
kuttikkaalatthe refractory cytopenia

2008ll lokaarogya samghadanayude vargeekaranathil cherttha myelodysplastic syndrominte (emm. dii. ezz) oru upavibhagamaanu kuttikkaalatthe refractory cytopenia. athinumumbu, aarr. sii. sii kesukal balyakaala applaastik anaemiyayayi tharamthirichirunnu. kuttikalilum kaumaarakkaarilum ettavum saadhaaranamaaya emm. dii. ezz roopamaanu aarr. sii. sii., ithu ellah emm. dii. ezz kesukalilum pakuthiyolam varum.
avatharanam.
chuvanna rakthaanukkalude (balaheenata, mangiya niram, abhivridhippedaathirikku, pica), velutha rakthaanukkal (aavarthichullatho amithamaayatho aaya anubadha), koodaathe/allengil platelettukal (rakthasraavam) ennivayude kuranja ulppaadanam moolamaanu lakshanagal undaakunnath.
hystopathologic savisheshathakal.
aarr. sii. sii ulla rogikalude asthimajjayil erythroid mungaamikaludeyum spare graanulosaittukaludeyum dveepukal adangiyirikkunnu. chila saahacharyangalil, roganirnayam sthaapikkunnathinu munbu onniladhikam asthi majja biopsy parisodhanakal shupaarsha cheythekkaam.
maanejment.
asthi majja traansplaant maathramaan ariyappedunna eaka rogashanti chikitsa.

