Theem nrab Polycythemia (Theem Nrab Erythrocytosis)

Zoo Siab

• Txheej txheem cej luam
• Thib Ob thiab Thawj
• Kev npe
• Ua rau theem nrab polycythemia
• Muaj kev pheej hmoo rau lwm yam polycythemia
• Cov tsos mob ntawm polycythemia secondary
• Kev kuaj mob thiab kev kho mob ntawm cov mob polycythemia
• Thaum tsis txo cov qe ntshav liab tsawg
• Outlook

Txheej txheem cej luam

Secondary polycythemia yog kev ua haujlwm ntau dua ntawm cov qe ntshav liab. Nws ua rau koj cov ntshav tuab, uas ua rau muaj kev pheej hmoo mob stroke. Nws yog ib tug neeg mob tsawg.

Lub luag haujlwm tseem ceeb ntawm koj cov ntshav liab yog nqa cov pa oxygen ntawm koj lub ntsws mus rau tag nrho cov kab mob hauv koj lub cev.

Cov qe ntshav liab yog tsim tawm hauv koj cov pob txha pob txha. Yog tias koj tsiv mus rau qhov chaw siab tshaj qhov cov pa tsis tshua muaj, koj lub cev yuav paub qhov no thiab pib tsim cov qe ntshav liab ntau tom qab ob peb lub lis piam.

Thib Ob thiab Thawj

Thib Ob polycythemia txhais tau hais tias qee yam mob lwm yam ua rau koj lub cev tsim cov qe ntshav liab ntau dhau.

Feem ntau koj yuav muaj qhov tshaj ntawm erythropoietin (EPO) uas ua kom cov qe ntshav liab ntau lawm.

Qhov ua yuav yog:

• ib tug ua tsis taus pa teeb meem xws li pw tsaug zog apnea
• mob ntsws lossis mob plawv
• kev siv ntawm kev ua tau zoo-siv tshuaj

Thawj polycythemia yog caj ces. Nws tshwm sim los ntawm kev hloov pauv hauv cov hlwb pob txha, uas tsim koj cov ntshav liab.

Secondary polycythemia kuj tseem tuaj yeem muaj caj ces. Tab sis nws tsis yog los ntawm kev sib hloov hauv koj cov hlwb pob txha.

Hauv theem nrab polycythemia, koj qib EPO yuav siab thiab koj yuav muaj cov qe ntshav liab suav ntau. Hauv thawj polycythemia, koj cov ntshav liab hauv lub cev yuav siab, tab sis koj yuav tsum muaj EPO qis.

Kev npe

Secondary polycythemia tam sim no thev naus laus zis paub ua yam khoom hu ua erythrocytosis.

Polycythemia hais txog txhua hom qe ntshav - qe ntshav liab, qe ntshav dawb, thiab qe ua ntshav dawb. Erythrocytes yog lub hlwb liab nkaus xwb, ua rau erythrocytosis lees paub lub npe kev rau tus mob no.

Ua rau theem nrab polycythemia

Cov teeb meem uas nquag muaj ntawm theem nrab polycythemia yog:

• pw apnea
• haus luam yeeb lossis mob ntsws
• rog dhau
• hypoventilation
• Tus Mob Pickwickian
• Mob Hlwb Mob Hlwb Ntev (COPD)
• tshuaj kho mob
• kev ua tau zoo-tshuaj, suav nrog EPO, testosterone, thiab anabolic steroids

Lwm yam ua rau muaj polycythemia lwm yam muaj xws li:

• Cov pa carbon monoxide lom
• nyob ntawm qhov chaw siab
• mob raum lossis hlwv

Thaum kawg, qee cov kab mob tuaj yeem ua rau koj lub cev siv tshuaj los tsim cov tshuaj hormone EPO, uas ua rau cov ntshav liab tsim tawm. Qee qhov xwm txheej uas tuaj yeem ua rau qhov no yog:

• qee cov hlav hlav hlwb (cerebellar hemangioblastoma, meningioma)
• qog ntawm lub qog ua kab mob hlwb
• hepatocellular (mob siab) mob qog noj ntshav
• lub raum cell (raum) mob cancer
• cov qog ua qog ua ntshav
• benign fibroids nyob rau hauv lub tsev menyuam

Hauv, qhov ua rau ntawm polycythemia secondary tuaj yeem yog caj ces. Qhov no feem ntau yog vim kev sib hloov uas ua rau koj cov ntshav liab los noj cov pa oxygen tsis txaus.

Muaj kev pheej hmoo rau lwm yam polycythemia

Cov teeb meem pheej hmoo rau tus mob polycythemia (erythrocytosis) yog:

• rog dhau
• haus cawv
• haus luam yeeb
• ntshav siab (tawg)

Ib qho kev pheej hmoo tsis ntev los no pom tias muaj qhov sib kis ntawm cov ntshav liab siab dav dav (RDW), uas txhais tau hais tias qhov loj me ntawm koj cov ntshav liab tuaj yeem sib txawv ntau. Qhov no tseem muaj npe hu ua anisocytosis.

Cov tsos mob ntawm polycythemia secondary

Cov tsos mob ntawm polycythemia theem nrab suav nrog:

• ua pa nyuaj
• mob hauv siab thiab mob plab
• nkees
• tsis muaj zog thiab mob leeg
• mob taub hau
• pob ntseg nrov hauv pob ntseg (tinnitus)
• qhov muag plooj
• kub los yog “koob thiab koob” qhov hnov ​​ntawm txhais tes, caj npab, ceg, lossis ko taw
• hlwb khiav qeeb qeeb

Kev kuaj mob thiab kev kho mob ntawm cov mob polycythemia

Koj tus kws kho mob yuav xav txiav txim siab ob qho polycythemia thiab nws qhov laj thawj. Koj txoj kev kho yuav yog nyob ntawm qhov pib.

Tus kws kho mob yuav siv keeb kwm kev kho mob, nug koj txog koj cov tsos mob, thiab kuaj lub cev. Lawv yuav kom kuaj cov duab thiab ntsuas ntshav.

Ib qho ntawm cov kev qhia polycythemia yog qhov hematocrit kuaj. Nov yog ib feem ntawm cov ntshav tiav. Hematocrit yog qhov ntsuas ntawm lub siab ntawm cov ntshav liab hauv koj cov ntshav.

Yog tias koj hematocrit siab thiab koj kuj tseem muaj Qib EPO siab, nws yuav yog ib qho kos npe ntawm theem nrab polycythemia.

Cov kev kho mob tseem ceeb rau theem nrab polycythemia yog:

• tsawg-koob tshuaj aspirin kom nyias koj cov ntshav
• ntshav hlab ntaws, tseem hu ua phlebotomy lossis venesection

Kev noj tshuaj tsawg tsawg li tshuaj aspirin ua haujlwm ua rau cov ntshav nyias thiab tuaj yeem txo koj txoj kev pheej hmoo mob stroke (thrombosis) los ntawm kev ua haujlwm ntau dhau ntawm cov ntshav liab.

Kev kos duab mus rau ib pint ntawm cov ntshav txo qhov kev xav ntawm cov qe ntshav liab hauv koj cov ntshav.

Koj tus kws kho mob yuav txiav txim seb yuav tso ntshav tawm npaum li cas thiab tuab npaum cas. Cov txheej txheem yuav luag tsis muaj mob thiab muaj kev pheej hmoo tsawg. Koj yuav tsum so tom qab kos cov ntshav thiab nco ntsoov noj khoom txom ncauj thiab muaj dej txaus rau tom qab.

Koj tus kws kho mob kuj tseem yuav sau ntawv qee yam tshuaj kho mob rau koj tus mob.

Thaum tsis txo cov qe ntshav liab tsawg

Qee qhov xwm txheej, koj tus kws kho mob yuav xaiv kom tsis txo koj cov ntshav liab ntxiv kom tsawg. Piv txwv li, yog koj qhov suav nce yog qhov tshwm sim rau kev haus luam yeeb, pa roj carbon monoxide, lossis lub plawv lossis kab mob ntsws, koj yuav xav tau cov ntshav liab ntxiv kom tau cov pa oxygen txaus rau koj lub cev.

Kev kho pa oxygen ntev tom qab ntawv tuaj yeem yog ib qho kev xaiv. Thaum cov pa oxygen ntau dua mus rau lub ntsws, koj lub cev them nyiaj los ntawm kev tsim cov qe ntshav liab tsawg. Qhov no txo ​​cov ntshav tuab thiab qhov kev pheej hmoo ntawm mob hlab ntsha tawg. Koj tus kws kho mob yuav xa koj mus rau tus kws ntsuas ntsws txhawm rau siv tshuaj oxygen.

Outlook

Secondary polycythemia (erythrocytosis) yog ib yam mob uas tsis tshua muaj mob uas ua rau koj cov ntshav tuab thiab ua rau muaj kev pheej hmoo mob stroke.

Feem ntau nws yog vim muaj qhov pib, uas muaj peev xwm ua tau ntau yam ntawm pw tsaug zog apnea mus rau mob plawv hnyav. Yog tias qhov pib mob tsis txaus, feem ntau cov neeg mob polycythemia yuav cia siab tias nws muaj sia nyob ntev dua.

Tab sis yog tias cov polycythemia ua rau cov ntshav khov heev, muaj kev pheej hmoo ntawm mob hlab ntsha tawg.

Polycythemia Secondary tsis tas yuav tsum tau txais kev kho mob. Thaum xav tau, kev kho mob feem ntau yog noj cov tshuaj aspirin tsawg los yog nqus cov ntshav (phlebotomy).