Cov qe ntshav liab hauv koj cov ntshav puas hloov pauv zoo li cas? Cia peb tham txog (Poikilocytosis)!

Puas muaj tej lub sij hawm koj xav tias koj nkees thiab qaug zog yam tsis muaj laj thawj? Los yog puas muaj ib tug kws kho mob tau saib koj daim ntawv kuaj ntshav thiab hais ib yam dab tsi zoo li, "Muaj kev hloov me ntsis ntawm koj cov qe ntshav liab?" Thaum lub sij hawm zoo li no, ib lo lus uas peb hnov ​​yog `(Poikilocytosis)` (hais tias: poi-ki-lo-say-to-sis). Tsis txhob ntshai heev thaum koj hnov ​​lub npe no. Qhov no tsis yog ib yam kab mob, tab sis nws tuaj yeem yog ib qho cim qhia tias muaj lwm yam tshwm sim hauv peb lub cev. Yog li, nws tseem ceeb heev uas yuav tsum paub txog qhov no.

Dab tsi yog '(Poikilocytosis)'?

Hais yooj yim xwb, "Poikilocytosis" txhais tau hais tias muaj ntau tus lej (uas yog, ntau dua 10%) ntawm cov qe ntshav liab hauv peb cov ntshav muaj cov duab txawv txawv. Tam sim no koj yuav xav tias, "Yog li ntawd, vim li cas cov duab ntawm cov qe ntshav liab thiaj tseem ceeb?"

Xav txog seb, txhua lub cell, cov nqaij, thiab cov kab mob hauv peb lub cev xav tau lub zog los ua neej thiab ua haujlwm. Lub zog ntawd yog muab los ntawm oxygen. Leej twg paub, cov pa oxygen no, zoo li coj lub thoob roj mus tsev, raug nqa mus thoob plaws lub cev? Ntawd yog peb cov qe ntshav liab. Feem ntau, yog tias koj coj cov qe ntshav liab noj qab haus huv, lawv txhua tus loj thiab zoo ib yam. Zoo li lub npib puag ncig (zoo li lub disk) uas me ntsis concave ntawm ob sab.

Yog li, yog tias cov duab ntawm cov qe ntshav liab no hloov pauv (`(Poikilocytosis)`) lossis qhov loj hloov pauv (muaj lwm tus hu ua `(Anisocytosis)`), lawv tsis tuaj yeem nqa oxygen tau zoo. Qhov ntawd yog thaum peb tau txais cov mob xws li anemia (tsis muaj ntshav hauv cov ntshav). Qhov ntawd txhais tau tias cov qe ntshav ntawm lub cev tsis tau txais oxygen txaus, uas txhais tau tias muaj zog.

Cov duab txawv txawv ntawm cov qe ntshav liab yog dab tsi? (Poikilocytes)

Cov kws kho mob faib cov qe ntshav liab uas muaj cov duab tsis zoo (tseem hu ua 'Poikilocytes') los ntawm lawv qhov tsos. Yog tias koj muaj '(Poikilocytosis)' hauv cov qauv ntshav, koj yuav pom ib lossis ntau yam hauv qab no:

• Cov hlwb Acanthocytes / Spur : Cov no zoo li ib ceg pos. Lawv muaj cov ceg ntev, dav, zoo li cov pos tawm los ntawm daim nyias nyias ntawm lub hlwb.
• Cov Codocytes / Cov hlwb uas xav tau : Cov no zoo li lub rooj tsavxwm uas xav tau. Muaj ib lub voj voog tsaus nti nyob hauv nruab nrab.
• Dacrocytes / Cov qe ntshav uas poob kua muag : Zoo li kua muag. Ib sab ntawm cov qe ntshav nyias thiab ntse.
• Drepanocytes / Sickle cells : Cov no yog cov cell nyias nyias, zoo li sickle uas pom tau rau hauv cov neeg uas muaj kab mob sickle cell.
• Echinocytes : Zoo li tus kab mob hiav txwv, lub cell yog npog nrog cov pos hniav ntawm qhov deb sib npaug thoob plaws.
• Cov qe Elliptocytes / Ovalocytes lossis Cigar cells : Cov no zoo li lub qe thiab ntev txawv txawv. Lawv tuaj yeem muaj ntau qhov loj me los ntawm qe zoo li qe mus rau zoo li luam yeeb.
• Schistocytes : Cov no yog cov ntu ntawm cov qe ntshav liab. Lawv feem ntau muaj qhov ntxhib, tawg, tab sis tuaj yeem yog txhua yam duab.
• Spherocytes: Puag ncig. Zoo li lub pob me me.

Txhua hom no tuaj yeem cuam tshuam nrog cov mob tshwj xeeb.

Cov tsos mob ntawm tus mob no yog dab tsi?

Cov tsos mob ntawm "Poikilocytosis" sib txawv nyob ntawm seb ua rau muaj li cas, tab sis feem ntau lawv zoo ib yam li cov uas pom hauv cov neeg mob ntshav tsis txaus.

Nov yog qee cov tsos mob ntawm anemia:

• Tsis muaj zog los yog qaug zog heev (tsuas yog xav tias nkees xwb).
• Ua pa nyuaj (dyspnea) - ua pa luv txawm tias ua tej haujlwm me me los xij.
• Lub plawv dhia ceev lossis tsis xwm yeem (arrhythmia).
• Qee zaum koj hnov ​​​​​​lub suab "whooshing" hauv koj pob ntseg (`(pulsatile tinnitus)`).
• Mob taub hau .
• Kiv taub hau .
• Daim tawv nqaij daj ntseg .
• Mob hauv siab .

Yog koj muaj ib lossis ntau yam ntawm cov tsos mob no, zoo dua mus nrhiav kev pab kho mob.

Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?

Cov ua rau muaj cov duab qe ntshav liab tsis zoo no muaj ob pawg tseem ceeb: kev yug los thiab kev tau txais . Qee yam mob, xws li Myelodysplastic Syndrome, tuaj yeem ua rau ob qho tib si.

Cov Mob Uas Tau Txais Los Ntawm Qoob Loo

Feem ntau, cov teeb meem uas muaj txij thaum yug los yog tshwm sim los ntawm qhov yuam kev hauv cov ntaub ntawv caj ces (DNA) uas cov qe ntshav liab xav tau kom loj hlob, ua haujlwm, thiab muaj sia nyob zoo. Cov qe ntshav liab uas muaj cov qauv tsis zoo li no yuav tawg sai ua ntej lub cev tsim cov qe ntshav tshiab. Qhov no hu ua hemolytic anemia .

Qee yam mob uas ua rau muaj '(Poikilocytosis)':

• `(Kev mob Elliptocytosis los ntawm noob caj noob ces)`
• `(Kev mob qog nqaij hlav los ntawm noob caj)`
• `(McLeod Syndrome)`
• `(Kev Tsis Txaus Pyruvate Kinase)`
• `(Kab Mob Ntshav Qab Zib)` (Kab Mob Ntshav Qab Zib)
• `(Thalassemia)`

Cov no feem ntau yog tej yam uas tau dhau los ntawm ntau tiam neeg.

Cov Xwm Txheej Tau Txais

Raws li lub sijhawm dhau mus, qee yam mob kuj tseem tuaj yeem ua rau cov qe ntshav liab hloov pauv. Piv txwv li, yog tias lub cev tsis tau txais cov as-ham txaus uas nws xav tau los ua cov qe ntshav liab noj qab haus huv, xws li vitamin B12, folate, thiab hlau, ntau yam anemias tuaj yeem tshwm sim. Poikilocytosis yog ib qho cim qhia txog cov kev tsis txaus noj haus no. Nws kuj tseem tuaj yeem tshwm sim los ntawm cov kab mob uas cuam tshuam rau kev tsim cov qe ntshav liab, xws li qee yam mob qog noj ntshav.

Qee qhov mob tom qab uas ua rau muaj '(Poikilocytosis)' yog:

• Kab mob ntshav tsis txaus los ntawm tus kheej
• Kub hnyiab (yog tias loj heev)
• `(Kab mob celiac)`
• Ntau yam kab mob sib kis
• Kab mob ntshav tsis txaus hlau
• Kab mob raum
• Kab mob ntshav dawb (leukemia)
• Kab mob siab
• Megaloblastic anemia (vim yog vitamin B12 lossis folate deficiency)
• `(Myelofibrosis)`
• Kev lom (piv txwv li cov hlau lead)
• Kev teb rau kev hloov ntshav
• Kev teb rau kev phais mob splenectomy
• Tom nab

Qhov no ua rau muaj teeb meem dab tsi?

Muaj ntau yam mob uas ua rau muaj poikilocytosis tuaj yeem tswj tau los ntawm kev kho mob, thiab qee yam tuaj yeem kho tau tag nrho. Txawm li cas los xij, yog tias tsis kho, qee yam mob tuaj yeem ua rau mob hnyav thiab txawm tias ua rau tuag taus. Piv txwv li, yog tias koj muaj ntshav tsis txaus, koj yuav xav tias nkees heev uas koj ua tsis tau koj cov dej num txhua hnub. Yog tias koj poob cov qe ntshav liab txaus raws sijhawm, nws tuaj yeem ua rau muaj mob xws li lub cev tsis ua haujlwm .

Tshwj xeeb tshaj yog rau cov menyuam yaus me, yog tias tsis kho qhov ntshav liab tshwm sim, nws tuaj yeem cuam tshuam rau lawv txoj kev loj hlob.

Yog li ntawd, thaum koj tus kws kho mob tau txiav txim siab qhov ua rau koj tus kab mob Poikilocytosis, nws yuav muab kev kho mob tsim nyog los tiv thaiv cov teeb meem zoo li no.

Koj kuaj qhov no li cas? (Kuaj mob)

Qhov kev kuaj mob tseem ceeb uas tus kws kho mob siv tau los kuaj mob poikilocytosis yog kev kuaj ntshav ntawm cov ntshav sab nraud (PBS) . Qhov no suav nrog tus kws kho mob hauv chaw kuaj mob coj ib tee ntawm koj cov ntshav thiab saib nws hauv qab lub tshuab tsom iav. Tom qab ntawd lawv tuaj yeem pom tias koj cov qe ntshav liab muaj pes tsawg tus uas muaj duab txawv txawv thiab lawv zoo li cas.

Muaj tej hom cell uas pom ntau dua hauv cov mob tshwj xeeb. Txawm li cas los xij, txawm tias nyob hauv tib yam mob, kuj muaj ntau hom cell sib txawv. Piv txwv li, hauv cov mob xws li (Hemolytic Anemia), (Megaloblastic Anemia), (Myelofibrosis), (Thalassemia), ntau hom cell txawv txav tuaj yeem pom.

Tej zaum koj cov kws kho mob yuav tau ua qee qhov kev kuaj ntxiv kom paub tseeb tias yog dab tsi ua rau koj cov poikilocytosis.

Kev kuaj ntxiv kom nrhiav tau qhov ua rau muaj `(Poikilocytosis)`

Feem ntau kev suav ntshav tag nrho (CBC) ua ke nrog PBS. CBC tuaj yeem muab ntau cov ntaub ntawv hais txog cov hlwb hauv koj cov ntshav, suav nrog lawv cov qib thiab qhov loj me. Qee qhov txiaj ntsig hauv CBC tuaj yeem muab cov ntaub ntawv ntxiv txog cov hlwb ntshav liab, uas tuaj yeem pab txiav txim siab qhov ua rau Poikilocytosis. Cov txiaj ntsig no suav nrog:

• `Mean Corpuscular Volume (MCV)` : Qhov nruab nrab ntawm koj cov qe ntshav liab.
• `Mean Corpuscular Hemoglobin (MCH)` : Tus nqi nruab nrab ntawm hemoglobin hauv koj cov qe ntshav liab.
• "Qhov Nruab Nrab ntawm Corpuscular Hemoglobin Concentration (MCHC)"Tus nqi nruab nrab ntawm cov hemoglobin concentration hauv koj cov qe ntshav liab.
• `Qhov Dav ntawm Kev Faib Tawm Cov Qog Ntshav Liab (RDW)` : Koj cov qe ntshav liab sib txawv npaum li cas.

Tsis tas li ntawd xwb, koj tus kws kho mob yuav kuaj xyuas koj cov vitamin B12, folate, thiab hlau, thiab kuj tseem yuav txiav txim kom kuaj xyuas kev ua haujlwm ntawm daim siab.

Cov kev kho mob rau qhov no yog dab tsi?

Kev kho mob nyob ntawm seb ua rau koj tus kab mob poikilocytosis thiab koj cov tsos mob hnyav npaum li cas.

Nco ntsoov tias, yog tias qhov ua rau muaj tus mob no yog vim tsis muaj zaub mov txaus (piv txwv li hlau, vitamin B12 tsis txaus), kev noj cov tshuaj ntxiv rau kev noj haus, lossis hloov mus noj zaub mov uas muaj vitamin B12 lossis folate ntau, feem ntau yuav daws tau qhov mob '(Poikilocytosis)' no.

Muaj ntau yam mob uas muaj txij thaum yug los yuav tsum tau saib xyuas zoo . Tej zaum koj yuav tsum tau hloov ntshav tsis tu ncua kom paub tseeb tias koj muaj cov qe ntshav liab txaus. Los yog koj tsuas yog xav tau kev kho mob raws li seb koj puas muaj cov tsos mob xwb.

Puas tiv thaiv tau qhov teeb meem no?

Peb tsis tuaj yeem tiv thaiv cov ua rau muaj "Poikilocytosis" txij thaum yug los. Txawm li cas los xij, peb tuaj yeem txo qhov kev pheej hmoo ntawm qee qhov ua rau tom qab.

Ib txoj hauv kev zoo tshaj plaws los saib xyuas koj cov qe ntshav liab yog kom tau txais cov as-ham uas koj lub cev xav tau los tsim lawv. Xyuas kom koj tau txais cov vitamins B txaus, folate, thiab hlau . Cov no yog cov khoom xyaw tseem ceeb uas koj lub cev xav tau los ua cov qe ntshav liab noj qab haus huv. Nws kuj pab txwv tsis pub koj haus cawv ntau dhau . Cawv ntau dhau tuaj yeem ua rau koj lub cev nyuaj rau nqus cov as-ham no.

Yav tom ntej yuav muaj dab tsi? (Outlook)

Feem ntau, yog tias qhov ua rau muaj '(Poikilocytosis)' yog ib qho mob uas tshwm sim tom qab, qhov kev kwv yees feem ntau zoo. Hauv cov xwm txheej uas muaj cov laj thawj yug los, qhov kev kwv yees sib txawv nyob ntawm qhov mob hauv qab. Piv txwv li, txawm hais tias lub neej ntev ntawm cov neeg uas muaj '(Sickle Cell Disease)' feem ntau suav tias luv, cov kev kho mob tshiab tam sim no ua rau nws muaj peev xwm nyob tau ntau dua 50 xyoo thaum tswj cov tsos mob.

Thaum twg koj yuav tsum mus ntsib kws kho mob?

Yog koj muaj cov tsos mob ntawm tus kab mob ntshav tsis txaus (tej yam uas peb tau tham txog ua ntej, xws li qaug zog thiab tsis muaj zog), mus ntsib kws kho mob.

Txawm tias koj xav tias koj noj qab nyob zoo thiab tsis muaj tsos mob los xij, nws yog ib qho tseem ceeb uas yuav tsum tau kuaj xyuas txhua xyoo. Koj tus kws kho mob kuj tuaj yeem kuaj xyuas koj cov qe ntshav. Kev kuaj ntshav yooj yim, xws li kev suav cov ntshav tag nrho (CBC), tuaj yeem pab nrhiav thiab kho cov teeb meem kev noj qab haus huv ua ntej lawv loj hlob tuaj.

Qhov "Poikilocytosis" no puas yog ib qho mob hnyav heev?

`(Poikilocytosis)` nws tus kheej tsis yog qhov loj heev. Txawm li cas los xij, nwsNws tuaj yeem yog ib qho cim qhia txog ib qho mob uas ua rau muaj teeb meem yog tias tsis kho. Yog li ntawd, nws yog ib qho tseem ceeb kom nkag siab meej tias yog dab tsi ua rau muaj '(Poikilocytosis)' thiab nrhiav kev kho mob yog tias tsim nyog.

Kab mob Poikilocytosis tej zaum yuav zoo li yog ib qho mob hnyav, tab sis nws tsis yog. Nws tsuas yog ib qho yam ntxwv ntawm koj cov qe ntshav liab uas cov kws kho mob siv los ntsuam xyuas koj txoj kev noj qab haus huv. Yog tias koj pom tias koj cov qe ntshav liab tsis zoo li qub, tsis txhob yig nug koj tus kws kho mob txog qhov ntawd. Nws tuaj yeem qhia koj yog tias nws cuam tshuam rau koj txoj kev noj qab haus huv thiab, yog tias muaj, koj tuaj yeem ua dab tsi los tshem tawm qhov mob lossis tswj hwm qhov mob tseem ceeb.

Tej yam tseem ceeb tshaj plaws uas peb yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Zoo, yog li ntawd, cov ntsiab lus tseem ceeb uas yuav tsum nco ntsoov los ntawm qhov peb tau tham txog yog cov no:

• Poikilocytosis yog thaum ntau tshaj 10% ntawm koj cov qe ntshav liab muaj cov duab tsis zoo.
• Qhov no tsis yog ib yam kab mob, tab sis nws yuav yog ib qho cim qhia txog ib qho mob hauv qab.
• Cov tsos mob ntawm tus kab mob anemia (qaug zog, tsis muaj zog, daj ntseg) kuj tuaj yeem pom tau hauv qhov no.
• Cov ua rau muaj tej zaum yuav yog los ntawm noob neej los yog tau txais (kev tsis noj zaub mov zoo, qee yam kab mob).
• Qhov no tuaj yeem kuaj pom los ntawm kev kuaj ntshav yooj yim (`PBS`, `CBC`).
• Kev kho mob nyob ntawm seb ua rau muaj li cas, tab sis feem ntau nws tuaj yeem tswj tau.
• Kev noj zaub mov kom zoo yuav pab tiv thaiv qee yam ua rau mob tom qab.
• Yog koj muaj cov tsos mob lossis tsis paub meej txog qhov no, qhov zoo tshaj plaws yog mus ntsib kws kho mob kom tau lus qhia.

Yog li ntawd, kuv vam tias cov ntaub ntawv no yuav pab tau koj. Nyob kom noj qab nyob zoo!

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