Anisopoikilocytosis

Zamkati

• Kodi anisopoikilocytosis ndi chiyani?
• Zimayambitsa ndi chiyani?
• Zimayambitsa anisocytosis
• Zimayambitsa poikilocytosis
• Zifukwa za anisopoikilocytosis
• Zizindikiro zake ndi ziti?
• Kodi amapezeka bwanji?
• Amachizidwa bwanji?
• Kodi pali zovuta?
• Maganizo ake ndi otani?

Kodi anisopoikilocytosis ndi chiyani?

Anisopoikilocytosis ndipamene mumakhala ndi maselo ofiira ofiira kukula kwake mosiyanasiyana.

Mawu akuti anisopoikilocytosis amapangidwa ndi mawu awiri osiyana: anisocytosis ndi poikilocytosis. Anisocytosis amatanthauza kuti pali maselo ofiira ofiira osiyanasiyana kukula pa chopaka magazi anu. Poikilocytosis amatanthauza kuti pali maselo ofiira ofiira osiyanasiyana mawonekedwe pa chopaka magazi anu.

Zotsatira zakupaka magazi zimapezanso anisopoikilocytosis wofatsa. Izi zikutanthauza kuti kuchuluka kwa maselo ofiira amwazi omwe akuwonetsa kukula kwake ndi mawonekedwe ake ndizochepa.

Zimayambitsa ndi chiyani?

Anisopoikilocytosis amatanthauza kukhala ndi anisocytosis komanso poikilocytosis. Chifukwa chake, ndizothandiza kuthana ndi zomwe zimayambitsa zikhalidwe ziwirizi payekhapayekha.

Zimayambitsa anisocytosis

Kukula kwamaselo ofiira ofiira omwe amapezeka mu anisocytosis kumatha kuyambitsa chifukwa cha zinthu zingapo:

• Anemias. Izi zikuphatikizapo kuchepa kwa magazi m'thupi, kuchepa kwa magazi m'thupi, kuchepa kwa magazi pachimake, ndi kuchepa kwa magazi m'thupi.
• Cholowa spherocytosis. Ichi ndi chikhalidwe chobadwa nacho chodziwika ndi kupezeka kwa kuchepa kwa magazi m'thupi.
• Thalassemia. Awa ndimatenda amtundu wobadwa nawo omwe amadziwika ndi hemoglobin yocheperako komanso m'maselo ofiira ofiira mthupi.
• Kulephera kwa vitamini. Makamaka, kusowa kwa folate kapena vitamini B-12.
• Matenda amtima. Zitha kukhala zovuta kapena zosatha.

Zimayambitsa poikilocytosis

Zomwe zimayambitsa mawonekedwe ofiira amwazi ofiira omwe amapezeka mu poikilocytosis amathanso kuyambitsidwa ndi zochitika zosiyanasiyana. Zambiri mwazi ndizofanana ndi zomwe zimatha kuyambitsa anisocytosis:

• anemias
• cholowa cha spherocytosis
• cholowa cha elliptocytosis, matenda obadwa nawo momwe maselo ofiira ofiira amakhala owundira kapena mawonekedwe a dzira
• thalassemia
• folate ndi vitamini B-12 kusowa
• matenda a chiwindi kapena matenda enaake
• matenda a impso

Zifukwa za anisopoikilocytosis

Pali kulumikizana kwina pakati pazinthu zomwe zimayambitsa anisocytosis ndi poikilocytosis. Izi zikutanthauza kuti anisopoikilocytosis imatha kuchitika motere:

• anemias
• cholowa cha spherocytosis
• thalassemia
• folate ndi vitamini B-12 kusowa

Zizindikiro zake ndi ziti?

Palibe zizindikiro za anisopoikilocytosis. Komabe, mutha kukhala ndi zizindikilo kuchokera pazomwe zimayambitsa. Zizindikiro zimaphatikizapo:

• kufooka kapena kusowa mphamvu
• kupuma movutikira
• chizungulire
• kugunda kwamtima mwachangu kapena mosasinthasintha
• mutu
• manja ozizira kapena mapazi
• jaundice, kapena khungu loyera kapena lachikaso
• zowawa m'chifuwa mwanu

Zizindikiro zina zimakhudzana ndi zovuta zina, monga:

Thalassemia

• kutupa m'mimba
• mkodzo wakuda

Kuperewera kwa Folate kapena B-12

• Zilonda zam'kamwa
• mavuto a masomphenya
• kumverera kwa zikhomo ndi singano
• mavuto amisala, kuphatikiza chisokonezo, kukumbukira, komanso ziweruzo

Cholowa spherocytosis kapena thalassemia

• kukulitsa ndulu

Kodi amapezeka bwanji?

Dokotala wanu amatha kupeza anisopoikilocytosis pogwiritsa ntchito magazi ozungulira a smear. Pakuyezaku, dontho laling'ono la magazi anu limayikidwa pamagalasi oonera tinthu ting'onoting'ono ta galasi ndikupatsidwa mankhwala. Mawonekedwe ndi kukula kwa maselo amwazi omwe akupezeka pazithunzi zitha kuwunikiridwa.

Magazi otumphukira amagwiritsidwa ntchito limodzi ndi kuwerengera kwathunthu kwamagazi (CBC). Dokotala wanu amagwiritsa ntchito CBC kuti aone mitundu yamagazi yamagazi mthupi lanu. Izi zikuphatikiza ma cell ofiira ofiira, maselo oyera amwazi, ndi ma platelets.

Dokotala wanu amathanso kuyitanitsa mayeso kuti awone hemoglobin yanu, chitsulo, folate, kapena kuchuluka kwa vitamini B-12.

Zina mwazomwe zimayambitsa anisopoikilocytosis zimachokera. Izi zikuphatikizapo thalassemia ndi cholowa cha spherocytosis. Dokotala wanu amathanso kukufunsani za mbiri yakuchipatala ya banja lanu.

Amachizidwa bwanji?

Chithandizochi chimadalira zomwe zimayambitsa anisopoikilocytosis.

Nthawi zina, chithandizo chitha kuphatikizira kusintha zakudya zanu kapena kumwa zakudya zowonjezera. Izi ndizofunikira pamene kuchuluka kwa chitsulo, folate, kapena vitamini B-12 kumayambitsa matenda.

Kuchepa kwambiri kwa magazi m'thupi komanso cholowa cha spherocytosis kungafune kuwonjezeredwa magazi. Kuika mafuta m'mafupa kumatha kuchitidwanso.

Anthu omwe ali ndi thalassemia amafunika kuikidwa magazi mobwerezabwereza kuti akalandire chithandizo. Kuphatikiza apo, chitsulo chelation nthawi zambiri chimafunikira. Pochita izi, chitsulo chowonjezera chimachotsedwa m'magazi kutsatira kuthiridwa magazi. Splenectomy (kuchotsedwa kwa ndulu) itha kufunikanso kwa anthu omwe ali ndi thalassemia.

Kodi pali zovuta?

Pakhoza kukhala zovuta kuchokera pazomwe zikuyambitsa zomwe zimayambitsa anisopoikilocytosis. Zovuta zitha kukhala:

• zovuta zapakati, kuphatikizapo kubereka koyambirira kapena zolakwika zobereka
• mavuto amtima chifukwa cha kugunda kwamtima mwachangu kapena mosasinthasintha
• nkhani zamanjenje
• matenda opatsirana mwa anthu omwe ali ndi thalassemia chifukwa choikidwa magazi mobwerezabwereza kapena kuchotsedwa kwa ndulu

Maganizo ake ndi otani?

Maganizo anu amadalira chithandizo chomwe mumalandira chifukwa cha zomwe zimayambitsa matenda a anisopoikilocytosis.

Zofooka zina za anemias ndi mavitamini zimachiritsidwa mosavuta. Zinthu monga matenda a sickle cell, spherocytosis yololera, ndi thalassemia amatengera. Adzafunika chithandizo ndi kuyang'aniridwa m'moyo wanu wonse. Lankhulani ndi gulu lanu lazachipatala za njira zomwe zingakuthandizeni.