Ese umubare w'uturemangingo tw'amaraso yawe utukura uri hejuru cyane? Reka tuvuge kuri Polycythemia Vera (PV)!

Ese ukunze kumva unaniwe, rimwe na rimwe ukumva urimo gushyuha, cyangwa se ukumva gusa urusaku mu matwi yawe? Nubwo ibi bishobora gusa n'ibintu bisanzwe, rimwe na rimwe hashobora kuba hari indi mpamvu ibyihishe inyuma. Rero, indwara tugiye kuvugaho uyu munsi ni Polycythemia Vera (PV) , ikaba ari indwara iterwa no gukora cyane kw'uturemangingo dutukura mu mubiri wacu. Nubwo iri ari izina rirerire, reka tubisobanukirwe mu buryo bworoshye.

Polycythemia Vera (PV) ni iki? Mu magambo make...

Muri make, Polycythemia Vera (PV) ni indwara aho umubiri wawe, cyane cyane umwongo w'amagufwa yawe (twita "Bone Marrow"), ukora uturemangingo tw'amaraso dutukura kurusha uko bikwiye . Kimwe n'imodoka nyinshi mu muhanda, iyo hari imodoka nyinshi mu muhanda, amaraso agenda nabi. Ibi bituma amaraso abyimba kandi akagenda buhoro. Ibi byongera ibyago byo kubyimba kw'amaraso. Ibi bishobora gutera indwara zikomeye nko gutera umutima no gucika imitsi .

Si ibi gusa, hari n'ibimenyetso nk'uruhu rusharira, urusaku mu matwi (`(Tinnitus)`), ububabare bwo mu gifu, kuva amaraso mu mazuru, no kutabona neza bishobora no kubaho.

Polycythemia Vera (PV) ni indwara idakira kandi idashobora gukira burundu. Ariko ntugahangayike. Iyo uvuwe neza n'abaganga, ushobora kugenzura ibimenyetso no kugabanya ingaruka mbi. Hari n'abantu bayita `primary polycythemia`, `polycythemia rubra vera`, `erythema` na `Osler-Vaquez disease`.

Ese Polycythemia Vera (PV) ni kanseri?

Yego, iyi ni ubwoko bwa kanseri koko. Ariko ntabwo ari ikibazo gikomeye cyangwa ngo gikwirakwire vuba nkuko twabitekereza iyo twumvise ijambo kanseri. Iyi ni kanseri y'amaraso iri mu itsinda ryitwa `myeloproliferative neoplasm (MPN) . `MPN` yerekeza ku itsinda ry'indwara zitera ubwiyongere bukabije bw'ubwoko butandukanye bw'uturemangingo tw'amaraso.

Impamvu nyamukuru ya Polycythemia Vera (PV) ni impinduka (mutation) muri gene mu mubiri wacu. Iki si ikintu tuvukana, ahubwo ni ikintu kibaho mu buzima bwacu ku mpamvu itazwi. Iyi ndwara ikura buhoro buhoro. Ikunze kumenyekana nyuma y'imyaka 60. Iyi kanseri ntabwo ikunze gutera urupfu. Ingaruka nyamukuru ituruka ku ngorane ziterwa no kuzura amaraso. Nanone, ku kigero gito cyane, ishobora guhinduka izindi kanseri zikomeye z'amaraso.

Ni nde urebwa cyane n'iki kibazo?

Polycythemia Vera (PV) ni indwara idakunze kugaragara cyane. Mu gihugu nka Leta Zunze Ubumwe za Amerika, igaragara ku bantu bagera kuri 50 ku bantu 100.000. Ikunze kugaragara cyane ku bantu barengeje imyaka 60.

Ni gute iyi ndwara igira ingaruka ku mibiri yacu?

Nkuko twabivuze mbere, Polycythemia Vera (PV) ituma umubiri ukora uturemangingo twinshi dutukura. Uku kwiyongera kw'uturemangingo byongera ibyago byo kuva amaraso, gukomereka no kubyimba kw'amaraso. Kubera ko amaraso arushaho kwiyongera kandi akagenda buhoro, ingingo n'ibice by'umubiri wacu ntibibona umwuka wa ogisijeni bikenewe.

Ibi kandi bishyira imbaraga nyinshi ku ruhu rw'umubiri wacu. Imwe mu nshingano z'ingenzi z'uruhu ni ukuyungurura amaraso no gukuraho uturemangingo tw'amaraso dushaje. Iyo uturemangingo dutukura twiyongereye, uruhu rw'amaraso narwo rukora cyane, bishobora gutera kubyimba no kubabara. Ibi byitwa `(Splenomegaly)`. Uko igihe kigenda gihita, iyi ndwara ishobora gutera ibimenyetso bitandukanye bitameze neza. Nanone, PV ishobora gutera izindi ndwara za kabiri.

Ni izihe ngaruka n'ingorane bya Polycythemia Vera (PV)?

Nubwo indwara ya PV ikomeza kwiyongera, hari ibyago byo kubyimba amaraso mu buryo butunguranye bitewe n’ubwinshi bw’uturemangingo tw’amaraso. Uko igihe kigenda gihita, PV ishobora no gutera izindi ndwara. Ni gake cyane, ishobora kuvamo kanseri ikomeye.

Amaraso apfutse

Iyi ni yo ngaruka nyamukuru kandi yihuse yo kurwara PV. Iyo amaraso apfunditse akagera mu mutima cyangwa mu bwonko, bishobora gutera indwara y'umutima cyangwa indwara yo gucika imitsi . Iyo bigeze mu bihaha (Pulmonary Embolism - PE), bishobora gutera umuvuduko ukabije w'amaraso mu bihaha (pulmonary hypertension) no kunanirwa k'umutima. Iyo amaraso apfunditse mu mitsi (Venous Thromboembolism - VTE), bishobora gutera urupfu rw'imitsi cyangwa kunanirwa k'imitsi mu buryo buhoraho. Iyo amaraso apfunditse mu mitsi mugari ujya mu mwijima (hepatic vein thrombosis), bishobora gutera kugabanuka kw'amaraso mu mwijima (Budd-Chiari syndrome), kurwara umuhondo no kunanirwa k'umwijima.

Ibisabwa bya kabiri

Iyo uturemangingo dutukura tw’amaraso tukozwe cyane kandi tugacikagurika, urugero rwa aside uric mu mubiri ruriyongera. Ibi bishobora guteza ibibazo byinshi:

• Amabuye mu mpyiko: Iyo aside urique ishyizwe mu mpyiko.
• Goutte: Indwara ibabaza ya rubagimpande ibaho iyo aside urique yirundanyije mu ngingo.
• Ibisebe byo mu gifu: Uturemangingo dutukura twiyongereyeho na two twongera ingano ya aside yo mu gifu. Uturemangingo dutukura twiyongereyeho dutuma umubiri usohora ikinyabutabire cyitwa histamine, bigatuma igifu gikora aside nyinshi kugira ngo kirwanye ubwandu. Abantu bafite PV bafite amahirwe angana n'inshuro enye yo kurwara ibisebe byo mu gifu (indwara y'ibisebe byo mu gifu).

Guhindukira ku ndwara ya kanseri y'amaraso

Polycythemia Vera ni kanseri yo mu musokoro w'amagufwa, ariko akenshi ntabwo ari indwara ishobora gushyira ubuzima mu kaga. Iyo ivuwe neza, ishobora kwitabwaho neza mu gihe cy'imyaka myinshi. Ariko, kuri bamwe, nubwo bidakunze kubaho, PV ishobora,Bishobora guhinduka kanseri ikomeye y'amaraso nka 'Acute Leukemia'.

Ibyiciro by'indwara ya Polycythemia Vera (PV)

Indwara ya PV ikomeza kumera gutya:

• Intambwe ya mbere (`PV ya mbere`): Muri iki cyiciro, ibimenyetso bike cyangwa ntibigaragare.
• Kwiyongera kwa PV: Uko PV irushaho gukomera, ushobora gutangira kugira ibimenyetso bitoroshye, cyangwa ibindi bibazo bishobora kuvuka.
• Icyiciro cya Spent: Iki cyitwa "igihe cya Spent." Muri iki gihe, uturemangingo tw'amaraso tudasanzwe dutera iyi ndwara twiyongera cyane kandi tugafunga burundu uturemangingo tw'amagufwa, ari na byo bituma uturemangingo tw'amaraso tubaho. Iyo uturemangingo tudasanzwe dupfuye, uduce tw'inkovu tuba mu mwanya watwo. Iyo igice kinini cy'umusemburo w'amagufwa cyuzuyemo iyi nkovu, ntigishobora gukora uturemangingo tw'amaraso tuzima. Igitangaje ni uko ibi bitera amaraso make - kubura uturemangingo tw'amaraso dutukura dufite ubuzima bwiza. Binatuma habaho ibyago byo kuva amaraso.

Izindi ndwara z'amaraso zishobora kuvuka nyuma yo gupimwa

Iyo PV ibaye mbi cyane, ishobora gutera izindi ndwara z'amaraso.

• Myelofibrosis (MF): Nta tandukaniro rinini riri hagati ya ``spented phase'' ya PV na ``Myelofibrosis (MF)'' , ubundi bwoko bwa kanseri y'amaraso. Abaganga bamwe babifata kimwe. ``Myelofibrosis'' ni igihe uturemangingo tudasanzwe dukora inkovu mu musemburo w'amagufwa tukawuzuza. Utwo turemangingo tudasanzwe dushobora gukwirakwira hanze y'umusemburo w'amagufwa no mu bindi bice by'umubiri. ``MF'' na yo ni ``indwara ya ``myeloproliferative disorder.'' Hafi 10% by'abarwayi ba ``MF'' barwara ``Acute Myeloid Leukemia.''
• Myelodysplastic Syndrome (MDS): Ni gake cyane, PV ishobora gukura ikaba indwara yitwa Myelodysplastic Syndrome (MDS) . Iyi ni indwara aho uturemangingo tw’amaraso tudakura neza, tugakura mu buryo budasanzwe, kandi tugapfa vuba. Umubiri ntushobora gukora uturemangingo tuzima kandi dukuze, bigatuma umubare w’uturemangingo tw’amaraso dutandukanye ugabanuka. MDS irakomeye kurusha PV cyangwa MF, kandi ifite ibyago bya 30% byo kurwara Leukemia Ikomeye ya Myeloid (AML).
• Leukemia yo mu maraso ikaze (AML): Abantu bagera kuri 3% barwaye Polycythemia Vera barwara Leukemia yo mu maraso ikaze (AML) mu gihe cy'imyaka 10 nyuma yo kuyirwara. AML ni kanseri ikomeye y'amaraso itangirira mu musemburo w'amagufwa kandi ishobora gukwirakwira vuba mu maraso no mu bindi bice by'umubiri. Isaba kuvurwa vuba, ariko amahirwe yo kubaho ni menshi.

Ni ibihe bimenyetso bya Polycythemia Vera (PV)?

Ibimenyetso bikunze kugaragara buhoro buhoro, kandi rimwe na rimwe ntibigaragare na gato. Ubwa mbere, ibimenyetso bidasobanutse neza bikunze kugaragara ku ndwara nyinshi:

• Umutwe.
• Kuzungera.
• Umunaniro.
• Umuvuduko w'amaraso ukabije.
• Kubona nabi cyangwa kureba kabiri.
• Kumva urusaku mu matwi (`(Tinnitus)`).

Uko igihe kigenda gihita, ibimenyetso byihariye bishobora kugaragara:

• Kubira ibyuya, cyane cyane nijoro.
• Kugorwa no guhumeka, cyane cyane iyo uryamye.
• Uruhu rurashya, cyane cyane iyo umaze koga mu mazi ashyushye. (Iki ni ikimenyetso cyihariye cya PV)
• Gutukura, ubushyuhe, gucika intege cyangwa gushya mu maguru.
• Kuva amaraso menshi cyangwa gukomereka.
• Kuva amaraso mu mazuru no mu ishinya.
• Kuba unanutse nta mpamvu.

Iyo PV ibaye ikomeye ikagera ku zindi ndwara, ibimenyetso bifitanye isano na yo bishobora no kugaragara. Urugero:

Ibimenyetso bya Splenomegaly:

• Ububabare nk'ikintu buhagaze mu gice cyo hejuru cy'ibumoso cy'inda.
• Ubunararibonye bwo kuzura igifu.
• Nubwo namaze kurya gato, numva nduzuye.

Ibimenyetso by'ibisebe byo mu gifu (`Indwara y'ibisebe byo mu gifu`):

• Ububabare buterwa no kubabara mu nda.
• Kuribwa mu gituza.
• Kugabanuka kwa aside.

Ibimenyetso bya Goutte:

• Kubyimba ingingo kubabaza.
• Gukomera kw'ingingo.
• Kubyimba kw'ikirenge kinini.

Ibimenyetso by'amabuye y'impyiko:

• Kubabara mu nda yo hasi cyangwa ku ruhande.
• Kubabara iyo uri kunyara.
• Gukenera kunyara kenshi.

Ibimenyetso bya syndrome ya Budd-Chiari:

• Umwijima ubyimbye, ububabare mu gice cyo hejuru cy'iburyo cy'inda, no kubyimba.
• Ibara ry'umuhondo mu maso no ku ruhu (jaundice).
• Ascites na Edema.

Ibimenyetso bya Deep Vein Thrombosis (DVT):

• Kubyimba ukuboko cyangwa ukuguru no kubabara iyo umuntu abikozeho.
• Hari umutuku cyangwa ubushyuhe muri ako gace.
• Kugaragara kw'imitsi y'amaraso ibyimbye ku ruhu.

Ibimenyetso by'uko amaraso yacitse mu bihaha (Pulmonary Embolism - PE):

• Kubabara mu gatuza bitunguranye.
• Guhumeka nabi.
• Igipimo cy'umutima kiriyongera.

Ibimenyetso bya Anemia (mu mpera z'indwara ya PV):

• Kuzungera (vertigo).
• Uruhu rwerurutse.
• Umunaniro.

Ni iki gitera Polycythemia Vera (PV)?

Polycythemia Vera (PV) itangirira mu gice cyoroshye cy’amagufwa yacu cyitwa umwongo w’amagufwa. Aha niho uturemangingo dushya tw’amaraso dukorerwa. PV itangirira ku guhinduka kwa gene imwe mu karemangingo kamwe mu mwongo w’amagufwa. Ibihe birenga 90%, iyi mpinduka iba muri gene yitwa JAK2.

Iyi gene yahinduwe ibwira uturemangingo tw’umubiri gukomeza kororoka. Buri turemangingo twakozwe dukomeza kwikora. Amaherezo, utwo turemangingo tudasanzwe twuzuza umwongo w’amagufwa, bigatuma uturemangingo dusanzwe tudasigarana umwanya.

Kenshi na kenshi, iyi mihindagurikire y’uturemangingo twa `JAK2` si ikintu dukomokaho. Ni ikintu kibaho mu buzima bwacu, ku mpamvu zitazwi. Ariko, ni gake cyane, hagiye havugwa ko abagize umuryango benshi barwaye PV.

Polycythemia Vera (PV) ipimwa ite?

Umuryango Mpuzamahanga wita ku Buzima (OMS) watanze ibipimo bitatu by'ingenzi byo gusuzuma Polycythemia Vera (PV). Umuganga agomba kwemeza ibipimo byose uko ari bitatu.

Ingingo ya 1: Isuzuma ry'amaraso rigaragaza umubare munini w'uturemangingo dutukura mu maraso:

Uturemangingo dutukura tw'amaraso dushobora gupimwa:

• Hemoglobine nyinshi (poroteyine iboneka mu turemangingo dutukura tw'amaraso).
• Igipimo cyo hejuru cy'amaraso mu maraso (ijanisha ry'uturemangingo dutukura tw'amaraso mu maraso).
• Ubwinshi bw'amaraso (uturemangingo dutukura).

Ingingo ya 2: Isuzuma ry'umusemburo w'amagufwa rigaragaza kimwe muri ibi bikurikira:

• Uturemangingo tw'amaraso twinshi cyane mu musokoro w'amagufwa, cyangwa
• Kuba hari megakaryocytes zikuze (uturemangingo dukora platelets z'amaraso).

Ingingo ya 3: Ingingo ya gatatu ishobora kubahirizwa hagaragazwa kimwe muri ibi bibiri:

• Kwemeza ko hari impinduka mu ngirabuzimafatizo ya JAK2 binyuze mu gupima molekile, cyangwa
• Isuzuma ry'amaraso ryemeza ko urugero rwa `erythropoietin' (imisemburo itera impyiko gukora uturemangingo dutukura) mu maraso ari hasi cyane.

"Umuganga azareba ibi byose kugira ngo agusobanurire neza niba ufite Polycythemia Vera cyangwa udafite. Niba rero ufite ibimenyetso, ni byiza kujya kwa muganga akakugira inama."

Polycythemia Vera (PV) ivurwa ite?

Mu ntangiriro za PV, ubuvuzi bworoshye cyane. Ubuvuzi busanzwe burimo:

Gusohora amaraso mu mubiri (Phlebotomy)

Ubu ni bwo buryo bw'ingenzi kandi bukunze gukoreshwa mu kuvura PV. Bukorwa nk'uko watanga amaraso. Umuganga ashyira urushinge mu mutsi uri mu kuboko kwawe agakuramo amaraso make (ubusanzwe agera kuri painti imwe, ariko ingano yayo ishobora gutandukana bitewe n'uburwayi bwawe). Ibi bigabanya ingano y'amaraso yawe yose hamwe n'umubare w'uturemangingo tw'amaraso twiyongereye.

Aspirine ifite ingano nto

Uyu ni umuti ushobora kugura muri farumasi. Ubusanzwe utangwa kugira ngo ugabanye ibyago byo kuvura amaraso. Iyo unyoye ku gipimo gito rimwe ku munsi, aspirine ibuza plaquettes z'amaraso gufatana. Ifasha kandi kugabanya ibimenyetso nko kubyimba mu ngingo. Ariko, irababaza gato mu nda kandi yongera amaraso. Rero iki si igitekerezo cyiza niba ufite ibisebe mu gifu.

Niba ibimenyetso byawe bikomeye, cyangwa niba warigeze kugira amateka yo kubyimba kw'amaraso (thrombosis), ushobora gushyirwa mu itsinda ry'abantu bafite ibyago byinshi byo kurwara indwara kandi ushobora guhabwa ubundi buryo bwo kuvura. Bimwe muri ibyo harimo:

Uburyo bwo kugabanya uburyaryate:

Iyo PV ibaye ikomeye, muganga ashobora kuguha imiti nk'iyi yo kuvura uburyaryate:

• Antihistamines: Iyi ni imiti isanzwe itangwa ku ndwara z'ubwivumbure.
• Ubuvuzi bwo gukoresha urumuri rw'imirasire y'urumuri (UVA) n'ikinyabutabire cyitwa psoralen (ikintu cy'umwimerere gituma uruhu rukira urumuri).
• SSRIs (Selective Serotonin Reuptake Inhibitors): Iyi ni ubwoko bw'imiti isanzwe ihabwa abantu bafite ihungabana. Ariko, iyo itanzwe ku gipimo gito cyane, byagaragaye ko igira akamaro ku bimenyetso bihoraho by'umubiri nko kuribwa.

Imiti igabanya umubare w'uturemangingo dutukura mu maraso:

Ibi bishobora gukoreshwa byonyine cyangwa bivanze. Ingero:

• `Hydroxyurea`
• Interferon alfa
• `Ruxolitinib`
• `Busulfan`

Igeragezwa ry'ubuvuzi

Ibi biha abantu amahirwe yo kugerageza uburyo bugezweho bwo kuvura no gutanga umusanzu mu bushakashatsi ku buvuzi. Imwe mu miti iri mu cyiciro cy’ubushakashatsi ubu ni iyi:

• `Peginterferon alfa-2a`
• `Givinostat`
• `Idasanutlin`

Gutera umwongo w'amagufwa

Mu bihe bimwe na bimwe, ushobora guhabwa inama yo gutera umwongo w'amagufwa. Muganga azafata iki cyemezo ashingiye ku bintu byinshi, nko uburemere bw'indwara yawe n'ubushobozi bw'umubiri wawe bwo gukira.

Ubuvuzi bufasha

Niba PV yawe ikomeje kwiyongera nubwo wavuwe, muganga wawe azibanda ku kugabanya ibimenyetso byawe. Mu ntambwe za nyuma za PV, ushobora kugira ikibazo cyo kubura amaraso no kwiyongera k'umwobo. Ushobora guhabwa imiti nk'iyi:

• Imiti igabanya ububabare.
• Guterwa amaraso.
• Ubuvuzi bw'imirasire ku gipimo gito ku ruhu.

Imyaka yo kubaho y'umuntu urwaye Polycythemia Vera (PV) ni iyihe?

Ubushakashatsi buherutse gukorwa bwerekana ko igihe cyo kubaho nyuma yo gupimwa indwara ya Polycythemia Vera (PV) ari imyaka 20. Impuzandengo y'imyaka y'urupfu ni imyaka 77. Impamvu nyamukuru y'urupfu ni ingorane ziterwa no kubyimba kw'amaraso (hafi 33%). Impamvu ya kabiri nyamukuru ni kanseri (hafi 15%).

"Ntugatinye iyi mibare. Iyi ni indangagaciro zisanzwe. Iyo uhawe ubuvuzi bukwiye kandi ugahindura imibereho yawe, ushobora gukomeza kugira ubuzima bwiza igihe kirekire."

Ni gute nakwitaho no kwihanganira ibimenyetso byanjye?

Niba ubana na Polycythemia Vera (PV), ni ngombwa guhora ubonana na muganga wawe. Ibi bizafasha muganga wawe gukurikirana uko indwara yawe igenda ikura. Ushobora kandi kubwira muganga wawe uko witwara mu kuvurwa ndetse niba hari ingaruka mbi ufite. Ushobora kubaho igihe kirekire nta bimenyetso bikomeye ufite.

Uretse ibizamini n'ubuvuzi buhoraho, muganga wawe azagusaba guhindura uburyo bworoshye bwo kubaho bishobora gufasha kwirinda kubyimba kw'amaraso n'izindi ngorane. Urugero:

• Imyitozo ngororamubiri. Ndetse no gukora imyitozo ngororamubiri mike bishobora gufasha kunoza urujya n'uruza rw'amaraso.
• Irinde kunywa itabi. Kunywa itabi bigabanya imiyoboro y'amaraso yawe.
• Irinde ahantu hari ogisijeni nkeya. Ubutumburuke burebure bushobora gutera ogisijeni nkeya mu maraso.
• Genzura umuvuduko w'amaraso yawe. Kugumana ibiro byiza bizagufasha muri ibi.

Nubwo Polycythemia Vera (PV) ari ubwoko bwa kanseri, abantu benshi babaho neza mu myaka ibarirwa muri za mirongo nyuma yo gufatwa n’iyi ndwara. Iyi kanseri ibaho kubera ko uturemangingo tuba tudafite ubushobozi bwo kuyigenzura. Ariko, bifata igihe kirekire kugira ngo ikorwa ry’uturemangingo dutukura mu buryo bugenzurwa ritangire kukugiraho ingaruka. Nubwo wabikora, ushobora kwihanganira iyo ndwara igihe kirekire ukuyemo amwe mu maraso yawe arenze urugero.

Ikibazo gikomeye cya Polycythemia Vera (PV) ntikiva kuri kanseri ubwayo, ahubwo kiva ku ngaruka zo kuvura amaraso. Niba ubana na PV, menya neza ko ujya kwa muganga wawe buri gihe. Kandi ntukibagirwe kwita ku "bintu bito" - ni ukuvuga ingeso nziza zo kubaho. Ibi bifasha kubungabunga ubuzima bw'imitsi n'amaraso muri rusange, bishobora kuba ingenzi kurusha ubundi buryo bwose bwo kuvura Polycythemia Vera.

Ni ubuhe butumwa twifuza kujyana muri iyi nkuru?

Sawa, twavuze byinshi kuri Polycythemia Vera (PV). Dore bimwe mu bintu by'ingenzi ugomba kwibuka:

• PV ni indwara yo mu maraso aho umubiri ukora uturemangingo twinshi dutukura tw’amaraso kandi tugakura mu buryo budasanzwe. Ni mu itsinda rya kanseri yitwa `myeloproliferative neoplasm (MPN)`.
• Ingaruka nyamukuru ituruka ku kwiyongera kw'amaraso no kugabanya amaraso, bishobora gutera indwara zikomeye nko kurwara indwara z'umutima no gucika imitsi.
• Ibimenyetso bishobora kuba birimo uruhu rusharira (cyane cyane nyuma yo koga), kumva unaniwe, kuribwa umutwe, no kuzerera.
• Nubwo idashobora gukira burundu, ishobora kuvurwa neza iyo habayeho kuvurwa neza, guhindura imibereho, no gukoresha imiti. Uburyo bwo kuvura indwara ya Phlebotomy (gusohora amaraso) na aspirine nke ni bwo buryo bw'ibanze bwo kuvura.
• Ihinduka ry’uturemangingo twa `JAK2` akenshi ni ryo rikunze gutera ibi.
• Niba ufite kimwe muri ibi bimenyetso, menya neza ko wagiye kwa muganga kugira ngo akugire inama. Kubimenya hakiri kare byongera amahirwe yo kwirinda ingorane no kubaho ubuzima bwiza.

Ntutinye, ariko ntugafate nk'ibintu byoroshye. Wite ku buzima bwawe. Vugana na muganga wawe buri gihe, fata ibizamini n'imiti ikenewe ku gihe. Hanyuma ushobora gukomeza kugira ubuzima bwiza nubwo waba ufite iyi ndwara!

Polycythemia Vera, Uturemangingo tw'amaraso dutukura, Uduce tw'amaraso, MPN, JAK2, Phlebotomy, Kanseri