Pancytopenia Yog Dab Tsi?

Zoo Siab

• Cov tsos mob ntawm tus mob pancytopenia
• Pancytopenia ua rau thiab muaj kev pheej hmoo
• Teeb meem tshwm sim los ntawm pancytopenia
• Yuav kuaj li cas tus mob pancytopenia
• Cov kev kho mob xaiv
• Outlook
• Kev tiv thaiv ntawm pancytopenia

Txheej txheem cej luam

Pancytopenia yog ib qho mob uas tus neeg lub cev muaj tsawg cov qe ntshav liab, qe ntshav dawb thiab ntshav muaj ntshav. Ib hom ntshav ntshav twg nyias muaj nyias haujlwm sib txawv ntawm lub cev:

• Cov ntshav liab muaj cov pa oxygen thoob plaws koj lub cev.
• Cov qe ntshav dawb yog ib feem ntawm koj lub cev tiv thaiv kab mob thiab pab tua kab mob.
• Platelets cia koj cov ntshav los txhaws.

Yog tias koj muaj tus mob pancytopenia, koj muaj qhov sib txuam ntawm peb yam kab mob hauv ntshav:

• anemia, lossis theem qis ntawm cov ntshav liab
• leukopenia, lossis cov qe ntshav dawb ntshav qis
• thrombocytopenia, lossis platelet qib qis

Vim tias koj lub cev xav tau tag nrho cov ntshav ntshav no, pancytopenia tuaj yeem mob nyhav tau. Nws kuj tseem muaj kev phom sij yog txoj sia yog tias koj tsis kho nws.

Cov tsos mob ntawm tus mob pancytopenia

Me me pancytopenia feem ntau tsis yog ua kom muaj tsos mob. Koj tus kws kho mob yuav pom nws thaum ua kev kuaj ntshav rau lwm qhov laj thawj.

Cov mob hnyav dua tuaj yeem ua rau cov tsos mob suav nrog:

• txog siav
• daj ntseg tawv nqaij
• nkees
• tsis muaj zog
• ua npaws
• kiv taub hau
• doog yooj yim
• los ntshav
• tej qhov nqaij me me rau ntawm koj cov tawv nqaij, hu ua petechiae
• cov xim maj mam loj dua ntawm koj cov tawv nqaij, hu ua purpura
• cov pos hniav los ntshav thiab los ntswg
• lub plawv dhia ceev

Yog tias koj lossis ib tus neeg nyob ze koj muaj ib qho kev mob tshwm sim loj heev thiab muaj tus mob pancytopenia, nrhiav kev kho mob sai:

• kub taub hau dhau 101˚F (38.3˚C)
• qaug dab peg
• los ntshav hnyav
• ua pa txog siav
• tsis meej pem
• tsis nco qab

Pancytopenia ua rau thiab muaj kev pheej hmoo

Pancytopenia pib vim tias muaj teeb meem nrog koj cov pob txha pob txha. Daim ntaub so ntswg no hauv cov pob txha yog cov ntshav tsim tawm los. Kab mob thiab kis rau qee yam tshuaj thiab cov tshuaj lom neeg tuaj yeem ua rau lub pob txha pob txha no puas.

Koj yuav muaj feem ua mob pancytopenia yog tias koj muaj ib ntawm cov xwm txheej no:

• mob qog noj ntshav uas cuam tshuam rau cov pob txha pob txha, xws li:
  • mob leukemia
  • ntau myeloma
  • Hodgkin's lossis tsis yog Hodgkin's lymphoma
  • myelodysplastic syndromes
  • megaloblastic anemia (ntshav qis), ib qho mob uas koj lub cev ua cov ntshav loj dua li ib txwm, cov qe ntshav liab tsis txaus thiab koj muaj cov qe ntshav liab tsawg.
• aplastic anemia, uas yog koj lub cev nres ua cov ntshav tshiab txaus txaus
• paroxysmal nocturnal hemoglobinuria, uas tsis tshua muaj ntshav ntshav uas ua rau cov ntshav liab raug puas tsuaj
• kis kab mob, xws li:
  • Tus kab mob Epstein-Barr, uas ua rau mob mononucleosis
  • cytomegalovirus
  • HIV
  • kab mob siab
  • mob npaws
  • Sepsis (mob ntshav)
• cov kab mob uas ua rau puas hlwb pob txha, xws li Gaucher kab mob
• kev puas tsuaj los ntawm kev siv tshuaj lossis hluav taws xob rau kev kho mob qog noj ntshav
• muaj tshuaj lom rau hauv ib puag ncig, xws li hluav taws xob, arsenic, lossis benzene
• mob hlwb pob txha uas khiav hauv tsev neeg
• muaj cov vitamins tsis txaus, xws li tsis muaj cov vitamins B-12 lossis folate
• kev loj hlob ntawm koj tus hnoos qeev, hu ua splenomegaly
• daim siab mob
• haus cawv ntau dhau uas ua rau koj lub siab mob
• cov kab mob autoimmune, xws li cov kab mob lupus erythematosus

Li ntawm ib nrab ntawm txhua kis, cov kws kho mob tsis tuaj yeem nrhiav tus kabmob ua kom muaj tus mob pancytopenia. Qhov no yog hu ua idiopathic pancytopenia.

Teeb meem tshwm sim los ntawm pancytopenia

Cov teeb meem tshwm sim los ntawm pancytopenia qia los ntawm qhov tsis muaj cov qe ntshav liab, cov qe ntshav dawb thiab cov qe ntshav. Cov teeb meem no suav nrog:

• ntau dhau los ntshav yog platelets cuam tshuam
• nce kev pheej hmoo kis mob yog tias cov qe ntshav dawb cuam tshuam

Kev mob hnyav heev tuaj yeem ua rau tuag taus.

Yuav kuaj li cas tus mob pancytopenia

Yog tias koj tus kws kho mob xav tias koj muaj tus mob pancytopenia, lawv yuav pom zoo kom koj mus ntsib kws kho hematologist - tus kws tshaj lij uas kho cov kab mob ntshav. Tus kws tshaj lij no yuav xav kawm koj tsev neeg keeb kwm thiab keeb kwm kev kho mob. Thaum lub sijhawm kuaj mob, tus kws kho mob yuav nug txog koj cov tsos mob thiab saib koj lub pob ntseg, lub qhov ntswg, caj pas, qhov ncauj, thiab tawv nqaij.

Tus kws kho mob tseem yuav ua tiav kev suav cov ntshav (CBC). Kev ntsuam xyuas no yog ntsuas cov qe ntshav liab, qe ntshav dawb thiab ntshav muaj ntshav hauv koj cov ntshav. Yog tias CBC muaj qhov txawv txav, koj yuav xav tau tshuaj pleev cov ntshav rau lub cev. Txoj kev kuaj no tso koj cov ntshav los tso rau ntawm lub swb kom xyuas cov ntshav sib txawv uas nws muaj.

Txhawm rau nrhiav qhov teeb meem nrog koj cov pob txha pob txha, koj tus kws kho mob yuav ua lub pob txha tsis muaj hlwb thiab siv xyoob ntoo. Hauv qhov kev ntsuas no, koj tus kws kho mob siv rab koob tshem tawm cov kua thiab cov nqaij me me hauv ntawm koj cov pob txha uas tuaj yeem kuaj thiab kuaj hauv chav kuaj mob.

Koj tus kws kho mob kuj tseem tuaj yeem cais cov kev kuaj mob kom pom qhov ua rau muaj tus mob pancytopenia. Cov kev kuaj no tuaj yeem suav cov ntshav mus kuaj seb puas muaj kab mob lossis mob rwj. Koj tseem yuav xav tau kev soj ntsuam kuaj CT lossis lwm yam kev ntsuas los saib seb puas mob qog nqaij hlav cancer lossis lwm yam teeb meem nrog koj cov kabmob.

Cov kev kho mob xaiv

Koj tus kws kho mob yuav kho cov teeb meem uas ua rau mob pancytopenia. Qhov no suav nrog kev noj koj tawm ib cov tshuaj lossis txwv koj raug ib yam tshuaj. Yog tias koj muaj zog tiv thaiv koj cov hlwb pob txha, koj yuav tau txais cov tshuaj los ua kom lub cev tsis muaj zog hauv lub cev.

Cov kev kho rau pancytopenia suav nrog:

• tshuaj los txhawb kev tsim cov qe ntshav hauv koj cov pob txha pob txha
• tso ntshav ntxiv los hloov cov qe ntshav liab, qe ntshav dawb, thiab qe ntshav
• tshuaj tua kab mob los kho kev kis mob
• hloov hlwb pob txha, tseem hu ua qia cell hloov pauv, uas hloov cov hlwb pob txha puas nrog lub hlwb zoo uas tsim kho hlwb pob txha

Outlook

Qhov tsis pom kev rau tus mob pancytopenia yog nyob ntawm tus kab mob dab tsi ua rau mob thiab koj tus kws kho mob kho li cas. Yog tias ib qho yeeb tshuaj lossis tshuaj lom neeg ua rau mob pancytopenia, nws yuav tsum ua kom zoo dua li ntawm ib lub lim tiam tom qab koj tsum ncua. Qee yam mob, xws li mob qog noj ntshav, yuav siv sijhawm ntev los kho.

Kev tiv thaiv ntawm pancytopenia

Qee qhov ua rau mob pancytopenia, xws li mob qog noj ntshav lossis mob hlwb pob txha caj qaum, tsis tuaj yeem tiv thaiv tau. Koj tuaj yeem tuaj yeem tiv thaiv qee hom kev kis mob nrog kev coj ua zoo thiab tsis txhob tiv tauj nrog ib tus neeg mob. Koj tuaj yeem yuav zam tau cov tshuaj uas paub tias yuav ua rau tus mob no.