Ese umubare w'imitsi yawe iri hejuru? Reka tuvuge kuri Thrombocytosis!

Ese wigeze ufata raporo yawe y’umubare w’amaraso yose ukareba ibyo ivuga? Ugomba kuba warabonye ko hari agaciro kitwa "Platelets" mu bintu biri aho. Hari igihe muganga avuga ati: "Umubare wawe w’amaraso uri hejuru gato." Muri icyo gihe, ni ibisanzwe kumva ufite ubwoba kandi uhangayitse. "Ibi ni ibiki? Ese ni ibintu bikomeye?" Uratekereza. None rero uyu munsi, reka tuganire mu buryo bworoshye kandi bwuje urugwiro kuri ubu bwiyongere bw’amaraso, ari na yo ndwara yitwa Thrombocytosis mu buryo bw’ubuvuzi.

Reka tubanze turebe, platelets ni iki?

Mu magambo make, platelets ni ubwoko bw'uturemangingo duto mu maraso yacu. Tekereza ko ari itsinda rito ry'abafasha rihagarika kuva amaraso iyo ukomeretse cyangwa ucitse ahantu runaka ku mubiri wawe. Bihita bigera aho byakomeretse, bigafatana, bigakora agahu, nk'igishishwa, kugira ngo bifunge igikomere. Uku ni ko kuva amaraso bihagarara. Bityo rero urabona ko platelets ari igice cy'ingenzi kandi cy'ingenzi cyane mu mubiri wacu.

Ariko, kimwe n'ibindi byose, ibibazo bishobora kuvuka iyo izi platelets zibaye nyinshi cyane. Thrombocytosis ni igihe umubare wa platelets mu maraso wiyongera birenze urugero rusanzwe. Iyo platelets ziyongera muri ubu buryo, rimwe na rimwe amaraso yacu ashobora gufatana. Ibi bishobora gutuma amaraso adakenewe avuka ahantu nta gikomere, ni ukuvuga mu miyoboro y'amaraso. Iyo ayo maraso adavuwe, ashobora no gutera indwara zikomeye nko kurwara umutima cyangwa gucika imitsi.

Hari ubwoko bubiri bw'ingenzi bwa thrombocytosis:

Bitewe n'impamvu ituma amaraso yawe aba menshi, iyi ndwara ishobora kugabanywamo ubwoko bubiri bw'ingenzi. Ni ngombwa gusobanukirwa ibi byombi, kuko uburyo bwo kuvura buzaterwa n'ubwoko bw'iyi ndwara.

Ariko, niba ikizamini cy'amaraso cyawe cyerekanye ko umubare wa platelet uri hejuru, bivuze ko hari ikintu kirimo kuba mu mubiri wawe gikwiye gusuzumwa na muganga. Bitewe n'impamvu yabyo, ushobora gukenera kuvurwa igihe kirekire, kuvurwa igihe gito, cyangwa nta kuvurwa na gato.

Ni ibihe bimenyetso by'umubare munini w'ibinure mu maraso?

Mu by’ukuri, abantu benshi ntibagira ibimenyetso by’umubare munini wa platelets. Biboneka mu buryo bw’impanuka iyo hakozwe isuzuma ry’amaraso ku yindi mpamvu.

Niba ufite Reactive Thrombocytosis, ushobora kugira ibimenyetso by'indwara itera (urugero, umuriro uterwa n'ubwandu).

Ariko, iyo kwiyongera kwa platelets bitera amaraso kuzura cyangwa kuva amaraso imbere (gake cyane), ibimenyetso bimwe na bimwe bishobora kubaho. Iyi ndwara ikunze kugaragara muri Essential Thrombocytosis.

• Umunaniro
• Kuva amaraso mu mazuru kenshi
• Kuva amaraso (gukomereka) nubwo nyuma y'igikomere gito
• Kuva amaraso byoroshye mu ishinya cyangwa ahandi hantu mu kanwa
• Kuzunguruka , kutabona neza, no kuribwa umutwe
• Ububabare, kubyimba, no gutukura mu biganza no mu birenge (ikimenyetso cy'indwara yitwa erythromelalgia)
• Kubabara mu nda, cyane cyane mu gice cyo hejuru cy'iburyo cy'inda (bishobora kuba ikimenyetso cy'indwara nka Budd-Chiari syndrome)

Kuki platelets ziyongera gutya? Impamvu ni izihe?

Impamvu nazo ziratandukanye bitewe n'ubwoko bubiri twavuze mbere.

Impamvu za Thrombocytosis y'ingenzi (ET)

Ibi biterwa n’impinduka mu miterere y’uturemangingo. Ariko iki si ikintu kivukana, ahubwo ni ikintu gikura uko igihe kigenda gihita. Muri make, hari impinduka mu turemangingo tubwira umubiri wacu gukora platelets. Kubera iyo mpamvu, umworera w’amagufwa utangira gukora platelets nyinshi cyane nta genzura.

Impamvu za Thrombocytosis ikora neza

Iyi ni igisubizo cy'umubiri ku kindi kibazo. Dore zimwe mu mpamvu zikunze gutera platelets nyinshi:

• Kuva amaraso: Iyo habayeho gutakaza amaraso menshi bitewe n'impanuka cyangwa kubagwa.
• Indwara za kanseri: Biterwa n'ubwoko bumwe na bumwe bwa kanseri.
• Kwandura: Kwandura kwa bagiteri cyangwa virusi.
• Indwara zo kubyimba: Indwara zitera kubyimba mu mubiri, nka rubagimpande.
• Kubura amaraso mu mubiri bitewe no kubura icyuma.
• Imiti imwe n'imwe.
• Gukuraho agahu k'umura: Imwe mu nshingano z'agahu k'umura ni ugukuraho uduce dushaje tw'amaraso. Kugakuraho bishobora kongera umubare w'uduce duto tw'amaraso.

Ni izihe ngorane zishobora guterwa n'iyi ndwara?

Abantu bafite Essential Thrombocytosis (ET) bafite ibyago byinshi byo kugira ingorane. Ingorane ni nke cyane muri Reactive Thrombocytosis.

Ingaruka zikomeye ni ukurema amaraso afunganye . Iyo ayo maraso apfutse mu mitsi ijyana amaraso mu bwonko, ashobora gutera indwara yo gucika imitsi , kandi iyo apfutse mu mitsi ijyana amaraso mu mutima, ashobora gutera indwara y'umutima . Ayo maraso ashobora no kwirema mu bindi bice, nko mu bihaha no mu maguru.

Ni gake cyane, ET ishobora kuvamo izindi kanseri z'amaraso, nka kanseri y'amaraso, cyangwa igatera inkovu mu musokoro w'amagufwa (myelofibrosis). Bishobora kandi kongera ibyago byo kugira ingorane zimwe na zimwe mu gihe cyo gutwita.

Ariko ntugire ikibazo. Niba ufite ET, muganga wawe azakurikirana ubuzima bwawe neza kandi azaguha ubuvuzi bukenewe kugira ngo wirinde ingorane nk'izi.

Abaganga babimenya bate neza?

Thrombocytosis ipimwa ahanini binyuze mu gupima amaraso. Ubusanzwe, umubare wa platelets urenga 450.000 kuri mikorolitiro imwe y'amaraso ufatwa nk'uri hejuru. Muganga wawe ashobora kongera gupima amaraso yawe nyuma y'ibyumweru bike kugira ngo arebe niba umubare wa platelets zawe ukiri hejuru. Niba umubare wasubiye ku buryo busanzwe, ubusanzwe nta mpungenge ufite.

Niba umubare wa platelet ukomeje kuba mwinshi, intambwe ikurikiraho ni ukumenya niba ari Reactive cyangwa Essential. Ibi bizasaba ibindi bipimo byinshi.

• Ibindi bipimo by'amaraso: Ibi bipima ibintu nk'urugero rw'icyuma n'ibimenyetso by'ububyimbirwe, kandi bigasuzuma imiterere idasanzwe ya platelet hifashishijwe mikorosikopi.
• Ibizamini bya Genetike: Iki kizamini gishobora kugaragaza impinduka za genetike nka JAK2 , CALR1 , cyangwa MPL1, zikunze kugaragara muri Essential Thrombocytosis.
• Kugenzura umwongo w'amagufwa: Ibi bikubiyemo gufata urugero ruto cyane rw'umusongo w'amagufwa ahantu nkaho ari mu igufwa ry'ikibuno munsi y'ikinya hanyuma ukawupima muri laboratwari. Ibi bishobora kwemeza neza ikibazo cya ET.

Ivurwa ite?

Uburyo bwo kuvura buterwa n'ubwoko bwa thrombocytosis ufite n'ibimenyetso byawe.

Ku bijyanye na Thrombocytosis ikora:

Iki ni cyo gihe platelets ziyongera bitewe n'indi ndwara. Bityo, ubuvuzi bugamije impamvu nyamukuru . Urugero, niba umubare wa platelets wiyongera bitewe n'ubwandu, iyo hatanzwe antibiyotike kuri ubwo bwandu, umubare wa platelets uzasubira ku buryo busanzwe uko ubwandu bukira.

Ku bijyanye na Thrombocytosis y'ingenzi (ET):

ET si indwara ivurwa neza. Ariko, ishobora kuvurwa neza kugira ngo igabanye ibyago byo kubyimba kw'amaraso. Hari uburyo butandukanye bwo kuvura:

• Gutegereza witonze: Niba nta bimenyetso ufite kandi ibyago byawe byo kubyimba amaraso ari bike, muganga wawe ashobora gukurikirana ikibazo cyawe agukorera ibizamini by’amaraso buri gihe nta miti aguhaye.
• Aspirine ikoreshwa ku rugero ruto: Ushobora guhabwa ikinini cya aspirine buri munsi kugira ngo kigufashe kwirinda kubyimba kw'amaraso. Ariko ibuka ko utagomba gutangira gufata aspirine wenyine utabanje kugisha inama muganga.
• Imiti igabanya urugero rwa platelet: Imiti nka Hydroxyurea, Anagrelide, na Interferon alfa igenzura ikorwa rya platelet.
• Uburyo bwo gukuraho plaquettes: Iyo habayeho ibyago byihutirwa byo kurwara amaraso ashobora kuvura, amaraso yawe ashobora kunyuzwa mu mashini kugira ngo asukure plaquettes zirenze urugero.

Ni ryari ukwiye kujya kwa muganga?

Niba waranduye thrombocytosis, ni ngombwa ko upimwa amaraso buri gihe nk'uko muganga wawe yabigutegetse. Nanone, baza muganga wawe ibimenyetso ugomba guhita utangaza mu gihe bibaye.

By’umwihariko, niba ugaragaje ibimenyetso byo gucika intege mu mitsi cyangwa indwara y’umutima (urugero: kubabara mu gituza gitunguranye, kugorwa no kuvuga, intege nke ku ruhande rumwe rw’umubiri, kunanirwa mu maso), jya ku bitaro byita ku barwayi ba ETU byihutirwa.