Kodi Anisocytosis Ndi Chiyani?

Zamkati

• Chidule
• Zizindikiro za anisocytosis
• Zimayambitsa anisocytosis
• Kuzindikira anisocytosis
• Momwe anisocytosis amathandizira
• Anisocytosis ali ndi pakati
• Zovuta za anisocytosis
• Chiwonetsero

Chidule

Anisocytosis ndi dzina lachipatala lokhala ndi maselo ofiira ofiira (RBCs) omwe ndi ofanana kukula kwake. Nthawi zambiri, ma RBC amunthu amayenera kukhala ofanana kukula kwake.

Anisocytosis nthawi zambiri imayambitsidwa ndi matenda ena otchedwa kuchepa magazi. Zitha kupangidwanso matenda ena amwazi kapena mankhwala ena omwe amagwiritsidwa ntchito pochiza khansa. Pachifukwa ichi, kupezeka kwa anisocytosis nthawi zambiri kumathandiza pakuwona zovuta zamagazi monga kuchepa kwa magazi.

Chithandizo cha anisocytosis chimadalira chifukwa. Vutoli silowopsa palokha, koma likuwonetsa vuto lomwe lili ndi ma RBC.

Zizindikiro za anisocytosis

Kutengera ndi zomwe zimayambitsa anisocytosis, ma RBC atha kukhala:

• zazikulu kuposa zachilendo (macrocytosis)
• Zocheperako kuposa zachilendo (microcytosis), kapena
• zonsezi (zina zazikuluzikulu ndi zina zazing'ono kuposa zachilendo)

Zizindikiro zazikulu za anisocytosis ndizo za kuchepa kwa magazi m'thupi ndi zovuta zina zamagazi:

• kufooka
• kutopa
• khungu lotumbululuka
• kupuma movutikira

Zizindikiro zambiri zimachitika chifukwa chakuchepa kwa kuperekera kwa okosijeni kumatumba ndi ziwalo za thupi.

Anisocytosis amatengedwa ngati chizindikiro cha matenda ambiri amwazi.

Zimayambitsa anisocytosis

Anisocytosis nthawi zambiri imachitika chifukwa cha vuto lina lotchedwa kuchepa magazi. Mu kuchepa kwa magazi, ma RBC amalephera kunyamula mpweya wokwanira kumatumba amthupi lanu. Pakhoza kukhala ma RBC ochepa, maselowa atha kukhala osakhazikika, kapena sangakhale ndi chophatikizira chofunikira chotchedwa hemoglobin.

Pali mitundu ingapo ya kuchepa kwa magazi m'thupi komwe kumatha kubweretsa ma RBC osafanana, kuphatikiza:

• Kuperewera kwa magazi m'thupi kwachitsulo: Iyi ndiye njira yofala kwambiri ya kuchepa kwa magazi m'thupi. Zimachitika pamene thupi lilibe chitsulo chokwanira, mwina chifukwa cha kutaya magazi kapena kusowa kwa zakudya. Nthawi zambiri zimabweretsa microcytic anisocytosis.
• Sickle cell anemia: Matenda amtunduwu amabweretsa ma RBC okhala ndi mawonekedwe achilendo.
• Thalassemia: Awa ndimatenda amwazi wobadwa nawo momwe thupi limapangira hemoglobin yachilendo. Nthawi zambiri zimabweretsa microcytic anisocytosis.
• Autoimmune hemolytic anemias: Gulu lamavutoli limachitika pamene chitetezo chamthupi chimawononga ma RBC molakwika.
• Kuchepa kwa magazi mu megaloblastic: Ngati pali ma RBC ochepera pomwe ma RBC amakula kuposa zachilendo (macrocytic anisocytosis), izi zimayambitsa kuchepa kwa magazi. Nthawi zambiri zimayamba chifukwa chosowa kwa folate kapena vitamini B-12.
• Kuchepetsa magazi m'thupi: Ichi ndi mtundu wa kuchepa kwa magazi m'thupi komwe kumachitika chifukwa thupi silimatha kuyamwa vitamini B-12. Kuchepa kwa magazi m'thupi ndimatenda amthupi.

Zovuta zina zomwe zingayambitse anisocytosis ndi monga:

• matenda a myelodysplastic
• matenda aakulu a chiwindi
• matenda a chithokomiro

Kuphatikiza apo, mankhwala ena omwe amagwiritsidwa ntchito pochiza khansa, omwe amadziwika kuti cytotoxic chemotherapy mankhwala, atha kubweretsa anisocytosis.

Anisocytosis imawonekeranso kwa iwo omwe ali ndi matenda amtima komanso khansa zina.

Kuzindikira anisocytosis

Anisocytosis imapezeka nthawi yopaka magazi. Mukamayesa izi, dokotala amafalitsa magazi pang'ono pang'onopang'ono. Magaziwo amathimbirira kuti athandizire kusiyanitsa maselo ndikuwonedwa ndi microscope. Mwanjira imeneyi dokotala azitha kuwona kukula ndi mawonekedwe a ma RBC anu.

Ngati magazi smear akuwonetsa kuti muli ndi anisocytosis, dokotala wanu angafune kuyesa mayeso owunikira kuti apeze chomwe chikuchititsa kuti ma RBC anu asafanane kukula kwake. Angakufunseni mafunso okhudza mbiri yakuchipatala ya banja lanu komanso lanu. Onetsetsani kuuza dokotala ngati muli ndi zizindikiro zina kapena ngati mukumwa mankhwala aliwonse. Dokotala amathanso kukufunsani mafunso pazakudya zanu.

Mayesero ena azidziwitso atha kukhala:

• kuwerengera magazi kwathunthu (CBC)
• ma seramu azitsulo
• ferritin mayeso
• mayeso a vitamini B-12
• mayeso a folate

Momwe anisocytosis amathandizira

Chithandizo cha anisocytosis chimadalira pazomwe zimayambitsa vutoli. Mwachitsanzo, anisocytosis yoyambitsidwa ndi kuchepa kwa magazi m'thupi yokhudzana ndi zakudya zopanda vitamini B-12, folate, kapena iron imathandizidwa ndikumwonjezera zowonjezera ndikuwonjezera mavitamini pazakudya zanu.

Anthu omwe ali ndi mitundu ina ya kuchepa kwa magazi, monga sickle cell anemia kapena thalassemia, angafunike kuthiridwa magazi kuti athetse vuto lawo. Anthu omwe ali ndi matenda a myelodysplastic angafunikire kuthiridwa mafuta m'mafupa.

Anisocytosis ali ndi pakati

Anisocytosis panthawi yoyembekezera imayamba chifukwa cha kuchepa kwa magazi m'thupi. Amayi apakati ali pachiwopsezo chachikulu cha izi chifukwa amafunikira chitsulo chochulukirapo kuti apange ma RBC a mwana wawo wokula.

akuwonetsa kuti kuyesa kwa anisocytosis ikhoza kukhala njira yodziwira kuchepa kwa ayironi koyambirira nthawi yapakati.

Ngati muli ndi pakati ndipo muli ndi anisocytosis, dokotala wanu angafune kuyesa mayeso ena kuti awone ngati muli ndi kuchepa kwa magazi ndikuyamba kuwachiritsa nthawi yomweyo. Kuchepa kwa magazi kumatha kukhala koopsa kwa mwana wosabadwayo pazifukwa izi:

• Mwana wosabadwayo mwina sakupeza mpweya wokwanira.
• Mutha kukhala wotopa kwambiri.
• Chiwopsezo chantchito yoyambilira ndi zovuta zina zawonjezeka.

Zovuta za anisocytosis

Ngati sanalandire chithandizo, anisocytosis - kapena chomwe chimayambitsa - chitha kubweretsa ku:

• kuchuluka kwama cell oyera ndi ma platelets
• kuwonongeka kwamanjenje
• kugunda kwamtima mwachangu
• zovuta zapakati, kuphatikiza zilema zazikulu mumtsempha ndi ubongo wa mwana wosabadwa (neural tube defects)

Chiwonetsero

Kuwona kwakanthawi kwa anisocytosis kumadalira chifukwa chake komanso momwe amathandizidwira mwachangu. Mwachitsanzo, kuchepa kwa magazi m'thupi nthawi zambiri kumachiritsidwa, koma kumatha kukhala koopsa ngati sanalandire chithandizo. Kuchepa kwa magazi komwe kumachitika chifukwa cha matenda amtundu (monga sickle cell anemia) kudzafunika chithandizo chotalikilapo.

Amayi apakati omwe ali ndi anisocytosis ayenera kutenga vutoli mozama, chifukwa kuchepa kwa magazi m'thupi kumatha kuyambitsa zovuta zamimba.