Pakati pemhando dzakasiyana-siyana dzehutachiona hwehutachiona hweropa, polycythemia inzvimbo inokosha - zviratidzo uye kurapwa kwechirwere ichi zvinosanganiswa nekushandurwa kwemasero evanhu. Muchiitiko ichi, kuchinja kwemajini nekugadziriswa kwezvikamu zvehupenyu hwehupenyu hunoonekwa, izvo zvinogona kuva zvose zvakagadzirirwa uye zvakawanikwa.
Zvinokonzera ropa polycythemia
Kusvika iye zvino, kune miviri miviri yakasiyana-siyana yezvinorondedzwa zvirwere - ichokwadi uye yakagadziriswa polycytemia. Nzira yechokwadi yehutachiona inokosha uye yechipiri. Muchiitiko chekutanga, zvikonzero zvekusimudzirwa kwechirwere zvinotaridzirwa kuchinja kwemajeni, zvichienderana nepo inonzi polypotent masero uye tyrosine kinase inoshandurwa.
Secondary polycythemia inopesana nechepamusoro pematambudziko anotevera:
- hydronephrosis;
- cysts uye zvinetso zvepvo;
- asinganzwisisiki hemoglobin concentration;
- inokwira kumusoro;
- zvirwere zvisingaperi zvirwere;
- hemangioma ye cerebellum;
- kusvuta;
- fibroid uterus uye mamwe matumbo.
Nzira dzakasiyana-siyana dzehutano hwehutano dzinonzi Gaysbek syndrome uye, pamwe nekuongororwa kwema laboratory, hazviregi maitiro akaipa. Nokudaro, dzimwe nguva inonzi inhema kana kuti inoshungurudza polycythemia, pseudocythemia. Urwu rudzi rwechirwere ruri nyore uye nekukurumidza kurapwa.
Zviratidzo zve polycythemia
Chirwere chacho chinokura zvishoma nezvishoma, dzimwe nguva - kwemakumi emakore, ndicho chikonzero chimiro chechipatara chinowanzosvibiswa kana pasina zviratidzo zvachose.
Kucherechedza zviratidzo, semitemo, hazvina maturo:
- kutsamwa;
- headache;
- kunyatsoteerera;
- chizoro;
- kuderera kwemaonero evanhu;
- ruzha munzeve;
- hyperemia sclera;
- kubwinya kwemucous membrane;
- cyanotic ganda rinononoka mumwaka wakachena.
Nekuwedzera kwe thrombocytopenia, kune:
- kuwedzera spleen nechiropa;
- kurwadziwa mubhokisi nzvimbo (mukati);
- angina pectoris;
- thromboses;
- kukanganisa kwechikafu chinokanganisa;
- kupfupika kwemhepo;
- myocardial infarction;
- kushungurudzika kwepfungwa;
- erythromelalgia;
- Raynaud's syndrome ;
- peptic ulcer;
- flatulence;
- zvipembenene zvemakungwa nemasvingo masvingo emascular.
Kuyera kweropa kwe polycythemia
Zvidzidzo zvebhakirini zvehupenyu hwehutachiona zvinoratidza kukura kwechimiro munharaunda ye hemoglobin (kusvika 180 g / l) uye nhamba yemviri mutsvuku (kusvika pa7,5 pa10 muzvikamu gumi nemaviri pairi). Kuwanda kwe erythrocytes (pamusoro pe 36 ml / kg) inowanikwawo.
Mukuwedzera kune izvozvi zviratidzo, nhamba ye leukocytes (kusvika 30 kusvika pa10 mudigiri ye 9) uye maplatelets (kusvika 800 kusvika 10 mu 9 degrees) iri kuwedzera.
Mukuwedzera, iyo viscosity uye kuwanda kweropa inowedzera, iyo inotsanangura kuitika kwezvirwere.
Mushonga we polycythemia
Mazano makuru erapi ndeaya:
- kudzivirira kubuda ropa nekuvhara ropa;
- kuderera kwevhisikiti yehupenyu hwehupenyu.
Nokudaro, maitiro makuru emazuva ano ekurapa ndiwo phlebotomy (ropaletting), iyo inogona kushandiswa ne erythrocytopheresis, uye chemotherapy (cytoreductive).
Mukuwedzera, ipai zvinodhaka-kusagadzikana, interferon yevanhu, hydroxycarbamide, hydroxyurea.
Mishonga ye polycythaemia mishonga yevanhu
Mishonga yokurapa inopa huwandu hunobudirira nzira dzokuderedza ropa.
Kurapa chai:
- Dry or fresh cranberry berries (2 tablespoons) yegorosi remvura yakabikwa.
- Dzadza girazi nemuchero uye uende kwemaminitsi makumi maviri.
- Inwa, saiye, pamwe nekuwedzera kweuchi kana shuga. Nhamba yezvikamu zvezuva ndeyekusingagumi.
Decoction of sweet clover:
- Mune 200 ml yemvura inopisa, gadzira chiyiko chepuni 1 yeuswa hwakakangwa hwakasvibira sweet clover.
- Kushungurudza, kunwa chetatu kana hafu yegirazi rakazara kusvika katatu pazuva.
- Kuchengetedzwa kwete pasi pemwedzi 1.