Ma waena o nāʻano likeʻole o nā maʻi o ka maʻi koko, he wahi kūikawā kahi o polycythemia -ʻo nā hōʻailona a me ka mālamaʻana i kēia maʻi e pili ana i ka hoʻololiʻana o nā pūkuniahi pū. I kēiaʻano, uaʻikeʻia nā hoʻololi a me nā hoʻololiʻana o nā mea o ka wai olaola, a hiki ke loaʻa i ka hopena a me ka loaʻa.
Nā kumu o ke koko polycythemia
I kēia lā, aiaʻelua mauʻano nui o ka maʻi i haʻiʻia -ʻo ka polycytemia pono a me ka pilina. ʻO keʻano maoli o ka pilikino ka mea mua a me ke kula kiʻekiʻe. I ka hihia mua, ua manaʻoʻia nā kumu o ka uluʻana o kēia maʻi i ka hoʻololiʻana o ka hanauna, no ka mea, ua hoʻololiʻia nā pūmole momona lepo a me ka tyrosine kinase.
ʻO ka polycythemia āpau ka hopena ma keʻano o nā pilikia ma hope iho nei:
- hydronephrosis;
- nā hanu a me nā'ōpū hinetona;
- ka manaʻo hemoglobinʻanoʻino;
- piʻi i ke kiʻekiʻe;
- nā maʻi maʻi maʻi lōʻihi;
- Hemaniani o ka mele;
- puaʻa;
- ke kōpū fibroid a me nā maʻi koko'ē aʻe.
Hoʻohanaʻia nāʻano o nā maʻi āpau e pili ana i keʻano o nā maʻi o Gaysbek a, me ka nānā pono i nā hoʻokolohuaʻokoʻa, hoʻopakele i nā kaʻina hanaʻino. No laila, i kekahi manawa i kapaʻia he polycythemia maʻemaʻe a hoʻokūmaha paha, he pseudocythemia. ʻO kēiaʻano maʻi ka maʻalahi a me ka wikiwiki e ola.
Nā Symptoms of polycythemia
Hoʻomaka mālie ka maʻi, ma kekahi manawa - no nā makahiki he nui,ʻo ia ke kumu e hoʻopilikia pinepineʻia ai ke kiʻi paʻi aʻoleʻaʻohe hōʻailona.
ʻO nā hiʻohiʻona hiʻohiʻona, e like me keʻano, he kīnāʻole:
- hauʻoli;
- nā maʻiʻeha;
- e nānā aku;
- nā mea nui;
- ua hoʻemiʻia ka'āpana kiʻi;
- ka leo ma nā pepeiao;
- hyperemia sclera;
- kaʻulaʻula o nā membmo mucous;
- ʻO ke kani o kaʻili leo cyanotic i ka wa malulu.
Me ka piʻiʻana o thrombocytopenia, aia kekahi:
- ka ulu a me ka hānai;
- kaʻeha ma ka pahu (center);
- angina pectoris;
- nā alapiʻi;
- ke kālaiʻana o ka huliʻana i ka huliʻana;
- pōkole o ka hanu;
- 'eeʻole i ke kīnā;
- nā maʻi kalapona;
- erythromelalgia;
- Ka maʻi o Raynaud ;
- peptic ulcer;
- flatulence;
- nāʻeha o nā moku āpau a me nā pāpaʻi.
Ka ho'āʻo toto no ka polycythemia
ʻO nā haʻawina hoʻokolohua e pili ana i ka wai ola kino e hōʻike i ka piʻi maiau o ka mahele o ka hemoglobin (hiki i 180 g / l) a me ka helu o nā kinoʻulaʻula (a hiki i 7.5 no 10 i 12 mau'āpana o kēlā me kēia lita). Ua helu pūʻia ka nui o erythrocytes (ma luna o 36 ml / kg).
Ma waho aʻe o kēia mau hōʻailona,ʻo ka nui o nā leukocytes (hiki i 30 ma 10 o ka 10 ma ke kekona 9) a me nā platelets (a hiki i 800 no 10 i 9 mau kekona) ke piʻi nei.
Eia kekahi, ua hoʻonuiʻia ka viscosity a me ka lahilahi o ke koko, e wehewehe ana i kahi hanana o nā maʻi ala.
Hanaʻia o polycythemia
ʻO nā kumu nui o ka lāʻau hoʻokele:
- ka paleʻana i nā kahe koko a me ke koko;
- emi mai ka viscosity o kahi wai ola.
No laila,ʻo keʻano o nāʻano o ka mālamaʻana i kēia manawa,ʻo ia ka pīpīpī (bloodletting), hiki ke paniʻia e erythrocytopheresis, a me ka chemotherapy (cytoreductive).
Eia hou, e kau i nāʻaeʻole-ʻaʻohe kūkākūkā, ke kino kanaka, hydroxycarbamide, hydroxyurea.
Hoʻomaʻoʻia o nā hōʻailona polycythaemia
ʻO kekahi lāʻau lapaʻau'ē aʻe ke hāʻawi aku nei i nā ala maikaʻi e hoʻokahe i ke koko.
Ka lāʻau lapaʻau:
- ʻO nā huaʻalani māla aʻona paha (2 punetēpili) no ka'ōmole o ka wai i hoʻolapalapaʻia.
- E uhi i ke aniani me ka mīkini a waiho no 20 mau minuke.
- Inu, e like me ka ti, me ka hoʻohuiʻana o ka meli a me ke kō. ʻAʻole ka palena o ka helu o nā'āpana i kēlā lā i kēia lā.
Nā meaʻoluʻolu o ka poli aloha:
- I 200 ml o ka wai e hoʻolapalapa, e kanu i 1 teaspoon o kahi mauʻu maloʻo maikaʻi.
- E ke ahi, e inu i ka hapalua a me ka hapalua o ke aniani höʻike i 3 manawa i ka la.
- No ka mālama 'ana i ka liʻiliʻi ma mua o hoʻokahi mahina.