Chii chinonzi kliniki yeropa chekuyerera inoratidzira: kukodha, mararamiro anowanzoita uye kupotsa

Kuonekwa kwezvimwe zvipingamupinyi mumuviri ndiyo nguva yekutsvaga kumurapi. Uye kazhinji chinhu chokutanga icho chiremba anotanga kuongorora, chinoshungurudza mutungamiri wekuendesa kliniki yeropa. Inonziwo mukuru (UAC), nokuti inopa pfungwa yemamiriro emutumbi pamwe chete.

Chii chinonzi chirini chekuongorora ropa?

Kana pane chirwere chokuvhiringidza pane imwe nzvimbo kana kuti pane kukanganisa kubva mumitemo inokosha, zvichave zvakajeka nemigumisiro.

Chirwere chekliniki yekuyera ropa ndiyo inonyanya kukosha yeongororo dzose. Inogona kuitwa pane chero kliniki, kubhadharwa kuchipatara kana chipatara. Iyo inokwanisika uye inonyatsodzidzisa, inoita kuti zvikwanise kuderedza huwandu hwekuwedzera kuongororwa uye kuongororwa uye kutarisa pane dzimwe zvirwere.

Chii chiri kuongororwa munguva yeUAC?

Saka, chirwere chekliniki chirwere chinoratidzei? Kuongorora uku kunoratidza kana kushanda, kuvimbika uye huwandu hwemasero eropa zvakajairika, uye zvinopawo pfungwa yeimwe miitiro inokosha:

• Erythrocytes vane basa rekuchengetedza yakakwana yehutomu muropa.
• Platelets inopa ropa rega kuti rive uye rinodzivirira kubuda ropa. Kana zvisingasvikiki, kune ngozi yakakura yokubuda ropa, kana yakawanda - pane imwe nzira yekugadzira thrombi pamadziro ane mitsetse.
• Leukocyte inoumba hutachiona hwevanhu, saka kuwedzera kwenhamba yavo kunoratidza kuderera kwehutachiona, kuvapo kwekuputika kana chirwere chekufamba kwepachiviri, zvakadai sekemukemia.
• Iyo hematocrit inoratidza chiyero chemasero eropa kumaplasma ayo. Saka, kliniki yekuongorora ropa inokosha.
• ESR inoratidza chiyero che erythrocyte sedimentation, inonyatsoratidza kana kuvhiringidza kunenge kuchiitika mumuviri. Inotsvakurudzwa pamwe nekuwedzera kweanticoagulants - zvinhu zvinodzivirira kuvhara ropa.
• Leukocyte formula - nhamba yemhando dzose dze leukocyte uye chiyero cheumwe nomumwe wavo kusvika kune yose, inoratidzwa muzana.
• Zvinyorwa zve hemoglobin, iyo inosarudza kuwanda kweropa. Kushanda kwakadzika kwechinhu ichi chiratidzo chekushaya ropa kweEtiology yakasiyana, yakakura nokuda kweropa inowanzoita kuti huve, kana chiremara chinokonzerwa nekupararira kwakakurumidza kwemasero matsvuku eropa.
• Nhamba yepepa yeropa inoratidza kana hemoglobin yakakwana mumasero matsvuku eropa.

Nzira dzechirongwa chekurapa ropa mune vanhu vakuru

Iko kunofanirwa kufungwa nezvayo kuti muupenyu hwemazuva ese maitiro ezvisikwa akasiyana, saka kududzira mwana OAK hakugoni kutungamirirwa nemashoko etafura dzakawanda. Kune varume nevakadzi, mari yacho yakasiyana zvakare.

Kusiyanisa mune rumwe rutivi kana rutivi ruduku kunoratidzika zvinoratidza kuti kune hutano hwezvirwere mumuviri. Chiremba ane ruzivo, nerudzi rwekunyunyuta uye chikonzero chechirwere chekuongorora ropa, chinogona kuita chinonyanya kuongororwa, icho, zvisinei, chinofanira kujekeswa. Pano akadzidzira kuongororwa kwekliniki yekuongorora ropa. Zviratidzo zvichakurukurwa zvakadzama.

Hemoglobin

Hemoglobin ine tsika dzakanaka dze 135-160 g / l yevarume uye 120-140 g / l yevakadzi. Kana iri yakakwirira kudarika izvi, tinogona kufungidzira kuti:

• Erythremia;
• Kuoma muviri kwomuviri.

Zviyero pasi pemutsetse zvinoratidza:

• Kusava nekutarisa chinhu chesimbi;
• Anemia;
• Kuwedzeredza kwekuzadza kwehunyoro mumasero eropa (hyperhydration).

Zvose izvi zvinokwanisa kuona kliniki yeropa. Rongedzai nevanyanzvi.

Erythrocytes

Erythrocytes inofanira kuratidza 4-5x10 ¹² / l muvarume uye 3,7-4,7x10 ¹² / l --kadzi. Iyo yakawandisa inowanzokonzerwa ne:

• Zvirwere zveAcological;
• Kugadzwa kwe corticosteroids uye steroid kugadzirira;
• Cushing's syndrome (chirwere);
• Chirwere chePycycystic chinetso;
• Kupisa kwakanyanya, chirwere chemudumbu uye chigadziko chisina kusimba, kana kuti diuretics zvinowedzera kuwedzera mumasero matsvuku eropa.

Nhamba shomanana eerythrocytes inowanzoonekwa apo:

• Kuberekwa;
• Bleeding;
• Hyperhydration;
• Anemia;
• Kuparadzwa kwemasero aya eropa uye kutsika kwakaderera kwekuumbwa kwemasero matsva mumutsara wepepa mutsvuku.

Leukocytes

Ndiyo mashoko aya anopa kliniki yekuongorora ropa.

Leukocyte uye maitiro avo akafanana kune varume nevakadzi: 4-9x10 ⁹ / liter. Zvikonzero zve leukocytosis:

• Nzira yakasimba yekuputira uye yakachena, utachiona hweropa;
• Zvirwere zvinokonzera zvirwere zvakasiyana-siyana zvehutachiona;
• Malignant neoplasms;
• Mamiriro mushure mekurwa kwepfungwa;
• Mwedzi mitatu yekupedzisira yekutakura fetus;
• Kutambudza kune tishu;
• Lactation period;
• Basa rakakura.

Leukopenia inoitika nekuda kwezvikonzero zvinotevera:

• Migumisiro yemhepo yakasvibiswa;
• Anaphylactic shock;
• Hypoplasia kana bone marrow aplasia;
• Addison-Birmer chirwere;
• Viral HIV;
• Dutu remhepo;
• Kuchinja muhutanda hwehutachiona hunoshandiswa zvakasiyana-siyana.

Zvose izvi zvicharatidza chigumisiro chekliniki yeropa.

Platelets

Nhamba yeplatelets inofananawo kune vose vari varumekadzi - 180-320x10 ⁹ / l. Sezvo ivo vane mhosva ye coagulability yeropa uye vanogona kubatana pamwe chete, kuwedzera kwavo kunoratidza:

• Oncology;
• Kuvhiya kwemazuva ano kana kubuda ropa;
• Zvirwere zvekufamba kwepasi;
• Zvirwere zvisingagumi panhandare yekuwedzera, kunyanya zvirwere zvemuviri, matumbo, pancreas, chiropa;
• Zvirwere zvinotapukira uye zvirwere;
• Migumisiro yekurapa mishonga yakawanda.

Thrombocytopenia inofananidzwa ne:

• Zvirwere zvegadziriro yemotokari;
• Hepatitis;
• Rheumatoid polyarthritis;
• Lymphogranulomatosis;
• Hemolytic zvirwere.

Kuziva zvirwere izvi zvose, kune kliniki yekuongorora ropa. Kuzvichenesa hakuiti nguva yakawanda.

ESR

ESR ine mararamiro akasiyana-siyana, kubvira 1 kusvika 15 mm / h, kumakore akasiyana, uye zvepabonde zvinoratidzwa ne ESR yayo. Kupfuurira kwechimiro kunoitika apo:

• Zvirwere uye zvinoputika;
• Zvirwere zvechiropa neitsvo;
• Kushungurudzika mu endocrine system;
• Mushure mekuputsana nekuvhiya;
• Kusvika kumwedzi, pamuviri, kuyamwisa;
• Anemia yezvakasiyana-siyana;
• Collagenosis.

A low index ye ESR inogona kutaura nezve:

• Kuwedzera kwekugadzirwa kwemhepo;
• Dambudziko rekushaya kukwana kweropa kunhengo nezviviri;
• Kuwedzera bilirubin muropa serum;
• Kurambidza kuputika uye kuchenesa ropa, kuumbwa kwemafuro asina kukwana, asingakwanisi kudzivirira zvachose kubuda ropa.

Hematocrit, ichisiya rutivi rwe 0.39-0,49, inoratidza kusakosha kwesimbi mukati momuviri, kukura kwehutachiona hwezvirwere uye zvirwere zvemuti uyu.

Mucherechedzo wekaukocyte unofanira kuva neakakwana muzana yemarudzi ose emarudzi mashanu emasero machena kuwandu yavo yose:

• Eosinophils: 1-5%, kuparadza zvose zvinokonzerwa nemajoka;
• Neutrophils inoputika - 1-6%, uye yakasarudzwa - 47-72%, inochenesa ropa kubva kuhutachiona hwekutapukira uye inodzivirira muviri kuti urege kuitora;
• Basophils: 0-1%, rubatsiro leukocyte runoziva vamwe vanhu vanhu uye hunoita kuti chirwere chirege kuvhiringidza;
• Monocytes: 3-9%, kufungisisa kufa uye kuparadzwa masero, mabhakitiriya, mapaundi eantigens ane maitiro;
• Lymphocytes: 19-40%, kutsigira utachiona hwekudzivirirwa, kuchengetedza zvirwere zvinosangana nekuwira mishonga inopinda mitezo, inogadzira mhinduro dzomuviri.

Chimiro chendaneti inopenya iri 0,85-1,15. Inowedzera kana:

• Haina mafilic acid uye vitamini B12;
• Inovaka oncology;
• Iko kune mapuropa mumudumbu.

Yakaderedzwa kana chirwere chekushaya ropa chinoshaya simba uye kushaya ropa kwevakadzi vane pamuviri kunowanikwa.

Mukuwedzera, kana zvichidikanwa, unogona kuitisa chidzidzo pane coagulation, kureva, coagulogram, iyo inosanganisira nguva yekubuda ropa. Zvino zvakajeka kuti icharatidza chiremba chekuongorora ropa.

Ungagadzirira sei KLA?

Kuongorora kwekliniki kunofanirwa kuitika zvakasimba pane isina chinhu mudumbu, kunyanya mangwanani mangwanani kusati kwasvika. Mune zviitiko zvakanyanya, iwe unogona kudya pasina gare gare maawa maviri zvisati zvaitika. Zuva risati rasvika iwe haugone kunwa doro, zvinonaka, zvinonaka uye zvakakora zvekudya, nekuda kweiyo ropa rerumusi rinova chyle, iro rinoputika, kugoverwa kwezvinhu zvinenge zvakaoma.

Kazhinji ropa rinotorwa kubva kumunwe, ruoko harukoshi, asi munwe unoda muto usina kutaurwa nezita. Zvisinei, mune zvimwe zviitiko, chiremba anokurudzira kutora chironga chepini. Kana kuverengeka kuongororwa kunodiwa, kunofanirwa kuitwa panguva imwe chete, sezvo zviratidzo zvinogona kuchinja masikati.

Mhedziso

OAK inogona kubatsira kuziva zvirwere zvakasiyana-siyana pakutanga. Nokudaro, kuitira kuti zvidzivirire zvakakodzera kuzvipa kamwechete pagore. Mukukwegura uye paudiki, apo zvakanyanya kunyanya kukosha kutarisira utano hwako, zviri nani kuita izvi mwedzi mitanhatu. Ndizvo zvinoratidzwa nekliniki yeropa.