Ropa remasero rinowanzobudiswa nefupa remafu uye rakakamurwa kuva mapoka matatu - erythrocytes, leukocytes uye maplatelet. Nokuda kwezvikonzero zvakasiyana-siyana, iyi nzira inogona kuvhiringidzika, iyo inokonzera aplastic anemia, umo izvo zvitatu zvikamu zveropa zvinorega kubudiswa kana kubudiswa musina kukwana.
Aplastic anemia - zvinokonzera
Kazhinji kacho chirwere chinowedzera nekuda kwezvikonzero zvisingazivikanwi, mumamiriro ezvinhu akadaro zvinonzi idiopathic.
Mune mamwe mamiriro ezvinhu, zvikonzero zvinokonzera hutachiona hwepafupa remafupa zvinotevera:
- kujekesa uye radioactive zvinhu;
- kuiswa kwehupfu hwakakura mumutumbi wehupfu (sariti yesimbi yakakura, arsenic);
- hutano;
- genetic mutations;
- zvirwere zvinotapukira;
- kutora mamwe mishonga (cytostatics, analgesics, kwete-steroidal anti-inflammatory drugs);
- autoimmune disorders (chirwere cheSjogren ).
Aplastic anemia - zviratidzo
Zviratidzo zvechirwere kwenguva yakareba hazviratidzi, kana zvisingaonekwi kuti hazviiti chikonzero chokudana chiremba.
Zviratidzo zvinogona kuitika kazhinji uye hazvizoperi kwenguva refu nekuwedzera kuwedzera mukudzoka uye kuwedzera kwemamiriro emurwere. Sezvo mutemo, iwo anozivikanwa nokushayikwa kweropa rinowanikwa:
- kushaya simba;
- kureba kweganda;
- kubuda kubva mumadzimai, mumhino;
- moyo palpitations;
- zvinyorwa zviduku, kazhinji pasi;
- kupfupika kwemhepo ;
- kupararira kune zvirwere zvinotapukira;
- musoro uye chizoro.
Aplastic anemia - diagnostic
Iwe unogona kungoita kuongororwa kwakajeka pamusana pemigumisiro yemapfupa ekuongorora kwemafupa. Chiratidzo chake chinowanikwa nenzira ye trepanobiopsy kana biopsy. Munguva yekudzidza mhando, inotarirwa kuti kuumbwa kwemasero eropa hakukwanisi here kana kuti pane kuparadzwa kwemasero machena eropa, maplatelets uye erythrocytes.
Mukuwedzera, aplastic anemia inosanganisira kuongororwa kweropa pamwe nekugadzirisa kwezviri mukati moutachiona hwezvinhu zvayo zvitatu.
Aplastic anemia - prognosis
Pasina chirwere panguva yakakodzera, kunyanya apo chirwere ichi chinopfuurira zvakanyanya, chirevo chacho hachina kunaka - varwere vanofa mumwedzi mashomanana (3-5).
Pakugamuchira kurapwa kwakakodzera, kupera kwemaanemia kunowedzera: vanopfuura 80% varwere vanowedzera kuvandudzwa uye kudzokera kuhupenyu hwehupenyu.
Aplastic anemia - kurapwa
Mishonga yehutano yehutano inosanganisira nguva yakareba yehutachiona hwemumunosuppressive drugs (antimotsitarnogo kana antilymfotsitarnogo globulin) pamwe chete ne cyclosporin. Kuti urege kudzivisa migumisiro yakaipa yeavo vashandi, steroid hormone inowanikwa zvakare (kazhinji methylprednisolone).
Mukuwedzera, panguva yekurapa, inodiwa nguva nenguva kuti kuwedzerwa ropa kudzorere kukorongeka kwayo. Zvakakoshawo kushandisa shandiro (granulocyte colony-stimulating factors) inokurudzira
Kuchengetedza zvirwere zvinotapukira uye zvinopisa zvinowedzera kuitika kweanemia, prophylaxis nemishonga inorwisa mabhakitiriya uye zvirongwa zve fluconazole zvinoitwa.
Nzira yakanakisisa yekurapa chirwere ipfupa remapfupa kubva kune munhu anopa utano hwakanaka, zvichida hama yakabatana, somuenzaniso, hama kana hanzvadzi. Kudyarwa kunoshanda zvakanaka kana murwere ari muduku uye haatamburi nechirwere kwenguva refu. Zvakakosha kuziva kuti muzviitiko zvisingawanzoitiki, muviri unoramba kutemwa kwemasese, pasinei nekuzivikanwa kwekemunomodulating therapy.