He liʻiliʻi anei kou mau hunaola koko ʻulaʻula? E kamaʻilio kākou e pili ana i ka Microcytosis!

I kekahi manawa ke hana ʻia kahi hoʻāʻo koko, makaʻu iki ʻoe ke ʻike ʻoe i kekahi mau huaʻōlelo ma ka hōʻike, ʻeā? ʻO kekahi huaʻōlelo ʻo 'Microcytosis'. Akā, mai makaʻu, ʻaʻole kēia ka inoa o kahi maʻi koʻikoʻi. ʻO ia hoʻi, ua liʻiliʻi iki kou mau hunaola koko ʻulaʻula ma mua o ka maʻamau. I kēia lā, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī, me ka maʻalahi loa.

He aha ka Microcytosis?

I ka ʻōlelo maʻalahi, ʻo ka microcytosis ka wā e liʻiliʻi ai nā hunaola koko ʻulaʻula i loko o kou koko ma mua o ka maʻamau. ʻAʻole mākou e manaʻo he maʻi kēia, akā he ʻike i hiki ke ʻike ʻia ma hope o kahi hoʻāʻo koko. ʻO kēia ka mea hiki iā ʻoe ke ʻike maʻamau me ka helu koko piha (CBC). E noʻonoʻo iā ia e like me kahi hōʻike e hāʻawi ana i nā kikoʻī e pili ana i nā hunaola koko i loko o kou kino.

Aia kekahi waiwai ma kēia hōʻike `CBC`, i kapa ʻia ʻo `Mean Corpuscular Volume` (MCV) . Hoʻohana ʻia kēia waiwai `MCV` e ana i ka nui awelika o kāu mau hunaola koko ʻulaʻula. I ke ʻano o kahi pākeke, inā emi kēia waiwai `MCV` ma mua o 80 femtoliters `(80 fL)`, a laila ʻōlelo mākou he microcytosis.

I ka manawa pinepine, ʻo kēia kūlana i kapa ʻia ʻo microcytosis hiki ke lilo i hōʻailona o kahi ʻano anemia i kapa ʻia ʻo microcytic anemia . I loko o kēia anemia microcytic, aia ka nele o ka hemoglobin lawa i loko o nā hunaola koko ʻulaʻula. Ua ʻike anei ʻoe he protein koʻikoʻi loa ka hemoglobin e kōkua ana i kā mākou mau hunaola koko ʻulaʻula e lawe i ka oxygen ma ke kino holoʻokoʻa?

Pehea ka maʻamau o kēia ʻano?

ʻO kaʻoiaʻiʻo, ʻo kēia kūlana i kapa ʻia ʻo Microcytic Anemia he ʻano anemia maʻamau ia i ʻike ʻia i waena o nā pākeke a me nā keiki ʻōpio. No laila, he mea nui loa ka makaʻala i kēia.

He aha nā hōʻailona o ka Microcytosis?

ʻO ka hapa nui o ka manawa, ʻaʻohe hōʻailona kikoʻī. ʻO ka mea wale nō i ʻike ʻia ma ka hōʻike, ʻo ia ka haʻahaʻa o ka waiwai `MCV`.

Eia nō naʻe, inā ʻike ʻia nā hōʻailona, ​​ua like lākou me nā hōʻailona o ke ʻano Microcytic Anemia aʻu i ʻōlelo ai ma mua. ʻO lākou kēia:

• Luhi mau ka manaʻo. Me he mea lā ʻaʻohe ola o ke kino.
• ʻIli keʻokeʻo. I kekahi manawa e keʻokeʻo paha nā lehelehe a me ke alelo.
• Paʻakikī ka hanu ʻana. Hiki paha iā ʻoe ke nāwaliwali ʻoiai me ka hoʻoikaika iki ʻana.
• Piʻi ka helu o ka puʻuwai.
• He kūlana i kapa ʻia ʻo 'Pica'. Hana wale kēia ke kumu o ka microcytosis i ka nele o ka hao. ʻO 'Pica' ka makemake e ʻai i nā mea hiki ʻole ke ʻai ʻia e like me ka lepo, nā pahu hau, a me ka pālolo.

Ma waho aʻe o kēia mau hōʻailona, ​​​​hiki iā ʻoe ke ʻike i nā hōʻailona e pili ana i ke kumu kumu o ka microcytosis.

No ke aha e hana ai kēia microcytosis?

ʻO ke kumu maʻamau o ka microcytosis ʻaʻole lawa ka hao i loko o kou kino. Ua kapa ʻia kēia he anemia nele i ka hao . E hoʻomanaʻo, ua ʻōlelo au he mea nui ka hao no ka hana ʻana i ka hemoglobin.

Eia kekahi, ʻo nā kumu o ke kaiapuni, kekahi mau kūlana olakino (congenital a loaʻa), a me kekahi mau ʻano maʻamau hiki ke hana i ka microcytosis.

ʻO nā kumu nui o ka microcytosis:

• Ka nele i ka hao:
• ʻAʻole lawa ka hao mai ka meaʻai: I kekahi manawa, ʻaʻole lawa ka hao i ko mākou kino i ka meaʻai a mākou e ʻai ai. Pono ka poʻe ʻai mea kanu e makaʻala i kēia.
• Nā pilikia me ka omo ʻana o ka hao: E noʻonoʻo, ʻoiai inā ʻoe e ʻai i nā meaʻai i loaʻa ka hao, inā loaʻa iā ʻoe kahi maʻi e like me ka 'maʻi Celiac' a i ʻole kahi maʻi ʻōpū e like me ka 'maʻi H. pylori' , ʻaʻole hiki i ke kino ke omo pono i kēlā hao. Eia kekahi, hiki ke hana ʻia kēia maʻi ma hope o nā ʻoki kino e like me ka 'Gastric bypass surgery' no ka pohō kaumaha.
• Ka nele i ka hao ma muli o ke kahe ʻana o ke koko: No nā wahine, hiki i ke kahe nui o ka menstrual i ka wā menopause ke kumu o ka nele i ka hao. Eia kekahi, ʻo ke kahe ʻana o ka gastrointestinal (GI) ma muli o kahi ʻōpū ma ka ʻōpū a i ʻole nā ​​​​​​naʻau kekahi kumu.

• Thalassemia:
• He maʻi hoʻoilina kēia i hoʻoilina ʻia. Ma kēia ʻano, ʻaʻole hiki i ke kino ke hana pono i ka hemoglobin. Loaʻa paha i kahi kanaka me ka thalassemia kahi helu maʻamau a i ʻole ka nui o nā hunaola koko ʻulaʻula, akā haʻahaʻa ka nui o ka hemoglobin i loko o kēlā mau hunaola. Ua kapa ʻia kēia he hypochromic microcytosis . I kekahi mau ʻano akahai o ka thalassemia, ʻike wale ʻia ka microcytosis me ka ʻole o ka anemia.

• Anemia o ka maʻi mau:
• ʻO ka mumū i hoʻoulu ʻia e nā maʻi lōʻihi e like me nā maʻi autoimmune ( e.g. rheumatoid arthritis), nā maʻi maʻi mau, nā maʻi puʻupaʻa, a me ke kanesa hiki ke hoʻopilikia i ka hiki o ke kino ke hoʻohana i ka hao e hana i nā hunaola koko ʻulaʻula olakino.

Nā kumu maʻamau o ka microcytosis:

He emi iki kēia mau mea, akā maikaʻi ke ʻike:

• Nā kūlana hoʻoilina laha ʻole e hoʻopilikia ai i ka hana ʻana a me ka hana ʻana o nā hunaola koko ʻulaʻula.
• Nā hemahema o nā minelala (no ka laʻana, ka hemahema o ke keleawe).
• Ka lāʻau make kēpau.

Pehea e hoʻoholo ai inā he microcytosis kou?

E like me kaʻu i ʻōlelo ai ma mua, ʻaʻole ka microcytosis he inoa kūhelu no kahi maʻi. ʻO ia hoʻi, ua liʻiliʻi kou mau hunaola koko ʻulaʻula ma mua o ka maʻamau.

E noʻonoʻo kāu kauka i kāu mau hōʻailona, ​​kou makahiki, ke kāne, a me kou mōʻaukala olakino e hoʻoholo ai i ke kumu o kēia. No ka laʻana, inā he nui ke kahe koko i kou wā, hiki ke lilo i anemia nele i ka hao. A i ʻole, inā he thalassemia kekahi o kou ʻohana, hiki nō hoʻi ke lilo i kumu.

Hiki i ke kauka ke hana i nā hoʻokolohua hou aʻe e ʻike pono ai i ke kumu maoli.

He aha nā hoʻokolohua e hana ʻia nei no kēia?

Aia kekahi mau hoʻokolohua e hiki ke kōkua i ke kauka e ʻike i ke kumu o kēia ʻano:

• ʻO ka palaki koko peripheral: 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 hōʻoia inā he liʻiliʻi maoli kāu mau hunaola koko ʻulaʻula a inā he mau mea ʻē aʻe ko lākou. Inā he ʻokoʻa ka nui a me ke ʻano o kāu mau hunaola koko ʻulaʻula (Poikilocytosis), hiki ke lilo i hōʻailona i kekahi o nā maʻi e hoʻoulu ai i ka microcytosis.
• ʻO ka laulā o ka hoʻolaha ʻana o nā cell ʻulaʻula (RDW): Ke ana pū nei kēia i ka ʻokoʻa o ka nui o kāu mau cell koko ʻulaʻula. He waiwai kēia i loaʻa i ka hōʻike CBC. ʻO ka maʻamau, like ka nui o nā cell koko ʻulaʻula. Eia nō naʻe, inā he ʻokoʻa nui ka nui o nā cell (Anisocytosis), hiki iā ia ke hāʻawi i kahi manaʻo e pili ana i kekahi mau maʻi.
• Nā pae hao: ʻO nā pae hao haʻahaʻa i loko o ke koko he hōʻailona ia o ka anemia nele i ka hao.
• Nā pae Ferritin: He protein ka Ferritin e mālama i ka hao i loko o kā mākou mau cell. Ma ka nānā ʻana i kēia pae ferritin, hiki iā ʻoe ke ʻike i ka nui o ka hao i loaʻa i ke kino.
• Ka hiki ke hoʻopaʻa hao holoʻokoʻa (TIBC): ʻO kēia hoʻāʻo, ke hana ʻia me nā pae hao a me ka ferritin, hiki ke kōkua nui i ka ʻike ʻana i ka hemahema hao. Hiki iā ia ke kōkua i ka ʻike ʻana i ka anemia i hoʻokumu ʻia e nā maʻi mau a i ʻole ka mumū.

Ke hōʻoia ʻia ʻaʻohe hemahema hao, no ka ʻike pono inā he thalassemia ke kumu, pono e hana ʻia nā hoʻokolohua e like me ka hemoglobin electrophoresis a me nā hoʻokolohua genetic .

Pehea e mālama ʻia ai ka Microcytosis?

Aia ka lāʻau lapaʻau i ke kumu o kou helu haʻahaʻa o nā hunaola koko ʻulaʻula. I kekahi manawa, inā ʻaʻohe ou hōʻailona a ʻaʻole koʻikoʻi loa nā hopena o ka hoʻāʻo, ʻaʻole pono paha ka lāʻau lapaʻau.

Ma muli o ke kumu, hiki ke hana ʻia nā ʻano lapaʻau aʻe:

• Nā hoʻololi i ka ʻai: Hoʻohui i nā meaʻai waiwai i ka hao (e.g., iʻa, nā huahana soy (tofu), pi, pī, greens, huaʻai) i ka ʻai.
• Nā mea hoʻohui hao: Hāʻawi ʻia kēia mau mea i nā poʻe me ka anemia nele i ka hao.
• Hoʻoili koko: Hana ʻia kēia inā koʻikoʻi loa ka anemia.

ʻO ka mea nui loa, ʻo ia ka hahai pono ʻana i ka hoʻolālā lapaʻau a kāu kauka e hāʻawi ai e like me ka pilikia kumu.

Hiki ke hoʻohuli ʻia ka Microcytosis?

Aia nō hoʻi kēlā i ke kumu. I ka hapanui o nā hihia, e nalowale ka microcytosis ke mālama ʻia ke kūlana kumu. Hiki i kāu kauka ke haʻi iā ʻoe pehea e hoʻopilikia ai ka lāʻau i kāu mau hunaola koko a me ke olakino holoʻokoʻa.

He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia?

ʻAʻole pono ka lāʻau lapaʻau i nā kānaka a pau me ka microcytosis a i ʻole ka anemia microcytic. Eia nō naʻe, inā he maʻi koʻikoʻi kou e hoʻemi ana i kou mau koko koko ʻulaʻula, he mea nui e ʻike koke ʻia a mālama ʻia. E hahai i nā ʻōlelo a kāu kauka e pili ana i ka pono o ka lāʻau lapaʻau a me nā mea e manaʻo ai mai ka lāʻau lapaʻau.

He mea koʻikoʻi anei ka Microcytosis?

ʻO ka Microcytosis kekahi ʻano o kou mau hunaola koko ʻulaʻula. Hiki iā ia ke lilo i hōʻailona o kahi maʻi e pono ai ka mālama ʻana (me nā hōʻailona ʻē aʻe). Akā i ka hapa nui o ka manawa, ʻaʻole ia he mea koʻikoʻi, a he mea paha āu e ʻike ai ma ka hōʻike.

E haʻi aku kāu kauka iā ʻoe inā hōʻike kāu microcytosis i kahi kūlana e pono ai ka mālama ʻana.

He aha kaʻu e hana ai e hōʻemi i kēia pilikia?

ʻAʻole hiki ke pale aku i nā maʻi āpau e hiki ai ke hoʻopau i nā hunaola koko ʻulaʻula. Eia nō naʻe, hiki iā ʻoe ke hōʻemi i kou pilikia ma ka hahai ʻana i kekahi mau ʻano olakino.

ʻO ke kī i kēia, ʻo ia ka hōʻoia ʻana ua lawa ka hao mai kāu meaʻai. ʻO nā meaʻai waiwai i ka hao:

• Nā meaʻai kai e like me ka tuna a me ka mackerel
• Nā huahana i hana ʻia me ka soy (Tofu)
• Nā legumes e like me ka pī, nā pīni ʻōmaʻomaʻo, nā chickpeas, a me nā lentils
• Nā lau ʻōmaʻomaʻo ʻōmaʻomaʻo e like me ka spinach, kale, a me nā greens collard
• Nā hua e like me nā lā a me nā hua waina maloʻo
• ʻO nā ʻiʻo, ʻoi aku ka ʻiʻo ʻulaʻula (pipi, kao) a me ka moa

Eia kekahi, inā ua loaʻa iā ʻoe ke ʻoki bypass gastric a i ʻole he maʻi ʻē aʻe e hōʻemi ana i kou hiki ke omo i ka hao mai ka meaʻai, e kamaʻilio me kāu kauka e pili ana i nā mea hoʻohui hao āu e pono ai.

Inā loaʻa iā ʻoe kahi kūlana e hoʻoweliweli ai iā ʻoe no ka anemia, e like me ka thalassemia a i ʻole kahi maʻi autoimmune, e hahai i ka ʻōlelo aʻo a kāu kauka no ka hōʻemi ʻana i kou pilikia.

He aha kaʻu e nīnau aku ai i ke kauka?

Inā ʻike ʻoe he microcytosis kou, e hahai i nā ʻōlelo a kāu kauka e pili ana i ka mea e hana ai ma hope. Makemake paha ʻoe e nīnau i nā nīnau e like me:

• 'Pono anei au e hopohopo no koʻu MCV haʻahaʻa?'
• 'He aha nā hoʻokolohua ʻē aʻe e pono ai iaʻu e hana e ʻike ai i ke kumu o ka microcytosis?'
• 'Pono anei au i ka lāʻau lapaʻau?'
• 'He aha ke ʻano o nā hopena e pono iaʻu e manaʻo mai ka lāʻau lapaʻau?'
• 'He aha nā hoʻololi o ke ʻano o ka nohona e hiki iaʻu ke hana e hoʻohuli i kēia microcytosis?'

Aia kekahi pilina ma waena o ka microcytosis a me ke kanesa?

Hiki i ka Microcytosis ke lilo i hōʻailona o ke kanesa i kekahi manawa, akā he hōʻailona pinepine ia o nā maʻi ʻē aʻe. ʻO ka Microcytosis ka hapa nui o ka hōʻailona o ka nele i ka hao. ʻO ka mea nui, ʻaʻole e hopohopo a manaʻo he kanesa ia (a i ʻole kekahi mea ʻē aʻe) a hiki i kāu kauka ke wehewehe i ka mea e hana nei me kāu mau hoʻāʻo koko.

He mea maʻamau ke hopohopo ke ʻike ʻoe i kahi hopena ʻē ma kahi hoʻokolohua lapaʻau. Eia nō naʻe, ʻo ka loaʻa ʻana o nā pae ʻē ʻole, ʻaʻole ia he manaʻo ua maʻi ʻoe a pono paha i ka mālama ʻana. ʻO nā waiwai e like me ka "MCV" he ʻike wale nō ia e kōkua i kāu kauka e hoʻomaopopo i kou olakino holoʻokoʻa. E noi i kāu kauka no ke alakaʻi ʻana pehea e hoʻopilikia ai nā hopena o kāu hoʻokolohua i kāu mālama ʻana i ka wā e hiki mai ana.

No laila, he aha nā mea e pono ai kākou e hoʻomanaʻo mai kēia mau mea a pau?

ʻAe, e nānā wale kākou i kekahi o nā mea nui e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:

• ʻAʻole he maʻi ka microcytosis, ʻo ia hoʻi ke ʻano he liʻiliʻi kou mau keʻena koko ʻulaʻula ma mua o ka maʻamau.
• Hoʻomaopopo pinepine ʻia kēia me ka "CBC" (helu koko piha).
• ʻO ke kumu maʻamau ka nele i ka hao, akā hiki ke loaʻa nā kumu ʻē aʻe, e like me ka thalassemia a me nā maʻi maʻi mau.
• ʻAʻole hōʻike ka nui o ka poʻe i nā hōʻailona. Inā hōʻike lākou, e ʻike paha lākou i ka luhi, ka mae, a me ka paʻakikī o ka hanu ʻana.
• E hana ke kauka i nā hoʻokolohua hou aʻe e ʻike ai i ke kumu.
• Aia ka lāʻau lapaʻau ma muli o ke kumu. I kekahi manawa, ʻaʻole pono iki ka lāʻau lapaʻau.
• Mai hopohopo! Inā ʻike ʻoe ua haʻahaʻa kāu MCV, e kamaʻilio me kāu kauka e ʻike pono i ke kumu a me ka mea e hana ai.
• He mea nui e mālama i ka papaʻai olakino, ʻoiai ka ʻai ʻana i nā meaʻai waiwai i ka hao.

E hoʻomanaʻo, no ka ʻike wale nō kēia ʻike, ʻaʻole e hoʻoweliweli iā ʻoe e manaʻo he maʻi kou. Inā he kānalua a nīnau paha kāu, ʻoi aku ka maikaʻi o ke kipa ʻana i ke kauka no ka ʻōlelo aʻo.

`Microcytosis, Nā hunaola koko ʻulaʻula, Anemia, Ka nele i ka hao, Hemoglobin, MCV