Kuyezetsa khungu

Mayeso a zenga amayang'ana hemoglobin yachilendo m'magazi yomwe imayambitsa matendawa.

Muyenera kuyesa magazi.

Pamene singano imayikidwa kuti ikoke magazi, anthu ena amamva kupweteka pang'ono. Ena amangomva kubaya kapena kuluma. Pambuyo pake, pakhoza kukhala kupindika kapena mabala. Izi posachedwa zichoka.

Kuyesaku kumachitika kuti mudziwe ngati munthu ali ndi hemoglobin yachilendo yomwe imayambitsa matenda a zenga ndi khungu la zenga. Hemoglobin ndi mapuloteni m'maselo ofiira amwazi omwe amanyamula mpweya.

Mu matenda a zenga, munthu amakhala ndi majini awiri achilendo a hemoglobin S. Munthu amene ali ndi vuto la zenga ali ndi chimodzi mwazinthu zachibadwa izi ndipo alibe zizindikiro, kapena zofatsa zokha.

Kuyesaku sikutanthauza kusiyana pakati pazikhalidwe ziwirizi. Chiyeso china, chotchedwa hemoglobin electrophoresis, chidzachitika kuti mudziwe momwe munthu aliri.

Zotsatira zodziwika bwino zimatchedwa zotsatira zosavomerezeka.

Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Ma lab ena amagwiritsa ntchito miyeso yosiyanasiyana kapena amayesa mitundu yosiyanasiyana. Lankhulani ndi wothandizira zaumoyo wanu za tanthauzo la zotsatira zanu zoyeserera.

Zotsatira zosazolowereka zikuwonetsa kuti munthuyo akhoza kukhala ndi chimodzi mwazi:

• Matenda a khungu
• Khalidwe la khungu lodwala

Kuperewera kwachitsulo kapena kuthiridwa magazi m'miyezi itatu yapitayo kumatha kubweretsa zotsatira zabodza. Izi zikutanthauza kuti munthuyo atha kukhala ndi hemoglobin yachilendo ya khungu la chikwakwa, koma izi zimapangitsanso kuti zotsatira zawo zizikhala zoyipa (zabwinobwino).

Pali chiopsezo chochepa chotenga magazi anu. Mitsempha ndi mitsempha imasiyana mosiyanasiyana kuchokera pa munthu wina kupita kwina, komanso kuchokera mbali imodzi ya thupi kupita mbali inayo. Kupeza magazi kuchokera kwa anthu ena kumatha kukhala kovuta kuposa ena.

Zowopsa zina zomwe zimakoka magazi ndi zochepa, koma mwina ndi izi:

• Kutaya magazi kwambiri
• Kukomoka kapena kumva mopepuka
• Ma punctures angapo kuti mupeze mitsempha
• Hematoma (magazi omanga pansi pa khungu)
• Kutenga (chiopsezo chochepa nthawi iliyonse khungu likasweka)

Sickledex; Mayeso a Hgb S

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

Saunthararajah Y, Vichinsky EP. Matenda a Sickle cell: mawonekedwe azachipatala ndi kasamalidwe. Mu: Hoffman R, Benz EJ, Silberstein LE, et al, olemba. Hematology: Mfundo Zoyambira ndi Zochita. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 42.