Kodi munayamba mwayang'anapo zotsatira za magazi anu ( lipoti la magazi ) ndipo mwaona kalata yokhudza maselo ofiira amagazi okulirapo, kapena mwina dokotala wanu anatchula vuto lotchedwa "Macrocytosis"? Ndizachibadwa kukhala ndi nkhawa pang'ono, koma chonde khalani bata. Macrocytosis si matenda okha; ndi kungopeza kuti maselo ofiira amagazi anu ndi akuluakulu kuposa abwinobwino.
Kodi Macrocytosis ndi chiyani?
Mwachidule, Macrocytosis imatanthauza kuti maselo ofiira a m'magazi anu ndi akuluakulu kuposa kukula koyenera. Sizimaonedwa ngati matenda, koma zimagwira ntchito ngati chizindikiro cha matenda chomwe chikuwonetsa chinthu chomwe chili m'thupi lanu. Nthawi zambiri mumapeza izi kudzera mu Complete Blood Count (CBC) / Full Blood Count ( FBC ). Madokotala nthawi zambiri amalamula mayesowa kuti awone thanzi lanu lonse komanso momwe maselo anu a m'magazi akugwirira ntchito.
Lipoti lanu la CBC lili ndi mtengo wotchedwa `MCV (Mean Corpuscular Volume)`, womwe umayesa kukula kwapakati pa maselo ofiira a magazi anu. Mwa akuluakulu, ngati mtengo wa `MCV` uli wokwera kuposa 100 femtoliters (`100 fL`), umatchedwa Macrocytosis.
Ngakhale nthawi zambiri si matenda aakulu, maselo akuluakuluwa nthawi zina amakhala ndi michere yofunika kuti agwire bwino ntchito, zomwe zikutanthauza kuti amavutika kugwira ntchito yawo yayikulu: kunyamula mpweya m'thupi lonse. Matendawa amatchedwa 'Macrocytic Anemia' (macrocytic anemia ). Ngati sanalandire chithandizo, angayambitse mavuto aakulu azaumoyo.
Kodi vutoli ndi lofala bwanji?
Pafupifupi 2% mpaka 4% ya anthu padziko lonse lapansi ali ndi matenda a Macrocytosis. Pa gululi, pafupifupi 60% amakumananso ndi vuto la kuchepa kwa magazi m'thupi.
Komabe, macrocytosis omwe amapezeka popanda kuchepa kwa magazi amapezeka kawirikawiri mwa makanda ndi okalamba.
Kodi zizindikiro za Macrocytosis ndi ziti?
Nthawi zambiri, chizindikiro chokha cha Macrocytosis ndi kuchuluka kwa `MCV` pa lipoti lanu la `CBC`. Ngati zizindikiro zikuwonekera, nthawi zambiri zimagwirizanitsidwa ndi chomwe chimayambitsa kukula kwa maselo ofiira amagazi.
Mwachitsanzo, ngati muli ndi 'Macrocytic Anemia', mutha kukhala ndi zizindikiro zodziwika bwino za kuchepa kwa magazi monga kutopa , kutopa, komanso khungu loyera . Kuphatikiza apo, ngati chifukwa chachikulu ndi kusowa zakudya m'thupi, mutha kukhala ndi kutsegula m'mimba, mavuto okumbukira, kapena kulephera kulinganiza bwino .
Popeza pali zifukwa zambiri za Macrocytosis, zizindikiro zimatha kusiyana kwambiri kuchokera kwa munthu ndi munthu.
Kodi n’chiyani chimayambitsa macrocytosis?
Maselo anu a m'magazi amapangidwa mkati mwa fupa lanu. Chifukwa chake, Macrocytosis imatha kuchitika chifukwa cha mavuto okhudzana ndi kupanga maselo ofiira a m'magazi a m'mafupa kapena mavuto ndi kapangidwe ka maselo ofiira a m'magazi okha. Nthawi zina, kuchuluka kwa maselo ofiira osakhwima (otchedwa `reticulocytes`) kungayambitse `MCV` yokwera, chifukwa maselo amenewa ndi akuluakulu mwachibadwa kuposa maselo ofiira okhwima.
Nazi zina mwa zifukwa zazikulu za macrocytosis:
Kusowa kwa Zakudya
Thupi lanu limafuna michere monga Vitamini B12 ndi folate (Vitamini B9) kuti lipange maselo ofiira athanzi. Ngati simukupeza mokwanira izi kudzera mu zakudya zanu, kapena ngati vuto linalake la thanzi likulepheretsa thupi lanu kuyamwa, maselo ofiira a magazi anu sadzakula bwino. Kusowa kwa Vitamini B12 ndi folate ndizomwe zimayambitsa 'Macrocytic Anemia'. Mwachitsanzo, kudya masamba ndi zipatso zochepa kungayambitse kusowa kwa folate, pomwe kudya zakudya zosafunikira zamasamba kungayambitse kusowa kwa Vitamini B12.
Mankhwala Ena
Mankhwala osiyanasiyana angayambitse Macrocytosis, kuphatikizapo `hydroxyurea` (yomwe nthawi zambiri imagwiritsidwa ntchito pa matenda a sickle cell), mankhwala enaake a `chemotherapy`, ndi `antiretroviral therapy (ART)` ya HIV. Dokotala wanu mwina adzadziwa ngati mankhwala aliwonse omwe mukumwa ali ndi chiopsezo ichi.
Kumwa Mowa
Kumwa mowa mopitirira muyeso kapena nthawi yayitali ndi chifukwa chofala cha Macrocytosis. Mowa ungasokoneze mphamvu ya thupi yoyamwa michere yofunika kuti maselo ofiira a magazi akhale athanzi.
Matenda a Chiwindi
Macrocytosis nthawi zina ingakhale chizindikiro cha matenda a chiwindi. Ngakhale kuti nthawi zambiri imagwirizanitsidwa ndi kumwa mowa, ingayambitsenso matenda ena a chiwindi omwe si a mowa.
Kuchepa kwa magazi m'thupi
Mu `Hemolytic anemia`, maselo ofiira a m'magazi anu amawonongeka msanga. Kuti athetse vutoli, thupi lanu limatulutsa `reticulocytes` (maselo osakhwima) ambiri m'magazi, zomwe zingakweze kuchuluka kwa MCV yanu.
Kutaya Magazi Kwambiri
Pambuyo pa ngozi, opaleshoni, kapena kuvulala kwina, ngati mutataya magazi ambiri, thupi lanu limathamanga kupanga maselo atsopano, kutulutsa 'ma reticulocytes' m'magazi, mofanana ndi momwe zimachitikira mu hemolytic anemia.
Matenda a Myelodysplastic
Ili ndi gulu la khansa yokhudzana ndi mafuta a m'mafupa yomwe imalepheretsa thupi kupanga maselo amagazi athanzi komanso okhwima.
Hypothyroidism
Chithokomiro chosagwira ntchito bwino, kapena `Hypothyroidism`, chingathenso kugwirizanitsidwa ndi Macrocytosis, kaya pali kuchepa kwa magazi m'thupi kapena ayi.
Nthawi zina, chifukwa chomveka bwino cha Macrocytosis sichingadziwike, makamaka ngati mulibe kuchepa kwa magazi m'thupi kapena zizindikiro zina.
Kodi macrocytosis amapezedwa bwanji?
Monga tanenera kale, macrocytosis ndi mawu ogwiritsidwa ntchito pofotokoza maselo ofiira amagazi okulirapo, osati matenda ovomerezeka okha. Ngati lipoti lanu CBC likuwonetsa kuti MCV ndi yokwera kuposa 100 fL , zimasonyeza kuti maselo ofiira amagazi anu ndi akuluakulu kuposa abwinobwino.
Nthawi zina, potengera kuopsa kwa macrocytosis, dokotala wanu amatha kudziwa chomwe chingayambitse. Mwachitsanzo, ngati kuchuluka kwa MCV yanu kwakwera kwambiri (monga 110 - 115 fL), kungakhale chizindikiro cha matenda oopsa monga macrocytic anemia , kuphatikizapo megaloblastic anemia .
Mayeso Ozindikira Kuti Adziwe Chifukwa cha Macrocytosis
Ngati dokotala wanu akuda nkhawa ndi kukula kwa maselo ofiira a magazi anu, adzakufunsani mafunso kuti adziwe chomwe chikuyambitsa vutoli. Angafunse za matenda anu.mbiri yakale yachipatala, mankhwala omwe mukumwa, zakudya zanu, ndi kumwa kwanu mowa. Kuphatikiza apo, angakulimbikitseni mayeso otsatirawa:
- Kuyeza magazi m'mbali mwa magazi: Mu njira iyi, chitsanzo chaching'ono cha magazi anu chimayesedwa pogwiritsa ntchito maikulosikopu. Izi zimathandiza dokotala kufufuza zolakwika zomwe zingayambitse kukula kwa maselo ofiira a magazi, monga mavuto okhudzana ndi kukula kwa maselo ofiira a magazi.
- Kuyezetsa Vitamini B12 ndi kuchuluka kwa folate: Kuchuluka kochepa kwa vitamini B12 kapena folate m'magazi kumasonyeza kusowa kwa zakudya m'thupi, zomwe zikutanthauza kuti thupi lanu lilibe zinthu zofunika kuti lipange maselo ofiira athanzi.
- Kuchuluka kwa ma reticulocyte: Kuyesa kumeneku kumayesa kuchuluka kwa maselo ofiira osakhwima m'magazi anu, zomwe zimathandiza kudziwa ngati ichi ndi chomwe chimayambitsa kuchuluka kwa
MCV. - Mayeso a ntchito ya chiwindi: Mayesowa amawunika momwe chiwindi chanu chikugwira ntchito bwino pokonza zakudya zomwe zimafunika kuti apange maselo ofiira athanzi.
- Kufufuza za mafupa: Ngati dokotala wanu akukayikira kuti pali vuto linalake lomwe limayambitsa kupangika kwa maselo ofiira a magazi, angakupatseni mayeso awa. Chitsanzo chaching'ono cha mafupa chimasonkhanitsidwa ndikuyang'aniridwa ndi maikulosikopu kuti aone ngati pali vuto lililonse.
Kodi Macrocytosis imachiritsidwa bwanji?
Ngati mulibe zizindikiro za kuchepa kwa magazi m'thupi ndipo zotsatira za mayeso anu sizikusonyeza vuto lina lililonse, simungafunikire chithandizo chilichonse. Kupanda kutero, dongosolo la chithandizo limatsimikiziridwa ndi chifukwa chenicheni cha kukula kwa maselo ofiira a magazi anu.
- Ngati macrocytosis yanu ikuchitika chifukwa cha kusowa kwa zakudya m'thupi, mungafunike kusintha zakudya zanu kapena kumwa mavitamini owonjezera .
- Ngati mankhwala ndi omwe amayambitsa, dokotala wanu akhoza kusintha mlingo kapena kukupatsani mankhwala ena .
- Ngati mukuvutika ndi kuchepa kwa magazi m'thupi komanso matenda a macrocytosis, kuikidwa magazi kungafunike.
Chofunika kwambiri, mosasamala kanthu za chomwe chayambitsa matenda anu a macrocytosis, tsatirani ndondomeko ya chithandizo ya dokotala wanu molondola.
Kodi Macrocytosis Ingachiritsidwe?
Nthawi zambiri, chifukwa chachikulu chikachiritsidwa, vuto la macrocytosis limasinthidwa. Lankhulani ndi dokotala wanu za momwe dongosolo lanu la chithandizo lidzakhudzire thanzi lanu lonse.
Kodi mungachepetse bwanji chiopsezo cha macrocytosis?
Ngakhale sitingathe kupewa chilichonse chomwe chimayambitsa matenda a macrocytosis, kukhala ndi zizolowezi zabwino kungathandize kuchepetsa chiopsezo chanu. Mwachitsanzo:
- Phatikizani zakudya zokhala ndi Vitamini B12 ndi folate - monga nsomba, mkaka, mazira , masamba obiriwira, ndi chimanga cholimba - kuti muchepetse chiopsezo chanu chokhala ndi
macrocytic anemia. - Kuchepetsa kumwa mowandikofunikira kwambiri.
- Komanso, musazengereze kuyezetsa magazi kwanu pachaka. Macrocytosis nthawi zambiri imapezeka mwangozi mukayezetsa magazi nthawi zonse. Kuzindikira msanga ndi kulandira chithandizo chamankhwala nthawi yake kungalepheretse vutoli kukhala lalikulu.
Kodi Chimachitika N'chiyani Ngati Macrocytosis Isiyidwa Yosachiritsidwa?
Dokotala wanu yekha ndi amene angasankhe ngati macrocytosis yanu ikufunika kuthandizidwa. Ngati muli ndi macrocytosis yotsagana ndi kuchepa kwa magazi m'thupi, kufunafuna chithandizo ndikofunikira. Kusiya chithandizocho kungayambitse mavuto aakulu azaumoyo chifukwa cha macrocytic anemia .
Kodi Ndiyenera Kufunsa Dokotala Wanga Chiyani?
Ngati mwazindikira kuti maselo ofiira a magazi anu ndi akuluakulu kuposa masiku onse, tsatirani malangizo a dokotala wanu pa njira zotsatirazi. Mungafune kufunsa mafunso otsatirawa:
- Kodi ndiyenera kuda nkhawa ndi kuchuluka kwa
MCVyanga? - Ndi mayeso ati omwe ndiyenera kuyesedwa kuti ndidziwe chomwe chimayambitsa macrocytosis yanga?
- Kodi ndikufunika chithandizo cha chifukwa chachikulu cha kukula kwa maselo ofiira a magazi anga?
- Kodi ndi kusintha kotani kwa moyo komwe ndingachite kuti ndithane ndi vutoli?
Uthenga Womaliza Wopita Nawo Kunyumba
Macrocytosis kapena kuchuluka kwa MCV sikuti nthawi zonse kumakhala chifukwa cha mantha. Musachite mantha ngati izi zikuwoneka zapamwamba mu lipoti lanu CBC . Funsani malangizo kwa dokotala wanu kuti mumvetse zotsatira zanu. Kutengera ndi zomwe mwapeza, dokotala wanu angakupatseni malangizo osintha zakudya kapena mavitamini owonjezera. Musazengereze kufunsa momwe dongosolo lanu la chithandizo lidzakhudzira maselo ofiira a magazi anu ndi thanzi lanu lonse. Kukhala wathanzi ndiye chinthu chofunikira kwambiri!
