Mukumva kufooka? Mukumva magazi ochepa? Izi zitha kukhala Macrocytic Anemia!

Kodi nthawi zonse mumamva kutopa? Kodi nthawi zina mumamva ngati mulibe mphamvu ndipo zimakuvutani kupuma? Izi sizingakhale kutopa kokha. Pakhoza kukhalanso vuto laling'ono ndi maselo ofiira a magazi m'thupi lanu. Lero, tikambirana za vuto ili lotchedwa Macrocytic Anemia.

Kodi Macrocytic Anemia ndi chiyani?

Mwachidule, Macrocytic Anemia ndi matenda a m'magazi omwe mafupa anu amapanga maselo ofiira amagazi akuluakulu kwambiri . Taganizirani izi ngati magalimoto ang'onoang'ono m'thupi lathu omwe amanyamula mpweya. Koma maselo ofiira amagazi akuluakuluwa ali ngati magalimoto akuluakulu koma opanda ntchito. Alibe michere yomwe maselo ofiira amagazi amafunikira kuti agwire bwino ntchito. Iyi si matenda oopsa, koma ngati sachiritsidwa bwino, angayambitse mavuto aakulu azaumoyo. Mwamva?

Kodi mitundu ikuluikulu ya kuchepa kwa magazi m'thupi (macrocytic anemia) ndi iti?

Pali mitundu iwiri ikuluikulu ya kuchepa kwa magazi m'thupi (macrocytic anemia). Izi zimachitika pamene thupi lanu likusowa zakudya zinazake. Tiyeni tiwone zomwe zili.

1. Kuchepa kwa magazi m'thupi (megaloblastic macrocytic anemia)

Uwu ndi mtundu wofala kwambiri. Umachitika ngati simukupeza vitamini B12 yokwanira ndi/kapena vitamini B9 (folate). Popanda michere iyi, mafuta anu a m'mafupa sangapange maselo ofiira athanzi. Izi zikutanthauza kuti sangapange maselo omwe amanyamula mpweya m'thupi lanu. Taganizirani ngati munthu amene akugwira ntchito popanda chakudya. Chinanso n'chakuti, maselo osazolowereka omwe amapangidwa mwanjira imeneyi amafa maselo abwinobwino asanafike. Choncho chiwerengero cha maselo ofiira m'thupi chimachepa.

2. Kuchepa kwa magazi m'thupi kosakhudzana ndi megaloblastic macrocytic anemia

Mtundu uwu ungachitike ngati muli ndi matenda ena omwe amakhudza mphamvu ya thupi lanu yoyamwa michere. Izi zikutanthauza kuti ngakhale mutadya bwino, thupi lanu silikupeza michere yomwe limafuna. Matenda ena angayambitse izi.

Zinthu zomwe zimayambitsa kuchepa kwa magazi m'thupi kwa macrocytic omwe si a megaloblastic

Pali zifukwa zazikulu zingapo izi:

• Matenda a Myelodysplastic: Awa ndi gulu la matenda. Chomwe chimachitika apa ndi chakuti pali vuto ndi mafupa anu ndipo sangathe kupanga maselo amagazi athanzi. Zili ngati makina osweka mufakitale omwe sangathe kupanga zinthu zabwino.
• Kusagwiritsa ntchito mowa mopitirira muyeso: Mukamwa mowa wambiri, thupi lanu limasiya kuyamwa vitamini B12. Vutoli ndi la anthu ambiri. Anthu ena amaganiza kuti kumwa pang'ono kuli bwino, koma mukamwa mowa wambiri ndiye mavuto amabuka.
• Hypothyroidism: Kuchepa kwa chithokomiro cha chithokomiro:Imeneyi ndi vuto lomwe limakhudza kugwira ntchito kwa chithokomiro. Chithokomiro chaching'onochi chomwe chili m'khosi mwathu chimayang'anira ntchito zambiri za thupi. Choncho chikalephera kugwira ntchito bwino, kuchepa kwa magazi m'thupi ngati ichi kungachitike.

Chifukwa chiyani macrocytic anemia imachitika?

Monga mukuonera, vutoli limayamba chifukwa cha kusowa kwa vitamini B12 ndi/kapena folate (vitamini B9), zomwe ndizofunikira kwambiri popanga maselo ofiira athanzi, kapena matenda ena omwe amalepheretsa thupi kuyamwa michere iyi. Mwachidule, "zosakaniza" zomwe zimapanga maselo ofiira amagazi sizikwanira, kapena thupi silingathe kuyamwa.

Kodi madokotala amazindikira bwanji izi?

Ngati muli ndi zizindikiro izi, chinthu choyamba chomwe dokotala kapena namwino angachite ndikukufufuzani ndikukufunsani za zizindikiro zanu. Adzakufunsani kuti mwakhala mukutopa kwa nthawi yayitali bwanji, zakudya zanu zili bwanji, komanso ngati muli ndi matenda ena aliwonse. Kenako angakufunseni kuti muyesedwe magazi, monga:

• Kuwerengera magazi kwathunthu (CBC): Iyi ndi njira yoyesera magazi yoyambira yomwe imachitika nthawi zambiri. Imayang'ana kuchuluka kwa maselo ofiira m'magazi anu, kuchuluka kwa maselo oyera m'magazi, ndi kuchuluka kwa ma platelet. Ingayang'anenso ngati maselo ofiira anu akukula chifukwa cha kuchepa kwa magazi m'magazi komanso kuchuluka kwa hemoglobin m'magazi awo.
• Kuyeza magazi m'magazi (PBS): Iyi ndi njira yapadera yoyezera magazi. Mosiyana ndi mayeso ena a magazi, madokotala amatenga chitsanzo cha magazi anu, n’kuwapaka pa galasi, n’kuwapaka utoto, n’kuwayang’ana pansi pa maikulosikopu kuti aone ngati ali ndi maselo a magazi. Izi zimawathandiza kuona mawonekedwe, kukula, ndi mtundu wa maselowo. Maselo ofiira akuluakulu (macrocytes) amatha kuwoneka bwino.
• Kuchuluka kwa ma reticulocyte: Ma reticulocyte ndi maselo ofiira atsopano, osakhwima. Ali ngati maselo "akhanda" omwe amapangidwa mu fupa kenako n'kutulutsidwa m'magazi. Kuyesaku kumafufuza ngati fupa lanu likupanga maselo ofiira athanzi okwanira. Kuyesaku kungakupatseni lingaliro la momwe fupa lanu limapangidwira bwino maselo atsopano poyankha kuchepa kwa magazi m'thupi.

Pamodzi ndi mayeso awa, mayeso osiyana angachitikenso kuti aone kuchuluka kwa vitamini B12 ndi folate, ngati kuli kofunikira.

Kodi izi zimachiritsidwa bwanji?

Chithandizo chimadalira chomwe chimayambitsa vutoli. Madokotala adzayesa kuthandiza mafupa anu kupanga maselo ofiira athanzi a magazi.

Tangoganizirani, muli ndi vutoli chifukwa simukudya bwino, kapena chifukwa chakuti zakudya zanu zilibe Vitamini B12 kapena Folate.N'zotheka. Anthu ambiri osadya nyama akhoza kukhala ndi kusowa kwa vitamini B12, chifukwa imapezeka kwambiri muzakudya za nyama. Ngati ndi choncho, dokotala wanu angakupatseni zowonjezera zomwe zili ndi michereyi, kaya mwa mapiritsi kapena jakisoni. Mungauzidwe kuti mumwe zowonjezera izi mpaka mayeso a magazi atatsimikizira kuti mafuta anu akupanga maselo ofiira athanzi.

Nthawi zina, anthu amadya bwino, koma pali vuto lomwe limalepheretsa thupi kuyamwa michere imeneyo . Mwachitsanzo, izi zitha kuchitika chifukwa cha mavuto ena am'mimba. Pazochitika zotere, dokotala angakupatseninso mankhwala owonjezera.

Chofunika kwambiri ndi kuchiza chifukwa chake.

Mwachitsanzo, anthu ena ali ndi matenda (monga myelodysplastic syndrome) omwe amalepheretsa thupi kuyamwa michere yofunika. Pankhaniyi, vutoli liyenera kuchiritsidwa. Ngati muli ndi hypothyroidism, kumwa mankhwala a hypothyroidism kungathandizenso kuchepa kwa magazi m'thupi lanu.

Anthu ambiri amadwala matenda a magazi otchedwa macrocytic anemia chifukwa amamwa mowa wambiri. Ngati ndi choncho, dokotala wanu angakutumizireni kuchipatala ndi upangiri kuti akuthandizeni kuwongolera kumwa mowa. Izi sizophweka, koma zitha kuchitika ndi thandizo.

Kodi izi zingalepheretsedwe kuchitika?

Popeza pali zifukwa zambiri zomwe zimayambitsa kuchepa kwa magazi m'thupi (macrocytic anemia), n'zovuta kuti tipewe matenda ena omwe amabwera chifukwa cha matendawa. Komabe, ngati mulibe matenda otere, pali njira zingapo zomwe mungachite kuti muchepetse, komanso mwina mupewe, chiopsezo ichi:

• Samalani thanzi lanu lonse: Zizindikiro za kuchepa kwa magazi m'thupi (macrocytic anemia) poyamba zingakhale zochepa, koma zimatha kuipiraipira pakapita nthawi. Ngati muwona kusintha kulikonse m'thupi lanu, monga kutopa kwambiri, kutopa, kupweteka pachifuwa, kapena khungu loyera , lankhulani ndi dokotala nthawi yomweyo. Musangoganiza kuti mwakhala "otanganidwa kwambiri masiku ano."
• Idyani zakudya zopatsa thanzi: Nthawi zambiri, chiopsezo chachikulu cha izi ndi kusalandira vitamini B12 ndi/kapena folate yokwanira. Chifukwa chake, ndikofunikira kwambiri kudya zakudya zopatsa thanzi komanso zopatsa thanzi.
• Zakudya zokhala ndi vitamini B12: nyama, nsomba, mazira, mkaka ndi zinthu zamkaka (yogati, tchizi).
• Zakudya zokhala ndi folate yambiri: Ndiwo zamasamba zobiriwira, masamba obiriwira (sipinachi, kale, letesi), nyemba, nyemba, mphodza, malalanje, mtedza.

Yesani kuwonjezera izi pa chakudya chanu.

Kodi chimachitika ndi chiyani ngati ndili ndi Macrocytic Anemia?

Anthu ambiri amachira ku kuchepa kwa magazi m'thupi akamamwa mavitamini owonjezera. Izi zikutanthauza kuti, nthawi zambiri zotsatira zake zimakhala zabwino.Komabe, nthawi yomwe munthu ali ndi vuto la matenda lomwe limayamba chifukwa cha matendawa imadalira matenda omwe ali nawo komanso momwe alili. Dokotala wanu adzakufotokozerani izi.

Kodi ndimadzisamalira bwanji?

Ngati muli ndi vutoli, mungachite zinthu izi kuti mudzisamalire nokha:

• Imwani mankhwala owonjezera omwe dokotala wanu wakupatsani nthawi yonse ya chithandizo. Izi ndizofunikira kwambiri. Anthu ena amasiya kumwa mankhwala awo akayamba kumva bwino, choncho musachite zimenezo.
• Khalani ndi zizolowezi zabwino zodyera kuti muwonetsetse kuti mumapeza vitamini B12 ndi folate zokwanira. Mungafunenso kufunsa upangiri kwa katswiri wazakudya.
• Ngati mukumva ngati zizindikiro zanu za kuchepa kwa magazi zikubwereranso (monga kutopa kachiwiri, kumva kukomoka), pitani kwa dokotala nthawi yomweyo.
• Ngati kumwa mowa ndi vuto, pemphani thandizo kuti mulithetse.

Kotero, monga mukuonera, anthu amadwala matenda a macrocytic anemia akapanda kupeza michere yokwanira yomwe imathandiza matupi awo kukula maselo ofiira athanzi. Izi zitha kuchitika kwa anthu omwe amatsatira zakudya zina kapena omwe ali ndi matenda enaake. Kumbukirani, matenda a macrocytic anemia si vuto lalikulu, koma lingayambitse mavuto aakulu azachipatala ngati silinachiritsidwe. Kudya zakudya zabwino kungakuthandizeni kupewa vutoli. Ngati mukuda nkhawa ndi izi, lankhulani ndi dokotala wanu. Iye akhoza kuwunika vuto lanu ndikukupatsani njira zowongolera zakudya zanu. Ngati muli ndi matenda a macrocytic anemia, dokotala wanu mwina adzakupatsani mankhwala owonjezera kuti athandize kubwezeretsanso zakudya zomwe zikusowa. Iye angakuthandizeninso kukhala ndi zizolowezi zabwino.

Uthenga Womaliza Wopita Nawo Kunyumba

• Matenda a magazi otchedwa macrocytic anemia ndi matenda omwe mafupa amapanga maselo ofiira a magazi akuluakulu kwambiri.
• Zomwe zimayambitsa izi ndi kusowa kwa vitamini B12 ndi/kapena folate (vitamini B9 - `Folate`) kapena mavuto okhudzana ndi kuyamwa kwake.
• Zingayambitsidwenso ndi matenda monga kumwa mowa mopitirira muyeso komanso hypothyroidism.
• Ngati mukumva zizindikiro monga kutopa pafupipafupi, kupuma movutikira, komanso khungu loyera, funsani upangiri kwa dokotala.
• Vutoli nthawi zambiri limatha kuchiritsidwa ndi zakudya zoyenera komanso kumwa mankhwala owonjezera omwe dokotala wamulembera.
• Ngati pali vuto linalake la matenda , ndikofunikira kulichiza.

Samalani thanzi lanu, idyani zakudya zopatsa thanzi, ndipo musaiwale kuonana ndi dokotala ngati muwona china chake chosiyana!

Kuchepa kwa magazi m'thupi , kuchepa kwa magazi m'thupi, vitamini B12, folate, maselo ofiira a magazi, mafuta am'mafupa, kusowa kwa zakudya m'thupi