Har'a mefuta e fapaneng ea mafu a bohloko a ho kula ha mali, polycythemia e lula sebakeng se khethehileng - matšoao le phekolo ea lefu lena li amahanngoa le phetoho ea lisele tsa motho. Tabeng ena, ho fetotsoe liphetoho tsa liphatsa tsa lefutso le liphetoho tsa likarolo tsa mokelikeli oa likokoana-hloko, tse ka etsoang congenital le tse fumanoang.
Mabaka a mali a polycythemia
Ho tla fihlela joale, ho na le mefuta e 'meli e meholo ea lefu lena le hlalositsoeng ke lefu - e leng' nete ea polelo ea polycythaemia. Tsela ea 'nete ea ho kula ke ea pele le ea bobeli. Boemong ba pele, lisosa tsa nts'etso-pele ea lefu lena li nkoa e le liphatsa tsa lefutso, ka lebaka la lisele tsa polypotent le tyrosine kinase li fetotsoe.
Polycythemia e tloaelehileng e hlaha ka morao ho mathata a latelang:
- hydronephrosis;
- likokoana-hloko le liphio tsa liphio;
- mohopolo o sa tloaelehang oa hemoglobin;
- nyolohela holimo;
- maloetse a sa foleng a matšoafo;
- hemangioma ea cerebellum;
- ho tsuba;
- lesea la fibroid le lihlahala tse ling.
Litšebelisano tse fapa-fapaneng tsa mafu a likokoana-hloko li bitsoa Gaysbek syndrome 'me, ka liteko tse hlokolosi tsa laboratori, ha li kenyelle mekhoa e mebe. Ka hona, ka linako tse ling ho thoe ke leshano kapa khatello ea polycythemia, pseudocythemia. Mofuta ona oa lefu ke o bonolo 'me o phekoloa ka potlako.
Matšoao a polycythemia
Lefu lena le hlaha butle-butle, ka linako tse ling - ka lilemo tse mashome, ke kahoo setšoantšo sa kliniki hangata se hlabang kapa ha ho na lipontšo ho hang.
Ho boloka matšoao a matšoao, e le molao, ha ho na tlhompho:
- ho halefa;
- hlooho;
- ho ela hloko;
- botsoa;
- fokotsa pono ea mahlo;
- lerata litsebeng;
- hyperemia sclera;
- bofubelu ba liphatsa tsa lefutso;
- letlalo la motlakase le hlahisa nako e pholileng.
Ka tsoelo-pele ea thrombocytopenia, ho na le:
- spleen e eketsehileng le sebete;
- bohloko bofubeng sebakeng (bohareng);
- angina pectoris;
- li-thromboses;
- ho hlōleha ha ischemic nakoana;
- phefumoloho e khutšoanyane;
- tšoaetso ea lik'hemik'hale;
- maloetse a se nang meriana;
- erythromelalgia;
- Lefu la Raynaud ;
- seso sa peptic;
- ho itšepa;
- lisebelisoa tsa lisebelisoa tsa thepa le marako a maholo.
Tlhahlobo ea mali bakeng sa polycythemia
Liphuputso tsa laboratori tsa mokelikeli oa likokoana-hloko li bontša ho eketseha ha sebopeho sa hemoglobin (ho fihlela ho 180 g / l) le palo ea 'mele e khubelu (ho fihlela ho 7,5 ho ea ho 10 ka lirafshoa tse 12 ka litha e le nngwe). Boholo ba erythrocyte (ka holimo ho 36 ml / kg) bo boetse bo baloa.
Ntle le lits'ebetso tsena, palo ea leukocyte (ho fihlela ho 30 ho ea ho ea 10 ka tekanyo ea 9) le liplatelete (ho fihlela ho 800 ho ea ho tse 10 ka likhato tse 9) lia eketseha.
Ho phaella moo, viscosity le bongata ba mali ba eketseha, e leng se hlalosang ho hlaha ha mafu.
Phekolo ea polycythemia
Melao-motheo ea phekolo ke:
- thibelo ea mali le mali a tsoang mali;
- ho fokotseha ha li-viscosity tsa mokelikeli oa likokoana-hloko.
Ka hona, mekhoa ea mekhoa ea kajeno ea phekolo ke phlebotomy (bloodletting), e ka nkeloang sebaka ke erythrocytopheresis, le chemotherapy (cytoreductive).
Ho phaella moo, bela lithethefatsi-li-disaggregants, interferon ea motho, hydroxycarbamide, hydroxyurea.
Phekolo ea litlhare tsa batho ba polycythaemia
Meriana e meng e fana ka litsela tse 'maloa tse atlehang tsa ho hlakola mali.
Tee ea phekolo:
- Li - berries tse omileng kapa tse ncha (likhasepo tse 2) tšela khalase ea metsi a phehiloeng.
- Koahela khalase ka sesepa mme u tsamaee metsotso e 20.
- Noa, joaloka tee, ka phaello ea mahe a linotši kapa tsoekere. Palo ea likarolo ka letsatsi ha e na moeli.
Decoction ea clover e monate:
- Ka 200 ml ya metsi a belang, soak ka teaspoon e 1 ea joang bo ommeng bo monate clover.
- Tšoara, noa karolo ea boraro kapa halofo ea khalase e tloaelehileng ho fihlela makhetlo a mararo ka letsatsi.
- Ho tšoaroa ka tlase ho khoeli e le 'ngoe.