Unowanzobatwa nedzihwa nefuruu here? Kana kuti unowanzobatwa nemaronda mumuromo nepahuro here? Pamwe uri kurapwa nechemotherapy . Panguva yakaita seiyi , kana chiremba wako akakuongororwa ropa obva ati, "Une masero machena mashoma eropa," ungave uchishamisika kuti zvinorevei. Usazvidya mwoyo. Nhasi tiri kutaura nezvechirwere chinonzi ' Neutropenia ' chinogona kukanganisa vanhu vazhinji, asi chinogona kudzorwa kana chikanzwisiswa zvakanaka.
Zvichitaurwa zviri nyore, chii chinonzi Neutropenia?
Fungidzira kuti muviri wedu inyika. Tine uto rakasimba rekurwisa vavengi ( majemusi , mabhakitiriya ) anopinda munyika ino achibva kunze. Masoja akakosha zvikuru muuto iri anonzi Neutrophils . Aya ndiwo chaiwo rudzi rukuru rwemasero machena eropa muropa redu. Kana utachiona hukapinda mumuviri wedu, varwi ava veNeutrophil vanoenda ikoko voparadza utachiona ihwohwo uye vanotidzivirira kubva kuzvirwere .
Wanzwisisa here ikozvino? Neutropenia kudzikira kusingawanzoitika kwehuwandu hwemasoja aya anonzi neutrophil muropa. Masoja aya paanodzikira, masoja emuviri wedu anoshaya simba. Ipapo kunyange utachiona hudiki hunogona kupinda mumuviri nyore nyore ndokukonzera hutachiona. Maneutrophil aya anogadzirwa mumongo wemapfupa mukati memapfupa edu.
Kune mhando huru dze neutropenia here?
Ehe, neutropenia inogona kukamurwa kuita mhando huru dzakasiyana zvichienderana nekuti inoitika sei. Dzimwe dzinopora munguva pfupi (dzakakomba), nepo dzimwe dzichigara kwenguva refu (dzisingaperi).
| Rudzi rwe neutropenia | Tsananguro iri nyore |
|---|---|
| Neutropenia yekuzvarwa nayo | Ichi chirwere chekuzvarwa nacho. Chinonyanya kuitika muvacheche nevana vadiki. Chinokonzerwa nedambudziko rekugadzirwa kwema neutrophils mumongo wemapfupa. |
| Idiopathic Neutropenia | Idiopathic zvinoreva kuti "hapana chikonzero chingawanikwe." Rudzi urwu runogona kukanganisa vana nevakuru. |
| Kurwara kweCyclic Neutropenia | Rudzi urwu rwakanyatsojeka. Runowanzo itika kamwe chete pamavhiki matatu uye runogara kwemazuva matatu kusvika matanhatu. Runoitika mudenderedzwa apo nhamba yemasero eropa inoderera yozodzokera payakajairika. |
| Kuzvidzivirira kwemuviri | Zviri kuitika pano ndezvekuti sisitimu yedu yekudzivirira, masero edu eNeutrophil, ari kuparadzwa. Zvakafanana neuto redu richirwisa varwi vedu. Izvi zvakajairika pakati pevana vadiki. |
| Kupera kweFebrile Neutropenia | Ichi chirwere chakakomba zvikuru chinogona kuitika kuvanhu vari kurapwa nekenza ne chemotherapy. Fivha ine mwero wakaderera we neutrophil inogona kuva chiratidzo chehutachiona hwakakomba. Izvi zvinoonekwa sedambudziko rehutano. |
Ungaziva sei kana uine chirwere che neutropenia? Ndezvipi zviratidzo zvacho?
Neutropenia inowanzova isina zviratidzo. Vamwe vanhu vanongozviziva chete kana vakaongororwa ropa nekuda kwechimwe chikonzero. Zvisinei, zviratidzo zvehutachiona hunokonzerwa nekushaya ma neutrophils mumuviri zvinogona kuitika.
Chinhu chinonyanya kukosha ndechekuti munhu ane chirwere che "neutropenia" aite fivha. Fivha chiratidzo chinofanira kutorwa zvakakomba, sezvo zvichigona kureva kuti hutachiona hune njodzi huri kupararira mumuviri.
Zvimwe zviratidzo zvinogona kukonzerwa nehutachiona zvinosanganisira:
- Huro inorwadza nguva nenguva
- Maronda mumuromo kana pamiromo
- Manodhi elymph akazvimba
- Kupisa kana uchiita weti uye kuda kuita weti nguva nenguva
- Manyoka
- Matumbu
- Kunonoka kupora kwemaronda
- Kunzwa kuneta kupfuura zvakajairika (Kuneta)
Sei chirwere ichi cheNeutropenia chichiitika? Ndezvipi zvikonzero?
Neutropenia inogona kuva nezvikonzero zvakawanda. Zvikonzero zvikuru zvinogona kukamurwa muzvikamu zviviri: kungave kudzikira kwekugadzirwa kwema neutrophils nemapfupa emubofu, kana kuparadzwa nekukurumidza kwema neutrophils anogadzirwa.
- Zvikonzero zvekuderera kwekugadzirwa kwe neutrophil:
- Kurapa Gomarara: Kurapa nemakemikari nemwaranzi ndizvo zvinonyanya kukonzera chirwere ichi.
- Kenza dzinokanganisa mumongo wemapfupa, dzakadai seleukemia .
- Matambudziko emapfupa ekuzvarwa nawo.
- Zvimwe zvirwere zvinotapukira.
- Zvikonzero zvekuwedzera kwekuparadzwa kwe neutrophils:
- Zvirwere zve autoimmune: Semuenzaniso, zvirwere zvakaita seLupus neRheumatoid arthritis.
- Zvimwe zvirwere: Dengue fivha, Tuberculosis, HIV, uye mavhairasi akaita seHepatitis.
- Mamwe marudzi emishonga:
- Kushaya simba mumuviri kunogonawo kukonzerwa nemishonga inorwisa mabhakitiriya, mishonga yemwoyo, mishonga yepfari, uye mimwe mishonga yepfungwa. Kana uchifungidzira kuti mushonga wauri kutora uri kukonzera chirwere ichi, usamborega kuutora usina kutanga wabvunza chiremba wako.
Dambudziko iri rinoonekwa sei uye rinorapwa sei?
Muedzo mukuru wekuongorora neutropenia kuongororwa kweropa kuri nyore kunonzi Complete Blood Count (CBC ine differential) . Izvi zvinogona kuyera nhamba yema neutrophils nemazvo. Kana chikonzero chisina kujeka, chiremba wako anogonawo kukurudzira kuti uongororwe bone marrow biopsy .
Nzira dzekurapa dzinoenderana nekuoma kwechirwere che neutropenia uye chikonzero chacho.
- Mishonga inorwisa mabhakitiriya: Kana paine fivha kana hutachiona, mishonga inorwisa mabhakitiriya inotanga kushandiswa ipapo ipapo.
- Majekiseni eGranulocyte Colony-Stimulating Factor (G-CSF): Aya anosimudzira mupfupa uye anoubatsira kugadzira masero machena eropa akawanda. Uyu mushonga unoponesa hupenyu, kunyanya kune neutropenia inokonzerwa nechemotherapy.
- Kuchinja mishonga: Kana chirwere ichi chikakonzerwa nemushonga, chiremba anogona kuchinja mushonga wacho.
- Corticosteroids: Rudzi urwu rwemushonga runoshandiswa pakurapa zvirwere zve autoimmune.
- Kuisirwa masero emuviri: Kurapa uku kunogona kushandiswa pamatambudziko makuru emupfupa.
Chii chatinofanira kuita kuti tizvidzivirire kubva kuzvirwere?
Chinhu chinonyanya kukosha kune munhu ane neutropenia ndechekuzvidzivirira kubva kuzvirwere. Zvakakosha zvikuru kutevera matanho aya ari nyore.
- Kuchena: Geza maoko ako nesipo nemvura nguva dzose. Chengetedza mazino ako nehutano hwemuromo.
- Gara kure nevanhu vanorwara: Dzivisa kusangana nevanhu vane fivha kana dzihwa. Deredza kushanya kwako kunzvimbo dzine vanhu vakawanda.
- Kuchengetedzeka kwechikafu: Idya chikafu chakabikwa zvakanaka chete. Geza uye chenesa miriwo nemichero zvisina kubikwa zvakanaka. Dzivisa mukaka usina kupiswa nenyama, hove, nemazai.
- Kukuvara kweganda: Chenesa mavanga madiki kana kukwenya zvakanaka woisa plaster. Usafamba panze usina shangu.
- Zvinhu zvako: Usagovane zvinhu zvakaita semareza, mabhurashi emazino, nematauro nevamwe.
- Mvura: Usashambire mumadziva, munzizi, uye mumadhishi emvura inopisa.
Mharidzo Yekuenda Nayo Kumba
- Neutropenia chirwere chinoderedza kugona kwemuviri wako kurwisa zvirwere, asi chinogona kudzorwa.
- Kana uine chirwere che "neutropenia", fivha chiratidzo chakakomba zvikuru. Kana ukatanga fivha, zivisa chiremba wako nekukasika kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.
- Tevedzera mirairo yachiremba wako uye kurapwa kwacho nemazvo. Inwa mushonga wako nenguva.
- Chinhu chinonyanya kukosha ndechekuzvidzivirira kubva kuzvirwere. Gara uchichengetedza hutsanana.
- Usazvidya mwoyo nezvehutano hwako. Neruzivo rwakakodzera uye mazano ekurapa, unogona kuramba uine hutano hwakanaka.
neutropenia, masero machena eropa, neutrophils, masero machena eropa mashoma, hutachiona, kenza, chemotherapy, Sri Lanka, Sinhala, dziviriro yemuviri, mupfupa
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