Polycythemia - jariri

Polycythemia na iya faruwa yayin da akwai jan jini (RBCs) da yawa a cikin jinin jariri.

Yawan RBC a cikin jinin jariri ana kiransa "hematocrit." Lokacin da wannan yafi 65%, polycythemia yana nan.

Polycythemia na iya haifar da yanayin da ke tasowa kafin haihuwa. Waɗannan na iya haɗawa da:

• Jinkirin cusa igiyar cibiya
• Ciwon sukari a cikin mahaifiyar haihuwar jariri
• Cututtuka masu gado da matsalolin kwayar halitta
• Oxygenarancin iskar oxygen da ke kaiwa jikin kayan jiki (hypoxia)
• Cutar tagwaye-tagwaye (na faruwa ne lokacin da jini ya motsa daga ɗayan tagwayen zuwa wancan)

Rarin RBCs na iya jinkirta ko toshe gudan jini a cikin ƙananan hanyoyin jini. Wannan ana kiran sa hyperviscosity. Wannan na iya haifar da mutuwar nama daga rashin isashshen oxygen. Wannan toshewar gudan jini na iya shafar dukkan gabobin jiki, gami da kodoji, huhu, da kwakwalwa.

Kwayar cutar na iya haɗawa da:

• Matsanancin bacci
• Matsalar ciyarwa
• Kamawa

Akwai alamun alamun matsalar numfashi, gazawar koda, ƙaran suga, ko sabon jaundice.

Idan jaririn yana da alamun cutar hyperviscosity, za a yi gwajin jini don ƙidaya yawan RBCs. Wannan gwajin ana kiransa hematocrit.

Sauran gwaje-gwaje na iya haɗawa da:

• Gas na jini don bincika matakin oxygen a cikin jini
• Sugar jini (glucose) don bincika ƙarancin sukari a cikin jini
• Jinin urea nitrogen (BUN), wani sinadari da ke samuwa idan furotin ya lalace
• Creatinine
• Fitsari
• Bilirubin

Za a kula da jaririn don rikitarwa na hyperviscosity. Ana iya bada ruwa ta jijiya. Ana amfani da ƙarin musanya musanya mai yawa a wasu lokuta. Koyaya, akwai ƙaramin shaida cewa wannan yana da tasiri. Yana da mahimmanci don magance tushen sanadin polycythemia.

Hangen nesa yana da kyau ga jarirai masu fama da rauni. Hakanan sakamako mai kyau yana yiwuwa ga jarirai waɗanda ke karɓar magani don tsananin hyperviscosity. Hangen nesa zai dogara ne akan dalilin yanayin.

Wasu yara na iya samun ɗan canje-canje na ci gaba. Iyaye su tuntubi mai ba da kiwon lafiya idan suna tsammanin ɗansu ya nuna alamun jinkirin ci gaba.

Matsaloli na iya haɗawa da:

• Mutuwar kayan hanji (necrotizing enterocolitis)
• Rage ingantaccen sarrafa mota
• Rashin koda
• Kamawa
• Bugun jini

Neonatal polycythemia; Hyperviscosity - jariri

• Kwayoyin jini

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Rikicin jini. A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 124.

Letterio J, Pateva I, Petrosiute A, Ahuja S. Hematologic da matsalolin oncologic a cikin ɗan tayi da jariri. A cikin: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff da Martin's Neonatal-Perinatal Medicine. 11th ed. Philadelphia, PA: Elsevier; 2020: babi na 79.

Tashi T, Prchal JT. Polycythemia. A cikin: Lanzkowsky P, Lipton JM, Kifi JD, eds. Littafin Lanzkowsky na ilimin likitan yara da Oncology. Na 6 ed. Cambridge, MA: Elsevier Makarantar Ilimin; 2016: sura 12.