Ngaba wakha wajonga igazi elipheleleyo waza waphawula ukuba inani leeseli ezibomvu zegazi (RBC) kwingxelo liphezulu kancinci kunesiqhelo? Kuqhelekile ukuba novalo kwaye woyike xa ubona into efana naleyo. "Yintoni le? Kutheni oku kusenzeka?" Unokucinga. Kwizonyango, xa inani leeseli ezibomvu zegazi liphezulu kunesiqhelo, sibiza ngokuba yi-erythrocytosis. Ungakhathazeki, siza kuthetha ngale nto ngokucacileyo nangokulula namhlanje.
Okokuqala, masibone ukuba ziintoni ezi seli zibomvu zegazi?
Ngamafutshane, iiseli ezibomvu zegazi zifana nabasebenzi abancinci egazini lethu. Umsebenzi wazo ophambili
kukuqokelela ioksijini engena emiphungeni xa siphefumla size siyithwale siye kwiiseli ezikwikona nganye yomzimba . Zikwanceda
ekubuyiseleni ikhabhoni diokside ekhutshwa ziiseli emiphungeni ize iyikhuphe xa siphefumla. Ezi zisebenzi zincinci ziveliswa kumongo wethu wethambo. Apho, ziyakhiwa, zidibanise igazi, zenze umsebenzi wazo kangangeentsuku ezili-120, zize zife. Lo mjikelo uqhubeka rhoqo. Nangona kunjalo, ukuba ngesizathu esithile, ukuveliswa kwezi seli zibomvu zegazi kuyanda kakhulu, kulapho imeko ebizwa ngokuba yi-Erythrocytosis yenzeka khona.
Kukho iintlobo ezimbini eziphambili ze-erythrocytosis:
Oku kwanda kweeseli ezibomvu zegazi kunokwenzeka ngeendlela ezimbini eziphambili. Nangona zombini ezi meko zibandakanya ukwanda kweeseli ezibomvu zegazi, unobangela wahlukile.
| Uhlobo lwe-erythrocytosis | Ingcaciso elula |
|---|
| I-Erythrocytosis ephambili | Ingxaki ikwimongo wethambo ngqo. Ngenxa yesiphene esithile kumongo wethambo, uqala ukuvelisa iiseli ezibomvu zegazi ezininzi kakhulu ngaphandle kolawulo. Oku kunokuzalwa okanye kufumaneke kamva ebomini. |
| I-Erythrocytosis yesibini | Akukho ngxaki ngomongo wethambo apha. Nangona kunjalo, ngenxa yengxaki kwenye indawo emzimbeni, umongo wethambo ufumana isilumkiso "sokwenza iiseli ezibomvu zegazi ezingaphezulu." Oku kudla ngokubangelwa yihomoni ebizwa ngokuba yi-erythropoietin (EPO), eveliswa zizintso zethu. Le homoni ilawula ukuveliswa kweeseli ezibomvu zegazi. |
Kutheni iiseli ezibomvu zegazi zisanda ngolu hlobo? Zithini izizathu?
Isizathu siyahluka ngokuxhomekeke kuhlobo esithethe ngalo ngaphambili.
Izizathu ze-Erythrocytosis ephambili
Ngamanye amaxesha le inokuba yimeko yemfuza engenabungozi edluliselwa kwizizukulwana ngezizukulwana. Ukuba uneeseli ezibomvu zegazi ezininzi kakhulu egazini lakho, kwaye iiseli zakho ezimhlophe zegazi kunye neeplatelets ziqhelekile, oku kusenokuba yimbangela. Nangona kunjalo, ngamanye amaxesha oku kubangelwa luhlobo lomhlaza wegazi olubizwa ngokuba yi
-polycythemia vera . Ngoku, ungoyiki xa usiva igama elithi "umhlaza." Le
yimeko ekhula kancinci kakhulu, engaqhelekanga . Abanye abantu abazi nokuba banayo kangangeminyaka. Kodwa inokuba yingozi ukuba ayinyangwa. Kuba xa iiseli ezibomvu zegazi zisanda, igazi liyaqina kwaye ukuhamba kwegazi kuyancipha. Oku kwandisa
umngcipheko wokuqhekeka kwegazi .
Izizathu ze-Erythrocytosis yesibini
Zininzi izizathu zoku. Isizathu esiphambili kukuba amanqanaba e-oxygen aphantsi emzimbeni.
Khawucinge nje, xa umzimba ungenawo umoya-mpilo owaneleyo, umzimba ucinga, "Kulungile, abasebenzi abathwala umoya-mpilo ( iiseli ezibomvu zegazi ) abonelanga. Masenze ezinye size sizithumele." Yiloo nto eyenzekayo.
- Ukutshaya : Ukutshaya konakalisa imiphunga kwaye kunciphisa amandla omzimba okufumana ioksijini.
- Iingxaki zentliziyo kunye nesifo semiphunga : Iimeko ezifana ne -asthma kunye ne-COPD zinokubangela amanqanaba aphantsi eoksijini.
- I-Sleep Apnea: Oku kwenzeka xa ukuphefumla kuyeka okanye kungabi nzulu ngexesha lokulala ebusuku. Oku kunciphisa nobungakanani beoksijini efunyanwa ngumzimba.
- Ukuhlala kwiindawo eziphakamileyo:Khawuthelekelele xa usiya kwindawo ephakamileyo efana neNuwara Eliya, abanye abantu baziva benengxaki yokuphefumla. Oku kungenxa yokuba uxinaniso lweoksijini emoyeni luphantsi. Xa uhlala kwiindawo ezinjalo ixesha elide, umzimba uyandisa imveliso yawo yeeseli ezibomvu zegazi ukuze uzilungele.
- I-Hemoglobinopathy: Esi sisifo segazi esizuzwe njengelifa apho iiseli ezibomvu zegazi zingakwazi ukuthwala ioksijini ngokufanelekileyo.
Ezinye izizathu:- Isifo sezintso : I-hormone ye-EPO ebesithethe ngayo ngaphambili iveliswa kwizintso. Ngoko ke iingxaki ezifana nee-kidney cysts, ii-tumor, okanye ukucutheka kwemithambo yegazi enika izintso kunokubangela ukuveliswa okugqithisileyo kwe-hormone ye-EPO.
- Amayeza athile: Amanye amayeza okwakha umzimba, anjenge-anabolic steroids, anokunyusa ukuveliswa kweeseli ezibomvu zegazi.
- Iithumba: Ezinye iithumba ezikhula kwizitho ezifana nezintso, ingqondo, isibindi, kunye nesibeleko zinokukhupha i-EPO hormone.
- Ukuphelelwa ngamanzi emzimbeni: Ngamanye amaxesha inani leeseli ezibomvu zegazi alikho phezulu ngokwenene. Kodwa ubungakanani bamanzi (ukufuma) emzimbeni bunciphile kwaye igazi liba likhulu. Emva koko uvavanyo lwegazi lubonisa ukwanda koxinzelelo lweeseli ezibomvu zegazi. Oku kunokubangelwa zizinto ezifana norhudo, ukuhlanza, ukutsha, okanye ukungaseli manzi aneleyo.
Zithini iimpawu zale meko?
Iimpawu ezininzi ziyenzeka kuba igazi liyajiya kwaye licothisa ukuhamba kwalo emzimbeni wonke. Ayingabo bonke abantu abaya kuba nazo zonke ezi mpawu. Abanye abantu basenokungabi nazo kwaphela iimpawu.
- Intloko ebuhlungu
- Umbono ofipheleyo
- Ukudideka
- Igazi elonyukayo
- Ukopha kwempumlo
- Ulusu olurhawuzelelayo (ingakumbi emva kokuhlamba emanzini ashushu)
- Ubuthathaka kunye nokudinwa
Ukuba uneempawu ezinje, kubaluleke kakhulu
ukuthetha nogqirha wakho ngazo.
Ugqirha uyifumana njani le nto?
Le meko idla ngokubonwa kuqala ngovavanyo lwegazi. Ugqirha wakho uza kujonga inani leeseli zakho ezibomvu zegazi kunye namanqanaba eehomoni zakho ze-EPO.
- Ukuba amanqanaba e-EPO aphantsi: Kuye kwenziwe olunye uvavanyo ukuze kukhangelwe i-Primary Erythrocytosis (ingakumbi i-Polycythemia Vera), njengoko ingxaki isenokuba kwi-bone mongo.
- Ukuba inqanaba le-EPO liqhelekile okanye liphezulu: Ekubeni ingxaki ikwenye indawo, kwenziwa uvavanyo lokukhangela izinto ezinokubangela i-erythrocytosis yesibini (imiphunga, intliziyo, izintso, njl.njl.).
Zithini iindlela zonyango zoku?
Unyango luxhomekeke kwisizathu.
Khumbula, ugqirha wakho uza kugqiba ngonyango lwakho. Musa ukuzinyanga ngokusekelwe koko ukufundileyo kwi-intanethi okanye kumarhe.
- Kwi-Erythrocytosis Ephambili (iPolycythemia Vera): Unyango oluphambili yi -phlebotomy . Oku kubandakanya ukususa igazi elincinci emzimbeni, njengokutofelwa igazi. Oku kususa iiseli ezibomvu zegazi ezingaphezulu, kunciphisa igazi, kwaye kuphucule ukuhamba kwegazi. Ngamanye amaxesha, amayeza anokunikwa ukuthintela ukuqhekeka kwegazi.
- Kwi-Erythrocytosis yesibini: Unobangela oyintloko uyanyangwa .
- Ukubonelela ngeoksijini kwabo banezinga eliphantsi leoksijini.
- Ukuba ungumntu otshayayo, nika icebiso kwaye uncede ukuyeka.
- Unyango olufanelekileyo lweemeko ezifana nesifo sentliziyo nesifo semiphunga.
- Ukuba kungenxa yesimila esinomhlaza, sisuswe ngotyando.
- Ukuba kungenxa yeyeza, yeka okanye utshintshe amayeza njengoko ugqirha wakho eyalele.
- Ukuba kungenxa yokuphelelwa ngamanzi emzimbeni, nika i-saline (ulwelo).
Umyalezo Wokuya Ekhaya
- I-Erythrocytosis linani elingaphezulu kuneliqhelekileyo leeseli ezibomvu zegazi egazini.
- Kukho iintlobo ezimbini eziphambili zale meko: Eyokuqala, ebangelwa yingxaki yomongo ngokwawo, kunye neyesibini, ebangelwa yenye imeko yezonyango.
- Izizathu zingaqala kwinto elula njengokuphelelwa ngamanzi emzimbeni ukuya kwiimeko ezinzulu ezifana nokutshaya, isifo sentliziyo, kunye nePolycythemia Vera.
- Ukuba inani leeseli zakho ezibomvu zegazi liphezulu kuvavanyo lwakho lwegazi okanye uneempawu, kubaluleke kakhulu ukuba ungoyiki kwaye ubone ugqirha wakho ngokukhawuleza ukuze akunike ingcebiso.
- Le meko ingalawulwa kakuhle ngokufumana unobangela ochanekileyo nokufumana unyango olufanelekileyo ngokufanelekileyo.
I-Erythrocytosis Sinhala, ukwanda kweeseli ezibomvu zegazi, iPolycythemia Vera, ukutyeba kwegazi, i-EPO hormone, ingxelo yegazi ethi i-RBC ephezulu, uvavanyo lwegazi
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