Koj puas feem ntau xav tias koj nkees thiab tsis muaj sia nyob? Qee zaum peb xav tias qhov no yog qhov ib txwm muaj, qhov qaug zog uas los ntawm kev ua haujlwm ntau dhau. Txawm li cas los xij, tej zaum yuav muaj ib qho laj thawj loj heev zais rau hauv qab qhov qaug zog no. Hnub no peb yuav tham txog qhov kev tsis muaj ntshav txaus, lossis ib qho mob tshwj xeeb uas cuam tshuam nrog kev tsis muaj ntshav hauv lub cev. Qhov no hu ua Heinz Body Anemia.
Hais yooj yim xwb, cov Heinz Bodies no yog dab tsi?
Yuav kom nkag siab qhov no, peb yuav tsum paub me ntsis txog peb cov ntshav ua ntej. Peb cov ntshav muaj ib hom qe ntshav hu ua qe ntshav liab. Cov no yog cov qe ntshav uas nqa oxygen thoob plaws peb lub cev. Xav txog cov qe ntshav liab no ua cov tsheb thauj khoom me me uas thauj oxygen. Lub ntsiab ntawm cov tsheb thauj khoom no uas nqa oxygen hu ua hemoglobin . Cov protein no hu ua hemoglobin yog qhov ua rau peb cov ntshav muaj xim liab.
Txawm li cas los xij, vim qee qhov laj thawj, cov hemoglobin molecule no tuaj yeem puas tsuaj. Ib yam li lub chaw thauj khoom ntawm lub tsheb thauj khoom raug puas tsuaj. Cov hemoglobin uas puas tsuaj sib sau ua ke, sib sau ua ke, thiab lo rau ntawm phab ntsa ntawm cov qe ntshav liab. Peb hu cov pawg ntawd ua Heinz Bodies .
Cov Heinz lub cev no ua rau cov qe ntshav liab poob lawv qhov kev ywj pheej thiab ua rau tawv. Feem ntau, cov qe ntshav liab noj qab haus huv tuaj yeem yooj yim hla dhau txawm tias cov hlab ntsha nyias tshaj plaws. Tab sis cov qe ntshav tawv no muaj lub sijhawm nyuaj ua li ntawd. Peb lub qhov ntswg yog ib lub cev uas ntxuav peb cov ntshav. Thaum nws hla dhau lub lim dej no, lub qhov ntswg paub cov qe ntshav liab nrog cov Heinz lub cev tawv no thiab rhuav tshem lawv. Qee zaum, tsuas yog Heinz lub cev ib feem raug tshem tawm, thiab cov qe ntshav liab zoo li ib tug neeg tau tom ib daim ncuav qab zib. Peb kuj hu cov qe ntshav tom no.
Ua li no, thaum cov qe ntshav liab uas puas lawm no tawg sai dua li peb lub cev tsim tau cov tshiab, cov ntshav hauv peb lub cev yuav txo qis. Qhov ntawd yog qhov peb hu ua Heinz Body Anemia.
Vim li cas qhov xwm txheej no thiaj tshwm sim? Yog vim li cas?
Qhov ua rau muaj Heinz lub cev yog kev puas tsuaj los ntawm tshuaj lom neeg lossis oxidative rau peb cov qe ntshav liab. Qhov no tuaj yeem tau txais tom qab yug los, lossis nws tuaj yeem tshwm sim los ntawm tus mob uas yug los.
Cov ua rau muaj tom qab yug me nyuam
Cov no feem ntau yog tshwm sim los ntawm tej yam uas nkag mus rau hauv lub cev los ntawm sab nraud.
| Vim li cas | Kev piav qhia thiab piv txwv |
|---|---|
| Qee cov tshuaj thiab cov tshuaj lom neeg | Kev raug tshuaj thiab tshuaj lom neeg qee yam tuaj yeem ua rau cov qe ntshav liab puas tsuaj. Piv txwv li:
|
| Cov teeb meem ntawm cov zaub mov tsis txaus | Selenium yog ib qho mineral tseem ceeb rau peb lub cev. Nws pab ua ib qho antioxidant muaj zog hu ua glutathione. Cov antioxidant no yog qhov uas tiv thaiv peb cov qe ntshav liab kom tsis txhob puas. Yog tias muaj selenium tsis txaus, qhov kev tiv thaiv no yuav txo qis thiab Heinz lub cev tuaj yeem tsim tau. |
Cov ua rau muaj tus kab mob los ntawm noob caj noob ces (genetic causes)
Cov no yog cov mob caj ces uas tau txais los ntawm niam txiv mus rau cov menyuam.
- Tsis txaus G6PD: Lub npe tag nrho ntawm qhov no yog Glucose-6-phosphate dehydrogenase deficiency. Qhov no yog ib qho mob uas kuj pom muaj nyob rau hauv peb lub tebchaws. G6PD no yog ib qho enzyme tseem ceeb heev uas tiv thaiv cov qe ntshav liab. Hauv cov neeg uas tsis txaus cov enzyme no, thaum lawv noj qee yam tshuaj, thaum lawv kis tau qee yam kab mob, lossis thaum lawv noj qee yam khoom noj (piv txwv li taum fava), lawv cov qe ntshav liab pib tawg sai sai.
- Thalassemia: Qhov no kuj yog qhov tsis zoo ntawm cov noob caj noob ces hauv kev tsim cov hemoglobin uas feem ntau tshwm sim hauv peb lub tebchaws. Heinz bodies kuj tseem tuaj yeem pom hauv cov ntshav ntawm cov neeg mob thalassemia.
- Cov kab mob hemoglobin tsis ruaj khov: Ib txhia neeg yug los muaj cov qauv hemoglobin tsis zoo thiab tsis ruaj khov. Cov no yooj yim puas tsuaj thiab ua rau Heinz bodies.
Koj puas muaj cov tsos mob no thiab?
Qhov muaj Heinz bodies tsis ua rau muaj tsos mob. Txawm li cas los xij, thaum muaj cov qe ntshav liab ntau heev pib tawg, ntshav tsis txaus yuav tshwm sim thiab ntau yam tsos mob yuav tshwm sim.
| Cov tsos mob ntawm Heinz lub cev anemia | |
|---|---|
| Tawv nqaij thiab qhov muag daj (Jaundice) | Muaj kev xav tias qaug zog thiab qaug zog heev |
| Ua pa nyuaj thiab ua pa nrov nrov | Daim tawv nqaij daj ntseg |
| Lub plawv dhia tsis xwm yeem lossis ceev ceev | Mob siab los yog mob po (mob hauv plab sab saud) |
Koj nrhiav tau qhov no li cas? Muaj kev ntsuam xyuas dab tsi?
Yog koj muaj cov tsos mob zoo li no, thawj qhov koj tus kws kho mob yuav ua yog kuaj koj thiab xaj qee qhov kev kuaj ntshav.
- Kev suav cov ntshav tag nrho (CBC): Qhov no ntsuas tus naj npawb ntawm cov qe ntshav liab, cov qe ntshav dawb, thiab cov platelets hauv koj cov ntshav. Qhov no yog qhov tseem ceeb los kuaj xyuas seb puas muaj ntshav tsis txaus.
- Hemoglobin thiab Hematocrit: Qhov no kuj ntsuas tus naj npawb ntawm cov qe ntshav liab thiab cov hemoglobin theem.
- Kev Ntsuas Ntshav Ntawm Sab Nraud: Qhov no yog ib qho kev xeem tseem ceeb heev. Ntawm no, ib tee ntshav raug muab pleev rau ntawm daim iav thiab kuaj hauv qab lub tshuab kuaj mob. Tom qab ntawd, koj tuaj yeem pom cov duab thiab qhov loj ntawm cov qe ntshav liab. Cov "qe ntshav tom" uas peb tau tham txog ua ntej kuj tuaj yeem pom nrog qhov kev xeem no. Txhawm rau pom Heinz lub cev ncaj qha, yuav tsum siv cov xim tshwj xeeb (xim av) rau qhov kev xeem no.
- Kuaj zis: Thaum cov qe ntshav liab tawg, hemoglobin tuaj yeem tso tawm rau hauv cov zis. Qhov kev kuaj no yog ua los saib seb nws puas muaj.
Cov kev kho mob yog dab tsi?
Kev kho mob nyob ntawm seb qhov ua rau muaj mob li cas. Koj tus kws kho mob yuav txiav txim seb qhov ua rau mob yog dab tsi thiab muab kev kho mob zoo tshaj plaws.
- Tsum tsis txhob noj tshuaj uas ua rau mob: Yog tias pom tias muaj tshuaj uas ua rau mob, yuav tsum tsis txhob noj tshuaj ntawd thiab, yog tias tsim nyog, yuav muab lwm yam tshuaj uas muaj kev nyab xeeb dua rau koj noj.
- Kev Muab Cov Tshuaj Ntxiv Rau Kev Noj Qab Haus Huv: Yog tias qhov mob no yog tshwm sim los ntawm qhov tsis muaj cov zaub mov xws li selenium, yuav muab cov tshuaj ntxiv rau qhov ntawd.
- Tshuaj tua kab mob: Yog tias tus kab mob ua rau tus kab mob ntshav tsis txaus.
- Kev Hloov Ntshav: Yog tias cov ntshav tsis txaus (anemia) hnyav heev, tej zaum yuav xav tau kev hloov ntshav kom rov qab tau cov ntshav sai sai.
- Tshem Tawm Tus Qe: Hauv qee kis mob hnyav, yuav tsum phais tshem tus qe, uas yog qhov chaw tseem ceeb uas ua rau cov qe ntshav liab puas tsuaj,.
- Cov kev kho mob xws li cov tshuaj tiv thaiv kab mob thiab kev hloov noob hlwb kuj tseem siv tau rau cov xwm txheej tsis tshua muaj thiab hnyav heev.
Qhov tseem ceeb tshaj plaws: Tsis txhob tsum noj tshuaj lossis hloov qhov ntau npaum li cas yam tsis tau nrog koj tus kws kho mob tham. Nws tuaj yeem ua rau muaj kev phom sij.
Vim muaj tus mob no, yuav muaj teeb meem dab tsi tshwm sim?
Yog tias Heinz body anemia tsis raug tswj kom zoo, tej zaum yuav muaj tej yam teeb meem tshwm sim. Tej no nyob ntawm seb ua rau muaj mob dab tsi thiab kev kho mob li cas.
- Cov ntshav txhaws (tshwj xeeb tshaj yog nyob rau hauv lub ntsws)
- Cov pob zeb hauv lub zais zis
- Kev ua haujlwm tsis zoo ntawm lub raum
- Lub plawv tsis ua haujlwm
- Kev poob siab
- Cov kev mob tshwm sim ntawm cov tshuaj noj rau kev kho mob
Qee qhov teeb meem no yog xwm txheej ceev hauv kev kho mob. Yog li ntawd, yog tias koj xav tias koj tsis xis nyob, ua pa nyuaj heev, lossis mob hauv siab, mus rau Chav Kho Mob Xwm Ceev (ETU) ntawm lub tsev kho mob ze tshaj plaws tam sim ntawd. Yog tias koj xav tias qhov mob no yog los ntawm kev noj tshuaj lom neeg, koj tuaj yeem hu rau Lub Chaw Qhia Txog Tshuaj Lom Hauv Tebchaws ntawm Tsev Kho Mob Colombo National kom tau txais lus qhia.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Heinz Body Anemia yog ib yam mob uas lub cev zom cov qe ntshav liab sai dua li nws tsim tau cov qe tshiab.
- Qhov no tuaj yeem tshwm sim los ntawm qee cov tshuaj, tshuaj lom neeg, lossis cov mob uas muaj txij thaum yug los xws li G6PD deficiency thiab thalassemia.
- Cov tsos mob tseem ceeb yog qaug zog ntau zaus, tawv nqaij daj, thiab tawv nqaij daj.
- Kev kuaj ntshav yog qhov tseem ceeb heev los kuaj xyuas qhov mob no kom meej.
- Kev kho mob nyob ntawm seb ua rau muaj tus kab mob li cas, yog li ntawd nws tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob.
- Tsis txhob tsum noj tshuaj yam tsis tau sab laj nrog kws kho mob. Yog tias koj muaj teeb meem dab tsi, hu rau koj tus kws kho mob tam sim ntawd.
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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