Mlembi: Peter Berry
Tsiku La Chilengedwe: 13 Kulayi 2021
Sinthani Tsiku: 16 Novembala 2024
Anonim
Chilichonse Chimene Muyenera Kudziwa Zokhudza Microcytic Anemia - Thanzi
Chilichonse Chimene Muyenera Kudziwa Zokhudza Microcytic Anemia - Thanzi

Zamkati

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Kutanthauzira kwa Microcytic anemia

Microcytosis ndi mawu omwe amagwiritsidwa ntchito pofotokoza maselo ofiira omwe ndi ochepa kuposa abwinobwino. Kuchepa kwa magazi ndi pamene mumakhala ndi maselo ofiira ochepa mthupi lanu.

Mu ma microcytic anemias, thupi lanu limakhala ndi maselo ofiira ochepa kuposa abwinobwino. Maselo ofiira omwe ali nawo nawonso ndi ochepa kwambiri. Mitundu ingapo yama anemia ingatchulidwe kuti microcytic.

Ma Microcytic anemias amayamba chifukwa cha zinthu zomwe zimalepheretsa thupi lanu kuti lipange hemoglobin yokwanira. Hemoglobin ndi gawo la magazi anu. Zimathandizira kunyamula mpweya kumatumba anu ndikupatsa maselo ofiira ofiira ofiira.

Kuperewera kwachitsulo kumayambitsa anemias ambiri a microcytic. Thupi lanu limafuna chitsulo kuti apange hemoglobin. Koma zina zimatha kuyambitsa ma microcytic anemias, nawonso. Pofuna kuchiza kuchepa kwa magazi m'thupi, dokotala wanu adzazindikira kaye chomwe chimayambitsa.


Zizindikiro za kuchepa kwa magazi m'thupi mwa Microcytic

Simungazindikire zofooka zilizonse zama microcytic poyamba. Zizindikiro nthawi zambiri zimawoneka patadutsa pomwe kusowa kwa maselo ofiira amwazi kumakhudza ziwalo zanu.

Zizindikiro zodziwika bwino za ma microcytic anemias ndi monga:

  • kutopa, kufooka, ndi kutopa
  • kutaya mphamvu
  • kupuma movutikira
  • chizungulire
  • khungu lotumbululuka

Ngati mukukumana ndi chimodzi mwazizindikirozi ndipo sizikutha pakatha milungu iwiri, pangani nthawi yokumana ndi dokotala wanu.

Muyenera kupanga nthawi yokaonana ndi dokotala posachedwa mukakhala ndi chizungulire kapena kupuma movutikira.

Mitundu ya microcytic anemia ndi zomwe zimayambitsa

Ma anemia a Microcytic amatha kufotokozedwanso molingana ndi kuchuluka kwa hemoglobin m'maselo ofiira amwazi. Amatha kukhala hypochromic, normochromic, kapena hyperchromic:

1. Matenda a Hypochromic microcytic anemias

Hypochromic amatanthauza kuti maselo ofiira amagazi alibe hemoglobin yocheperako kuposa yachibadwa. Magazi ochepa a hemoglobin m'maselo anu ofiira amathandizira kuti aziwoneka ochepera. Mu microcytic hypochromic anemia, thupi lanu limakhala ndi maselo ofiira ofiira omwe onse ndi ochepa komanso owoneka bwino kuposa zachilendo.


Ma anemias ambiri a microcytic ndi hypochromic. Ma anemia a Hypochromic microcytic ndi awa:

Kuperewera kwa magazi m'thupi kwachitsulo: Chifukwa chofala kwambiri cha kuchepa kwa magazi m'thupi mwa mayi ndikuchepa kwachitsulo m'magazi. Kuchepa kwa magazi m'thupi kungayambitsidwe ndi:

  • kudya chitsulo chosakwanira, nthawi zambiri chifukwa chodya kwanu
  • osakhoza kuyamwa chitsulo chifukwa cha zinthu monga matenda a leliac kapena Matenda a Helicobacter pylori
  • Kutaya magazi nthawi yayitali chifukwa chakuchulukirachulukira kapena kulemera kwa azimayi kapena m'mimba (GI) kutuluka magazi kuchokera kuzilonda zam'mimba za GI kapena matenda am'matumbo
  • mimba

Thalassemia: Thalassemia ndi mtundu wa kuchepa kwa magazi komwe kumachitika chifukwa chobadwa nawo. Zimakhudza kusintha kwa majini kofunikira popanga hemoglobin wabwinobwino.

Kuchepa kwa magazi kwa Sideroblastic: Kuchepa kwa magazi kwa Sideroblastic kumatha kubadwa chifukwa cha kusintha kwa majini (kobadwa nako). Ikhozanso kuyambitsidwa ndi zomwe mwapeza mtsogolo mmoyo zomwe zimalepheretsa thupi lanu kuphatikizira chitsulo mu chimodzi mwazinthu zofunika kupanga hemoglobin. Izi zimapangitsa kuti chitsulo chikhale chambiri m'maselo anu ofiira.


Kubadwa kwa sideroblastic anemia nthawi zambiri kumakhala microcytic ndi hypochromic.

2. Normochromic microcytic anemias

Normochromic amatanthauza kuti maselo ofiira ofiira amakhala ndi hemoglobin yofanana, ndipo mtundu wofiira siwowoneka bwino kapena wakuya kwambiri. Chitsanzo cha kuchepa kwa magazi m'thupi mwa normochromic microcytic ndi:

Kuchepa kwa magazi m'thupi kutupa ndi matenda osachiritsika: Kuchepa kwa magazi chifukwa cha izi nthawi zambiri kumakhala kwa normochromic ndi normocytic (maselo ofiira ofiira kukula kwake). Anemia ya Normochromic microcytic imawoneka mwa anthu omwe ali ndi:

  • matenda opatsirana, monga chifuwa chachikulu, HIV / Edzi, kapena endocarditis
  • matenda otupa, monga nyamakazi, matenda a Crohn, kapena matenda ashuga
  • matenda a impso
  • khansa

Izi zitha kuteteza ma cell ofiira ofiira kuti asamagwire bwino ntchito. Izi zitha kubweretsa kuchepa kwa mayesedwe kapena magwiritsidwe azitsulo.

3. Matenda a Hyperchromic microcytic anemias

Hyperchromic amatanthauza kuti maselo ofiira amakhala ndi hemoglobin yambiri kuposa yachibadwa. Mlingo waukulu wa hemoglobin m'maselo anu ofiira amawapangitsa kukhala ofiira ofiira kuposa zachilendo.

Kobadwa nako spherocytic magazi m'thupi: Hyperchromic microcytic anemias ndizochepa. Zitha kuyambitsidwa ndi chibadwa chotchedwa congenital spherocytic anemia. Izi zimatchedwanso cholowa cha spherocytosis.

M'vutoli, nembanemba yama cell ofiira ofiira samapangika bwino. Izi zimawapangitsa kukhala okhwima komanso osakhazikika mozungulira. Amatumizidwa kuti athyoledwe ndikufa m'mimba chifukwa samayenda m'maselo amwazi moyenera.

4. Zina mwazomwe zimayambitsa kuchepa kwa magazi m'thupi mwa microcytic

Zina mwazomwe zimayambitsa kuchepa kwa magazi m'thupi ndi:

  • kutsogolera poizoni
  • kusowa kwa mkuwa
  • zinc yowonjezera, yomwe imayambitsa kusowa kwa mkuwa
  • kumwa mowa
  • kugwiritsa ntchito mankhwala osokoneza bongo

Kuzindikira kuchepa kwa magazi m'thupi

Matenda a Microcytic anemias amapezeka koyamba dokotala atalamula kuti akayezetse magazi omwe amadziwika kuti magazi athunthu (CBC) pachifukwa china. Ngati CBC yanu ikuwonetsa kuti muli ndi kuchepa kwa magazi, dokotala wanu adzayitanitsa mayeso ena omwe amadziwika kuti soparip magazi.

Mayesowa atha kuthandiza kusintha kwama microcytic kapena macrocytic koyambirira kumaselo anu ofiira. Hypochromia, normochromia, kapena hyperchromia imawonekeranso ndimayeso am'magazi oyeserera.

Dokotala wanu wamkulu akhoza kukutumizirani kwa hematologist. A hematologist ndi katswiri yemwe amagwira ntchito yamavuto amwazi. Atha kudziwa bwino ndikuchiza mtundu wa kuchepa kwa magazi m'thupi mwa microcytic ndikuzindikira chomwe chimayambitsa.

Dokotala akangokupezani kuti muli ndi kuchepa kwa magazi m'thupi mwa microcytic, amayesa mayeso kuti adziwe chomwe chimayambitsa vutoli. Amatha kuyesa magazi kuti aone ngati ali ndi matenda a leliac. Atha kuyesa magazi anu ndi chopondapo H. pylori matenda a bakiteriya.

Dokotala wanu akhoza kukufunsani za zizindikilo zina zomwe mwakumana nazo ngati akukayikira kuti kutaya magazi nthawi yayitali ndi komwe kumayambitsa kuchepa kwa magazi m'thupi mwanu. Atha kukutumizirani kwa gastroenterologist ngati muli ndi vuto lakumimba kapena m'mimba. Dokotala wa gastroenterologist amatha kuyesa mayeso azithunzi kuti ayang'ane zochitika zosiyanasiyana. Mayesowa akuphatikizapo:

  • m'mimba ultrasound
  • chapamwamba cha GI endoscopy (EGD)
  • CT scan pamimba

Kwa amayi omwe ali ndi ululu wam'mimba komanso nthawi yolemetsa, a gynecologist amatha kuyang'ana uterine fibroids kapena zina zomwe zingayambitse kuthamanga kwambiri.

Mankhwala a Microcytic anemia

Chithandizo cha kuchepa kwa magazi m'thupi mwa microcytic chimayang'ana kwambiri pochotsa chomwe chimayambitsa vutoli.

Dokotala wanu angakulimbikitseni kuti mutenge zowonjezera zowonjezera zachitsulo ndi vitamini C. Chitsulo chimathandizira kuthana ndi kuchepa kwa magazi pomwe Vitamini C amathandizira kukulitsa kuthekera kwa thupi lanu kuyamwa chitsulo.

Dokotala wanu ayang'ana kwambiri pakuwunika ndikuchiza zomwe zimayambitsa kutayika kwa magazi ngati kutayika kwamagazi koopsa kapena kwakanthawi kukuyambitsa kapena kukuthandizani kuchepa kwa magazi m'thupi mwa microcytic. Amayi omwe ali ndi vuto lachitsulo kuchokera nthawi yayikulu amatha kupatsidwa mankhwala a mahomoni, monga mapiritsi oletsa kubereka.

Pakakhala kuchepa kwa magazi m'thupi mwa microcytic koopsa kwakuti mumakhala pachiwopsezo cha zovuta monga kulephera kwamtima, mungafunike kuthiridwa magazi amwazi ofiira omwe amapereka. Izi zitha kuwonjezera kuchuluka kwa maselo ofiira ofiira omwe ziwalo zanu zimafunikira.

Chiyembekezo cha kuchepa kwa magazi m'thupi mwa microcytic

Chithandizo chitha kukhala chosavuta ngati kuperewera kwa michere ndi komwe kumayambitsa kuchepa kwa magazi m'thupi mwa microcytic. Malingana ngati chomwe chimayambitsa kuchepa kwa magazi kumatha kuchiritsidwa, kuchepa kwa magazi kumatha kuchiritsidwa komanso kuchiritsidwa.

Nthawi zovuta kwambiri, kuchepa kwa magazi m'thupi mwa microcytic kumatha kukhala koopsa. Zimatha kuyambitsa minofu ya hypoxia. Apa ndipamene minofu imasowa mpweya. Zingayambitse zovuta monga:

  • kuthamanga kwa magazi, komwe kumatchedwanso hypotension
  • mitsempha yamitsempha yamavuto
  • mavuto m'mapapo mwanga
  • kugwedezeka

Zovuta izi ndizofala kwambiri kwa achikulire omwe ali ndi matenda am'mapapo kapena amtima.

Kupewa kuchepa kwa magazi m'thupi mwanu ndi zakudya zanu

Njira yabwino yopewera kuchepa kwa magazi m'thupi ndi kupeza chitsulo chokwanira pazakudya zanu. Kuchulukitsa kuchuluka kwa vitamini C kungathandizenso thupi lanu kuyamwa chitsulo.

Muthanso kuganizira zakumwa chitsulo chosungira tsiku ndi tsiku. Izi nthawi zambiri zimalimbikitsidwa ngati muli ndi vuto lakuchepa kwa magazi m'thupi. Muyenera nthawi zonse kulankhula ndi dokotala musanayambe kumwa chilichonse chowonjezera.

Muthanso kuyesa kupeza michere yambiri kudzera mu chakudya chanu.

Zakudya zokhala ndi chitsulo zambiri ndizo:

  • nyama yofiira ngati ng'ombe
  • nkhuku
  • masamba obiriwira
  • nyemba
  • zipatso zouma monga zoumba ndi apurikoti

Zakudya zokhala ndi vitamini C zambiri ndi izi:

  • zipatso za citrus, makamaka malalanje ndi zipatso zamphesa
  • kale
  • tsabola wofiira
  • Zipatso za Brussels
  • mabulosi
  • burokoli

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