Njengoba kufana ne-polycythemia vera eyinhloko, i-polycythemia yesibili yinkinga ebangela ukukhiqizwa okuphezulu kwamaseli abomvu. Uma amangqamuzana amaningi egazi abomvu akhiqizwa, igazi liba likhulu, livimbela ukuhamba kwalo ngemithambo encane yegazi.
Umehluko phakathi kwalezi zinsuku kuhlobene nokuthi yini le disorder ehlotshaniswa nayo. I-polycythemia yesibili ihlotshaniswa nenqubo yesifo esingaphansi (njenge-COPD), kodwa i- polycythemia eyinhloko ayikho .
Izimbangela
Ngenxa yokuthi i-polycythemia yesibili ihlotshaniswa nenqubo yesifo esiyinkimbinkimbi, izici ezithinta amangqamuzana abomvu egazi ngokuvamile ziyisizathu. Umsebenzi wegesi elibomvu legazi ukuletha oksijini emathisini omzimba. Ukubhema, isibonelo, kuphazamisa le nqubo, ngakho kuyimbangela evamile ye-polycythemia yesibili. Ezinye zihlanganisa:
- Ukukhishwa kwe-carbon monoxide engapheli
- Isifo senhliziyo noma isifo samaphaphu (njenge-COPD)
- Ukuphakama okuphakeme
- Ama-cysts wezinso
- Izibilini zesibindi, isibindi noma uterine
Izimpawu
Izimpawu ze-polycythemia zifaka okulandelayo:
- Ukungabi namandla
- Izinwele
- Ukukhathala
- Lightheadedness
- Ukuphelelwa umoya
- Ukuphazanyiswa okubonakalayo
- I-Pruritis (itching)
- Ubuhlungu esifubeni noma emisipha yomlenze
- Ubumba obunzima
- Ukudideka
- Ukukhala ezindlebeni (tinnitus)
- Ukuvutha kwezandla noma izinyawo
Ukuxilongwa
Ukulinganisa amazinga e-oksijini egazini ngokuhlolwa kwegazi okubizwa ngokuthi igazi lokugaya igazi (ABG) lingasiza odokotela ukuba benze ukuxilongwa kwe-polycythemia yesibili.
Okunye ukuhlolwa kwegazi kuhlanganisa ukulinganisa kwe-erythropoietin namazinga obomvu wamangqamuzana egazi.
Ukuhlolwa okungeziwe kokuhlola kungabandakanya:
- I-x-ray yesifuba
- I-Electrocardiogram (EKG)
- Ukucubungula izifundo ukuze kunqunywe ukukhuliswa kwesipere noma isibindi
Ukwelapha
Ukwelashwa kwe-polycythemia yesibili kufanele kulawule noma kuqede isimo esibucayi.
Ukukhululeka kwesifo kungase kuhlanganise imithi efana ne-antihistamines yokunciphisa i-itching, noma i-aspirin yokunciphisa ubuhlungu nokushisa okuhambisana nokugula.
Ngenxa yokuthi kuthatha isikhathi sokwelapha isimo esibucayi, odokotela ngezinye izikhathi basebenzisa i- phlebotomy (ukufaka igazi ngegazi) ngomzamo wokunciphisa inani lamaseli abomvu egazini. Njengoba nje i-pint ingahoxiswa esimweni esisodwa, uma nje isiguli singakubekezelela.
Isibikezelo
Uma usuvele ubhekana nesimo esisodwa esingabangela i-polycythemia yesibili, njenge-COPD noma isisu, ukufunda ukuthi unesibili ukuxilongwa ukuze ubhekane nakho kuyancipha. Ufuna ukuzizwa ungcono, hhayi okubi nakakhulu.
Khumbula ukuthi i-polycythemia yesibili ibangelwa isimo esingaphansi, iningi lazo laziwa kakhulu futhi linamathuba amaningi okwelashwa atholakalayo. Uma imbangela eyisizathu isilungisiwe, izimpawu ze-polycythemia yesibili ngokuvamile ziyahamba. Umhlinzeki wakho wokunakekelwa kwezempilo uyokuqondisa endleleni engcono yokuxazulula kokubili.
Umthombo:
Smeltzer, S., Bare, Brenda. I-Brunner ne-Suddarth's Bookbook ye-Medical-Surgical Nursing. I-Eight Edition. 1996. Lippincott-Raven Abashicileli.