Ese uturemangingo tw'amaraso dutukura twagutse? (Macrocytosis) - Reka tubimenye!

Ese wigeze ureba raporo y'isuzuma ry'amaraso maze ukabona ko uturemangingo tw'amaraso dutukura turi tunini kurusha utundi dusanzwe (uturemangingo tw'amaraso dutukura twagutse)? Cyangwa se muganga wawe yigeze akubwira indwara yitwa "Macrocytosis"? Ibi bishobora kumvikana nk'ibiteye ubwoba gato, ariko ntugahangayike. Macrocytosis si indwara, ni impinduka gusa mu turemangingo tw'amaraso dutukura.

Macrocytosis ni iki?

Mu magambo make, Macrocytosis bivuze ko uturemangingo tw’amaraso dutukura ari tunini kuruta uko bisanzwe. Ibi ntibifatwa nk’indwara, ariko bishobora kuba ikimenyetso cy’uko hari ikibazo mu mubiri wacu. Ibi bizwi gusa iyo ufite umubare w’amaraso yuzuye (CBC) / Umubare w’amaraso yuzuye ( FBC ). Akenshi, abaganga bakora iki kizamini cya 'CBC' kugira ngo barebe uko uturemangingo tw’umubiri wacu dukora n’uko dufite ubuzima bwiza.

Raporo ya `CBC` ifite agaciro kitwa `MCV (Ubwinshi bw'umuvuduko w'amaraso)`. Iki ni igipimo cy'ingano mpuzandengo y'uturemangingo tw'amaraso dutukura. Niba agaciro ka `MCV` k'umuntu mukuru karenze litiro 100 z'amaraso (`100 fL`), icyo kibazo twita Macrocytosis.

Akenshi, iki si ikibazo gikomeye. Ariko, rimwe na rimwe izi selile zitukura zagutse zishobora kutabona intungamubiri zikeneye. Hanyuma, izo selile ntizishobora gukora akazi kazo k'ingenzi, ari ko gutwara ogisijeni mu mubiri wose. Iyi ndwara yitwa 'Macrocytic Anemia' . Iyo 'Macrocytic Anemia' idavuwe neza, ishobora gutera ibibazo bikomeye by'ubuzima.

Iyi ndwara ikunze kugaragara gute?

Mu buryo bugaragara, hagati ya 2% na 4% by'abatuye isi bafite Macrocytosis. Abenshi muri abo bantu, bagera kuri 60%, bafite Macrocytosis hamwe n'amaraso make.

Ariko, macrocytosis idafite amaraso ikunze kugaragara cyane mu bana bato n'abageze mu za bukuru.

Ni ibihe bimenyetso bya Macrocytosis?

Akenshi, ikimenyetso cyonyine cya macrocytosis ni MCV iri hejuru kuri raporo ya CBC. Ibi bivuze ko uturemangingo dutukura tw’amaraso yawe tuba tunini. Iyo ibimenyetso bigaragaye, bifitanye isano n’impamvu nyamukuru ituma uturemangingo dutukura tw’amaraso twiyongera.

Urugero, niba ufite `Macrocytic Anemia`, ushobora kugira ibimenyetso nko kugira intege nke , umunaniro, no kugira uruhu rwerurutse , ibyo bikaba ari ibimenyetso bisanzwe by’amaraso make. Nanone, niba impamvu ari ukubura imirire, ushobora kugira ibimenyetso nko gucibwamo, kwibagirwa, no kubura uburinganire .

Ibyo bivuze ko, kubera ko hari impamvu nyinshi zitera macrocytosis, ibimenyetso nabyo bishobora gutandukana.

Ni izihe mpamvu zitera macrocytosis?

Umwobo wacu w'amagufwa niho uturemangingo tw'amaraso tukorerwa. Bityo rero, ibibazo mu ikorwa ry'uturemangingo dutukura tw'amaraso muri uyu mwobo w'amagufwa ndetse n'ibibazo mu miterere y'uturemangingo dutukura bishobora gutera Macrocytosis. Hari igihe, niba ufite uturemangingo twinshi dutukura tudakuze mu maraso yawe, twitwa 'reticulocytes', mu maraso yawe, agaciro ka 'MCV' na ko gashobora kwiyongera. Ibi biterwa nuko utu 'reticulocytes' ari tunini kurusha uturemangingo dutukura tw'amaraso dukuze.

Zimwe mu mpamvu z'ingenzi zitera macrocytosis ni izi:

Kubura imirire

Intungamubiri nka vitamine B12 na folate (vitamine B9) ni ingenzi kugira ngo imibiri yacu ikore uturemangingo dutukura tw’amaraso dufite ubuzima bwiza. Iyo utabonye izi ntungamubiri zihagije mu byo urya, cyangwa niba umubiri wawe udashobora kuzikuramo bitewe n’indwara runaka, uturemangingo dutukura tw’amaraso yawe ntitwikura neza. Kubura vitamine B12 na folate bishobora gutera indwara yitwa 'Macrocytic Anemia'. Urugero, hari abantu batarya imboga n’imbuto bihagije. Ibi bishobora gutera kubura folate. Nanone, abantu badakunda kurya inyama gusa bashobora kubura vitamine B12.

Imiti imwe n'imwe

Macrocytosis ishobora kandi guterwa n'imiti itandukanye. Ikunze kugaragara muri iyi miti harimo hydroxyurea, umuti ukoreshwa mu kuvura indwara ya sickle cell, imiti itandukanye ya chimiotherapie ikoreshwa mu kuvura kanseri, n'imiti igabanya ubukana bw'indwara zandurira mu maraso (ART) ikoreshwa mu kuvura ubwandu bwa virusi itera SIDA. Niba ufata imwe muri iyi miti, muganga wawe ashobora kuba ayizi.

Ikoreshwa ry'inzoga

Kunywa inzoga nyinshi na byo ni intandaro ikomeye ya Macrocytosis. Inzoga zigabanya ubushobozi bw'umubiri bwo kwinjiza intungamubiri, cyane cyane izikenewe kugira ngo habeho uturemangingo dutukura tw’amaraso tuzima.

Indwara y'umwijima

Macrocytosis ishobora kandi kuba ikimenyetso cy'indwara y'umwijima. Indwara y'umwijima ikunze kujyana no kunywa inzoga, ariko si buri gihe. Ariko, indwara y'umwijima ishobora no kubaho kubera izindi mpamvu.

Kubura amaraso mu maraso

Mu ndwara yitwa "hemolytic anemia", uturemangingo tw'amaraso dutukura dupfa imburagihe bitewe n'ikibazo cyihishe inyuma. Iyo ibi bibaye, umubiri wawe urekura "reticulocytes," (uturemangingo tw'amaraso duto) mu maraso kugira ngo usubize ikibazo cy'ibura. Utu turemangingo tw'amaraso dutukura tudakuze ntabwo dushobora gutwara ogisijeni nk'uturemangingo tw'amaraso dutukura dukuze.

Kuva amaraso menshi cyane

Iyo utakaje amaraso menshi, yaba aturutse ku mpanuka, kubagwa, cyangwa ikindi kintu, umubiri wawe wongeramo reticulocytes mu maraso yawe kugira ngo wishyure igihombo. Kimwe no mu ndwara yo kubura amaraso mu maraso, uturemangingo tutarakura twinjira mu maraso mbere y’igihe.

Indwara ya Myelodysplastic

Iyi ni ubwoko bwa kanseri itera mu musemburo w'amagufwa. Iyi ndwara ibuza umwobo w'amagufwa gukora uturemangingo tw'amaraso dutukura dufite ubuzima bwiza.

Hypothyroidism

Macrocytosis ishobora no kugaragara ku bantu bafite hypothyroidism, thyroid gland idakora neza. Ishobora kubaho iyo umuntu afite amaraso make cyangwa adafite.

Hari igihe nta mpamvu igaragara ihari itera macrocytosis, cyane cyane iyo ufite macrocytosis gusa idafite amaraso make.

Wamenya ute ko ufite macrocytosis?

Nkuko twabivuze mbere, macrocytosis ni ijambo risobanura uturemangingo dutukura twiyongereye, ntabwo ari indwara yemewe. Niba agaciro ka MCV kuri raporo yawe ya CBC karenze 100 fL, bivuze ko uturemangingo dutukura tw'amaraso yawe tuba tunini kuruta uko bisanzwe.

Hari igihe abaganga bashobora gusesengura icyateye Macrocytosis bakurikije uburemere bw'iyi ndwara. Urugero, niba MCV iri hejuru cyane (hafi 110 - 115 fL), bishobora kuba ikimenyetso cy'indwara ikomeye yo kubura amaraso mu maraso, nka megaloblastic anemia.

Ibizamini byo gushaka icyateye macrocytosis

Niba umuganga wawe ahangayikishijwe n’ubwiyongere bw’uturemangingo tw’amaraso dutukura, azakubaza ibibazo kugira ngo amenye impamvu. Ashobora kukubaza amateka y’ubuzima bwawe, imiti ufata, imirire yawe, n’inzoga unywa . Byongeye kandi, ashobora no gukora ibindi bipimo:

• Gupima amaraso yo mu mpande:Ibi bikubiyemo gufata icyitegererezo cy'amaraso yawe ukayareba ukoresheje mikorosikopi kugira ngo urebe niba hari ibintu bidasanzwe bishobora gutera Macrocytosis, urugero nk'ibibazo byo gukura kw'uturemangingo dutukura tw'amaraso.
• Isuzuma rya Vitamine B12 n'urugero rwa folate: Niba urugero rwa vitamine B12 cyangwa folate mu maraso ari hasi, bivuze ko hari ikibazo cy'imirire idatanga intungamubiri zikenewe kugira ngo habeho uturemangingo dutukura tw'amaraso neza.
• Umubare wa reticulocyte: Iki kizamini gipima umubare w'uturemangingo dutukura tudakuze mu maraso yawe. Ibi bishobora gufasha kumenya niba ari yo mpamvu ya MCV yawe nyinshi.
• Ikizamini cy'imikorere y'umwijima: Iki kizamini cyerekana uburyo umwijima wawe ukora neza kugira ngo winjize intungamubiri zikenewe kugira ngo uturemangingo dutukura tw’amaraso tubeho neza.
• Kugenzura uturemangingo tw’amagufwa: Iki kizamini gishobora gukorwa iyo muganga wawe akeka ko ufite ikibazo kibangamira ikorwa ry’uturemangingo tw’amaraso dutukura. Ibi bikubiyemo gufata icyitegererezo gito cy’uturemangingo tw’amagufwa yawe no gusuzuma uturemangingo dukoresheje mikorosikopi kugira ngo barebe niba nta kibazo kirimo.

Macrocytosis ivurwa ite?

Niba nta bimenyetso by'amaraso ufite, kandi ibisubizo by'ibizamini byawe nta bindi bibazo bigaragaza, ushobora kudakenera ubuvuzi ubwo aribwo bwose. Bitabaye ibyo, ubuvuzi buzaterwa n'impamvu ituma urwara uturemangingo dutukura twinshi mu maraso.

• Niba macrocytosis yawe iterwa n'ibura ry'imirire, ushobora gukenera guhindura indyo yawe cyangwa gufata inyunganiramirire za vitamine .
• Niba ikibazo kiri ku muti urimo gufata, muganga wawe ashobora guhindura ingano cyangwa kuguha undi muti .
• Niba ufite ikibazo gikomeye cyo kubura amaraso hamwe na macrocytosis, ushobora gukenera guterwa amaraso .

Igikuru ni ugukurikiza gahunda y'ubuvuzi muganga aguhaye neza, hatitawe ku mpamvu yateye indwara yawe ya macrocytosis.

Ese Macrocytosis ishobora gukira?

Kenshi na kenshi, macrocytosis irakira iyo impamvu nyamukuru ivuwe. Baza muganga wawe uburyo ubuvuzi buzagira ingaruka ku buzima bwawe.

Ni gute wagabanya ibyago byo kurwara macrocytosis?

Dushobora kudashobora gukumira ikintu cyose gishobora gutera macrocytosis. Ariko, dushobora kugabanya ibyago byacu dukoresheje ingeso nziza. Urugero:

• Kongeramo ibiryo bikungahaye kuri vitamine B12 na folate - amafi, ibikomoka ku mata, amagi , imboga z'ibibabi, n'ibinyampeke bikungahaye ku ntungamubiri - mu ndyo yawe bishobora kugabanya ibyago byo kurwara indwara yo kubura amaraso mu mubiri.
• Ni ingenzi cyane kugabanya inzoga .
• Nanone, ntugasimbuke ibizamini by'amaraso bya buri mwaka. Macrocytosis ikunze kuboneka ku buryo bw'impanuka mu gihe cyo gupima amaraso bisanzwe. Gusuzuma no kuvurwa hakiri kare bishobora gukumira ko indwara irushaho gukomera.

Bigenda bite iyo macrocytosis itavuwe?

Umuganga ni we wenyine ushobora kumenya niba Macrocytosis yawe ari ikintu cyo guhangayikishwa. Niba ufite Macrocytosis hamwe n'amaraso make, ni ngombwa gushaka ubuvuzi. Iyo itavuwe, Macrocytic Anemia ishobora gutera ibibazo bikomeye by'ubuzima.

Ni iki ngomba kubaza muganga?

Niba usanze uturemangingo tw'amaraso dutukura ari tunini kurusha uko bisanzwe, kurikiza amabwiriza ya muganga wawe ku cyo wakora. Ushobora kubaza ibibazo nk'ibi:

• Ese nkwiye guhangayikishwa n'uko mfite MCV nyinshi?
• Ni ibihe bipimo nzakenera kugira ngo menye icyateye macrocytosis?
• Ese nzakenera kuvura icyateye kwaguka kw'uturemangingo tw'amaraso dutukura?
• Ni izihe mpinduka mu mibereho yanjye nshobora gukora kugira ngo menye iyi ndwara ya Macrocytosis?

Amaherezo, ibuka (Ubutumwa bwo kujyana mu rugo)

Macrocytosis cyangwa MCV iri hejuru si byo bihora bigutera impungenge. Ntugahangayike rero niba raporo yawe ya CBC igaragaza izi ndangagaciro. Shaka ubuyobozi bwa muganga wawe ku buryo bwo gusobanura ibisubizo byawe. Bitewe n'ibisubizo byawe, muganga wawe ashobora kukugira inama yo guhindura imirire cyangwa inyunganiramirire ya vitamine. Ntutinye kubaza uburyo ubuvuzi bwawe buzagira ingaruka ku turemangingo tw'amaraso yawe no ku buzima bwawe muri rusange. Kugumana ubuzima bwiza ni cyo kintu cy'ingenzi cyane!