Koj cov qe ntshav liab puas me me? Cia peb tham txog Microcytosis!

Qee zaum thaum koj mus kuaj ntshav, koj ntshai me ntsis thaum koj pom qee cov lus nyob rau hauv daim ntawv qhia, puas yog? Ib lo lus zoo li no yog 'Microcytosis'. Tab sis tsis txhob ntshai, qhov no tsis yog lub npe ntawm ib yam kab mob loj. Nws tsuas yog txhais tau tias koj cov qe ntshav liab me dua li qub me ntsis. Hnub no, peb yuav tham txog qhov no kom meej, yooj yim heev.

Microcytosis yog dab tsi?

Hais yooj yim xwb, microcytosis yog thaum cov qe ntshav liab hauv koj cov ntshav me dua li qub. Peb tsis suav qhov no ua kab mob, tab sis yog qhov pom tau tom qab kuaj ntshav. Qhov no yog qhov koj feem ntau tuaj yeem nrhiav tau nrog kev suav cov ntshav tag nrho (CBC). Xav txog nws zoo li daim ntawv qhia uas muab cov ntsiab lus txog cov qe ntshav hauv koj lub cev.

Muaj ib qho nqi nyob rau hauv daim ntawv qhia 'CBC' no, uas hu ua 'Mean Corpuscular Volume' (MCV) . Tus nqi 'MCV' no yog siv los ntsuas qhov nruab nrab ntawm koj cov qe ntshav liab. Yog tias ib tug neeg laus, yog tias tus nqi 'MCV' no tsawg dua 80 femtoliters '(80 fL)', ces peb hais tias muaj microcytosis.

Feem ntau, qhov mob no hu ua microcytosis tuaj yeem yog ib qho tsos mob ntawm ib hom kab mob ntshav tsis txaus hu ua microcytic anemia . Hauv qhov microcytic anemia no, muaj qhov tsis txaus hemoglobin hauv cov qe ntshav liab. Koj puas paub tias hemoglobin yog ib qho protein tseem ceeb heev uas pab peb cov qe ntshav liab nqa oxygen thoob plaws lub cev?

Tus mob no feem ntau tshwm sim li cas?

Qhov tseeb, qhov mob no hu ua Microcytic Anemia yog ib hom mob ntshav tsis txaus uas pom ntau ntawm cov neeg laus thiab cov menyuam yaus. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no.

Cov tsos mob ntawm Microcytosis yog dab tsi?

Feem ntau, tsis muaj cov tsos mob tshwj xeeb. Txhua yam uas pom hauv daim ntawv qhia yog tias tus nqi 'MCV' qis.

Txawm li cas los xij, yog tias cov tsos mob tshwm sim, lawv zoo ib yam li cov tsos mob ntawm tus mob Microcytic Anemia uas kuv tau hais ua ntej. Lawv yog:

• Zoo li lub cev tsis muaj sia nyob lawm .
• Tawv nqaij dawb. Qee zaum daim di ncauj thiab tus nplaig kuj yuav dawb.
• Ua pa nyuaj. Tej zaum koj yuav xav tias tsis muaj zog txawm tias koj siv zog me ntsis los xij.
• Lub plawv dhia nce ntxiv.
• Ib yam mob hu ua 'Pica'. Qhov no tsuas yog tshwm sim thaum tsis muaj hlau ua rau muaj microcytosis. 'Pica' yog lub siab xav noj tej yam tsis noj tau xws li av, dej khov nab kuab, thiab av nplaum.

Ntxiv rau cov tsos mob no, koj kuj tseem yuav muaj cov tsos mob ntsig txog qhov ua rau muaj microcytosis.

Vim li cas cov microcytosis no thiaj tshwm sim?

Qhov ua rau muaj cov kab mob me me hauv lub cev feem ntau yog tsis tau txais hlau txaus hauv koj lub cev. Qhov no hu ua ntshav tsis txaus hlau . Nco ntsoov, kuv hais tias hlau yog qhov tseem ceeb rau kev tsim hemoglobin.

Tsis tas li ntawd xwb, tej yam ib puag ncig, tej yam mob nkeeg (ob qho tib si yug los thiab tau txais), thiab tej yam kev coj cwj pwm kuj tuaj yeem ua rau muaj microcytosis.

Cov ua rau mob microcytosis tseem ceeb:

• Tsis muaj hlau txaus:
• Tsis tau txais hlau txaus los ntawm cov khoom noj: Qee zaum cov khoom noj uas peb noj yuav tsis muab hlau txaus rau peb lub cev. Cov neeg noj zaub yuav tsum ceev faj txog qhov no.
• Teeb meem nrog kev nqus hlau: Xav txog, txawm tias koj noj cov khoom noj uas muaj hlau, yog tias koj muaj mob zoo li 'Celiac kab mob' lossis mob plab zoo li 'H. pylori kab mob' , lub cev tsis tuaj yeem nqus cov hlau ntawd kom zoo. Tsis tas li ntawd, mob no tuaj yeem tshwm sim tom qab phais mob zoo li 'Gastric bypass phais' rau kev poob phaus.
• Tsis txaus hlau vim los ntshav: Rau cov poj niam, kev los ntshav ntau thaum lub sijhawm hloov cev tuaj yeem ua rau tsis txaus hlau. Tsis tas li ntawd, kev los ntshav hauv plab (GI) vim yog qhov txhab hauv plab lossis hnyuv yog lwm qhov ua rau.

• Thalassemia:
• Qhov no yog ib yam kab mob caj ces uas tau txais los ntawm noob caj ces. Hauv qhov mob no, lub cev tsis tuaj yeem tsim cov hemoglobin kom zoo. Ib tug neeg uas muaj thalassemia tej zaum yuav muaj cov qe ntshav liab ib txwm lossis ntau dua, tab sis cov hemoglobin hauv cov qe ntshav ntawd tsawg. Qhov no hu ua hypochromic microcytosis . Hauv qee hom thalassemia me me, tsuas yog microcytosis thiaj li pom tau yam tsis muaj anemia.

• Kab mob ntshav tsis txaus (anemia) uas muaj ntau yam ua rau mob:
• Kev o los ntawm cov kab mob mus sij hawm ntev xws li cov kab mob autoimmune ( piv txwv li mob rheumatoid arthritis), cov kab mob ntev, kab mob raum, thiab mob qog noj ntshav tuaj yeem ua rau lub cev tsis muaj peev xwm siv hlau los ua cov qe ntshav liab noj qab haus huv.

Cov ua rau muaj microcytosis tsawg tsawg:

Cov no tsawg dua me ntsis, tab sis zoo kom paub:

• Cov mob caj ces tsawg tsawg uas cuam tshuam rau kev tsim thiab kev ua haujlwm ntawm cov qe ntshav liab.
• Kev tsis muaj cov zaub mov (piv txwv li, kev tsis muaj tooj liab).
• Kev lom los ntawm cov hlau txhuas.

Koj yuav txiav txim siab li cas yog tias koj muaj microcytosis?

Zoo li kuv tau hais ua ntej lawm, microcytosis tsis yog lub npe raug cai rau ib yam kab mob. Nws tsuas yog txhais tau tias koj cov qe ntshav liab me dua li qub.

Koj tus kws kho mob yuav xav txog koj cov tsos mob, koj lub hnub nyoog, poj niam txiv neej, thiab koj keeb kwm kev kho mob kom paub seb dab tsi ua rau qhov no. Piv txwv li, yog tias koj los ntshav ntau thaum koj muaj hli, nws yuav yog vim tsis muaj hlau txaus. Los yog, yog tias ib tug neeg hauv koj tsev neeg muaj thalassemia, qhov ntawd kuj yuav yog ib qho ua rau.

Tus kws kho mob tuaj yeem ua ntau qhov kev kuaj mob kom paub tseeb tias qhov ua rau muaj qhov teeb meem tiag tiag yog dab tsi.

Yuav ua li cas thiaj kuaj tau qhov no?

Muaj ntau yam kev kuaj mob uas tuaj yeem pab tus kws kho mob nrhiav qhov ua rau muaj tus mob no:

• Kev kuaj ntshav ntawm cov hlab ntsha sab nraud: Qhov no suav nrog kev coj koj cov ntshav thiab saib nws hauv qab lub tshuab tsom iav. Qhov no tuaj yeem lees paub seb koj cov qe ntshav liab puas me me thiab yog tias lawv muaj lwm yam tsis zoo. Yog tias koj cov qe ntshav liab muaj ntau qhov loj me thiab duab sib txawv (Poikilocytosis), nws tuaj yeem yog qhov qhia txog qee yam kab mob uas ua rau muaj microcytosis.
• Qhov dav ntawm kev faib cov qe ntshav liab (RDW): Qhov no kuj ntsuas qhov sib txawv ntawm qhov loj ntawm koj cov qe ntshav liab. Qhov no kuj yog tus nqi pom nyob rau hauv daim ntawv qhia CBC. Feem ntau, cov qe ntshav liab yog tib qhov loj. Txawm li cas los xij, yog tias muaj qhov sib txawv loj ntawm qhov loj ntawm cov qe ntshav (Anisocytosis), nws kuj tuaj yeem muab lub tswv yim txog qee yam kab mob.
• Cov Hlau Qib: Cov hlau qib qis hauv cov ntshav yog ib qho cim qhia tias tsis muaj hlau txaus anemia.
• Cov Qib Ferritin: Ferritin yog ib qho protein uas khaws cov hlau hauv peb cov hlwb. Los ntawm kev saib cov qib ferritin no, koj tuaj yeem nrhiav tau ntau npaum li cas hlau muaj nyob rau hauv lub cev.
• Tag Nrho Cov Peev Xwm Txuas Hlau (TIBC): Qhov kev kuaj no, thaum ua nrog rau cov hlau thiab ferritin theem, tuaj yeem pab tau zoo heev rau kev kuaj mob tsis txaus hlau. Nws kuj tseem tuaj yeem pab nrhiav pom cov ntshav tsis txaus uas tshwm sim los ntawm cov kab mob ntev lossis kev o.

Thaum twg paub tseeb tias tsis muaj hlau txaus, kom paub tseeb tias qhov ua rau yog thalassemia, yuav tsum tau ua cov kev kuaj xws li hemoglobin electrophoresis thiab kev kuaj noob caj noob ces .

Yuav kho tus kab mob Microcytosis li cas?

Kev kho mob nyob ntawm seb ua rau koj cov qe ntshav liab qis li cas. Qee zaum, yog tias koj tsis muaj tsos mob thiab cov txiaj ntsig ntawm kev kuaj tsis loj heev, kev kho mob yuav tsis tsim nyog.

Nyob ntawm seb ua rau muaj li cas, cov kev kho mob hauv qab no yuav ua tau:

• Kev hloov pauv zaub mov: Ntxiv cov khoom noj uas muaj hlau ntau (piv txwv li, ntses, cov khoom ua los ntawm taum pauv (tofu), taum pauv, taum pauv, zaub ntsuab, txiv hmab txiv ntoo) rau hauv cov zaub mov noj.
• Cov tshuaj ntxiv hlau: Cov no yog muab rau cov neeg uas muaj ntshav tsis txaus hlau.
• Kev ntxiv ntshav: Qhov no tsuas yog ua tiav yog tias qhov ntshav tsis txaus heev.

Qhov tseem ceeb tshaj plaws yog ua raws li txoj kev npaj kho mob uas koj tus kws kho mob muab rau koj raws nraim li qhov teeb meem tseem ceeb.

Puas tuaj yeem thim rov qab microcytosis?

Qhov ntawd kuj nyob ntawm seb ua rau muaj li cas. Feem ntau, cov kab mob me me yuav ploj mus thaum kho qhov mob tseem ceeb. Koj tus kws kho mob tuaj yeem qhia koj tias kev kho mob yuav cuam tshuam li cas rau koj cov qe ntshav thiab kev noj qab haus huv tag nrho.

Yog tias tsis kho ces yuav ua li cas?

Tsis yog txhua tus neeg uas muaj microcytosis lossis microcytic anemia yuav xav tau kev kho mob. Txawm li cas los xij, yog tias koj muaj ib qho mob hnyav uas ua rau koj cov qe ntshav liab me me, nws yog ib qho tseem ceeb kom kuaj mob thiab kho sai sai. Ua raws li koj tus kws kho mob cov lus qhia txog seb koj puas xav tau kev kho mob thiab yuav xav li cas los ntawm kev kho mob.

Puas yog Microcytosis loj heev?

Microcytosis tsuas yog ib qho yam ntxwv ntawm koj cov qe ntshav liab xwb. Nws tuaj yeem yog ib qho cim qhia txog kab mob uas xav tau kev kho mob (nrog rau lwm cov tsos mob). Tab sis feem ntau, nws tsis yog qhov loj heev, thiab nws tsuas yog qee yam uas koj pom ntawm daim ntawv qhia xwb.

Koj tus kws kho mob yuav qhia rau koj seb koj cov microcytosis puas qhia txog ib qho mob uas xav tau kev kho mob.

Kuv ua tau dab tsi los txo qhov kev pheej hmoo no?

Tsis muaj peev xwm tiv thaiv txhua yam kab mob uas ua rau cov qe ntshav liab puas tsuaj. Txawm li cas los xij, koj tuaj yeem txo koj qhov kev pheej hmoo los ntawm kev ua raws li qee yam kev noj qab haus huv.

Qhov tseem ceeb rau qhov no yog xyuas kom koj tau txais hlau txaus los ntawm koj cov zaub mov noj. Cov khoom noj uas muaj hlau ntau suav nrog:

• Cov khoom noj hiav txwv zoo li tuna thiab mackerel
• Cov khoom ua los ntawm taum pauv (Tofu)
• Cov zaub mov zoo li taum pauv, taum ntsuab, chickpeas, thiab lentils
• Cov zaub ntsuab tsaus xws li spinach, kale, thiab collard greens
• Cov txiv hmab txiv ntoo zoo li hnub tim thiab raisins
• Nqaij, tshwj xeeb tshaj yog nqaij liab (nyuj, tshis) thiab nqaij qaib

Tsis tas li ntawd, yog tias koj tau phais mob plab lossis muaj lwm yam mob uas ua rau koj tsis nqus tau hlau los ntawm cov khoom noj, nrog koj tus kws kho mob tham txog cov tshuaj ntxiv hlau uas koj xav tau.

Yog tias koj muaj ib yam mob uas ua rau koj muaj feem yuav mob ntshav tsis txaus, xws li thalassemia lossis tus kab mob autoimmune, ua raws li koj tus kws kho mob cov lus qhia txog yuav ua li cas kom txo tau koj qhov kev pheej hmoo.

Kuv yuav tsum nug tus kws kho mob li cas?

Yog koj pom tias koj muaj microcytosis, ua raws li koj tus kws kho mob cov lus qhia txog yam yuav ua tom ntej. Tej zaum koj yuav xav nug cov lus nug xws li:

• Kuv puas yuav tsum txhawj txog kuv tus MCV qis?
• Kuv yuav tsum tau ua lwm yam kev kuaj dab tsi ntxiv kom nrhiav tau qhov ua rau muaj cov kab mob microcytosis?
• Kuv puas yuav tsum tau kev kho mob?
• Kuv yuav tsum xav tau cov txiaj ntsig zoo li cas los ntawm kev kho mob?
• Kuv yuav ua tau dab tsi los hloov pauv kuv txoj kev ua neej kom rov qab kho qhov microcytosis no?

Puas muaj kev sib txuas ntawm microcytosis thiab mob qog noj ntshav?

Qee zaum cov kab mob me me (microcytosis) tuaj yeem yog ib qho cim qhia txog mob qog noj ntshav, tab sis feem ntau nws yog ib qho cim qhia txog lwm yam mob. Feem ntau cov kab mob me me (microcytosis) yog ib qho cim qhia txog kev tsis txaus hlau. Qhov tseem ceeb yog tsis txhob ntshai thiab xav tias nws yog mob qog noj ntshav (lossis lwm yam) kom txog thaum koj tus kws kho mob piav qhia txog yam uas tshwm sim nrog koj cov kev kuaj ntshav.

Nws yog ib qho ib txwm muaj kev ntxhov siab thaum koj pom qhov tshwm sim txawv txawv ntawm kev kuaj mob. Txawm li cas los xij, muaj qhov tsis zoo tsis tau txhais hais tias koj mob lossis xav tau kev kho mob. Cov nqi zoo li "MCV" tsuas yog cov ntaub ntawv uas pab koj tus kws kho mob nkag siab txog koj txoj kev noj qab haus huv tag nrho. Nug koj tus kws kho mob kom tau kev taw qhia txog seb koj cov txiaj ntsig ntawm kev kuaj mob yuav cuam tshuam li cas rau koj txoj kev kho mob yav tom ntej.

Yog li ntawd, peb yuav tsum nco ntsoov dab tsi ntawm txhua yam no?

Zoo, cia peb mus saib qee yam tseem ceeb tshaj plaws uas koj yuav tsum nco ntsoov los ntawm qhov peb tau tham txog:

• Microcytosis tsis yog ib yam kab mob, nws tsuas yog txhais tau tias koj cov qe ntshav liab me dua li qub.
• Qhov no feem ntau pom tau los ntawm kev ntsuas "CBC" (kev suav ntshav tag nrho).
• Qhov ua rau feem ntau yog tsis muaj hlau txaus, tab sis kuj tseem muaj lwm yam ua rau, xws li thalassemia thiab cov kab mob ntev.
• Muaj coob tus neeg tsis muaj tsos mob. Yog tias lawv muaj, lawv yuav qaug zog, ntsej muag dawb paug, thiab ua pa nyuaj.
• Tus kws kho mob yuav ua ntau qhov kev kuaj mob kom nrhiav tau qhov ua rau.
• Kev kho mob nyob ntawm seb ua rau mob li cas. Qee zaum, tej zaum yuav tsis tas yuav kho mob li.
• Tsis txhob ntshai! Yog koj pom tias koj cov MCV qis, nrog koj tus kws kho mob tham kom paub tseeb tias yog vim li cas thiab yuav ua li cas.
• Nws yog ib qho tseem ceeb kom noj zaub mov zoo, tshwj xeeb tshaj yog noj cov khoom noj uas muaj hlau ntau.

Nco ntsoov, cov ntaub ntawv no tsuas yog siv los qhia xwb, tsis yog kom koj ntshai tsam koj xav tias koj muaj mob. Yog tias koj muaj lus nug lossis kev tsis ntseeg, zoo dua mus ntsib kws kho mob kom tau lus qhia.

`Microcytosis, Cov qe ntshav liab, Mob ntshav tsis txaus, Tsis muaj hlau, Hemoglobin, MCV