Kodi nthawi zambiri mumadwala chimfine ndi fuluwenza ? Kapena nthawi zambiri mumadwala zilonda pakamwa ndi pakhosi ? Mwina mukulandira chithandizo cha chemotherapy . Panthawi ngati iyi , ngati dokotala wanu akuyezetsa magazi nati, "Muli ndi maselo oyera ochepa m'magazi," mwina mukudabwa kuti zimenezo zikutanthauza chiyani. Musadandaule. Lero tikulankhula za matenda otchedwa ' Neutropenia ' omwe angakhudze anthu ambiri, koma amatha kulamulidwa ngati amveka bwino.
Mwachidule, kodi Neutropenia ndi chiyani?
Tangoganizani kuti thupi lathu ndi dziko. Tili ndi gulu lankhondo lamphamvu lolimbana ndi adani ( majeremusi , mabakiteriya ) omwe amalowa mdziko muno kuchokera kunja. Asilikali apadera kwambiri m'gululi amatchedwa Neutrophils . Awa ndi mtundu waukulu wa maselo oyera m'magazi mwathu. Kachirombo kakalowa m'thupi mwathu, asilikali a Neutrophil amenewa amapita kumeneko ndikuwononga kachilomboka ndikutiteteza ku matenda .
Kodi mukumvetsa tsopano? Neutropenia ndi kuchepa kwachilendo kwa chiwerengero cha asilikali otchedwa neutrophil m'magazi. Asilikali amenewa akachepa, chitetezo cha mthupi lathu chimafooka. Kenako ngakhale kachilombo kakang'ono kangalowe mosavuta m'thupi ndikuyambitsa matenda. Ma neutrophil amenewa amapangidwa m'mafupa mkati mwa mafupa athu.
Kodi pali mitundu ikuluikulu ya neutropenia?
Inde, neutropenia ingagawidwe m'mitundu ikuluikulu ingapo kutengera momwe imachitikira. Zina zimachira pakapita nthawi yochepa (yoopsa), pomwe zina zimakhala nthawi yayitali (yosatha).
| Mtundu wa neutropenia | Kufotokozera kosavuta |
|---|---|
| Matenda a Neutropenia Obadwa Nawo | Vutoli ndi lobadwa nalo. Limapezeka kwambiri mwa makanda ndi ana aang'ono. Limayamba chifukwa cha vuto la kupanga ma neutrophils m'mafupa. |
| Neutropenia ya Idiopathic | Idiopathic imatanthauza kuti “palibe chifukwa chomwe chingapezeke.” Mtundu uwu ungakhudze ana ndi akuluakulu. |
| Kuchuluka kwa Neutropenia ya Cyclic | Mtundu uwu ndi wapadera kwambiri. Nthawi zambiri umapezeka kamodzi pa milungu itatu iliyonse ndipo umatenga masiku atatu kapena asanu ndi limodzi. Umapezeka mu nthawi yomwe kuchuluka kwa ma neutrophil kumatsika kenako n’kubwerera mwakale. |
| Matenda a Autoimmune Neutropenia | Chimene chikuchitika apa n’chakuti chitetezo chathu, maselo athu a Neutrophil, akuwonongedwa. Zili ngati gulu lathu lankhondo likuukira asilikali athu. Izi zimachitika kawirikawiri pakati pa ana aang'ono. |
| Kutupa kwa Neutropenia kwa Febrile | Uwu ndi matenda oopsa kwambiri omwe angachitike kwa anthu omwe akulandira chithandizo cha mankhwala a khansa. Malungo okhala ndi neutrophil yochepa akhoza kukhala chizindikiro cha matenda oopsa. Izi zimaonedwa ngati zadzidzidzi zachipatala. |
Kodi mumadziwa bwanji ngati muli ndi neutropenia? Kodi zizindikiro zake ndi ziti?
Matenda a neutropenia nthawi zambiri samakhala ndi zizindikiro. Anthu ena amadziwa zimenezi pokhapokha akayezetsa magazi pazifukwa zina. Komabe, zizindikiro za matenda omwe amayamba chifukwa cha kuchepa kwa ma neutrophils m'magazi zimatha kuchitika.
Chofunika kwambiri n’chakuti munthu amene ali ndi neutropenia akhale ndi malungo. Malungo nthawi zonse ndi chizindikiro chomwe chiyenera kuonedwa mozama, chifukwa chingatanthauze kuti matenda oopsa akufalikira m’thupi.
Zizindikiro zina zomwe zingayambitsidwe ndi matenda ndi izi:
- Kupweteka pakhosi pafupipafupi
- Zilonda mkamwa kapena pakamwa
- Ma lymph nodes otupa
- Kupsa mtima pokodza komanso kufunikira kukodza pafupipafupi
- Kutsegula m'mimba
- Matumbo
- Kuchedwa kuchira kwa mabala
- Kumva kutopa kwambiri kuposa masiku onse (Kutopa)
N’chifukwa chiyani Neutropenia imeneyi imachitika? Kodi zimayambitsa chiyani?
Matenda a neutropenia amatha kukhala ndi zifukwa zingapo. Zifukwa zazikulu zitha kugawidwa m'magulu awiri: kuchepa kwa kupanga ma neutrophils ndi mafupa, kapena kuwonongeka mwachangu kwa ma neutrophils omwe amapangidwa.
- Zifukwa zomwe zimapangitsa kuti kupanga ma neutrophil kuchepe:
- Chithandizo cha khansa: Chemotherapy ndi radiation ndiye zifukwa zazikulu.
- Khansa zomwe zimakhudza mafupa, monga khansa ya m'magazi .
- Mavuto a m'mafupa obadwa nawo.
- Matenda ena a mavairasi.
- Zifukwa za kuwonongeka kwa neutrophils:
- Matenda a autoimmune: Mwachitsanzo, matenda monga Lupus ndi Rheumatoid arthritis.
- Matenda ena: Matenda a dengue, chifuwa chachikulu, HIV, ndi mavairasi monga Hepatitis.
- Mitundu ina ya mankhwala:
- Kuchuluka kwa magazi m'thupi kungayambitsidwenso ndi maantibayotiki ena, mankhwala a mtima, mankhwala a khunyu, ndi mankhwala ena amisala. Ngati mukukayikira kuti mankhwala omwe mukumwa ndi omwe akuyambitsa vutoli, musasiye kumwa popanda kufunsa dokotala wanu kaye.
Kodi vutoli limapezedwa bwanji ndi kuchiritsidwa?
Kuyesa kwakukulu kozindikira neutropenia ndi kuyesa kosavuta kwa magazi kotchedwa Complete Blood Count (CBC with differential) . Izi zimatha kuyeza molondola chiwerengero cha ma neutrophils. Ngati chifukwa chake sichikudziwika bwino, dokotala wanu angakulangizeninso kuti mupange biopsy ya mafupa .
Njira zochiritsira zimadalira kuopsa kwa vuto la neutropenia ndi chifukwa chake.
- Mankhwala opha tizilombo: Ngati pali malungo kapena matenda, maantibayotiki amayamba nthawi yomweyo.
- Jakisoni wa Granulocyte Colony-Stimulating Factor (G-CSF): Izi zimathandizira mafuta a m'mafupa ndikuthandizira kupanga maselo oyera ambiri amagazi. Uwu ndi mankhwala opulumutsa moyo, makamaka a neutropenia yomwe imayambitsidwa ndi chemotherapy.
- Kusintha mankhwala: Ngati vutoli layamba chifukwa cha mankhwala, dokotala angasinthe mankhwalawo.
- Corticosteroids: Mankhwala amtundu uwu amagwiritsidwa ntchito pa matenda a autoimmune.
- Kusamutsa maselo oyambira: Mankhwalawa angagwiritsidwe ntchito pamavuto akuluakulu a m'mafupa.
Kodi tiyenera kuchita chiyani kuti tidziteteze ku matenda?
Chofunika kwambiri kwa munthu amene ali ndi neutropenia ndi kudziteteza ku matenda. Ndikofunikira kwambiri kutsatira njira zosavuta izi.
- Ukhondo: Sambani m'manja mwanu bwino ndi sopo ndi madzi nthawi zonse. Samalani mano anu ndi thanzi la pakamwa panu.
- Pewani anthu odwala: Pewani kukhudzana ndi anthu omwe ali ndi malungo kapena chimfine. Chepetsani kupita kumalo odzaza anthu.
- Chitetezo cha chakudya: Idyani zakudya zophikidwa bwino zokha. Tsukani ndi kuyeretsa bwino ndiwo zamasamba ndi zipatso zosaphika. Pewani mkaka wosaphikidwa ndi nyama, nsomba, ndi mazira osaphika.
- Kuvulala pakhungu: Tsukani bwino mabala ang'onoang'ono kapena mikwingwirima ndipo pakani pulasitala. Musayende panja opanda nsapato.
- Zinthu zanu: Musagawane zinthu monga malezala, maburashi a mano, ndi matawulo ndi ena.
- Madzi: Pewani kusambira m'madziwe, mitsinje, ndi m'mabafa otentha.
Uthenga Wopita Nawo Kunyumba
- Neutropenia ndi matenda omwe amachepetsa mphamvu ya thupi lanu yolimbana ndi matenda, koma amatha kuchiritsidwa.
- Ngati muli ndi neutropenia, kutentha thupi ndi chizindikiro choopsa kwambiri. Ngati mukuyamba kutentha thupi, dziwitsani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi.
- Tsatirani malangizo a dokotala wanu ndi chithandizo chanu molondola. Imwani mankhwala anu pa nthawi yake.
- Chofunika kwambiri ndi kudziteteza ku matenda. Nthawi zonse samalirani ukhondo.
- Musadandaule za thanzi lanu. Ndi chidziwitso choyenera komanso upangiri wachipatala, mutha kukhala ndi thanzi labwino.
neutropenia, maselo oyera a m'magazi, ma neutrophils, maselo oyera otsika a m'magazi, matenda, khansa, chemotherapy, Sri Lanka, Sinhala, chitetezo chamthupi, mafuta am'mafupa
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