Kuchepa kwa magazi m'thupi

Kuchepa kwa magazi m'thupi ndimomwe thupi limakhala lilibe maselo ofiira okwanira okwanira. Maselo ofiira ofiira amapereka mpweya kumatenda amthupi.

Nthawi zambiri, maselo ofiira amakhala pafupifupi masiku 120 m'thupi. Mu hemolytic anemia, maselo ofiira m'magazi amawonongeka kale kuposa zachilendo.

Pafupa limakhala ndi udindo wopanga maselo ofiira atsopano. Mafupa ndi minofu yofewa yomwe ili pakatikati pa mafupa yomwe imathandizira kupanga maselo onse amwazi.

Kuchepa kwa magazi m'thupi kumachitika pamene mafupa sakupanga maselo ofiira okwanira m'malo mwa omwe akuwonongeka.

Pali zifukwa zingapo zomwe zingayambitse kuchepa kwa magazi m'thupi. Maselo ofiira ofiira amatha kuwonongedwa chifukwa cha:

• Vuto lokhalokha lomwe chitetezo cha mthupi chimayang'ana molakwika maselo anu ofiira a magazi ngati zinthu zakunja ndikuwononga
• Zofooka za chibadwa m'maselo ofiira (monga sickle cell anemia, thalassemia, ndi kusowa kwa G6PD)
• Kuwonetsedwa ndi mankhwala ena, mankhwala, ndi poizoni
• Matenda
• Magazi amatundikira m'mitsempha yaying'ono yamagazi
• Kuika magazi kuchokera kwa wopereka ndi mtundu wamagazi wosagwirizana ndi wanu

Simungakhale ndi zizindikilo ngati kuchepa kwa magazi ndikofatsa. Vuto likukula pang'onopang'ono, zizindikilo zoyambirira zitha kukhala:

• Kumva kufooka kapena kutopa nthawi zambiri kuposa masiku onse, kapena ndi masewera olimbitsa thupi
• Kumverera komwe mtima wanu ukugunda kapena kuthamanga
• Kupweteka mutu
• Mavuto okhazikika kapena kuganiza

Ngati kuchepa kwa magazi kumachulukirachulukira, zizindikilo zake zimaphatikizapo

• Mutu wopepuka mukaimirira
• Khungu lotumbululuka
• Kupuma pang'ono
• Lilime lopweteka
• Kukula kwa nthata

Chiyeso chotchedwa kuwerengera kwathunthu magazi (CBC) chitha kuthandizira kuzindikira kuchepa kwa magazi ndikupatseni malingaliro amtundu ndi zomwe zimayambitsa vutoli. Mbali zofunika za CBC zimaphatikizapo kuchuluka kwa maselo ofiira a magazi (RBC), hemoglobin, ndi hematocrit (HCT).

Mayesowa amatha kuzindikira mtundu wa kuchepa kwa magazi m'thupi:

• Kuwerengera kwathunthu kwa reticulocyte
• Mayeso a Coombs, otsogolera komanso osalunjika
• Mayeso a Donath-Landsteiner
• Ma agglutinins ozizira
• Hemoglobin yaulere mu seramu kapena mkodzo
• Hemosiderin mu mkodzo
• Kuwerengera kwa Platelet
• Mapuloteni electrophoresis - seramu
• Pyruvate kinase
• Maselo a haptoglobin
• Seramu LDH
• Mulingo wa Carboxyhemoglobin
  

Chithandizo chimadalira mtundu ndi chifukwa cha kuchepa kwa magazi m'thupi:

• Pakachitika zadzidzidzi, pamafunika kuthiridwa magazi.
• Pazifukwa zachitetezo chamthupi, mankhwala omwe amaletsa chitetezo cha mthupi atha kugwiritsidwa ntchito.
• Maselo a magazi akamawonongeka mwachangu, thupi limafunikira zowonjezera zowonjezera folic acid ndi ayironi m'malo mwa zomwe zikutayika.

Nthawi zambiri, opaleshoni imafunika kutulutsa ndulu. Izi ndichifukwa choti nduluyo imakhala ngati sefa yomwe imachotsa maselo osakhazikika m'magazi.

Zotsatira zimadalira mtundu ndi chifukwa cha kuchepa kwa magazi m'thupi. Kuchepa kwa magazi m'thupi kumatha kudwalitsa matenda amtima, matenda am'mapapo, kapena matenda amisempha.

Itanani odwala anu ngati mutayamba kukhala ndi vuto la kuchepa kwa magazi m'thupi.

Kuchepa magazi - hemolytic

• Maselo ofiira ofiira, khungu la chikwakwa
• Maselo ofiira ofiira - maselo angapo azizindikiro
• Maselo ofiira ofiira - maselo a zenga
• Maselo Ofiira - chikwakwa ndi Pappenheimer
• Maselo amwazi

Brodsky RA. Paroxysmal usiku hemoglobinuria. Mu: Hoffman R, Benz EJ, Silberstein LE, et al, olemba. Hematology: Mfundo Zoyambira ndi Zochita. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 31.

Gallagher PG. Hemolytic anemias: maselo ofiira am'magazi komanso zopindika zamagetsi. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 152.

Kumar V, Abbas AK, Aster JC. Machitidwe a hematopoietic ndi lymphoid. Mu: Kumar V, Abbas AK, Aster JC, olemba, eds. Matenda Akuluakulu a Robbins. 10th ed. Philadelphia, PA: Elsevier; 2018: mutu 12.