Txhais los ua qhov poob ntawm peb txoj kab ntshav, cov qe ntshav liab, cov qe ntshav dawb thiab cov qe ntshav, pancytopenia muaj ntau qhov laj thawj uas yuav tsum tau tshawb xyuas. Qhov tshwm sim ntawm kev noj qab haus huv yog qhov hnyav nrog qhov muaj peev xwm tshwm sim ntawm ntshav tsis txaus, kis kab mob thiab los ntshav.

Nws yog los ntawm kev txhais lus etymological qhov tsis txaus ntawm txhua lub cell tam sim no hauv cov ntshav. Qhov tseeb, peb kab ntawm cov qe ntshav cuam tshuam:

• cov qe ntshav liab;
• cov qe ntshav dawb;
• cov platelets. 

Ib txoj haujlwm ntawm cov qe ntshav liab yog thauj cov pa oxygen hauv cov ntshav, thiab cov qe ntshav dawb tau koom nrog hauv lub cev tiv thaiv kab mob kom tiv thaiv kab mob. Platelets yog cov qe me me tam sim no thiab koom nrog cov txheej txheem ntshav khov thiab kho qhov txhab.

Thaum cov ntsiab lus ntawm cov cell no tau txo qis hauv ntau qhov, muaj ntau yam kev pheej hmoo tshwm sim xws li ntshav tsis txaus (txo qis hauv hemoglobin uas nqa cov pa oxygen hauv cov ntshav), kev kis mob vim txo qis hauv kev tiv thaiv kev tiv thaiv kab mob thiab cov qe ntshav dawb (leukopenia), thiab hemorrhagic tshwm sim. vim qhov txo qis ntawm cov platelets hauv cov ntshav (thrombocytopenia).

Muaj ntau yam ua rau. Lawv tuaj yeem txuas nrog:

• qhov twg cov hlwb no tau tsim (pob txha pob txha) uas nws cov khoom raug txo lossis cuam tshuam;
• ib puag ncig ua rau xws li kis kab mob (piv txwv li HIV lossis AIDS);
• Vit B12 tsis txaus (ntshav tsis txaus);
• mob qog noj ntshav ntawm cov ntshav thiab cov qog ntshav (mob qog ntshav lossis qog ntshav qog ntshav) uas ua rau cov qe ntshav loj zuj zus los ntawm kev siv cov qe ntshav dawb thiab cov qe ntshav dawb);
• qhov ua haujlwm tsis zoo ntawm cov qog ntshav (hypersplenism) thiab tsis ua haujlwm ntawm khaws cia thiab kho cov qe ntshav liab, cov qe ntshav dawb thiab cov qe ntshav ntxiv lawm;
• kev quav tshuaj (qee yam tshuaj tua kab mob, colchicine, tshuaj kho mob, phenylbutazone lossis tshuaj (benzene, tshuaj tua kab, thiab lwm yam) uas tuaj yeem ua rau cov pob txha ploj mus;
• kev laus ntxov ntawm cov pob txha pob txha uas tsis tsim cov qe ntshav ntxiv lawm (myelodysplasia).

Qee zaum qhov ua rau tsis pom.

Cov tsos mob ntawm pancytopenia cuam tshuam nrog kev txo qis ntawm cov qe ntshav liab thiab dawb thiab cov qe ntshav liab. 

Cov ntshav tsis txaus los ntawm qhov txo qis hauv cov qe ntshav liab no tau tshwm sim los ntawm pallor, qaug zog heev vim tsis muaj cov pa oxygen hauv lub cev nqaij.

Qhov tsis txaus ntawm cov qe ntshav dawb ua rau ntau yam kab mob uas nyuaj rau kho thiab kho. Thaum kawg, qhov tsis muaj platelets yog qhov ua rau muaj ntau yam los ntshav, los ntawm cov pos hniav, hauv cov zis, hauv cov quav, qee zaum hauv lub hlwb (cranial hematoma) uas tuaj yeem ua rau muaj kev phom sij rau lub neej.

Kuj tseem muaj lwm cov tsos mob xws li muaj cov qog ntshav, ua rau tus po loj, tsis xis nyob nrog ntshav siab, cov tsos mob uas cuam tshuam nrog ua rau pancytopenia.

Kev kuaj mob los ntawm kev kuaj ntshav

Kev kuaj mob ntawm pancytopenia yog ua los ntawm kev kuaj ntshav uas saib rau tus naj npawb ntawm cov qe ntshav liab, dawb thiab platelets (Ntshav Cov Qauv Ntshav lossis CBC), tseem muaj cov cell feem ntau tsis muaj nyob hauv cov ntshav xws li cov qe loj (tawg) lossis cov qe ntshav. cov qe ntshav tsis paub qab hau (erythroblasts ...).

Cov nuj nqis nquag hauv NFS:

• Cov qe ntshav liab (erythrocytes): nruab nrab ntawm 4 thiab 6 lab;
• Cov qe ntshav dawb (leukocytes): nruab nrab ntawm 4000 thiab 10;
• Platelets: ntawm 150 thiab 000.

Cov nuj nqis no yuav txawv nyob ntawm qhov kev txheeb xyuas siv.

Anemia raug ntsuas los ntawm qib hemoglobin hauv cov ntshav (tsawg dua 11g / l nruab nrab), feem ntau cuam tshuam nrog kev poob qis ntawm cov qe ntshav liab.

Hauv pancytopenia, tus naj npawb ntawm cov qe ntshav liab qis dua qhov nruab nrab, thiab cov qe ntshav dawb ib yam nkaus (neutrophils), tshwj tsis yog muaj cov qog ntshav uas nws nyob ntawm qhov tsis sib xws siab heev, cov qe ntshav tsawg tsawg, tsawg dua 150 (thrombocytopenia), qee zaum qis dua 000 platelets ib milliliter ntawm cov ntshav.

Kev kuaj mob los ntawm myelogram 

Lwm qhov kev sim yog ua kom nkag siab qhov ua rau pancytopenia: myelogram.

Nws yuav ua rau nws tuaj yeem lees paub qhov ua xyem xyav txog kev mob qog noj ntshav hauv ntshav, txhawm rau tshuaj xyuas qhov hloov pauv ntawm kev mob ntshav tsis txaus, ntawm tus mob thrombocytopenia ... Qhov kev kuaj mob no tau ua tiav hauv tsev kho mob, nyob rau theem ntawm qhov nruab nrab ntawm lub plab thoracic (sternum), hauv kev siv koob txhaj tshuaj, nyob hauv tshuaj loog hauv zos.

Kev kho tus mob pancytopenia yuav yog qhov ua rau thiab nws tshwm sim. Nws tuaj yeem yog kev kho ntshav tsis txaus los ntawm kev tso ntshav, los ntshav los ntawm cov platelets, kev tiv thaiv kev kis kab mob los ntawm kev sau tshuaj tua kab mob (tshuaj tua kab mob).

Yog pom cov qog ntshav lossis qog ntshav qog ntshav, kev kho mob yuav tsom mus rau cov qog nqaij hlav ntawm cov ntshav thiab cov qog ntshav. Yog tias nws yog tus hnoos qeev uas ua haujlwm tsis zoo, nws feem ntau raug tshem tawm kom tshem tawm qhov tshwm sim ntawm qhov tsis ua haujlwm no.

Lub xub ntiag ntawm cov tshuaj lom neeg xws li tshuaj lossis tshuaj lom neeg yuav ua rau muaj kev kho mob tsim nyog xws li kev tso tseg tam sim ntawm cov tshuaj lossis cov khoom muaj tshuaj lom incriminated, thiab kev kho mob ntawm lawv qhov tshwm sim.

Thaum kawg, thaum nws yog cov kab mob me me lossis kab mob uas cuam tshuam nrog, nws yog kev kho mob ntawm cov kab mob me me lossis kab mob uas yuav pib ua.