Sonke siyazi ukuba igazi elisemzimbeni wethu alifani namanzi, kodwa lilulwelo olune-viscosity ethile. Kodwa khawucinge, kwenzeka ntoni ukuba eli gazi liba likhulu kakhulu kunesiqhelo, njengodaka oluqinileyo? Kuba nzima ukuba eli gazi lixineneyo lihambe ngemithambo yegazi emincinci emzimbeni wethu wonke. Lifana nodaka oluxineneyo olunamathela ngaphakathi kumbhobho. Ngale ndlela, igazi liba likhulu njengobisi lwekhokhonathi, kwaye ukujikeleza kwegazi emzimbeni kuyaphazamiseka, into esiyibiza ngokuba yi-Hyperviscosity Syndrome kwezonyango. Oku akusiyonto incinci nje, kodwa ngamanye amaxesha yimeko eyingozi kakhulu, esongela ubomi. Masithethe ngale nto ngokulula, ngendlela onokuyiqonda.
Kutheni igazi lijiyile kangaka ngequbuliso?
Into yokuqala ekufuneka uyiqonde kukuba i-Hyperviscosity Syndrome ayisosifo ngokwaso. Luphawu lwenye imeko engaphantsi. Njengokukhwehlela luphawu lomkhuhlane okanye i-pneumonia. Ukuqina kwegazi kubangelwa ikakhulu kubuninzi beeseli okanye iiproteni egazini.
Ngamafutshane, ukuba inani leeseli ezibomvu zegazi, iiseli ezimhlophe zegazi, iiplatelets, okanye iiproteni ze-serum egazini landa ngendlela engaqhelekanga, igazi liyaqina.
Le theyibhile ingezantsi idwelisa ezinye zeemeko eziphambili zempilo ezinokubangela le meko.
| Iimeko ezinokubangela ukujiya kwegazi | Ingcaciso elula |
|---|---|
| IMacroglobulinemia kaWaldenström (WB) | Le yeyona nto ibangela ukuba igazi liqine kakhulu. Olu luhlobo lomhlaza wegazi oluvela kwi-bone marrow nakwi-lymphatic tissues. Lubangelwa kukuveliswa kakhulu kweproteni engaqhelekanga, nto leyo ebangela ukuba igazi lijiye. |
| I-Multiple Myeloma | Olu lukwaluhlobo lomhlaza oluchaphazela iiseli zeplasma. Iiproteni ezingaqhelekanga eziveliswa ziiseli zomhlaza zibangela ukuba igazi lijiye. |
| I-Polycythemia Rubra Vera | Esi sisifo somongo wethambo. Kule meko, iiseli ezibomvu zegazi ziveliswa ngendlela engalawulekiyo. Njengoko inani leeseli ezibomvu zegazi lisanda, ukuqina kwegazi nako kuyanda kakhulu. |
| I-Leukemia | Kwi-leukemia, umhlaza wegazi, kukho ukuveliswa kakhulu kweeseli ezimhlophe zegazi. Ezi seli zinokuba nemilo engaqhelekanga. Oku kunokubangela ukuba imithambo yegazi ivaleke kwaye igazi lijiye. |
| Iingxaki zezicubu ezidibeneyo | Ukujiya kwegazi ngamanye amaxesha kunokwenzeka kwizifo ezifana ne-rheumatoid arthritis, kodwa oku kunqabile kakhulu. |
| Ezinye izizathu ezingaqhelekanga | Kunokubakho ezinye izizathu ezininzi, ezifana ne-cryoglobulinemia (isifo esibangela ukudumba kwemithambo yegazi), i-hypoxia engapheliyo (ukungabikho komoya-mpilo ongapheliyo), kunye nezinye iindlela zonyango lomhlaza (unyango lwe-retinoic acid). |
Uziva njani xa igazi lakho liqina? Zithini iimpawu?
Cinga nje, lonke ilungu lomzimba wethu, ukusuka ebuchotsheni ukuya kwiincam zeminwe yethu, lithwalwa ligazi, lithwele ioksijini kunye nezondlo. Ngoko ke xa olu hambo lwegazi luvaliwe, loo malungu awafumani oko akudingayo. Yiyo loo nto iimpawu zivela. Ezi mpawu zinokuhluka ukusuka kumntu ukuya komnye, kwaye zinokuhluka ngokuxhomekeke kwisifo sokuqala esabangela ukuba igazi lijiye.
Nazi ezinye zeempawu ezibonakala rhoqo:
Iimpawu ezichaphazela ingqondo kunye nenkqubo yemithambo-luvo
Ingqondo inokuchaphazeleka kakhulu kukuphazamiseka kokuhamba kwegazi.
- Intloko ebuhlungu kakhulu kunye nesiyezi
- Iingxaki zokubona: ukubona okufipheleyo, ukubona kabini, ngamanye amaxesha ukulahleka ngequbuliso kokubona
- Iingxaki zokuva: ukuncipha okanye ukulahlekelwa kukuva
- Ukuxhuzula
- Ukudinwa kakhulu kunye nokozela (Ukudinwa)
Iimpawu ezinxulumene nokopha
Xa igazi likhula, ulawulo oluthambileyo lokuhamba kwegazi luyaphazamiseka, nto leyo enokubangela ukopha okungalindelekanga.
- Ukudumba okulula
- Ukopha kwe-mucosal (iimpumlo, iintsini)
- Okunye ukopha okungaqhelekanga (umz., igazi elisesitulweni)
Ezinye iimpawu ezinzulu
Ezi zinto zibonisa ukuba amalungu omzimba aphambili ayonakele.
- Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu)
- Ukusilela kwentliziyo: iintlungu zesifuba, ukuphefumla okufutshane
- Ukungasebenzi kakuhle kwezintso
- Amahlwili egazi (iThrombosis)
- Usulelo oluqatha (iSepsis)
Ukuba wena okanye umntu omaziyo unenye okanye ngaphezulu kwezi mpawu, kubaluleke kakhulu ukubona ugqirha ngokukhawuleza ngaphandle kokulibazisa.
Indlela yokunyanga le meko iyingozi?
I-Hyperviscosity Syndrome yingxaki yezonyango kuba, ukuba ayinyangwa, inokubangela ukuba amalungu abalulekileyo anjengengqondo, intliziyo, kunye nezintso afumane ioksijini, nto leyo ekhokelela kumonakalo ongunaphakade okanye ukungaphumeleli. Ke ngoko, unyango olukhawulezileyo lubalulekile.
Isicwangciso sonyango sidla ngokuba namanqanaba amabini.
1. Unyango olukhawulezileyo nolwexesha elifutshane
Inyathelo lokuqala kukulawula iimpawu kunye nokunciphisa ngokukhawuleza ukuxinana kwegazi. Enye yezona ndlela zonyango ezisetyenziswa kakhulu koku yiPlasmapheresis .
I-Plasmapheresis yinkqubo efana nokucoca igazi. Inani elincinci legazi lakho liyathathwa emzimbeni wakho, lidluliselwe kumatshini okhethekileyo, kwaye i-plasma, equlethe iiproteni ezongezelelweyo ezibangela ukuba igazi lakho lijiye, iyahlulwa kwaye isuswe. Iiseli zegazi ezibomvu nezimhlophe eziphilileyo emva koko zixutywa nolwelo olutshintshayo zize zibuyiselwe emzimbeni wakho.
Oku kunokunciphisa ngokukhawuleza ukujiya kwegazi kwaye kumise umonakalo kwizitho zomzimba. Nangona kunjalo, kuxhomekeke kwiqela lakho lezonyango ukuba ligqibe ukuba olu nyango lufanelekile na kuye wonke umntu kwaye nokuba luyimfuneko na.
2. Unyango lwexesha elide (unyango lwesifo esisisiseko)
Emva kokunciphisa ukuxinana kwegazi, into elandelayo ebalulekileyo kukunyangela isifo sokuqala esasibangela oko. Kuba ukuba eso sifo asinyangwa, igazi linokujiya kwakhona.
- Ukuba unobangela ngumhlaza ofana neMultiple Myeloma okanye iLeukemia , unyango oluchasene nomhlaza olufana nechemotherapy luyanikwa.
- Ukuba unobangela yi- polycythaemia , unyango lunikwa ukususa iiseli ezibomvu zegazi ezingaphezulu okanye ukunciphisa imveliso yazo.
- Ukuba sisifo esithile, oogqirha baya kucebisa unyango oluthile kuso.
Ngenxa yoku, iqela loogqirha, kuquka iingcali zegazi, iingcali zomhlaza, kunye neengcali zezifo zengqondo, liza kudibana ukuze lenze isicwangciso sonyango esifanelekileyo kuwe.
Umyalezo Wokuya Ekhaya
- I-Hyperviscosity Syndrome yimeko apho igazi liba likhulu njengeoyile yekhokhonathi, livale ukuhamba kwegazi emzimbeni.
- Esi asisosifo esahlukileyo. Luphawu lwesinye isifo esinzima, njengomhlaza wegazi.
- Musa ukuzityeshela iimpawu ezifana neentloko ezibuhlungu kakhulu, utshintsho lombono, ukopha okungaqhelekanga, okanye ukudinwa kakhulu.
- Le yingxamiseko yezonyango . Bona ugqirha wakho kwangoko wakubona iimpawu. Ukuba kuyimfuneko, yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
- Unyango lubandakanya ukuncitshiswa kwegazi ngoko nangoko (njenge-plasmapheresis) kunye nonyango lwesifo esisisiseko.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho