Thaum koj kuaj ntshav, qee zaum peb pom cov lus tsis paub hauv daim ntawv qhia, puas yog? Tej zaum koj daim ntawv qhia kuj muaj lo lus `Polychromasia` lossis `Polychromatophilia`. Nws tuaj yeem ua rau koj ntshai me ntsis thaum koj pom nws. Tab sis tsis txhob txhawj, peb yuav tham txog qhov no yooj yim hnub no.
Polychromasia yog dab tsi?
Hais yooj yim xwb, 'Polychromasia' txhais tau tias koj cov qe ntshav liab muaj xim sib txawv. Qhov no pom tau thaum koj coj cov ntshav mus kuaj, muab tso rau ntawm daim iav, pleev xim rau nrog cov xim tshwj xeeb, thiab saib hauv qab lub tshuab microscope. Peb hu qhov kev kuaj no tias 'Peripheral Blood Smear (PBS)'.
Feem ntau, cov qe ntshav liab uas noj qab nyob zoo thiab loj hlob zoo yuav zoo li xim liab hauv 'PBS'. Txawm li cas los xij, yog tias muaj 'Polychromasia', ntawm cov qe ntshav liab no, koj tuaj yeem pom ob peb lub qe ntshav uas zoo li xiav, xiav-grey, lossis ntshav . Cov qe ntshav sib txawv no feem ntau yog cov qe ntshav liab tsis tau loj hlob . Hauv kev kho mob, peb hu cov qe ntshav liab tsis tau loj hlob no tias 'Reticulocytes'.
Qhov tseeb, polychromasia txhais tau hais tias koj cov pob txha pob txha tso cov qe ntshav liab tshiab, tsis tau loj hlob (Reticulocytes) rau hauv koj cov ntshav sai dhau. Koj paub, pob txha pob txha yog qhov mos mos, spongy ntawm koj lub cev uas nyob hauv cov pob txha loj. Tag nrho cov qe ntshav liab, cov qe ntshav dawb, thiab platelets hauv koj cov ntshav yog tsim los ntawm cov pob txha pob txha. Nws zoo li lub Hoobkas.
Vim li cas cov qe ntshav liab no zoo li xiav?
Tam sim no tej zaum koj yuav xav paub tias vim li cas cov qe ntshav liab tsis tau loj hlob ('Reticulocytes') zoo li xiav. Qhov laj thawj yog vim tias cov 'Reticulocytes' no muaj cov khoom siv caj ces hu ua 'RNA'. Thaum lawv teb nrog cov xim 'PBS', cov 'RNA' no hloov xiav. Cov 'RNA' no zoo li ib qho kev pab cuam ib ntus hauv lub cell. Thaum 'Reticulocyte' loj hlob thiab dhau los ua cov qe ntshav liab puv ntoob, cov 'RNA' no ploj mus.
Nws yog ib qho tseem ceeb uas yuav tsum txheeb xyuas cov 'Reticulocytes' no hauv 'PBS'. Vim tias, 'Reticulocytes' yog ib pawg ntawm cov hlwb uas tsis tuaj yeem nqa cov pa oxygen tau zoo li cov hlwb ntshav liab uas loj hlob tag. Lub luag haujlwm tseem ceeb ntawm cov hlwb ntshav liab yog nqa cov pa oxygen mus rau txhua lub hlwb hauv peb lub cev. Yog li, muaj ntau cov hlwb tsis loj hlob txhais tau tias lub luag haujlwm ntawd tsis tau ua tiav zoo.
Dab tsi yog cov ua rau muaj 'Polychromasia'?
Polychromasia tuaj yeem yog ib qho tsos mob ntawm ib qho mob uas twb muaj lawm. Qhov mob no ua rau koj cov pob txha tso cov qe ntshav liab uas tsis tau loj hlob sai sai rau hauv koj cov ntshav. Qhov no feem ntau tshwm sim thaum cov qe ntshav liab uas loj hlob hauv koj cov ntshav txo qis. Lub cev sim them rov qab los ntawm kev tso cov reticulocytes sai sai los ntawm koj cov pob txha mus rau hauv koj cov ntshav.
Nov yog qee qhov laj thawj uas koj yuav pom 'Polychromasia':
- Kab mob ntshav tsis txaus: Qhov no yog ib qho teeb meem ntawm cov ntshav. Qhov no yog qhov uas cov qe ntshav liab raug rhuav tshem ua ntej lub sijhawm. Qee zaum qhov kev puas tsuaj no tuaj yeem tshwm sim ntawm qhov nrawm uas lub cev tsis tuaj yeem tsim cov qe ntshav liab tshiab. Qhov no ua rau muaj kab mob ntshav tsis txaus. Kab mob ntshav tsis txaus kuj tseem tuaj yeem tshwm sim los ntawm cov mob uas tau txais los ntawm noob caj noob ces xws li Paroxysmal Nocturnal Hemoglobinuria (PNH), Thalassemia, thiab Sickle Cell Disease. Nws kuj tseem tuaj yeem tshwm sim los ntawm qee yam kab mob thiab qee yam tshuaj.
- Kev poob ntshav ntau heev: Thaum muaj kev los ntshav ntau dhau, txawm tias sab hauv lossis sab nraud, cov pob txha pob txha raug txhawb kom ua kom muaj cov qe ntshav liab ntau ntxiv. Tom qab ntawd cov reticulocytes raug tso tawm mus rau hauv cov ntshav los hloov cov qe ntshav liab uas ploj lawm. Xav txog, yog tias koj poob ntshav ntau hauv qhov xwm txheej loj, qhov no tuaj yeem tshwm sim.
- Mob qog noj ntshav: Qee hom mob qog noj ntshav tuaj yeem kis mus rau cov pob txha thiab cuam tshuam rau kev tsim cov qe ntshav liab, lossis tuaj yeem thawb cov qe ntshav tsis tau loj hlob mus rau hauv cov ntshav.
- Cev Xeeb Tub: Feem ntau cov "Reticulocytes" hauv cov ntshav yuav ntau dua li qub thaum cev xeeb tub. Feem ntau, qhov no tsis yog qhov ua rau muaj kev txhawj xeeb.
- Nyob rau qhov chaw siab: Cov pa oxygen tsawg nyob rau qhov chaw siab. Lub cev tuaj yeem hloov kho rau qhov tsis muaj oxygen los ntawm kev ua kom cov qe ntshav liab ntau ntxiv thiab tso cov reticulocytes rau hauv cov ntshav.
Cov khoom noj uas ua rau cov qe ntshav liab ntau ntxiv
Qee zaum, thaum koj pib noj cov vitamins thiab cov tshuaj ntxiv uas xav tau los ua cov qe ntshav liab noj qab haus huv, koj yuav pom "Polychromasia" ntawm koj daim ntawv qhia ntshav. Qhov no txhais tau tias koj lub cev tab tom ua haujlwm. Yog tias koj tsis tau txais cov as-ham no txaus los ntawm cov khoom noj uas koj noj, koj tus kws kho mob yuav pom zoo:
- Vitamin B12 ('Vitamin B12')
- Folic acid ('Folic acid')
- Hlau
Cov as-ham no tseem ceeb rau kev tsim cov qe ntshav liab. Piv txwv li, hlau pab tsim hemoglobin, uas yog cov protein nqa oxygen hauv cov qe ntshav liab. Vitamin B12 thiab folic acid yog qhov tseem ceeb rau kev faib thiab kev loj hlob ntawm cov qe ntshav liab.
Cov tsos mob ntawm 'Polychromasia' yog dab tsi?
Tsis muaj cov tsos mob tshwj xeeb rau Polychromasia. Txawm li cas los xij, koj yuav muaj cov tsos mob uas tshwm sim los ntawm ib qho mob hauv qab, xws li ntshav tsis txaus, uas ua rau Polychromasia.
Cov no yog cov tsos mob feem ntau ntawm anemia:
- Daim tawv nqaij daj ntseg
- Mob taub hau
- Tsis muaj zog los yog qaug zog
- Ua pa nyuaj (Dyspnea)
- Lub plawv dhia ceev ceev (Tachycardia)
- Kiv taub hau los yog lub taub hau me me
- Ntshav siab qis (Hypotension)
- Daj ntawm daim tawv nqaij lossis dawb ntawm lub qhov muag (Jaundice) - Qhov no pom tshwj xeeb tshaj yog hauv Hemolytic Anemia.
- Mob qog (Splenomegaly) lossis mob siab (Hepatomegaly) loj hlob
Tej zaum yuav tsis muaj tsos mob dab tsi li. Nws nyob ntawm seb qhov mob twg ua rau muaj polychromasia thiab nws qhov hnyav npaum li cas.
Yuav ua li cas thiaj paub txog 'Polychromasia'?
Cov kws kho mob tuaj yeem qhia tau seb koj puas muaj polychromasia los ntawm cov txiaj ntsig ntawm kev kuaj PBS (peripheral blood smear). Qhov no yuav qhia cov qe ntshav liab xiav tsaus lossis xiav-grey (hu ua reticulocytes) hauv koj cov ntshav kuaj, nrog rau cov qe ntshav liab liab uas laus lawm ib txwm muaj.
Nco ntsoov tias, 'Polychromasia' yog ib yam dab tsi uas pom tau hauv kev kuaj ntshav, thiab tsis yog ib qho 'kev kuaj mob' nws tus kheej.
Yog li ntawd, koj tus kws kho mob yuav xaj kom muaj kev kuaj ntxiv los pab txiav txim seb ua rau koj muaj mob li cas. Nws yuav nug koj txog koj cov tsos mob, koj keeb kwm kev kho mob, thiab txhua yam tshuaj uas koj noj. Lawv kuj tseem yuav kuaj lub cev kom paub seb puas muaj cov cim qhia tias muaj ntshav tsis txaus (xws li lub qhov ntswg lossis lub siab loj). Cov kev kuaj tshwj xeeb uas koj yuav muaj yuav nyob ntawm qhov ua rau uas xav tias cuam tshuam rau kev tso tawm cov reticulocytes los ntawm koj cov pob txha.
Yuav kho tus mob Polychromasia li cas?
Kev kho mob nyob ntawm seb ua rau koj muaj polychromasia li cas. Yog tias qhov ua rau yog ntshav tsis txaus thiab koj tsis muaj cov tsos mob loj, tej zaum koj tsis tas yuav kho. Txawm li cas los xij, yog tias koj muaj mob hnyav uas ua rau koj muaj polychromasia, koj tus kws kho mob yuav pom zoo kom kho kom haum.
Cov no siv tau ua kev kho mob:
- Kev ntxiv ntshav: Hauv qee yam mob uas tau txais los ntawm noob caj noob ces xws li Kab mob Sickle Cell lossis thaum muaj kev los ntshav hnyav.
- Corticosteroids: Hauv cov mob xws li Autoimmune Hemolytic Anemia, qhov twg koj lub cev tiv thaiv kab mob rhuav tshem koj cov qe ntshav liab.
- Cov tshuaj tiv thaiv kab mob (immunosuppressants): Cov no yuav muab tau thaum lub cev tiv thaiv kab mob tab tom rhuav tshem cov qe ntshav liab thiab kev kho mob xws li corticosteroids tsis zoo.
Yog tias polychromasia yog tshwm sim los ntawm cov kab mob bacterial, viral, lossis parasitic kab mob, tej zaum yuav xav tau cov tshuaj tshwj xeeb rau qhov kev kis kab mob ntawd. Yog tias qhov mob yog tshwm sim los ntawm cov tshuaj, koj yuav tsum tsis txhob noj cov tshuaj ntawd lossis hloov mus rau lwm cov tshuaj. Txawm li cas los xij, tsis txhob tsum tsis txhob noj cov tshuaj yam tsis tau koj tus kws kho mob qhia. Koj tus kws kho mob yuav coj koj ua tib zoo.
Koj puas yuav tsum ntshai 'Polychromasia'?
Tsis yog li ntawd. Polychromasia tuaj yeem yog ib qho cim qhia txog kev mob ntshav uas xav tau kev kho mob, lossis nws tuaj yeem yog ib yam dab tsi uas tsis muaj teeb meem dab tsi. Piv txwv li, yog tias koj cev xeeb tub lossis nyuam qhuav pib noj cov tshuaj ntxiv hlau, qhov no tuaj yeem yog qhov ib txwm muaj.
Koj tus kws kho mob yuav qhia rau koj txog cov txiaj ntsig no thiab piav qhia seb lawv puas yog ib yam dab tsi uas yuav tsum txhawj xeeb txog lossis puas xav tau kev kuaj ntxiv.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Yog tias koj muaj cov tsos mob ntawm kev tsis muaj ntshav txaus, xws li qaug zog, ntsej muag dawb, thiab ua tsis taus pa, teem sijhawm mus ntsib kws kho mob. Lub sijhawm no, tsis txhob hla koj qhov kev kuaj xyuas txhua xyoo. Koj tus kws kho mob yuav saib xyuas koj cov qe ntshav los ntawm kev ua cov kev kuaj xws li PBS yog tias xav tau.
Cov ntawv qhia txog kev kuaj ntshav tuaj yeem muab ntau cov ntaub ntawv hais txog koj txoj kev noj qab haus huv. Lawv kuj tseem tuaj yeem pab koj txheeb xyuas cov mob ntshav uas yuav xav tau kev kho mob thaum ntxov.
Hauv kev xaus lus (Cov Lus Qhia Txog Kev Coj Mus Tsev)
Tsis txhob ntshai thaum koj pom lo lus 'Polychromasia' ntawm koj daim ntawv qhia ntshav. Nco ntsoov:
- "Polychromasia" yog ib qho lus piav qhia xwb, tsis yog kev kuaj mob. Nws tsuas yog txhais tau tias koj muaj cov qe ntshav liab uas tseem tsis tau loj hlob ntau dua li qub hauv koj cov ntshav.
- Qhov no yuav yog ib qho cim qhia txog ib qho mob uas twb muaj lawm, lossis nws yuav yog ib yam dab tsi uas tsis muaj teeb meem thiab ib ntus xwb.
- Yog koj muaj kev txhawj xeeb txog qhov no, nrog koj tus kws kho mob tham. Nws tuaj yeem piav qhia seb qhov tshwm sim no cuam tshuam li cas rau koj.
Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum sib txuas lus zoo nrog koj tus kws kho mob. Lawv yog cov uas nkag siab koj txoj kev noj qab haus huv zoo tshaj plaws.
Polychromasia , Cov Qe Ntshav Liab, Kev Kuaj Ntshav, Reticulocytes, Pob Txha, Ntshav Tsis Muaj Zog











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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