Question

A 53-year-old man presents with inability to concentrate, itching in his fingers and toes, elevated blood pressure, and unexplained weight loss. He is diagnosed with primary polycythemia. What will be the primary goal of his treatment?

Answer 1

Answer:

To increase blood flow by reducing blood viscosity

Explanation:

An increase  specifically in    the percentage volume  of RBC count  in  the blood,or the concentration of haemoglobin, and other blood cells e,g  white blood cells, platelets is called polycythemia. As a result of  elevated volume of the blood cells,the solute potential of the blood rises, with corresponding drop in blood   water potential. Hence there is restriction in blood flow  leading to high blood viscosity.Therefore the exigency measures  or goal of the treatment is to  ease the blood flow  reduces viscosity   to avoid complications e.g blood clots,angina, increase blood pressure, renal failure  and other complication of blood viscosity.

When the increase in RBC production is due to   mutations  in the gene that code for protein needed in for  red blood cells productions (erythpoiesis); t it is Primary Polycythemia., However elevation in RBCs due to complications from another diseases in the body is called Secondary Polycythemia

Answer 2

Answer: There is no cure for polycythemia vera,treatment is to reduce symptoms and complications.

treatment to reduce the amout of blood cell:

1. Reducing the amount of blood in your body. Drawing some amount of blood from the body,through the vein. This decreases the amount of excess blood cell

2. Medication to reduce blood cell. Interferon Alfa-2b can be use to stop the over production of red blood cell.

3. Medication to destroy cancer cells. Busulfan is on the medication that destroy Cancer cell in cases were other treatment dose not work .

4. The use of low- dose aspirin to reduce burning pain in feet hand.

5.Therapy to reduce inching . if you have too much itching doctor may prescribed mediciation such as anithistamines to reduce your discomfort.