Mukayesa magazi, nthawi zina timawona mawu osazolowereka mu lipotilo, sichoncho? Mwina lipoti lanu linalinso ndi mawu oti `Polychromasia` kapena `Polychromatophilia`. Zingakhale zoopsa pang'ono mukaziwona. Koma musadandaule, tikambirana izi lero.
Kodi 'Polychromasia' ndi chiyani?
Mwachidule, `Polychromasia` amatanthauza kuti maselo ofiira a m'magazi anu ali ndi mitundu yosiyanasiyana. Izi zimawoneka pamene chitsanzo cha magazi anu chatengedwa, kuyikidwa pa galasi, kupakidwa utoto wapadera, ndikuyang'aniridwa ndi maikulosikopu. Timatcha mayesowa kuti `Peripheral Blood Smear (PBS)`.
Kawirikawiri, maselo ofiira athanzi komanso okhwima bwino amaoneka ngati pinki mu 'PBS'. Komabe, ngati 'Polychromasia' ilipo, pakati pa maselo ofiira awa, mutha kuwona maselo angapo omwe amawoneka abuluu, abuluu-imvi, kapena ofiirira . Maselo amitundu yosiyanasiyana awa nthawi zambiri amakhala maselo ofiira amagazi osakhwima . Mu zamankhwala, timatcha maselo ofiira amagazi osakhwima awa kuti 'Reticulocytes'.
Polychromasia kwenikweni imatanthauza kuti mafuta anu a m'mafupa akutulutsa maselo ofiira atsopano osakhwima m'magazi anu mwachangu kwambiri. Mukudziwa, mafuta a m'mafupa ndi gawo lofewa, lopanda siponji la thupi lanu lomwe lili mkati mwa mafupa akuluakulu. Maselo onse ofiira a m'magazi, maselo oyera a m'magazi, ndi ma platelet m'magazi anu amapangidwa mu mafuta a m'mafupa. Zili ngati fakitale.
N’chifukwa chiyani maselo ofiira a magazi awa amaoneka abuluu?
Tsopano mwina mukudabwa chifukwa chake maselo ofiira osakhwima awa (`Reticulocytes`) amaoneka abuluu. Chifukwa chake ndi chakuti ma `Reticulocytes` awa ali ndi majini otchedwa `RNA`. Akachitapo kanthu ndi banga la `PBS`, `RNA` iyi imasanduka yabuluu. `RNA` iyi ili ngati pulogalamu yakanthawi mu selo. `Reticulocyte` ikakula ndikukhala selo lofiira lathunthu, `RNA` iyi imatha.
Ndikofunikira kuzindikira ma 'Reticulocyte' awa mu 'PBS'. Chifukwa, ma 'Reticulocyte' ndi gulu la maselo omwe sangathe kunyamula mpweya bwino monga maselo ofiira a m'magazi okhwima mokwanira. Ntchito yayikulu ya maselo ofiira a m'magazi ndikunyamula mpweya kupita ku selo iliyonse m'thupi lathu. Chifukwa chake, kukhala ndi maselo ambiri osakhwima kumatanthauza kuti ntchitoyo siyikuchitika bwino.
Kodi ndi zifukwa ziti za 'Polychromasia'?
Polychromasia ikhoza kukhala chizindikiro cha matenda enaake. Matendawa amachititsa kuti mafupa anu atulutse maselo ofiira osakhwima m'magazi mwachangu kwambiri. Izi nthawi zambiri zimachitika pamene chiwerengero cha maselo ofiira okhwima m'magazi anu chikuchepa. Thupi limayesetsa kubweza ngongole mwa kutulutsa ma reticulocytes mwachangu kuchokera m'magazi anu kupita m'magazi anu.
Nazi zifukwa zina zomwe mungawonere 'Polychromasia':
- Kuchepa kwa magazi m'thupi: Uku ndi kusokonezeka kwa magazi. Apa ndi pomwe maselo ofiira amagazi amawonongeka msanga. Nthawi zina kuwonongeka kumeneku kungachitike mwachangu kwambiri moti thupi silingathe kupanga maselo ofiira atsopano amagazi. Izi zimapangitsa kuti pakhale kuchepa kwa magazi m'thupi. Kuchepa kwa magazi m'thupi kungayambitsidwenso ndi matenda obadwa nawo monga Paroxysmal Nocturnal Hemoglobinuria (PNH), Thalassemia, ndi Sickle Cell Disease. Kungayambitsidwenso ndi matenda ena ndi mankhwala ena.
- Kutaya magazi kwambiri: Pakakhala kutuluka magazi ambiri, kaya mkati kapena kunja, mafuta a m'mafupa amalimbikitsidwa kuti awonjezere kupanga maselo ofiira a magazi. Kenako ma reticulocyte amatulutsidwa m'magazi kuti alowe m'malo mwa maselo ofiira a magazi omwe atayika. Tangoganizirani, ngati mutataya magazi ambiri pangozi yaikulu, izi zitha kuchitika.
- Khansa: Mitundu ina ya khansa imatha kufalikira mpaka ku mafupa ndikusokoneza kupanga maselo ofiira a magazi, kapena ikhoza kukankhira maselo a magazi osakhwima m'magazi.
- Mimba: Nthawi zambiri chiwerengero cha `Reticulocytes` m'magazi chimakhala chokwera pang'ono kuposa chachibadwa panthawi ya mimba. Nthawi zambiri, izi sizikutanthauza nkhawa.
- Kukhala m'malo okwera: Mpweya wokwanira m'malo okwera kwambiri ndi wochepa. Thupi limatha kuzolowera kusowa kwa mpweya mwa kuwonjezera kupanga maselo ofiira a magazi ndikutulutsa ma reticulocyte m'magazi.
Zakudya zomwe zimawonjezera maselo ofiira a magazi
Nthawi zina, mukayamba kumwa mavitamini ndi zowonjezera zomwe zimafunika kuti mupange maselo ofiira athanzi, mutha kuwona "Polychromasia" pa lipoti lanu la magazi. Izi zikutanthauza kuti thupi lanu likuchitapo kanthu. Ngati simukupeza michere iyi mokwanira kuchokera muzakudya zomwe mumadya, dokotala wanu angakulangizeni:
- Vitamini B12 (Vitamini B12)
- Folic acid ('Folic acid')
- Chitsulo
Zakudya zimenezi ndizofunikira kwambiri popanga maselo ofiira a m'magazi. Mwachitsanzo, chitsulo chimathandiza kupanga hemoglobin, puloteni yonyamula mpweya m'maselo ofiira a m'magazi. Vitamini B12 ndi folic acid ndizofunikira kwambiri pakugawa ndi kukhwima kwa maselo ofiira a m'magazi.
Kodi zizindikiro za 'Polychromasia' ndi ziti?
Palibe zizindikiro zenizeni za Polychromasia. Komabe, mutha kukumana ndi zizindikiro zomwe zimayambitsidwa ndi vuto linalake, monga kuchepa kwa magazi m'thupi, lomwe limayambitsa Polychromasia.
Zizindikiro zodziwika bwino za kuchepa kwa magazi m'thupi ndi izi:
- Khungu lotumbululuka
- Mutu
- Kufooka kapena kutopa
- Kuvuta kupuma (Dyspnea)
- Kugunda kwa mtima mwachangu (Tachycardia)
- Chizungulire kapena mutu wopepuka
- Kuthamanga kwa magazi pang'ono (Hypotension)
- Kutuluka kwachikasu pakhungu kapena maso oyera (Jaundice) - Izi zimaonekera makamaka mu Hemolytic Anemia.
- Kukulitsa kwa spleen (`Splenomegaly`) kapena chiwindi (`Hepatomegaly`)
Nthawi zina sipangakhale zizindikiro konse. Zonse zimadalira vuto lomwe linayambitsa polychromasia ndi kuopsa kwake.
Kodi mungazindikire bwanji 'Polychromasia'?
Madokotala amatha kudziwa ngati muli ndi polychromasia kuchokera ku zotsatira za mayeso a PBS (peripheral blood smear). Izi zidzawonetsa maselo ofiira akuda abuluu kapena abuluu-imvi (otchedwa reticulocytes) m'magazi anu, pamodzi ndi maselo ofiira apinki okhwima.
Kumbukirani, 'Polychromasia' ndi chinthu chomwe chimapezeka poyesa magazi, ndipo si 'kuzindikira' kokha.
Choncho, dokotala wanu angafune mayeso ena kuti adziwe chomwe chikuyambitsa vuto lanu. Adzakufunsani za zizindikiro zanu, mbiri yanu yachipatala, ndi mankhwala aliwonse omwe mumamwa. Akhozanso kuchita mayeso akuthupi kuti aone ngati pali zizindikiro za kuchepa kwa magazi m'thupi (monga ndulu yotupa kapena chiwindi). Mayeso enieni omwe mudzakhala nawo adzadalira chifukwa chomwe akuganiziridwa kuti chikukhudza kutulutsidwa kwa ma reticulocytes kuchokera ku mafupa anu.
Kodi Polychromasia imachiritsidwa bwanji?
Chithandizo chimadalira chomwe chimayambitsa polychromasia yanu. Ngati chifukwa chake ndi kuchepa kwa magazi m'thupi pang'ono ndipo mulibe zizindikiro zazikulu, simungafunike chithandizo. Komabe, ngati muli ndi vuto lalikulu lomwe limayambitsa polychromasia yanu, dokotala wanu angakulangizeni chithandizo choyenera.
Izi zingagwiritsidwe ntchito ngati mankhwala:
- Kuikidwa magazi: Pa matenda ena obadwa nawo monga matenda a Sickle Cell kapena ngati magazi akutuluka kwambiri.
- Corticosteroids: Mu matenda monga Autoimmune Hemolytic Anemia, pomwe chitetezo chamthupi chanu chimawononga maselo ofiira a magazi anu.
- Mankhwala oletsa chitetezo chamthupi: Mankhwalawa angaperekedwe pamene chitetezo chamthupi chikuwononga maselo ofiira a magazi ndipo mankhwala monga corticosteroids sagwira ntchito.
Ngati polychromasia imayamba chifukwa cha matenda a bakiteriya, mavairasi, kapena tizilombo toyambitsa matenda, mankhwala enaake angafunike pa matendawa. Ngati vutoli layamba chifukwa cha mankhwala ena, mungafunike kusiya kumwa mankhwalawo kapena kusintha mankhwala ena. Komabe, musasiye kumwa mankhwala aliwonse popanda upangiri wa dokotala wanu. Dokotala wanu adzakutsogolerani mosamala.
Kodi muyenera kuopa 'Polychromasia'?
Sikofunikira kwenikweni. Polychromasia ikhoza kukhala chizindikiro cha matenda a magazi omwe amafunika chithandizo, kapena ikhoza kukhala chinthu chosavulaza konse. Mwachitsanzo, ngati muli ndi pakati kapena mwangoyamba kumene kumwa mankhwala owonjezera achitsulo, izi zitha kukhala zachilendo.
Dokotala wanu adzakuuzani za zotsatira izi ndikufotokozerani ngati ndi chinthu chodetsa nkhawa kapena ngati pakufunika kuyezetsa kwina.
Kodi ndiyenera kupita kwa dokotala liti?
Ngati muli ndi zizindikiro za kuchepa kwa magazi m'thupi, monga kutopa, kufooka, komanso kupuma movutikira, konzani nthawi yoti mukaone dokotala. Pakadali pano, musazengereze kuyezetsa magazi kwanu pachaka. Dokotala wanu angayang'anire maselo anu amagazi pochita mayeso ngati PBS ngati pakufunika kutero.
Malipoti a mayeso a magazi angapereke zambiri zokhudza thanzi lanu lonse. Angakuthandizeninso kuzindikira matenda a magazi omwe angafunike chithandizo msanga.
Mwachidule (Uthenga Wopita Nawo Kunyumba)
Musachite mantha mukaona mawu oti `Polychromasia` pa lipoti lanu la magazi. Kumbukirani:
- "Polychromasia" ndi kufotokozera, osati matenda. Zimangotanthauza kuti muli ndi maselo ofiira ambiri osakhwima m'magazi kuposa abwinobwino m'magazi anu.
- Izi zitha kukhala chizindikiro cha matenda enaake, kapena zitha kukhala zosavulaza komanso zakanthawi.
- Ngati muli ndi nkhawa iliyonse pankhaniyi, lankhulani ndi dokotala wanu. Iye angakuuzeni momwe zotsatirazi zimakukhudzirani.
Choncho, ndikofunikira kwambiri kulankhulana bwino ndi dokotala wanu nthawi zonse. Iwo ndi omwe amamvetsetsa bwino thanzi lanu.
Polychromasia , Maselo Ofiira a M'magazi, Kuyesa Magazi, Ma Reticulocytes, Bone Morrow, Anemia

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