Ese ni iki? Ibimenyetso, Intandaro, n'Ubuvuzi

Thrombocytosis bisobanura ko ufite ibyondo byinshi cyane mu maraso yawe. Ibyondo ni utunyangingo duto two mu maraso dufasha amaraso yawe gukomera iyo wikomeretse cyangwa ukomerekeye.

Umubare usanzwe w'ibyondo uri hagati ya 150.000 na 450.000 kuri microliter imwe y'amaraso. Iyo umubare wawe ugeze hejuru ya 450.000, abaganga babita thrombocytosis. Tekereza ku byondo nk'itsinda ry'abakora imirimo yo gusana umubiri wawe - bahurura kugira ngo basane imiyoboro y'amaraso yangiritse.

Ibimenyetso bya thrombocytosis ni ibihe?

Abantu benshi bafite thrombocytosis nta bimenyetso na kimwe bagira. Umubiri wawe ubusanzwe ugendana n'ibyondo byinshi nta kibazo gikomeye, cyane cyane iyo umubare wabyo wiyongereye gake.

Iyo ibimenyetso bigaragaye, ubusanzwe bijyana n'ubushobozi bw'amaraso yawe bwo gukomera. Dore ibimenyetso ushobora kubona:

• Uburwaye bw'umutwe butandukanye n'ubusanzwe
• Kuzenguruka cyangwa gucika intege
• Kubabara mu gituza cyangwa guhumeka nabi
• Intege nke cyangwa umunaniro bidakira n'ikiruhuko
• Guhinduka kw'ubuhanga cyangwa kubura ubwenge
• Kubabara cyangwa gukonja mu ntoki no mu birenge
• Kugira inkovu byoroshye cyangwa kuva amaraso bidasanzwe
• Ibisigo by'amaraso mu maguru (bitera kubyimba no kubabara)

Ibi bimenyetso bibaho kuko ibyondo byinshi bishobora gutera ibisigo bidakenewe cyangwa, bitangaje, bigatuma uva amaraso byoroshye. Muganga wawe ashobora kugufasha kumenya niba ibimenyetso byawe bifitanye isano n'umubare w'ibyondo byawe.

Ubwoko bwa thrombocytosis ni ubuhe?

Abaganga bagabanya thrombocytosis muburyo bubiri bushingiye ku cyateye umubare w'ibyondo byinshi. Gusobanukirwa ubwoko ufite bigufasha kuyobora ubuvuzi bwawe.

Thrombocytosis y'ibanze ibaho iyo umugufi wawe ukora ibyondo byinshi wenyine. Ibi biterwa n'impinduka z'imiterere mu miterere y'utunyangingo dukora ibyondo. Bwitwa kandi essential thrombocythemia.

Thrombocytosis y'uburyo bwa kabiri itera nk'igisubizo cy'ubundi burwayi mu mubiri wawe. Umugufi wawe wiyongera umusaruro w'ibyondo kugira ngo usubize ku myanya y'umubiri, kwandura, cyangwa ibindi bibazo by'ubuzima. Ubu bwoko busanzwe kurusha thrombocytosis y'ibanze.

Itandukaniro rifite akamaro kuko thrombocytosis y'uburyo bwa kabiri ikunda kumera neza iyo uvuje uburwayi bw'ibanze. Thrombocytosis y'ibanze isaba ubundi buryo bwihariye, bwihuse.

Ese thrombocytosis iterwa n'iki?

Thrombocytosis y'uburyo bwa kabiri ifite impamvu nyinshi zishoboka, mu gihe thrombocytosis y'ibanze iterwa n'impinduka z'imiterere. Reka turebe icyaba cyateye umubare w'ibyondo byawe wiyongereye.

Impamvu zisanzwe za thrombocytosis y'uburyo bwa kabiri zirimo:

• Kwandura nka pneumonia, kwandura mu nzira y'umushitsi, cyangwa igituntu
• Uburwayi bw'imyanya y'umubiri nka rheumatoid arthritis cyangwa inflammatory bowel disease
• Anemia iterwa no kubura umuringa
• Kubagwa vuba cyangwa gukomereka
• Cancer, cyane cyane iya pulmoni, impyiko, cyangwa iya mama
• Gukuraho umwijima
• Imiti imwe nka corticosteroids
• Kwangirika kw'imiterere iterwa n'inkongi cyangwa amagufwa yamenetse

Thrombocytosis y'ibanze ibaho iyo imigeni igenzura umusaruro w'ibyondo igira impinduka. Impinduka zisanzwe z'imiterere zigira ingaruka ku migeni yitwa JAK2, CALR, cyangwa MPL. Izi mpinduka ntabwo ari ibyo urazwa na ba nyoko - ziterwa mu buzima bwawe.

Impamvu z'akataraboneka zirimo myelofibrosis, polycythemia vera, n'izindi ndwara z'amaraso zigira ingaruka ku mugufi wawe. Muganga wawe azashakisha izi mpamvu niba ibizamini byambere bitagaragaza impamvu isobanutse y'uburyo bwa kabiri.

Ni ryari ukwiye kujya kwa muganga kubera thrombocytosis?

Ugomba kuvugana na muganga wawe niba ufite ibimenyetso bishobora kugaragaza ibibazo by'ibisigo by'amaraso. Ntugatege amatwi niba ubona ibimenyetso bikomeye by'ikirenga bishobora kugaragaza igisigo gikomeye.

Shaka ubufasha bw'abaganga vuba kubera ibi bimenyetso byo kuburira:

• Uburwaye bw'umutwe bukomeye cyane hamwe no guhinduka kw'ubuhanga
• Kubabara mu gituza hamwe no guhumeka nabi
• Kubabara mu maguru hamwe no kubyimba no gushyuha
• Intege nke cyangwa kubabara mu ruhande rumwe rw'umubiri wawe
• Kugira ikibazo cyo kuvuga cyangwa kumva
• Kubabara cyane mu nda

Tegura gahunda isanzwe yo kujya kwa muganga niba ubona ibimenyetso biramba nko kubabara umutwe, umunaniro, cyangwa inkovu zidasanzwe. Abantu benshi basanga bafite thrombocytosis mu bipimo by'amaraso bisanzwe, ibyo ni ibisanzwe.

Niba umaze kumenya ko ufite thrombocytosis, kurikiza gahunda yo kugenzurwa na muganga wawe. Kumenya neza buri gihe bifasha gukurikirana urwego rw'ibyondo byawe no guhindura ubuvuzi uko bikenewe.

Ibyago bya thrombocytosis ni ibihe?

Ibintu byinshi bishobora kongera amahirwe yawe yo kurwara thrombocytosis. Imyaka ifite uruhare, thrombocytosis y'ibanze ikunda kugaragara ku bantu barengeje imyaka 50.

Ibyago bya thrombocytosis y'uburyo bwa kabiri birimo:

• Kugira uburwayi bw'imyanya y'umubiri buramba
• Kubagwa bikomeye vuba cyangwa gukomereka
• Kwandura bikomeye, cyane cyane ibyo biramba
• Kubura umuringa cyangwa ibindi bintu by'imirire
• Kurwara cancer cyangwa kuvurwa cancer
• Gukuraho umwijima cyangwa kudakora neza kw'umwijima
• Guta imiti imwe igihe kirekire

Kubera thrombocytosis y'ibanze, ibyago by'ingenzi ni imiterere. Ariko, izi mpinduka z'imiterere ubusanzwe ntabwo zirakomoka - ziterwa mu buryo butunguranye igihe kinini. Amateka y'umuryango w'indwara z'amaraso ashobora kongera gato ibyago byawe, ariko ingero nyinshi zibaho nta kintu na kimwe gifitanye isano n'umuryango.

Kugira ibyago ntibisobanura ko uzabona thrombocytosis. Abantu benshi bafite ibi bibazo bagumana umubare usanzwe w'ibyondo mu buzima bwabo bwose.

Ingaruka zishoboka za thrombocytosis ni izihe?

Ingaruka za thrombocytosis ahanini zirimo ibibazo by'ibisigo by'amaraso. Ubukana biterwa n'uburebure bw'umubare w'ibyondo byawe byiyongereye ndetse niba ufite izindi ndwara.

Ingaruka zishoboka zirimo:

• Ibisigo by'amaraso mu maguru (deep vein thrombosis)
• Ibisigo bijya mu mwijima (pulmonary embolism)
• Stroke iterwa n'ibisigo mu mitsi y'amaraso mu bwonko
• Heart attack iterwa n'ibisigo mu mitsi y'umutima
• Ibisigo mu mitsi y'amaraso mu nda
• Kuva amaraso bidasanzwe nubwo ufite ibyondo byinshi
• Ingaruka z'inda zirimo gutwara inda

Bitangaje, umubare munini cyane w'ibyondo rimwe na rimwe ushobora gutera ibibazo byo kuva amaraso. Ibi bibaho kuko ibyondo bidakora neza iyo bibaye byinshi.

Abantu benshi bafite thrombocytosis yoroshye ntabwo bagira ingaruka zikomeye. Muganga wawe azasesengura ibyago byawe byihariye bushingiye ku mubare w'ibyondo byawe, ibimenyetso, n'ibindi bintu by'ubuzima. Kumenya neza buri gihe bifasha gufata ibibazo bishoboka hakiri kare.

Ese thrombocytosis ishobora gukumirwa?

Thrombocytosis y'ibanze ntishobora gukumirwa kuko iterwa n'impinduka z'imiterere zidasanzwe. Ariko, ushobora gufata ingamba zo kugabanya ibyago by'ingaruka umaze kurwara iyo ndwara.

Kubera thrombocytosis y'uburyo bwa kabiri, gukumira byibanda ku gucunga uburwayi bw'ibanze. Kuvura kwandura vuba, kugenzura indwara z'imyanya y'umubiri, no gukosora ibibazo by'imirire bishobora gufasha kugumana umubare usanzwe w'ibyondo.

Ingamba rusange zo gukumira zirimo:

• Guhagarara indwara ziramba nka diyabete na arthritis
• Kuvura kubura umuringa ukoresheje inyongera zikwiye
• Kujya kwa muganga buri gihe
• Gukurikiza amabwiriza yo kwirinda kwandura
• Guta imiti uko yagenewe na muganga wawe
• Kugira ubuzima bwiza hamwe n'imirire myiza

Niba umaze kurwara thrombocytosis, shyira imbaraga mu gukumira ingaruka. Ibi bishobora kuba birimo gufata imiti yo kugabanya amaraso, kuguma wisukura, no kwirinda kudakora igihe kirekire mugihe uri mu ngendo.

Ese thrombocytosis imenyekanwa ite?

Kumenya neza bitangira hakoreshejwe igipimo cy'amaraso cyuzuye (CBC) gipima urwego rw'ibyondo byawe. Iki kizamini cyoroshye cy'amaraso kenshi kigaragaza thrombocytosis mu bipimo by'ubuzima bisanzwe.

Muganga wawe azasubiramo igipimo cy'amaraso kugira ngo yemeze umubare w'ibyondo byinshi. Rimwe na rimwe urwego rw'ibyondo rushobora kwiyongera by'agateganyo kubera kutagira amazi ahagije cyangwa indwara vuba, bityo kwemeza ari ingenzi.

Ibizamini byongeyeho bifasha kumenya impamvu y'ibanze:

• Isuzuma ry'amaraso kugira ngo urebe imiterere n'ubunini bw'ibyondo
• Isuzuma ry'umuringa kugira ngo urebe niba ubuze
• Ibimenyetso by'imyanya y'umubiri nka C-reactive protein
• Ibizamini byo kwandura cyangwa indwara z'umubiri
• Isuzuma ry'imiterere kugira ngo urebe impinduka zifitanye isano na thrombocytosis y'ibanze
• Gucukura umugufi mu mubiri mu bihe bimwe na bimwe

Muganga wawe ashobora kandi gutegeka ibizamini byo kubona ibintu nka CT scans cyangwa ultrasounds kugira ngo ashake uburwayi bw'ibanze nka cancer cyangwa imyanya y'umubiri ikomeye. Ibizamini byihariye biterwa n'ibimenyetso byawe n'amateka yawe y'ubuzima.

Kumenya neza bisaba igihe kuko indwara nyinshi zishobora gutera ibyondo byinshi. Muganga wawe azakora mu buryo buhamye kugira ngo ashake impamvu y'ibanze.

Ubuvuzi bwa thrombocytosis ni ubuhe?

Ubuvuzi biterwa niba ufite thrombocytosis y'ibanze cyangwa iy'uburyo bwa kabiri n'ibyago byawe by'ingaruka. Abantu benshi bafite umubare muke wiyongereye bakeneye gusa kugenzurwa nta buvuzi bukomeye.

Kubera thrombocytosis y'uburyo bwa kabiri, kuvura uburwayi bw'ibanze kenshi bituma umubare w'ibyondo usubira mu buryo busanzwe. Ibi bishobora kuba birimo antibiotique yo kuvura kwandura, imiti yo kurwanya imyanya y'umubiri, cyangwa inyongera z'umuringa kubura.

Uburyo bwo kuvura thrombocytosis y'ibanze burimo:

• Aspirin yo kugabanya ibyago by'ibisigo
• Hydroxyurea kugira ngo igabanye umusaruro w'ibyondo
• Anagrelide kugira ngo ibone utunyangingo dukora ibyondo
• Interferon kubana bato cyangwa mugihe utwite
• Plateletpheresis kugira ngo igabanye ibyondo mu gihe cy'ubukomere

Muganga wawe azatekereza ku myaka yawe, ibimenyetso, umubare w'ibyondo, n'ibindi byago mugihe atoreye ubuvuzi. Abantu bato badafite ibimenyetso bashobora gukeneye gusa kugenzurwa, mu gihe abantu bakuze cyangwa abafite umubare munini cyane bakunda kunguka imiti.

Intego y'ubuvuzi ibanda ku gukumira ingaruka aho kugira ngo umubare w'ibyondo ube mwiza. Abantu benshi babana neza na thrombocytosis yoroshye hamwe no kuyicunga neza.

Uko wacunga thrombocytosis murugo

Umuyobozi wo murugo ibanda ku kugabanya ibyago by'ibisigo by'amaraso no kugenzura ibimenyetso. Impinduka zoroheje mu mibereho zishobora kugira itandukaniro rikomeye mu buzima bwawe rusange.

Ingamba zo gucunga buri munsi zirimo:

• Guta imiti yagenewe neza uko yategetswe
• Kuguma wisukura umunsi wose
• Kugenda buri gihe, cyane cyane mugihe wicaye igihe kirekire
• Kwambara imyenda ihambiriye niba byategetswe
• Kwirinda kunywa itabi, byongera ibyago by'ibisigo
• Guhagarara izindi ndwara nka hypertension

Witondere ibimenyetso byo kuburira by'ibisigo by'amaraso cyangwa ibibazo byo kuva amaraso. Umara urutonde rw'ibimenyetso byawe n'imiti kugira ngo ubisangize abaganga. Gukora imyitozo ngororamubiri, uko byemejwe na muganga wawe, bishobora gufasha kunoza imitsi.

Niba ufashe imiti igabanya amaraso, kwitonda cyane kubijyanye no kwirinda imvune. Koresha ibirungo byoroshye byo gukura amenyo, wambare ibikoresho byo kwirinda mugihe ukora ibikorwa, kandi ubwire abaganga bose imiti ufashe mbere y'ibikorwa.

Uko wakwitegura gahunda yawe yo kujya kwa muganga

Gutegura bigufasha gukoresha neza gahunda yawe kandi bibemerera muganga wawe kugira amakuru yose akenewe. Kora dosiye yawe y'ubuvuzi kandi utekereze ku bimenyetso byawe mbere y'uruzinduko.

Zana ibi bintu mu gahunda yawe:

• Urutonde rw'imiti yose ufashe n'inyongera
• Ibisubizo by'ibipimo by'amaraso byabanje bigaragaza umubare w'ibyondo
• Inyandiko y'ibimenyetso hamwe n'amatariki n'uburemere
• Amateka y'umuryango w'indwara z'amaraso cyangwa ibibazo by'ibisigo
• Amakara y'ubwisungane n'irangamuntu
• Urutonde rw'ibibazo ushaka kubaza

Andika ibimenyetso byawe nubwo bisa ntibifitanye isano. Kora igihe byatangiye, icyabirinda cyangwa kibikomeza, n'uko bigira ingaruka ku bikorwa byawe bya buri munsi. Aya makuru afasha muganga wawe gusobanukirwa neza uburwayi bwawe.

Tegereza kuzana umuntu wo mu muryango cyangwa inshuti kugira ngo aguhe inkunga, cyane cyane niba uhangayikishijwe n'inama. Bashobora kugufasha kwibuka amakuru akomeye no kubaza ibibazo ushobora kwibagirwa.

Icyingenzi kuri thrombocytosis ni iki?

Thrombocytosis ni uburwayi bushobora gucungwa kandi abantu benshi babana neza. Nubwo kugira ibyondo byinshi bisa n'iby'ubwoba, ingero nyinshi ntizitera ibibazo bikomeye hamwe no kugenzura neza no kuvura.

Ibintu by'ingenzi byo kwibuka:

• Abantu benshi nta bimenyetso bagira kandi babana ubuzima busanzwe
• Thrombocytosis y'uburyo bwa kabiri ikunda kumera neza iyo uburwayi bw'ibanze buvuwe
• Kumenya neza buri gihe bifasha gukumira ingaruka
• Ubuvuzi bukoreshwa buhari iyo bikenewe
• Impinduka mu mibereho zishobora kugabanya ibyago byawe by'ibibazo

Korana bya hafi n'itsinda ryawe ry'ubuvuzi kugira ngo usobanukirwe uko uhagaze. Uburambe bwa buri muntu kuri thrombocytosis butandukanye, kandi gahunda yawe y'ubuvuzi igomba guhuzwa n'ibyo ukeneye n'ibyago byawe.

Gukomeza kumenya uburwayi bwawe, ariko ntukabireke bugufate. Hamwe no kuyicunga neza, abantu benshi bafite thrombocytosis bakomeza kugira ubuzima bwiza n'ibikorwa bisanzwe.

Ibibazo byakunze kubaho kuri thrombocytosis

Ese thrombocytosis ishobora gukira yonyine?

Thrombocytosis y'uburyo bwa kabiri ikunda gusubira mu buryo busanzwe iyo impamvu y'ibanze ivuwe. Urugero, niba kwandura byateye ibyondo byawe byinshi, kuvura kwandura bisanzwe bigarura umubare wawe hasi. Thrombocytosis y'ibanze, ariko, ubusanzwe ni uburwayi buramba busaba gucungwa buri gihe aho gukira burundu.

Ese thrombocytosis ifatwa nk'ubwoko bwa kanseri?

Thrombocytosis y'ibanze ihabwa izina ry'uburwayi bw'amaraso, by'umwihariko myeloproliferative neoplasm. Nubwo ibyo bisa n'iby'ubwoba, ubusanzwe ntabwo ari bibi cyane kurusha kanseri zisanzwe. Abantu benshi bafite thrombocytosis y'ibanze bafite igihe cyo kubaho gisanzwe cyangwa hafi yacyo hamwe no kuvurwa neza. Thrombocytosis y'uburyo bwa kabiri si kanseri na gato - ni uburyo umubiri wawe usubiza ubundi burwayi.

Ese nshobora gukora imyitozo ngororamubiri niba mfite thrombocytosis?

Abantu benshi bafite thrombocytosis bashobora gukora imyitozo ngororamubiri neza kandi bagomba kuguma bakora kugira ngo bagire ubuzima bwiza. Kugenda buri gihe mu by'ukuri bifasha gukumira ibisigo by'amaraso, ibyo ni byiza iyo ufite ibyondo byinshi. Ariko, niba ufashe imiti igabanya amaraso, ushobora kuba ugomba kwirinda imikino ihuza abantu cyangwa ibikorwa bifite ibyago byinshi byo gukomereka. Buri gihe ubanze uganire na muganga wawe ku migambi yawe yo gukora imyitozo ngororamubiri.

Ese nzagomba gufata imiti ubuzima bwanjye bwose?

Ibi biterwa n'ubwoko bwa thrombocytosis yawe n'ibyago byawe byihariye. Abantu bafite thrombocytosis y'uburyo bwa kabiri bashobora gukeneye kuvurwa by'agateganyo kugeza uburwayi bwabo bw'ibanze bumaze gukira. Abantu bafite thrombocytosis y'ibanze bakunda gukeneye imiti igihe kirekire, ariko si buri wese ukeneye kuvurwa ako kanya. Muganga wawe azasubiramo buri gihe niba ukeneye imiti ikomeza bushingiye ku rwego rw'ibyondo byawe n'ubuzima bwawe rusange.

Ese thrombocytosis ishobora kugira ingaruka ku nda?

Thrombocytosis ishobora kugira ingaruka ku nda, ariko abagore benshi bagira inda nziza hamwe no kwitabwaho kwa muganga. Ibibazo by'ingenzi ni ibyago byiyongereye by'ibisigo by'amaraso n'ingaruka z'inda nko gutwara inda. Itsinda ryawe ry'ubuvuzi rizakukurikirana hafi kandi rishobora guhindura imiti kugira ngo umutekano wawe n'umutekano w'umwana wawe bibe byiza. Imiti imwe ikoreshwa kuri thrombocytosis ntabwo ikwiye mugihe utwite, bityo gutegura mbere ni ingenzi.