Ese uturemangingo tw'amaraso yawe twariyongereye? (Macrocytosis) - Reka tubyigeho! | Nirogi Lanka

Ese wigeze usuzuma ibyavuye mu maraso yawe ( raporo y'amaraso ) ukabona inyandiko ivuga ku nsoro zitukura zagutse, cyangwa wenda muganga wawe yavuze ku ndwara yitwa "Macrocytosis"? Ni ibisanzwe kumva uhangayitse gato, ariko ndakwinginze komeza gutuza. Macrocytosis ubwayo si indwara; ni ukumenya gusa ko insoro zitukura zawe ari nini kuruta izisanzwe.

Macrocytosis ni iki?

Mu magambo make, Macrocytosis bivuze ko uturemangingo tw’amaraso dutukura ari tunini kurusha ingano isanzwe. Ntabwo bifatwa nk’indwara, ariko bikora nk’ikimenyetso cyerekana ikintu cy’ingenzi mu mubiri wawe. Ubusanzwe ibi ubibona binyuze mu kubara amaraso yose (CBC) / umubare w’amaraso yose ( FBC ). Abaganga bakunze gutumiza iki kizamini kugira ngo bapime ubuzima bwawe muri rusange n’uko uturemangingo tw’amaraso yawe dukora.

Raporo yawe ya CBC irimo agaciro kitwa `MCV (Ubwinshi bw'umuvuduko w'amaraso)`, gapima ingano mpuzandengo y'uturemangingo tw'amaraso dutukura. Ku bantu bakuru, iyo agaciro ka `MCV` karenze litiro 100 za femtolita (`100 fL`), gashyirwa mu cyiciro cya Macrocytosis.

Nubwo akenshi atari ibintu bikomeye, izi selile nini cyane rimwe na rimwe zibura intungamubiri zikenewe kugira ngo zikore neza, bivuze ko zigorwa no gukora inshingano zazo z'ingenzi: gutwara umwuka wa ogisijeni mu mubiri wawe wose. Iyi ndwara yitwa 'Macrocytic Anemia' ( anemia ya macrocytic). Iyo itavuwe, ishobora guteza ingorane zikomeye ku buzima.

Iyi ndwara ikunze kugaragara gute?

Hagati ya 2% na 4% by'abatuye isi bafite Macrocytosis. Muri iri tsinda, abagera kuri 60% nabo bafite ikibazo cyo kubura amaraso mu mubiri.

Ariko, Macrocytosis ibaho nta anemia ikunze kugaragara cyane mu bana bato n'abageze mu za bukuru.

Ni ibihe bimenyetso bya Macrocytosis?

Kenshi na kenshi, ikimenyetso cyonyine cya Macrocytosis ni agaciro ka `MCV` kari hejuru kuri raporo yawe ya `CBC`. Iyo ibimenyetso bigaragaye, akenshi bifitanye isano n'impamvu nyamukuru ituma uturemangingo dutukura tw’amaraso twiyongera.

Urugero, niba ufite "Macrocytic Anemia", ushobora kugira ibimenyetso bisanzwe byo kudatunga amaraso nko kunanirwa , umunaniro, no kugira uruhu rwera . Byongeye kandi, niba impamvu nyamukuru ari ukubura imirire, ushobora kugira impiswi, ibibazo byo kwibuka, cyangwa gutakaza uburimbane .

Kubera ko hari impamvu nyinshi zitera Macrocytosis, ibimenyetso bishobora gutandukana cyane bitewe n'umuntu ku wundi.

Ni iki gitera Macrocytosis?

Uturemangingo tw’amaraso yawe tukorerwa mu musemburo w’amagufwa yawe. Kubwibyo, Macrocytosis ishobora guterwa n’ibibazo byo gukora uturemangingo tw’amaraso dutukura mu musemburo w’amagufwa cyangwa ibibazo ku miterere y’uturemangingo tw’amaraso dutukura ubwatwo. Hari igihe kwiyongera kw’uturemangingo tw’amaraso dutukura tudakuze (titwa `reticulocytes`) bishobora gutera `MCV` nyinshi, kuko utwo turemangingo tuba tunini kurusha uturemangingo tw’amaraso dutukura dukuze.

Dore zimwe mu mpamvu z'ingenzi zitera Macrocytosis:

Ibura ry'imirire

Umubiri wawe ukeneye intungamubiri nka Vitamine B12 na folate (Vitamine B9) kugira ngo wubake uturemangingo tw’amaraso dutukura dufite ubuzima bwiza. Niba udafite ibi bihagije binyuze mu mirire yawe, cyangwa niba hari ikibazo cy’ubuzima kibuza umubiri wawe kubikuramo, uturemangingo tw’amaraso dutukura ntabwo tuzakura neza. Kubura Vitamine B12 na folate ni byo bintu bikomeye bitera indwara ya 'Macrocytic Anemia'. Urugero, kurya bike imboga n’imbuto bishobora gutuma umuntu abura folate, mu gihe indyo ikomeye y’abarya ibikomoka ku bimera ishobora gutuma abura Vitamine B12.

Imiti imwe n'imwe

Imiti itandukanye ishobora gutera Macrocytosis, harimo `hydroxyurea` (ikunze gukoreshwa ku ndwara ya sickle cell), imiti yihariye ya `chimiotherapie`, na `antiretroviral therapy (ART)` yo kuvura virusi itera SIDA. Muganga wawe ashobora kumenya niba hari umuti urimo gufata ufite iyi ngaruka.

Kunywa inzoga

Kunywa inzoga nyinshi cyangwa kunywa inzoga nyinshi ni byo bikunze gutera Macrocytosis. Inzoga zishobora kubangamira ubushobozi bw'umubiri bwo kwinjiza intungamubiri zikenewe kugira ngo uturemangingo dutukura tw'amaraso tubeho neza.

Indwara y'umwijima

Macrocytosis rimwe na rimwe ishobora kuba ikimenyetso cy'indwara y'umwijima. Nubwo ikunze kugaragara ko ifitanye isano no kunywa inzoga, ishobora no guterwa n'izindi ndwara z'umwijima zitari iz'inzoga.

Anemia yo mu maraso

Mu ndwara ya 'hemolytic anemia', uturemangingo tw'amaraso dutukura twangirika imburagihe. Kugira ngo umubiri wawe ubyishyure, uturemangingo twinshi twa 'reticulocytes' (uturemangingo tutarakura) mu maraso, bishobora kuzamura urugero rwa MCV yawe.

Gutakaza Amaraso Bikomeye

Nyuma y’impanuka, kubagwa, cyangwa ikindi gikomere, iyo utakaje amaraso menshi, umubiri wawe wihutira gukora uturemangingo dushya, tugasohora "reticulocytes" mu miyoboro y’amaraso, nk’uko bigenda mu ndwara yo kubura amaraso mu maraso.

Indwara ya Myelodysplastic

Iri ni itsinda rya kanseri ziterwa n'umusemburo w'amagufwa zibuza umubiri gukora uturemangingo tw'amaraso dufite ubuzima bwiza kandi dukuze.

Hypothyroidism

Indwara ya tiroyide idakora neza, cyangwa 'Hypothyroidism', ishobora kandi kujyana na Macrocytosis, haba hari amaraso make cyangwa ntayo.

Hari igihe impamvu igaragara ya Macrocytosis idashobora kumenyekana, cyane cyane iyo udafite amaraso make cyangwa ibindi bimenyetso.

Macrocytosis ipimwa ite?

Nkuko twabivuze mbere, macrocytosis ni ijambo rikoreshwa mu gusobanura uturemangingo dutukura tw’amaraso twagutse, ntabwo ari indwara yemewe ubwayo. Niba raporo yawe CBC igaragaza agaciro ka MCV kari hejuru ya 100 fL , bigaragaza ko uturemangingo dutukura tw’amaraso yawe ari tunini kuruta ibisanzwe.

Hari igihe, hashingiwe ku buremere bwa macrocytosis, muganga wawe ashobora kumenya impamvu ishobora gutera. Urugero, niba agaciro ka MCV kawe kazamutse cyane (nk'urugero 110 - 115 fL), bishobora kuba ikimenyetso cy'indwara ikomeye nka macrocytic anemia , harimo na megaloblastic anemia .

Ibizamini byo gusuzuma indwara kugira ngo hamenyekane icyateye Macrocytosis

Niba umuganga wawe ahangayikishijwe n'ubwiyongere bw'uturemangingo tw'amaraso dutukura, azabaza ibibazo kugira ngo amenye impamvu nyamukuru. Bashobora kubaza ibyaweAmateka y'ubuzima bwawe bwa mbere, imiti urimo gufata, indyo yawe, n'inzoga unywa. Byongeye kandi, bashobora kukugira inama yo gupimwa ibi bikurikira:

• Gupima amaraso yo mu mpande: Muri ubu buryo, icyitegererezo gito cy'amaraso yawe gisuzumwa hifashishijwe mikorosikopi. Ibi bituma muganga asuzuma ibitagenda neza bishobora gutera macrocytosis, urugero nk'ibibazo byo gukura kw'uturemangingo dutukura tw'amaraso.
• Ibipimo bya Vitamine B12 n'ibipimo bya folate: Ingano nke ya vitamine B12 cyangwa folate mu maraso yawe igaragaza ko ufite ibura ry'indyo, bivuze ko umubiri wawe udafite ibice by'ingenzi kugira ngo ukore uturemangingo dutukura tw’amaraso tuzima.
• Umubare wa reticulocyte: Iki kizamini gipima umubare w'uturemangingo dutukura tw'amaraso tudakuze mu maraso yawe, ibi bikaba bifasha kumenya niba ari yo mpamvu ya MCV iri hejuru.
• Ibizamini by'imikorere y'umwijima: Ibi bizamini bipima uburyo umwijima wawe ukora neza mu gutunganya intungamubiri zikenewe kugira ngo habeho uturemangingo dutukura tw’amaraso tuzima.
• Gusuzuma umwongo w'amagufwa: Niba muganga wawe akeka ko hari ikibazo cyihishe inyuma y'umusongo w'amagufwa yawe kibangamira ikorwa ry'uturemangingo dutukura tw'amaraso, ashobora kukugira inama yo gupima. Icyitegererezo gito cy'umusongo w'amagufwa kirakusanywa kigasuzumwa hifashishijwe mikorosikopi kugira ngo harebwe niba hari ikibazo icyo ari cyo cyose.

Macrocytosis ivurwa ite?

Niba nta bimenyetso by'amaraso ufite kandi ibisubizo by'ibizamini byawe nta bindi bibazo bigaragaza, ushobora kudakenera ubuvuzi na gato. Bitabaye ibyo, gahunda yo kuvura igenwa n'impamvu yihariye yatumye uturemangingo tw'amaraso dutukura twiyongera.

• Niba macrocytosis yawe iterwa n'ibura ry'imirire, ushobora gukenera guhindura indyo yawe cyangwa gufata inyunganiramirire za vitamine .
• Niba umuti ari wo utera, muganga wawe ashobora guhindura ingano cyangwa akaguha undi muti .
• Niba ufite ikibazo cyo kubura amaraso cyane hamwe na macrocytosis, bishobora kuba ngombwa ko uterwa amaraso .

Icy'ingenzi kurushaho, utitaye ku mpamvu ya macrocytosis yawe, kurikiza gahunda y'ubuvuzi ya muganga wawe neza.

Ese Macrocytosis ishobora gukira?

Kenshi na kenshi, iyo impamvu nyamukuru imaze kuvurwa, ikibazo cya macrocytosis kirahinduka. Vugana na muganga wawe uburyo gahunda yawe yo kuvura izagira ingaruka ku buzima bwawe muri rusange.

Ni gute wagabanya ibyago byo kurwara Macrocytosis?

Nubwo tudashobora gukumira impamvu zose zitera macrocytosis, kugira ingeso nziza bishobora kugufasha kugabanya ibyago byawe. Urugero:

• Shyiramo ibiryo bikungahaye kuri Vitamine B12 na folate - nk'amafi, ibikomoka ku mata, amagi , imboga z'ibibabi, n'ibinyampeke bikungahaye ku ntungamubiri - kugira ngo ugabanye ibyago byo kurwara macrocytic anemia .
• Kugabanya ikoreshwa ry'inzogani ingenzi cyane.
• Byongeye kandi, ntukirengagize ibizamini by'amaraso bya buri mwaka. Macrocytosis ikunze kugaragara mu buryo bw'impanuka mu gihe cyo gusuzuma amaraso buri gihe. Gusuzuma hakiri kare no kuvurwa ku gihe bishobora gukumira indwara ikomeye.

Bigenda bite iyo Macrocytosis itavuwe?

Muganga wawe ni we wenyine ushobora kwemeza niba macrocytosis yawe isaba ubufasha. Niba ufite macrocytosis iherekejwe no kubura amaraso, gushaka ubuvuzi ni ngombwa. Kutavurwa bishobora gutera ingorane zikomeye ku buzima ziterwa no macrocytic anemia .

Ni iki nkwiye kubaza muganga wanjye?

Niba umenye ko uturemangingo tw'amaraso dutukura ari tunini kurusha uko bisanzwe, kurikiza inama za muganga wawe ku ntambwe zikurikiraho. Ushobora kubaza ibibazo bikurikira:

• Ese nkwiye guhangayikishwa n'indwara yanjye MCV iri hejuru?
• Ni ibihe bizamini nzakenera kugira ngo menye icyateye macrocytosis yanjye?
• Ese nkeneye kuvurwa impamvu nyamukuru ituma uturemangingo tw’amaraso dutukura twiyongera?
• Ni izihe mpinduka mu mibereho yanjye nshobora gukora kugira ngo menye uko nakira iyi ndwara?

Ubutumwa bwa nyuma bwo kujyana mu rugo

Macrocytosis cyangwa MCV iri hejuru si byo bitera ubwoba buri gihe. Ntugatinye niba ibi bipimo bigaragara ko biri hejuru muri raporo yawe CBC . Shaka ubuyobozi bwa muganga wawe kugira ngo usobanukirwe ibisubizo byawe. Bitewe n'ibyo wabonye, ​​muganga wawe ashobora kukugira inama yo guhindura imirire cyangwa inyunganiramirire ya vitamine. Ntutindiganye kubaza uburyo gahunda yawe yo kuvura izagira ingaruka ku turemangingo tw'amaraso dutukura n'ubuzima bwawe muri rusange. Kugumana ubuzima bwiza ni cyo kintu cy'ingenzi cyane!