Ua haʻahaʻa kou koko? E kamaʻilio kākou e pili ana i ka Megaloblastic Anemia!

Ke luhi mau nei ʻoe? Ke hiamoe nei ʻoe i ka lā a pau, a ke manaʻo nei kou kino ua make ʻoe e hana i kekahi mea? I kekahi manawa ua mae kou ʻili a ua pōkole iki kou hanu? Mai hoʻokuke wale i kēia mau mea me he mea maʻamau lā. He mau hōʻailona paha kēia o kahi pilikia me kou koko. I kēia lā e kamaʻilio mākou e pili ana i ka Megaloblastic Anemia , kahi ʻano e hoʻoulu ai i nā hōʻailona e like me kēia, ʻoiai inā nele ʻoe i ka huaora B12 a me ka huaora B9 (i ʻike ʻia hoʻi he folate).

He aha ka Anemia Megaloblastic?

I ka ʻōlelo maʻalahi, ʻo ka anemia megaloblastic kahi ʻano anemia e hoʻopilikia ai i nā hunaola koko ʻulaʻula i loko o ke koko. ʻO ka mea e hana ʻia ma kēia, ʻo ia ka nui o nā hunaola koko ʻulaʻula i hana ʻia i loko o ko kākou iwi iwi ma mua o ka maʻamau . ʻO ia ke kumu i kapa ʻia ai ʻo 'macrocytic anemia', ʻo ia hoʻi ka nele o nā hunaola koko nui .

ʻO ia hoʻi, he anemia nele i ka wikamina kēia. Hiki mai kēia ʻano ke loaʻa ʻole i ke kino nā meaʻai ʻelua , ka wikamina B12 a me ka wikamina B9 ( folate ) . Akā, mai hopohopo, hiki i nā kauka ke mālama i kēia ʻano ma ka hāʻawi ʻana i nā mea hoʻohui wikamina B12 a me B9.

Pehea ka hopena o ka anemia megaloblastic i ko mākou kino?

I kēia manawa, e nānā, pono ko kākou kino i kahi nui o nā hunaola koko ʻulaʻula olakino. No ka mea, ʻo kēia mau hunaola ʻulaʻula ka mea e lawe i ka oxygen mai nā māmā i nā ʻiʻo ma ke kino holoʻokoʻa, a lawe lākou i ke kalapona ʻokikene hoʻi. E like me nā hunaola koko ʻē aʻe, hoʻomaka nā hunaola koko ʻulaʻula ma ke ʻano he mau hunaola kumu i loko o ko kākou iwi iwi.

He mea nui ka wikamina B12 a me ka wikamina B9 no ka hoʻokumu pono ʻana o nā hunaola koko ʻulaʻula. Me ka ʻole o lākou, hana ko mākou kino i kahi ʻano hunaola ʻē i kapa ʻia ʻo megaloblasts .

E noʻonoʻo, ʻo kēia mau megaloblasts, nā pūnaewele e māhelehele a hoʻonui e like me nā pūnaewele olakino, ʻaʻole lākou e hana i nā mea hou. ʻO ia hoʻi, ua emi ka nui o nā hunaola koko ʻulaʻula i loko o ka iwi iwi. ʻO kekahi kumu, he nui loa kēia mau pūnaewele ʻē. Nui loa, ʻoiaʻiʻo, i kekahi manawa ʻaʻole hiki iā lākou ke puka i waho o ka iwi iwi a komo i loko o ka ʻōnaehana koko. Inā paha e hana lākou, make koke kēia mau pūnaewele ʻē ma mua o nā hunaola koko olakino. Ke hui pū ʻia kēia mau mea a pau, emi ka nui o nā hunaola koko ʻulaʻula i loko o ke kino, e hoʻoulu ai i ka anemia, ʻo ia hoʻi ka nele o ke koko.

He maʻi koʻikoʻi anei kēia?

ʻO kekahi kumu o ka anemia megaloblastic ka nele o ka wikamina B12. Inā ʻaʻole mālama ʻia, hiki i ka nele o ka wikamina B12 ke alakaʻi i nā pilikia neurological . Eia kekahi laʻana, ka nalowale o ka hoʻomanaʻo, ka nalowale o ke kaulike, a me ka ʻike ʻana i ka ʻūlū a i ʻole ka ʻūlū ʻana i nā lālā, i ʻike ʻia ʻo 'paresthesia'. No laila, ʻaʻole kēia he mea e lawe māmā ʻia.

Pehea ka maʻamau o kēia maʻi?

ʻAʻole he maʻi laha ʻole ka anemia megaloblastic, akā, ʻaʻole lawa ka ʻikepili a nā kauka e ʻōlelo pololei ai i ka nui o ka poʻe i loaʻa iā ia.

He aha ke kumu o ka anemia megaloblastic?

E like me ka mea i ʻōlelo ʻia ma mua, ʻo ke kumu nui o kēia, ʻaʻole lawa ka wikamina B12 a i ʻole ka wikamina B9 i ko kākou iwi e hana i nā hunaola koko ʻulaʻula olakino e lawe ana i ka oxygen ma ke kino holoʻokoʻa.

He aha nā kumu o ka nele o ka wikamina B12?

Loaʻa i kekahi poʻe ka nele o ka wikamina B12 no ka mea ʻaʻole lākou e ʻai i nā meaʻai waiwai i ka wikamina B12, e like me ka ʻiʻo, ka iʻa, nā hua manu, a me ka waiū. Loaʻa i kekahi poʻe ka pilikia o ka omo ʻana i ka wikamina B12, ma muli paha o kekahi mau kūlana olakino a i ʻole ma muli o nā lāʻau lapaʻau. ʻO ia mau kūlana:

• ʻO ka anemia pernicious: He maʻi autoimmune kēia e pale ai i ke kino mai ka omo ʻana i ka huaora B12 .
• ʻO Gastrectomy: He ʻoki kino kēia e wehe ai i kahi ʻāpana o ka ʻōpū. Hiki i kēia ke hoʻopilikia i ka omo ʻana o ka huaora B12.
• ʻO ka maʻi Zollinger-Ellison: He ʻano laha ʻole kēia e pale ai i ke kino mai ka omo ʻana i ka huaora B12.
• ʻO ka maʻi loop makapō: ʻO kēia ka wā e neʻe pono ʻole ai ka meaʻai a mākou e ʻeli ai ma o nā ʻōpū a paʻa i kahi hoʻokahi, kahi e ulu ai ka bacteria a hoʻopau i ka huaora B12.
• Ka hoʻouka ʻana o ka ilo lipine iʻa: Hiki ke loaʻa kēia maʻi ilo lipine ma ka ʻai ʻana i ka iʻa i moʻa ʻole ʻia a loaʻa i ka maʻi. Ola kēia mau ilo lipine ma ka omo ʻana i ka huaora B12.
• Ka lawa ʻole o ka pancreas: Ma kēia kūlana, ʻaʻole hiki i kou pancreas ke hana i nā enzyme digestive lawa e hoʻoheheʻe i ka meaʻai. ʻO ke ʻano kēia, ʻaʻole paha ʻoe e loaʻa ana i ka lawa o nā meaolaola āpau āu e pono ai, e like me nā huaora B12 a i ʻole B9.

He aha nā kumu o ka nele o ka wikamina B9 (folate)?

Hiki ke loaʻa ka hemahema o ka Vitamin B9 (folate) inā ʻaʻole mākou e hoʻokomo i nā mea kanu ʻōmaʻomaʻo, nā huaʻai, ka ʻiʻo, a me nā legume i kā mākou papaʻai o kēlā me kēia lā, a i ʻole nā ​​​​meaʻai i hoʻonui ʻia me ka waikawa folic. Aia kekahi mau kumu ʻē aʻe:

• Nā maʻi ʻōnaehana hoʻoheheʻe: Inā loaʻa iā ʻoe kahi maʻi e like me ka maʻi a Crohn a i ʻole ka maʻi celiac, ʻaʻole paha e hoʻopili pono kāu ʻōnaehana hoʻoheheʻe i ka waikawa folic.
• Ka inu nui ʻana i ka waiʻona : ʻO ka poʻe e inu nui ana i ka waiʻona, hoʻololi pinepine lākou i ka meaʻai me ka waiʻona. ʻO ka hopena, ʻaʻole lākou e loaʻa i ka lawa o ka folate.
• Ke kuke nui ʻana i kāu mau huaʻai a me nā mea kanu: Ke kuke nui ʻoe i nā huaʻai a me nā mea kanu, hiki i ka wela ke hoʻopau i ka folate i loaʻa maoli i loko o lākou.
• ʻAʻohe anemia hemolytic: He maʻi koko kēia kahi e luku ʻia ai kou mau hunaola koko ʻulaʻula a ʻaʻole hiki i kou iwi iwi ke hana hou iā lākou me ka wikiwiki.
• ʻO kekahi mau lāʻau lapaʻau: Kekahi mau lāʻau hopu a me nā ʻōpū ʻōpūʻO nā lāʻau lapaʻau i hāʻawi ʻia no ka ulcerative colitis e hoʻopilikia i ka hoʻopili kūpono ʻana o ka folate.
• Dialysis: ʻO ka poʻe ma ka dialysis i kekahi manawa ua emi ka makemake e ʻai ma muli o ka hāʻule ʻana o nā puʻupaʻa. Hiki i kēia ke hoʻopilikia i ka nui o ka wikamina B12 a lākou e loaʻa ai mai ka meaʻai. (Pono ʻoe e heluhelu e pili ana i ka B9 ma aneʻi, ʻoiai ʻo ka ʻatikala mua e ʻōlelo nei he B12, hiki nō hoʻi ke B9 ma muli o ka pōʻaiapili.)

He aha nā hōʻailona o ka anemia megaloblastic?

ʻO nā hōʻailona o ka anemia megaloblastic ua like ia me nā ʻano anemia ʻē aʻe:

• Luhi: Manaʻo nui ka luhi ʻaʻole hiki iā ʻoe ke hana i nā hana o kēlā me kēia lā.
• Nāwaliwali: Manaʻo me he mea lā ua make ke kino, ʻaʻole hiki ke neʻe a hana paha i kekahi mea.
• Keʻokeʻo: Lilo kou ʻili i ʻoi aku ka keʻokeʻo ma mua o ka maʻamau.
• Dyspnea: He manaʻo o ka hanu pōkole, ka paʻakikī i ka hanu hohonu.
• Pōniuniu a nāwaliwali paha: He manaʻo o ka wili ʻana a i ʻole ka nalowale ʻana o ka ʻike.

ʻO ka hemahema o ka Vitamin B12, ma ke ʻano nui, hiki ke hoʻopilikia i kou mau aʻalolo, e hana ana i nā hōʻailona e like me ka mae ʻana o kou mau lālā, ka nalowale o ka ʻike, a i ʻole ka nāwaliwali o nā ʻiʻo.

Pehea e hoʻomaopopo pono ai nā kauka i kēia?

Hoʻoponopono nā kauka i ka anemia megaloblastic ma ka nānā kino ʻana iā ʻoe a me ka nīnau ʻana iā ʻoe i nā nīnau e pili ana i kāu mau hōʻailona. Hiki iā lākou ke kauoha i nā hoʻokolohua koko, e like me:

• Helu koko piha (FBC): Nānā kēia hoʻokolohua i ka helu o kāu mau hunaola koko ʻulaʻula a me kā lākou hana.
• ʻO ka paʻi koko peripheral (PBS): Pili kēia i ka nānā ʻana i kāu mau hunaola koko ma lalo o kahi microscope. ʻOiai ua kālailai ʻia kekahi mau hoʻāʻo koko e kahi mīkini, i kēia hihia, nānā ke kauka i nā hunaola a hoʻoholo.
• Helu Reticulocyte: Ke ana kēia i ka helu o nā hunaola koko ʻulaʻula ʻōpiopio (reticulocytes) i loko o kou iwi iwi. Kōkua kēia i nā kauka e hoʻoholo inā lawa ka hana ʻana o kou iwi iwi i nā hunaola koko ʻulaʻula olakino.

Pehea e mālama ʻia ai kēia?

Hoʻōla nā kauka i ka anemia megaloblastic ma ka hāʻawi ʻana i nā mea hoʻohui huaora. E nānā i kēia:

• Lapaʻau no ka nele o ka Vitamin B12: Hiki i kāu kauka ke ʻōlelo aku i nā inikini vitamin B12 no kekahi mau pule a hiki i ka hoʻi ʻana o kāu pae vitamin B12 i ka maʻamau. Inā pilikia kou kino i ka hiki ke omo i ka B12 no kou nele i ka vitamin B12, pono paha ʻoe e lawe i nā inikini B12 i kēlā me kēia mau mahina no ke koena o kou ola. Eia kekahi, ʻo ka poʻe i nele i ka B12 ma muli o kahi kūlana i kapa ʻia ʻo pernicious anemia, pono paha lākou e lawe i nā mea hoʻohui B12 no ke koena o ko lākou ola.
• Lapaʻau no ka nele o ka Vitamin B9: Hiki i kāu kauka ke kuhikuhi i nā papa waikawa folic e hoʻoponopono i ka nele o ka vitamin B9. E nānā pū lākou i kāu mau pae vitamin B12 e hōʻoia i loko o nā palena maʻamau. ʻO kēia no ka mea i kekahi manawa hiki i nā mea hoʻohui vitamin B9 ke hōʻemi i nā hōʻailona o ka anemia megaloblastic a uhi i kahi nele o ka vitamin B12 (hiki ke hōʻino i nā aʻalolo).

Pehea e hiki ai iā kākou ke hōʻemi i ka pilikia o ka loaʻa ʻana o kēia maʻi?

Aia kekahi mau ala e hōʻemi ai i ka pilikia:

• E hoʻāʻo e ʻai i kahi papaʻai kaulike e hoʻoikaika i nā meaʻai i loaʻa ka wikamina B12 a me ka wikamina B9 .
• E kaupalena i kāu inu ʻana i ka waiʻona. ʻO ka inu ʻana i ka waiʻona i nā manawa a pau hiki ke hoʻopilikia i kāu ʻōnaehana hoʻoheheʻe a pale i kou kino mai ka omo ʻana i ka huaora B12.
• Inā loaʻa iā ʻoe kahi maʻi e pale ai iā ʻoe mai ka omo ʻana i kēia mau huaora, e hana pū me kāu kauka e mālama i kēlā ʻano.

Nā meaʻai me ka wikamina B12:

• Nā meaʻai holoholona: ʻO ka ʻiʻo ʻulaʻula, ka iʻa, ka moa, nā hua manu, ka waiū, a me nā huahana waiū ʻē aʻe he nui ka huaora B12.
• Nā meaʻai i hoʻoikaika ʻia: ʻO kēia nā meaʻai i hoʻoikaika ʻia me kekahi mau wikamina a me nā meaolaola ʻaʻole i loaʻa maoli. ʻO nā laʻana e komo pū me kekahi mau cereals ʻaina kakahiaka, ka hū meaʻai, kekahi mau waiū mea kanu, a me kekahi mau berena. He mea nui e nānā i ka lepili ʻikepili meaʻai ma ka ʻeke meaʻai e hōʻoia i ka hoʻoikaika ʻia ʻana o ka meaʻai me ka wikamina B12.

Nā meaʻai waiwai i ka wikamina B9 (folate):

• Nā huaʻai: Nā mea kanu ʻōmaʻomaʻo ʻeleʻele (e like me ka spinach, kale), ka pī, nā pī, a me nā legumes.
• Huaʻai: Nā hua citrus (e like me nā ʻalani a me nā tangerine).
• Nā meaʻai holoholona: akepaʻa, meaʻai kai, ʻiʻo a me ka moa.
• Nā hua manu a me nā meaʻai waiū.
• Nā meaʻai i hoʻoikaika ʻia: Aia kekahi mau berena, palaoa, pasta, laiki, a me nā cereals i ka waikawa folic. Eia kekahi, e nānā i ka lepili ma ka ʻeke meaʻai e hōʻoia i ka hoʻoikaika ʻia o ka meaʻai me ka huaora B9 (waikawa folic).

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka anemia megaloblastic?

Hoʻōla hou ka nui o ka poʻe mai ka anemia megaloblastic ma hope o ka lawe ʻana i nā mea hoʻohui huaora. E nānā pinepine kāu kauka i kāu mau pae huaora e hōʻoia i ka loaʻa ʻana o ka lawa o ka huaora B12 a me ka huaora B9. No ka laʻana, hiki iā ʻoe ke loaʻa nā hoʻāʻo koko i kekahi mau pule ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau e ʻike inā ua hoʻonui nā mea hoʻohui i kāu mau pae huaora B12 a/a i ʻole B9.

Pehea wau e mālama ai iaʻu iho?

Hiki iā ʻoe ke mālama iā ʻoe iho ma kēia ʻano:

• E lawe i nā mea hoʻopihapiha wikamina e like me ke kauoha a kāu kauka.
• E hoʻomohala i nā ʻano ʻai olakino e hōʻoia i ka loaʻa ʻana o ka nui o ka wikamina B12 a me ka wikamina B9.
• E mālama i kou olakino a e ʻike i ke kauka inā manaʻo ʻoe e loaʻa hou ana nā hōʻailona anemia.

E hoʻomanaʻo, inā loaʻa iā ʻoe ka anemia megaloblastic, ʻo ia hoʻi, ʻaʻole lawa ka nui o ka wikamina B12 a/a i ʻole ka wikamina B9. Kōkua kēia mau wikamina i kou kino e hana i nā hunaola koko ʻulaʻula olakino. Hana nā hunaola koko ʻulaʻula olakino i ka hana koʻikoʻi o ka lawe ʻana i ka oxygen ma loko o kou kino. ʻO ka mea pōmaikaʻi, hiki i nā kauka ke hoʻoponopono i kēia hemahema ma ka hāʻawi ʻana iā ʻoe i nā mea hoʻohui e hoʻonui i kāu pae wikamina B12 a me ka wikamina B9. Hiki iā ʻoe ke ʻai i kahi meaʻai momona i nā wikamina a nīnau i kāu kauka e pili ana i nā ala e hōʻoia ai e lawa ana kāu wikamina B12 a me ka wikamina B9.

Hōʻuluʻulu Manaʻo (Leka Lawe-Home)

ʻAe, e hōʻuluʻulu kākou i kā mākou i kamaʻilio ai i kēia lā. ʻO ka anemia Megaloblastic kahi kūlana kahi e hana ʻia ai nā hunaola koko ʻulaʻula nui a ʻano ʻē i loko o ka iwi iwi ke nele ke kino i ka huaora B12 a i ʻole ka huaora B9 (folate).

• ʻO nā hōʻailona nui ka luhi nui, ka nāwaliwali, ka ʻili keʻokeʻo, a me ka paʻakikī o ka hanu ʻana. Hiki i ka nele o ka B12 ke hoʻopilikia i ka ʻōnaehana nerve.
• ʻO ke kumu , ʻo ia ka nele o ka lawe pono ʻana i kēia mau wikamina mai ka meaʻai, a i ʻole kekahi kūlana olakino e pale ai i ke kino mai ka omo ʻana iā lākou.
• Ua ʻike ʻia ma o nā hoʻokolohua koko, ʻoiai hoʻi nā mea e like me CBC a me Peripheral Blood Smear.
• ʻO ka lāʻau lapaʻau e komo pū ana me ka huaora B12 a me nā mea hoʻopihapiha folic acid, kahi mea e pono ai i kekahi poʻe ke lawe i ka wā lōʻihi.
• ʻO ke ala maikaʻi loa e pale aku ai a mālama iā ia, ʻo ia ka ʻai ʻana i ka meaʻai kaulike i nā wikamina B12 a me B9, e hoʻēmi i ka waiʻona, a e mālama pono i nā maʻi kumu.

No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​he mea naʻauao ke ʻimi koke i ke aʻo lapaʻau. No ka mea, inā ʻike mua ʻia, ʻoi aku ka maʻalahi o ka mālama ʻana a ʻoi aku ka wikiwiki o ka hoʻōla ʻana.