Unonzwa kuneta uye kuneta nguva dzese here? Une fivha, maronda mumuromo, uye unonzwa sekunge uri kurwara kunyangwe nezvinhu zvidiki here? Panogona kunge paine chirwere chiri shure kwezvinhu izvi chatisingataure zvakawanda, asi chinogona kunge chakakomba zvikuru. Nhasi tichataura nezvechimwe chirwere chakadaro, icho chinonzi Agranulocytosis. Usazvidya moyo, ngatitsanangure zvese nemashoko akareruka.
Chii chinonzi Agranulocytosis?
Zvichitaurwa zviri nyore, uku kudzikira kune njodzi kwerudzi rwemasero machena eropa muropa redu. Fungidzira kuti muviri wedu wakaita senyika. Saka utachiona hunokonzera zvirwere mumuviri wedu vavengi vanorwisa nyika. Uto rinorwisa vavengi ava masero machena eropa muropa redu.
Simba rakakosha riri muuto iri remasero machena eropa rinonzi magranulocytes . Kune mhando nhatu huru dzemasoja muuto iri:
- Manyutrophil
- MaBasophils
- MaEosinophils
Masero aya ane tuma granules tudiki, tune ma enzymes anoparadza utachiona hwakadai semabhakitiriya anopinda mumuviri. Masero aya anonyanya kukosha anogadzirwa mumongo wedu wemapfupa.
Saka, agranulocytosis inguva apo masero aya anorwisa anonzi granulocytes, kunyanya masero e-neutrophil akawanda, anodzikira zvakanyanya muropa. Kana izvozvo zvikaitika, dziviriro yemuviri wedu inodonha zvachose. Tinotanga kurwara zviri nyore kunyangwe kubva kuhutachiona hudiki.
Kazhinji, munhu ane hutano hwakanaka anofanira kunge aine masero machena eropa anopfuura 1,800 pa microliter imwe neimwe yeropa. Kana nhamba iyi ikawira pasi pe500, inonzi Agranulocytosis. Ichi chirwere chine njodzi zvikuru.
Ndezvipi zvikonzero zve agranulocytosis?
Kune mhando mbiri huru dzezvikonzero zvechirwere ichi: congenital uye acquired.
1. Agranulocytosis yekuzvarwa nayo:
Izvi zvinokonzerwa nekusakwana kwemajini. Vamwe vana vanoberekwa vasina simba rakawanda rekugadzira masero machena eropa mumongo wavo wemapfupa. Semuenzaniso, pane chirwere chisingawanzoitiki chinonzi Kostmann syndrome. Vana vakadaro vanowanzova nefivha, hutachiona, uye matambudziko emapfupa.
2. Agranulocytosis inoitika gare gare:
Ichi ndicho chirwere chinowanzoitika. Chinogona kuitika pazera rekukura nekuda kwezvikonzero zvakasiyana-siyana.
| Chikonzero | Tsananguro |
|---|---|
| Mishonga | Ichi ndicho chikonzero chikuru uye chinonyanya kuitika. Mimwe mishonga inogona kumisa mupfupa kugadzira masero machena eropa kana kuparadza masero anogadzirwa. |
| Utachiona | Mamwe mavhairasi (semuenzaniso HIV, hepatitis) uye hutachiona hwemabhakitiriya (semuenzaniso typhoid, TB) zvinogona kukonzera kutadza kushanda kwemapfupa. |
| Kushomeka kwemavhitamini | Kushaikwa kwezvinovaka muviri zvakaita sevhitamini B12 kana folate mumuviri. |
| Zvimwe zvirwere | Zvirwere zvemapfupa, kuisirwa mamongo, zvirwere zve autoimmune zvakaita seSystemic Lupus Erythematosus (SLE) uye Rheumatoid Arthritis. |
| Zvimwe zvikonzero | Kunwa doro zvakanyanya uye matambudziko ekudya akadai seanorexia nervosa. |
Mishonga inokonzera sei chirwere ichi?
Mishonga ndiyo inonyanya kukonzera izvi. Paunotora zvinhu zvakaita semishonga yekurwisa kenza, masero machena eropa emunhu wese anoderera. Asi kune mimwe mishonga iyo, kunyange isingakonzeri matambudziko kuvanhu vazhinji, inogona kukonzera agranulocytosis muvanhu vashoma.
- Mishonga inoshanda kuburikidza nemasoja emuviri: Mimwe mishonga inoita kuti muviri wedu ugadzire masoja ekudzivirira chirwere anorwisa masero edu machena eropa.
- Mishonga inodzvinyirira mapfupa: Mimwe mishonga (semuenzaniso valproic acid, carbamazepine, mimwe mishonga inorwisa mabhakitiriya yakaita seamoxicillin) inomisa kugadzirwa kwemasero machena eropa mumapfupa.
- Mishonga yekurwisa kenza nemimwe mishonga yezvirwere zvepfungwa: Izvi ndizvo zvinonyanya kukonzera kushomeka kwemasero machena eropa.
Chinhu chinonyanya kukosha ndechekuti, usarega kana kutanga chero mushonga usina kurairwa nachiremba wako . Kana uchifungidzira kuti pane mushonga uri kukonzera izvi, zivisa chiremba wako nekukasika.
Ndezvipi zviratidzo zvechirwere ichi?
Kazhinji, hapana zviratidzo zvakanangana nechirwere ichi. Chinowanikwa netsaona kana kuongororwa ropa kwaitwa nekuda kwechimwe chikonzero. Zvisinei, zviratidzo zvinoonekwa kuburikidza nehutachiona hunokonzerwa nekushomeka kwemasoja emuviri.
- Fivha yakakwira kamwe kamwe
- Kunzwa kutonhorera uye kudedera
- Maronda emuromo
- Musoro
- Kudikitira
- Manodhi elymph akazvimba
- Kuzvimba kwechiropa kana chirebvu
- Kuneta nguva dzose uye kuneta
Chinhu chine njodzi zvikuru panyaya iyi ndechekuti kunyangwe hutachiona hudiki hunogona kukura nekukurumidza kuita chirwere chakakomba, chinouraya chinonzi sepsis . Sepsis chirwere umo hutachiona hunopararira mumuviri wese, BP inoderera zvine njodzi, uye kunyange nhengo dzemuviri dzinogona kutadza kushanda. Iyi inyaya inoda kurapwa nekukurumidza.
Vanhu vane makore anopfuura makumi matanhatu nemashanu ekuberekwa, avo vane zvimwe zvirwere zvakaita sechirwere cheitsvo kana chirwere chemwoyo, vari panjodzi huru yekuwana matambudziko kana vakabatwa nechirwere cheagranulocytosis.
Inorapwa sei?
Danho rekutanga uye rinokosha pakurapa izvi nderekuwana chikonzero .
- Kurapa Chikonzero: Kana chirwere ichi chikakonzerwa nemushonga, chirwere ichi chinowanzovandudzika mukati memavhiki maviri kusvika matatu mushure mekumira kushandisa mushonga sezvakarairwa nachiremba. Kana chikonzero chacho chiri hutachiona, chinofanira kurapwa.
- Kukurudzira kugadzirwa kwemasero machena eropa: Majekiseni akakosha akadai seFilgrastim anopiwa kuti awedzere huwandu hwemasero machena eropa. Izvi zvinokurudzira mwongo wemapfupa uye zvinowedzera kugadzirwa kweneutrophil.
- Kurapa hutachiona: Kana uine hutachiona hwebhakitiriya, chiremba wako achakupa mishonga inorwisa mabhakitiriya. Pahutachiona hwehutachiona kana hwefungus, vachakupa mishonga chaiyo. Kana hutachiona hwacho hwakanyanya, ungangoda kuendeswa kuchipatara uye kurapwa netsinga (IV).
- Kuisirwa mapfupa emupfupa: Kana pasina imwe nzira yekurapa inoshanda, kuisirwa mapfupa emupfupa kubva kune mumwe munhu akakodzera kunogona kutorwa senzira yekupedzisira.
Munhu ane agranulocytosis anofanira kungwarira sei?
Kana uine chirwere ichi, masoja emuviri wako haana simba, saka unofanira kunyatsochenjerera kuti uzvidzivirire kubva kuzvirwere.
Yeuka, kana huwandu hwema neutrophil ako huchidzikira pasi pe100 kwemavhiki matatu kusvika mana, pane mukana we100% wekutapukirwa nechirwere. Saka iva nechokwadi chekutevera matanho aya ekudzivirira.
| Matanho ekutora kuti uzvidzivirire kubva kuzvirwere | |
|---|---|
| Chikafu | Idya chikafu chakabikwa zvakanaka chete. Dzivisa kudya masaradhi asina kubikwa, masosi, nyama isina kubikwa zvakakwana, hove, mazai, nezvimwewo. Geza uye bvisa michero nemiriwo zvakanaka usati wadya. |
| Hutsanana hwemunhu | Geza maoko ako zvakanaka nesipo nemvura nguva dzose. Shandisa muchina wemagetsi wekugera vhudzi pane kushandisa reza. |
| Zvakatipoteredza | Dzivisa kuenda kunzvimbo dzine vanhu vakawanda (mabhazi, zvitima, mabhaisikopo). Dzivisa kushanda nevhu, kubata mhuka. Dzivisa kushambira mumadziva nemunzizi. |
| Ukama nevamwe | Dzivisa kusangana nevanhu vanorwara (vakadai seavo vane fivha kana dzihwa). |
Kunyange hazvo agranulocytosis iri chirwere chakakomba, chinogona kurapwa kana chikonzero chikaonekwa uye chikarapwa nemazvo. Chinhu chakakosha ndechekuona chiremba wako nekukurumidza paunongoona chiratidzo chidiki chehutachiona (fivha, kurwadziwa kwemuviri). Kutora matanho nekukasika kunogona kubatsira kudzivirira matambudziko akakomba.
Mharidzo Yekuenda Nayo Kumba
- Agranulocytosis kudzikira kune njodzi kwerudzi rwemasero machena eropa (kunyanya ma neutrophils) anorwisa utachiona muropa redu.
- Izvi zvinogona kuderedza simba remuviri rekudzivirira zvirwere uye kukonzera kuti kunyange hutachiona hudiki huve hwakakomba zvikuru.
- Izvi zvinonyanya kukonzerwa nekutora mishonga, hutachiona hwakasiyana-siyana, uye mamwe matambudziko ehutano.
- Kana ukaona zviratidzo zvakaita sefivha, dzihwa, kana maronda mumuromo, kurumidza kuona chiremba wako.
- Kana wakawanikwa uine chirwere ichi, zvakakosha kuti unyatsochenjerera kudzivirira kutapukirwa.
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