Qhov sib txawv tseem ceeb ntawm thawj polycythemia thiab theem nrab polycythemia yog thawj polycythemia yog qhov nce hauv cov qe ntshav liab vim qhov txawv txav hauv cov qe ntshav liab, thaum theem nrab polycythemia yog qhov nce hauv cov qe ntshav liab vim muaj yam xws li hypoxia., pw tsaug zog apnea, qee cov qog nqaij hlav, lossis qib siab ntawm erythropoietin hormone, thiab lwm yam.
Polycythemia yog hais txog kev nce ntawm cov qe ntshav liab hauv lub cev. Cov qe ntshav liab ntxiv no ua rau cov ntshav tuab. Qhov no ua rau muaj kev pheej hmoo ntawm lwm yam teeb meem kev noj qab haus huv xws li ntshav txhaws. Polycythemia muab faib ua ob pawg tseem ceeb xws li thawj polycythemia thiab theem nrab polycythemia.
YPrimary Polycythemia yog dab tsi?
Primary polycythemia yog qhov nce hauv cov qe ntshav liab vim qhov txawv txav hauv cov qe ntshav liab. Feem ntau, thawj polycythemia yog vim muaj feem cuam tshuam rau cov ntshav liab ua ntej. Nws tseem hu ua polycythemia vera, polycythemia rubra vera lossis erythremia. Qhov mob no tshwm sim thaum cov qe ntshav liab ntau dhau lawm vim yog qhov txawv txav ntawm cov pob txha pob txha. Hauv qhov xwm txheej no, ntxiv rau cov qe ntshav liab, cov qe ntshav dawb thiab platelets kuj raug tsim.
Daim duab 01: Ntshav smear coj los ntawm tus neeg mob uas muaj tus mob Primary Polycythemia
Primary polycythemia yog tus kab mob myeloproliferative. Tus kab mob Myeloproliferative yog ib hom mob qog nqaij hlav ntshav tsawg uas cov qe ntshav liab ntau dhau, cov qe ntshav dawb lossis platelets tau tsim hauv cov pob txha. Cov tsos mob muaj xws li mob taub hau, vertigo, loj spleen lossis siab, ntshav siab thiab tsim cov ntshav txhaws. Kev hloov ntawm tus mob no mus rau mob leukemia tsis tshua muaj. Qhov tseem ceeb ntawm kev kho mob yog phlebotomy. Tsis tas li ntawd, thawj tsev neeg polycythemia yog ib qho mob benign hereditary. Nws yog vim muaj kev hloov pauv ntawm autosomal tseem ceeb hauv erythropoietin receptor gene (EPOR). Cov kab mob polycythemia no tuaj yeem nce mus txog 50% oxygen-carrying peev ntawm cov ntshav.
Secondary Polycythemia yog dab tsi?
Secondary polycythemia yog qhov nce hauv cov ntshav liab suav vim yog yam xws li hypoxia, pw tsaug zog apnea, qog nqaij hlav, lossis qib siab ntawm erythropoietin hormone. Secondary polycythemia txhais tau hais tias qee yam mob ua rau lub cev tsim cov qe ntshav liab ntau dhau. Feem ntau, muaj qib siab ntawm erythropoietin cov tshuaj hormones ib txwm muaj lossis khoom tsim nyob rau hauv theem nrab polycythemia uas ua rau muaj cov qe ntshav liab. Qhov thib ob polycythemia uas tsim cov tshuaj hormones erythropoietin nce yog hu ua physiologic polycythemia.
Daim duab 02: Cov Ntshav
Ntxiv rau qhov ua tsis taus pa xws li pw tsaug zog apnea, kab mob ntsws, kab mob plawv, qog nqaij hlav (neoplasms), cov tshuaj txhawb kev ua haujlwm kuj tseem tuaj yeem ua rau cov mob polycythemia thib ob. Hauv theem nrab polycythemia, 6 mus rau 8 lab erythrocytes tuaj yeem tshwm sim ib cubic millimeter ntawm cov ntshav. Cov tsos mob muaj xws li qaug zog, mob taub hau, kiv taub hau, qhov muag tsis pom kev, anorexia, tsis muaj zog, thiab txo qis kev puas hlwb. Heritable ua rau theem nrab polycythemia yog txuam nrog kev txawv txav hauv hemoglobin oxygen tso tawm. Cov neeg uas muaj qhov tshwj xeeb hemoglobin Hb Chesapeake feem ntau raug kev txom nyem los ntawm cov kab mob polycythemia thib ob. Cov kev xaiv kho mob rau tus mob no suav nrog cov tshuaj aspirin tsawg lossis tso ntshav.
Similarities ntawm Primary Polycythemia thiab Secondary Polycythemia
- Primary polycythemia thiab secondary polycythemia yog ob hom polycythemia kiag li.
- Nyob hauv ob hom polycythemias, cov qe ntshav liab muaj ntau.
- Ob hom tuaj yeem tau txais qub txeeg qub teg.
- Lawv tuaj yeem tshwm sim vim qog.
- Ob hom tuaj yeem kho tau los ntawm phlebotomy.
Qhov Sib Txawv Ntawm Thawj Polycythemia thiab Secondary Polycythemia
Primary polycythemia tshwm sim vim qhov txawv txav ntawm cov qe ntshav liab, thaum theem nrab polycythemia tshwm sim vim muaj yam xws li hypoxia, pw tsaug zog apnea, qee cov qog, lossis qib siab ntawm erythropoietin hormone. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm thawj polycythemia thiab theem nrab polycythemia. Tsis tas li ntawd, hauv thawj polycythemia, cov ntshav liab suav yuav siab, tab sis qib ntawm erythropoietin yuav qis. Ntawm qhov tod tes, hauv theem nrab polycythemia, ob qho tib si cov ntshav liab suav thiab qib erythropoietin yuav siab.
Cov hauv qab no infographic teev qhov sib txawv ntawm thawj polycythemia thiab theem nrab polycythemia hauv daim ntawv tabular rau ib sab sib piv.
Summary – Primary Polycythemia vs Secondary Polycythemia
Polycythemia yog ib yam kab mob uas tsis tshua muaj tshwm sim vim qhov nce ntawm cov qe ntshav liab hauv lub cev. Primary polycythemia thiab secondary polycythemia yog ob hom polycythemia kiag li. Primary polycythemia tshwm sim vim qhov txawv txav ntawm cov qe ntshav liab, thaum theem ob polycythemia tshwm sim vim muaj yam xws li hypoxia, pw tsaug zog apnea, qee cov qog, lossis qib siab ntawm erythropoietin hormone. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm thawj polycythemia thiab theem nrab polycythemia.