Mofanana ndi poyambirira polycythemia vera, yachiwiri polycythemia ndi matenda omwe amachititsa kupanga kwambiri maselo ofiira a magazi. Pamene maselo ofiira ambiri amagawidwa, magazi amatha kuuma, ndikulepheretsa kudutsa mitsempha yaing'ono yamagazi.
Kusiyanitsa pakati pa ziwirizi ndikugwirizana ndi zomwe matendawa amagwirizana nawo. Pulocythemia yachiwiri imayanjanitsidwa ndi ndondomeko ya matenda (monga COPD), koma poyambirira polycythemia si .
Zimayambitsa
Chifukwa chachiwiri polycythemia chimagwirizanitsidwa ndi ndondomeko yoyambitsa matenda, zomwe zimakhudza maselo ofiira ambiri nthawi zambiri zimakhala chifukwa. Ntchito ya maselo ofiira a magazi ndi kupereka oxygen ku matupi a thupi. Kusuta, mwachitsanzo, kumalepheretsa njirayi, choncho ndi chifukwa chofala cha secondary polycythemia. Zina ndizo:
- Kutentha kwa carbon monoxide
- Matenda a mtima kapena mapapo (monga COPD)
- Kummwera
- Mphuno ya impso
- Matenda a ubongo, chiwindi kapena uterine
Zizindikiro
Zizindikiro za polycythemia ndizo zotsatirazi:
- Kufooka
- Mutu
- Kutopa
- Lightheadedness
- Kupuma pang'ono
- Kusokonezeka koonekera
- Pruritis (kuyabwa)
- Ululu mu chifuwa kapena minofu ya mwendo
- Nsalu ya Ruddy
- Kusokonezeka
- Kulira m'makutu (tinnitus)
- Kupsa kwa manja kapena mapazi
Kudziwa
Kuyeza mpweya wa magazi m'magazi ndi mayeso a magazi omwe amadziwika kuti magazi ophera magazi (ABG) angathandize madokotala kupanga chidziwitso cha secondary polycythemia.
Kuyezetsa magazi kumaphatikizapo kuchuluka kwa erythropoietin ndi maselo ofiira a maselo a magazi.
Zowonjezera mayesero oyeza matenda angaphatikizepo:
- Chifuwa cha X-ray
- Electrocardiogram (EKG)
- Maphunziro okulingalira kuti adziwe kufalikira kwa nthenda kapena chiwindi
Chithandizo
Chithandizo cha secondary polycythemia chiyenera kulamulira kapena kuthetsa vutoli.
Chithandizo cha zizindikiro chimaphatikizapo mankhwala monga antihistamines kuti athetse kuyamwa, kapena aspirin kuchepetsa kupweteka ndi kutentha komwe kumayenderana ndi matendawa.
Chifukwa zimatenga nthawi kuti athetse vutoli, madokotala nthawi zina amagwiritsa ntchito phlebotomy (magaziletting) pofuna kuchepetsa chiwerengero cha maselo ofiira m'magazi. Zomwe zimatha kutayika penti imodzi, malinga ngati wodwala angathe kupirira.
Kuthamangitsani
Ngati mukulimbana ndi vuto limodzi lomwe lingayambitse kachilombo koyambitsa polycythemia, monga COPD kapena chotupa, kuphunzira kuti muli ndi kachilombo kawiri komwe mukulimbana ndikumveka kokhumudwitsa. Mukufuna kumverera bwino, osati moyipa.
Kumbukirani kuti yachiwiri polycythemia imayambitsidwa ndi vuto lalikulu, lomwe ambiri amadziwika bwino ndipo ali ndi njira zambiri zamankhwala zomwe zilipo. Chinthu chomwe chimawongolera, zizindikiro za secondary polycythemia nthawi zambiri zimachoka. Wothandizira zaumoyo wanu adzakutsogolerani njira yoyenera yothetsera onse awiri.
Chitsime:
Smeltzer, S., Wopanda, Brenda. Brunner ndi Suddarth's Bookbook ya Nursing-Nursing Nursing. Kusindikiza 8. 1996. Lippincott-Raven Ofalitsa.