پلی‌سیتمی خون یک اختلال نادر است که با افزایش غیرطبیعی تعداد سلول‌های قرمز خون در گردش همراه است. این افزایش می‌تواند موجب غلیظ شدن خون شود و در نتیجه جریان خون را کندتر کرده و خطر بروز لخته‌های خونی، سکته مغزی و مشکلات قلبی را افزایش دهد. پلی‌سیتمی اولیه که به نام پلی‌سیتمی ورا شناخته می‌شود، معمولاً ناشی از یک جهش ژنتیکی است که منجر به تولید بیش از حد سلول‌های خونی در مغز استخوان می‌شود. علائم این بیماری می‌تواند شامل خستگی، سرگیجه، سردرد و خارش باشد و درمان آن ممکن است شامل فلبوتومی (خون‌گیری)، داروهای مهارکننده تولید سلول‌های خونی و یا درمان‌های دیگری باشد که هدف آن کاهش تعداد سلول‌های قرمز خون و بهبود جریان خون است. پلی‌سیتمی ثانویه نیز نوع دیگری از این اختلال است که در نتیجه عوامل خارجی مانند کاهش میزان اکسیژن در بدن، بیماری‌های ریوی، بیماری‌های قلبی و یا تومورهای تولید کننده اریتروپویتین ایجاد می‌شود. در این نوع پلی‌سیتمی، بدن به طور واکنشی تعداد سلول‌های قرمز خون را افزایش می‌دهد تا بتواند اکسیژن بیشتری حمل کند. تشخیص پلی‌سیتمی خون با انجام آزمایش‌های خون برای اندازه‌گیری سطح هماتوکریت، هموگلوبین و اریتروپویتین و همچنین بررسی مغز استخوان انجام می‌شود. پزشکان ممکن است از آزمایش‌های ژنتیکی نیز برای شناسایی جهش‌های مرتبط با پلی‌سیتمی ورا استفاده کنند. مدیریت و درمان پلی‌سیتمی نیازمند یک رویکرد چند جانبه است که علاوه بر فلبوتومی و داروها، شامل تغییرات سبک زندگی مانند ترک سیگار، کنترل فشار خون و کاهش وزن نیز می‌شود. با توجه به نوع و شدت بیماری، ممکن است پزشکان روش‌های دیگری مانند شیمی‌درمانی با دوز پایین یا درمان‌های هدفمند ژنتیکی را نیز مورد بررسی قرار دهند. در نهایت، هدف از درمان پلی‌سیتمی بهبود کیفیت زندگی بیماران و پیشگیری از عوارض جدی مانند ترومبوز و سکته است. همچنین، بیمارانی که به پلی‌سیتمی ورا مبتلا هستند باید تحت نظارت مداوم قرار گیرند تا در صورت نیاز، درمان‌های مناسب به موقع اعمال شود.

SettingsRequest history2444msRequest Duration4MBMemory Usage10.x
Laravel Version
10.48.29
PHP Version
8.4.1
Environment
staging
Debug Mode
Enabled
URL
sympads.ir
Timezone
Asia/Tehran
Locale
ir
GET clinics/{id}/{name}
status
200 OK
full_url
https://sympads.ir/clinics/71/%D9%BE%D9%84%DB%8C%E2%80%8C%D8%B3%DB%8C%D8%AA%D9%85%DB%8C%20%D8%AE%D9%...
action_name
clinics
controller_action
App\Http\Controllers\FrontController@clinics
Theme
Open Button Position
Hide Empty Tabs
Autoshow
Reset to defaults
    status
    200 OK
    full_url
    https://sympads.ir/clinics/71/%D9%BE%D9%84%DB%8C%E2%80%8C%D8%B3%DB%8C%D8%AA%D9%85%DB%8C%20%D8%AE%D9%...
    action_name
    clinics
    controller_action
    App\Http\Controllers\FrontController@clinics
    uri
    GET clinics/{id}/{name}
    controller
    App\Http\Controllers\FrontController@clinics
    file
    app/Http/Controllers/FrontController.php:130-200
    middleware
    web
    telescope
    View in Telescope
    duration
    451ms
    peak_memory
    6MB
    response
    text/html; charset=UTF-8
    request_format
    html
    request_query
    []
    
    request_request
    []
    
    request_headers
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    request_cookies
    0 of 0
    array:2 [ "XSRF-TOKEN" => "iHfDdjWLfcr3G7MUafFSaG8vDskfveUHsIZwKFle" "sympad_session" => "okCXVKb0KVHwotmFNlgG6EqRYHROFbWW79PBpVZ8" ]
    response_headers
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    array:3 [ "content-type" => array:1 [ 0 => "text/html; charset=UTF-8" ] "cache-control" => array:1 [ 0 => "no-cache, private" ] "date" => array:1 [ 0 => "Mon, 02 Jun 2025 11:43:09 GMT" ] ]
    session_attributes
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    array:4 [ "_token" => "iHfDdjWLfcr3G7MUafFSaG8vDskfveUHsIZwKFle" "PHPDEBUGBAR_STACK_DATA" => array:1 [ "01JWR77QFJNJPXE6HF4GTQH9WR" => null ] "_previous" => array:1 [ "url" => "https://sympads.ir/darman/71/64" ] "_flash" => array:2 [ "old" => [] "new" => [] ] ]
    • Booting (203ms)time
    • Application (241ms)time
    • Routing (11.69ms)
    • Preparing Response (12.01ms)
    • View: front.clinicsviews
    • View: front.templateviews
    • 1 x Application (54.31%)
      241ms
      1 x Booting (45.69%)
      203ms
      1 x Preparing Response (2.71%)
      12.01ms
      1 x Routing (2.63%)
      11.69ms
      2 x View (0%)
      0μs
      2 templates were rendered
      • front.clinicsclinics.blade.php#?blade
      • front.templatetemplate.blade.php#?blade
      13 statements were executed46.73ms
      • FrontController.php#85sympads_db1.05msinsert into `visits` (`username`, `visitDateTime`, `url`, `platform`, `OS`, `browser`, `session`, `refere`, `ip`, `updated_at`, `created_at`) values ('مهمان', '2025-06-02 15:13:09', 'https://sympads.ir/clinics/71/%D9%BE%D9%84%DB%8C%E2%80%8C%D8%B3%DB%8C%D8%AA%D9%85%DB%8C%20%D8%AE%D9%88%D9%86', 'Mobile', 'AndroidOS', 'Mozilla', 'okCXVKb0KVHwotmFNlgG6EqRYHROFbWW79PBpVZ8', 'Direct', '3.138.151.175', '2025-06-02 15:13:09', '2025-06-02 15:13:09')
        Bindings
        • 0: مهمان
        • 1: 2025-06-02 15:13:09
        • 2: https://sympads.ir/clinics/71/%D9%BE%D9%84%DB%8C%E2%80%8C%D8%B3%DB%8C%D8%AA%D9%85%DB%8C%20%D8%AE%D9%88%D9%86
        • 3: Mobile
        • 4: AndroidOS
        • 5: Mozilla
        • 6: okCXVKb0KVHwotmFNlgG6EqRYHROFbWW79PBpVZ8
        • 7: Direct
        • 8: 3.138.151.175
        • 9: 2025-06-02 15:13:09
        • 10: 2025-06-02 15:13:09
        Backtrace
        • app/Http/Controllers/FrontController.php:85
        • app/Http/Controllers/FrontController.php:132
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
        • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:259
      • FrontController.php#133sympads_db800μsselect * from `categories` where `id` = '71' limit 1
        Bindings
        • 0: 71
        Backtrace
        • app/Http/Controllers/FrontController.php:133
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
        • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:259
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
      • FrontController.php#134sympads_db3.97msselect * from `categories` where `id` = 10 limit 1
        Bindings
        • 0: 10
        Backtrace
        • app/Http/Controllers/FrontController.php:134
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
        • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:259
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
      • FrontController.php#135sympads_db900μsselect * from `categories` where `father_id` = '71' order by `id` asc
        Bindings
        • 0: 71
        Backtrace
        • app/Http/Controllers/FrontController.php:135
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
        • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:259
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
      • FrontController.php#137sympads_db960μsselect * from `post_categories` inner join `posts` on `posts`.`id` = `post_categories`.`post_id` where `category_id` = '71' and `posts`.`publishState` = 'Published' order by `post_categories`.`id` desc limit 4
        Bindings
        • 0: 71
        • 1: Published
        Backtrace
        • app/Http/Controllers/FrontController.php:137
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
        • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:259
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
      • FrontController.php#138sympads_db2.39msselect * from `post_categories` inner join `posts` on `posts`.`id` = `post_categories`.`post_id` where `category_id` = 2 and `posts`.`publishState` = 'Published' order by `post_categories`.`id` desc
        Bindings
        • 0: 2
        • 1: Published
        Backtrace
        • app/Http/Controllers/FrontController.php:138
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
        • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:259
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
      • FrontController.php#140sympads_db29.55msselect * from `faqs` where `category_id` = '71'
        Bindings
        • 0: 71
        Backtrace
        • app/Http/Controllers/FrontController.php:140
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
        • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:259
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
      • FrontController.php#141sympads_db1.25msselect * from `questionnaires` where `category_id` = '71' and `state` = 'public'
        Bindings
        • 0: 71
        • 1: public
        Backtrace
        • app/Http/Controllers/FrontController.php:141
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
        • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:259
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
      • FrontController.php#145sympads_db850μsselect * from `settings` where `name` = 'simpleAbout' limit 1
        Bindings
        • 0: simpleAbout
        Backtrace
        • app/Http/Controllers/FrontController.php:145
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
        • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:259
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
      • FrontController.php#153sympads_db1.18msselect *, `blog_posts`.`title` as `title`, `blog_posts`.`id` as `id`, `blog_posts`.`picPath` as `picPath`, `blog_posts`.`description` as `description` from `post_categories` as `pc` left join `post_categories` as `pc1` on `pc1`.`post_id` = `pc`.`post_id` inner join `posts` as `blog_posts` on `blog_posts`.`id` = `pc`.`post_id` where `pc`.`category_id` = '71' and `pc1`.`category_id` = 2
        Bindings
        • 0: 71
        • 1: 2
        Backtrace
        • app/Http/Controllers/FrontController.php:153
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
        • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:259
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
      • FrontController.php#161sympads_db1.15msselect *, `blog_posts`.`title` as `title`, `blog_posts`.`id` as `id`, `blog_posts`.`picPath` as `picPath`, `blog_posts`.`description` as `description`, `blog_posts`.`text` as `text` from `post_categories` as `pc` left join `post_categories` as `pc1` on `pc1`.`post_id` = `pc`.`post_id` inner join `posts` as `blog_posts` on `blog_posts`.`id` = `pc`.`post_id` where `pc`.`category_id` = '71' and `pc1`.`category_id` = 69
        Bindings
        • 0: 71
        • 1: 69
        Backtrace
        • app/Http/Controllers/FrontController.php:161
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
        • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:259
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
      • FrontController.php#169sympads_db1.15msselect *, `blog_posts`.`title` as `title`, `blog_posts`.`id` as `id`, `blog_posts`.`picPath` as `picPath`, `blog_posts`.`description` as `description`, `blog_posts`.`text` as `text` from `post_categories` as `pc` left join `post_categories` as `pc1` on `pc1`.`post_id` = `pc`.`post_id` inner join `posts` as `blog_posts` on `blog_posts`.`id` = `pc`.`post_id` where `pc`.`category_id` = '71' and `pc1`.`category_id` = 68
        Bindings
        • 0: 71
        • 1: 68
        Backtrace
        • app/Http/Controllers/FrontController.php:169
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
        • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:259
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
      • FrontController.php#177sympads_db1.53msselect *, `blog_posts`.`title` as `title`, `blog_posts`.`id` as `id`, `blog_posts`.`picPath` as `picPath`, `blog_posts`.`description` as `description`, `blog_posts`.`text` as `text` from `post_categories` as `pc` left join `post_categories` as `pc1` on `pc1`.`post_id` = `pc`.`post_id` inner join `posts` as `blog_posts` on `blog_posts`.`id` = `pc`.`post_id` where `pc`.`category_id` = '71' and `pc1`.`category_id` = 76
        Bindings
        • 0: 71
        • 1: 76
        Backtrace
        • app/Http/Controllers/FrontController.php:177
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
        • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:259
        • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
      App\Models\PostCategory
      13PostCategory.php#?
      App\Models\Faqs
      10Faqs.php#?
      App\Models\Categories
      2Categories.php#?
      App\Models\Settings
      1Settings.php#?
          ClearShow all
          Date ↕MethodURLData
          #12025-06-02 15:13:09GET/darman/71/64 (stacked)64
          #22025-06-02 15:13:09GET/clinics/71/%D9%BE%D9%84%DB%8C%E2%80%8C%D8%B3%DB%8C%D8%AA%D9%85%DB%8C%20%D8%AE%D9%88%D9%8621326