Kodi maselo anu ofiira amagazi ndi ang'onoang'ono? Tiyeni tikambirane za Microcytosis!

Nthawi zina mukayezetsa magazi, mumamva mantha pang'ono mukaona mawu ena pa lipotilo, sichoncho? Liwu limodzi lotere ndi 'Microcytosis'. Koma musachite mantha, ili si dzina la matenda oopsa. Limangotanthauza kuti maselo ofiira a magazi anu ndi ang'onoang'ono kuposa masiku onse. Lero, tikambirana izi mwatsatanetsatane, mwachidule.

Kodi Microcytosis ndi chiyani?

Mwachidule, microcytosis imachitika pamene maselo ofiira a m'magazi anu ali ang'onoang'ono kuposa masiku onse. Sitikuona izi ngati matenda, koma kupeza komwe kungawonekere mutayesa magazi. Izi ndi zomwe nthawi zambiri mungazipeze ndi kuchuluka kwa magazi (CBC). Ganizirani ngati lipoti lomwe limapereka tsatanetsatane wa maselo a magazi m'thupi lanu.

Mu lipoti la `CBC` ili muli mtengo, womwe umatchedwa `Mean Corpuscular Volume` (MCV) . Mtengo wa `MCV` uwu umagwiritsidwa ntchito poyesa kukula kwapakati kwa maselo ofiira a magazi anu. Pankhani ya munthu wamkulu, ngati mtengo wa `MCV` uwu ndi wochepera 80 femtoliters `(80 fL)`, ndiye kuti timati pali microcytosis.

Kawirikawiri, vuto limeneli lotchedwa microcytosis lingakhale chizindikiro cha mtundu wa kuchepa kwa magazi m'thupi wotchedwa microcytic anemia . Mu microcytic anemia iyi, pamakhala kusowa kwa hemoglobin yokwanira m'maselo ofiira a magazi. Kodi mukudziwa kuti hemoglobin ndi puloteni yofunika kwambiri yomwe imathandiza maselo ofiira athu kunyamula mpweya m'thupi lonse?

Kodi vutoli ndi lofala bwanji?

Ndipotu, vuto limeneli lotchedwa Microcytic Anemia ndi mtundu wa kuchepa kwa magazi m'thupi womwe umapezeka kwambiri pakati pa akuluakulu ndi ana aang'ono. Chifukwa chake, ndikofunikira kwambiri kudziwa izi.

Kodi zizindikiro za microcytosis ndi ziti?

Nthawi zambiri, palibe zizindikiro zenizeni. Zomwe zikuoneka mu lipotilo ndi zakuti mtengo wa `MCV` ndi wotsika.

Komabe, ngati zizindikiro zikuwonekera, zimakhala zofanana ndi zizindikiro za matenda a Microcytic Anemia omwe ndatchula kale.

• Kumva kutopa nthawi zonse. Ngati kuti palibe moyo m'thupi.
• Khungu lotumbuluka. Nthawi zina milomo ndi lilime zimathanso kutumbuluka.
• Kuvuta kupuma. Mungamve ngati mukukomoka ngakhale mutachita khama pang'ono.
• Kugunda kwa mtima kumawonjezeka.
• Matenda otchedwa 'Pica'. Izi zimachitika pokhapokha ngati kusowa kwa chitsulo kumayambitsa microcytosis. 'Pica' ndi chilakolako chofuna kudya zinthu zosadyedwa monga dothi, ayezi, ndi dongo.

Kuwonjezera pa zizindikiro zimenezi, mungakumanenso ndi zizindikiro zokhudzana ndi chifukwa chachikulu cha microcytosis.

Nchifukwa chiyani microcytosis iyi imachitika?

Chomwe chimayambitsa matenda a microcytosis nthawi zambiri ndichakuti thupi lanu sililandira chitsulo chokwanira. Izi zimatchedwa kuchepa kwa magazi m'thupi chifukwa cha kusowa kwa chitsulo . Kumbukirani, ndinanena kuti chitsulo ndi chofunikira kwambiri popanga hemoglobin.

Kuphatikiza apo, zinthu zachilengedwe, matenda ena (obadwa nawo komanso opezeka), ndi zizolowezi zina zingayambitsenso microcytosis.

Zifukwa zazikulu za microcytosis:

• Kusowa kwa chitsulo:
• Kusapeza chitsulo chokwanira kuchokera ku chakudya: Nthawi zina chakudya chomwe timadya sichingapereke chitsulo chokwanira m'thupi lathu. Makamaka anthu osadya nyama ayenera kusamala ndi izi.
• Mavuto okhudzana ndi kuyamwa kwa chitsulo: Tangoganizirani, ngakhale mutadya zakudya zomwe zili ndi chitsulo, ngati muli ndi vuto monga 'Celiac disease' kapena matenda am'mimba monga 'H. pylori infection' , thupi silingathe kuyamwa chitsulocho bwino. Komanso, vutoli likhoza kuchitika pambuyo pa opaleshoni monga 'Gastric bypass surgery' kuti muchepetse thupi.
• Kusowa kwa iron chifukwa cha kutuluka magazi: Kwa akazi, kutuluka magazi ambiri m'mimba panthawi yosamba kungayambitse kusowa kwa iron. Komanso, kutuluka magazi m'mimba (GI) chifukwa cha chilonda m'mimba kapena m'matumbo ndi chifukwa china.

• Thalassemia:
• Uwu ndi matenda a majini omwe amabadwa nawo. Mu mkhalidwe uwu, thupi silingathe kupanga hemoglobin moyenera. Munthu amene ali ndi thalassemia akhoza kukhala ndi maselo ofiira a magazi abwinobwino kapena ochulukirapo, koma kuchuluka kwa hemoglobin mkati mwa maselo amenewo kumakhala kochepa. Izi zimatchedwa hypochromic microcytosis . Mu mitundu ina yofatsa ya thalassemia, microcytosis yokha ndi yomwe ingawoneke popanda kuchepa kwa magazi.

• Kuchepa kwa magazi m'thupi chifukwa cha matenda osatha:
• Kutupa komwe kumachitika chifukwa cha matenda a nthawi yayitali monga matenda odziteteza ku matenda a autoimmune ( monga nyamakazi), matenda osatha, matenda a impso, ndi khansa kungalepheretse thupi kugwiritsa ntchito iron popanga maselo ofiira athanzi.

Zifukwa zachilendo za microcytosis:

Izi ndi zochepa pang'ono, koma ndibwino kudziwa:

• Matenda osowa kwambiri a majini omwe amasokoneza kupanga ndi kugwira ntchito kwa maselo ofiira a magazi.
• Kusowa kwa mchere (monga kusowa kwa mkuwa).
• Kupha poizoni ndi lead.

Kodi mungadziwe bwanji molondola ngati muli ndi microcytosis?

Monga ndanenera kale, microcytosis si dzina lovomerezeka la matenda, koma limatanthauza kuti maselo ofiira a magazi anu ndi ang'onoang'ono kuposa masiku onse.

Dokotala wanu adzaganizira zizindikiro zanu, zaka zanu, jenda lanu, ndi mbiri yanu yachipatala kuti adziwe chomwe chingayambitse izi. Mwachitsanzo, ngati muli ndi magazi ambiri panthawi yanu ya msambo, mwina ndi vuto la kuchepa kwa magazi m'thupi. Kapena, ngati wina m'banja mwanu ali ndi thalassemia, chimenecho chingakhale chifukwa chake.

Dokotala akhoza kuchita mayeso ambiri kuti adziwe chomwe chimayambitsa vutoli.

Ndi mayeso ati omwe akuchitidwa pa izi?

Pali mayeso angapo omwe angathandize dokotala kupeza chomwe chimayambitsa vutoli:

• Kuyeza magazi m'magazi: Izi zimaphatikizapo kutenga chitsanzo cha magazi anu ndikuyang'ana pansi pa maikulosikopu. Izi zitha kutsimikizira ngati maselo ofiira anu ndi ang'onoang'ono komanso ngati ali ndi vuto lina lililonse. Ngati maselo ofiira anu ali ndi kukula ndi mawonekedwe osiyanasiyana (Poikilocytosis), izi zitha kukhala chizindikiro cha matenda ena omwe amayambitsa microcytosis.
• Kufalikira kwa maselo ofiira (RDW): Izi zimayesanso kusiyana kwa kukula kwa maselo ofiira a magazi anu. Izi ndi zomwe zimapezekanso mu lipoti la CBC. Kawirikawiri, maselo ofiira a magazi ndi ofanana kukula. Komabe, ngati pali kusiyana kwakukulu kwa kukula kwa maselo (Anisocytosis), zingaperekenso lingaliro la matenda ena.
• Kuchuluka kwa chitsulo m'magazi: Kuchuluka kwa chitsulo m'magazi ndi chizindikiro cha kuchepa kwa magazi m'thupi chifukwa cha kusowa kwa chitsulo m'thupi.
• Mlingo wa Ferritin: Ferritin ndi puloteni yomwe imasunga chitsulo mkati mwa maselo athu. Mukayang'ana kuchuluka kwa ferritin kumeneku, mutha kudziwa kuchuluka kwa chitsulo chomwe chimapezeka m'thupi.
• Kutha kumangirira chitsulo chonse (TIBC): Kuyesa kumeneku, komwe kumachitika limodzi ndi kuchuluka kwa chitsulo ndi ferritin, kungathandize kwambiri kuzindikira kusowa kwa chitsulo. Kungathandizenso kuzindikira kuchepa kwa magazi m'thupi komwe kumachitika chifukwa cha matenda osatha kapena kutupa.

Mukatsimikizira kuti palibe kusowa kwa chitsulo, kuti mudziwe ngati chomwe chimayambitsa ndi thalassemia, mayeso monga hemoglobin electrophoresis ndi mayeso a majini adzafunika kuchitidwa.

Kodi microcytosis imachiritsidwa bwanji?

Chithandizo chimadalira chifukwa cha kuchepa kwa maselo ofiira m'magazi. Nthawi zina, ngati mulibe zizindikiro ndipo zotsatira za mayeso sizili zazikulu kwambiri, chithandizo sichingakhale chofunikira.

Kutengera chifukwa chake, njira zotsatirazi zitha kuchitidwa:

• Kusintha zakudya: Kuwonjezera zakudya zokhala ndi iron yambiri (monga nsomba, soya (tofu), nandolo, nyemba, masamba, zipatso) ku zakudya.
• Zakudya zowonjezera za iron: Izi zimaperekedwa kwa anthu omwe ali ndi vuto la kuchepa kwa iron.
• Kuika magazi: Izi zimachitika pokhapokha ngati magazi m'thupi ali oopsa kwambiri.

Chofunika kwambiri ndikutsatira ndondomeko ya chithandizo yomwe dokotala wanu wakupatsani molingana ndi vuto lenileni.

Kodi microcytosis ikhoza kuchiritsidwa?

Zimenezi zimadaliranso chifukwa chake. Nthawi zambiri, microcytosis imatha matenda akangochiritsidwa. Dokotala wanu angakuuzeni momwe chithandizo chingakhudzire maselo anu a m'magazi komanso thanzi lanu lonse.

Kodi chimachitika ndi chiyani ngati sichikuchiritsidwa?

Si aliyense amene ali ndi microcytosis kapena microcytic anemia amene angafunike chithandizo. Komabe, ngati muli ndi vuto lalikulu lomwe limapangitsa maselo ofiira a magazi anu kukhala ang'onoang'ono, ndikofunikira kuti lipezeke ndi kuchiritsidwa mwachangu. Tsatirani malangizo a dokotala wanu okhudza ngati mukufuna chithandizo komanso zomwe mungayembekezere kuchokera ku chithandizo.

Kodi Microcytosis ndi yoopsa?

Microcytosis ndi chimodzi mwa zizindikiro za maselo ofiira a magazi anu. Ikhoza kukhala chizindikiro cha matenda omwe amafunika chithandizo (pamodzi ndi zizindikiro zina). Koma nthawi zambiri, sizikhala zoopsa kwenikweni, ndipo mwina ndi chinthu chomwe mumawona pa lipotilo.

Dokotala wanu adzakuuzani ngati microcytosis yanu ikusonyeza vuto lomwe likufunika chithandizo.

Kodi ndingatani kuti ndichepetse chiopsezochi?

Sizotheka kupewa matenda onse omwe angayambitse kuwonongeka kwa maselo ofiira a magazi. Komabe, mutha kuchepetsa chiopsezo chanu mwa kutsatira zizolowezi zina zaumoyo.

Chofunika kwambiri pa izi ndikuonetsetsa kuti mukupeza chitsulo chokwanira kuchokera muzakudya zanu. Zakudya zokhala ndi chitsulo chochuluka ndi izi:

• Zakudya zam'madzi monga tuna ndi mackerel
• Zopangidwa ndi soya (Tofu)
• Nyemba monga nandolo, nyemba zobiriwira, nsawawa, ndi lentils
• Ndiwo zamasamba zobiriwira zakuda monga sipinachi, kale, ndi masamba a collard
• Zipatso monga madeti ndi mphesa zouma
• Nyama, makamaka nyama yofiira (ng'ombe, mbuzi) ndi nkhuku

Komanso, ngati mwachitidwa opaleshoni ya m'mimba kapena muli ndi vuto lina lomwe limachepetsa mphamvu yanu yoyamwa chitsulo kuchokera muzakudya, lankhulani ndi dokotala wanu za zowonjezera chitsulo zomwe mukufuna.

Ngati muli ndi vuto lomwe limakuikani pachiwopsezo cha kuchepa kwa magazi m'thupi, monga thalassemia kapena matenda odziyimira pawokha, tsatirani malangizo a dokotala wanu a momwe mungachepetsere chiopsezo chanu.

Kodi ndifunse dokotala chiyani?

Ngati mwapeza kuti muli ndi microcytosis, tsatirani malangizo a dokotala wanu okhudza zomwe mungachite kenako. Mungafune kufunsa mafunso monga:

• 'Kodi ndiyenera kuda nkhawa ndi kuchepa kwa MCV yanga?'
• 'Ndi mayeso ena ati omwe ndiyenera kuchita kuti ndipeze chomwe chimayambitsa microcytosis?'
• 'Kodi ndikufunika chithandizo?'
• 'Kodi ndiyenera kuyembekezera zotsatira zotani kuchokera ku chithandizochi?'
• 'Ndi kusintha kotani kwa moyo komwe ndingachite kuti ndithetse vuto la microcytosis?'

Kodi pali kugwirizana pakati pa microcytosis ndi khansa?

Microcytosis nthawi zina ingakhale chizindikiro cha khansa, koma nthawi zambiri imakhala chizindikiro cha matenda ena. Microcytosis nthawi zambiri imakhala chizindikiro cha kusowa kwa chitsulo. Chofunika kwambiri ndichakuti musachite mantha ndikuganiza kuti ndi khansa (kapena china chake) mpaka dokotala wanu atakufotokozerani zomwe zikuchitika ndi mayeso anu a magazi.

Ndizachibadwa kukhala ndi nkhawa mukawona zotsatira zachilendo pa mayeso a zachipatala. Komabe, kukhala ndi kusiyana kosazolowereka sikutanthauza kuti mukudwala kapena mukufuna chithandizo. Makhalidwe monga ``MCV'' ndi chidziwitso chomwe chimathandiza dokotala wanu kumvetsetsa thanzi lanu lonse. Funsani dokotala wanu kuti akupatseni malangizo amomwe zotsatira za mayeso anu zingakhudzire chithandizo chanu chamtsogolo.

Ndiye, ndi zinthu ziti zomwe tiyenera kukumbukira kuchokera pa zonsezi?

Chabwino, tiyeni tikambirane zinthu zofunika kwambiri zomwe muyenera kukumbukira kuchokera pa zomwe takambirana:

• Microcytosis si matenda, zimangotanthauza kuti maselo ofiira a magazi anu ndi ang'onoang'ono kuposa masiku onse.
• Izi nthawi zambiri zimapezeka ndi ``CBC`` (kuchuluka kwa magazi kwathunthu).
• Choyambitsa chachikulu ndi kusowa kwa chitsulo, koma pakhoza kukhala zifukwa zina, monga thalassemia ndi matenda osatha.
• Anthu ambiri sasonyeza zizindikiro. Akatero, akhoza kutopa, kufooka, komanso kupuma movutikira.
• Dokotala adzachita mayeso ambiri kuti apeze chomwe chikuyambitsa vutoli.
• Chithandizo chimadalira chomwe chimayambitsa vutoli. Nthawi zina, chithandizo sichingakhale chofunikira konse.
• Musachite mantha! Ngati mukuona kuti matenda anu a MCV ndi otsika, lankhulani ndi dokotala wanu kuti mudziwe chifukwa chake komanso choti muchite.
• Ndikofunikira kudya zakudya zabwino, makamaka kudya zakudya zokhala ndi chitsulo chambiri.

Kumbukirani, izi ndi zongofuna kukupatsani chidziwitso chokha, osati kukuopsezani kuti muganize kuti muli ndi matenda. Ngati muli ndi kukayikira kapena mafunso, ndi bwino kuonana ndi dokotala kuti akupatseni upangiri.

'Microcytosis, Maselo ofiira a magazi, Kuchepa kwa magazi, Kusowa kwa chitsulo, hemoglobin, MCV