Wake waba nenani eliphelele legazi waphawula ukuthi inani lamaseli abomvu egazi (ama-RBC) embikweni laliphezulu kancane kunokujwayelekile? Kujwayelekile ukuzizwa ukhathazekile futhi wesaba kancane uma ubona into efana naleyo. "Kuyini lokhu? Kungani lokhu kwenzeka?" Ungase ucabange. Kwezokwelapha, lapho inani lamaseli abomvu egazi egazini liphezulu kunokujwayelekile, sikubiza ngokuthi i-erythrocytosis. Ungakhathazeki, sizokhuluma ngalokhu ngokucacile nangokulula namuhla.
Okokuqala, ake sibone, ayini la maseli abomvu egazi?
Kalula nje, amangqamuzana abomvu egazi afana nezisebenzi ezincane egazini lethu. Umsebenzi wawo oyinhloko
ukuqoqa umoya-mpilo ofika emaphashini lapho siphefumula bese uwuyisa emangqamuzaneni kuwo wonke amagumbi omzimba . Aphinde asize
ekubuyiseleni i-carbon dioxide ekhishwa emangqamuzaneni emaphashini bese eyikhipha lapho siphefumula. Laba basebenzi abancane bakhiqizwa emnkantsheni wethu wamathambo. Lapho, bayakheka, bajoyine igazi, benze umsebenzi wabo cishe izinsuku ezingu-120, bese befa. Lo mjikelezo uqhubeka njalo. Kodwa-ke, uma ngesizathu esithile, ukukhiqizwa kwalawa mangqamuzana abomvu egazi kwanda kakhulu, yilapho kwenzeka khona isimo esibizwa ngokuthi i-Erythrocytosis.
Kunezinhlobo ezimbili eziyinhloko ze-erythrocytosis:
Lokhu kwanda kwamangqamuzana abomvu egazi kungenzeka ngezindlela ezimbili eziyinhloko. Nakuba zombili izimo zihilela ukwanda kwamangqamuzana abomvu egazi, imbangela ihlukile.
| Uhlobo lwe-erythrocytosis | Incazelo elula |
|---|
| I-Erythrocytosis Eyinhloko | Inkinga itholakala ngqo emnkantsheni wethambo. Ngenxa yephutha elithile emnkantsheni wethambo, uqala ukukhiqiza amangqamuzana abomvu egazi amaningi kakhulu ngaphandle kokulawulwa. Lokhu kungazalwa nakho noma kutholakale kamuva ekuphileni. |
| I-Erythrocytosis yesibili | Akukho nkinga ngomnkantsha lapha. Kodwa-ke, ngenxa yenkinga kwenye indawo emzimbeni, umnkantsha uthola isignali "yokwenza amangqamuzana abomvu egazi engeziwe." Lokhu kuvame ukubangelwa yi-hormone ebizwa ngokuthi i-erythropoietin (EPO), ekhiqizwa yizinso zethu. Le hormone ilawula ukukhiqizwa kwamangqamuzana abomvu egazi. |
Kungani amangqamuzana abomvu egazi ekhula kanje? Yiziphi izizathu?
Isizathu siyahlukahluka kuye ngohlobo esikhulume ngalo ngaphambili.
Izimbangela ze-Erythrocytosis Eyinhloko
Ngezinye izikhathi lokhu kungaba yisimo sofuzo esingenangozi esidluliselwa ezizukulwaneni ngezizukulwane. Uma unezinhlayiya zegazi ezibomvu eziningi kakhulu egazini lakho, futhi amaseli akho amhlophe egazi nama-platelet ejwayelekile, lokhu kungaba yimbangela. Kodwa-ke, ngezinye izikhathi lokhu kubangelwa uhlobo lomdlavuza wegazi olubizwa ngokuthi
i-polycythemia vera . Manje, ungesabi uma uzwa igama elithi "umdlavuza." Lesi yisimo
esikhula kancane kakhulu, esingavamile . Abanye abantu abazi nokuthi banaso iminyaka eminingi. Kodwa kungaba yingozi uma singalashwa. Ngoba lapho amangqamuzana egazi abomvu ekhula, igazi liyaqina futhi ukugeleza kwegazi kuyancipha. Lokhu kwandisa
ingozi yokuqhekeka kwegazi .
Izimbangela ze-Erythrocytosis Yesibili
Kungaba nezizathu eziningi zalokhu. Isizathu esiyinhloko amazinga aphansi omoya-mpilo emzimbeni.
Cabanga nje, lapho umzimba ungenawo umoya-mpilo owanele, umzimba ucabanga ukuthi, "Kulungile, izisebenzi ezithwala umoya-mpilo ( amangqamuzana egazi abomvu ) azanele. Masenze amanye futhi siwathumele." Yilokho okwenzekayo.
- Ukubhema : Ukubhema kulimaza amaphaphu futhi kunciphisa ikhono lomzimba lokungenisa umoya-mpilo.
- Izinkinga zenhliziyo nesifo samaphaphu : Izimo ezifana ne -asthma kanye ne-COPD zingabangela amazinga aphansi omoya-mpilo.
- Ukuphelelwa Yisikhathi Sokulala: Lokhu kwenzeka lapho ukuphefumula kuyeka noma kuba kuncane ngesikhathi sokulala ebusuku. Lokhu kunciphisa nenani lomoya-mpilo umzimba owutholayo.
- Ukuhlala ezindaweni eziphakeme:Cabanga nje uma uya endaweni ephakeme njengeNuwara Eliya, abanye abantu bazizwa benenkinga yokuphefumula. Lokhu kungenxa yokuthi izinga lomoya-mpilo emoyeni liphansi. Uma uhlala ezindaweni ezinjalo isikhathi eside, umzimba wandisa ukukhiqizwa kwamangqamuzana abomvu egazi ukuze uzivumelanise nawo.
- I-Hemoglobinopathy: Lesi yisifo segazi esizuzwe njengefa lapho amangqamuzana abomvu egazi engakwazi ukuthwala umoya-mpilo ngendlela efanele.
Ezinye izizathu:- Isifo sezinso : I-hormone ye-EPO esikhulume ngayo ngaphambilini ikhiqizwa ezinso. Ngakho-ke izinkinga ezifana nama-cyst ezinso, amathumba, noma ukuncipha kwemithambo yegazi ehlinzeka ngezinso kungabangela ukukhiqizwa ngokweqile kwe-hormone ye-EPO.
- Imithi ethile: Eminye imithi yokwakha umzimba, njenge-anabolic steroids, ingandisa ukukhiqizwa kwamaseli abomvu egazi.
- Izimila: Ezinye izimila ezikhula ezithweni ezifana nezinso, ubuchopho, isibindi kanye nesibeletho zingakhipha i-hormone ye-EPO.
- Ukuphelelwa amanzi emzimbeni: Ngezinye izikhathi inani lamaseli abomvu egazi aliphezulu ngempela. Kodwa inani lamanzi (uketshezi) emzimbeni liye lehla futhi igazi selijiyile. Ngemuva kwalokho ukuhlolwa kwegazi kukhombisa ukwanda kwamangqamuzana abomvu egazi. Lokhu kungabangelwa izinto ezifana nesifo sohudo, ukuhlanza, ukusha, noma ukungaphuzi amanzi anele.
Ziyini izimpawu zalesi simo?
Izimpawu eziningi zenzeka ngoba igazi liyajiya futhi linciphisa ukuhamba kwalo emzimbeni wonke. Akuwona wonke umuntu ozobhekana nazo zonke lezi zimpawu. Abanye abantu bangase bangabi nazo nhlobo izimpawu.
- Ikhanda elibuhlungu
- Umbono ofiphele
- Ukudideka
- Umfutho wegazi ophakeme
- Ukopha ekhaleni
- Isikhumba esilumayo (ikakhulukazi ngemva kokugeza emanzini ashisayo)
- Ubuthakathaka Nokukhathala
Uma unezimpawu ezinjengalezi, kubaluleke kakhulu
ukukhuluma nodokotela wakho ngazo.
Udokotela ukuthola kanjani lokhu?
Lesi simo sivame ukutholwa okokuqala ngokuhlolwa kwegazi. Udokotela wakho uzohlola inani lamaseli akho abomvu egazi kanye namazinga akho e-EPO hormone.
- Uma amazinga e-EPO ephansi: Kwenziwa ukuhlolwa okwengeziwe ukuze kubhekwe i-Primary Erythrocytosis (ikakhulukazi i-Polycythemia Vera), njengoba inkinga ingaba semnkantsheni wethambo.
- Uma izinga le-EPO lijwayelekile noma liphezulu: Njengoba inkinga ikwenye indawo, kwenziwa izivivinyo zokufuna izinto ezingase zibangele i-erythrocytosis yesibili (amaphaphu, inhliziyo, izinso, njll.).
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kuncike esibangweni.
Khumbula, udokotela wakho uzonquma ukwelashwa kwakho. Ungaziphathi ngokwakho ngokusekelwe kulokho okufundile ku-inthanethi noma inzwabethi.
- Nge-Erythrocytosis Eyinhloko (i-Polycythemia Vera): Ukwelashwa okuyinhloko yi- phlebotomy . Lokhu kuhilela ukususa inani elincane legazi emzimbeni, njengokumpontshelwa igazi. Lokhu kususa amangqamuzana abomvu egazi amaningi, kunciphisa igazi, futhi kuthuthukise ukugeleza kwegazi. Ngezinye izikhathi, imithi ingase inikezwe ukuvimbela amahlule egazi.
- Nge-Erythrocytosis Yesibili: Imbangela eyisisekelo iyelashwa .
- Ukunikeza umoya-mpilo kulabo abanamazinga aphansi omoya-mpilo.
- Uma ubhema, nikeza iseluleko futhi usize ukuyeka.
- Ukwelashwa okufanele kwezimo ezifana nesifo senhliziyo nesifo samaphaphu.
- Uma kungenxa yesimila esinomdlavuza, sisuswe ngokuhlinzwa.
- Uma kungenxa yomuthi, yeka noma ushintshe umuthi njengoba uqondiswe udokotela wakho.
- Uma kungenxa yokuphelelwa amanzi emzimbeni, nikeza usawoti (uketshezi).
Umlayezo Wokuya Nawe Ekhaya
- I-Erythrocytosis iyinani eliphakeme kunelijwayelekile lamaseli abomvu egazini.
- Kunezinhlobo ezimbili eziyinhloko zalokhu: Okuyinhloko, okubangelwa inkinga ngomnkantsha ngokwawo, kanye nokubili, okubangelwa esinye isimo sezokwelapha.
- Izimbangela zingasukela kokuthile okulula njengokuphelelwa amanzi emzimbeni kuya ezimweni ezibucayi njengokubhema, isifo senhliziyo, kanye ne-Polycythemia Vera.
- Uma inani lamaseli akho abomvu egazini liphezulu ekuhlolweni kwegazi noma unezimpawu, kubaluleke kakhulu ukungesabi futhi ubone udokotela wakho ngokushesha ukuze uthole iseluleko.
- Lesi simo singalawulwa kahle ngokuthola imbangela efanele nokuthola ukwelashwa okufanele ngokufanele.
I-Erythrocytosis Sinhala, ukwanda kwamangqamuzana abomvu egazi, i-Polycythemia Vera, ukujiya kwegazi, i-EPO hormone, umbiko wegazi we-RBC ephezulu, ukuhlolwa kwegazi
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