Kodi microcytosis ndizomwe zimayambitsa

Zamkati

• Zomwe zimayambitsa Microcytosis
• 1. Thalassemia
• 2. cholowa spherocytosis
• 3. Matenda
• 4. Iron kusowa magazi m'thupi
• 5. Matenda Ochepetsa Matenda

Microcytosis ndi liwu lomwe lingapezeke mu lipoti la hemogram lomwe likuwonetsa kuti ma erythrocyte ndi ocheperako kuposa momwe zimakhalira, komanso kupezeka kwa ma microcytic erythrocytes kungathenso kuwonetsedwa mu hemogram. Microcytosis imayesedwa pogwiritsa ntchito VCM index kapena Average Corpuscular Volume, yomwe imawonetsera kukula kwa maselo ofiira ofiira, ndi mtengo wolozera pakati pa 80.0 ndi 100.0 fL, komabe mtengowu umasiyana malinga ndi labotale.

Kuti microcytosis ikhale yofunikira kuchipatala, tikulimbikitsidwa kuti zotsatira za VCM zizimasuliridwa limodzi ndi ma indices ena omwe amayeza kuchuluka kwa magazi, monga Average Corpuscular Hemoglobin (HCM), hemoglobin kuchuluka, Average Corpuscular Hemoglobin Concentration (CHCM) ndi RDW, yomwe ndi index yomwe ikuwonetsa kukula kwakusiyana pakati pa maselo ofiira. Dziwani zambiri za VCM.

Zomwe zimayambitsa Microcytosis

Kuwerengera kwa magazi kukuwonetsa kuti VCM yokhayo ndiyomwe imasinthidwa ndipo mtengowo uli pafupi ndi mtengo wowerengera, nthawi zambiri umakhala wosafunikira, kutha kuyimira kanthawi kochepa chabe ndikutchedwa discrete microcytosis. Komabe, mfundo zikakhala zotsika kwambiri ndikofunikira kuwunika ngati index ina yasinthidwa. Ngati ma indices ena omwe adayesedwa kuwerengera magazi ndi abwinobwino, tikulimbikitsidwa kuti mubwereza kuwerengera kwa magazi.

Nthawi zambiri, microcytosis imakhudzana ndi kusintha kwa zakudya kapena imakhudzana ndi mapangidwe a hemoglobin. Chifukwa chake, zomwe zimayambitsa microcytosis ndi izi:

1. Thalassemia

Thalassemia ndi matenda amtundu womwe amadziwika ndi kusintha kwa kaphatikizidwe ka hemoglobin, momwe amasinthana ndi unyolo umodzi kapena zingapo za globin, zomwe zimapangitsa kusintha kwamagazi ofiira. Kuphatikiza pa VCM yomwe yasinthidwa, zikuwoneka kuti ma indices ena amasinthidwa, monga HCM, CHCM, RDW ndi hemoglobin.

Popeza kusintha kwa kapangidwe ka himogulobini kumasintha, kayendedwe ka mpweya wopita kumatenda kamasinthidwanso, popeza hemoglobin imayambitsa izi. Chifukwa chake, zizindikilo zina za thalassemia zimayamba, monga kutopa, kukwiya, kupindika komanso kusintha kwa kupuma. Phunzirani kuzindikira zizindikilo za thalassemia.

2. cholowa spherocytosis

Spherocytosis wobadwa nawo kapena wobadwa nawo ndi matenda omwe amadziwika ndi kusintha kwa nembanemba ya maselo ofiira, kuwapangitsa kukhala ocheperako komanso osagonjetsedwa, okhala ndi chiwonongeko chambiri cha maselo ofiira. Chifukwa chake, mu matendawa, kuphatikiza pakusintha kwina, maselo ofiira ochepa ndi CMV yochepetsedwa imatha kutsimikizika.

Monga dzina lake limanenera, spherocytosis ndi cholowa, ndiye kuti, imadutsa mibadwomibadwo ndipo munthu amabadwa ndi kusintha kumeneku. Komabe, kuopsa kwa matendawa kumatha kusiyanasiyana pakati pa munthu ndi munthu, ndipo ndikofunikira kuyamba mankhwala akangobadwa malinga ndi chitsogozo cha hematologist.

3. Matenda

Matenda opitilira muyeso amathanso kubweretsa ma microcytic red blood cell, chifukwa kukhazikika kwa wothandizirayo omwe angayambitse matenda mthupi kumatha kubweretsa kuperewera kwa zakudya m'thupi komanso kusintha kwa chitetezo cha mthupi, kusintha osati ma index a hematological komanso magawo ena a labotale.

Kuti mutsimikizire matendawa, ndikofunikira kuti dotolo alamulire ndikuwunika mayeso ena a labotale, monga muyeso wa C-Reactive Protein (CRP), kuyesa kwamkodzo komanso kuyesa kwa microbiological. Kuwerengera kwa magazi kumatha kukhala kosonyeza kuti munthu ali ndi matenda, koma kuyesanso kowonjezera kumafunikira kuti atsimikizire kuti apezeka ndi kuyambitsa chithandizo choyenera.

4. Iron kusowa magazi m'thupi

Kuperewera kwa magazi m'thupi kwachitsulo, komwe kumatchedwanso kusowa kwa magazi m'thupi, kumadziwika ndi chitsulo chambiri chomwe chimazungulira m'magazi chifukwa chodya chitsulo chosakwanira kapena chifukwa chakutuluka magazi kapena kusamba kwambiri, mwachitsanzo.

Kuchepetsa kuchuluka kwa chitsulo kumalepheretsa kuchuluka kwa hemoglobin, popeza ndiyofunikira pakupanga hemoglobin. Chifukwa chake, pakalibe chitsulo, pamakhala kuchepa kwa hemoglobin, zomwe zimabweretsa kuwonekera kwa zizindikilo, monga kufooka, kutopa pafupipafupi, kukomoka, kutayika tsitsi, kufooka kwa misomali ndi kusowa kwa njala, Mwachitsanzo.

Nthawi zambiri kusowa kwa magazi m'thupi kumachitika chifukwa chosowa zakudya. Chifukwa chake, yankho ndikusintha kadyedwe, kuwonjezera kudya zakudya zokhala ndi chitsulo, monga sipinachi, nyemba ndi nyama. Onani momwe chithandizo cha kuchepa kwa magazi m'thupi chiyenera kukhalira.

5. Matenda Ochepetsa Matenda

Kuchepa kwa magazi m'thupi kwamatenda amtundu wamtundu wodziwika womwe umapezeka mwa odwala omwe agonekedwa mchipatala, osintha kokha phindu la CMV, komanso HCM, CHCM, RDW ndi hemoglobin. Kuchepa kwa magazi kotere kumachitika pafupipafupi kwa odwala omwe ali ndi matenda opatsirana, matenda otupa ndi zotupa.

Popeza kuchepa kwa magazi kwamtunduwu kumachitika nthawi yachipatala, matenda ndi chithandizo chamankhwala zimakhazikitsidwa nthawi yomweyo kuti zisawonongeke zovuta zina kwa wodwalayo. Dziwani zambiri za kuchepa kwa magazi kwa matenda osachiritsika.