Kodi mukupanga maselo ambiri a magazi m'thupi lanu? Tiyeni tiphunzire za Myeloproliferative Neoplasms (MPN) izi!

Kodi munayamba mwadzifunsapo kuti chingachitike n’chiyani ngati mafupa anu atapanga maselo ambiri a magazi m’thupi lanu? Umu ndi momwe ma myeloproliferative neoplasms, kapena MPN mwachidule, alili. Iyi ndi khansa ya m’magazi yosowa, koma yoopsa yomwe ingathe kupha ngati sichitha kuchiritsidwa bwino. Tiyeni tikambirane za iyo m’njira yosavuta yomwe mungamvetse.

Kodi myeloproliferative neoplasm (MPN) iyi ndi chiyani?

Mwachidule, ma myeloproliferative neoplasms (MPNs) ndi matenda omwe mafupa anu (minofu yofewa yomwe imapezeka mkati mwa mafupa anu) imapanga maselo ofiira ambiri , maselo oyera amagazi, kapena ma platelet (maselo omwe amathandiza magazi anu kuundana). Taganizirani ngati fakitale yopanga zinthu zambiri. Izi zimachitika pamene china chake chalakwika popanga maselo amagazi.

Matenda a MPN amenewa nthawi zambiri amakula pang'onopang'ono . Choncho anthu ena sangakhale ndi zizindikiro kwa zaka zambiri. Ndicho chifukwa chake amatchedwanso kuti "chronic" kapena kuti myeloproliferative neoplasms ya nthawi yayitali. Komabe, nthawi zina, matenda a MPN amenewa amatha kukhala oopsa kwambiri.

Koma musadandaule, pali mankhwala abwino oletsa zizindikiro za matendawa ndikuletsa kuti zisakule kwambiri.

Kodi pali mitundu iti ya MPN?

Pali mitundu ingapo ya MPN. Mtundu uliwonse umakhudza mtundu wa maselo amagazi omwe mafupa anu amapanga mopitirira muyeso. Nthawi zina maselo ofiira okha ndi omwe angapangidwe, pomwe nthawi zina maselo oyera amagazi kapena ma platelet okha ndi omwe angapangidwe. Mu mitundu ina ya MPN, kuphatikiza kwa mitundu iyi ya maselo kumatha kupangidwa mopitirira muyeso. Chifukwa china ndichakuti maselo ochulukirapowa amatha kuchita mosiyana ndi maselo athanzi amagazi.

Ndani amene akukhudzidwa kwambiri ndi vutoli?

Zinthu ziwiri zazikulu zomwe zimakhudza kupezeka kwa MPN ndi zaka zanu komanso jenda lanu.

• Zaka: Ngakhale kuti MPN imatha kuchitika mwa anthu azaka zonse, imapezeka kwambiri mwa anthu azaka 50, 60, kapena kuposerapo .
• Jenda: Mwachitsanzo, polycythemia vera, mtundu wa MPN, imapezeka kwambiri mwa amuna. Essential thrombocythemia imapezeka kwambiri mwa akazi. Mitundu ina ya MPN ingakhudze amuna ndi akazi mofanana.

Kodi MPN imakhudza bwanji thupi lanu?

Matenda okhudzana ndi magazi amenewa amapezeka pamene mafupa anu apanga mtundu winawake wa maselo a magazi kuposa momwe thupi lanu limafunira. Chifukwa chake, momwe izi zimakhudzira thupi lanu zimatengera mtundu wa maselo amagazi omwe akupangidwa mopitirira muyeso . Mwachitsanzo, mtundu wina wa MPN ukhoza kuwonjezera chiopsezo chanu chokhala ndi matenda a mtima kapena sitiroko. Mtundu wina ungayambitse kuchepa kwa magazi m'thupi.

Kuti mumvetse bwino matenda osowa awa, ndikofunikira kumvetsetsa pang'ono momwe mafupa anu ndi maselo amagazi anu amapangidwira. Maselo athu onse amagazi amayamba ngati maselo oyambira m'mafupa anu. Mafupa awa ndi minofu yofewa, yonga siponji mkati mwa mafupa anu. Maselo oyambira omwe amatuluka kuchokera pamenepo amatha kukhala maselo oyambira a myeloid kapena maselo oyambira a lymphoid.

• Maselo oyambira a lymphoid ndi mitundu ya maselo oyera amagazi omwe amalimbana ndi matenda.
• Maselo oyambira a myeloid amatha kuyambitsa maselo ofiira a magazi (omwe amanyamula mpweya m'thupi lonse), mitundu ina ya maselo oyera a magazi, ndi ma platelet (omwe amathandiza kuletsa kutuluka kwa magazi akachitika).

Monga maselo ena onse, maselo oyambira awa amagwira ntchito motsatira malangizo omwe amaperekedwa ndi majini. Nthawi zambiri, maselo oyambira awa amagawikana ndikuchulukana momwe amafunikira mu fupa lanu kuti apange maselo atsopano. Komabe, ngati pali kusintha kwa majini awa, ndiko kuti, ngati majini asintha, majini amenewo amatumiza malangizo olakwika ku maselo oyambira kuti apitirize kugawikana ndikuchulukana. Pamapeto pake, maselo ochulukirapo amagazi awa amasonkhana mu fupa kapena m'mitsempha yamagazi, zomwe zimalepheretsa kuyenda kwa magazi. Pamene kuyenda kwa magazi kumeneku kwatsekedwa, mavuto akulu azaumoyo amatha kuchitika.

Kodi mitundu yodziwika bwino ya MPN ndi iti?

Pali mitundu itatu yodziwika bwino ya MPN: polycythemia vera, essential thrombocythemia, ndi primary myelofibrosis.

Polycythemia Vera

Mtundu wa MPN wofala kwambiri ndi uwu. Umachitika pamene mafupa anu amapanga maselo ofiira ambiri . Izi zimapangitsa kuti magazi anu azikhuthala komanso azichepa. Anthu omwe ali ndi polycythemia vera ali pachiwopsezo chachikulu cha magazi kuundana. Kuundana kumeneku kungayambitse matenda a mtima ndi sitiroko. Nthawi zambiri, vutoli limatha kukhala khansa yayikulu yamagazi yotchedwa acute leukemia.

Myelofibrosis

Uwu umaonedwa kuti ndi mtundu woopsa kwambiri wa MPN . Mu myelofibrosis, mafupa anu amapanga maselo oyambira osazolowereka. Maselo amenewa amatupa ndikupanga minofu ya zipsera mkati mwa mafupa. Pakapita nthawi, mafupa amadzaza ndi minofu ya zipsera iyi. Mafuta a mafupa sangathenso kupanga maselo ofiira okwanira kuti anyamule mpweya m'thupi lonse. Izi zingayambitse kuchepa kwa magazi m'thupi. Mulinso ndi ma platelet ochepa. Anthu ena omwe ali ndi myelofibrosis amathanso kukhala ndi myeloid leukemia (AML) yovuta kwambiri.

Kutupa Kwambiri kwa Thrombocythemia

Essential thrombocythemia ndi vuto lomwe mafuta anu am'mafupa amapanga ma platelet ambiri.Kupanga. Kawirikawiri, pamene mtsempha wamagazi waphulika, ma platelet amasonkhana pamodzi kuti apange magazi kuundana ndikuletsa kutuluka kwa magazi. Koma pankhaniyi, ma platelet amapangidwa mu fupa popanda chifukwa. Ma platelet owonjezerawa amatha kuyambitsa magazi kuundana ndikuwonjezera chiopsezo cha matenda amtima ndi sitiroko. Monga ma MPN ena, zizindikiro zimakula pang'onopang'ono. Anthu ambiri amapezeka ndi vutoli pamene mayeso a magazi akuwonetsa kuchuluka kwa ma platelet m'magazi. Mwa anthu ena, vutoli limatha kupita ku leukemia.

Kodi pali mitundu ina ya MPN?

Inde, pali mitundu ina yambiri ya MPN. Ina mwa iyo ndi:

• Matenda a eosinophilic leukemia (CEL): Imeneyi ndi matenda omwe amachititsa kuti maselo oyera a m'magazi otchedwa eosinophil achuluke kwambiri. Nthawi zambiri amakula mu ndulu. Nthawi zambiri, amatha kufalikira kukhala acute myeloid leukemia (AML). Izi zimatchedwanso hypereosinophilic syndrome.
• Matenda a myelogenous leukemia (CML): Uwu ndi mtundu wa maselo oyera a m'magazi otchedwa granulocytes omwe amachulukana kwambiri. Maselo amenewa amasonkhana ndipo zimapangitsa kuti mafuta a m'mafupa azilephera kupanga maselo ena ofunikira a m'magazi.
• Matenda a khansa ya m'magazi otchedwa Chronic neutrophilic leukemia (CNL): Mu izi, mtundu wa maselo oyera a m'magazi otchedwa neutrophils amapangidwa mopitirira muyeso.
• Myeloproliferative neoplasm, yosagawidwa m'magulu (MPN-U): Uwu ndi mtundu wa MPN womwe sungagwirizane ndi magulu ena aliwonse. Ungayambitse kuchuluka kwa maselo osiyanasiyana amagazi, monga maselo oyera amagazi, maselo ofiira amagazi, kapena ma platelet.

Kodi zizindikiro za MPN ndi ziti?

Poyamba, simungaone zizindikiro zilizonse . Pamene vutoli likupitirira, mungazindikire zizindikiro za ndulu yotupa (splenomegaly). nduluyo ili kumanzere kwanu pansi pa nthiti zanu. Ikhoza kumveka yodzaza, yolimba, komanso yosasangalatsa. Ngakhale kutupa kumeneku kwa nduluyo kuli kofala pamitundu yambiri ya MPN, sikufala kwambiri mu essential thrombocythemia.

Zizindikiro zina zimasiyana malinga ndi mtundu wa MPN .

Matenda a khansa ya m'magazi yotchedwa eosinophilic leukemia (CEL)

• Chizindikiro chofala kwambiri ndi ziphuphu pakhungu .
• Mungamve kutopa komanso kutentha thupi.
• Zizindikiro zina zimadalira ziwalo za thupi lanu zomwe zakhudzidwa ndi kuchuluka kwa eosinophil m'magazi anu.

Matenda a myelogenous leukemia (CML) ndi matenda a chronic neutrophilic leukemia (CNL)

• Kupweteka kwa mafupa
• Thukuta la usiku
• Malungo ndi kutopa
• Kutupa mosavuta
• Kutaya chilakolako cha chakudya ndi kuchepetsa thupi

Kuchuluka kwa magazi m'thupi (essential thrombocythemia)

• Kutupa mosavuta
• Kutuluka magazi m'mphuno, mkamwa, kapena m'kamwa popanda chifukwa
• Kutuluka magazi m'mimba kapena m'matumbo
• Magazi mu mkodzo

Polycythemia vera

• Mutu
• Chizungulire
• Kutopa
• Kuona zinthu molakwika kapena kuona zinthu ziwiri

Myelofibrosis yoyamba

• Zizindikiro za kuchepa kwa magazi m'thupi (kutopa, kufooka, kupuma movutikira) zingawonekere.
• Zina mwazinthu:
• Khungu lotumbululuka
• Thukuta la usiku
• Malungo
• Khungu loyabwa
• Kudya mopitirira muyeso kapena kumva kukhuta msanga mutadya (kukhuta msanga)
• Kuchepetsa thupi
• Kupweteka kwa mafupa

Kodi chimayambitsa MPN ndi chiyani?

Matenda onse a MPN ndi matenda obadwa nawo a majini . Izi zikutanthauza kuti sachokera kwa makolo anu. Amachitika pamene kusintha kwa majini kapena kusintha kumachitika m'majini omwe amalamulira kukula kwa maselo, zomwe zimapangitsa kuti maselo a magazi akule molakwika.

Ofufuza zamankhwala apeza zotsatirazi zokhudza kusintha kwa majini komwe kumayambitsa MPN:

• Kusintha kwa Janus kinase (JAK): Matenda monga polycythemia vera, primary myelofibrosis, ndi essential thrombocythemia nthawi zambiri amayamba chifukwa cha kusintha kwa majini otchedwa Janus kinase 2 (JAK2) . Kusintha kumeneku kungayambitse maselo kugawikana mosalamulirika.
• Kusintha kwa majini a MPL kapena jini ya CALR: Anthu omwe ali ndi vuto la thrombocythemia ndi myelofibrosis yoyambirira nthawi zambiri amakhala ndi kusintha kwa majini awo a MPL kapena jini ya CALR.
• Zolakwika za chromosome: Anthu omwe ali ndi chronic myelogenous leukemia (CML) ali ndi cholakwika china chake mu ma chromosome awo (kapangidwe kake ka majini). Mu CML, chidutswa cha chromosome imodzi chimasinthana ndi chromosome ina, ndikupanga "Philadelphia chromosome."

Ngakhale kuti zomwe zapezekazi sizikufotokoza bwino chomwe chimayambitsa kusintha kwa majini, zimathandiza madokotala kuzindikira matenda ndikupanga njira zochizira matenda zomwe zimayang'ana kusintha kwa majini kumeneku.

Kodi ndi zinthu ziti zomwe zimayambitsa MPN?

Mbiri ya banja la matendawa (ngakhale kuti ndi matenda omwe amatengedwa ndi makolo, mabanja ena angasonyeze kuti ali ndi vuto), zaka, komanso jenda zingawonjezere chiopsezo chotenga MPN.

Ofufuza apezanso kulumikizana pakati pa MPN ndi kukhudzana ndi poizoni ndi ma radiation ena . Kafukufuku wina akuwonetsa kuti anthu omwe ali ndi ma radiation ambiri ndi ma poizoni ena, monga benzene, ali pachiwopsezo chachikulu chotenga ma MPN, monga polycythemia vera, primary myelofibrosis, ndi chronic myelogenous leukemia.

Kodi MPN imapezedwa bwanji?

Dokotala wanu adzakufunsani za zizindikiro zanu ndi mbiri yanu ya thanzi. Kenako, adzakuyesani thupi kuti aone ngati muli ndi zizindikiro za MPN. Adzayesa magazi anu ndi mafuta a m'mafupa kuti adziwe ngati muli ndi matendawa.

• Kuchuluka kwa magazi (CBC):Izi zimayesa kuchuluka kwa maselo onse a m'magazi mwanu. Mu essential thrombocythemia, kuchuluka kwa ma platelet kumayesedwa. Mu polycythemia vera, hemoglobin (puloteni yomwe imapezeka m'maselo ofiira a m'magazi), komanso kuchuluka kwa maselo oyera a m'magazi ndi ma platelet, amayesedwa.
• Kuyeza magazi m'magazi (PBS): Kuyeza kumeneku kungayang'ane mawonekedwe osazolowereka m'maselo a magazi, zomwe zingapereke zizindikiro zokhudza matenda.
• Mayeso a magazi: Izi zimatha kuyeza kuchuluka kwa mankhwala osiyanasiyana (monga mapuloteni, ma enzyme, ndi shuga) m'magazi mwanu. Manambalawa angapereke chidziwitso cha momwe ziwalo zanu zikugwirira ntchito, zomwe zingayambitse kukayikira kwa MPN.
• Kufufuza za mafupa: Dokotala wanu angachite kafukufuku wa mafupa kapena kafukufuku wa mafupa. Izi zimaphatikizapo kutenga chitsanzo cha mafupa anu ndikuwunika maselo a magazi. Akatswiri azachipatala amafufuza maselo a magazi ndi minofu pansi pa maikulosikopu kuti aone kusiyana pakati pa maselo abwinobwino ndi osazolowereka. Adzafufuzanso maselo oyamba osazolowereka. Adzafufuzanso kusintha kwa ma chromosome ndi zolakwika zina za majini zomwe zingasonyeze mtundu wa MPN.
• Kuyeza majini: Madokotala amatha kuwunika maselo anu a m'magazi kuti awone ngati pali kusintha kulikonse m'majini komwe kumakhudza kupanga maselo a m'magazi.

Kodi MPN ingachiritsidwe kwathunthu? Kodi mankhwala ake ndi otani?

Chithandizo chokhacho chomwe chikupezeka pakali pano cha matenda amenewa ndi kuikidwa kwa maselo oyambira a allogeneic . Tsoka ilo, anthu ambiri sangathe kuikidwa maselo oyambira chifukwa ndi njira yovuta komanso yotopetsa.

Dokotala wanu adzakupatsani mankhwala ochizira matenda anu, kuchepetsa kuchuluka kwa maselo m'magazi mwanu, kuchepetsa zizindikiro, komanso kupewa mavuto. Mankhwala ena amathanso kupangitsa kuti matendawa achepe. Mankhwala a MPN amasiyana malinga ndi mtundu wake:

• Matenda a khansa ya m'magazi otchedwa eosinophilic leukemia (CEL): Dokotala wanu angagwiritse ntchito mankhwala a chemotherapy, corticosteroids, kapena immunotherapy kuti achepetse kuchuluka kwa eosinophils m'magazi anu.
• Matenda a myelogenous leukemia (CML): Chithandizo chomwe chimagwiritsidwa ntchito kwambiri ndi chithandizo cholunjika, chomwe chimaletsa maselo kuti asachuluke mosalamulirika. Mankhwala ena ndi monga chemotherapy, immunotherapy, radiation therapy, ndi transplantation ya maselo oyambira.
• Matenda a khansa ya m'magazi otchedwa Chronic neutrophilic leukemia (CNL): Chithandizo chingaphatikizepo mankhwala a chemotherapy, immunotherapy, ndi kusintha maselo oyambira.
• Kuchuluka kwa magazi m'magazi:Ngati mulibe zizindikiro, dokotala wanu angasankhe kuyang'anira bwino vuto lanu m'malo mokupatsani chithandizo. Ngati muli ndi zizindikiro, mungafunike kumwa mankhwala omwe amaletsa maselo kuti asachuluke kwambiri. Mungafunikenso kumwa mankhwala kuti muchepetse chiopsezo cha magazi kuundana kapena kuti mulepheretse mafuta m'mafupa anu kupanga ma platelet ambiri.
• Polycythemia vera: Phlebotomy ndiyo njira yodziwika kwambiri yothandizira polycythemia vera. Mu njira iyi, dokotala wanu nthawi zonse amachotsa magazi pang'ono (monga kuikidwa magazi) kuti achepetse kuchuluka kwa magazi anu ndikuchotsa maselo ofiira ochulukirapo. Ngati muli ndi zizindikiro, mungapatsidwe chithandizo cholunjika kuti mulepheretse maselowo kuchulukana mosalamulirika. Mungapatsidwenso mankhwala omwe amachepetsa chiopsezo cha magazi kuundana (monga aspirin) kapena mankhwala omwe amachepetsa kuchuluka kwa maselo ofiira amagazi.
• Myelofibrosis yoyamba: Ngati mulibe zizindikiro, dokotala wanu angasankhe kuyang'anira matenda anu mosamala. Pali njira zosiyanasiyana kapena mankhwala omwe angagwiritsidwe ntchito pochiza kuchepa kwa magazi m'thupi. Mwachitsanzo, ngati mafuta anu a m'mafupa sakupanga maselo ofiira okwanira a magazi, mungafunike kuikidwa magazi. Mungafunikenso kumwa mankhwala omwe amalimbikitsa mafuta a m'mafupa kuti apange maselo ambiri a magazi. Mankhwala ena akuphatikizapo chithandizo cholunjika, chemotherapy, immunotherapy, radiation therapy, ndi transplantation ya maselo oyambira.

Kodi munthu amene ali ndi MPN angakhale ndi moyo kwa nthawi yayitali bwanji?

Izi zimasiyana kwambiri kuchokera kwa munthu ndi munthu . Zinthu zambiri zimakhudza izi, kuphatikizapo mtundu wa MPN, momwe matendawa amapezekera msanga, komanso momwe mumayankhira bwino chithandizo. Ndi kuyang'aniridwa bwino ndi chithandizo, anthu ambiri amakhala ndi moyo kwa zaka zambiri . Palibe chitsimikizo chimodzi kapena zotsatira zomwe zimayembekezeredwa za matendawa. Kawirikawiri, anthu ambiri omwe amapezeka ndi MPN amakhalabe ndi moyo patatha zaka zisanu.

Chiwerengero cha kupulumuka kwa mitundu ina ya MPN ndi motere:

• Matenda a myelogenous leukemia (CML): Kuchuluka kwa kupulumuka komwe kumagwirizanitsidwa ndi CML kwawonjezeka kwambiri chifukwa cha kupambana kwa njira zatsopano zochiritsira. Kuchuluka kwa kupulumuka kwa zaka zisanu kwa CML ndi 90%.
• Matenda a leukemia osachiritsika (CNL) ndi polycythemia vera: Ndi chisamaliro chabwino, anthu ambiri amakhala ndi moyo pafupifupi zaka 20 kuchokera pamene adapezeka ndi matendawa.
• Essential thrombocythemia: Anthu ambiri amakhala ndi moyo zaka zambiri akamamwa mankhwala omwe amaletsa mavuto omwe angawononge moyo monga magazi kuundana.
• Myelofibrosis yoyamba: Anthu ambiri omwe ali ndi myelofibrosis yoyamba amakhala ndi moyo zaka zisanu mpaka khumi atapezeka ndi matendawa.

Ngati muli ndi vutoli, funsani dokotala wanu za matenda anu. Iwo ndi omwe amadziwa zinthu zonse zomwe zimakhudza matenda anu. Ndipo chofunika kwambiri, amadziwa inuyo, zaka zanu, komanso thanzi lanu lonse, komanso zinthu zomwe zimakhudza matenda anu.

Kodi matenda amenewa ndi oopsa?

Izi si matenda oopsa okha , koma mitundu ina ya MPN ingayambitse mavuto oopsa monga matenda a mtima ndi sitiroko.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

MPN ndi matenda ovuta. Pali njira zambiri zochiritsira, ndipo nthawi zina zotsatirapo zake. Komanso, pali mavuto ambiri omwe angachitike kutengera matenda anu. Ndikofunikira kudziwa zizindikiro zomwe muyenera kudziwa. Lankhulani ndi dokotala wanu kuti mumvetse matenda anu ndikupanga zisankho zokhudzana ndi chithandizo.

Mafunso ena omwe mungafunse:

• Kodi cholinga cha chithandizo ndi chiyani (kuchepetsa matendawa, kuchepetsa zizindikiro, kupewa mavuto, ndi zina zotero)?
• Kodi njira zanga zochiritsira ndi ziti?
• Kodi zotsatirapo zake zingakhale zotani chifukwa cha chithandizo?
• Kodi ndiyenera kulandira chithandizo cha matenda anga kwa nthawi yayitali bwanji?
• Kodi ndiyenera kuyesedwa kangati (kujambula zithunzi kapena magazi) kuti ndione momwe ndikumvera?
• Ndi zizindikiro ziti zomwe zingandithandize kudziwa ngati vuto langa likukulirakulira kapena likuipiraipira?
• Kodi zizindikiro zomwe zimandichenjeza za vuto ndi ziti?
• Ndi mavuto ati omwe amafunika chithandizo chadzidzidzi?
• Kodi ndi chiyembekezo chotani chomwe chikuyembekezeka cha matenda anga?
• Kodi ndi kusintha kotani kwa moyo komwe mumalimbikitsa kuti ndisamalire vuto langa komanso zotsatirapo zake za chithandizo?

Kodi ndimadzisamalira bwanji? (Zinthu zina zofunika kwa inu)

Kukhala ndi MPN nthawi zina kungakhale kosokoneza pang'ono. Mwina mukuchita bwino ndipo simukumva vuto lililonse, koma mungadabwe ngati pali chilichonse chomwe ndingachite kuti ndipewe zizindikiro. Ngati mukulandira chithandizo, mungafunike thandizo pothana ndi zotsatirapo za chithandizo ndi zizindikiro zake. Komabe, muyenera kukhala ndi matendawa kwa zaka zambiri zikubwerazi. Nazi malingaliro ena omwe angakuthandizeni:

• Mvetsetsani thanzi lanu: Zizindikiro zambiri za MPN zimafanana ndi za matenda ena osaopsa kwambiri. Zizindikiro zina zimathanso kukhala zizindikiro za mavuto aakulu azachipatala. Zingakhale zovuta kudziwa kusiyana kwake, ndipo mungamve ngati mukusowa zizindikiro zofunika. Funsani dokotala wanu kuti akufotokozereni momwe vutoli lingakhudzireni. Kudziwa zomwe mungayembekezere kungakuthandizeni kukhala ndi chidaliro chowonjezereka pa vuto lanu.
• Sinthani kupsinjika kwanu: Kukhala ndi matenda a nthawi yayitali kungakhale kovuta. Ngati mukuda nkhawa ndi matenda anu, lankhulani ndi dokotala wanu za vutoli. Angakuuzeni zomwe angachite kuti akuthandizeni panopa komanso zomwe angachite kuti akuthandizeni mtsogolo.
• Idyani zakudya zopatsa thanzi:Kudya bwino kungakuthandizeni kuthana ndi vuto lanu. Lankhulani ndi katswiri wa zakudya ngati mukufuna thandizo kuti mukhale ndi zizolowezi zabwino zodyera.
• Chitani masewera olimbitsa thupi: Kuchita masewera olimbitsa thupi ndi njira yabwino yochepetsera nkhawa.
• Pezani chithandizo: MPN ndi matenda osowa kwambiri. Magulu othandizira akhoza kukhala njira yabwino yolumikizirana ndikuyankhula ndi anthu omwe akudziwa zomwe mukukumana nazo.

Kumbukirani, ngakhale mutakhala ndi vuto ngati ili, mutha kukhala ndi moyo wabwino mwa kukhala odziwa bwino komanso kutsatira malangizo a dokotala.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi MPN koma mulibe zizindikiro, kapena mukuona kusintha kwa thupi lanu komwe kumasonyeza zizindikiro, pitani kwa dokotala nthawi yomweyo.

MPN kwenikweni ndi chinsinsi. Ofufuza akudziwa kuti MPN imagwirizana ndi kukula kosazolowereka kwa maselo a m'magazi. Amadziwanso kuti ndi matenda a majini, koma chomwe chimayambitsa kusintha kwa majini komwe kumayambitsa MPN sichikudziwikabe . Chifukwa awa ndi matenda osowa, anthu ambiri sadziwa momwe zimakhalira kukhala ndi MPN. Koma madokotala ndi ofufuza akuphunzira zambiri za MPN, makamaka za njira zothandiza kwambiri zothanirana ndi zizindikiro ndikuchepetsa chiopsezo cha zovuta zazikulu zachipatala. Chifukwa chake, musataye mtima .

` Myeloproliferative neoplasm, MPN, khansa ya m'magazi, mafuta am'mafupa, maselo ofiira amagazi, maselo oyera amagazi, ma platelet, zizindikiro, chithandizo