Qee zaum thaum peb saib daim ntawv qhia txog ntshav, peb pom cov lus tsis paub hauv nws, puas yog? Thaum tus kws kho mob hais ib lo lus zoo li no, peb xav paub me ntsis, tej zaum yuav ntshai me ntsis. Ib lub npe zoo li no yog 'Heinz Bodies'. Yog li hnub no, cia peb tham txog qhov no yog dab tsi tiag tiag, nws puas yog kab mob, lossis ib qho tsos mob ntawm ib qho kab mob. Thaum koj nkag siab qhov no meej, koj qhov kev ntshai yuav ploj mus.
Hais yooj yim xwb, cov Heinz Bodies no yog dab tsi?
Hais yooj yim xwb, Heinz Lub Cev tsis yog ib yam kab mob. Lawv tsuas yog ib qho cim qhia tias koj cov qe ntshav liab puas lawm. Ib yam li thaum peb pom ib lub qhov hauv lub tsheb, peb paub tias nws raug tsoo qhov twg, thiab qhov no kuj yog li ntawd.
Cov no yog cov me me ntawm peb cov qe ntshav liab. Cov kws kho mob (tshwj xeeb tshaj yog cov kws kho mob) tsuas pom tau lawv thaum lawv siv cov xim tshwj xeeb thiab saib lawv hauv qab lub tshuab microscope. Cov me me no yog ua los ntawm cov protein hu ua hemoglobin uas tau puas tsuaj lawm. Yog li, kev pom cov no ntawm kev kuaj ntshav txhais tau tias muaj qee yam tsis raug nrog cov qe ntshav liab. Nws tuaj yeem yog ib qho cim ntawm tus mob xws li ntshav tsis txaus.
Cia peb nkag siab tias cov no tau tsim li cas?
Yuav kom nkag siab qhov no, peb yuav tsum paub me ntsis txog peb cov qe ntshav liab ua ntej.
Xav txog cov qe ntshav liab ua ib qho kev pabcuam xa khoom uas nqa cov pa oxygen thoob plaws peb lub cev. Cov khoom thauj hauv lub tsheb thauj khoom no yog hemoglobin. Cov hemoglobin no yog qhov uas khaws cov pa oxygen thiab nqa nws los ntawm lub ntsws mus rau txhua qhov ntawm lub cev. Cov hemoglobin no yog qhov uas ua rau peb cov ntshav muaj xim liab.
Feem ntau, ib lub cell hauv peb lub cev muaj ib lub nucleus. Txawm li cas los xij, ib lub cell ntshav liab uas loj hlob lawm tsis muaj lub nucleus. Yog li ntawd, nws muaj peev xwm muaj ntau lab lub hemoglobin molecules.
Yog tias muaj qee qhov laj thawj uas cov hemoglobin no raug puas tsuaj (oxidative damage) , lawv tsis ua haujlwm zoo. Lawv sib sau ua ke thiab sib sau ua ke. Peb hu cov hemoglobin uas sib sau ua ke, puas tsuaj Heinz Bodies. Thaum qhov no tshwm sim, cov qe ntshav liab tsis tuaj yeem nqa oxygen tau zoo. Tsis tas li ntawd, lawv pib tawg thiab raug rhuav tshem sai dua li qub. Hauv kev kho mob, qhov kev tawg sai ntawm cov qe ntshav liab no hu ua hemolysis .
Yog tias muaj Heinz Bodies, yuav muaj cov tsos mob dab tsi tshwm sim?
Cov tsos mob tsis yog los ntawm Heinz Bodies, tab sis los ntawm qhov mob uas ua rau lawv, uas yog cov qe ntshav liab tsawg (anemia). Yog tias koj cov qe ntshav liab tsawg heev, koj yuav tsis muaj tsos mob dab tsi li. Feem ntau, cov tsos mob no yog los ntawm koj lub cev tsis tau txais oxygen txaus.
| Cov tsos mob | Piav qhia yooj yim |
|---|---|
| Kev qaug zog | Xav tias nkees heev txawm tias tsis tau ua dab tsi los xij. |
| kiv taub hau | Ib qho kev xav ntawm kiv taub hau thiab poob qhov sib npaug. |
| Daim tawv nqaij daj ntseg | Daim tawv nqaij thiab daim di ncauj daj vim tsis muaj ntshav. |
| Lub plawv dhia ceev ceev (Tachycardia) | Lub plawv dhia ceev ceev, zoo li koj lub hauv siab dhia ceev. |
| Ua pa nyuaj (Dyspnea) | Ua tsis taus pa, txawm tias siv zog me ntsis los kuj tseem ua tsis taus pa. |
| Mob daj ntseg | Tawv nqaij thiab qhov muag dawb daj. |
| Splenomegaly | Ua kom lub qhov ntswg loj tuaj, uas tshem tawm cov qe ntshav liab uas puas lawm. |
Koj nrhiav tau cov no li cas?
Cov kws kho mob nrhiav pom cov Heinz Bodies no los ntawm kev kuaj hu ua peripheral blood smear . Qhov no suav nrog kev rho ib tee ntshav me me los ntawm koj tus ntiv tes thiab muab pleev rau ntawm daim iav, ntxiv cov xim tshwj xeeb, thiab kuaj xyuas nws hauv qab lub tshuab microscope.
Qhov xav tsis thoob tiag tiag yog cov qe ntshav liab uas muaj Heinz Bodies no qee zaum zoo li ib tug neeg tau tom ib daim ntawm lub cell. Peb hu cov no ua "cov qe ntshav tom."
Nov yog nws ua haujlwm li cas: Thaum cov qe ntshav liab uas puas lawm hla dhau peb lub qhov ntswg, lub qhov ntswg ua haujlwm zoo li lub lim dej. Nws "tom" cov Heinz Bodies uas puas lawm. Cov qe ntshav liab uas seem tshuav zoo li ib daim khoom noj uas ib tug neeg tau tom.
Cov mob tseem ceeb uas Heinz Bodies pom yog dab tsi?
Tam sim no peb paub tias Heinz Bodies yog ib qho cim qhia txog kab mob. Yog li, ntawm no yog qee qhov mob tseem ceeb uas pom lawv.
| Mob nkeeg | Piav qhia yooj yim |
|---|---|
| Kab mob ntshav tsis txaus | Kab mob ntshav tsis txaus yog tshwm sim los ntawm kev tawg thiab kev puas tsuaj ntawm cov qe ntshav liab sai dua li lawv tsim tawm. |
| Kev Tsis Txaus G6PD | Qhov no yog ib qho mob uas los ntawm noob caj noob ces (uas tau txais los ntawm noob caj noob ces). Yog tias tsis muaj cov enzyme G6PD txaus ces yuav ua rau muaj kev puas tsuaj rau cov qe ntshav liab. |
| Alpha-thalassemia | Qhov no kuj yog ib yam kab mob uas los ntawm noob caj noob ces. Hauv qhov no, lub cev tsis muaj peev xwm tsim cov hemoglobin uas noj qab nyob zoo. |
| Tus kab mob loj hlob | Tus po yuav tsum ua haujlwm hnyav dua kom tshem tawm cov qe ntshav liab uas puas lawm ntau heev, ua rau nws loj tuaj. |
Vim li cas cov Heinz Bodies no thiaj tshwm sim? Dab tsi yog cov ua rau muaj?
Muaj ntau yam tseem ceeb uas ua rau hemoglobin puas tsuaj.
- Kev raug tshuaj thiab tshuaj lom neeg: Piv txwv li, qee cov tshuaj rau kev kis kab mob ntawm txoj hlab zis (UTIs) thiab cov tshuaj rau mob ruas.
- Kev tsis txaus cov zaub mov: Kev tsis txaus cov zaub mov hauv lub cev, tshwj xeeb yog selenium.
- Cov khoom noj tshwj xeeb rau cov neeg uas muaj G6PD deficiency: Yog tias ib tug neeg uas muaj G6PD deficiency noj cov khoom noj xws li taum fava , lawv cov qe ntshav liab tuaj yeem raug puas tsuaj thiab Heinz Bodies tuaj yeem tsim tau.
Kev kho mob thiab kev tiv thaiv
Qhov no yog ib qho teeb meem uas ntau tus neeg muaj. Tsis muaj kev kho mob tshwj xeeb rau Heinz Bodies. Vim tias nws tsis yog ib yam kab mob, tab sis yog ib qho tsos mob ntawm ib yam kab mob. Qhov tseem ceeb yog nrhiav qhov mob hauv qab uas ua rau nws thiab kho nws. Koj tus kws kho mob yuav ua qhov kev kuaj mob tsim nyog, nrhiav seb yog dab tsi ua rau nws, thiab sau ntawv kho mob kom raug.
Puas tiv thaiv tau? Muaj, qee zaum nws ua tau.
Piv txwv li, yog tias koj paub tias koj muaj G6PD deficiency, koj yuav tsum tsis txhob noj cov taum fava kiag li. Tsis tas li ntawd, thaum koj noj tshuaj rau lwm yam mob, nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob paub tias koj muaj G6PD deficiency. Ua li ntawd, koj tus kws kho mob tuaj yeem sau ntawv rau cov tshuaj uas yuav tsis ua rau koj mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Heinz Lub Cev tsis yog ib yam kab mob, lawv tsuas yog ib qho cim qhia tias koj cov qe ntshav liab puas lawm.
- Cov no raug kuaj pom los ntawm kev kuaj tshwj xeeb ua rau ntawm ib tee ntshav (Peripheral Blood Smear).
- Cov no tuaj yeem tshwm sim los ntawm cov mob caj ces xws li G6PD deficiency, thalassemia, lossis qee yam tshuaj.
- Tsis muaj kev kho mob tshwj xeeb rau Heinz Bodies. Kev kho mob yog tsom mus rau qhov mob uas ua rau muaj.
- Yog koj muaj lub npe zoo li no hauv koj daim ntawv qhia txog cov ntshav, tsis txhob txhawj txog nws, mus ntsib koj tus kws kho mob tam sim ntawd thiab tham txog nws. Nws yuav muab txhua yam lus qhia uas koj xav tau rau koj.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus