Cytopenia Yog Dab Tsi?

Zoo Siab

• Cov hom
• Autoimmune cytopenia
• Refractory cytopenia
• Cov tsos mob
• Dab tsi ua rau cytopenia?
• Mob tej yam kev mob
• Kev kuaj mob
• Kev Kho Mob
• Outlook

Txheej txheem cej luam

Cytopenia tshwm sim thaum ib lossis ntau ntawm koj cov ntshav cell tsawg dua nws yuav tsum.

Koj cov ntshav muaj peb ntu. Cov ntshav liab, tseem hu ua erythrocytes, nqa oxygen thiab cov as-ham nyob ib puag ncig koj lub cev. Cov qe ntshav dawb, lossis leukocytes, tua kab mob thiab tua cov kab mob tsis zoo. Platelets yog qhov tseem ceeb rau txhaws. Yog tias ib qho ntawm cov ntsiab lus hauv qab no qis dua, koj yuav muaj cytopenia.

Cov hom

Muaj ntau hom cytopenia nyob ua ib ke. Ib hom twg yog txiav txim siab raws li feem ntawm koj cov ntshav qis lossis qis dua.

• Kev mob ntshav qab zib tshwm sim thaum koj cov ntshav liab tsawg.
• Leukopenia yog cov qe ntshav dawb qis.
• Thrombocytopenia yog qhov ua kom tsis muaj kab mob ntshav.
• Pancytopenia yog qhov ua tsis txaus ntawm peb feem ntshav me.

Qhov peev xwm ua rau cytopenia yog qhov nyuaj thiab muaj ntau yam. Ntawm cov ua yog peripheral kev puas tsuaj, kab mob, thiab phiv los ntawm kev noj tshuaj. Ob hom cytopenia uas cuam tshuam rau lub hauv paus ua rau cov ntshav qis hauv lub cev tsawg dua yog autoimmune cytopenia thiab refractory cytopenia.

Autoimmune cytopenia

Autoimmune cytopenia tshwm sim los ntawm tus kab mob autoimmune. Koj lub cev tsim cov tshuaj tiv thaiv uas tawm tsam koj cov ntshav noj qab haus huv, rhuav tshem lawv thiab tiv thaiv koj kom tsis muaj cov ntshav suav tau txaus.

Refractory cytopenia

Refractory cytopenia tshwm sim thaum koj cov pob txha pob txha tsis tsim cov qe ntshav, ua kom muaj ntshav zoo. Qhov no tuaj yeem yog pawg pab pawg ntawm cov qog nqaij hlav, xws li mob qog ntshav lossis mob pob txha. Muaj ntau hom refractory cytopenia nyob ua ib ke. Raws li American Cancer Society, lawv tau txhais los ntawm yuav ua li cas cov ntshav thiab cov pob txha mob saib hauv qab lub tshuab tsom.

Cov tsos mob

Cov tsos mob ntawm cytopenia yog nyob ntawm seb koj tus mob muaj hom twg. Lawv kuj tseem tuaj yeem tso siab rau cov teeb meem hauv qab lossis cov xwm txheej uas ua rau cov ntshav qis ntawm lub cev.

Cov tsos mob ntawm tus mob anemia muaj xws li:

• nkees
• tsis muaj zog
• txog siav
• tsis zoo mloog
• kiv tob hau lossis zoo nkaus li lub teeb taws
• txhais tes txias thiab taw

Cov tsos mob ntawm leukopenia suav nrog:

• nquag muaj tus kab mob
• ua npaws

Cov tsos mob ntawm thrombocytopenia suav nrog:

• los ntshav thiab doog ntshav yooj yim
• teeb meem nrog cheem los ntshav
• sab hauv los ntshav

Refractory cytopenia yuav ua rau qee cov tsos mob thaum ntxov. Raws li cov qe ntshav hauv lub cev poob qis, cov tsos mob xws li ua pa luv, nquag kis mob, qaug zog, thiab yooj yim lossis dawb los ntshav tuaj yeem tshwm sim. Xws li cytopenia refractory, nws muaj peev xwm ua tau cov ntshav qis ntawm lub cev yuav ua rau cov kws kho mob mus ntsib ib qho teeb meem zoo li mob qog nqaij hlav lossis mob ntshav qab zib.

Cytopenia tshwm sim los ntawm qhov lus teb autoimmune tuaj yeem tshwm sim nrog lwm cov tsos mob uas muaj xws li lwm cov cytopenia. Cov tsos mob no suav nrog:

• nkees
• tsis muaj zog
• nquag muaj tus kab mob
• ua npaws
• los ntshav thiab doog ntshav yooj yim

Dab tsi ua rau cytopenia?

Yog tias koj tau ntsib cov kev ntshav qes qis tsis txaus ntseeg, koj tus kws kho mob yuav nrhiav lub hauv paus los piav qhia txog tus lej. Txhua hom cytopenia tuaj yeem tshwm sim los ntawm ntau qhov sib txawv thiab txawv txav.

Cov ua kom mob ntshav tsis txaus ntseeg yog:

• tsis tshua muaj hlau ntau ntau
• nquag los ntshav
• kev puas tsuaj cov xoos thaum tseem nyob hauv koj lub cev
• cov ntshav liab ua kom txawv txav los ntawm cov hlwb pob txha

Ua rau mob leukopenia yog:

• mob mus ntev, xws li HIV lossis mob siab
• mob cancer
• tus kab mob autoimmune
• kev kho mob cancer, suav nrog hluav taws xob thiab tshuaj tua hluav taws

Cov ua rau thrombocytopenia muaj xws li:

• mob cancer
• kab mob siab
• kev kho mob cancer, suav nrog hluav taws xob thiab tshuaj tua hluav taws
• tshuaj noj

Hauv qee tus neeg uas mob cytopenia, kws kho mob tsis tuaj yeem nrhiav qhov laj thawj. Qhov tseeb, kws kho mob tsis tuaj yeem nrhiav pom muaj nyob hauv thaj tsam li ib nrab ntawm cov neeg mob pancytopenia. Thaum muaj qhov tshwm sim tsis paub, nws yog hu ua idiopathic cytopenia.

Mob tej yam kev mob

Raws li koj tuaj yeem pom los ntawm cov npe ntawm cov peev txheej tsim, cytopenia feem ntau cuam tshuam nrog kev mob qog nqaij hlav thiab ntshav hlav. Qhov ntawd yog vim ob hom kab mob no ua rau cov ntshav noj zoo hauv koj lub cev. Lawv kuj tseem tuaj yeem rhuav tshem koj cov pob txha caj qaum thiab. Kev tsim thiab loj hlob ntawm cov qe ntshav tshwm sim hauv koj cov hlwb pob txha. Kev puas tsuaj rau daim ntaub so ntswg hauv koj cov pob txha tuaj yeem cuam tshuam koj cov ntshav thiab koj cov ntshav noj qab haus huv.

Lwm yam mob uas cuam tshuam nrog cytopenia suav nrog:

• mob qog noj ntshav, xws li mob leukemia, ntau yam mob myeloma lossis Hodgkin's lossis tsis yog Hodgkin's lymphoma
• mob hlwb pob txha
• B-12 tsis txaus
• kab mob siab
• tus kab mob autoimmune
• kis kab mob, nrog rau HIV, kab mob siab, thiab mob npaws
• cov kab mob ntshav uas ua rau cov ntshav cov ntshav lossis tiv thaiv cov qe ntshav tsim tawm, xws li paroxysmal nocturnal hemoglobinuria thiab aplastic anemia

Kev kuaj mob

Cytopenia raug kuaj pom los ntawm txoj kev kuaj ntshav hu ua kev ua tiav cov ntshav (CBC). A CBC qhia pom cov qe ntshav dawb, qe ntshav liab, thiab ntshav ntshav. Txhawm rau coj ua CBC, koj tus kws kho mob lossis tus nais maum yuav nqus ntshav thiab xa nws mus rau qhov chaw kuaj ntshav kuaj rau kuaj. CBC yog qhov kev sim ntshav ntau heev, thiab koj tus kws kho mob tuaj yeem pom cytopenia los ntawm cov txiaj ntsig yam tsis muaj qhov tseeb. Txawm li cas los xij, yog tias koj tus kws kho mob xav tias koj muaj cov ntshav qis hauv lub cev tsawg, CBC tuaj yeem paub meej.

Yog tias cov txiaj ntsig pom tau qhia tus lej tsawg rau qee qhov ntawm koj cov ntshav, koj tus kws kho mob yuav xaj kom kuaj lwm yam kom kuaj pom qhov laj thawj lossis saib cov lus yuav piav qhia. Kev hloov hlwb pob txha thiab pob txha hlwb pob txha tuaj yeem muab cov ncauj lus kom ntxaws ntawm koj cov pob txha pob txha thiab ntshav tsim tawm. Cov kev kuaj no yuav raug siv los tshawb kom paub tseeb lossis txiav txim siab cov mob pob txha los yog teeb meem uas tuaj yeem ua rau cov ntshav qis ntawm lub cev.

Kev Kho Mob

Kev kho mob rau cytopenia yog nyob ntawm qhov laj thawj.

Rau cytopenia tshwm sim los ntawm mob qog ntshav lossis ntshav siab, kev kho mob rau cov kabmob no tseem tuaj yeem kho cov qe ntshav qis. Txawm li cas los xij, ntau tus neeg mob uas tau txais kev kho rau ib qho ntawm cov kab mob no tuaj yeem pom tus kab mob ntshav qis dua vim qhov kev kho mob.

Corticosteroids feem ntau yog kho thawj-kab rau ntau hom cytopenia. Ntau tus neeg mob teb tau zoo txog kev kho mob. Txawm li cas los xij, qee qhov yuav rov qab lossis tsis teb hlo li. Hauv qhov xwm txheej ntawd, kev kho mob ntau dua yuav siv tau. Cov no suav nrog:

• txhaj tshuaj tiv thaiv kab mob
• hloov hlwb pob txha
• ntshav ntxiv
• txha caj qaum

Outlook

Thaum kuaj pom tau lawm, ntau tus neeg yuav kho rau cytopenia thiab rov zoo ntshav ntshav hauv lub cev. Piv txwv li cov neeg muaj ntshav tsis txaus, piv txwv, tuaj yeem txhawb nqa lawv cov hlau noj los ntawm cov khoom noj xws li nqaij liab, qwj ntses, thiab legumes. Qhov ntawd yuav rov ua rau koj cov ntshav liab ntxiv, thiab koj tus kws kho mob yuav tshuaj xyuas koj cov ntshav suav kom tsawg kom pab koj tswj tau kev noj qab haus huv.

Qee qhov ua rau cytopenia, txawm li cas los xij, xav tau kev kho mob ntev dua thiab ntau dua. Cov laj thawj no suav nrog mob qog noj ntshav thiab mob qog ntshav, kho mob rau cov mob no, thiab lwm yam mob hnyav xws li mob hlwb pob txha thiab mob ntshav khov. Rau cov neeg kuaj mob ua rau mob rau lub hauv paus loj, qhov kev kwv yees feem ntau nyob ntawm qhov mob hnyav thiab kev kho kom zoo li cas.