Kuchepa koopsa kwa maselo oyera amagazi: Zomwe muyenera kudziwa za Agranulocytosis

Kodi nthawi zonse mumadzimva kutopa komanso kutopa? Kodi mumadwala malungo, zilonda pakamwa, ndipo mumamva ngati mukudwala ngakhale ndi zinthu zazing'ono? Pakhoza kukhala vuto lachipatala kumbuyo kwa zinthuzi lomwe sitilankhula kwambiri, koma lingakhale lalikulu kwambiri. Lero tikambirana za vuto limodzi lotere, lomwe ndi Agranulocytosis. Musadandaule, tiyeni tifotokoze zonse mwachidule.

Kodi kwenikweni Agranulocytosis ndi chiyani?

Mwachidule, uku ndi kuchepa koopsa kwa mtundu wa maselo oyera m'magazi mwathu. Tangoganizani kuti thupi lathu lili ngati dziko. Ndiye majeremusi omwe amayambitsa matenda m'thupi mwathu ndi adani omwe amaukira dzikolo. Gulu lankhondo lomwe limalimbana ndi adani awa ndi maselo oyera m'magazi mwathu.

Mphamvu yapadera mkati mwa gulu lankhondo la maselo oyera a magazi imatchedwa granulocytes . Pali mitundu itatu ikuluikulu ya asilikali mu gululi:

• Ma Neutrophils
• Ma Basophils
• Ma eosinophils

Maselo amenewa ali ndi tinthu tating'onoting'ono, tomwe tili ndi ma enzyme omwe amawononga majeremusi monga mabakiteriya omwe amalowa m'thupi. Maselo ofunikira kwambiriwa amapangidwa m'mafupa athu.

Choncho, agranulocytosis ndi pamene maselo omenyana otchedwa granulocytes, makamaka maselo ambiri a neutrophil, amachepa kwambiri m'magazi. Zimenezi zikachitika, chitetezo cha thupi lathu chimatha pafupifupi kwathunthu. Timayamba kudwala mosavuta ngakhale kuchokera ku kachilombo kakang'ono kwambiri.

Kawirikawiri, munthu wathanzi ayenera kukhala ndi maselo oyera a magazi opitilira 1,800 pa microliter imodzi ya magazi. Ngati chiwerengerochi chikutsika pansi pa 500, chimatchedwa Agranulocytosis. Ichi ndi vuto loopsa kwambiri.

Kodi ndi zinthu ziti zomwe zimayambitsa agranulocytosis?

Pali magulu awiri akuluakulu a zifukwa zomwe zimayambitsa vutoli: congenital ndi acquired.

1. Congenital Agranulocytosis:

Izi zimachitika chifukwa cha vuto la majini. Ana ena amabadwa ndi mphamvu yochepa yopangira maselo oyera m'mafupa awo. Mwachitsanzo, pali vuto losowa lotchedwa Kostmann syndrome. Ana otere nthawi zambiri amakhala ndi malungo, matenda, komanso mavuto a mafupa.

2. Agranulocytosis yomwe imachitika pambuyo pake:

Uwu ndiye vuto lofala kwambiri. Lingachitike munthu akakula pazifukwa zosiyanasiyana.

Kodi mankhwala amayambitsa bwanji vutoli?

Mankhwala ndiye chifukwa chachikulu cha izi. Mukatenga zinthu monga mankhwala ena oletsa khansa, maselo oyera a magazi a aliyense amachepa. Koma pali mankhwala ena omwe, ngakhale kuti samayambitsa mavuto kwa anthu ambiri, angayambitse agranulocytosis mwa anthu ochepa.

• Mankhwala omwe amagwira ntchito kudzera mu chitetezo chamthupi: Mankhwala ena amachititsa kuti matupi athu apange ma antibodies omwe amaukira maselo athu oyera amagazi.
• Mankhwala oletsa mafupa: Mankhwala ena (monga valproic acid, carbamazepine, maantibayotiki ena monga amoxicillin) amaletsa kupanga maselo oyera m'magazi.
• Mankhwala oletsa khansa ndi mankhwala ena a matenda amisala: Izi ndi zomwe zimayambitsa kuchepa kwa maselo oyera m'magazi.

Kodi zizindikiro za vutoli ndi ziti?

Nthawi zambiri, palibe zizindikiro zenizeni za matendawa. Zimapezeka mwangozi pamene magazi ayesedwa pazifukwa zina. Komabe, zizindikiro zimawonekera kudzera m'matenda oyambitsidwa ndi chitetezo chochepa cha mthupi.

• Malungo aakulu mwadzidzidzi
• Kumva kuzizira komanso kunjenjemera
• Zilonda pakamwa
• Mutu
• Kutuluka thukuta
• Ma lymph nodes otupa
• Kutupa kwa chiwindi kapena ndulu
• Kutopa kosalekeza komanso kutopa

Choopsa kwambiri pankhaniyi ndichakuti ngakhale matenda ang'onoang'ono amatha kukula mofulumira kukhala matenda oopsa komanso oopsa otchedwa sepsis . Sepsis ndi matenda omwe amafalikira m'thupi lonse, kuthamanga kwa magazi kumatsika moopsa, ndipo ngakhale ziwalo zamkati mwa thupi zimatha kulephera. Izi ndi zomwe zimafuna chithandizo chadzidzidzi.

Anthu opitirira zaka 65, omwe ali ndi matenda ena monga matenda a impso kapena matenda a mtima, ali pachiwopsezo chachikulu chotenga mavuto ngati atadwala matenda a agranulocytosis.

Kodi imachiritsidwa bwanji?

Gawo loyamba komanso lofunika kwambiri pochiza izi ndikupeza chomwe chikuyambitsa vutoli .

• Kuchiza Choyambitsa: Ngati vutoli layamba chifukwa cha mankhwala, vutoli nthawi zambiri limakhala bwino mkati mwa milungu iwiri kapena itatu mutasiya kumwa mankhwala monga momwe dokotala wanu wanenera. Ngati chifukwa chake ndi matenda, chiyenera kuchiritsidwa.
• Kulimbikitsa kupanga maselo oyera m'magazi: Jakisoni wapadera monga Filgrastim amaperekedwa kuti awonjezere kuchuluka kwa maselo oyera m'magazi. Izi zimalimbikitsa mafuta a m'mafupa ndikuwonjezera kupanga ma neutrophil.
• Kuchiza matenda: Ngati muli ndi kachilombo ka bakiteriya, dokotala wanu adzakupatsani mankhwala opha tizilombo toyambitsa matenda. Pa matenda opatsirana ndi mavairasi kapena bowa, adzakupatsani mankhwala enaake. Ngati matendawa ndi oopsa, mungafunike kupita kuchipatala ndi kulandira chithandizo cha mtsempha (IV).
• Kusamutsa mafupa: Ngati palibe mankhwala ena ogwira ntchito, kusamutsa mafupa kuchokera kwa wopereka wofanana kungaganizidwe ngati njira yomaliza.

Kodi munthu amene ali ndi agranulocytosis ayenera kusamala bwanji?

Ngati muli ndi vutoli, chitetezo cha mthupi lanu chimakhala chofooka kwambiri, choncho muyenera kusamala kwambiri kuti mudziteteze ku matenda.

Ngakhale kuti agranulocytosis ndi vuto lalikulu, nthawi zambiri limatha kuchiritsidwa ngati chifukwa chake chadziwika ndikuchiritsidwa bwino. Chofunika kwambiri ndikuonana ndi dokotala mukangoona chizindikiro chochepa cha matenda (malungo, kupweteka kwa thupi). Kuchitapo kanthu mwachangu kungathandize kupewa mavuto aakulu.