Manaʻo nāwaliwali? Manaʻo haʻahaʻa i ke koko? He Macrocytic Anemia paha kēia!

Ke luhi mau nei ʻoe? Ke manaʻo nei ʻoe i kekahi manawa ʻaʻohe ou ikaika a paʻakikī iā ʻoe ke hanu? ʻAʻole paha he luhi wale nō kēia. Aia paha he pilikia liʻiliʻi me nā hunaola koko ʻulaʻula i loko o kou kino. I kēia lā, e kamaʻilio mākou e pili ana i kēia maʻi i kapa ʻia ʻo Macrocytic Anemia.

He aha ka Anemia Macrocytic?

I ka ʻōlelo maʻalahi, ʻo ka Macrocytic Anemia kahi maʻi koko kahi e hana ai kou iwi iwi i nā hunaola koko nui loa . E noʻonoʻo e like me nā kaʻa liʻiliʻi i loko o ko mākou kino e lawe ana i ka oxygen a puni. Akā, ua like kēia mau hunaola koko ʻulaʻula nui me nā kaʻa nui akā ʻaʻohe pono. ʻAʻohe o lākou i nā meaʻai e pono ai nā hunaola koko ʻulaʻula maʻamau e hana pono. ʻAʻole kēia he maʻi koʻikoʻi, akā inā ʻaʻole mālama pono ʻia, hiki iā ia ke alakaʻi i nā pilikia olakino koʻikoʻi. Ua maopopo iā ʻoe?

He aha nā ʻano nui o ka anemia macrocytic?

ʻElua ʻano nui o ka anemia macrocytic. Hana ʻia kēia mau mea ke nele kou kino i kekahi mau meaʻai. E nānā kākou i ke ʻano o lākou.

1. ʻO ka anemia macrocytic Megaloblastic

ʻO kēia ke ʻano maʻamau. Hana ʻia ia ke loaʻa ʻole iā ʻoe ka lawa o ka wikamina B12 a/a i ʻole ka wikamina B9 (folate). Me ka ʻole o kēia mau meaʻai, ʻaʻole hiki i kou iwi iwi ke hana i nā hunaola koko ʻulaʻula olakino. ʻO ia hoʻi, ʻaʻole hiki iā ia ke hana i nā hunaola e lawe ana i ka oxygen a puni kou kino. E noʻonoʻo e like me ke kanaka e hana ana me ka ʻole o ka meaʻai. ʻO ka mea ʻē aʻe, ʻo nā hunaola ʻē i hana ʻia ma kēia ʻano e make ma mua o nā hunaola maʻamau. No laila, emi ka helu o nā hunaola koko ʻulaʻula i loko o ke kino.

2. ʻAʻohe anemia macrocytic non-megaloblastic

Hiki ke ulu kēia ʻano inā loaʻa iā ʻoe nā pilikia olakino ʻē aʻe e hoʻopilikia ai i ka hiki o kou kino ke omo i nā meaʻai. ʻO ke ʻano kēia, ʻoiai inā ʻai maikaʻi ʻoe, ʻaʻole i loaʻa i kou kino nā meaʻai e pono ai. Hiki i kekahi mau maʻi ke hana i kēia.

Nā kūlana e hoʻoulu ai i ka anemia macrocytic non-megaloblastic

Aia kekahi mau kumu nui no kēia:

• ʻO ka maʻi Myelodysplastic: He hui maoli kēia o nā maʻi. ʻO ka mea e hana ʻia ma ʻaneʻi, aia kekahi mea hewa me kou iwi iwi a ʻaʻole hiki iā ia ke hana i nā hunaola koko olakino. Ua like ia me kahi mīkini haʻihaʻi i loko o kahi hale hana hiki ʻole ke hana i nā waiwai maikaʻi.
• Ka maʻi hoʻohana ʻona: Ke inu nui ʻoe i ka waiʻona, e pau ana kou kino i ka omo ʻana i ka huaora B12. He pilikia kēia no nā poʻe he nui. Manaʻo kekahi poʻe he maikaʻi ka inu ʻana i kahi liʻiliʻi, akā aia i ka wā e inu nui ai ʻoe e kū mai ai nā pilikia.
• ʻO ka hypothyroidism:He kūlana kēia e hoʻopilikia ai i ka hana o ke kelepa thyroid. ʻO kēia kelepa liʻiliʻi i loko o ko kākou ʻāʻī ke kāohi i nā hana he nui o ke kino. No laila, ke hana hewa ia, hiki ke loaʻa ka anemia e like me kēia.

No ke aha e loaʻa ai ka anemia macrocytic?

E like me kāu e ʻike ai, ʻo ke kumu nui o kēia kūlana ma muli o ka nele o ka wikamina B12 a/a i ʻole ka folate (vitamin B9), he mea nui ia no ka hana ʻana o nā hunaola koko ʻulaʻula olakino, a i ʻole nā ​​kūlana olakino ʻē aʻe e pale ai i ke kino mai ka omo ʻana i kēia mau meaolaola. I ka ʻōlelo maʻalahi, ʻaʻole lawa nā "mea hoʻohui" e hana ai i nā hunaola koko ʻulaʻula, a i ʻole ʻaʻole hiki i ke kino ke omo iā lākou.

Pehea e ʻike ai nā kauka i kēia?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻo ka mea mua a ke kauka a kahu maʻi paha e hana ai, ʻo ia ke nānā iā ʻoe a nīnau iā ʻoe e pili ana i kāu mau hōʻailona. E nīnau lākou iā ʻoe i ka lōʻihi o kou luhi ʻana, pehea kāu ʻai ʻana, a inā he mau maʻi ʻē aʻe kāu. A laila e kauoha paha lākou i nā hoʻāʻo koko, e like me:

• Helu koko piha (CBC): He hoʻāʻo koko maʻamau kēia i hana pinepine ʻia. Nānā ia i kāu helu koko ʻulaʻula, ka helu koko keʻokeʻo, a me ka helu platelet. Hiki iā ia ke nānā inā ua hoʻonui ʻia kāu mau koko koko ʻulaʻula i ka anemia macrocytic a me ko lākou pae hemoglobin.
• ʻO ka palaki koko peripheral (PBS): He hoʻāʻo kūikawā kēia. ʻAʻole e like me kekahi mau hoʻāʻo koko, lawe nā kauka i kahi hāpana o kou koko, hamo iā ia ma kahi slide aniani, hoʻoluʻu iā ia, a nānā iā ia ma lalo o kahi microscope e nānā i nā hunaola koko. ʻAe kēia iā lākou e ʻike i ke ʻano, ka nui, a me ke kala o nā hunaola. Hiki ke ʻike maopopo ʻia nā hunaola koko ʻulaʻula nui (macrocytes) .
• Helu Reticulocyte: He mau hunaola koko ʻulaʻula hou a ʻōpiopio nā Reticulocytes. Ua like lākou me nā hunaola "pēpē" i hana ʻia i loko o ka iwi iwi a laila hoʻokuʻu ʻia i loko o ke koko. Nānā kēia hoʻāʻo inā e hana ana kou iwi iwi i nā hunaola koko ʻulaʻula olakino. Hiki i kēia hoʻāʻo ke hāʻawi iā ʻoe i kahi manaʻo no ka maikaʻi o ka hana ʻana o kou iwi iwi i nā hunaola hou i ka pane ʻana i ka anemia.

Me kēia mau hoʻokolohua, hiki ke hana ʻia nā hoʻokolohua kaʻawale e nānā i nā pae huaora B12 a me ka folate, inā pono.

Pehea e mālama ʻia ai kēia?

Aia ka lāʻau lapaʻau i ke kumu nui o ke kūlana. E hoʻāʻo nā kauka e kōkua i kou iwi iwi e hana hou i nā hunaola koko ʻulaʻula olakino.

E noʻonoʻo, loaʻa iā ʻoe kēia maʻi no ka mea ʻaʻole ʻoe e ʻai pono ana, a no ka mea ʻaʻole nele kāu meaʻai i ka Vitamin B12 a i ʻole Folate.He hiki nō. Hiki i ka poʻe ʻai mea kanu he nui ke nele i ka wikamina B12, no ka mea, loaʻa nui ia i nā meaʻai holoholona. Inā pēlā, hiki i kāu kauka ke hāʻawi iā ʻoe i nā mea hoʻohui i loaʻa kēia meaʻai, ma ke ʻano o nā pila a i ʻole nā ​​inikini. Hiki ke ʻōlelo ʻia iā ʻoe e lawe i kēia mau mea hoʻohui a hiki i ka hōʻoia ʻana o nā hoʻokolohua koko e hana ana kou iwi iwi i nā ʻulaʻula koko olakino.

I kekahi manawa, ʻai maikaʻi ka poʻe, akā aia kahi pilikia e pale ai i ke kino mai ka omo ʻana i kēlā mau meaolaola . Eia kekahi laʻana, hiki ke hana ʻia kēia ma muli o kekahi mau pilikia ʻōpū. I ia mau hihia, hiki i ke kauka ke kuhikuhi i nā mea hoʻohui.

ʻO ka mea nui loa, ʻo ia ka mālama ʻana i ke kumu kumu.

Eia kekahi laʻana, loaʻa i kekahi poʻe nā maʻi olakino (e like me ka myelodysplastic syndrome) e pale ai i ke kino mai ka omo ʻana i nā meaolaola koʻikoʻi. I kēlā hihia, pono e mālama ʻia ke ʻano. Inā loaʻa iā ʻoe ka hypothyroidism, hiki i ka lawe ʻana i ka lāʻau lapaʻau no ia mea ke kōkua i kou anemia.

Nui ka poʻe e loaʻa i kēia anemia macrocytic no ka mea inu nui lākou i ka waiʻona. Inā pēlā, hiki i kāu kauka ke kuhikuhi iā ʻoe i ka lāʻau lapaʻau a me ke aʻo ʻana e kōkua iā ʻoe e kāohi i kāu hoʻohana ʻana i ka waiʻona. ʻAʻole maʻalahi kēia, akā hiki ke hana ʻia me ke kōkua.

Hiki ke pale ʻia kēia mai ka hana ʻana?

ʻOiai he nui nā kumu o ka anemia macrocytic, he mea paʻakikī iā mākou ke pale aku i kekahi mau kūlana olakino. Eia nō naʻe, inā ʻaʻohe ou kūlana olakino kūikawā, aia kekahi mau hana hiki iā ʻoe ke hana e hōʻemi, a pale aku paha, i kēia pilikia:

• E mālama i kou olakino holoʻokoʻa: Hiki ke maʻalahi nā hōʻailona o ka anemia macrocytic i ka wā mua, akā hiki ke ʻoi aku ka ʻino i ka hala ʻana o ka manawa. Inā ʻike ʻoe i kekahi mau loli i kou kino, e like me ka luhi nui, ka luhi, ka ʻeha o ka umauma, a i ʻole ka ʻili keʻokeʻo , e kamaʻilio koke me kāu kauka. Mai manaʻo wale ua "paʻahana loa ʻoe i kēia mau lā."
• E ʻai i ka meaʻai olakino: ʻO ka manawa pinepine, ʻo ke kumu nui o kēia ka loaʻa ʻole o ka lawa ʻana o ka wikamina B12 a me/a i ʻole ka folate. No laila, he mea nui loa ka ʻai ʻana i ka meaʻai kaulike a momona hoʻi.
• Nā meaʻai waiwai i ka wikamina B12: ʻiʻo, iʻa, hua manu, waiū a me nā huahana waiū (yogurt, tīhi).
• Nā meaʻai waiwai i ka folate: Nā mea kanu ʻōmaʻomaʻo, nā lau lau (spinach, kale, lettuce), pulses, beans, lentils, ʻalani, pīnati.

E hoʻāʻo e hoʻohui i kēia mau mea i kāu mau meaʻai.

He aha ka mea e hana ai inā loaʻa iaʻu ka Anemia Macrocytic?

Hoʻōla hou ka nui o ka poʻe mai kēia anemia macrocytic ma hope o ka lawe ʻana i nā mea hoʻohui huaora. ʻO ia hoʻi, maikaʻi ka hopena.Eia nō naʻe, ʻo ka wānana no kekahi me kahi maʻi olakino ma muli o ke ʻano olakino ma lalo a me ko lākou kūlana pilikino. E wehewehe kāu kauka i kēia iā ʻoe.

Pehea wau e mālama ai iaʻu iho?

Inā loaʻa iā ʻoe kēia ʻano, hiki iā ʻoe ke hana i kēia mau mea e mālama iā ʻoe iho:

• E lawe i nā mea hoʻohui i kuhikuhi ʻia e kāu kauka no ka lōʻihi o ka lāʻau lapaʻau. He mea nui loa kēia. Hoʻōki kekahi poʻe i ka lawe ʻana i kā lākou lāʻau lapaʻau ke manaʻo lākou ua ʻoi aku ka maikaʻi, no laila mai hana i kēlā.
• E hoʻomohala i nā ʻano ʻai olakino e hōʻoia i ka loaʻa ʻana o ka nui o ka huaora B12 a me ka folate. Hiki paha iā ʻoe ke ʻimi i ka ʻōlelo aʻo mai kahi meaʻai meaʻai.
• Inā manaʻo ʻoe e hoʻi mai ana kāu mau hōʻailona anemia (e laʻa, luhi hou, nāwaliwali), e ʻike koke i kāu kauka.
• Inā he pilikia ka hoʻohana ʻana i ka waiʻona, e ʻimi i ke kōkua e kaohi ai.

No laila, e like me kāu e ʻike ai, loaʻa i nā kānaka ka anemia macrocytic ke loaʻa ʻole iā lākou nā meaʻai lawa e kōkua ai i ko lākou kino e ulu i nā hunaola koko ʻulaʻula olakino. Hiki ke hana kēia i nā poʻe e hahai ana i kekahi mau meaʻai a i ʻole he mau kūlana olakino koʻikoʻi. E hoʻomanaʻo, ʻaʻole he kūlana koʻikoʻi ka anemia macrocytic, akā hiki ke alakaʻi i nā pilikia olakino koʻikoʻi inā waiho ʻole ʻia. Hiki i ka ʻai ʻana i kahi meaʻai olakino ke kōkua iā ʻoe e pale i kēia kūlana. Inā hopohopo ʻoe no kēia, e kamaʻilio me kāu kauka. Hiki iā ia ke loiloi i kou kūlana a ʻōlelo i nā ala e hoʻomaikaʻi ai i kāu meaʻai. Inā loaʻa iā ʻoe ka anemia macrocytic, e kuhikuhi paha kāu kauka i nā mea hoʻohui e kōkua i ka hoʻopiha hou ʻana i nā meaʻai i nele. E kōkua pū ʻo ia iā ʻoe e hoʻomohala i nā ʻano olakino.

Leka Hoʻihoʻi Hope Loa

• ʻO ka anemia macrocytic kahi ʻano i hana ʻia ai nā hunaola koko ʻulaʻula nui e ka iwi iwi.
• ʻO nā kumu nui o kēia ka nele o ka wikamina B12 a me/a i ʻole ka folate (vitamin B9) a i ʻole nā ​​​​pilikia e komo ai iā lākou.
• Hiki ke hana ʻia e nā kūlana e like me ka inu ʻona nui a me ka hypothyroidism.
• Inā ʻike ʻoe i nā hōʻailona e like me ka luhi pinepine, ka paʻakikī o ka hanu ʻana, a me ka ʻili keʻokeʻo, e ʻimi i ke kōkua lapaʻau.
• Hiki ke ho'ōla pinepine ʻia kēia maʻi me ka ʻai kūpono a me ka lawe ʻana i nā mea hoʻopihapiha i kauoha ʻia e ke kauka.
• Inā he pilikia olakino ma lalo , he mea nui e mālama ʻia.

E mālama i kou olakino, e ʻai i ka meaʻai kaulike, a mai poina e ʻike i ke kauka inā ʻike ʻoe i kekahi mea ʻokoʻa!

ʻAʻohe maʻi macrocytic, anemia, wikamina B12, folate, nā hunaola koko ʻulaʻula, iwi ʻiʻo, nele i ka meaʻai