Koj puas tau saib daim ntawv qhia txog Kev Ntsuas Tag Nrho Cov Ntshav thiab xav paub txog qee qhov txiaj ntsig hauv nws? Tej zaum koj tus kws kho mob yuav hais tias, "Koj cov qe ntshav liab zoo li loj me ntsis." Qhov ntawd yog qhov peb hu ua Macrocytosis hauv kev kho mob. Nws tsis yog ib yam kab mob hauv nws tus kheej. Tab sis nws yog ib qho cim tseem ceeb uas muaj qee yam tsis raug nrog peb lub cev. Yog tias koj tsis quav ntsej nws, koj tuaj yeem tsim mus rau hauv qhov tsis muaj ntshav txaus hu ua macrocytic anemia. Yog li, tsis txhob txhawj. Cia peb tham txog txhua yam kom meej thiab yooj yim.
Macrocytosis yog dab tsi tiag?
Hais yooj yim xwb, Macrocytosis yog thaum cov qe ntshav liab hauv koj cov ntshav loj dua li qub. Qhov no qee zaum hu ua megalocytosis lossis macrocythemia. Thaum koj muaj cov ntshav suav tag nrho, daim ntawv qhia yuav qhia koj qhov loj ntawm koj cov qe ntshav liab. Muaj ob qho tseem ceeb uas tus kws kho mob yuav saib thaum lawv xav tias muaj tus mob no: 1.
MCV (Mean Corpuscular Volume): Qhov no yog qhov nruab nrab ntawm koj cov qe ntshav liab. 2.
MCH (Mean Corpuscular Hemoglobin): Qhov no yog qhov ntau ntawm hemoglobin hauv cov qe ntshav liab. Yog tias ib qho lossis ob qho ntawm cov nqi no siab dua li qub, nws yog qhov qhia tau zoo tias koj yuav muaj Macrocytosis.
Cov tsos mob ntawm tus mob no yog dab tsi?
Feem ntau, qhov
ntshav tsis txaus uas los nrog Macrocytosis tshwm sim qeeb heev hauv lub cev. Yog li ntawd, tus mob
tsis qhia cov tsos mob loj kom txog thaum nws hnyav dua me ntsis. Txawm li cas los xij, thaum tus mob hnyav dua me ntsis, qee cov tsos mob hauv qab no yuav tshwm sim.
| Cov tsos mob | Kev piav qhia |
|---|
| Mob raws plab | Mob plab ntau zaus. |
| Kev o ntawm tus nplaig | Liab, o, lossis mob hauv tus nplaig. |
| Kev tsis muaj zog noj mov | Txo kev ntshaw noj mov. |
| Kev puas tsuaj ntawm cov hlab ntsha peripheral | Kev xav ntawm loog thiab kub hnyiab hauv ob txhais ceg. |
| Kev hloov pauv ntawm kev taug kev | Nyuaj rau kev tswj qhov sib npaug thaum taug kev. |
Dab tsi yog cov ua rau muaj macrocytosis?
Raws li peb tau hais ua ntej lawm, Macrocytosis tsis yog ib yam kab mob xwb. Nws yog qhov tshwm sim ntawm lwm yam teeb meem kev noj qab haus huv. Cia peb saib seb cov laj thawj tseem ceeb uas cuam tshuam rau nws yog dab tsi.
| Cov laj thawj tseem ceeb |
|---|
| Tsis muaj Vitamin B12 txaus | Tsis tau txais vitamin B12 txaus los yog tsis tuaj yeem nqus tau nws. |
| Kev tsis txaus folate | Folate, tseem hu ua vitamin B9, yog qhov tseem ceeb rau kev loj hlob ntawm cov cell. Nws qhov tsis txaus kuj yog ib qho ua rau muaj teeb meem loj. |
| Kab mob siab | Kev ua haujlwm tsis zoo ntawm daim siab. |
| Kev quav dej cawv | Cawv ua rau cov vitamins tsis nqus tau thiab ua rau cov pob txha puas tsuaj. |
| Teeb meem ntawm cov thyroid (Hypothyroidism) | Txo cov tshuaj hormones hauv cov thyroid. |
Ntxiv mus,
nws tuaj yeem yog ib qho kev phiv los ntawm qee cov tshuaj siv los kho cov mob xws li mob qog noj ntshav, qaug dab peg, lossis mob autoimmune (cov kab mob uas lub cev tiv thaiv kab mob tawm tsam nws tus kheej).Macrocytosis kuj tseem tuaj yeem tshwm sim los ntawm mob qog nqaij hlav pob txha (myelodysplastic syndrome).
Yuav paub qhov mob no li cas?
Yog koj tus kws kho mob xav tias qhov no, nws yuav xaj ntau qhov kev kuaj kom paub tseeb.
Qhov tseem ceeb tshaj plaws yog tias cov kev kuaj no tsis yog tsuas yog kuaj xyuas seb puas muaj Macrocytosis xwb, tab sis kuj nrhiav seb yog dab tsi ua rau nws.
Cov kev ntsuam xyuas tseem ceeb uas tau ua yog:
- Kev suav ntshav tag nrho (CBC): Kev suav ntshav tag nrho.
- Kev Ntsuas Ntshav Ntawm Ib Sab (Kev Ntsuas Ntshav): Qhov no yog ib qho kev kuaj tseem ceeb heev. Yuav kuaj cov ntshav hauv qab lub tshuab microscope kom pom cov duab thiab qhov loj ntawm cov qe ntshav liab.
- Kev suav cov reticulocyte : Ntsuas tus naj npawb ntawm cov qe ntshav liab tshiab tsim nyob rau hauv cov pob txha.
- Cov Vitamin B12 thiab Folate Qib: Tshawb xyuas cov qib ntawm cov vitamins no hauv cov ntshav.
Kev kuaj mob macrocytosis zoo tshaj plaws yog siv cov xim pleev rau sab nraud. Ntxiv rau cov qe ntshav liab loj zuj zus, yog tias muaj cov cim qhia tias muaj
Howell-Jolly bodies (cov khoom me me hauv cov qe ntshav) thiab hypersegmentation ntawm
granulocytes (ib hom qe ntshav dawb), nws yog ib qho cim qhia tias muaj macrocytic anemia.
Yuav kho li cas?
Qhov tseem ceeb tshaj plaws hauv kev kho mob macrocytosis yog
nrhiav thiab kho qhov ua rau muaj qhov teeb meem . Thaum pom qhov ua rau muaj qhov teeb meem lawm, koj tus kws kho mob yuav txiav txim siab txoj kev npaj kho mob.
- Kev Kho Mob Rau Cov Vitamin Tsis Txaus: Yog tias qhov ua rau yog vitamin B12 lossis folate tsis txaus, ces kev hloov pauv zaub mov kom haum, kev noj tshuaj vitamin ntxiv, lossis kev txhaj tshuaj vitamin yog tias tsim nyog yog qhov pom zoo. Tab sis nco ntsoov, tsuas yog koj tus kws kho mob thiaj li txiav txim siab seb koj puas xav tau cov tshuaj vitamin ntxiv thiab yuav tsum noj ntau npaum li cas. Yog li ntawd, tsis txhob noj cov vitamins yam tsis tau kev qhia los ntawm kws kho mob.
- Kab mob ntshav tsis txaus (anemia) hnyav heev: Yog tias kab mob ntshav tsis txaus no hnyav heev, tej zaum yuav tsum tau hloov ntshav .
Cov khoom noj uas muaj vitamin B12 ntau
Cov neeg laus uas muaj hnub nyoog tshaj 14 xyoo xav tau li ntawm 2.4 micrograms ntawm vitamin B12 ib hnub. Cov niam cev xeeb tub thiab cov niam uas pub niam mis rau menyuam xav tau ntawm 2.6-2.8 micrograms. Cov khoom noj uas feem ntau muaj cov vitamin no suav nrog:
- Hom ntses thiab cov ntses shellfish
- Siab
- Nqaij liab
- Qe
- Qaib
- Cov khoom noj uas muaj mis nyuj xws li mis nyuj, cheese, yogurt
- Cov khoom noj tshais uas muaj zog
Cov khoom noj uas muaj folate ntau
Cov neeg uas muaj hnub nyoog tshaj 19 xyoo xav tau 400 micrograms ntawm folate ib hnub. Cov niam cev xeeb tub xav tau 600, thiab cov niam pub niam mis xav tau 500. Nws tseem ceeb heev rau cov neeg haus cawv kom tau txais 600 micrograms ib hnub, vim tias cawv ua rau kev nqus ntawm folate tsis zoo.
- Cov zaub ntsuab tsaus xws li spinach, kale, lettuce, broccoli
- Cov zaub mov xws li taum thiab taum pauv
- Txiv laum huab xeeb
- Cov noob paj noob hlis
- Txiv hmab txiv ntoo tshiab
- Cov nplej tag nrho
- Cov khoom noj hiav txwv
- Qe
- Cov khoom noj uas muaj zog
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Macrocytosis txhais tau tias koj cov qe ntshav liab loj dua li qub. Nws tsis yog ib yam kab mob hauv nws tus kheej, tab sis yog ib qho cim qhia txog lwm yam teeb meem hauv lub cev.
- Feem ntau qhov ua rau muaj yog vitamin B12 lossis folate tsis txaus. Lwm yam ua rau muaj xws li kab mob siab thiab haus dej cawv ntau dhau .
- Yog tias koj tus nqi MCV siab dua hauv koj cov ntshav, tsis txhob ntshai thiab nrog koj tus kws kho mob tham tam sim ntawd.
- Kev kho mob nyob ntawm seb qhov ua rau mob yog dab tsi. Kev nrhiav qhov ua rau mob yog thiab kho nws yuav tswj tau qhov mob no tag nrho.
- Kev noj zaub mov kom muaj txiaj ntsig zoo thiab sib npaug yog qhov tseem ceeb heev.
Macrocytosis, cov qe ntshav liab, kev kuaj ntshav, vitamin B12, folate, anemia, MCV
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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