He liʻiliʻi anei kou mau hunaola koko ʻulaʻula? Ua kapa ʻia kēia he anemia microcytic!

Ke luhi pinepine nei ʻoe, palaualelo, a poniuniu paha i ke kū ʻana? Ke nānā aku nei kou ʻili i kekahi manawa i kahi keʻokeʻo iki ma mua o ka maʻamau ke nānā ʻoe i ke aniani? Mai hoʻokuke aku i kēia mau mea me he maʻi kino wale nō. No ka mea, he mau hōʻailona paha kēia o kahi pilikia me kāu mau hunaola koko ʻulaʻula. ʻĀ, ʻo kahi kūlana i ʻike ʻia e ka nui o kākou, akā ʻaʻole ʻike, ua kapa ʻia ʻo Microcytic Anemia .

He aha ka Anemia Microcytic?

I ka ʻōlelo maʻalahi, ʻo ka anemia microcytic ka wā e liʻiliʻi ai kāu mau hunaola koko ʻulaʻula ma mua o ka maʻamau. No ke aha e hana ai kēia? ʻO ke kumu nui, ua emi ka protein i loko o kēia mau hunaola koko ʻulaʻula i kapa ʻia ʻo hemoglobin . E noʻonoʻo penei: ua like ka hemoglobin me kahi kaʻa e lawe ana i ka oxygen ma o ko mākou kino. No laila, ke emi kēia kaʻa, ʻaʻole hiki i nā hunaola koko ʻulaʻula ke lawe pono i ka oxygen. Pēlā nō, ke emi ka hemoglobin, emi pū ke kala o nā hunaola koko ʻulaʻula, ʻo ia hoʻi, lilo lākou i hypochromic . ʻO ka hapa nui o ka manawa, he melemele ke kala o nā hunaola koko ʻulaʻula o ka poʻe me ka anemia microcytic.

I kekahi manawa, manaʻo nā kauka he maʻi ia, a he hōʻailona hoʻi o nā anemia ʻē aʻe a me nā maʻi koko. Hoʻōla ʻia ia ma ka ʻimi ʻana i ke kumu a me ka mālama ʻana i kēlā kumu.

He aha nā hōʻailona o ka anemia microcytic?

Inā loaʻa iā ʻoe kēia maʻi, hiki iā ʻoe ke ʻike i nā ʻano hōʻailona like ʻole. ʻAʻole e ʻike like nā kānaka a pau iā lākou. Eia naʻe, ʻo nā hōʻailona maʻamau:

• Ke luhi nei a me ke ola ʻole i nā manawa a pau, me he mea lā ua hana ʻoe i ka lā a pau.
• Pōniuniu, he manaʻo e milo ana.
• ʻIli keʻokeʻo. E māmā paha kou ʻili ma mua o ka maʻamau.
• Manaʻo e kuʻi wikiwiki ana kou puʻuwai.
• Paʻakikī ka hanu ʻana, e like me ka māʻule ʻana. ʻOiai ka hana ʻana i kahi mea liʻiliʻi loa e hoʻonāwaliwali iā ʻoe.
• ʻIli maloʻo.
• ʻEha maʻalahi ka ʻili. Lilo ia i polū ʻoiai me ka hahau iki ʻana.

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No ke aha e loaʻa ai kēia anemia microcytic?

ʻO ke kumu nui a maʻamau o kēia, ʻo ia ka nele i ka hao . Ua ʻike anei ʻoe he mea nui ka hao no ka hana ʻana o ka hemoglobin i loko o ko kākou mau ʻulaʻula koko? No laila, inā ʻaʻole lawa ka hao, ʻaʻole i hana ʻia ka hemoglobin a emi nā ʻulaʻula koko. I kekahi manawa, hiki i nā kumu hoʻoilina ke hoʻopilikia i ka ulu ʻana o nā ʻulaʻula koko.

I kēia manawa, e kamaʻilio kikoʻī kākou e pili ana i kekahi o nā kumu nui e hoʻopilikia ai i kēia:

• ʻAneemia nele i ka hao (IDA): ʻO kēia ka anemia microcytic hypochromic.ʻO ke kumu maʻamau o ka (microcytic hypochromic anemia) ʻo ia ke kahe nui ʻana o ke koko (no ka laʻana, ke kahe nui ʻana o ke koko i ka wā o ka menstruation i nā wahine, a i ʻole ke kahe ʻana o ke koko ma muli o kahi ʻōpū liʻiliʻi) a i ʻole ma muli o ka loaʻa ʻole o ka hao lawa mai ka meaʻai a mākou e ʻai ai. E noʻonoʻo, i kekahi manawa i loko o ko mākou mau home, ʻaʻole ʻai pono kekahi poʻe i nā mea kanu, ka ʻiʻo a me ka iʻa. A i ʻole, ke lawe mākou i nā mea e like me ke kī waiū me ka meaʻai, emi ka hao o ke kino. A laila loaʻa paha iā mākou ka nele i ka hao.
• Thalassemias: He mau maʻi koko genetic kēia e hoʻopilikia ai i ka hiki o ke kino ke hana i ka hemoglobin a me nā hunaola koko ʻulaʻula. He ʻano kēia i ʻike ʻia i kekahi ʻano ma ko mākou ʻāina.
• ʻAnemia o ka maʻi mau: Hiki ke ulu kēia ʻano anemia inā loaʻa iā ʻoe kahi maʻi olakino lōʻihi e hoʻoulu ai i ka mumū i loko o kou kino. ʻO ia hoʻi, ʻaʻole hiki i kou kino ke hoʻohana i ka hao i loaʻa iā ia. ʻO nā laʻana e komo pū me nā maʻi mau, nā maʻi autoimmune (e like me ka rheumatoid arthritis, lupus), a me ke kanesa.
• ʻO ka anemia sideroblastic: He maʻi koko kakaikahi loa kēia. ʻO ke ʻano kēia, ʻaʻole hiki i kou iwi iwi ke hana i nā hunaola koko ʻulaʻula maʻamau. ʻO ke ʻano kēia, ʻoiai inā he hao kou, ʻaʻole hiki ke hoʻohana ʻia e hana i ka hemoglobin.
• ʻAi ʻona kēpau: Hiki ke hana ʻia ka anemia microcytic e ka lōʻihi o ka hoʻopili ʻana i ke kēpau. I ka wā ma mua, ua loaʻa ke kēpau i nā pena a me kekahi mau mea pāʻani. I kēia manawa he nui nā kānāwai e pili ana i ia mea, akā hiki nō ke loaʻa ke kēpau i ke kaiapuni.

Ma waho aʻe o kēia, aia paha nā kumu ʻē aʻe:

• ʻAʻole lawa ka loaʻa ʻana o ke keleawe mai ka meaʻai. Kōkua pū ke keleawe i ka metabolism hao.
• ʻO ka loaʻa ʻana o ka zinc nui loa mai ka meaʻai a i ʻole nā ​​​​mea hoʻohui. ʻO ka lawe ʻana i ka zinc nui loa e hōʻemi i ka hiki o ke kino ke omo i ka hao.
• ʻO kekahi mau lāʻau lapaʻau (ʻoi aku hoʻi nā mea i lawe ʻia ma ke ʻōlelo aʻoaʻo a ke kauka).
• Ka inu nui ʻana i ka waiʻona . Hiki i ka waiʻona ke hana i nā hemahema meaʻai.

He aha nā maʻi mumū e hoʻoulu ai i ka anemia microcytic?

Aia kekahi mau kūlana e hoʻoulu ai i ka mumū i loko o ke kino. Inā he mumū lōʻihi , hiki iā ia ke hoʻopilikia i ka hana ʻana o nā hunaola koko ʻulaʻula, a hiki ke alakaʻi i ka anemia microcytic. Eia kekahi laʻana:

• Nā kūlana autoimmune:ʻO kēia nā maʻi e hoʻouka ai ko kākou ʻōnaehana pale ponoʻī i ko kākou mau hunaola ponoʻī. ʻO nā laʻana e komo pū me ka maʻi mumū o ka ʻōpū (e like me ka maʻi Crohn a me ka ulcerative colitis), ka rheumatoid arthritis, a me ka lupus.
• Ka maʻi ʻaʻai
• Maʻi puʻupaʻa mau loa
• Nā maʻi maʻi mau ( e like me ka maʻi puʻupuʻu)

Hiki i kēia ke hana i kēia kūlana.

Pehea e ʻike ʻia ai ka anemia microcytic?

Hana nui nā kauka i kekahi mau hoʻāʻo koko e ʻike ai i kēia maʻi:

• Helu koko piha (CBC): Hāʻawi kēia hoʻokolohua i nā kauka i ka ʻike koʻikoʻi e pili ana i kou pae hemoglobin, ka helu o nā ʻulaʻula koko, a ʻo ka mea nui loa, ka nui o kou mau ʻulaʻula koko. Inā emi kou MCV (Mean Corpuscular Value) ma mua o 80 femtoliters (80 fL), ʻo ia hoʻi he microcytosis kou (nā ʻulaʻula koko liʻiliʻi).
• ʻO ka palaki koko peripheral (PBS): Pili kēia i ka lawe ʻana i kahi hāpana o kou koko a nānā iā ia ma lalo o kahi microscope. Hiki i kēia ke kōkua i ka ʻike ʻana inā ʻoi aku ka liʻiliʻi o kāu mau hunaola koko ʻulaʻula ma mua o ka maʻamau (microcytosis) a i ʻole ka palale (hypochromic) . Hiki nō hoʻi ke kōkua i ka ʻike ʻana inā he mau loli i ke ʻano o kāu mau hunaola koko ʻulaʻula.
• Nā haʻawina hao: Hana ʻia kēia mau hoʻokolohua e ʻike pehea e mālama ai kou kino a hoʻohana i ka hao. ʻO ka hoʻāʻo Ferritin ( nāna e haʻi iā ʻoe i ka nui o ka hao i loko o kou kino) a me ka hoʻāʻo holoʻokoʻa hao-nakinaki (TIBC) he mau hoʻokolohua e hiki ke kōkua me kēia.

Ma hope o ka nānā ʻana i ka anemia microcytic, hiki i ke kauka ke hana i nā hoʻokolohua hou aʻe (e like me ka hoʻāʻo ʻana i ka stool, endoscopy) e hoʻoholo ai i ke kumu pololei.

Pehea e mālama ʻia ai ka anemia microcytic?

Hoʻōla ʻia kēia ma ka mālama ʻana i ke kumu kumu . ʻO ia hoʻi, ua loaʻa a mālama ʻia ke kumu mua i hoʻokumu ai i kēia mau hōʻailona.

Eia kekahi laʻana, inā loaʻa iā ʻoe ka anemia nele i ka hao, hiki i kāu kauka ke hāʻawi iā ʻoe i nā mea hoʻohui hao . Pono e lawe ʻia kēia mau mea no kekahi mau mahina. I kekahi manawa, inā paʻakikī ke ʻae i nā pila (e like me ka ʻeha o ka ʻōpū a i ʻole ka constipation), a inā ʻaʻole e omo pono kou kino i ka hao (e like me kekahi mau maʻi ʻōpū), hiki ke hāʻawi ʻia iā ʻoe nā infusions hao, kahi wai i loaʻa ka hao, ma o kahi aa koko . Hiki i kēia ke hoʻihoʻi koke i kāu mau pae hao.

Inā ua nalowale koke ʻoe i ka nui o ke koko, ua hāʻule nui kou pae hemoglobin, a ua anemia loa ʻoe, pono paha ʻoe e hana iPono paha ka hoʻoili koko.

Inā hoʻokumu ʻia ka anemia microcytic e kahi maʻi mau, hoʻopau pinepine ʻia ka anemia ke mālama ʻia kēlā maʻi. No nā kūlana genetic e like me ka thalassemia, ʻokoʻa paha ka hoʻokele ʻana, a pono paha ka mālama lōʻihi.

Hiki ke pale ʻia ka anemia microcytic?

ʻO kaʻoiaʻiʻo, loaʻa ka anemia microcytic i ka wā e hoʻopilikia ai kekahi mea i ka hiki o kou kino ke hana i nā hunaola koko ʻulaʻula olakino. No laila, i kekahi manawa ʻaʻole hiki iā mākou ke kāohi i kēlā mau mea.

Eia kekahi laʻana, ʻo ka nele i ka hao kahi kumu maʻamau. I kekahi mau hihia, ʻo ka ʻai ʻana i kahi meaʻai waiwai i ka hao (pipi, moa, iʻa, hua manu, lentil, pīni ʻōmaʻomaʻo, pi, pi maloʻo a me nā pīni, nā lau ʻōmaʻomaʻo ʻeleʻele e like me ka spinach, kale, collard greens, dates, a me nā hua waina maloʻo) hiki ke kōkua i ka pale ʻana i ka anemia nele i ka hao. Eia kekahi, ʻo ka ʻai ʻana i nā meaʻai waiwai i ka wikamina C (e like me nā lemona, ʻalani, tangerines, a me guava) me nā meaʻai waiwai i ka hao hiki ke kōkua i ka hoʻonui ʻana i ka omo ʻana o ka hao. Eia naʻe, i kekahi manawa, hiki i nā kūlana olakino i hiki ʻole iā mākou ke kaohi ke hoʻopilikia i ka hiki o ke kino ke omo i ka hao a hana paha i nā ʻulaʻula koko. Nui ka hilinaʻi i kou kūlana pilikino .

He aha ka mea e hana ʻia inā kū kēia kūlana?

ʻO ke ʻano o kēia hopena iā ʻoe ma muli o ke kumu o ka anemia microcytic. I kekahi manawa, hiki ke lilo i hōʻailona o kahi maʻi koʻikoʻi e pono ai ka mālama ʻana i ke ola holoʻokoʻa (e like me ka thalassemia). I kekahi manawa, hiki ke lilo i manawa pōkole . Hiki ke ho'ōla loa ʻia me kahi mea maʻalahi e like me ka lawe ʻana i kekahi mau pila hao.

Ke ʻike ke kauka i ke kumu, e wehewehe ʻo ia iā ʻoe pehea e pili ai i kou olakino. Inā he kānalua a hopohopo paha ʻoe e loaʻa paha iā ʻoe kahi maʻi koʻikoʻi, ʻo kāu kauka ke kanaka maikaʻi loa e ʻike pono ai. E hāʻawi ʻo ia iā ʻoe i ke kākoʻo a me ke alakaʻi āu e pono ai.

Pehea wau e mālama ai iaʻu iho?

Inā loaʻa iā ʻoe ka anemia microcytic, ʻo ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke hahai pololei i ka lāʻau a me nā kuhikuhi a kāu kauka. He mea nui e lawe i kāu lāʻau lapaʻau i ka manawa kūpono a mālama i nā manawa i koho ʻia e kāu kauka. Eia kekahi, hiki i kēia mau mea ke kōkua:

• E ʻai i ka meaʻai waiwai i ka hao (ʻo nā koho maikaʻi he pipi, moa, iʻa, hua manu, lentil, pīni ʻōmaʻomaʻo, pi, pī, broccoli, a me nā lau ʻai ʻōmaʻomaʻo ʻeleʻele).
• E hoʻāʻo e loaʻa ka lawa o ka hiamoe . ʻO ka luhi kahi hōʻailona nui o kēia maʻi, no laila he mea nui ka hoʻomaha.
• E inu i ka wai he nui i ʻole e maloʻo kou kino.
• E holoi pinepine i kou mau lima a e hana i kāu mea maikaʻi loa e pale aku i nā maʻi , no ka mea, hoʻonui ka anemia i kou pilikia o ka maʻi.
• E hōʻemi a hoʻōki loa paha i ka inu ʻana i ka waiʻona .

ʻO ka mea nui loa:Ma mua o ka hana ʻana i kekahi mau hoʻololi nui - no ka laʻana, e hoʻomaka ana e lawe i nā pila hao i kēlā me kēia lā (me ka ʻole o ke aʻo lapaʻau) - e ʻike pono i ke kauka no ka ʻōlelo aʻo. Hiki iā ia ke alakaʻi iā ʻoe i nā ala palekana a maikaʻi loa e maʻalahi ai ka noho ʻana me ka anemia microcytic.

Āhea wau e ʻike ai i ke kauka?

Hiki ke ulu mālie nā hōʻailona o nā kūlana e hoʻoulu ai i ka anemia microcytic i ka hala ʻana o ka manawa. ʻAʻole paha ʻoe e ʻike koke i kekahi mau loli i kou kino. No laila he mea nui e makaʻala i kou olakino a kamaʻilio me kāu kauka inā ʻike ʻoe i kekahi mau loli (e.g., luhi ʻē, ʻili keʻokeʻo, paʻakikī ka hanu ʻana).

ʻAʻole hiki ke hoʻopilikia ʻia ka anemia microcytic, a i ʻole he hōʻailona ia o kahi maʻi e hiki ai ke hoʻopilikia i ke olakino koʻikoʻi inā ʻaʻole mālama ʻia. ʻOi aku ka maikaʻi o ke ʻike ʻana i ke kauka e ʻike pono i ke kumu o kāu mau hōʻailona. ʻO ka wā mua āu e ʻike ai, ʻoi aku ka maʻalahi o ka mālama ʻana.

He aha kaʻu e nīnau aku ai i ke kauka?

Inā ua ʻike ʻia ʻoe he anemia microcytic, he mea maʻamau ka loaʻa ʻana o kekahi mau nīnau. Mai makaʻu, e nīnau i kāu kauka e pili ana i kēia mau mea:

• He aha ke kumu o koʻu kūlana?
• Pehea ke koʻikoʻi o koʻu anemia microcytic? (Pehea koʻu pae hemoglobin?)
• He aha nā lāʻau lapaʻau āu e manaʻo ai?
• ʻEhia ka lōʻihi e pono ai iaʻu e mālama ʻia?
• He aha nā hopena ʻaoʻao e hiki ke manaʻo ʻia mai nā lāʻau lapaʻau? He aha ka mea e hiki ke hana ʻia e pili ana iā lākou?
• Hiki ke hoʻohuli ʻia (hoʻōla loa ʻia) koʻu anemia microcytic?
• Pehea ka lōʻihi e pono ai iaʻu e hoʻomaikaʻi a e emi iho koʻu mau hōʻailona?
• He aha nā hoʻololi e pono iaʻu e hana i kaʻu papaʻai?
• He aha nā ʻano mea e pono iaʻu e makaʻala ai?

Ua ʻike ka poʻe he nui he anemia microcytic ko lākou ma hope o kahi hoʻāʻo koko maʻamau a i ʻole ma muli o nā hōʻailona. He mea maʻamau ka hopohopo a me ka makaʻu ke loaʻa iā ʻoe kahi hopena e like me kēia. Akā e hoʻomanaʻo, ʻo kēia ka hana mua i ka hoʻoponopono ʻana i ka pilikia olakino i hoʻokumu i ka anemia microcytic. ʻO ka hemahema hao ke kumu pinepine. Akā hiki ke nui nā kumu. E hōʻoia e nīnau i kāu kauka i ke ʻano o kāu mau hopena hoʻāʻo a me nā hana āu e hana ai ma hope.

Leka Hoʻihoʻi Hope Loa

No laila, ʻo ka Microcytic Anemia ka wā e liʻiliʻi ai ko kākou mau hunaola koko ʻulaʻula. ʻO ke kumu nui o kēia ka emi ʻana o ka hemoglobin. ʻO ka hemahema o ka hao ke kumu maʻamau. Eia nō naʻe, hiki ke loaʻa nā kumu ʻē aʻe e like me Thalassemias, ka mumū i hoʻokumu ʻia e nā maʻi mau.

Inā loaʻa iā ʻoe nā hōʻailona e like me ka luhi, ka poniuniu, ka ʻili keʻokeʻo, a i ʻole ka luhi, pono ʻoe e ʻike i ke kauka. Hiki ke ʻike ʻia kēia me nā hoʻāʻo koko e like me CBC a me PBS. Aia ka lāʻau lapaʻau i ke kumu kumu.

Mai hopohopo, hiki ke mālama maikaʻi ʻia kēia maʻi inā ʻike ʻia a mālama pono ʻia. He mea nui e hahai i nā ʻōlelo a kāu kauka, e ʻai i ka meaʻai kaulike i waiwai i ka hao, a e hoʻomaʻamaʻa i nā ʻano olakino maikaʻi . Inā he mau nīnau a hopohopo paha kāu, e kamaʻilio me kāu kauka. He waiwai kou olakino!