Anemia Aplastic: tohumate. Tātaritanga me te maimoatanga o te anemia aplastic

I tčnei wā i reira e he rota o te momo o mate e kua hono hāngai ki te toto. Ko tētahi o enei ko te aplastic anemia. Ko te tohu o te kore puta tenei mate i kotahi. He taea ki te whakaora i te mate? He aha e nga āraihia? Ko te pā ana ki reira, a ka haere i te reira i roto i tenei tuhinga.

Overview

anemia Aplastic Ko te mate o te pūnaha hematopoietic, te wahi i reira he he heke koi i roto i te maha o ngā pūtau toto, engari kahore tohu mārō rawa o te mate pukupuku. E ai ki te tohunga, he onge tenei māuiuitanga. Ka taea e kino ia e rua nga tangata, me te sex ataahua, te tikanga i muri i te 50 tau. A, no te mahue kore maimoatia he maha mate anemia aplastic.

tikanga o te whanaketanga mate

Kei te mohiotia te reira e kawea te hanganga o te toto i roto i te taha o te rōpū motuhake o ngā pūtau, ara pūtau kakau hematopoietic. E ratou te kaha ki te proliferate ka tītore ki te momo o tupu hematopoiesis. Ko reira no te mea o te pūtau pakeke i hanga whakamutunga (erythrocytes, leukocytes, platelets, me ētahi atu). I raro i te mana o te maha o ngā āhuatanga o waho ā-ranei, te whanaketanga raupapa e whai ake nei o tikanga mate:

• āta whakaiti i te nui o ngā pūtau kakau hematopoietic;
• ohorere mahi tuatahi o te pūtau kakau e uta e te eita o hanganga o erythrocytes, thrombocytes me leukocytes;

Hinganga kakau pūtau i roto i tenei take fakapapau'i te whai huatanga o te wheua wheua transplantation i mahanga ōrite teina / tuahine ranei. Kei te kupu tukinotia te reira i anemia aplastic i roto i ngā tamariki me ngā pakeke. Heoi, e kore te mea whai hua i te transplantation māhanga ōrite i roto i te kaupapa e kihai i riro te kaiwhiwhi akoranga-mua o taero ki te pehi i te pūnaha ārai mate. Kei te tino maha whakapumautia tenei meka te āhua ārai o te mate.

Ko te take matua

Kia aroha mai, e kore e nga āhuatanga etiological o te mate mohiotia ra ano te mutunga. Tohunga whakapono e kia te take:

• hoapā auau ki etahi rōpū o matū;
• te tūkino waipiro;
• predisposition ira;
• ionizing radiation;
• raau taero haurangi;
• etahi mate hopuhopu;

Ki te kore e taea e ngā tohunga te whakatū i te hono hāngai ki te take whakahuatia i runga ake, ka karanga te mate ko anemia aplastic idiopathic.

tohu

• kiri koma, bruising.
• Hāhā o te manawa.
• pāmahana tinana nui ake.
• Ngoikore, te rohirohi, whanoke.
• Tachycardia.
• stomatitis ulcerative.
• Nasal toto gingival ranei.
• Ngaronga o te hiahia, ohorere mate taimaha.

e kore nga tohu haumanu katoa ko tenei rite kia puta anemia aplastic. tino rerekē te tohu i roto i ia take. Ano, ratou maha rite atu mate o te pūnaha hematopoietic. Ko Ko te aha e mea faufaa ki wawe rapu i aro hauora, me te ki te tuku i te whakamātautau e tika ana katoa. He etahi ture o toto mo ia sex me te tau. Ki te, hei tauira, ka kia ahua rerekē tohu mataora, kua whakahau kua te tākuta whakamātautau atu taipitopito, a ka te maimoatanga tika.

āhua

Mataotao herenga whakarōpū i te takenga mate ki e rua momo:

1.Vrozhdennaya anemia aplastic ko:

• tuku (ngaronga o toto hanganga me kōhikohiko congenital) Fanconi anemia;
• tuku (mate hematopoiesis kahore kōhikohiko congenital i te whanaketanga o) anemia Oestrich-Dameshek;
• te kanohi aplasia pūtau whero (heke tatau pūtau toto whero);

2.Priobretennye anemia aplastic he:

• ki te katoa lesion o hematopoiesis;
• ki te hinga pooti o erythropoiesis;

I tua atu, whakarōpūtia te mate e rite ki te pakeke:

• Non-nui anemia aplastic. E whakaatu ana te whakamātautau toto taumata tiketike o etahi kaipōti, engari e kore e nui i roto i rite ki te täkupu.
• Pākaha anemia aplastic. Underreporting o platelets me granulocytes ritikulotsitov.

He aha titore hemorrhagic anemia?

Ko te momo tika noa o te anemia, e puta tika ki kino mate toto, ārahi ki te hekenga koi i roto i te pūtoto i te toto, te whanaketanga o pera-ka karanga iti hoki iaia me te hāora te hemokai tenei. Hoki te pakeke noa whakatika fakatu'utāmaki tangata i roto i te take o te mate toto nui te rōrahi o 500 ml.

Ka puta mai tēnei māuiuitanga ka te hapū i te pūkano, toto ate ranei mate, nui te mate toto i muri i whara tafa ranei.

Ko reira taa'eraa kia te manawanui i roto i mo te torutoru nga ra kihai i whakapae i te oraraa o tenei raruraru. puta tohu korerotia 2-3 ra i muri i te mate toto. Ki te kore e riro i te manawanui tiaki mohio, he tūponotanga tiketike rawa o te mate.

He raruraru pērā i anemia, hemorrhagic treatable. Me te tākuta tuatahi faaore i te puna matua o te mate toto, me te huhu te mahi rongoā colloidal.

tātaringa

Nuinga o ngā wā whakapae puta te mate i muri i te tuku i muri o tätari preventively. I roto i te anemia, heke pūtau toto whero i roto i te toto, ma pūtau toto me kuputohu pūtoto, me ESR taumata tino nui haere. He mea nui ki te mōhio e kia rerekē te tohu o te whakaiti i roto i te te ihirangi o ngā wāhanga i roto i te take ia takitahi.

Hei whakaū i te mate anemia aplastic, e kore te mea he whakamātautau toto te tikanga kapu o te tātaritanga. te tikanga vahe te rata te whakamātautau atu taipitopito o te manawanui, i ngā:

• whakamātautau tinana (faaotiraa o te tae o te kiri, te pēhanga toto, te aroaro o te toto, aha ...);
• tātari mimi (whakaaro aroaro o te toto e te tohu o te syndrome hemorrhagic, me te aroaro o microorganisms - te faaiteraa o te āhua hopuhopu o pōauautanga);
• matū toto (cholesterol, te kūhuka i, waikawa uric);
• whakaoti hītori hauora (ranei reira he peu kino, ahakoa i reira he tetahi mate ma'i, ahakoa te rongo ki matū paitini);
• tātari toto;
• ako o tikanga poka wheua wheua;
• electrocardiography;

He aha kia tukinotia?

Tuatahi o te katoa kia tuhia te reira e taea huarahi tohu anake te āwhina tūroro i roto i te whawhai ki mate pērā i anemia aplastic. kia mōhio Tohu o tenei mate i roto i te tīmatanga o te wāhanga katoa. Ano, ka he nui te tohu haumanu tuatahi ki te rapu tonu i aro hauora mo te wahi o te whakamātautau taipitopito.

rongoā Modern tuku toru kōwhiringa mō te therapy. Kei raro ko te titiro i ia i roto i te taipitopito atu.

1. tūtohutia maimoatanga te pīmua e i roto i te take mohiotia ki meinga anemia. I roto i tenei āhuatanga, te whāinga matua o te therapy ko ki te whakatika mahi i runga i te take whakapataritari, engari ko reira maha hua. E tohutohu tūroro ki te whakakore i te take pakiaka o te mate (tango rohe radiation, whakakorenga o etahi rongoā, etc .. D.). Taua mehua anake whakaiti i te pāpātanga o te mate o te hinu wheua wheua, engari e kore e whakahokia te toto noa.
2. maimoatanga pathogenic titau te whanaketanga whakakore tikanga mate. Hoki enei take, whakamahia therapy immunosuppressive ( "Cyclophosphamide" raau taero, "Cyclosporin"). I roto i ētahi wā, te whakamahi o enei taero e taea whakahoki tino mahi hematopoietic. Kei te whakamahia hoki te reira i roto i te maimoatanga o corticosteroids me steroids anabolic. e kore e ēnei rongoā whakaongaonga anake te hanga o ngā pūtau ma toto, engari whakarei hoki te kōtuitanga pūmua. I roto i te ahua nui o te mate, tūtohu kaiwhakaako he transplant wheua wheua. Ko nui teitei i roto i te tūroro teina Operation pai. Aplastic anemia i roto i ngā tamariki tukinotia me te i roto i transplantation.
3. whakamahia therapy symptomatic te ki te aro faaiteraa motuhake o te mate. Kei roto te reira i huhu taketake o ngā wāhanga toto, paturopi (rongoa "Fluconazole", "Norfloxacin") me te pūnahanaha therapy antifungal.

Pōauautanga me nunu'a

• pōroa Anemic. No te mea o te heke tere i roto i ngā pūtau toto whero ki te roro tukua tata kahore hāora te, rite te putanga, ngaro te tangata mahara, a e kore e urupare ki akiaki waho.
• Mate.
• pōauautanga hemorrhagic (toto). Ko te raruraru kino rawa - te pera-ka karanga patu hemorrhagic, ina mate wahi o te roro e tika ana ki te impregnate tona toto.
• (Tino maha puta i roto i te aroaro o mate mau) te ino o etahi o nga whekau.

Ka rite ki kua whakahuatia i runga ake te maha maimoatanga tino tohu āwhina ki te hinga tenei māuiuitanga rite anemia aplastic. Matapae te nuinga pai, engari anake ki te maimoatanga wā ki te tākuta. E ai ki ngā tatauranga e wātea ana, kahore maimoatanga tika e pā ana ki 90% o tūroro mate i roto i te tau kotahi.

mohio te maimoatanga whai hua tino mo te wheua wheua transplantation te. Hei tauira, 9 i roto o te 10 tūroro i muri i te pokanga ora roa atu e rima nga tau.

I eita o wawaotanga hāparapara (tarukino therapy) mo neke atu i te rima tau e taea anake ora hawhe o nga tūroro, me ki runga ki te 40 tau.

ārai

ārai Paraimere tikanga e te mahi ki te ārai i ngā pānga kino i runga i te ngā āhuatanga o waho. Kei te korero tatou e pā ana ki mo tikanga haumaru taketake i roto i te pāhekoheko ki ngā puna o ionizing radiation, waikano. I tua atu, he mea nui ki te whakahaere i te rongoā, me te inenga.

ārai Tuarua (ārai o ino o te tangata kua mate) uhinga a te kitea ma'io te, me te wā roa-maimoatanga tiaki.

Roto i te whakamutunga, kia tuhia te reira e kore e waiho e koe e wehi o te tātaritanga taua, rite anemia aplastic. Photos iwi hauora nei kua i tenei mate, whakamatau e taea e koe te mahi ki te raruraru. I roto i tenei take, he tūranga motuhake no ki te arotau o te rapu tiaki mohio me te pipiki tino ki tūtohutanga katoa i mau taote. E noho hauora!