau cov mob tseem ceeb zoo dua, cov txiaj ntsig rau cov neeg uas muaj pancytopenia kuj zoo dua. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum tham nrog koj tus kws kho mob txog qhov no. Nws tuaj yeem qhia koj cov ntaub ntawv tshawb fawb tshiab thiab piav qhia tias nws cuam tshuam li cas rau koj tus mob.

Puas yog pancytopenia yog ib qho mob hnyav?

Yog, nws tuaj yeem ua rau mob hnyav. Nws kuj nyob ntawm seb dab tsi ua rau koj cov qe ntshav qis. Yog tias koj muaj mob pancytopenia, koj tus kws kho mob yuav nrhiav qhov ua rau thiab txiav txim siab seb nws mob hnyav npaum li cas.

Thaum twg kuv yuav tsum mus rau tsev kho mob (ETU) sai li sai tau?

Pancytopenia tuaj yeem ua rau mob hnyav thiab tuag taus yog tias tsis kho. Yog tias koj muaj cov tsos mob no, mus rau chav kho mob ceev (ETU) tam sim ntawd:

• Yog tias qhov kub taub hau siab tshaj 101 degrees Fahrenheit (38 degrees Celsius).
• Yog koj tsis nco qab (dig muag).
• Yog koj ua pa nyuaj heev.
• Kev tsis meej pem tam sim ntawd.
• Yog koj pib muaj mob taub hau tshiab.
• Yog tias muaj kev los ntshav hnyav heev.
• Yog koj mob hauv siab.
• Yog tias muaj kev qaug dab peg.

Kab mob Pancytopenia muaj peev xwm cuam tshuam rau koj ntau txoj kev. Nws nyob ntawm seb koj cov qe ntshav qis npaum li cas thiab qhov ua rau muaj kab mob yog dab tsi. Yog tias koj cov qe ntshav ua rau koj muaj feem yuav muaj ntshav tsis txaus, muaj kab mob, lossis los ntshav ntau dhau, ua raws li koj tus kws kho mob cov lus qhia kom zoo. Tsis tas li ntawd, nug txog cov tsos mob uas qhia tias koj yuav tsum mus ntsib koj tus kws kho mob.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Yog li, tej zaum koj tam sim no nkag siab lawm tias pancytopenia yog ib qho mob uas tag nrho peb lub qe ntshav, uas yog cov qe ntshav liab, cov qe ntshav dawb, thiab cov platelets, raug txo qis ib zaug. Muaj ntau yam ua rau qhov no, thiab cov tsos mob kuj sib txawv.

Qhov tseem ceeb tshaj plaws yog mus ntsib kws kho mob yog tias koj muaj cov tsos mob no. Nws mam li kuaj pom tias muaj teeb meem dab tsi thiab pib kho koj xav tau. Yog tias koj pom nws thaum ntxov, koj feem ntau tuaj yeem tswj hwm cov mob no tau zoo. Yog li, saib xyuas koj lub cev, thiab yog tias koj pom muaj dab tsi txawv, ua tib zoo mloog nws. Nyob zoo!

Pancytopenia , Pancytopenia, Tsis muaj cov qe ntshav txaus, Cov qe ntshav liab, Cov qe ntshav dawb, Cov qe ntshav dawb, Cov pob txha pob txha, Mob ntshav tsis txaus, Cov qe ntshav dawb tsawg, Cov qe ntshav dawb tsawg