Today I will share with you the knowledge about chronic aplastic anemia. It will also explain whether chronic aplastic anemia can be cured by itself. If it can happen to solve the problem you are facing now, Don’t forget to follow this site and get started now!
Contents of this article
- What are chronic diseases and what are the common chronic diseases
- Is chronic aplastic anemia self-healing
- Pure red blood cell aplasia Can it be cured?
- What should I do if the platelet count of a 65-year-old man with chronic aplastic anemia cannot rise?
- Does aplastic anemia cost a lot of money
- What level of work injury is aplastic anemia
1. What are chronic diseases and what are the common chronic diseases
Chronic diseases It is a disease that cannot be cured in a short time, and may exist for a long time and accompany the patient throughout his life. At present, there are many types of chronic diseases, which are the main diseases that cause patients to take medicine for a long time, which not only increases the patient\’s pain, but also increases the patient\’s financial burden. The most common chronic diseases include hypertension, coronary heart disease, and diabetes. Severe heart failure also belongs to the category of chronic diseases. Cerebrovascular diseases with sequelae are also chronic diseases. Chronic renal failure, aplastic anemia, and myelodysplastic syndrome all belong to the category of chronic diseases.
2. Is chronic aplastic anemia self-healing
Chronic aplastic anemia Aplastic anemia generally does not resolve on its own. Aplastic anemia is a disease of bone marrow hematopoietic failure. The pathogenesis may be related to T lymphocytes attacking one\’s own hematopoietic stem cells. Under normal circumstances, the spontaneous recovery rate of aplastic anemia is extremely low. Aplastic anemia is clinically divided into chronic aplastic anemia and acute aplastic anemia. Chronic aplastic anemia in the peripheral tertiary system is relatively mild, and the usual symptoms of infection and bleeding are subtle. Acute aplastic anemia is also called severe aplastic anemia. The condition is relatively serious and often associated with severe complications.
3. Can pure red blood cell aplasia be cured
Pure red cell aplastic anemia, referred to as pure red cell aplastic anemia (PRCA), is a collective name for a large group of diseases caused by a significant reduction or absence of red blood cells in the bone marrow. Anemia is generally divided into congenital and acquired, and acquired is divided into acute and chronic. The cause of its onset is not yet clear, and is mostly related to genetics, immune system abnormalities, viral infections, drugs, etc.
For acute patients caused by viral infection, drugs, etc., they can be cured in the short term. Some patients with pure erythroaemia can be relieved on their own, and the absolute majority of patients undergo treatment. After treatment with immunosuppressants and other treatments, remission can be obtained, but there is a certain recurrence rate. After remission, maintenance medication is required.
1. Congenital pure red blood cell aplasia (DBA)
Relatively rare, It mainly affects infants and young children, usually within 1 year of age. Most of them have a family history. They have relatively typical physical features, such as anemia, developmental malformations, and tumor susceptibility. The main symptoms are anemia, while white blood cells and platelets are basically normal.
2. Acquired pure red blood cell aplasia
It is more common and also manifests as Red blood cell reduction, more common in adults, is divided into
① primary pure red blood cell aplasia
The incidence rate is high, but there is no clear cause. However, the disease in these patients is mostly caused by abnormal immune function and attack of their own red blood cells, leading to pure red aplastic anemia.
② Secondary pure red blood cell aplasia
Can be secondary to thymoma , parvovirus, parvovirus B19 infection, lymphoma, multiple myeloma, chronic lymphoma, macroglobulinemia, drugs, etc.
Also known as acute hematopoietic stagnation, it is mostly caused by bacterial or viral infection.
Relatively rare, often combined with thymoma, common in adults, and often secondary to autoimmune system, lymphatic system malignant tumors and other diseases.
Generally speaking, when pure erythema aplastic anemia is diagnosed, all suspicious drugs should be stopped immediately, existing infections should be actively treated, and supportive care, immune therapy should be used at the same time. suppressive therapy, allogeneicHematopoietic stem cell transplantation and other treatments.
●Acute pure erythematous aplastic anemia induced by viruses or drugs can generally heal on its own in a short period of time;
●For congenital pure erythroblastosis, glucocorticoid treatment is mainly used, which is effective for most children. If it is not effective, allogeneic hematopoietic stem cell transplantation can be used to achieve cure;
●For acquired pure red aplasia, if it is secondary thymoma, lymphoproliferative disease, or autoimmune disease, after the primary disease is effectively controlled, Secondary pure red aplasia will also be alleviated;
●If it is primary pure red aplastic anemia, glucocorticoids are often used, and ring therapy can also be used. Cytotoxic immunosuppressive therapy, including cyclophosphamide, thiopurine, etc., can also be used, such as high-dose intravenous immunoglobulin, anti-lymphocyte globulin, etc.
Click to follow [Han Bing from Xiehe Hematology Department] to learn and consult more about blood diseases.
4. What to do if the platelet count of a 65-year-old man with chronic aplastic anemia cannot rise
It is difficult for the platelets in aplastic anemia to rise to the normal value. Generally, around 30,000 is good. Eating more black fungus, mushrooms, black beans, sesame and other foods is beneficial to nourishing and nourishing blood. Severe anemia requires blood transfusion for treatment. For more popular science articles or videos, please follow the WeChat public account [Xiebielu Studio].
5. Does aplastic anemia cost a lot of money
Aplastic anemia costs at least 800 yuan. For patients with chronic aplastic anemia, the main treatment is liver-protective drugs. The cost is about 800 yuan per month and it takes one to two years to apply. Patients with severe aplastic anemia require bone marrow transplantation, which costs hundreds of thousands. The cost of anti-rejection drugs after transplantation is also very high.
6. What levels of work-related injuries are aplastic anemia
According to According to Appendix B of the \”Procedure Appraisal of Employee Work-related Injuries and Occupational Disease Disability\”, there are 59 types of employee work-related injuries and occupational disease disabilities rated at Level 4:
(2) People with psychotic symptoms leading to lack of social ability;
(6) One eye with or without light perception, the other eye\’s corrected visual acuity <0.2 or visual field ≤32 % (or radius ≤ 200);
(7) The corrected visual acuity of one eye is <0.05, and the corrected visual acuity of the other eye is ≤0.1;
(8) Corrected visual acuity in both eyes <0.1 or visual field ≤32% (or radius ≤200);
(10) Trismus Closed or can only take liquid food due to esophageal stenosis;
(11) 1/2 maxillary defect on one side, accompanied by facial soft tissue defect >20cm2;
(12) The mandibular defect is more than 6cm long, accompanied by oral and facial soft tissue defects >20cm2;
(13) Bilateral temporomandibular joint ankylosis, completely unable to open the mouth;
(25) One side of the elbow is missing (non-dominant side); cannot be installed Prosthetic limb;
(26) One side is missing below the knee and cannot be equipped with a prosthetic limb, and the other side is missing the forefoot;
(27) One side is missing above the knee, and cannot be fitted with a prosthesis;
(28) One side is missing below the ankle, and the other foot is deformed and difficult to walk;
(30) Patients with anastomotic stenosis after esophageal reconstruction who can only take liquid food;
(33) Sick sinus syndrome (those who require a pacemaker);
(41) 1/2 liver resection, mild liver function impairment ;
(46) 3/4 of the small intestine was resected and retroperistaltic anastomosis was performed;
(47) Resection of 2/3 of the small intestine, including partial resection of the ileocecal part;
(48) Resection of the total colon, rectum, and anus, and ileostomy;
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(50) Decompensated renal insufficiency after renal repair;
(51 )Decompensated renal insufficiency after ductal repair;
(54) Neurogenic bladder, residual urine ≥50ml;
(55) Urethral stricture requires regular dilation;
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