Dziviriro yemuviri wako yadzikira here? Ngatidzidzei nezve agranulocytosis.

Unowanzobatwa nedzihwa nefuruu wonzwa kurwara zvakanyanya here? Dzimwe nguva, kunyange chirwere chidiki chinogona kuva chakakomba uye chinotora nguva yakareba kuti chidzoke? Chikonzero chikuru cheizvi chingave kusasimba kwesimba remuviri wako rekudzivirira zvirwere, kureva, uto rinotidzivirira kubva kuzvirwere. Nhasi tiri kutaura nezvechirwere chinogona kufungidzirwa panguva dzakadaro, chingave chine njodzi zvishoma, asi chinogona kurapwa.

Zvichitaurwa zviri nyore, chii chinonzi Agranulocytosis?

Agranulocytosis (inodudzwa: "a-gra-nu-lo-cy-to-sis") chirwere chinotyisidzira hupenyu umo huwandu hwema neutrophils, rudzi rwemasero machena eropa, muropa redu hunodzikira zvakanyanya.

Fungidzira kuti muviri wedu wakaita senyika. Saka masero machena eropa ndiwo uto rinodzivirira nyika iyoyo. Kune mapoka akasiyana-siyana emauto aya. Pakati pawo , ma neutrophils iboka rema commando rakakosha rinoenda kunorwisa utachiona nekukurumidza pavanoona . Saka kana huwandu hwema commando aya hukadzikira zvakanyanya, kunyangwe utachiona hudiki hunobva kunze hunogona kurwisa muviri wedu nyore nyore uye kutiita kuti tirware.

Dambudziko iri rinogona kuita kuti utapukirwe nezvirwere zvakakomba, kunyangwe zvichibva kuhutachiona husingawanzotikuvadza.

Saka musiyano uripi pakati peNeutropenia neAgranulocytosis?

Ungave wakambonzwawo izwi rekuti neutropenia. Kunyangwe izvi zviviri zvichinzwika zvakafanana, pane musiyano mudiki.

• Neutropenia: Chero mamiriro ezvinhu apo huwandu hwema neutrophils huri pasi pane zvakajairika.
• Agranulocytosis: Iyi ndiyo mhando ye neutropenia yakanyanya kuipa uye ine njodzi.

Zvichitaurwa zviri nyore, kana huwandu hwema neutrophil hukadzikira zvakanyanya, tinohudaidza kuti Agranulocytosis.

Ndezvipi zvikonzero zvinokonzera mamiriro ezvinhu aya?

Agranulocytosis inogona kuitika nenzira mbiri huru.

1. Agranulocytosis Yakaberekwa Nevabereki: Izvi zvinokonzerwa nekusakwana kwemajini anogadzira ma neutrophils. Izvi hazviwanzoitiki uye zvinonyanya kuitika muvacheche vadiki nevana.

2. Acquired Agranulocytosis: Iyi ndiyo mhando inonyanya kuwanikwa. Panogona kunge paine zvikonzero zvakawanda zveizvi. Asi muzviitiko zvinenge 70%, imhedzisiro yemimwe mishonga yatinotora. Rudzi urwu rwakajairika pakati pevanhu vakuru.

Zvikonzero zvikuru zve agranulocytosis inotevera

• Mimwe mishonga: Chirwere ichi chinogona kukonzerwa nemishonga yakadai semishonga inorwisa mabhakitiriya, mishonga yezvirwere zvepfungwa (semuenzaniso clozapine), uye mishonga yezvirwere zvethyroid (semuenzaniso methimazole).
• Kurapa nemakemikari: Kana masero ekenza aparadzwa, ma neutrophils, ayo ari masero ane hutano anopatsanuka nekukurumidza, anogonawo kukuvara.
• Zvirwere zve autoimmune: Apa ndipo apo masoja emuviri wedu anozvibata zvisina kunaka uye anorwisa masero awo ane hutano. Mienzaniso inosanganisira zvirwere zvakaita seLupus neRheumatoid Arthritis.
• Zvirwere zveBone Morrow: Bone morrow ndiyo fekitori inogadzira masero edu ese eropa. Saka, zvirwere zvinokanganisa fekitori iyi, zvakaita sekenza yakaita seleukemia kana aplastic anemia, zvinogona kukanganisa kugadzirwa kweneutrophil.
• Zvimwe zvirwere: Chirwere ichi chinogonawo kukonzerwa nezvirwere zvakakomba zvakaita semarariya neTB.
• Kusakwana kwezvekudya: Njodzi iyi inowanikwawo nekushomeka kwenguva refu kwezvinovaka muviri zvakaita sevhitamini B12 nefolate.
• Makemikoro ane chepfu: Kudya makemikari ane chepfu akadai se lead kana mercury.

Ndezvipi zviratidzo zve agranulocytosis?

Nekuda kwehuwandu hushoma hwema neutrophils, zviratidzo zvikuru zvechirwere ichi ndezvehutachiona . Izvi zvinogona kuoneka kamwe kamwe kana kukura zvishoma nezvishoma.

Zvinhu zvikuru zvinoonekwa ndeizvi:

• Kunzwa kutonhorera zvakanyanya, kudedera, uye kuva nefivha .
• Kurova kwemoyo kwakanyanya uye kufema kwakanyanya.
• Kunzwa kuneta uye kushaya simba mumuviri kwaisavapo kare .
• Huro inorwadza, mazino akazvimba uye matadza ari kubuda ropa.
• Kuoma kumedza nekuda kwemaronda emuromo nepahuro .
• Kudzikira kweBP kamwe kamwe (hypotension) zvichikonzera kunzwa kuda kupera simba uye dzungu.

Chiremba anoongorora sei chirwere ichi?

Kana uine chimwe chezviratidzo zvakanyorwa pamusoro apa, kunyanya kana uine hutachiona hunogara huchiitika, chiremba achakuongorora. Muedzo unonyanya kukosha wekuona kana uine chirwere ichi kuverenga ropa rose (CBC) . Dzimwe nguva tinotiwo kuverenga ropa rose (FBC).

Kuongororwa uku kunoyera huwandu chaihwo hwema neutrophils muropa rako. Kana huwandu hwema neutrophils huri pasi pe100 pa microliter, hunoonekwa seAgranulocytosis.

Pamusoro pezvo, chiremba anogona kuraira mimwe miedzo kuti awane chikonzero.

• Kuongororwa kweBone Marrow Biopsy: Kuongororwa uku kunoitwa kuti kuonekwe kana paine dambudziko mubone marrow, iyo fekitori inogadzira masero eropa.
• Kuongororwa kwemajini: Kana paine fungidziro yekuti ichi chirwere chekuzvarwa nacho, unogona kutumirwa kunoongororwa.

Ndeipi mishonga yekurapa agranulocytosis?

Kunyangwe ichi chirwere chine njodzi, mashoko akanaka ndeekuti kune nzira dzinoshanda dzekurapa chirwere ichi. Kurapa kwacho kunoenderana nekuti chii chiri kukonzera chirwere ichi.

• Kumisa Mushonga Unokonzera Kurwara: Kana chikonzero chechirwere ichi chiri mushonga wauri kutora, chinhu chekutanga uye chakakosha chekuita ndechekurega kutora mushonga iwoyo. Zvisinei, usamborega kutora mushonga wako wega. Iva nechokwadi chekutaura nachiremba wako uye kutevedzera mirairo yake kuti uite izvozvo zvakachengeteka.

• Mishonga inorwisa mabhakitiriya: Kana uine hutachiona mumuviri wako, chiremba wako achakupa mishonga inorwisa mabhakitiriya yakasimba kuti uhurwise.

• Majekiseni eG-CSF: Aya anonzi Granulocyte Colony-Stimulating Factor (G-CSF). Majekiseni aya anokurudzira mupfupa uye anoubatsira kugadzira masero e-neutrophil nekukurumidza.

• Mishonga inodzvinyirira muviri: Kana chikonzero chiri chirwere chinokonzerwa nemuviri unozvirwisa, mishonga yakaita seprednisone inogona kupihwa kuti inyaradze masoja emuviri anomhanya zvakanyanya.

• Kuisirwa Bone Morrow: Kana mamwe marapirwo akasabudirira, kuisirwa bone morrow kubva kumunhu ane hutano kunogona kuitwa senzira yekupedzisira.

Ndingazvidzivirira sei kubva kuzvirwere panguva yekurapwa?

Zvakakosha zvikuru kudzivirira hutachiona paunenge uchirapa munhu ane chirwere ichi.

• Gara uchigeza maoko ako nesipo zvakanaka.
• Deredza kuenda kunzvimbo dzine vanhu vakawanda zvakanyanya sezvinobvira.
• Pfeka chifukidziro chemaziso paunenge uchibuda panze.
• Idya chikafu chakagadzirwa zvakanaka uye chakachena chete.

Zvinokwanisika here kupora zvizere kubva padambudziko iri?

Ehe, kazhinji zvinogoneka. Nguva yekupora inoenderana nechikonzero chacho.

Kana chikonzero chiri mushonga, huwandu hwema neutrophil hunowanzo dzokera pahwakajairika mukati mevhiki imwe kusvika nhatu mushure mekumira kushandisa mushonga.

Kana chirwere ichi chikaonekwa uye chikarapwa nekukurumidza, chinogona kudzorwa zvachose. Zvisinei, kana chikasarapwa, chinogona kutungamira kuhutachiona hwakakomba uye zvirwere zvinotyisidzira hupenyu zvakaita se sepsis . Vanhu vane makore anopfuura 65 uye avo vane zvimwe zvirwere zvemwoyo, itsvo, kana mapapu vari panjodzi huru yekusangana nematambudziko.