Kuchepa kwa magazi m'thupi, koma chitsulo chambiri m'thupi? Tiyeni tikambirane za Sideroblastic Anemia

Anthu ambiri akamamva mawu oti 'anemia ' , nthawi yomweyo amaganiza za kusowa kwa iron . Ndicho chifukwa chake amamva kutopa nthawi zonse, kutopa, chizungulire, komanso nthawi zina osagona. Koma kodi mukudziwa kuti nthawi zina kuchepa kwa magazi m'thupi, zinthu zimasiyana kwenikweni? M'malo mosowa iron, iron m'maselo amagazi 'imawonjezeka'. Kodi izi sizikumveka zachilendo? Lero tikulankhula za vuto lina lapadera, koma losafala kwambiri, lotchedwa sideroblastic anemia.

Mwachidule, kodi Sideroblastic Anemia ndi chiyani?

Kuti timvetse izi, choyamba tiyeni tiwone magazi athu. Mkati mwa maselo ofiira a magazi m'magazi mwathu muli puloteni yotchedwa hemoglobin . Ntchito yake yayikulu ndikutenga mpweya womwe umabwera m'mapapo tikamapuma ndikuunyamula m'thupi lonse. Choncho mpweya uwu ndi wofunikira kuti selo lililonse m'thupi lathu likhale ndi moyo.

Tsopano, kuti tipange hemoglobin iyi, thupi lathu limafunikira mchere wa 'iron'. Kawirikawiri, kuchepa kwa magazi m'thupi kumachitika pamene thupi lilibe iron. Chifukwa chake, silingathe kupanga hemoglobin.

Tangoganizirani khitchini yomwe ili ndi mpunga, madzi, ndi mchere wophikira mpunga, koma chophikira mpunga chasweka. Ndiye simungathe kuphika mpunga. Umu ndi momwe zilili. Mu matendawa, pali chitsulo chambiri, chomwe chikufunika kupanga hemoglobin. Koma fakitale yomwe imagwiritsa ntchito chitsulocho kupanga hemoglobin, maselo athu ofiira amagazi, sigwira ntchito bwino. Choncho chitsulo chosagwiritsidwa ntchito chimayamba kusonkhana mkati mwa maselo ofiira amagazi olakwikawa. Timatcha maselo osazolowereka awa omwe asonkhanitsa chitsulo mwanjira iyi `(Sideroblasts)`.

Kodi zizindikiro za vutoli ndi ziti?

Zizindikiro za matendawa zimafanana kwambiri ndi matenda ena ochepetsa magazi m'thupi, kotero nthawi zina zimatha kusokonezeka mosavuta. Ndipo chifukwa matendawa amakula pang'onopang'ono, mwina simungadziwe kuti muli nawo. Izi ndi zizindikiro zazikulu zomwe mungathe kuziona.

Kodi mitundu ikuluikulu ya Sideroblastic Anemia ndi iti?

Matendawa akhoza kugawidwa m'magulu awiri.

1. Kuchepa kwa magazi m'thupi kwa Sideroblastic Anemia

Imeneyi ndi vuto losowa kwambiri, la majini. Ndiye kuti, limaperekedwa kwa mwana kudzera m'majini ochokera kwa kholo limodzi. Mtundu wofala kwambiri wa vutoli ndi X-linked Sideroblastic Anemia . Izi zimachitika chifukwa cha kusintha kwa majini komwe kumakhudza kupanga hemoglobin. Zotsatira zake, thupi limayesetsa kuyamwa chitsulo chochuluka kuchokera muzakudya kuti lipezeke chifukwa cha kusowa kwa hemoglobin. Pa milandu yoopsa, imatha kuwononga ziwalo monga chiwindi . Mtundu uwu wobadwa nawo nthawi zambiri umapezeka munthu asanakwanitse zaka 30.

2. Mtundu wa matenda obwera pambuyo pake (Acquired Sideroblastic Anemia)

Uwu ndi mtundu wofala kwambiri. Gawo labwino kwambiri ndilakuti nthawi zambiri umatha kuchiritsidwa . Ngakhale kuti nthawi zina madokotala sadziwa chomwe chimayambitsa vutoli, pali zinthu zingapo zazikulu zomwe zimayambitsa vutoli:

• Mankhwala ena: Makamaka mankhwala ena operekedwa a chifuwa chachikulu.
• Kumwa mowa mopitirira muyeso: Kumwa mowa mopitirira muyeso kwa nthawi yayitali ndi chinthu chachikulu chomwe chimayambitsa vutoli.
• Mankhwala oopsa : Kukumana ndi mankhwala enaake oopsa kwa nthawi yayitali, monga lead.
• Matenda ena: Matendawa amathanso kuyambitsidwa ndi matenda ena monga matenda a chitetezo chamthupi, zotupa, kapena matenda a kagayidwe kachakudya m'thupi.

Kuphatikiza apo, mitundu yonse iwiri imatha kukhala ndi vuto lina lotchedwa hemochromatosis , lomwe limapangitsa kuti chitsulo chochuluka chiziunjikane m'thupi.

Kodi mungazindikire bwanji matendawa molondola?

Popeza zizindikiro zake zimafanana ndi matenda ena a kuchepa kwa magazi m'thupi, zimakhala zovuta kuzizindikira. Choncho ndikofunikira kumvetsera thupi lanu. Ngati muli ndi chimodzi kapena zingapo mwa zizindikiro zomwe zatchulidwa pamwambapa, chonde onani dokotala wanu.

Dokotala adzakufunsani mosamala za zizindikiro zanu, adzakuyesani, kenako adzakulamulani kuti muyesedwe kangapo kuti atsimikizire ngati muli ndi vutoli.

• Kuyezetsa Magazi: Kuyeza magazi mokwanira ndi kufufuza za ayodini ndikofunikira.
• Kupaka Magazi Pambali: Apa, chitsanzo cha magazi chimayesedwa pogwiritsa ntchito maikulosikopu kuti tiwone ngati pali maselo osakhala bwino osonkhanitsa chitsulo (Sideroblasts) omwe tidakambirana kale.
• Kufufuza za Mafupa: Nthawi zina, chitsanzo chaching'ono cha mafupa chingafunike kutengedwa ndikuyesedwa kuti atsimikizire matendawa.
• Mayeso ena: Ngati kuli kofunikira, dokotala angakulangizeninso kuti muyesedwe ndi MRI scan kapena majini.

Kodi imachiritsidwa bwanji?

Njira zochiritsira zimadalira ngati muli ndi mtundu wobadwa nawo kapena wopezeka.

• Kuchiza Choyambitsa: Ngati muli ndi mtundu womwe mwapeza, choyamba ndikuchotsa chomwe chimayambitsa vutoli. Mwachitsanzo, ngati mankhwala akuyambitsa vutoli, dokotala wanu adzasiya mankhwalawo ndikukupatsani ena. Ngati ndinu womwa mowa kwambiri, muyenera kusiya kumwa mowa kwathunthu.
• Vitamini B6: Kafukufuku wasonyeza kuti vitamini B6, kapena pyridoxine, ingathandize pochiza mitundu yonse iwiri ya matendawa. Dokotala wanu angakulembereni vitamini iyi ngati yowonjezera.
• Kuchotsa chitsulo chochuluka: Pali mankhwala omwe angaperekedwe kuti achotse chitsulo chochuluka m'thupi. Deferoxamine imaperekedwa ngati jakisoni pansi pa khungu, ndipo Deferasirox imaperekedwa ngati piritsi. Komabe, mankhwalawa amatha kukhudza impso, choncho ayenera kugwiritsidwa ntchito moyang'aniridwa ndi dokotala.
• Kuika Magazi: Ngati thupi lanu silikulandira chithandizo cha vitamini B6, dokotala wanu angakulangizeni kuti muike magazi. Komabe, izi zili ndi vuto. Mukapitiriza kuika magazi, chitsulo m'thupi lanu chidzawonjezeka, zomwe zidzawonjezera chiopsezo cha kuwonongeka kwa chiwindi.
• Kusamutsa Bone Marrow: Iyi ndi njira yomaliza yochizira. Imaganiziridwa pakakhala matenda oopsa pomwe palibe mankhwala ena omwe apereka chithandizo.