Treatment of aplastic anemia: is hormone reliable?

summary

Aplastic anemia pathology is special, mainly bone marrow hematopoietic dysfunction as a pathological manifestation, symptoms and infection, and easy bleeding, etc., due to the treatment process is relatively long, so patients should also pay attention to daily nursing matters, in order to recover healthy life as soon as possible. Here is the treatment of aplastic anemia.

Treatment of aplastic anemia: is hormone reliable?

First: hormonal drugs: adults are usually treated with oral corticosteroids (for example, prednisone 1mg / kg daily). If effective, platelet count will return to normal within 2-6 weeks, and then gradually decrease corticosteroids. But most of the patients were not satisfied with the curative effect, or repeated after reducing the dosage of adrenal steroids.

Second: splenectomy: splenectomy is also a common treatment for aplastic anemia. It is mainly due to spleen damage, destruction of red blood cells and platelets, as well as the production of suppressive T lymphocytes and various antibodies in the main organs. After splenectomy, more than half of the patients with aplastic anemia can get effective remission. In other patients, the drug treatment does not work before splenectomy, but the effect appears after splenectomy. But the blood of many patients after splenectomy can not return to normal, there is a greater risk, so the choice of splenectomy treatment should strictly grasp the indications.

Third: blood transfusion: blood transfusion is not suitable for early aplastic anemia. In addition, repeated platelet transfusion will produce allogeneic platelet antibodies, which will reduce the curative effect. Therefore, it should be used intermittently to prevent the production of the above antibodies. Blood transfusion can only alleviate the disease, this method can not benefit from the disease.

matters needing attention

For severe aplastic anemia patients, isolation and disinfection measures should be taken to reduce complications, such as anemia, bleeding and other symptoms. Blood transfusion should be done well, infection should be strictly prevented, and drugs should be used with caution.