Tonsefe tikudziwa kuti magazi m'thupi lathu sali ngati madzi, koma ndi madzi okhala ndi kukhuthala kwina. Koma taganizirani, chimachitika ndi chiyani ngati magazi awa atakhala okhuthala kwambiri kuposa masiku onse, ngati matope okhuthala? Zimakhala zovuta kuti magazi okhuthalawa ayende m'mitsempha yamagazi yabwino m'thupi lathu lonse. Zili ngati matope okhuthala omwe amamatira mkati mwa chitoliro. Mwanjira imeneyi, magazi amakhuthala ngati mkaka wa kokonati, ndipo kuyenda kwa magazi m'thupi kumachepa, zomwe timatcha Hyperviscosity Syndrome mu zamankhwala. Ichi si chinthu chaching'ono chabe, koma nthawi zina chimakhala vuto loopsa kwambiri, lomwe lingayambitse imfa. Tiyeni tikambirane za izi mosavuta, mwanjira yomwe mungamvetse.
N’chifukwa chiyani magazi mwadzidzidzi akukhala okhuthala chonchi?
Choyamba chomwe muyenera kumvetsetsa ndichakuti Hyperviscosity Syndrome si matenda okha. Ndi chizindikiro cha vuto lina loyambitsa. Monga momwe chifuwa chimasonyezera chimfine kapena chibayo. Kukhuthala kwa magazi kumachitika makamaka chifukwa cha kuchuluka kwa maselo kapena mapuloteni m'magazi.
Mwachidule, ngati chiwerengero cha maselo ofiira a magazi, maselo oyera a magazi, ma platelet, kapena mapuloteni a m'magazi chikuwonjezeka modabwitsa, magazi amakhuthala.
Gome ili m'munsimu likuwonetsa zina mwa matenda akuluakulu omwe angayambitse vutoli.
| Zinthu zomwe zingayambitse magazi kuundana | Kufotokozera kosavuta |
|---|---|
| Macroglobulinemia ya Waldenström (WB) | Ichi ndiye chifukwa chofala kwambiri cha hyperviscosity. Ichi ndi mtundu wa khansa ya m'magazi yomwe imapezeka m'mafupa ndi m'maselo a lymphatic. Imayamba chifukwa cha kuchuluka kwa mapuloteni osazolowereka, zomwe zimapangitsa kuti magazi azikhuthala. |
| Myeloma yambiri | Uwu ndi mtundu wa khansa womwe umakhudza maselo a m'magazi. Mapuloteni osazolowereka omwe amapangidwa ndi maselo a khansa amachititsa kuti magazi azikhuthala. |
| Polycythemia Rubra Vera | Imeneyi ndi matenda a m'mafupa. Pa vutoli, maselo ofiira a magazi amapangidwa mosasamala. Pamene chiwerengero cha maselo ofiira a magazi chikuwonjezeka, kukhuthala kwa magazi kumawonjezekanso kwambiri. |
| Khansa ya m'magazi | Mu khansa ya m'magazi, khansa ya m'magazi, pamakhala kuchuluka kwa maselo oyera amagazi. Maselo amenewa akhoza kukhala ndi mawonekedwe osazolowereka. Izi zingayambitse mitsempha yamagazi kutsekeka ndipo magazi amakhuthala. |
| Matenda olumikizana ndi minofu | Kuundana kwa magazi nthawi zina kumachitika m'matenda monga nyamakazi, koma izi zimachitika kawirikawiri. |
| Zina zomwe zimayambitsa matenda osowa | Pakhoza kukhala zifukwa zina zingapo, monga cryoglobulinemia (matenda omwe amayambitsa kutupa kwa mitsempha yamagazi), hypoxia yosatha (kusowa kwa mpweya kwanthawi yayitali), ndi mankhwala ena a khansa (retinoic acid therapy). |
Kodi mumamva bwanji magazi anu akakula? Kodi zizindikiro zake ndi ziti?
Taganizirani izi, chiwalo chilichonse m'thupi lathu, kuyambira muubongo mpaka ku nsonga za zala zathu, chimanyamulidwa ndi magazi, kunyamula mpweya ndi zakudya. Choncho magazi akamatsekeka, ziwalozo sizipeza zomwe zimafunikira. Ndicho chifukwa chake zizindikiro zimawonekera. Zizindikirozi zimatha kusiyana pakati pa munthu ndi munthu, ndipo zimathanso kusiyana malinga ndi matenda oyamba omwe adapangitsa kuti magazi achuluke.
Izi ndi zina mwa zizindikiro zomwe zimaonekera kwambiri:
Zizindikiro zomwe zimakhudza ubongo ndi dongosolo lamanjenje
Ubongo ukhoza kukhudzidwa kwambiri ndi kusokonekera kwa magazi.
- Mutu waukulu komanso chizungulire
- Mavuto a masomphenya: kusawona bwino, kuwona kawiri, nthawi zina kutaya masomphenya mwadzidzidzi
- Mavuto a kumva: kuchepa kapena kutayika kwa kumva
- Kugwedezeka
- Kutopa kwambiri ndi kugona tulo (Kutopa)
Zizindikiro zokhudzana ndi kutuluka magazi
Magazi akakula, kayendetsedwe kake ka magazi kamasokonekera, zomwe zingayambitse kutuluka magazi mwadzidzidzi.
- Kutupa kosavuta
- Kutuluka magazi m'mphuno (kutuluka magazi m'mphuno, m'kamwa)
- Kutuluka magazi kwina kosazolowereka (monga magazi mu ndowe)
Zizindikiro zina zazikulu
Izi zikusonyeza kuti ziwalo zazikulu za thupi zikuwonongeka.
- Kuthamanga kwa magazi (BP)
- Kulephera kwa mtima: kupweteka pachifuwa, kupuma movutikira
- Kulephera kwa impso
- Kuundana kwa magazi (Thrombosis)
- Matenda oopsa (Sepsis)
Ngati inu kapena munthu amene mumamudziwa ali ndi chimodzi mwa zizindikiro izi, ndikofunikira kwambiri kupita kwa dokotala nthawi yomweyo.
Kodi tingachiritse bwanji vuto loopsali?
Matenda a Hyperviscosity Syndrome ndi vuto lachipatala chifukwa, ngati silinalandire chithandizo, limatha kupha mpweya m'ziwalo zofunika monga ubongo, mtima, ndi impso, zomwe zimapangitsa kuti ziwalo zofunika kwambiri monga ubongo, mtima, ndi impso zisapeze mpweya, zomwe zimapangitsa kuti ziwonongeke kapena kulephera kugwira ntchito. Chifukwa chake, chithandizo chachangu n'chofunikira.
Ndondomeko ya chithandizo nthawi zambiri imakhala ndi magawo awiri.
1. Chithandizo cha nthawi yochepa komanso chachangu
Gawo loyamba ndikuwongolera zizindikiro ndikuchepetsa msanga kukhuthala kwa magazi. Chimodzi mwa mankhwala omwe amagwiritsidwa ntchito kwambiri pa izi ndi Plasmapheresis .
Plasmapheresis ndi njira yofanana ndi kuyeretsedwa kwa magazi. Magazi anu ochepa amatengedwa m'thupi lanu, amadutsa mu makina apadera, ndipo plasma, yomwe ili ndi mapuloteni owonjezera omwe amachititsa kuti magazi anu aziundana, imalekanitsidwa ndikuchotsedwa. Kenako maselo ofiira ndi oyera athanzi amasakanizidwa ndi madzi ena olowa m'malo mwake ndikubwezeretsedwa m'thupi lanu.
Izi zitha kuchepetsa magazi kuundana mwachangu ndikuletsa kuwonongeka kwa ziwalo. Komabe, ndi udindo wa gulu lanu lachipatala kusankha ngati chithandizochi chili choyenera aliyense komanso ngati chili chofunikira.
2. Chithandizo cha nthawi yayitali (chithandizo cha matenda oyamba)
Pambuyo pochepetsa kukhuthala kwa magazi, chinthu china chofunikira kwambiri ndikuchiza matenda oyamba omwe adayambitsa . Chifukwa ngati matendawa sanachiritsidwe, magazi amatha kukhuthalanso.
- Ngati chifukwa chake ndi khansa monga Multiple Myeloma kapena Leukemia , mankhwala oletsa khansa monga chemotherapy amaperekedwa.
- Ngati chifukwa chake ndi polycythaemia , chithandizo chimaperekedwa kuti achotse maselo ofiira owonjezera kapena kuchepetsa kupanga kwawo.
- Ngati ndi vuto lina lachipatala, madokotala amalangiza chithandizo china chake.
Pachifukwa ichi, gulu la madokotala, kuphatikizapo akatswiri a zamagazi, akatswiri a khansa, ndi akatswiri a matenda a nephropathy, lidzagwirizana kuti lipange dongosolo labwino kwambiri la chithandizo kwa inu.
Uthenga Wopita Nawo Kunyumba
- Matenda a Hyperviscosity ndi matenda omwe magazi amakhuthala ngati mafuta a kokonati, zomwe zimalepheretsa kuyenda kwa magazi m'thupi.
- Iyi si matenda enaake. Ndi chizindikiro cha matenda ena aakulu, monga khansa ya m'magazi.
- Musanyalanyaze zizindikiro monga mutu waukulu, kusintha kwa masomphenya, kutuluka magazi kosazolowereka, kapena kutopa kwambiri.
- Izi ndi zadzidzidzi zachipatala . Pitani kwa dokotala mwamsanga mukangoona zizindikiro. Ngati kuli kofunikira, pitani ku chipatala cha Emergency Treatment Unit (ETU) nthawi yomweyo.
- Chithandizo chimaphatikizapo kuchepetsa magazi nthawi yomweyo (monga plasmapheresis) komanso kuchiza matenda omwe amayambitsa matendawa.
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