Pancytopenia yog dab tsi, cov tsos mob thiab cov laj thawj tseem ceeb

Zoo Siab

• Cov tsos mob tseem ceeb
• Ua rau pancytopenia
• Yuav kuaj li cas
• Yuav kho tus mob li cas

Pancytopenia sib raug rau qhov txo qis hauv txhua cov qe ntshav, uas yog, nws yog qhov tsawg dua ntawm cov qe ntshav liab, leukocytes thiab platelets, uas ua rau muaj cov tsos mob thiab cov tsos mob xws li pallor, nkees, nqaij doog ntshav, los ntshav, kub cev thiab nyiam sib kis.

Nws tuaj yeem tshwm sim vim yog kev txo qis hauv cov khoom tsim los ntawm cov hlwb pob txha, vim muaj cov xwm txheej xws li vitamin tsis muaj peev xwm, kab mob caj ces, kab mob ntshav siab los yog leishmaniasis, nrog rau los ntawm kev rhuav tshem cov qe ntshav hauv cov hlab ntshav, vim kev tiv thaiv kab mob lossis piv txwv li txhawb cov kab mob kev coj ua ntawm tus po, piv txwv.

Kev kho tus mob pancytopenia yuav tsum tau ua raws li cov lus qhia ntawm cov kws kho mob dav dav lossis hematologist raws li qhov ua kom muaj tus mob pancytopenia, uas yuav suav nrog kev siv corticosteroids, tshuaj tiv thaiv kab mob, tshuaj tua kab mob, ntshav hloov ntshav, lossis tshem tawm ntawm tus po, piv txwv li, uas tsuas yog qhia raws li qhov xav tau ntawm txhua tus neeg mob.

Cov tsos mob tseem ceeb

Cov tsos mob thiab cov tsos mob ntawm tus mob pancytopenia muaj feem xyuam rau kev txo cov qe ntshav liab, leukocytes thiab platelets hauv cov ntshav, cov ua tseem ceeb yog:

Nyob ntawm kis, nws kuj tseem tuaj yeem tshwm sim thiab cov tsos mob tshwm sim los ntawm tus kab mob uas ua rau mob pancytopenia, xws li mob plab zaws vim tias tus txha caj mob ntxiv, mob cov qog ntshav, ua haujlwm hauv pob txha lossis hloov hauv daim tawv nqaij, piv txwv.

Ua rau pancytopenia

Pancytopenia tuaj yeem tshwm sim vim yog ob qho xwm txheej: thaum cov hlwb pob txha tsis tsim cov qe ntshav kom raug lossis thaum cov hlwb pob txha tsim tawm kom raug tab sis cov qog ua rau cov hlab ntshav tawg. Cov ua tseem ceeb ntawm tus mob pancytopenia yog:

• Siv tshuaj lom, xws li qee yam tshuaj tua kab mob, tshuaj kho mob, tiv thaiv kev nyuaj siab, tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob;
• Qhov cuam tshuam ntawm hluav taws xob lossis tshuaj lom neeg, piv txwv li benzene lossis DDT, piv txwv;
• Kev tsis txaus cov vitamins B12 lossis folic acid hauv cov khoom noj;
• Kab mob caj, xws li Fanconi cov ntshav tsis txaus, ntshav lub qog ua haujlwm tsis ua hauj lwm lossis Gaucher;
• Pob txha mob hlwb, xws li cov leeg mob myelodysplastic syndrome, myelofibrosis lossis mob tav ntshav paroxysmal hemoglobinuria;
• Cov kab mob autoimmune, xws li mob lupus, Sjögren's syndrome lossis autoimmune lymphoproliferative syndrome;
• Kis tau cov kab mob, xws li mob leishmaniasis, brucellosis, tuberculosis lossis HIV;
• Mob Cancer, xws li mob leukemia, ntau yam mob myeloma, myelofibrosis lossis metastasis ntawm lwm yam mob qog mus rau tus pob txha pob txha.
• Cov kab mob uas txhawb kev ua yeeb yam ntawm tus po thiab lub cev tiv thaiv lub cev los rhuav tshem cov qe ntshav, xws li lub siab ua mob rau cov ntshav, mob myeloproliferative thiab hemophagocytic syndromes.

Ntxiv rau, cov kab mob kis tau yooj yim tshwm sim los ntawm cov kab mob los yog kab mob, xws li cytomegalovirus (CMV), tuaj yeem ua rau muaj zog tiv thaiv kab mob hauv lub cev, muaj peev xwm tua cov ntshav ntshav hauv txoj kev mob thaum lub sijhawm kis mob.

Yuav kuaj li cas

Kev kuaj mob ntawm tus mob pancytopenia yog tsim los ntawm kev ua tiav cov ntshav suav, uas nyob hauv cov ntshav ntawm cov ntshav liab, leukocytes thiab cov plasmaets hauv cov ntshav tau tshawb xyuas. Txawm li cas los xij, nws tseem tseem ceeb kom paub qhov laj thawj uas ua rau muaj tus mob pancytopenia, uas yuav tsum tau ua los ntawm kev ntsuam xyuas cov kws kho mob feem ntau lossis hematologist los ntawm kev soj ntsuam kev tshawb nrhiav keeb kwm thiab kev kuaj mob lub cev ua rau tus neeg mob. Ib qho ntxiv, lwm qhov kev sim yuav pom zoo kom paub qhov ua rau ntawm tus mob pancytopenia, xws li:

• Ntshav dej hlau, ferritin, Transferrin saturation thiab reticulocyte suav;
• Muab cov vitamin B12 thiab folic acid;
• Kev tshawb fawb kis mob;
• Ntshav txhaws profile;
• Kev ntsuam xyuas kabmob, xws li Coombs ncaj;
• Myelogram, nyob rau hauv cov leeg pob txha yog xav kom tau txais xov xwm ntau ntxiv txog cov yam ntxwv ntawm cov qe hauv qhov chaw no. Txheeb xyuas li cas myelogram tsim thiab thaum nws tau qhia;
• Mob pob txha caj dab, uas ntsuam xyuas cov yam ntxwv ntawm cov hlwb, muaj cov infiltrations los ntawm mob cancer los yog lwm yam kab mob thiab cov leeg. Nug saib kev hloov pob txha ua li cas thiab nws yog rau dab tsi.

Tej kev kuaj mob tshwj xeeb kuj tseem yuav raug kuaj rau tus kabmob uas tus kws kho mob xav tias, xws li cov tshuaj tiv thaiv kab mob rau ntau yam mob myeloma lossis pob txha caj qaum los txhawm rau txheeb xyuas tus mob, xws li mob leishmaniasis, piv txwv.

Yuav kho tus mob li cas

Kev kho ntawm pancytopenia yog coj los ntawm hematologist raws li nws qhov ua rau, thiab tej zaum yuav suav nrog kev siv cov tshuaj uas ua rau kev tiv thaiv kab mob, xws li Methylprednisolone lossis Prednisone, lossis immunosuppressants, xws li Cyclosporine, nyob rau hauv cov ntaub ntawv ntawm autoimmune lossis inflammatory kab mob. Ib qho ntxiv, yog tias tus mob pancytopenia yog mob cancer, kev kho mob yuav cuam tshuam nrog hloov hlwb pob txha.

Xws li kev kis mob, kev kho mob tshwj xeeb yog qhia rau txhua tus kab mob me me, xws li tshuaj tua kab mob, tshuaj tua kab mob los yog pentavalent antimonials nyob rau hauv cov ntaub ntawv ntawm leishmaniasis, piv txwv. Kev tso ntshav ntxiv tsis yog qhov qhia tas mus li, tab sis nws yuav tsim nyog muaj mob hnyav uas yuav tsum tau rov ua kom sai, nyob ntawm seb yog vim li cas.