Polycythemia - lesea le sa tsoa tsoaloa

Polycythemia e ka etsahala ha ho na le lisele tse khubelu tsa mali (RBCs) tse ngata haholo maling a lesea.

Peresente ea li-RBC maling a lesea e bitsoa "hematocrit." Ha sena se feta 65%, polycythemia e teng.

Polycythemia e ka bakoa ke maemo a hlahang pele ho tsoalo. Tsena li ka kenyelletsa:

• Ho lieha ho tlama mohala oa mokhubu
• Lefu la tsoekere ho mme ea tsoalo ea ngoana
• Mafu a futsitsoeng le mathata a liphatsa tsa lefutso
• Oksijene e nyane haholo e fihlelang lisele tsa 'mele (hypoxia)
• Mafahla a mafahla a mafahla (a etsahala ha mali a tloha mafahla ho ea ho a mang)

Li-RBC tse eketsehileng li ka liehisa kapa tsa thibela phallo ea mali methapong e menyenyane ea mali. Sena se bitsoa hyperviscosity. Sena se ka lebisa lefung la lisele ka lebaka la khaello ea oksijene. Phallo ena ea mali e koetsoeng e ka ama litho tsohle, ho kenyelletsa liphio, matšoafo le boko.

Matšoao a ka kenyelletsa:

• Ho robala haholo
• Mathata a ho fepa
• Ho oa

Ho ka ba le matšoao a mathata a ho hema, ho hloleha ha liphio, tsoekere e tlase maling, kapa lefuba le sa tsoa hlaha.

Haeba ngoana a e-na le matšoao a ts'oaetso ea mali, ho tla etsoa tlhahlobo ea mali ho bala palo ea li-RBC. Teko ena e bitsoa hematocrit.

Liteko tse ling li ka kenyelletsa:

• Likhase tsa mali ho lekola oksijene maling
• Tsoekere maling (tsoekere) ho lekola tsoekere e tlase maling
• Blood urea nitrogen (BUN), ntho e etsahalang ha protheine e senyeha
• Sebopeho
• Ho hlahloba urinal
• Bilirubin

Lesea le tla be le leihlo bakeng sa mathata a ts'oaetso ea maikutlo. Maro a ka fanoa ka methapo. Ka linako tse ling ho tšeloa mali hanyane ka hanyane ho ntse ho etsoa maemong a mang. Leha ho le joalo, ho na le bopaki bo fokolang ba hore sena sea sebetsa. Ho bohlokoa haholo ho sebetsana le sesosa sa polycythemia.

Pono e ntle ho masea a nang le ts'oaetso e bonolo. Ho ka ba le litholoana tse ntle ho masea a fumanang kalafo ea ts'oaetso e matla. Ponahalo e tla itšetleha haholo ka lebaka la boemo boo.

Bana ba bang ba ka ba le liphetoho tse fokolang tsa kholo. Batsoali ba lokela ho ikopanya le mofani oa bona oa tlhokomelo ea bophelo haeba ba nahana hore ngoana oa bona o bontša matšoao a ho lieha ho hola.

Mathata a ka kenyelletsa:

• Lefu la lisele tsa mala (necrotizing enterocolitis)
• Ho fokotsa taolo e ntle ea makoloi
• Ho hloleha ha liphio
• Ho oa
• Litlhaku

Neonatal polycythemia; Hyperviscosity - lesea le sa tsoa tsoaloa

• Lisele tsa mali

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Mathata a mali. Ka: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, bahlophisi. Buka ea Nelson ea Pediatrics. La 21 Ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 124.

Letterio J, Pateva I, Petrosiute A, Ahuja S.Hematologic le mathata a oncologic a lesea le ka popelong. Ka: Martin RJ, Fanaroff AA, Walsh MC, bangoli. Fanaroff le Phekolo ea Martin ea Neonatal-Perinatal. 11th ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 79.

Tashi T, Prchal JT. Polycythemia. Ka: Lanzkowsky P, Lipton JM, Fish JD, bahlophisi. Lanzkowsky's Manual of Pediatric Hematology le Oncology. La 6th. Cambridge, MA: Khatiso ea Boithuto ea Elsevier; 2016: khaolo ea 12.