Leukopenia: zvinokonzera, kurapwa uye mhando zvirwere

chirwere Hodgkin vake, neutropenia, leukopenia, monocytosis - zvirwere izvi zvose asi vanhuwo anosunga chimwe chete chinhu - the Kumwe kuchinja kunotanga pachiyero masero eropa machena. Munyaya ino, tichakurukura chimwe chete nzira kubva pachikwata.

Leukopenia - chirwere pathological iyo kunoratidzwa vasingadzoreki hematopoiesis pamwero ropa masero machena. Zvinosuruvarisa mumakore achangopfuura kuwanda maperembudzi kuwedzera. Nei izvi?

Chii leukopenia nedzevakuru?

Izvi Kunyanya pathological ezvinhu, zvinoreva akaderedza ropa chena eropa count, kana uwandu rikawira pasi ane 3,7H10 ⁹ / l. Izvi zvinonzi kuderedza kugadzirwa ropa masero machena zvakananga kupinda mumwongo. Izvi zvinogona kukonzerwa dzakasiyana siyana zvirwere uye zvirwere.

Kwakaderedza zviri leukocytes muropa zvinowanzooneka kuchengetwa pasina kudzikira mune murwere ezvinhu. Ukuwo, shanduko kutapata mune chirwere ichi kazhinji rinobatanidza panowanikwa siyana zvinotapukira. Kuneta, chills apo kuwedzera tembiricha, dzungu - zvose zvezviratidzo izvi zvinogona vaifungidzirwa zvakadai chirwere sezvo leukopenia. Zvinokonzera kurapwa zviratidzo zvakadai zvinogona asingazivikanwi kwenguva refu. Kwokupedzisira chirwere unogona chete richasimbiswa bvunzo ropa.

Zvaunofanira kuziva pamusoro chena ropa masero?

masero eropa machena ichi- anogadzirwa mumwongo node nodes uye chirwatata. Vari kuramba achiparadzira muropa mugadziriro. The uwandu ndezvimwe kushandisa chaiyo kuongorora.

Kazhinji, nhamba yavo zvichisiyana 4.0 kusvika 8,0H10 ⁹ chete fő ropa. Yakakwirira kwevari inonzi leukocytosis. Kakawanda nenzira yakadaro muviri ikasakendenga aivapo chokutsva. Chinhu ndechokuti masero eropa zvose chena kuuraya masero dzavatorwa.

Kuderedza uwandu ropa Masero anonzi leukopenia.

Zvichienderana kuvapo masero mukati mavo zviyo vanachiremba vanodana mhando mbiri leucocytes:

1. Granulocytes: eosinophils (kusvika 5%), basophils (1%), neutrophils (40-70%).
2. Agranulocytes: lymphocytes (20-45%), monocytes (3-8%).

Simple Rondedzera kunoratidza kuti granulocytes pamusana inopfuura hafu yose nziyo, pamwe 90% wavo - zviri neutrophils.

Zvikasadaro, dzinonzi phagocytes. Nyanzvi akavadana saka nokuti nemano avo kuparadza tusingaoneki vanoonekwa.

Saka, munhu anofanira kusiyanisa yakakwirira chena eropa count uye kuderedzwa. Rakanga yokupedzisira inonzi leukopenia.

zvikonzero

Pakurapa chirwere hazvibviri sokuvapo chiremba haangavi kuziva chaizvo chii chikonzero chikuru, izvo zvakakonzera leukopenia. Zvikasadaro, zvichaita kupiwa isiri kurapwa, uye hosha inoramba mberi.

Zvinhu kuparira kukura chirwere, nyanzvi kuzodana zvakasiyana siyana zvikuru. Zvisinei, kakawanda zviri kutyora kutoitwa mumwongo sezvamakaropafadzwa kwetunhu iri kuchengetwa nokuda chinovhiringidza pamusoro neutrophil:

• Akadzokorora kugarotamba ionizing nemwaranzi (X-ray kakawanda uye refu kudzidza, nemwaranzi zvirwere);
• zvirwere (HIV, septic zvirwere, herpetic zvirwere);
• refu kugamuchira mamwe mapoka zvinodhaka (nemishonga, nonsteroidal Anti-anogumbura vamiririri, sulfonamides);
• Kusvibisa muchetura uye neimba chepfu;
• Boka vhitamini kushaikwa uye vamwe chiya chisingadiwi zvinhu;
• dysplastic uye neoplastic maronda ose mumwongo pacharo, idzo anokonzerawo leukopenia chirwere (neleukemia, metastatic maronda uye t. d.).

Maererano nenyanzvi, kuparadzwa nokukurumidza paiya inonzi granulocytes ari kuchengetwa somugumisiro:

1. Autoimmune inoparadza pezvakaitwa mumuviri.
2. mishonga kushandiswa.
3. Sokunonoka leukocytes iri midziyo iri pakanyorwa hemodialysis.

zvekuchipatara kuratidzwa

Panguva kutanga kwekupwanyiwa kusimukira chirwere tiri zviratidzo zvakajeka leukopenia ari inenge nguva dzose vasipo. Murwere kuonekwe nemusoro, utera, dzungu. Kazhinji, anonongedzera ava hapana anoteerera, asi kurapwa mufananidzo panguva ino anoramba kuchinja nokukurumidza. Muchirwisa colour ane kusimba muviri kazhinji ndiyo chirwere chacho, icho pamwe:

• kutemwa nemusoro;
• fivhiri;
• chills;
• nokukurumidza kufamba kweropa.

Kazhinji mashoko gastrointestinal mucosa maronda kuonekwa sezvo akawanda maronda uye erosions, utachiona ropa, anogumbura pezvakaitwa ari nemumuromo mhango.

Attention zvinofanira kuripirwa uye kosi yacho chirwere. rwarisa All pezvakaitwa mumuviri kutora nzvimbo kakawanda kwakanyanya. Somuenzaniso, imwe duku nokushatiriswa paganda kunogona kutungamirira cellulitis. Kakawanda ndamutarisa kukuvara mishonga chirwatata, chiropa uye masero intestinal. Chero chirwere pano, zvinova ngozi murwere upenyu. Nemhaka Kuongororwa ropa, sezvo mutemo, haasi chete kuwanikwa leukopenia. Thrombocytopenia Somuenzaniso, inenge nguva vanongoerekana anova pamusoro nechekumashure kudzvinyirira pamusoro platelet kugadzirwa.

The nengozi chirwere?

Persistent leukopenia, maererano vanachiremba, zvichitungamirira ungaderedza kutapata uye mawa yakawedzera aikanganiswa zvirwere zvakawanda uye kenza zvirwere, izvo kazhinji rinobatanidza rufu. Extreme zvinoratidza chirwere ndedzinotevera: agranulocytosis, neutropenia uye aleukia. Panyaya iyi, muviri zvinenge zvakakwana haizorambi kubudisa mamwe leukocytes.

kupatsanura

Kazhinji, richikwidibira ropa masero machena huchapera. Sezvo chikazozikamwa, inokonzera leukopenia vakuru kazhinji vanovandira uchirapwa nemimwe mishonga (rinoreva "Biseptolum", "Analgin"). Ndapedza kubva kukuvadza zvinhu Zviratidzo zvose apere. Pano tiri achinyanya kutaura anonzi vavanongogara leukopenia. Unowanikwa munguva purogiramu bvunzo ropa uye hazvina zvoutano zvaitika.

Kwenguva Nyanzvi pavakarangwa akakamurwa marudzi anotevera:

• chenjera (mwedzi kusvikira mitatu);
• chisingaperi (mwedzi kupfuura mitatu).

ezvinhu akadaro kazhinji kukonzera nokufungirana kuti agranulocytosis uye nguva dzose anoda uwane kuzviongorora.

Uyewo, leukopenia chirwere rakakamurwa:

• chikuru chimiro (neutrophil zvauya kubva kwetunhu zvirwere);
• yechipiri chimiro (pakuonekwa zvinhu anovhiringidza hemopoiesis dzose).

Inobva mwero zvinoderedza uwandu leukocytes mu nechirwere anogona kupiwa zvitatu:

• munyoro - 1,5x10 ⁹ / L (kusavapo kwakakwana yematambudziko);
• Svikiro - 0.5 kuti 1,0H10 ⁹ / L (pane mukana wokutapukirwa);
• Heavy - 0,5H10 kusvika ⁹ / L (agranulocytosis pamwe kuratidzwa zvakakomba).

Ndezvenguva yokupedzisira kupatsanura kakawanda yakakamurwa leukopenia. The mwero Kugadzirwa chirwere wehurumende kungovimba mukana kubatana utachiona.

Diagnostics

Kuzosimbisa chirwere, chiremba prescribes murwere CBC. Maererano zvingatarisirwa kutongwa kubva pamberi chirwere. Zvadaro, sezvo mutemo, akagadzwa kubvunza ane vakawanda vaiita kana kunyange hematologist. Chiremba wake anoti ndechokuti leukopenia chirwere, zvinokonzera chirwere wehurumende. Zvakakosha kuziva kuti kana nyanzvi vachaziva chaizvo izvo zvinoita kuti pave nekukurukurirana kukura chirwere, pangava nematambudziko vaine chinangwa yokurapa wayo unozotevera unongotaura.

kurapwa Guidelines

Murwere wokutanga pakuiswa ari oga kamuri. Doctors uye vamwe vashandi vezvoutano compulsorily kubatwa akambozvishandisa kuuraya utachiona ruoko, kushandiswa gauze mabhandeji nemapfekero mune chena gowns. Panguva chaiyo House okuchenesa rinoitwa kushandisa mishonga yokuuraya utachiona, germicidal mwenje anoshandiswa.

How kubata leukopenia? Kana mwero chirwere musimboti vanotumirwa zvinotevera zvinodhaka: "leucogen", "Batilol", "Pentoxyl". Mune chiitiko kwemabhakitiriya yematambudziko, kana dziri zvaparadzwa ganda, mazuva okutanga rakarumbidza chakarondedzera mishonga (rinoreva "Tseporin", "ampicillin", "Gentamycin").

Leukopenia pashure mishonga zvakaipa zvinodhaka vakawana kuburikidza magene ouinjiniya (zvinodhaka "Lenograstim", "Sargramostin", "filgrastim").

Zvakakosha kuziva kuti zvichatora nguva refu kuti pakupedzisira kukunda chirwere ichi, leukopenia. The zvinokonzera chirwere, sezvataurwa pamusoro apa, zviri kazhinji midzi kushayiwa zvimwe mavhitaminzi uye kuronda zvinhu. Ndokusaka yawapiwa zvakafanira mari chaiyo pfungwa zvakakodzera kudya.

Kubatsira pamusoro kuibvisa masero matsva uye Chizenga usage zvinogadzirwa vakapfuma folic uye ascorbic acid. Daily Kudya kunofanira hazvo kuva zvakasiyana siyana michero nemiriwo, nemiriwo itsva uye michero. Zvinokurudzirwa kudya Porridge yaigadzirwa mupunga, Buckwheat nezvimwe bota.

Sezvaunogona kuona, zvokudya hakusi chaizvo austerity, asi vachiri kurega zvimwe zvokudya. boka iri zvinosanganisira nuna nyama, zvinozipa zvinwiwa, zvokudya.

Kana chirwere basa kurapa zvinosanganisira chezvematongerwe zvinodhaka pasina kukanganisa mumwongo pachayo. Zviri fanira kushandisa mavhitamini, immunomodulators, platelet ropa uye leukocyte guru. In Muzviitiko zvakaipisisa, vanachiremba havana akarwawo kubvisa chirwatata. Kuvhiya kupindira riri basa nyaya yave vaudzewo basa rayo pakuparadzwa masero eropa machena.

pezvingazoitika

mushonga Modern chinosiyanisa siyana leukopenia, uye kupatsanura ichi anongofunga novimba zvinokonzera kuita kuti unopinza kuderera kwenhamba masero eropa machena. Zvisinei, pasinei mhando chirwere, hwobva kutora matanho ose anodiwa kuti ringakurirwa. Kana nguva haringapiwi kurapwa, mukana yematambudziko, uye ngozi murwere upenyu.

Vazhinji, achiona bvunzo ropa, havazivi chii chaizvo angavatsugudusa leukopenia. Vazhinji vanodavira kuti Migumisiro anogona kukonzera zvirwere avo chete, izvo vakazvidza rakapinza kuderera muropa mumasero machena. Kutaura zvazviri, maonero ichi chakaipa. Leukopenia simba runodzivirira mashandiro muviri. Kusavapo wakanakisisa kutapata kazhinji kunotungamirira kuti kuvapo zvikuru banal noutachiona mumuviri inogona kuva pakaita dambudziko. Uyezve, pamwe leukopenia rinenge kaviri yepamusoro ngozi kuwana bundu chirwere. Uyewo, pezvingazoitika chirwere wehurumende uye anosanganisira agranulocytosis aleukia (mwongo).

Prevention uye fungidziro

Kakawanda mushure kenza hwapedyo leukopenia. Mushure mishonga kurapwa uye kudzivirira hosha pakutanga chinorehwa chaiwo vakasarudzwa pakati dosing zvaiitwa. Zvakakosha kuziva kuti kunobva kwete zvakaitika vanachiremba, asiwo vachikwanisa ari unyanzvi dzakabatana. Ndokusaka napo matambudziko kubaya inoshandiswa nemwaranzi mishonga. Mwero wokufa kwevanhu panyaya leukopenia mune kenza muvarwere idukusa 30% vose nyaya.

Pfungwa iri rwakabhadharwa kuna wacho nzira inokosha pakurapa varwere muzvipatara. In kugadzwa avo kana zvimwe zvinodhaka chiremba anofanira hazvo kufungawo pamberi asingashiviriri kune dzimwe zvinoriumba, kugarisana vamiririri, concomitant zvirwere. Pano nezvebasa rinokosha ndezvaiye nokuzvidzora kurapwa uye kutevera zano shamwari uye hama. Chero kurapa anofanira kuzviita chete pashure yokuongororwa kuongororwa uye zano nyanzvi.

Munyaya ino, isu so yakatodzama sezvinobvira pane leukopenia. The zvinokonzera chirwere ichi angava akasiyana chaizvo, kubvira kushaya zvimwe mavhitaminzi uye anopera kwazvo maronda ose mumwongo. Chero zvazvingava, chete hwakakwana kurapa kunogona kubatsira pakurwisa chirwere ichi. Stay utano!