Thrombocytosis ndeye chii? Zviratidzo, Zvinokonzera, & Kurapa

Thrombocytosis zvinoreva kuti une maplatelets akawanda muropa rako. MaPlatelets masero madiki eropa anobatsira ropa rako kuti riome kana wakachekwa kana kukuvara.

Huwandu hwemaplatelets hunowanzova pakati pe150,000 kusvika ku450,000 pamikrolita yeropa. Kana huwandu hwako hukwira kupfuura 450,000, vanachiremba vanoti izvi thrombocytosis. Funga nezvemaplatelets sechikwata chekugadzirisa muviri wako - vanokurumidza kugadzirisa midziyo yeropa yakakuvara.

Zviratidzo zve thrombocytosis ndizvipi?

Vanhu vazhinji vane thrombocytosis havaoni chero zviratidzo. Muviri wako kazhinji unogadzirisa maplatelets akawanda pasina kukonzera matambudziko anoonekwa, kunyanya kana kuwedzera kuri kushoma.

Kana zviratidzo zvikaonekwa, kazhinji zvine chekuita nekuchinja kwekugona kweropa rako kuoma. Aya ndiwo maratidzo aunogona kuona:

• Misoro inonzwa yakasiyana nemisoro yako yakajairwa
• Kuzorora kana kushaya simba
• Kurwadziwa pachipfuva kana kushaya mweya
• Kushaya simba kana kuneta kunoshanduka nekuzorora
• Kuchinja kwekuona kana kusapona
• Kunyorova kana kupisa mumaoko nemakumbo
• Kuora nyore kana kubuda ropa kusina kujairika
• Zvidimbu zveropa mumitsipa yako (zvichikonzera kuzvimba nekukuvadzwa)

Aya maratidzo anoitika nekuti maplatelets akawanda anogona kukonzera zvidimbu zvisingadiwi kana, zvinoshamisa, kukonzera kubuda ropa nyore. Chiremba wako anogona kukubatsira kuona kana zviratidzo zvako zvine chekuita nehuwandu hwako hwemaplatelets.

Marudzi e thrombocytosis ndeapi?

Vanachiremba vanoparadzanisa thrombocytosis kuva marudzi maviri makuru zvichienderana nezvinokonzera huwandu hwako hwemaplatelets. Kunzwisisa rudzi rwawakaita kunobatsira kutungamira kurapwa kwako.

Primary thrombocytosis inoitika kana mfupa wako marrow uchigadzira maplatelets akawanda pachayo. Izvi zvinoitika nekuda kwekuchinja kwemajini mumasero anogadzira maplatelets. Inonziwo essential thrombocythemia.

Secondary thrombocytosis inokura semhinduro kune imwe mamiriro mumuviri wako. Marrow yako mfupa inowedzera kugadzira maplatelets kuti ipinde mukuzvimba, hutachiona, kana mamwe matambudziko ehutano. Rudzi urwu runowanzoitika kupfuura primary thrombocytosis.

Kuparadzana kunokosha nekuti secondary thrombocytosis kazhinji inonatsiridza kana kurapa mamiriro ekutanga. Primary thrombocytosis inoda nzira dzakasiyana, dzakatarwa zvakanyanya.

Chii chinokonzera thrombocytosis?

Secondary thrombocytosis ine zvinokonzera zvakawanda, nepo primary thrombocytosis ichibva pakuchinja kwemajini. Ngationgororei zvinogona kukonzera huwandu hwako hwemaplatelets.

Zvinokonzera zvakajairika zve secondary thrombocytosis zvinosanganisira:

• Hutachiona senge pneumonia, urinary tract infections, kana tuberculosis
• Mamiriro ekukuvadzwa senge rheumatoid arthritis kana inflammatory bowel disease
• Iron deficiency anemia
• Kuopereswa kana kukuvara kwenguva pfupi yapfuura
• Kenza, kunyanya mapapu, itsvo, kana kenza yemazamu
• Kubviswa kwespleen yako
• Mishonga yakati senge corticosteroids
• Kukuvadzwa kwetishu kubva pakupiswa kana kuputsika

Primary thrombocytosis inoitika kana majini anotonga kugadzirwa kwemaplatelets akachinja. Kuchinja kwemajini kunowanzoita kukanganisa majini anonzi JAK2, CALR, kana MPL. Aya magene haasi chinhu chaunowana kubva kuvabereki vako - anokura mukati mehupenyu hwako.

Zvinokonzera zvisingawanzoitika zvinosanganisira myelofibrosis, polycythemia vera, nemamwe matambudziko eropa anokanganisa marrow yako mfupa. Chiremba wako acharonga aya mikana kana bvunzo dzekutanga dzisingaratidzi chikonzero chechipiri chakajeka.

Rini unofanira kuona chiremba nekuda kwe thrombocytosis?

Unofanira kubata chiremba wako kana ukaona zviratidzo zvinogona kuratidza matambudziko ekugwamba kweropa. Usamirire kana ukaona zviratidzo zvakakomba zvinogona kuratidza chikwambo chakakomba.

Tsvaga rubatsiro rwekurapa nekukurumidza nezviratidzo izvi zvekutyisidzira:

• Musoro wakakomba zvakanyanya nekuchinja kwekuona
• Kurwadziwa pachipfuva nekunetsa kufema
• Kurwadziwa mumitsipa nekuzvimba nekupisa
• Kushaya simba kana kunyorova kwenguva pfupi kune rumwe rutivi rwemiviri yako
• Kunetseka kutaura kana kunzwisisa kutaura
• Kurwadziwa kwakakomba mudumbu

Rongedza musangano wenguva dzose kana ukaona zviratidzo zvinoramba zvichiitika senge misoro inoramba ichiiita, kuneta, kana kuora nyore.

Kana watoziva kuti une thrombocytosis, tevera purogiramu yekutarisa yechiremba wako. Kuongororwa nguva dzose kunobatsira kutevera maplatelets ako uye kugadzirisa kurapwa sezvinodiwa.

Zvinokonzera njodzi dze thrombocytosis ndizvipi?

Zvinhu zvakati wandei zvinogona kuwedzera mukana wako wekuwana thrombocytosis. Zera rinotamba basa, ne primary thrombocytosis kazhinji inokanganisa vanhu vane makore anopfuura 50.

Zvinokonzera njodzi dze secondary thrombocytosis zvinosanganisira:

• Kuve nemamwe mamiriro ekukuvadzwa
• Kuopereswa kukuru kana kukuvara kwenguva pfupi yapfuura
• Hutachiona hunoshanda, kunyanya hurefu
• Kushomeka kweIron kana mamwe kushomeka kwezvinovaka muviri
• Kuongororwa kenza kana kurapwa kenza
• Kubviswa kwespleen kana kusashanda kwespleen
• Kutora mishonga yakati kwenguva refu

Kune primary thrombocytosis, zvinokonzera njodzi huru ndeye majini. Zvisinei, aya magene kazhinji haana kuwanikwa - anokura zvisingatarisirwi nekufamba kwenguva. Nhoroondo yemhuri yematambudziko eropa inogona kuwedzera njodzi yako zvishoma, asi kazhinji zviitiko zvinoitika pasina hukama hwemhuri.

Kuve nezvinokonzera njodzi hazvirevi kuti uchave uine thrombocytosis. Vanhu vazhinji vane aya mamiriro vanochengetedza huwandu hwemaplatelets hunowanzoitika muhupenyu hwavo hwese.

Matambudziko anogona kuitika e thrombocytosis ndeapi?

Matambudziko kubva ku thrombocytosis kazhinji anosanganisira matambudziko ekugwamba kweropa. Kukomba kunobva pakukwira kwehuwandu hwako hwemaplatelets uye kana uine mamwe mamiriro ehutano.

Matambudziko anogona kuitika anosanganisira:

• Zvidimbu zveropa mumitsipa yako (deep vein thrombosis)
• Zvidimbu zvinofamba kuenda kumapapu ako (pulmonary embolism)
• Stroke kubva kuzvidimbu mumidziyo yeropa reuropi
• Heart attack kubva kuzvidimbu mumidziyo yemoyo
• Zvidimbu mumidziyo yeropa yemudumbu
• Kubuda ropa kusina kujairika kunyange zvazvo une maplatelets akawanda
• Matambudziko ekubata pamuviri anosanganisira kushaya pamuviri

Zvinoshamisa kuti, huwandu hwakanyanya hwemaplatelets hunogona dzimwe nguva kukonzera matambudziko ekubuda ropa. Izvi zvinoitika nekuti maplatelets haashande zvakanaka kana paine akawanda kwazvo.

Vanhu vazhinji vane thrombocytosis ishoma havaoni matambudziko akakomba. Chiremba wako achaongorora njodzi yako zvichienderana nehuwandu hwako hwemaplatelets, zviratidzo, uye mamwe mamiriro ehutano. Kuongororwa nguva dzose kunobatsira kubata matambudziko anogona kuitika pakutanga.

Thrombocytosis inogona kudzivirirwa sei?

Primary thrombocytosis haigone kudzivirirwa nekuti inobva pakuchinja kwemajini zvisingatarisirwi. Zvisinei, unogona kutora matanho ekuderedza njodzi yako yematambudziko kana watova neicho mamiriro.

Kune secondary thrombocytosis, kudzivirira kunotarisa pakugadzirisa mamiriro ekutanga. Kurapa hutachiona nekukurumidza, kudzora zvirwere zvinokuvadza, uye kugadzirisa kushomeka kwezvinovaka muviri kunogona kubatsira kuchengetedza huwandu hwako hwemaplatelets hunowanzoitika.

Nzira dzekudzivirira dzakajairika dzinosanganisira:

• Kugadzirisa mamiriro ekusingaperi senge chirwere cheshuga ne arthritis
• Kurapa kushomeka kweIron nekuwedzera kwakakodzera
• Kuita kuongororwa kwenguva dzose kwemishonga
• Kutevera tsika dzekudzivirira hutachiona
• Kutora mishonga sezvakarayirwa nachiremba wako
• Kuchengetedza mararamiro ane hutano nezvokudya zvakanaka

Kana watova ne thrombocytosis, tarisa pakudzivirira matambudziko. Izvi zvinogona kusanganisira kutora mishonga inosarudzwa yekuderedza ropa, kuchengetedza mvura mumuviri, uye kudzivisa kusafamba kwenguva refu panguva yekufamba.

Thrombocytosis inoziviswa sei?

Kuongororwa kunotanga nekuverenga kweropa kwakakwana (CBC) kunoyera maplatelets ako. Iyi bvunzo iri nyore yeropa kazhinji inoratidza thrombocytosis panguva yekuongororwa kwehutano hwemazuva ose.

Chiremba wako achaita bvunzo yeropa zvakare kuti aone huwandu hwemaplatelets. Dzimwe nguva maplatelets anogona kuwedzera nekukurumidza nekuda kwekushaya mvura mumuviri kana chirwere chemazuva ano, saka kusimbisa kunokosha.

Bvunzo dzakawedzerwa dzinopa rubatsiro pakutsvaga chikonzero chekutanga:

• Kuongororwa kwesero retsanga kuti uone chimiro nehukuru hwemaplatelets
• Iron studies kuti uone kushomeka
• Zviratidzo zvekukuvadzwa senge C-reactive protein
• Bvunzo dzehutachiona kana zvirwere zve autoimmune
• Kuongororwa kwemajini ekushanduka kwakabatana ne primary thrombocytosis
• Bone marrow biopsy mune dzimwe nguva

Chiremba wako anogona kukupawo bvunzo dzekuona senge CT scans kana ultrasounds kuti aone mamiriro ekutanga senge kenza kana nhengo dzakura. Bvunzo dzakakosha dzinoenderana nezviratidzo zvako nenhoroondo yemishonga.

Kuwana kuongororwa kwakakwana kunotora nguva nekuti mamiriro akawanda anogona kukonzera maplatelets akawanda. Chiremba wako acashanda zvakarongeka kuti awane chikonzero chekutanga.

Kurapa kwe thrombocytosis ndekupi?

Kurapa kunobva pane kana uine primary kana secondary thrombocytosis nenjodzi yako yematambudziko. Vanhu vazhinji vane kuwedzera kushoma vanongoda kuongororwa pasina kurapwa kwakakomba.

Kune secondary thrombocytosis, kurapa mamiriro ekutanga kazhinji kunounza huwandu hwemaplatelets kudzoka kune zvakajairwa. Izvi zvinogona kusanganisira mishonga yehutachiona, mishonga inorwisa kuzvimba, kana iron supplements yekushomeka.

Sarudzo dzekurapa primary thrombocytosis dzinosanganisira:

• Low-dose aspirin kuderedza njodzi yekugwamba
• Hydroxyurea kuderedza kugadzirwa kwemaplatelets
• Anagrelide kunangisa masero anogadzira maplatelets
• Interferon kune vechidiki kana panguva yekubata
• Plateletpheresis yekuderedza maplatelets nekukurumidza

Chiremba wako anofunga nezera rako, zviratidzo, huwandu hwemaplatelets, uye mamwe zvinokonzera njodzi paanosarudza kurapwa. Vanhu vechidiki vasina zviratidzo vanogona kungoda kuongororwa, nepo vakuru kana vane huwandu hwakanyanya kazhinji vanobatsirwa nemishonga.

Zvinangwa zve kurapa zvinotarisa pakudzivirira matambudziko pane kugadzirisa huwandu hwemaplatelets. Vanhu vazhinji vanorarama zvakajairwa ne thrombocytosis ishoma nekuongororwa kwakakodzera.

Maitiro ekugadzirisa thrombocytosis pamba?

Kugadzirisa pamba kunotarisa pakuderedza njodzi yako yekugwamba kweropa uye kuongorora zviratidzo. Kuchinja kwemararamiro kuri nyore kunogona kuita musiyano mukuru muhutano hwako hwese.

Nzira dzekugadzirisa zuva nezuva dzinosanganisira:

• Kutora mishonga yakarayirwa chaizvo sezvakarayirwa
• Kuchengetedza mvura mumuviri zuva rese
• Kufamba nguva dzose, kunyanya panguva yekugara kwenguva refu
• Kupfeka compression stockings kana zvakarayirwa
• Kudzivisa kusvuta, izvo zvinoita kuti kugwamba kuwedzere
• Kugadzirisa mamwe mamiriro ehutano senge kuwedzera kweropa

Cherechedza zviratidzo zvekutyisidzira zve zvidimbu zveropa kana matambudziko ekubuda ropa. Chengetedza runyorwa rwezviratidzo zvako nemishonga yako kuti ugopa vanopa utano.

Kana uri kutora mishonga inosarudzwa yekuderedza ropa, chenjera zvakanyanya nezve kudzivirira kukuvara. Shandisa mabrush emabhurushi akapfava, pfeka zvipfeko zvinodzivirira panguva yemishonga, uye uudze vanopa utano vose nezvemishonga yako usati waita mishonga.

Unofanira kugadzirira sei musangano wako nachiremba?

Kugadzirira kunokubatsira kuti uite zvakanyanya kubva kumusangano wako uye kuve nechokwadi chekuti chiremba wako ane ruzivo rwose rwaunoda. Unganidza rekodhi yako yemishonga ufunge nezvezviratidzo zvako usati wasvika.

Uye uunze aya zvinhu kumusangano wako:

• Runyorwa rwemishonga yese iripo ne zvinowedzerwa
• Mhedzisiro yebvunzo yeropa yapfuura inoratidza huwandu hwemaplatelets
• Rekodhi yezviratidzo nezviziviso nekuoma kwazvo
• Nhoroondo yemhuri yematambudziko eropa kana matambudziko ekugwamba
• Makadhi eInshurensi nekuzivikanwa
• Runyorwa rwemibvunzo yaunoda kubvunza

Nyora zviratidzo zvako kunyange zvazvo zvingaita sezvisina hukama. Nyora kuti zvakatanga riini, chii chinoita kuti zvinatse kana kuipa, uye zvinoita sei pane zviitiko zvako zvezuva nezuva. Iyi ruzivo inobatsira chiremba wako kunzwisisa mamiriro ako zviri nani.

Funga kuuya nemumwe wemhuri kana shamwari kuti akubatsire, kunyanya kana uchitya musangano. Vanogona kukubatsira kuyeuka ruzivo rwakakosha uye kubvunza mibvunzo yaunogona kukanganwa.

Chii chinonyanya kukosha nezve thrombocytosis?

Thrombocytosis mamiriro anogona kugadziriswa ayo vanhu vazhinji vanorarama nayo zvichibvira. Kunyange zvazvo kuva nemaplatelets akawanda kunonzwa kusingafadzi, kazhinji zviitiko hazvikonzeri matambudziko akakomba nekuongororwa kwakakodzera nekurapwa.

Zvinhu zvinonyanya kukosha zvekuyeuka:

• Vanhu vazhinji havaoni zviratidzo uye vanorarama hupenyu hunowanzoitika
• Secondary thrombocytosis kazhinji inonatsiridza kana mamiriro ekutanga akarapwa
• Kuongororwa nguva dzose kunobatsira kudzivirira matambudziko
• Kurapwa kwakakodzera kuripo kana zvichidiwa
• Kuchinja kwemararamiro kunogona kuderedza njodzi yako yematambudziko

Shanda pedyo nechikwata chako chehutano kuti unzwisise mamiriro ako chaiwo. Chiitiko chemunhu wese che thrombocytosis chakasiyana, uye purogiramu yako yekurapa inofanira kugadzirirwa zvinoenderana nezvido zvako nenjodzi.

Ramba uine ruzivo nezve mamiriro ako, asi usarega ichitsanangura hupenyu hwako. Nekugadzirisa kwakakodzera, vanhu vazhinji vane thrombocytosis vanoramba vachifara uye vane zviitiko zvakajairwa.

Mibvunzo inobvunzwa kazhinji nezve thrombocytosis

Thrombocytosis inogona kupera pachayo here?

Secondary thrombocytosis kazhinji inodzoka kune zvakajairwa kana chikonzero chekutanga charapwa. Semuenzaniso, kana hutachiona hwakakonzera maplatelets ako akawanda, kurapa hutachiona kazhinji kunounza huwandu hwako pasi. Primary thrombocytosis, zvisinei, kazhinji mamiriro ekusingaperi anoda kuongororwa kwenguva dzose pane kupera zvachose.

Thrombocytosis inofungwa sechokuva kenza here?

Primary thrombocytosis inoratidzwa sematambudziko eropa, kunyanya myeloproliferative neoplasm. Kunyange zvazvo izvi zvinonzwa zvichitya, kazhinji zvishoma zvakakomba kupfuura kenza yakajairwa. Vanhu vazhinji vane primary thrombocytosis vane tarisiro yehupenyu yakajairwa kana iri pedyo neyakajairwa nekurapwa kwakakodzera. Secondary thrombocytosis haisi kenza zvachose - ingori mhinduro yemuviri wako kune imwe mamiriro.

Ndingaita zvekutamba here kana ndine thrombocytosis?

Vanhu vazhinji vane thrombocytosis vanogona kutamba zvakachengeteka uye vanofanira kuramba vachishanda kune hutano hwavo hwese. Kufamba nguva dzose kunobatsira kudzivirira zvidimbu zveropa, izvo zvinobatsira kana uine maplatelets akawanda. Zvisinei, kana uri kutora mishonga inosarudzwa yekuderedza ropa, ungada kudzivisa mitambo yekubata kana zviitiko zvine njodzi yakakwira yekukuvara. Gara uchikurukura nezvirongwa zvako zvekutamba nachiremba wako.

Ndichada here kutora mishonga kweupenyu hwangu hwese?

Izvi zvinoenderana nerudzi rwako rwe thrombocytosis nezvinokonzera njodzi zvemunhu. Vanhu vane secondary thrombocytosis vanogona kungoda kurapwa kwenguva pfupi kusvika mamiriro avo ekutanga anatswa. Avo vane primary thrombocytosis kazhinji vanoda mishonga yenguva refu, asi kwete munhu wese anoda kurapwa pakarepo. Chiremba wako achaongorora nguva dzose kana uchida mishonga inoramba ichifamba zvichienderana nemaplatelets ako nehutano hwese.

Thrombocytosis inogona kukanganisa pamuviri here?

Thrombocytosis inogona kukanganisa pamuviri, asi vakadzi vazhinji vane pamuviri vakabudirira nekurapwa kwemishonga kwakakodzera. Zvinhu zvinonyanya kukosha ndeyenjodzi yakawedzera yekugwamba kweropa nematambudziko ekubata pamuviri senge kushaya pamuviri. Chikwata chako chehutano chichakuongorora zvakanyanya uye chinogona kugadzirisa mishonga kuti ive nechokwadi chekuchengetedzwa kwako nehutano hwemwana wako. Kurapwa kwakati kunoshandiswa kune thrombocytosis hakusi kuchengetedzeka panguva yekubata, saka kuronga zvinhu zvakakosha.