Pancytopenia ke eng?

Litaba

• Matšoao a pancytopenia
• Lisosa tsa Pancytopenia le lisosa tsa kotsi
• Mathata a bakoang ke pancytopenia
• Pancytopenia e fumanoa joang
• Khetho ea kalafo
• Ponahalo
• Thibelo ea pancytopenia

Kakaretso

Pancytopenia ke boemo boo 'mele oa motho o nang le lisele tse khubelu tsa mali tse fokolang haholo, lisele tse tšoeu tsa mali le liplatelete. E 'ngoe le e' ngoe ea mefuta ena ea lisele tsa mali e na le mosebetsi o fapaneng 'meleng:

• Lisele tse khubelu tsa mali li tsamaisa oksijene 'meleng oohle oa hau.
• Lisele tse tšoeu tsa mali ke karolo ea sesole sa hau sa 'mele' me li thusa ho loants'a mafu.
• Liplatelete li lumella mali a hao ho theha mahloele.

Haeba u na le pancytopenia, u na le motsoako oa mafu a mararo a fapaneng a mali:

• khaello ea mali, kapa boemo bo tlase ba lisele tse khubelu tsa mali
• leukopenia, kapa boemo bo tlase ba lisele tse tšoeu tsa mali
• thrombocytopenia, kapa maemo a tlaase a platelet

Hobane 'mele oa hau o hloka lisele tsena tsohle tsa mali, pancytopenia e ka ba mpe haholo. E ka ba ea beha bophelo ba hau kotsing haeba u sa e phekole.

Matšoao a pancytopenia

Hangata pancytopenia e bonolo ha e bake matšoao. Ngaka ea hau e ka e fumana ha u ntse u etsa tlhahlobo ea mali ka lebaka le leng.

Pancytopenia e matla haholo e ka baka matšoao ho kenyelletsa:

• phefumoloho e kgutshoane
• letlalo le putswa
• mokgathala
• bofokoli
• feberu
• ho tsekela
• ho longoa habonolo
• ho tsoa madi
• matheba a manyane a perese letlalong la hao, a bitsoang petechiae
• matheba a maholo a pherese letlalong la hao, le bitsoang purpura
• Marinini le mali a tsoang mali
• lebelo le otlang pelo

Haeba uena kapa motho e mong ea haufi le uena a e-na le matšoao a tebileng a latelang le pancytopenia, fumana tlhokomelo ea bongaka hang-hang:

• feberu e fetang 101˚F (38.3˚C)
• sethoathoa
• ho tsoa madi haholo
• phefumoloho e mpe haholo
• pherekano
• ho lahleheloa ke kelello

Lisosa tsa Pancytopenia le lisosa tsa kotsi

Pancytopenia e qala ka lebaka la bothata ba moko oa masapo a hau. Lisele tsena tse spongy ka har'a masapo ke moo lisele tsa mali li hlahisoang teng. Mafu le ho pepesehela lithethefatsi le lik'hemik'hale tse itseng li ka baka tšenyo ena ea moko oa masapo.

U na le monyetla oa ho ba le pancytopenia haeba u na le e 'ngoe ea maemo ana:

• Kankere e amang moko oa masapo, joalo ka:
  • kankere ea mali
  • mefuta e mengata ea myeloma
  • Hodgkin's kapa e seng Hodgkin's lymphoma
  • li-syndromes tsa myelodysplastic
  • phokolo ea mali ea megaloblastic, boemo boo 'mele oa hau o hlahisang lisele tse khubelu tsa mali tse kholo ho feta tse tloaelehileng,' me o na le palo e tlase ea lisele tse khubelu tsa mali.
• anemia ea mali, boemo boo 'mele oa hau o khaotsang ho etsa lisele tse ncha tsa mali tse lekaneng
• paroxysmal nocturnal hemoglobinuria, lefu le sa tloaelehang la mali le etsang hore lisele tse khubelu tsa mali li senngoe
• tšoaetso ea vaerase, joalo ka:
  • Kokoana-hloko ea Epstein-Barr, e bakang mononucleosis
  • cytomegalovirus
  • HIV
  • lefu la sebete
  • malaria
  • sepsis (tšoaetso ea mali)
• mafu a senyang moko oa masapo, joalo ka lefu la Gaucher
• tšenyo ea chemotherapy kapa kalafo ea radiation bakeng sa mofetše
• ho pepesehela lik'hemik'hale tikolohong, joalo ka radiation, arsenic, kapa benzene
• mathata a moko oa masapo a tsamaeang malapeng
• khaello ea vithamine, joalo ka khaello ea vithamine B-12 kapa folate
• ho holisa spleen ea hau, e tsejoang ka hore ke splenomegaly
• lefu la sebete
• tšebeliso e feteletseng ea joala e senyang sebete sa hau
• maloetse a ikemetseng, joalo ka systemic lupus erythematosus

Hoo e ka bang halofo ea linyeoe tsohle, lingaka ha li fumane lebaka la pancytopenia. Sena se bitsoa idiopathic pancytopenia.

Mathata a bakoang ke pancytopenia

Mathata a tsoang pancytopenia a bakoa ke ho haella ha lisele tse khubelu tsa mali, lisele tse tšoeu tsa mali le liplatelete. Mathata ana a kenyeletsa:

• ho tsoa mali a mangata haeba liplatelete li amehile
• kotsi e eketsehileng ea tšoaetso haeba lisele tse tšoeu tsa mali li amehile

Pancytopenia e matla e ka beha bophelo kotsing.

Pancytopenia e fumanoa joang

Haeba ngaka ea hau e belaela hore u na le pancytopenia, ba kanna ba u khothaletsa hore u bone ngaka ea mali - setsebi se phekolang mafu a mali. Setsebi sena se tla batla ho ithuta nalane ea lelapa la hau le nalane ea bongaka ea hau. Nakong ea tlhahlobo, ngaka e tla botsa ka matšoao a hau mme e shebe litsebe, nko, 'metso, molomo le letlalo.

Ngaka e tla etsa lipalo tse felletseng tsa mali (CBC). Teko ena e lekanya boholo ba lisele tse khubelu tsa mali, lisele tse tšoeu tsa mali le liplatelete maling a hau. Haeba CBC e sa tloaeleha, o kanna oa hloka smear ea mali e potileng. Teko ena e beha lerotholi la mali a hau selaeteng ho sheba mefuta e fapaneng ea lisele tsa mali tseo e nang le tsona.

Ho batla bothata ka mokong oa masapo, ngaka ea hau e kanna ea etsa takatso ea moko oa masapo le biopsy. Tekong ena, ngaka ea hau e sebelisa nale ho tlosa mokelikeli le lisele tse nyane kahare ho masapo a hau tse ka hlahlojoang le ho hlahlojoa ka laborateng.

Ngaka ea hau e kanna ea etsa liteko tse fapaneng ho batla sesosa sa pancytopenia. Liteko tsena li ka kenyelletsa liteko tsa mali ho hlahloba tšoaetso kapa kankere ea mali. U kanna ua hloka ho hlahlojoa ka CT kapa tlhahlobo e 'ngoe ea litšoantšo ho batla mofetše kapa mathata a mang ka litho tsa hau.

Khetho ea kalafo

Ngaka ea hau e tla sebetsana le bothata bo bakileng pancytopenia. Sena se ka kenyelletsa ho u tlosa moriana kapa ho emisa ho pepesehela k'hemik'hale e itseng. Haeba sesole sa hau sa 'mele se hlasela mokong oa hau oa masapo, u tla fumana moriana o fokotsang karabelo ea' mele ea hau ea 'mele.

Kalafo ea pancytopenia e kenyelletsa:

• lithethefatsi ho susumetsa tlhahiso ea lisele tsa mali mokong oa masapo a hau
• litšelo tsa mali ho nkela lisele tse khubelu tsa mali, lisele tse tšoeu tsa mali le liplatelete
• lithibela-mafu ho phekola tšoaetso
• ho kenyelletsa 'moko oa masapo, o tsejoang hape e le ho kenya seleng ea bakoang, e nkang sebaka sa masapo a senyehileng ka lisele tsa' mele tse phetseng hantle tse hahang 'mele oa masapo

Ponahalo

Pono ea pancytopenia e latela hore na ke lefu lefe le bakileng boemo boo le hore na ngaka ea hau e bo phekola joang. Haeba sethethefatsi kapa lik'hemik'hale li bakile pancytopenia, e lokela ho ntlafala nakong ea beke kamora hore o emise ho pepeseha. Maemo a mang, joalo ka mofetše, a tla nka nako e telele ho a phekola.

Thibelo ea pancytopenia

Lisosa tse ling tsa pancytopenia, joalo ka mofets'e kapa mafu a moko oa lefutso, ha a qojoe. U ka khona ho thibela mefuta e itseng ea ts'oaetso ka mekhoa e metle ea bohloeki le ho qoba ho kopana le mang kapa mang ea kulang. U ka boela oa qoba lik'hemik'hale tse tsebahalang ho baka boemo bona.