Kodi maselo ofiira a m'magazi anu ndi ang'onoang'ono? Izi zimatchedwa microcytic anemia!

Kodi nthawi zambiri mumamva kutopa, kutopa, kapena chizungulire mukamayimirira? Kodi khungu lanu nthawi zina limawoneka loyera pang'ono kuposa masiku onse mukamayang'ana pagalasi? Musanyalanyaze izi ngati matenda akuthupi okha. Chifukwa, izi zitha kukhala zizindikiro za vuto la maselo ofiira amagazi anu. Vuto lomwe ambiri a ife timalidziwa, koma sitilidziwa, limatchedwa Microcytic Anemia .

Kodi Microcytic Anemia ndi chiyani?

Mwachidule, microcytic anemia imachitika pamene maselo ofiira a m'magazi anu ndi ang'onoang'ono kuposa masiku onse. N'chifukwa chiyani izi zimachitika? Chifukwa chachikulu ndichakuti puloteni yomwe ili m'maselo ofiira awa otchedwa hemoglobin imachepa. Taganizirani motere: hemoglobin ili ngati galimoto yomwe imanyamula mpweya m'thupi lathu lonse. Chifukwa chake galimoto iyi ikachepa, maselo ofiira a m'magazi sangathe kunyamula mpweya bwino. Mofananamo, hemoglobin ikachepa, mtundu wa maselo ofiira a m'magazi umachepanso, zomwe zikutanthauza kuti amakhala hypochromic . Nthawi zambiri, maselo ofiira a m'magazi a anthu omwe ali ndi microcytic anemia amakhala ndi mtundu wotumbululuka.

Madokotala nthawi zina amaona kuti ndi vuto la matenda, komanso chizindikiro cha kuchepa kwa magazi m'thupi ndi matenda ena a magazi. Amachiritsidwa mwa kupeza chomwe chikuyambitsa ndikuchiza chomwe chikuyambitsa vutoli.

Kodi zizindikiro za kuchepa kwa magazi m'thupi (microcytic anemia) ndi ziti?

Ngati muli ndi vutoli, mungakumane ndi zizindikiro zosiyanasiyana. Si aliyense amene angakumane nazo mwanjira yofanana. Komabe, zizindikiro zodziwika bwino ndi izi:

• Kumva kutopa komanso wopanda moyo nthawi zonse, ngati kuti mwakhala mukugwira ntchito tsiku lonse.
• Chizungulire, kumva ngati ukuzungulira.
• Khungu lotumbululuka. Khungu lanu likhoza kukhala lopepuka kuposa masiku onse.
• Kumva ngati mtima wako ukugunda mofulumira.
• Kuvuta kupuma, monga kukomoka. Ngakhale kuchita zinthu zazing'ono kumakupangitsa kukomoka.
• Khungu louma.
• Khungu limatupa mosavuta. Limasintha kukhala labuluu ngakhale litamenyedwa pang'ono.

Nchifukwa chiyani kuchepa kwa magazi m'thupi kumeneku kumachitika?

Chifukwa chachikulu komanso chofala kwambiri cha izi ndi kusowa kwa chitsulo . Kodi mukudziwa kuti chitsulo ndi chofunikira kwambiri popanga hemoglobin m'maselo ofiira athu? Chifukwa chake, ngati palibe chitsulo chokwanira, hemoglobin sipangidwa ndipo maselo ofiira amagazi amachepa. Nthawi zina, zinthu zina za majini zimatha kusokoneza kukula kwa maselo ofiira amagazi.

Tsopano, tiyeni tikambirane mwatsatanetsatane zina mwa zifukwa zazikulu zomwe zimakhudza izi:

• Kuchepa kwa magazi m'thupi chifukwa cha kusowa kwa iron (IDA): Uku ndi kuchepa kwa magazi m'thupi chifukwa cha kuchepa kwa magazi m'thupi chifukwa cha kuchepa kwa iron.Chifukwa chofala kwambiri cha `(microcytic hypochromic anemia)` ndi kutuluka magazi ambiri (monga, kutuluka magazi ambiri panthawi ya msambo mwa akazi, kapena kutuluka magazi chifukwa cha zilonda zazing'ono m'matumbo) kapena chifukwa chosalandira chitsulo chokwanira kuchokera ku chakudya chomwe timadya. Tangoganizirani, nthawi zina m'nyumba mwathu, anthu ena sadya ndiwo zamasamba, nyama ndi nsomba moyenera. Kapena, tikamamwa tiyi wa mkaka pamodzi ndi chakudya, thupi limayamwa chitsulo chochepa. Kenako tingakhale ndi kusowa kwa chitsulo.
• Thalassemias: Izi ndi matenda a m'magazi omwe amakhudza momwe thupi limapangira hemoglobin ndi maselo ofiira a magazi. Uwu ndi vuto lomwe limawonekeranso pang'ono m'dziko lathu.
• Kuchepa kwa magazi m'thupi chifukwa cha matenda osatha: Mtundu uwu wa kuchepa kwa magazi m'thupi ungachitike ngati muli ndi vuto la matenda lomwe limayambitsa kutupa m'thupi lanu kwa nthawi yayitali. Izi zikutanthauza kuti thupi lanu silingathe kugwiritsa ntchito iron yomwe lili nayo. Zitsanzo zake ndi matenda osatha, matenda odziteteza okha (monga nyamakazi, lupus), ndi khansa.
• Kuchepa kwa magazi m'thupi: Imeneyi ndi matenda osowa kwambiri m'magazi. Izi zikutanthauza kuti mafuta a m'mafupa anu sangathe kupanga maselo ofiira a magazi abwinobwino. Izi zikutanthauza kuti ngakhale mutakhala ndi chitsulo, sichingagwiritsidwe ntchito kupanga hemoglobin.
• Poizoni wa lead: Kuchepa kwa magazi m'thupi (microcytic anemia) kungayambitsidwenso ndi kukhudzana ndi lead kwa nthawi yayitali. Kale, lead inkapezeka mu utoto ndi zoseweretsa zina. Tsopano pali malamulo ambiri okhudza izi, koma lead imapezekabe m'chilengedwe.

Kuwonjezera pa izi, pakhoza kukhala zifukwa zina:

• Kusapeza mkuwa wokwanira kuchokera muzakudya. Mkuwa umathandizanso pa kagayidwe kachakudya ka chitsulo.
• Kupeza zinc wochuluka kuchokera ku chakudya kapena zowonjezera zakudya. Kutenga zinc wochuluka kungathandize kuchepetsa mphamvu ya thupi yoyamwa chitsulo.
• Mankhwala ena (makamaka omwe amatengedwa potsatira upangiri wa dokotala).
• Kumwa mowa mopitirira muyeso . Mowa ungayambitse kusowa zakudya m'thupi.

Ndi matenda ati otupa omwe amayambitsa kuchepa kwa magazi m'thupi (microcytic anemia )?

Pali zinthu zingapo zomwe zimayambitsa kutupa m'thupi. Ngati kutupa kwakhalapo kwa nthawi yayitali , kungakhudze kupanga maselo ofiira a magazi, ndipo kungayambitse kuchepa kwa magazi m'thupi. Mwachitsanzo:

• Matenda a Autoimmune:Izi ndi matenda omwe chitetezo chathu chamthupi chimaukira maselo athu. Zitsanzo zake ndi matenda otupa m'matumbo (monga matenda a Crohn ndi zilonda zam'mimba), nyamakazi, ndi lupus.
• Khansa
• Matenda a impso osatha
• Matenda osatha ( monga chifuwa chachikulu)

Izi zingayambitsenso vutoli.

Kodi microcytic anemia imapezeka bwanji?

Madokotala nthawi zambiri amachita mayeso angapo a magazi kuti adziwe vutoli:

• Kuchuluka kwa magazi (CBC): Kuyeza kumeneku kumapatsa madokotala chidziwitso chofunikira chokhudza kuchuluka kwa hemoglobin yanu, kuchuluka kwa maselo ofiira a magazi, komanso chofunika kwambiri, kukula kwa maselo ofiira a magazi anu. Ngati MCV yanu (Mean Corpuscular Value) ili yochepera 80 femtoliters (80 fL), zikutanthauza kuti muli ndi microcytosis (maselo ofiira amagazi ang'onoang'ono).
• Kuyeza magazi m'magazi (PBS): Izi zimaphatikizapo kutenga chitsanzo cha magazi anu ndikuyang'ana pansi pa maikulosikopu. Izi zingathandize kuona ngati maselo ofiira a magazi anu ndi ang'onoang'ono kuposa abwinobwino (microcytosis) kapena oyera (hypochromic) . Zingathandizenso kuona ngati pali kusintha kulikonse mu mawonekedwe a maselo ofiira a magazi anu.
• Kufufuza za iron: Mayeso awa amachitika kuti awone momwe thupi lanu limasungira ndikugwiritsa ntchito iron. Mayeso a Ferritin ( omwe amakuuzani kuchuluka kwa iron m'thupi lanu) ndi mayeso onse a iron-binding capacity (TIBC) ndi mayeso omwe angathandize pa izi.

Dokotala akapeza microcytic anemia , angachite mayeso ena (monga, mayeso a ndowe, endoscopy) kuti adziwe chomwe chimayambitsa matendawa.

Kodi microcytic anemia imachiritsidwa bwanji?

Izi zimachiritsidwa pochiza chomwe chimayambitsa matendawa . Izi zikutanthauza kuti, chomwe chimayambitsa matendawa chimapezeka ndikuchiritsidwa.

Mwachitsanzo, ngati muli ndi vuto la kuchepa kwa magazi m'thupi chifukwa cha kusowa kwa ayoni, dokotala wanu angakupatseni mankhwala owonjezera a ayoni . Nthawi zambiri amafunika kumwedwa kwa miyezi ingapo. Nthawi zina, ngati mapiritsi ndi ovuta kupirira (monga kupweteka m'mimba kapena kudzimbidwa), kapena ngati thupi lanu silikuyamwa bwino ayoni (monga matenda ena am'mimba), mungapatsidwe mankhwala owonjezera a ayoni, madzi omwe ali ndi ayoni, kudzera m'mitsempha . Izi zitha kubwezeretsa msanga kuchuluka kwa ayoni m'thupi lanu.

Ngati mwataya magazi ambiri mwadzidzidzi, kuchuluka kwa hemoglobin m'magazi anu kwatsika kwambiri, ndipo muli ndi magazi ochepa kwambiri, mungafunike kutero.Kuikidwa magazi kungakhale kofunikiranso.

Ngati microcytic anemia imayamba chifukwa cha matenda osatha, kuchepa kwa magazi nthawi zambiri kumatha matendawa akachiritsidwa. Pa matenda a majini monga thalassemia, kasamalidwe kake kangakhale kosiyana, ndipo kangafunike chithandizo cha nthawi yayitali.

Kodi kuchepa kwa magazi m'thupi (microcytic anemia) kungapewedwe?

Ndipotu, microcytic anemia imachitika pamene chinachake chikukhudza mphamvu ya thupi lanu yopanga maselo ofiira athanzi. Chifukwa chake, nthawi zina sitingathe kuwongolera zinthu zimenezo.

Mwachitsanzo, kusowa kwa iron ndi chifukwa chofala. Nthawi zina, kudya zakudya zokhala ndi iron yambiri (ng'ombe, nkhuku, nsomba, mazira, mphodza, nyemba zobiriwira, nandolo, nandolo zouma ndi nyemba, ndiwo zamasamba zobiriwira monga sipinachi, kale, masamba a collard, zipatso zouma, ndi mphesa zouma) kungathandize kupewa kuchepa kwa magazi m'thupi. Komanso, kudya zakudya zokhala ndi vitamini C wambiri (monga mandimu, malalanje, ma tangerines, ndi ma guava) ndi zakudya zokhala ndi iron yambiri kungathandize kuwonjezera kuyamwa kwa iron. Komabe, nthawi zina, matenda omwe sitingathe kuwaletsa amatha kusokoneza mphamvu ya thupi yoyamwa iron kapena kupanga maselo ofiira a magazi. Zambiri zimadalira momwe mulili .

Kodi chimachitika n’chiyani ngati vutoli litachitika?

Momwe izi zimakukhudzirani zimatengera chomwe chimayambitsa kuchepa kwa magazi m'thupi. Nthawi zina, zimatha kukhala chizindikiro cha matenda aakulu omwe amafunika kuthandizidwa kwa moyo wonse (monga thalassemia). Nthawi zina, zimatha kukhala kwakanthawi . Zingathenso kuchiritsidwa kwathunthu ndi chinthu chosavuta monga kumwa mapiritsi achitsulo.

Dokotala akangodziwa chomwe chikuyambitsa vutoli, adzakufotokozerani momwe lingakhudzire thanzi lanu. Ngati muli ndi kukayikira kapena mantha kuti mwina muli ndi matenda aakulu, dokotala wanu ndiye munthu wabwino kwambiri woti mumudziwe. Iye adzakupatsani chithandizo ndi chitsogozo chomwe mukufuna.

Kodi ndimadzisamalira bwanji?

Ngati muli ndi microcytic anemia , chinthu chabwino kwambiri chomwe mungachite ndikutsatira chithandizo ndi malangizo a dokotala wanu molondola. Ndikofunikira kumwa mankhwala anu pa nthawi yake ndikusunga nthawi yokumana ndi dokotala wanu. Kuphatikiza apo, zinthu izi zingathandize:

• Idyani zakudya zokhala ndi ayodini wambiri (zabwino ndi ng'ombe, nkhuku, nsomba, mazira, mphodza, nyemba zobiriwira, nandolo, nyemba, broccoli, ndi ndiwo zamasamba zobiriwira zakuda).
• Yesetsani kugona mokwanira . Kutopa ndi chizindikiro chachikulu cha vutoli, kotero kupuma ndikofunikira.
• Imwani madzi ambiri kuti thupi lanu lisathe madzi m'thupi.
• Yesetsani kupewa matenda posamba m'manja pafupipafupi, chifukwa kuchepa kwa magazi m'thupi kumawonjezera chiopsezo cha matenda.
• Chepetsani kapena siyani kumwa mowa kotheratu.

Chofunika kwambiri:Musanasinthe chilichonse chachikulu - mwachitsanzo, kuyamba kumwa mapiritsi a iron tsiku lililonse (popanda upangiri wa dokotala) - onetsetsani kuti mwawonana ndi dokotala kuti akupatseni upangiri. Iye angakutsogolereni njira zotetezeka komanso zothandiza kwambiri zochepetsera vuto la kuchepa kwa magazi m'thupi.

Kodi ndiyenera kupita kwa dokotala liti?

Zizindikiro za matenda omwe amayambitsa microcytic anemia zimatha kukula pang'onopang'ono pakapita nthawi . Simungazindikire kusintha kulikonse m'thupi lanu nthawi yomweyo. Ndicho chifukwa chake ndikofunikira kudziwa za thanzi lanu ndikukambirana ndi dokotala wanu ngati muwona kusintha kulikonse (monga kutopa kosazolowereka, khungu loyera, kupuma movutikira).

Matenda a microcytic anemia sangakhale oopsa, kapena akhoza kukhala chizindikiro cha matenda omwe angayambitse mavuto aakulu azaumoyo ngati sanachiritsidwe. Ndi bwino kuonana ndi dokotala kuti mudziwe chomwe chikuyambitsa zizindikiro zanu. Mukazindikira msanga, zimakhala zosavuta kuchiza.

Kodi ndifunse dokotala chiyani?

Ngati mwapezeka ndi microcytic anemia , ndi zachilendo kukhala ndi mafunso angapo. Musachite mantha, funsani dokotala wanu za zinthu izi:

• Kodi chifukwa cha vutoli ndi chiyani?
• Kodi kuchepa kwa magazi m'thupi langa (microcytic anemia) kuli koopsa bwanji? (Kodi hemoglobin yanga ili bwanji?)
• Kodi mukupereka chithandizo chanji?
• Kodi ndiyenera kulandira chithandizo kwa nthawi yayitali bwanji?
• Kodi ndi zotsatirapo ziti zomwe zingayembekezeredwe kuchokera ku mankhwala? Nanga chingachitike ndi chiyani pa izi?
• Kodi kuchepa kwa magazi m'thupi langa (microcytic anemia) kungathetsedwe (kuchira kwathunthu)?
• Kodi zitenga nthawi yayitali bwanji kuti ndichire komanso kuti zizindikiro zanga zichepe?
• Ndi kusintha kotani komwe ndiyenera kusintha pa zakudya zanga?
• Ndi zinthu ziti zomwe ndiyenera kusamala nazo?

Anthu ambiri amapeza kuti ali ndi microcytic anemia atatha kuyezetsa magazi nthawi zonse kapena chifukwa cha zizindikiro. Ndizachibadwa kukhala ndi nkhawa komanso mantha mukapeza zotsatira ngati izi. Koma kumbukirani, iyi ndi sitepe yoyamba yothetsera vuto lachipatala lomwe limayambitsa microcytic anemia . Kusowa kwa iron nthawi zambiri ndiko komwe kumayambitsa. Koma pakhoza kukhala zifukwa zambiri. Onetsetsani kuti mwafunsa dokotala wanu zomwe zotsatira za mayeso anu zikutanthauza komanso zomwe muyenera kuchita kenako.

Uthenga Womaliza Wopita Nawo Kunyumba

Choncho, Microcytic Anemia imachitika pamene maselo ofiira athu amachepa. Chifukwa chachikulu cha izi ndi kuchepa kwa hemoglobin. Kusowa kwa iron ndiye chifukwa chofala kwambiri. Komabe, pakhoza kukhala zifukwa zina monga Thalassemias, kutupa komwe kumachitika chifukwa cha matenda osatha.

Ngati muli ndi zizindikiro monga kutopa, chizungulire, khungu loyera, kapena kutopa, muyenera kuonana ndi dokotala. Izi zitha kuzindikirika ndi mayeso a magazi monga CBC ndi PBS. Chithandizo chimadalira chomwe chimayambitsa.

Musadandaule, vutoli nthawi zambiri limatha kuthetsedwa bwino ngati litapezeka ndi kuchiritsidwa bwino. Ndikofunikira kutsatira malangizo a dokotala wanu, kudya zakudya zopatsa thanzi zokhala ndi iron yambiri, komanso kuchita zinthu zabwino pa thanzi lanu . Ngati muli ndi mafunso kapena nkhawa, lankhulani ndi dokotala wanu. Thanzi lanu ndi lofunika!

Kuchepa kwa magazi m'thupi (microcytic anemia), kuchepa kwa magazi m'thupi, maselo ofiira a magazi, hemoglobin, kusowa kwa chitsulo, zizindikiro, chithandizo