Ese uturemangingo tw'amaraso dutukura ni duto? Reka tuvuge kuri Microcytosis!

Hari igihe iyo upimwe amaraso, wumva ufite ubwoba gato iyo ubonye amagambo kuri raporo, si byo se? Rimwe muri ayo magambo ni 'Microcytosis'. Ariko ntugire ubwoba, iri si izina ry'indwara ikomeye. Bisobanura gusa ko uturemangingo tw'amaraso dutukura tuba duto cyane ugereranije n'ibisanzwe. Uyu munsi, tuzavuga kuri ibi mu buryo burambuye, mu buryo bworoshye.

Microcytosis ni iki?

Muri make, microcytosis ni igihe uturemangingo dutukura mu maraso yawe tuba duto kurusha uko bisanzwe. Ntabwo tubifata nk'indwara, ahubwo ni ikintu gishobora kugaragara nyuma yo gupimwa amaraso. Ibi nibyo ushobora kumenya ukoresheje umubare wuzuye w'amaraso (CBC). Tekereza nk'incamake itanga ibisobanuro birambuye ku turemangingo tw'amaraso mu mubiri wawe.

Hari agaciro muri iyi raporo ya `CBC`, yitwa `Mean Corpuscular Volume` (MCV) . Aka gaciro ka `MCV` gakoreshwa mu gupima ingano mpuzandengo y'uturemangingo tw'amaraso dutukura. Ku muntu mukuru, niba aka gaciro ka `MCV` kari munsi ya 80 femtoliters `(80 fL)`, noneho tuvuga ko hari microcytosis.

Akenshi, iyi ndwara yitwa microcytosis ishobora kuba ikimenyetso cy'ubwoko bwa anemia yitwa microcytic anemia . Muri iyi microcytic anemia, haba hari ibura rya hemoglobin mu turemangingo dutukura tw'amaraso. Ese wari uzi ko hemoglobin ari poroteyine y'ingenzi cyane ifasha uturemangingo dutukura gutwara ogisijeni mu mubiri wose?

Iyi ndwara ikunze kugaragara gute?

Mu by’ukuri, iyi ndwara yitwa Microcytic Anemia ni ubwoko busanzwe bwa anemia bugaragara mu bantu bakuru n’abana bato. Kubwibyo, ni ngombwa cyane kubimenya.

Ni ibihe bimenyetso bya Microcytosis?

Akenshi, nta bimenyetso byihariye bihari. Icyo raporo ibivugaho gusa ni uko agaciro ka `MCV` kari hasi.

Ariko, iyo ibimenyetso bigaragaye, bisa n'ibimenyetso by'indwara ya Microcytic Anemia navuze mbere. Ni ibi bikurikira:

• Kumva unaniwe igihe cyose. Nk'aho nta buzima buri mu mubiri.
• Uruhu rwerurutse. Hari igihe iminwa n'ururimi nabyo bishobora guhinduka ibara.
• Guhumeka bigoranye. Ushobora kumva ufite intege nke nubwo waba ufite imbaraga nke.
• Igipimo cy'umutima kiriyongera.
• Indwara yitwa 'Pica'. Ibi bibaho gusa iyo umuntu abuze icyuma gitera microcytosis. 'Pica' ni irari ryo kurya ibintu bitaribwa nk'umwanda, uduce twa barafu n'ibumba.

Uretse ibi bimenyetso, ushobora no kugira ibimenyetso bifitanye isano n'impamvu nyamukuru ya microcytosis.

Kuki iyi mikorositose ibaho?

Impamvu ikunze gutera microcytosis ni ukutagira icyuma gihagije mu mubiri wawe. Ibi byitwa anemia yo kubura icyuma . Wibuke ko navuze ko icyuma ari ingenzi mu gukora hemoglobin.

Byongeye kandi, ibintu bifitanye isano n'ibidukikije, indwara zimwe na zimwe (z'amavuko n'izivuka), hamwe n'ingeso zimwe na zimwe na zimwe na byo bishobora gutera microcytosis.

Impamvu z'ingenzi zitera microcytosis:

• Kubura icyuma gikozwe mu bwonko:
• Kutabona icyuma gihagije mu biribwa: Hari igihe ibiryo turya bishobora kudatanga icyuma gihagije mu mubiri wacu. Abarya ibikomoka ku bimera cyane cyane bagomba kwitonda kuri ibi.
• Ibibazo byo kwinjiza icyuma: Tekereza, nubwo warya ibiryo birimo icyuma, niba ufite indwara nka 'Celiac disease' cyangwa indwara yo mu gifu nka 'H. pylori infection' , umubiri ntushobora kwinjiza icyuma neza. Nanone, iyi ndwara ishobora kubaho nyuma yo kubagwa nka 'Gastric bypass surgery' kugira ngo ugabanye ibiro.
• Kubura icyuma gitera kuva amaraso: Ku bagore, kuva amaraso menshi mu gihe cyo gucura bishobora gutera kubura icyuma gitera. Nanone, kuva amaraso mu gifu (GI) guterwa n'igisebe mu gifu cyangwa mu mara ni indi mpamvu.

• Thalassemia:
• Iyi ni indwara iterwa n’uturemangingo tw’umubiri ivukanwa. Muri iki kibazo, umubiri ntushobora gukora hemoglobine neza. Umuntu ufite thalassemia ashobora kugira uturemangingo dutukura dusanzwe cyangwa twinshi, ariko ingano ya hemoglobine iri muri utwo turemangingo ni nke. Ibi byitwa hypochromic microcytosis . Mu bwoko bumwe na bumwe bwa thalassemia, microcytosis ni yo ishobora kugaragara nta anemia.

• Anemia y'indwara idakira:
• Kubyimba guterwa n'indwara z'igihe kirekire nk'indwara ziterwa n'umubiri ziterwa n'ubwiyongere bw'umubiri ( urugero: rubagimpande), indwara zidakira, indwara z'impyiko, na kanseri bishobora kwangiza ubushobozi bw'umubiri bwo gukoresha icyuma mu gukora uturemangingo tw'amaraso dutukura dufite ubuzima bwiza.

Impamvu zidasanzwe zitera microcytosis:

Ibi ni bike gato, ariko ni byiza kubimenya:

• Indwara zidasanzwe zibangamira ikorwa n'imikorere y'uturemangingo dutukura tw'amaraso.
• Kubura amabuye y'agaciro (urugero, kubura umuringa).
• Uburozi bw'uburozi.

Ni gute wamenya neza niba ufite microcytosis?

Nkuko nabivuze mbere, microcytosis si izina ryemewe ry'indwara. Bisobanura gusa ko uturemangingo tw'amaraso dutukura tuba duto kurusha uko bisanzwe.

Muganga wawe azasuzuma ibimenyetso byawe, imyaka yawe, igitsina cyawe, n'amateka yawe y'ubuvuzi kugira ngo amenye icyaba gitera ibi. Urugero, niba uva amaraso menshi mu gihe cy'imihango yawe, bishobora kuba ari ukubura amaraso mu mubiri. Cyangwa, niba hari umuntu wo mu muryango wawe ufite thalassemia, iyo nayo ishobora kuba impamvu.

Muganga ashobora gukora ibizamini byinshi kugira ngo amenye neza impamvu nyayo.

Ni ibihe bizamini biri gukorwa kuri ibi?

Hari ibizamini byinshi bishobora gufasha muganga kumenya icyateye iyi ndwara:

• Gupima amaraso mu maraso: Ibi bikubiyemo gufata icyitegererezo cy'amaraso yawe ukagisuzuma ukoresheje mikorosikopi. Ibi bishobora kwemeza niba uturemangingo dutukura tw'amaraso yawe ari duto koko kandi niba dufite ibindi bibazo. Niba uturemangingo dutukura tw'amaraso yawe dufite ingano n'imiterere bitandukanye (Poikilocytosis), bishobora kuba ikimenyetso cy'indwara zimwe na zimwe zitera microcytosis.
• Ubugari bw'uturemangingo dutukura (RDW): Ibi kandi bipima ihindagurika ry'ingano y'uturemangingo dutukura tw'amaraso yawe. Iki kandi ni agaciro kaboneka muri raporo ya CBC. Ubusanzwe, uturemangingo dutukura tw'amaraso tuba dufite ingano imwe. Ariko, iyo hari ihinduka rinini mu bunini bw'uturemangingo (Anisocytosis), bishobora no gutanga igitekerezo ku ndwara zimwe na zimwe.
• Urugero rw'icyuma: Urugero rw'icyuma ruto mu maraso ni ikimenyetso cy'uko umuntu afite ikibazo cyo kubura amaraso mu mubiri.
• Urugero rwa Ferritin: Ferritin ni poroteyine ibika ubutare mu turemangingo twacu. Urebye uru rugero rwa ferritin, ushobora kumenya ingano y'ubutare buri mu mubiri.
• Ubushobozi bwose bwo gufatanya icyuma (TIBC): Iki kizamini, iyo gikozwe hamwe n'urugero rw'icyuma na ferritin, gishobora gufasha cyane mu gusuzuma ibura ry'icyuma. Gishobora kandi gufasha mu kumenya amaraso make aterwa n'indwara zidakira cyangwa ububyimbirwe.

Iyo byemejwe ko nta bura ry’ubutare rihari, kugira ngo umenye neza niba impamvu ari thalassemia, bizakenerwa ko hakorwa ibizamini nka hemoglobin electrophoresis n’ibizamini bya gene .

Microcytosis ivurwa ite?

Uburyo bwo kuvura buterwa n'impamvu ituma uturemangingo dutukura tuba turi hasi. Hari igihe, iyo nta bimenyetso ufite kandi ibisubizo by'ibizamini bitari bikomeye cyane, ubuvuzi bushobora kuba budakenewe.

Bitewe n'impamvu, ubuvuzi bukurikira bushobora gukorwa:

• Guhindura imirire: Kongeramo ibiryo bikungahaye kuri feri (urugero: amafi, ibikomoka kuri soya (tofu), amashaza, ibishyimbo, imboga, imbuto) mu ndyo.
• Inyongeramusaruro za feri: Izi zihabwa abantu bafite ikibazo cyo kubura feri.
• Guterwa amaraso: Ibi bikorwa gusa iyo amaraso afite umubyimba mwinshi cyane.

Igikuru ni ugukurikiza gahunda yo kuvura muganga wawe aguhaye neza neza hakurikijwe ikibazo cy’ibanze.

Ese microcytosis ishobora gusubizwa inyuma?

Ibyo kandi biterwa n'impamvu. Kenshi na kenshi, microcytosis irashira iyo indwara yavuwe. Muganga wawe ashobora kukubwira uburyo ubuvuzi buzagira ingaruka ku turemangingo tw'amaraso yawe no ku buzima bwawe muri rusange.

Bigenda bite iyo idavuwe?

Si abantu bose bafite ikibazo cya microcytosis cyangwa microcytic anemia bazakenera kuvurwa. Ariko, niba ufite ikibazo gikomeye gituma uturemangingo tw'amaraso dutukura tuba duto, ni ngombwa kukisuzuma no kukivura vuba. Kurikiza amabwiriza ya muganga wawe ku bijyanye no kumenya niba ukeneye kuvurwa n'icyo wakwitega mu kuvurwa.

Ese microcytosis ni ikibazo gikomeye?

Microcytosis ni kimwe mu biranga uturemangingo tw’amaraso dutukura. Ishobora kuba ikimenyetso cy’indwara ikeneye kuvurwa (hamwe n’ibindi bimenyetso). Ariko akenshi, ntabwo ari ikibazo gikomeye cyane, kandi ishobora kuba ari ikintu ubona muri raporo.

Muganga wawe azakubwira niba microcytosis yawe igaragaza indwara ikeneye kuvurwa.

Nakora iki kugira ngo ngire icyo nkora kugira ngo ngire icyo nkora?

Ntibishoboka kwirinda indwara zose zishobora gutuma uturemangingo dutukura twangirika. Ariko, ushobora kugabanya ibyago byawe ukurikije ingeso zimwe na zimwe z'ubuzima.

Icy'ingenzi kuri ibi ni ukumenya neza ko ubona feri ihagije mu mirire yawe. Ibiribwa bikungahaye kuri feri birimo:

• Ibiryo byo mu nyanja nka tuna na mackerel
• Ibikomoka kuri soya (Tofu)
• Ibinyamisogwe nk'amashaza, ibishyimbo bibisi, ubunyobwa n'inkeri
• Imboga z'icyatsi kibisi nk'imboga za epinari, kale, n'imboga za collard
• Imbuto nk'amateke n'imizabibu
• Inyama, cyane cyane inyama zitukura (inyama z'inka, ihene) n'inkoko

Nanone, niba warabazwe igifu cyangwa ufite indi ndwara ituma ubushobozi bwawe bwo kwinjiza icyuma gikozwe mu biribwa bugabanuka, ganira na muganga wawe ku byerekeye inyongeramusaruro z'icyuma ukeneye.

Niba ufite ikibazo kigushyira mu kaga ko kubura amaraso, nka thalassemia cyangwa indwara y’ubwiyongere bw’umubiri, kurikiza inama za muganga wawe z’uburyo wagabanya ibyago byo kubura amaraso.

Ni iki ngomba kubaza muganga?

Niba usanze ufite microcytosis, kurikiza amabwiriza ya muganga wawe ku cyo wakora nyuma yaho. Ushobora kubaza ibibazo nk'ibi:

• 'Ese nkwiye guhangayikishwa n'uko mfite MCV nkeya?'
• 'Ni izihe suzuma zindi nzakenera gukora kugira ngo menye icyateye microcytosis?'
• 'Ese nzakenera kuvurwa?'
• 'Ni ibihe bisubizo nkwiye kwitega muri ubu buvuzi?'
• "Ni izihe mpinduka mu mibereho yanjye nshobora gukora kugira ngo nsubize inyuma iyi microcytosis?"

Ese hari isano iri hagati ya microcytosis na kanseri?

Microcytosis rimwe na rimwe ishobora kuba ikimenyetso cya kanseri, ariko akenshi ni ikimenyetso cy'izindi ndwara. Microcytosis akenshi ni ikimenyetso cy'ibura ry'ubutare. Icy'ingenzi ni ukudatinya ngo utekereze ko ari kanseri (cyangwa ikindi kintu) kugeza igihe muganga wawe agusobanuriye ibibera mu isuzuma ry'amaraso yawe.

Ni ibisanzwe kumva uhangayitse iyo ubonye ibisubizo bidasanzwe ku ikizamini cya muganga. Ariko, kugira ingano idasanzwe y'indwara ntibivuze ko urwaye cyangwa ukeneye kuvurwa. Indangagaciro nka "MCV" ni amakuru afasha muganga wawe gusobanukirwa ubuzima bwawe muri rusange. Saba muganga wawe ubuyobozi bw'uburyo ibisubizo by'ibizamini byawe bishobora kugira ingaruka ku buvuzi bwawe bw'ejo hazaza.

None se, ni ibihe bintu tugomba kwibuka muri ibi byose?

Reka turebere hamwe ibintu by'ingenzi ugomba kwibuka mu byo twavuze:

• Microcytosis si indwara, bivuze gusa ko uturemangingo tw'amaraso dutukura tuba duto kurusha uko bisanzwe.
• Ibi bikunze kugaragara hakoreshejwe "CBC" (umubare wuzuye w'amaraso).
• Impamvu ikunze kugaragara ni ukubura icyuma gikozwe mu bwonko, ariko hashobora kubaho izindi mpamvu, nka thalassemia n'indwara zidakira.
• Abantu benshi ntibagaragaza ibimenyetso. Iyo babibonye, ​​bashobora kugira umunaniro, ububabare, no kugorwa no guhumeka.
• Muganga azakora ibizamini byinshi kugira ngo amenye impamvu.
• Ubuvuzi buterwa n'impamvu. Hari igihe ubuvuzi bushobora kuba budakenewe na gato.
• Witinya! Nubona ko MCV yawe iri hasi, vugana na muganga wawe kugira ngo umenye impamvu nyayo n'icyo wakora.
• Ni ngombwa gukomeza kugira indyo yuzuye, cyane cyane kurya ibiryo bikungahaye kuri fer.

Wibuke ko aya makuru agenewe gutanga amakuru gusa, atari ukugira ngo agutere ubwoba ngo utekereze ko ufite indwara. Niba ufite gushidikanya cyangwa ibibazo, ni byiza kujya kwa muganga kugira ngo akugire inama.

"Microcytosis, Uturemangingo dutukura tw'amaraso, Anemia, kubura icyuma, Hemoglobin, MCV