Kodi maselo anu ofiira a magazi ndi akuluakulu kuposa masiku onse? Tiyeni tiphunzire za Macrocytosis!

Kodi munayamba mwayang'ana lipoti la Full Blood Count ndikudzifunsa za zina mwa zomwe zili mmenemo? Dokotala wanu mwina anati, "Maselo anu ofiira a magazi amaoneka aakulu pang'ono." Ndicho chimene madokotala amati Macrocytosis. Si matenda okha. Koma ndi chizindikiro chofunika kwambiri chakuti pali vuto m'thupi lathu. Ngati munyalanyaza, mutha kukhala ndi vuto lalikulu la kuchepa kwa magazi lotchedwa macrocytic anemia. Chifukwa chake, musadandaule. Tiyeni tikambirane chilichonse momveka bwino komanso mosavuta.

Kodi Macrocytosis kwenikweni ndi chiyani?

Mwachidule, Macrocytosis ndi pamene maselo ofiira m'magazi anu ndi akuluakulu kuposa abwinobwino. Izi nthawi zina zimatchedwa megalocytosis kapena macrocythemia. Mukamaliza kuwerengera magazi, lipotilo lidzakuuzani kukula kwa maselo ofiira anu. Pali zinthu ziwiri zazikulu zomwe dokotala adzaziyang'ana akamakayikira vutoli: 1. MCV (Mean Corpuscular Volume): Iyi ndi kuchuluka kwapakati kwa maselo ofiira anu. 2. MCH (Mean Corpuscular Hemoglobin): Iyi ndi kuchuluka kwa hemoglobin mu selo lofiira lamagazi. Ngati chimodzi mwa zinthuzi kapena zonsezi ndi zapamwamba kuposa zabwinobwino, ndi chizindikiro chabwino kuti mwina muli ndi Macrocytosis.

Kodi zizindikiro za vutoli ndi ziti?

Nthawi zambiri, kuchepa kwa magazi komwe kumabwera ndi Macrocytosis kumachitika pang'onopang'ono m'thupi. Chifukwa chake, vutoli siliwonetsa zizindikiro zazikulu mpaka litakula pang'ono. Komabe, vutoli likakula pang'ono, zizindikiro zina zomwe zili pansipa zingawonekere.

Kodi zifukwa za macrocytosis ndi ziti?

Monga tanenera kale, matenda a Macrocytosis si matenda amodzi okha. Ndi chifukwa cha vuto lina la thanzi. Tiyeni tiwone zomwe zimayambitsa matendawa. Kuphatikiza apo, izi zitha kukhala zotsatira zoyipa za mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda monga khansa, khunyu, kapena matenda a autoimmune (matenda omwe chitetezo cha mthupi chimadziukira chokha).Macrocytosis ingathenso kuchitika chifukwa cha khansa ya m'mafupa (myelodysplastic syndrome).

Kodi mungazindikire bwanji vutoli?

Ngati dokotala wanu akukayikira izi, adzalamula mayeso angapo kuti atsimikizire izi. Mayeso akuluakulu omwe amachitika ndi awa:

• Kuchuluka kwa Magazi Okwanira (CBC): Kuchuluka kwa magazi konse.
• Kupaka Magazi Pambali (Kupaka Magazi): Iyi ndi njira yofunika kwambiri yoyezera magazi. Chitsanzo cha magazi chimayesedwa pogwiritsa ntchito maikulosikopu kuti chione mawonekedwe ndi kukula kwa maselo ofiira a magazi.
• Chiwerengero cha ma reticulocyte : Chimayesa kuchuluka kwa maselo ofiira a magazi omwe angopangidwa kumene mu fupa la mafupa.
• Kuchuluka kwa Vitamini B12 ndi Folate: Kuyang'ana kuchuluka kwa mavitaminiwa m'magazi.

Macrocytosis ingapezeke bwino ndi peripheral smear. Kuwonjezera pa kukula kwa maselo ofiira a m'magazi, ngati pali zizindikiro za matupi a Howell-Jolly (zidutswa zazing'ono mkati mwa maselo) ndi kuchuluka kwa granulocytes (mtundu wa maselo oyera a m'magazi), ndi chizindikiro champhamvu cha kuchepa kwa magazi m'thupi.

Kodi imachiritsidwa bwanji?

Chofunika kwambiri pochiza matenda a macrocytosis ndikupeza ndikuchiza chomwe chimayambitsa matendawa . Chikapezeka, dokotala wanu adzasankha njira yochizira.

• Chithandizo cha kusowa kwa mavitamini: Ngati chifukwa chake ndi kusowa kwa vitamini B12 kapena folate, ndiye kuti kusintha zakudya zoyenera, zowonjezera mavitamini, kapena jakisoni wa vitamini ngati kuli kofunikira ndikofunika. Koma kumbukirani, dokotala wanu yekha ndi amene angasankhe ngati mukufuna zowonjezera mavitamini komanso kuchuluka kwa mavitamini omwe mungamwe. Chifukwa chake, musamwe mavitamini popanda upangiri wa dokotala.
• Kuchepa kwa magazi m'thupi: Ngati kuchepa kwa magazi m'thupi kuli kwakukulu kwambiri, kuikidwa magazi kungafunike.

Zakudya zokhala ndi vitamini B12 wambiri

Akuluakulu azaka zopitilira 14 amafunikira pafupifupi ma microgram 2.4 a vitamini B12 patsiku. Amayi oyembekezera ndi oyamwitsa amafunikira pakati pa ma microgram 2.6-2.8. Zakudya zomwe nthawi zambiri zimakhala ndi mavitamini awa ndi monga:

• Mitundu ya nsomba ndi nkhono
• Chiwindi
• Nyama yofiira
• Mazira
• Nkhuku
• Zakudya za mkaka monga mkaka, tchizi, yogurt
• Zakudya zam'mawa zolimbikitsidwa

Zakudya zokhala ndi folate yambiri

Aliyense wazaka zopitirira 19 amafunika ma microgram 400 a folate patsiku. Mayi woyembekezera amafunika ma microgram 600, ndipo mayi woyamwitsa amafunika ma microgram 500. Ndikofunikanso kuti amene amamwa mowa alandire ma microgram 600 patsiku, chifukwa mowa umalepheretsa kuyamwa kwa folate.

• Ndiwo zamasamba zobiriwira monga sipinachi, kale, letesi, broccoli
• Nyemba monga nyemba ndi nandolo
• Mtedza
• Mbewu za mpendadzuwa
• Zipatso zatsopano
• Mbewu zonse
• Zakudya Zam'madzi
• Mazira
• Zakudya zolimbitsa

Macrocytosis, maselo ofiira a magazi, mayeso a magazi, vitamini B12, folate, kuchepa kwa magazi m'thupi, MCV