Erythrocytosis

Zoo Siab

• Erythrocytosis thiab polycythemia
• Dab tsi ua rau qhov no?
• Cov tsos mob zoo li cas?
• Qhov no kuaj tau li cas?
• Kho thiab tswj cov erythrocytosis
• Qhov tshwm sim yog dab tsi?

Txheej txheem cej luam

Erythrocytosis yog ib yam mob uas koj lub cev ua kom cov ntshav liab (RBCs) ntau dhau, lossis erythrocytes. RBCs nqa oxygen rau koj cov plab hnyuv siab raum thiab cov ntaub so ntswg. Muaj ntau cov hlwb no yuav ua rau koj cov ntshav tuab dua li ib txwm muaj thiab ua rau cov ntshav txhaws thiab lwm yam teeb meem.

Muaj ob hom erythrocytosis:

• Thawj tus mob erythrocytosis. Hom no yog tsim los ntawm cov teeb meem nrog cov hlwb hauv tus pob txha, uas RBCs tsim tawm. Tus mob erythrocytosis thaum ntxov yog qee tus pub.
• Thib ob erythrocytosis. Tus kab mob lossis kev siv qee yam tshuaj yuav ua rau hom mob no.

Ntawm 44 thiab 57 tawm ntawm txhua 100,000 tus neeg muaj tus mob erythrocytosis, raws li kev mob. Cov neeg uas muaj tus mob erythrocytosis feem ntau yuav muaj ntau dua, tab sis nws nyuaj rau nrhiav tus lej vim tias muaj ntau qhov teeb meem.

Erythrocytosis thiab polycythemia

Erythrocytosis qee zaum hu ua polycythemia, tab sis cov xwm txheej kuj txawv me ntsis:

• Erythrocytosis yog qhov nce hauv RBCs kev txheeb ze rau cov ntshav ntim.
• Polycythemiayog qhov nce hauv ob qho RBC concentration thiab hemoglobin, cov protein nyob hauv cov ntshav liab uas xa cov pa oxygen rau lub cev cov ntaub so ntswg.

Dab tsi ua rau qhov no?

Tus mob erythrocytosis yuav dhau los ntawm cov tsev neeg. Nws tshwm sim los ntawm kev sib pauv hauv cov noob caj noob ceg uas tswj cov RBCs ntau npaum li cas koj cov hlwb pob txha. Thaum ib qho ntawm cov noob hloov pauv, koj cov hlwb pob txha yuav tsim cov RBCs ntxiv, txawm tias koj lub cev tsis tas yuav.

Lwm qhov ua kom mob erythrocytosis yog polycythemia vera. Qhov kev tsis zoo no ua rau koj cov hlwb pob txha tsim ntau dhau RBCs. Koj cov ntshav yuav tuab heev li.

Secondary erythrocytosis yog qhov nce hauv RBCs los ntawm tus kab mob hauv qab los yog kev siv qee yam tshuaj. Ua rau lwm cov erythrocytosis ntxiv:

• haus luam yeeb
• qhov tsis muaj oxygen, xws li los ntawm cov kab mob ntsws los yog nyob hauv qhov chaw siab
• hlav hlav
• cov tshuaj xws li tshuaj steroids thiab diuretics

Qee zaum kuj tsis paub meej tias muaj tus mob erythrocytosis txog qib ob.

Cov tsos mob zoo li cas?

Cov tsos mob ntawm erythrocytosis suav nrog:

• mob taub hau
• kiv taub hau
• txog siav
• taub ntswg
• nce ntshav siab
• qhov muag plooj
• khaus

Muaj RBCs ntau dhau kuj tseem tuaj yeem ua rau koj muaj feem yuav mob ntshav txhaws. Yog tias ib qho ntshav khov los khi rau ntawm cov leeg ntshav lossis txoj hlab ntsha, nws tuaj yeem thaiv kev ntshav mus rau cov kab mob tseem ceeb xws li koj lub siab lossis lub hlwb. Qhov txhaws hauv cov ntshav ntws tuaj yeem ua rau lub plawv nres lossis hlab ntsha tawg.

Qhov no kuaj tau li cas?

Koj tus kws kho mob yuav pib nug txog koj li kev mob tshwm sim thiab cov tsos mob. Tom qab ntawv lawv yuav kuaj ib ce.

Kev kuaj ntshav tuaj yeem tsim los ntsuas koj qhov RBC suav thiab erythropoietin (EPO) ntau ntau. EPO yog yam tshuaj uas koj lub raum tso tawm. Nws tsub kom RBCs ntau ntxiv thaum koj lub cev tsis tau oxygen.

Cov neeg muaj tus mob erythrocytosis yuav muaj qib EPO tsawg. Cov uas muaj erythrocytosis kawm qib nrab yuav muaj feem tau EPO siab.

Koj kuj tseem yuav tau tso ntshav mus ntsuas qib:

• Hematocrit. Nov yog qhov feem pua ​​ntawm RBCs hauv koj cov ntshav.
• Hemoglobin. Nov yog cov protein nyob hauv RBCs uas nqa oxygen hauv koj lub cev.

Kuaj hu ua pulse oximetry ntsuas ntsuas cov pa oxygen hauv koj cov ntshav. Nws siv clip-on ntaus ntawv uas tau tso rau ntawm koj tus ntiv tes. Qhov kev kuaj ntshav no tuaj yeem qhia pom tias tsis muaj pa oxygen ua rau koj lub erythrocytosis.

Yog tias koj tus kws kho mob xav tias yuav muaj teeb meem nrog koj cov pob txha pob txha, lawv yuav raug kuaj rau kev hloov caj ces hu ua JAK2. Koj kuj tseem yuav tsum tau muaj pob txha caj qaum ua kom mob siab los yog nqus. Qhov kev kuaj no tshem tawm cov qauv ntawm cov nqaij, kua, lossis ob qho sab hauv ntawm koj cov pob txha. Nws tau kuaj hauv ib chav kuaj seb koj cov hlwb pob txha puas muaj RBCs ntau.

Koj tseem tuaj yeem kuaj ntsuas cov noob neeg hloov uas ua rau mob erythrocytosis.

Kho thiab tswj cov erythrocytosis

Kev kho mob txhawm rau txo koj cov ntshav txhaws thiab txo cov tsos mob. Nws feem ntau yuav txo qis koj RBC suav.

Kev kho mob rau erythrocytosis suav nrog:

• Phlebotomy (tseem hu ua venesection). Qhov txheej txheem no tshem tawm ib qho ntshav me me ntawm koj lub cev kom txo qis RBCs. Koj yuav tsum tau muaj cov kev kho mob no ob zaug ib lim tiam lossis ntau dua kom txog thaum koj tus mob tswj xyuas tau.
• Tshuaj aspirin. Kev noj tshuaj tiv thaiv kab mob kom tsawg li no txhua hnub tuaj yeem pab tiv thaiv kom ntshav txhaws.
• Cov tshuaj kho uas txo qis RBC ntau lawm. Cov no suav nrog hydroxyurea (Hydrea), busulfan (Myleran), thiab interferon.

Qhov tshwm sim yog dab tsi?

Feem ntau cov mob uas ua rau mob erythrocytosis tuaj yeem kho tsis tau. Yog tias tsis kho, kev mob erythrocytosis tuaj yeem ua rau koj cov ntshav txhaws, mob plawv, thiab mob ntshav nce hlwb. Nws kuj tseem tuaj yeem txhawb koj kev pheej hmoo rau mob leukemia thiab lwm yam ntshav mob ntshav.

Tau txais kev kho mob uas txo qis RBCs koj lub cev tsim tawm tuaj yeem txo koj cov kev mob tshwm sim thiab tiv thaiv cov teeb meem.