ʻOi aku ka nui o kou mau hunaola koko ʻulaʻula ma mua o ka maʻamau? E aʻo kākou e pili ana i ka Macrocytosis!

Ua nānā paha ʻoe i kahi hōʻike Helu Koko Piha a noʻonoʻo e pili ana i kekahi o nā waiwai i loko? Ua ʻōlelo paha kāu kauka, "He ʻano nui iki kou mau keʻena koko ʻulaʻula." ʻO ia ka mea a mākou e kapa nei he Macrocytosis ma ke ʻano lapaʻau. ʻAʻole ia he maʻi ponoʻī. Akā he hōʻailona koʻikoʻi ia e hewa ana kekahi mea me ko mākou kino. Inā ʻoe e hoʻowahāwahā iā ia, hiki iā ʻoe ke ulu a lilo i anemia koʻikoʻi i kapa ʻia ʻo ka anemia macrocytic. No laila, mai hopohopo. E kamaʻilio kākou e pili ana i nā mea āpau me ka maopopo a me ka maʻalahi.

He aha maoli ka Macrocytosis?

I ka ʻōlelo maʻalahi, ʻo Macrocytosis ka wā e ʻoi aku ka nui o nā hunaola koko ʻulaʻula i loko o kou koko ma mua o ka maʻamau. I kekahi manawa ua kapa ʻia kēia he megalocytosis a i ʻole macrocythemia. Ke loaʻa iā ʻoe kahi helu koko piha, e haʻi ka hōʻike iā ʻoe i ka nui o kāu mau hunaola koko ʻulaʻula. ʻElua mau waiwai nui a ke kauka e nānā ai i ka wā e kānalua ai lākou i kēia kūlana: 1. MCV (Mean Corpuscular Volume): ʻO kēia ka awelika o ka nui o kāu mau hunaola koko ʻulaʻula. 2. MCH (Mean Corpuscular Hemoglobin): ʻO kēia ka nui o ka hemoglobin i loko o kahi hunaola koko ʻulaʻula. Inā ʻoi aku ke kiʻekiʻe o kekahi a i ʻole ʻelua o kēia mau waiwai ma mua o ka maʻamau, he hōʻailona maikaʻi ia e loaʻa paha iā ʻoe ka Macrocytosis.

He aha nā hōʻailona o kēia maʻi?

I ka hapa nui o ka manawa, lohi loa ka ulu ʻana o ka anemia e hele mai me ka Macrocytosis i loko o ke kino. No laila, ʻaʻole hōʻike ke ʻano i nā hōʻailona nui a hiki i ka wā e ʻoi aku ka koʻikoʻi. Eia nō naʻe, i ka wā e ʻoi aku ka koʻikoʻi o ke ʻano, hiki ke ʻike ʻia kekahi o nā hōʻailona ma lalo nei.

He aha nā kumu o ka macrocytosis?

E like me kā mākou i ʻōlelo ai ma mua, ʻaʻole he maʻi hoʻokahi ka Macrocytosis. He hopena ia o kahi pilikia olakino ʻē aʻe. E nānā kākou i nā kumu nui e hoʻopilikia ai iā ia. Eia kekahi, hiki ke lilo i hopena ʻaoʻao o kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i nā kūlana e like me ke kanesa, nā hopu ʻana, a i ʻole nā ​​​​maʻi autoimmune (nā maʻi i hoʻouka ai ka ʻōnaehana pale ponoʻī o ke kino iā ia iho).Hiki ke hana ʻia ka Macrocytosis ma muli o ke kanesa o ka iwi ʻai (myelodysplastic syndrome).

Pehea e ʻike ai i kēia maʻi?

Inā kānalua kāu kauka i kēia, e kauoha ʻo ia i kekahi mau hoʻokolohua e hōʻoia i kēia. ʻO nā hoʻokolohua nui i hana ʻia:

• Helu Koko Piha (CBC): Helu koko piha.
• ʻO ka Smear Peripheral (Blood Smear): He hoʻāʻo koʻikoʻi loa kēia. Nānā ʻia kahi hāpana koko ma lalo o kahi microscope e nānā i ke ʻano a me ka nui o nā hunaola koko ʻulaʻula.
• Helu Reticulocyte : Ana i ka helu o nā hunaola koko ʻulaʻula i hana hou ʻia i loko o ka iwi iwi.
• Nā Pae o ka Wikamina B12 a me ka Folate: Ke nānā nei i nā pae o kēia mau wikamina i loko o ke koko.

Hiki ke ʻike maikaʻi ʻia ka Macrocytosis me kahi smear peripheral. Ma waho aʻe o nā hunaola koko ʻulaʻula i hoʻonui ʻia, inā he mau hōʻailona o nā kino Howell-Jolly (nā ʻāpana liʻiliʻi i loko o nā hunaola) a me ka hypersegmentation o nā granulocytes (kahi ʻano hunaola koko keʻokeʻo), he hōʻailona ikaika ia o ka anemia macrocytic.

Pehea e mālama ʻia ai?

ʻO ka mea nui loa i ka mālama ʻana i ka macrocytosis, ʻo ia ka ʻimi a me ka mālama ʻana i ke kumu kumu . Ke loaʻa ke kumu, e hoʻoholo kāu kauka i ka hoʻolālā lapaʻau.

• Lapaʻau no ka nele i nā wikamina: Inā ʻo ke kumu he nele i ka wikamina B12 a i ʻole ka folate, a laila ua ʻōlelo ʻia nā hoʻololi kūpono i ka ʻai ʻana, nā mea hoʻohui wikamina, a i ʻole nā ​​inikini wikamina inā pono. Akā e hoʻomanaʻo, ʻo kāu kauka wale nō ke hoʻoholo inā pono ʻoe i nā mea hoʻohui wikamina hou a me ka nui e lawe ai. No laila, mai lawe i nā wikamina me ka ʻole o ka ʻōlelo aʻoaʻo lapaʻau.
• Anemia koʻikoʻi: Inā koʻikoʻi loa ka anemia, pono paha ke hoʻoili koko .

Nā meaʻai waiwai i ka wikamina B12

Pono nā mākua ma luna o 14 mau makahiki ma kahi o 2.4 micrograms o ka wikamina B12 i kēlā me kēia lā. Pono nā makuahine hāpai a me nā makuahine hānai ma waena o 2.6-2.8 micrograms. ʻO nā meaʻai i waiwai nui i kēia mau wikamina:

• Nā ʻano iʻa a me nā ʻano pāpaʻi
• Ake
• ʻIʻo ʻulaʻula
• Nā hua manu
• Moa
• Nā meaʻai waiū e like me ka waiū, ka tīhi, ka yogurt
• Nā meaʻai kakahiaka i hoʻoikaika ʻia

Nā meaʻai waiwai i ka folate

Pono kekahi ma luna o 19 mau makahiki i 400 micrograms o ka folate i kēlā me kēia lā. Pono ka makuahine hāpai i 600, a pono ka makuahine hānai i 500. He mea nui nō hoʻi i ka poʻe inu waiʻona e loaʻa i 600 micrograms i kēlā me kēia lā, no ka mea, hoʻopilikia ka waiʻona i ka omo ʻana o ka folate.

• Nā mea kanu ʻōmaʻomaʻo ʻeleʻele e like me ka spinach, kale, letus, broccoli
• Nā legumes e like me ka pī a me ka pī
• Pīnati
• Nā hua pua nānālā
• Hua hou
• Nā hua palaoa piha
• Nā meaʻai kai
• Nā hua manu
• Nā meaʻai i hoʻoikaika ʻia

Macrocytosis, nā hunaola koko ʻulaʻula, nā hoʻāʻo koko, ka wikamina B12, folate, anemia, MCV