Polycythemia - amụrụ ọhụrụ

Polycythemia nwere ike ime mgbe enwere mkpụrụ ndụ ọbara uhie (RBCs) dị oke n’ọbara nwa ọhụrụ.

A na-akpọ pasent nke RBCs n'ọbara nwa ọhụrụ "hematocrit." Mgbe nke a karịrị 65%, polycythemia dị.

Polycythemia nwere ike ịpụta site na ọnọdụ na-ebute tupu ọmụmụ nwa. Ndị a nwere ike ịgụnye:

• Na-egbu oge n’ịdọ eriri eriri nwa
• Ọrịa shuga na nne mụrụ nwa
• Ọrịa ndị e ketara eketa na nsogbu mkpụrụ ndụ ihe nketa
• Obere oxygen na-eru anụ ahụ (hypoxia)
• Ọrịa ejima-ejima (nke pụtara mgbe ọbara na-esi n'otu ejima gaa na nke ọzọ)

RBC ndị ọzọ nwere ike ibelata ma ọ bụ gbochie ọbara na-agba ọbara na obere arịa ọbara. A na-akpọ nke a hyperviscosity. Nke a nwere ike ibute ọnwụ anụ ahụ site na enweghị ikuku oxygen. Mbara ọbara a gbochiri egbochi nwere ike imetụta akụkụ niile, gụnyere akụrụ, ngụgụ, na ụbụrụ.

Mgbaàmà nwere ike ịgụnye:

• Oké ụra
• Nsogbu nri
• Ọdịdọ

Enwere ike inwe ihe ịrịba ama nke nsogbu iku ume, akụrụ ọrụ, ọbara shuga dị ala, ma ọ bụ jaundice amụrụ ọhụrụ.

Ọ bụrụ na nwatakịrị ahụ nwere mgbaàmà nke hyperviscosity, a ga-eme nyocha ọbara iji gụọ ọnụ ọgụgụ RBC. Ule a na-akpọ hematocrit.

Ule ndị ọzọ nwere ike ịgụnye:

• Ikuku ọbara na-enyocha ogo ikuku oxygen n'ọbara
• Ọbara shuga (glucose) iji chọpụta ọbara shuga dị ala
• Ọbara urea nitrogen (BUN), ihe na - akpụ mgbe protein na - agbari
• Creatinine
• Urinalysis
• Bilirubin

A ga-enyocha nwa ahụ maka nsogbu nke hyperviscosity. Enwere ike inye mmiri site na akwara. A na-eme mmịnye mgbanwe olu ele mmadụ anya n'ihu n'oge ụfọdụ. Otú ọ dị, e nwere obere ihe àmà na-egosi na nke a dị irè. Ọ kachasị mkpa ịgwọ ihe kpatara polycythemia.

Echiche dị mma maka ụmụ aka nwere obere hyperviscosity. Nsonaazụ dị mma ga-ekwe omume ụmụ aka enwetara ọgwụgwọ maka oke hyperviscosity. Uche ga-adabere n'ụzọ dị ukwuu n'ihe kpatara ọnọdụ ahụ.

Fọdụ ụmụaka nwere ike nwee obere mgbanwe nke uto. Ndị nne na nna kwesịrị ịkpọtụrụ onye na-ahụ maka ahụike ha ma ọ bụrụ na ha eche na nwa ha gosipụtara ihe ịrịba ama nke mmepe oge.

Nsogbu nwere ike ịgụnye:

• Ọnwụ nke eriri afọ (necrotizing enterocolitis)
• Mbelata njikwa njikwa dị mma
• Akụrụ ọdịda
• Ọdịdọ
• Mkpịsị aka

Neonatal polycythemia; Hyperviscosity - amụrụ ọhụrụ

• Mkpụrụ ndụ ọbara

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Nsogbu ọbara. Na: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Akwụkwọ ọgụgụ nke Ọrịa edimụaka. 21nke. Philadelphia, PA: Elsevier; 2020: isi 124.

Letterio J, Pateva I, Petrosiute A, Ahuja S. Hematologic na nsogbu oncologic dị na nwa ebu n’afọ na nwa ọhụrụ. Na: Martin RJ, Fanaroff AA, Walsh MC, ụmụ. Fanaroff na Martin nke Neonatal-Perinatal Medicine. Nke 11. Philadelphia, PA: Elsevier; 2020: isi nke 79.

Tashi T, Prchal JT. Polycythemia. Na: Lanzkowsky P, Lipton JM, Azụ JD, eds. Ntuziaka Lanzkowsky nke Pediatric Hematology na Oncology. Nke isii. Cambridge, MA: Elsevier Academic Pịa; 2016: isi 12.