Tonsefe tayesedwa magazi. Nthawi zina dokotala amatipempha kuti tichite `Full Blood Count (FBC)`. Tikalandira lipotilo, pali zinthu zambiri zomwe sizikumveka bwino patsogolo pa chilembo chilichonse. Ngati pakati pa izi, `WBC` ndi `Low`, ndiye kuti timachita mantha pang'ono. Kodi `WBC` iyi ndi chiyani? N’chifukwa chiyani imachepa? Kodi ichi ndi chinthu choopa? Ngati mafunso amenewo ali m'maganizo mwanu, tiyeni tikambirane za izo mosavuta komanso mwaubwenzi lero.
Choyamba, tiyeni tiwone, kodi leukopenia ndi chiyani?
Mwachidule, Leukopenia ndi vuto lomwe chiwerengero cha maselo oyera m'magazi (Leukocytes) m'magazi mwanu chimakhala chotsika kuposa chachibadwa. Ganizirani za thupi lathu ngati dziko. Maselo oyera awa ndi gulu lankhondo m'dzikolo. Ndi gulu lankhondo limeneli lomwe limateteza thupi lathu ku adani akunja (monga matenda) monga mavairasi ndi mabakiteriya.
Pali magulu osiyanasiyana ankhondo. Pakati pawo , gulu lalikulu komanso lofunika kwambiri ndi ma neutrophils. Monga asilikali a Special Forces omwe ali m'gulu lankhondo. Matenda akalowa m'thupi, chinthu choyamba chomwe chimapita kukamenyana nawo ndi ma neutrophils. Chifukwa chake, pankhani ya leukopenia, chinthu chachikulu chomwe chimachitika ndichakuti chiwerengero cha ma neutrophils chimachepa. Ndiye chimachitika ndi chiyani? Chitetezo cha thupi lathu chimafooka. Mwayi woti munthu atengeke mosavuta ngakhale ndi matenda ang'onoang'ono umawonjezeka.
Kodi kuchuluka kwa maselo oyera m'magazi ndi kotani?
Munthu wamkulu wathanzi nthawi zambiri amakhala ndi maselo oyera amagazi pakati pa 4,000 ndi 11,000 pa microliter iliyonse ya magazi. Chiwerengerochi chimatha kusiyana pang'ono kutengera zaka ndi jenda. Ngati kuchuluka kwa maselo oyera m'magazi anu mu lipoti lanu la FBC kuli kochepera 4,000, dokotala wanu angakupatseni matenda otchedwa leukopenia.
Funso lomwe limawopseza anthu ambiri ndi lakuti: Kodi leukopenia ndi khansa?
Ayi. Kunena zoona, Leukopenia si khansa. Koma pali kugwirizana pakati pa ziwirizi. Ndikofunikira kwambiri kumvetsetsa zimenezo.
- Mankhwala a khansa angayambitse leukopenia: Mankhwala ambiri a khansa, makamaka chemotherapy, amapha maselo omwe amagawikana mofulumira m'thupi lathu. Monga maselo a khansa, maselo a magazi (kuphatikizapo maselo oyera a magazi) omwe amapangidwa m'mafupa athu amagawikananso mofulumira kwambiri. Chifukwa chake, chemotherapy imatha kupha maselo abwinowa limodzi ndi maselo a khansa. Ichi ndichifukwa chake kuchuluka kwa maselo oyera amagazi kumachepa ndipo leukopenia imachitika.
- Leukemia ingayambitse leukopenia:Khansa ya m'magazi ndi khansa ya m'magazi. Chomwe chimachitika apa ndi chakuti maselo ambiri oyera osagwira ntchito amapangidwa mu fupa la mafupa. Pamene maselo osagwira ntchitowa akuchulukirachulukira, malo oti maselo oyera athanzi apangidwe amatayika. Zotsatira zake, chiwerengero cha maselo oyera athanzi chimachepa, zomwe zimayambitsa leukopenia.
Kumbukirani: leukopenia siyambitsa khansa ya m'magazi, koma leukopenia imatha kuonedwa ngati chizindikiro cha khansa ya m'magazi.
Kodi ndi zinthu ziti zomwe zimayambitsa kuchepa kwa maselo oyera m'magazi?
Pali zifukwa zingapo zomwe zimayambitsa leukopenia. Zina zimakhala zakanthawi kochepa, pomwe zina zimafuna chithandizo cha nthawi yayitali. Tiyeni tiwone zomwe zimayambitsa matendawa.
| Chifukwa | Kufotokozera kosavuta |
|---|---|
| Matenda Okhudzana ndi Mafuta a Bone | Mafupa ndi fakitale yomwe imapanga maselo athu a magazi. Ngati fakitale iyi yawonongeka, kupanga maselo a magazi kumachepa. Mwachitsanzo, matenda monga Aplastic Anemia ndi Multiple Myeloma amayamba. |
| Matenda Odziteteza Kuthupi | Apa ndi pamene chitetezo cha mthupi lathu chimasokonekera ndikuukira maselo athu athanzi. Lupus ndi rheumatoid arthritis ndi zitsanzo za matenda otere. |
| Matenda | Matenda ena akuluakulu a mavairasi, makamaka omwe ali ngati HIV , amaukira ndikuwononga maselo oyera amagazi athu mwachindunji. Matenda monga dengue ndi typhoid angayambitsenso kuchepa kwakanthawi kwa maselo oyera amagazi. |
| Chithandizo cha khansa | Monga tanenera kale , mankhwala a chemotherapy ndi radiation amatha kuwononga mafupa ndikuchepetsa kupanga maselo oyera m'magazi. |
| Mankhwala ena | Mankhwala ena opha tizilombo toyambitsa matenda ndi mankhwala ena angayambitsenso kuchepa kwa maselo oyera a magazi. |
| Kusowa zakudya | Kusowa kwa mavitamini ndi michere, makamaka vitamini B12, folate, ndi mkuwa, kungakhudze kupanga kwa maselo oyera m'magazi. |
Kodi zizindikiro za leukopenia ndi ziti?
Apa pali chinthu chofunikira kwambiri. Palibe zizindikiro zenizeni zokhudzana ndi leukopenia. Izi zikutanthauza kuti, simukumva kuti maselo anu oyera amagazi ndi otsika. Koma, chimachitika ndi chiyani maselo anu oyera amagazi akakhala otsika? Chiwopsezo chanu chotenga matenda chimawonjezeka kwambiri. Chifukwa chake, zizindikiro zomwe mumakumana nazo ndi zizindikiro za matenda omwe amapezeka.
Ngati kuchuluka kwa maselo oyera m'magazi anu kuli kochepa, muyenera kusamala kwambiri ndi zizindikiro izi za matenda:
- Malungo ndi kuzizira pafupipafupi
- Zilonda pakamwa kapena mabala oyera kapena ofiira mkati mwa pakamwa
- Kupweteka pakhosi ndi chifuwa chachikulu
- Kuvuta kupuma
- Kupsa pokodza ndi mkodzo wonunkha
- Kutsegula m'mimba
- Mafinya akutuluka m'mabala a pakhungu
- Kutuluka kwachilendo kwa nyini kapena kuyabwa mwa akazi
Ngati mukudziwa kuti muli ndi leukopenia, musanyalanyaze zizindikiro zazing'ono izi. Ngakhale kutentha pang'ono kungakhale chiyambi cha matenda aakulu. Choncho pitani kwa dokotala nthawi yomweyo.
Kodi dokotala amazindikira bwanji izi? Kodi chithandizo chake ndi chiyani?
Mayeso akuluakulu odziwira leukopenia ndi Complete Blood Count (CBC) yomwe tidakambirana kale. Izi zikupatsani chiwerengero cholondola cha maselo oyera a m'magazi, maselo ofiira a m'magazi, ndi ma platelet.
Ngati muli ndi zizindikiro za matenda, dokotala wanu angakupatseni mayeso ena kuti apeze chomwe chikuyambitsa matendawa.
- Kuyezetsa mkodzo: Yang'anani ngati muli ndi matenda m'njira ya mkodzo.
- X-ray ya pachifuwa: Kuteteza matenda a m'mapapo monga chibayo.
Njira zochizira
Chithandizo cha leukopenia chimadalira chomwe chimayambitsa matendawa.
- Chithandizo cha matenda: Mankhwala opha tizilombo amaperekedwa ngati chifukwa chake ndi matenda a bakiteriya. Ngati ndi matenda a kachilombo, mankhwala oyenera amaperekedwa.
- Zinthu Zokhudza Kukula kwa Thupi: Izi ndi mankhwala apadera omwe amalimbikitsa mafuta a m'mafupa ndikuwathandiza kupanga maselo oyera ambiri amagazi.
- Kuchedwa kwa chithandizo cha mankhwala a khansa: Ngati mukulandira chithandizo cha khansa ndipo kuchuluka kwa maselo oyera m'magazi anu kumatsika kwambiri, dokotala wanu angasankhe kusiya chithandizo cha mankhwala a khansa kwakanthawi kapena kuchepetsa mlingo. Chithandizo chidzayambiranso kuchuluka kwa maselo oyera m'magazi anu kukabwerera mwakale.
Kodi tiyenera kuchita chiyani kuti tidziteteze ku matenda?
Ngati muli ndi leukopenia, cholinga chanu chachikulu chiyenera kukhala kudziteteza ku matenda momwe mungathere. Phatikizani zizolowezi zosavuta izi m'moyo wanu.
Ukhondo wa munthu
- Sambani m'manja nthawi zambiri: Sambani m'manja mwanu bwino ndi sopo ndi madzi. Khalani ndi chizolowezi chosamba m'manja nthawi zambiri, monga mukatuluka panja, musanadye, komanso mukatha kugwiritsa ntchito bafa. Gwiritsani ntchito mankhwala oyeretsera m'manja okhala ndi mowa ngati sopo palibe.
- Musagawane ndi ena: Musagawane zinthu monga mbale, makapu, masipuni, matawulo, malezala, ndi maburashi a mano ndi ena.
- Tetezani khungu lanu: Samalani kuti musachite mabala kapena mikwingwirima pakhungu lanu. Ngati mwatero, yeretsani bala nthawi yomweyo ndikupaka mankhwala. Ma tattoo ndi kuboola thupi sikuvomerezeka panthawiyi.
Zachilengedwe ndi chakudya
- Pewani malo odzaza anthu: Pewani anthu omwe ali ndi malungo kapena chimfine. Chepetsani kupita kwanu ku malo odzaza anthu monga mayendedwe apagulu, malo owonetsera mafilimu, ndi masitolo.
- Chitetezo cha Chakudya: Tsukani ndiwo zamasamba ndi zipatso bwino musanadye. Phikani nyama ndi nsomba bwino. Pewani kudya nyama yaiwisi, nsomba, ndi mazira kotheratu.
- Kulima dimba ndi ziweto: Valani magolovesi mukamagwira ntchito m'munda. Pewani kutola zinyalala za ziweto. Ngati kuli koyenera, valani magolovesi ndipo sambani m'manja mwanu bwino mukamaliza.
- Pewani malo okhala ndi madzi: Pewani kusambira m'mitsinje, mitsinje, nyanja, ndi maiwe. Malo amenewa akhoza kukhala ndi majeremusi omwe angayambitse matenda.
Mukatsatira malangizo awa, mutha kuchepetsa kwambiri chiopsezo chanu chotenga matenda. Nthawi zonse tsatirani malangizo a dokotala wanu ndendende.
Uthenga Wopita Nawo Kunyumba
- Leukopenia ndi kuchepa kwa chiwerengero cha maselo oyera m'magazi. Izi zimachepetsa chitetezo cha mthupi, kutanthauza kuti, mphamvu yake yolimbana ndi matenda.
- Iyi si khansa, koma ingayambitsidwe ndi mankhwala a khansa ndi matenda a khansa monga khansa ya m'magazi.
- Leukopenia yokha ilibe zizindikiro zenizeni, koma zizindikiro za matenda monga kutentha thupi pafupipafupi, zilonda pakamwa, ndi chifuwa zimatha kuchitika.
- Ngati muli ndi leukopenia, ndikofunikira kukhala maso kwambiri kuti muwone zizindikiro za matenda ndikuchitapo kanthu kuti mudziteteze ku zizindikirozo.
- Ngati zizindikiro zilizonse za matenda zikuwonekera, musadzipatse mankhwala ndipo pitani kwa dokotala nthawi yomweyo.
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