Ese uturemangingo dutukura mu maraso yawe turimo guhindura imiterere? Reka tuvuge kuri (Poikilocytosis)!

Ese rimwe na rimwe wumva unaniwe kandi unaniwe nta mpamvu? Cyangwa se muganga yigeze areba raporo y'isuzuma ry'amaraso yawe akavuga ati: "Hari impinduka nto mu miterere y'uturemangingo tw'amaraso yawe?" Muri ibyo bihe, rimwe mu magambo twumva ni `(Poikilocytosis)` (risobanurwa: poi-ki-lo-say-to-sis). Ntugatinye cyane iyo wumvise iri zina. Iyi si indwara, ariko ishobora kuba ikimenyetso cy'uko hari ikindi kintu kirimo kuba mu mubiri wacu. Rero, ni ngombwa cyane kubimenya.

Mu by'ukuri `(Poikilocytosis)` ni iki?

Mu magambo make, "Poikilocytosis" bivuze ko umubare munini (ni ukuvuga urenga 10%) w'uturemangingo dutukura mu maraso yacu dufite imiterere idasanzwe. Noneho ushobora kuba urimo kwibaza uti "None se kuki imiterere y'uturemangingo dutukura mu maraso ifite akamaro?"

Tekereza gato, izindi selile, ingingo, n'urugingo rwose mu mubiri wacu bikenera ingufu kugira ngo bibeho kandi bikore. Izo ngufu zitangwa na ogisijeni. Ni nde uzi, iyi ogisijeni, kimwe no kuzana silinda ya gaze mu rugo, itwarwa mu mubiri wose? Utwo ni uturemangingo tw'amaraso dutukura. Ubusanzwe, iyo ufashe uturemangingo tw'amaraso dutukura tuzima, twose ingano n'imiterere bimwe. Nk'igiceri cy'uruziga (nk'ikiyiko) gifite ishusho nto ku mpande zombi.

Rero, iyo imiterere y'utu turemangingo dutukura tw'amaraso ihindutse (`(Poikilocytosis)`) cyangwa ingano igahinduka (hari indi yitwa `(Anisocytosis)`), ntabwo ibasha gutwara ogisijeni neza. Icyo gihe ni bwo tugira indwara nko kubura amaraso mu maraso. Ibyo bivuze ko uturemangingo tw'umubiri tutabona ogisijeni ihagije, bivuze ingufu.

Ni izihe shusho zidasanzwe z'uturemangingo dutukura tw'amaraso? (Poikilocytes)

Abaganga bashyira uturemangingo tw’amaraso dutukura dufite imiterere idasanzwe (tuzwi kandi nka `Poikilocytes`) mu byiciro bakurikije uko tugaragara. Niba ufite `(Poikilocytosis)` mu maraso, ushobora kubona kimwe cyangwa byinshi muri ibi bikurikira:

• Uturemangingo twa Acanthocytes / Spur : Utwo turemangingo tumeze nk'ishami ry'amahwa. Dufite uturemangingo turerure, twagutse, tumeze nk'imitwe tuva mu ruhu rw'uturemangingo.
• Uturemangingo twa kodositi / Uturemangingo twa Target : Utwo turemangingo gisa n'ikibaho cy'ingenzi. Hari uruziga rwijimye hagati.
• Uturemangingo twa Dacrocytes / Uturemangingo twa Teardrop : Dufite ishusho y'utudomo. Uruhande rumwe rw'uturemangingo ni ruto kandi rufite icyerekezo.
• Uturemangingo tw’umusemburo / Selile z’umusemburo : Izi ni selile nto, zifite ishusho nk’iy’umusemburo zishobora kugaragara ku bantu barwaye selile z’umusemburo.
• Echinocytes : Kimwe n'agasimba ko mu nyanja, aka gace k'ingirabuzimafatizo gatwikiriwe n'imigongo iri ku ntera ingana.
• Uturemangingo tw’inyuma (Elliptocytes) / Ovalocytes cyangwa se Cigar cells : Izi zifite ishusho y’urukiramende kandi ndende cyane. Zishobora kuva ku ngano y’igi kugeza ku shusho y’itabi.
• Schistocytes : Ibi ni ibice by'uturemangingo dutukura tw'amaraso. Akenshi bigira isura mbi kandi yavunitse, ariko bishobora kuba bifite imiterere iyo ari yo yose.
• Spherocytes: Imeze nk'uruziga. Nk'agapira gato.

Buri bwoko muri ubu bushobora kujyana n'indwara runaka.

Ni ibihe bimenyetso by'iyi ndwara?

Ibimenyetso bya ``Poikilocytosis`` biratandukanye bitewe n'impamvu. Ariko, ibimenyetso bikunze kugaragara ni bimwe n'ibiterwa no kubura amaraso.

Dore bimwe mu bimenyetso by'indwara yo kubura amaraso:

• Intege nke cyangwa umunaniro ukabije (kumva unaniwe gusa).
• Guhumeka nabi (dyspnea) - guhumeka nabi nubwo haba hari imirimo mito.
• Umutima utera vuba cyangwa utari mu buryo bukwiye (arrhythmia).
• Hari igihe wumva urusaku rw' "unguruza" mu matwi yawe (`(pulsatile tinnitus)`).
• Umutwe .
• Kuzungera .
• Uruhu rwerurutse .
• Kubabara mu gituza .

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ni byiza gushaka inama kwa muganga.

Kuki ibi bibaho? Impamvu ni izihe?

Impamvu zitera iyi miterere idasanzwe y’uturemangingo dutukura tw’amaraso zishobora kugabanywamo ibice bibiri by’ingenzi: umurage n’uwabonetse . Hari indwara zimwe na zimwe, nka Myelodysplastic Syndrome, zishobora gutera byombi.

Imiterere y'Umurage

Kenshi na kenshi, impamvu zivukanwa ziterwa n'ikosa riri mu makuru y'uturemangingo (DNA) aho uturemangingo dutukura tw'amaraso tuba dukeneye kugira ngo dukure, dukore, kandi tubeho neza. Uturemangingo dutukura tw'amaraso dufite imiterere nk'iyi idasanzwe dusenyuka vuba mbere yuko umubiri ukora uturemangingo dushya. Ibi byitwa hemolytic anemia .

Zimwe mu ndwara zivukanwa zitera `(Poikilocytosis)`:

• `(Indwara ya Elliptotsitosi y'Umurage)`
• `(Spherocytosis y'Umurage)`
• `(McLeod Syndrome)`
• `(Ubukene bwa Pyruvate Kinase)`
• `(Indwara y'uturemangingo tw'umutsima)` (Indwara y'uturemangingo tw'umutsima)
• `(Thalassemia)`

Ibi akenshi ni ibintu bihererekanywa mu bisekuruza.

Amabwiriza yabonetse

Uko igihe kigenda gihita, indwara zimwe na zimwe zishobora gutuma imiterere y’uturemangingo dutukura tw’amaraso ihinduka. Urugero, iyo umubiri utabonye intungamubiri zihagije ukeneye kugira ngo uturemangingo dutukura dufite ubuzima bwiza, nka vitamine B12, folate, na fer, hashobora kubaho indwara zitandukanye zo kubura amaraso. Poikilocytosis ni ikimenyetso gisanzwe cy’izi ntungamubiri. Ishobora kandi guterwa n’indwara, nka kanseri zimwe na zimwe, zibangamira ikorwa ry’uturemangingo dutukura tw’amaraso.

Zimwe mu ndwara za nyuma zitera `(Poikilocytosis)` ni:

• Anemia yo mu maraso iterwa n'ubwiyongere bw'umubiri
• Ubushye (niba ari bwinshi)
• `(Indwara ya Celiac)`
• Indwara zitandukanye
• Kubura amaraso mu mubiri bitewe no kubura icyuma
• Indwara y'impyiko
• Leukemia (kanseri y'amaraso)
• Indwara y'umwijima
• Kubura amaraso mu mubiri (Megaloblastic anemia) (biterwa no kubura vitamine B12 cyangwa folate)
• `(Myelofibrose)`
• Uburozi (urugero: icyuma cy'uburozi)
• Uburyo umuntu yafatwa n'amaraso
• Uburyo bwo kuvura indwara yo kubagwa kwa splen
• Kuruma inzoka

Ni izihe ngorane ibi bishobora gutera?

Indwara nyinshi zitera poikilocytosis zishobora gukemurwa hakoreshejwe uburyo bwo kuvura, kandi zimwe zishobora gukira burundu. Ariko, iyo zitavuwe, zimwe zishobora kuba zikomeye ndetse zikanashyira ubuzima mu kaga. Urugero, niba ufite amaraso make, ushobora kumva unaniwe cyane ku buryo utashobora gukora imirimo yawe ya buri munsi. Iyo utakaje uturemangingo dutukura duhagije uko igihe kigenda gihita, bishobora gutera indwara nko kunanirwa kw'ingingo .

Cyane cyane ku bana bato, iyo habayeho ikibazo cyo kubura amaraso mu mubiri (anemia) kidakemutse, gishobora kugira ingaruka ku mikurire yabo no ku mikurire yabo.

Kubwibyo, umuganga wawe amaze kumenya impamvu nyayo ya Poikilocytosis yawe, azaguha ubuvuzi bukenewe kugira ngo wirinde ingorane nk'izi.

Ni gute wasuzuma ibi neza? (Isuzuma)

Ikizamini nyamukuru muganga ashobora gukoresha kugira ngo apime poikilocytosis ni test blood smear (PBS) . Ibi bisaba ko umutekinisiye wo muri laboratwari afata igitonyanga cy'amaraso yawe akagisuzuma akoresheje mikorosikopi. Hanyuma bashobora kubona umubare w'uturemangingo dutukura tw'amaraso yawe dufite imiterere idasanzwe n'ubwoko bwatwo.

Ubwoko bumwe bw'uturemangingo bukunze kugaragara mu ndwara runaka. Ariko, ndetse no mu ndwara imwe, hashobora kubaho ubwoko butandukanye bw'uturemangingo. Urugero, mu bihe nka `(Hemolytic Anemia)`, `(Megaloblastic Anemia)`, `(Myelofibrosis)`, `(Thalassemia)`, ubwoko bwinshi bw'uturemangingo budasanzwe burashobora kugaragara.

Abaganga bawe bashobora gukenera gukora ibindi bipimo kugira ngo bamenye neza icyateye poikilocytosis yawe.

Ibizamini by'inyongera kugira ngo hamenyekane icyateye `(Poikilocytosis)`

Gupima amaraso yose (CBC) akenshi bikorwa hamwe na PBS. CBC ishobora gutanga amakuru menshi ku turemangingo turi mu maraso yawe, harimo urwego rwayo n'ingano zayo. Amwe mu gaciro ka CBC ashobora gutanga amakuru menshi ku turemangingo dutukura tw'amaraso, bishobora gufasha kumenya icyateye Poikilocytosis. Izi ndangagaciro zirimo:

• `Ubwinshi bw'uturemangingo tw'amaraso (MCV)` : Ingano mpuzandengo y'uturemangingo tw'amaraso dutukura.
• `Hemoglobini y'amaraso isanzwe (MCH)` : Ingano mpuzandengo ya hemoglobine iri mu turemangingo dutukura tw'amaraso yawe.
• "Ubunini bw'amaraso mu mubiri (MCHC)": Igipimo mpuzandengo cy'ingano ya hemoglobin mu turemangingo dutukura tw'amaraso yawe.
• Ubugari bw'ikwirakwizwa ry'uturemangingo dutukura (RDW)` : Uburyo uturemangingo dutukura tw'amaraso yawe dutandukanye mu bunini.

Byongeye kandi, muganga wawe ashobora gusuzuma urugero rwa vitamine B12, folate, na fer, ndetse agategeka ko umwijima wawe upimwa.

Ni ubuhe buryo bwo kuvura ibi?

Uburyo bwo kuvura buterwa n'icyateye poikilocytosis yawe n'uburemere bw'ibimenyetso byawe.

Tekereza ko niba impamvu y'iyi ndwara ari ukubura intungamubiri (urugero: kubura icyuma, kubura vitamine B12), gufata inyongeramusaruro zijyanye n'imirire, cyangwa guhindura indyo ikungahaye kuri vitamine B12 cyangwa folate, akenshi bishobora gukemura iyi ndwara (Poikilocytosis).

Indwara nyinshi uvukana nazo zisaba gukurikiranwa witonze . Ushobora gukenera guterwa amaraso buri gihe kugira ngo umenye neza ko ufite uturemangingo dutukura duhagije. Cyangwa ushobora gukenera kuvurwa gusa bitewe n'uko ufite ibimenyetso.

Ese iki kibazo gishobora kwirindwa?

Ntidushobora gukumira impamvu zivukana za "Poikilocytosis." Ariko, dushobora kugabanya ibyago byo kwandura zimwe mu mpamvu zishobora gutera nyuma.

Bumwe mu buryo bwiza bwo kwita ku turemangingo tw’amaraso dutukura ni ukubona intungamubiri umubiri wawe ukeneye kugira ngo uzikore. Menya neza ko ubona vitamine B, folate, na fer bihagije . Ibi ni ibintu by'ingenzi umubiri wawe ukeneye kugira ngo ukore uturemangingo tw’amaraso dutukura dufite ubuzima bwiza. Binafasha kugabanya ingano y’inzoga unywa . Inzoga nyinshi zishobora gutuma umubiri wawe udashobora kwinjiza izi ntungamubiri.

Ejo hazaza hazaba hameze gute? (Icyitegererezo)

Muri rusange, niba icyateye `(Poikilocytosis)` ari indwara itangira nyuma, ubwiyongere bw'indwara akenshi buba bwiza. Mu gihe cy'impamvu umuntu avukana, ubwiyongere bw'indwara buhinduka bitewe n'uburwayi busanzwe. Urugero, nubwo igihe abantu barwaye `(Indwara y'uturemangingo tw'indwara)` muri rusange gifatwa nk'igihe gito, ubu buryo bushya bwo kuvura bwatumye bishoboka kubaho imyaka irenga 50 mu gihe hagenzurwa ibimenyetso.

Ni ryari ukwiye kujya kwa muganga?

Niba ufite ibimenyetso bya anemia (ibintu twavuze mbere, nko kunanirwa no gucika intege), jya kwa muganga.

Nubwo waba wumva umeze neza kandi nta bimenyetso ufite, ni ngombwa ko wisuzumisha buri mwaka. Muganga wawe ashobora kandi gusuzuma uturemangingo tw’amaraso yawe. Gupima amaraso byoroshye, nko gusuzuma amaraso yose (CBC), bishobora kugufasha kumenya no kuvura ibibazo by’ubuzima mbere yuko bikomera.

Ese iyi "Poikilocytosis" ni indwara ikomeye?

`(Poikilocytosis)` ubwayo ntabwo ari ikibazo gikomeye. Ariko, niBishobora kuba ikimenyetso cy'indwara runaka ishobora gutera ingorane iyo itavuwe. Kubwibyo, ni ngombwa gusobanukirwa neza icyateye `(Poikilocytosis)` no gushaka ubuvuzi bibaye ngombwa.

Poikilocytosis ishobora kumvikana nk'indwara ikomeye, ariko si ko biri. Ni ikintu abaganga bakoresha mu gusuzuma ubuzima bwawe mu mikorere y'uturemangingo dutukura. Niba usanze uturemangingo dutukura dufite ubuzima busanzwe, ntutindiganye kubaza muganga wawe. Ashobora kukubwira niba bigira ingaruka ku buzima bwawe, kandi niba ari byo, icyo wakora kugira ngo uvaneho iyo ndwara cyangwa ucunge ikibazo cyayo.

Ibintu by'ingenzi tugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, rero, ingingo z'ingenzi zo kwibuka mu byo twavuze ni izi:

• Poikilocytosis ni igihe uturemangingo tw’amaraso turenga 10% tuba dufite imiterere idasanzwe.
• Iyi si indwara, ariko ishobora kuba ikimenyetso cy'indwara runaka.
• Ibimenyetso byo kubura amaraso (umunaniro, intege nke, ububobere) nabyo bishobora kugaragara muri iki kibazo.
• Impamvu zishobora kuba ari ukuvukana cyangwa kuboneka (kubura imirire, indwara zimwe na zimwe).
• Ibi bishobora kumenyekana hakoreshejwe isuzuma ryoroheje ry'amaraso (`PBS`, `CBC`).
• Uburyo bwo kuvura buterwa n'impamvu, ariko akenshi burashobora gukemurwa.
• Gukomeza indyo yuzuye bishobora gufasha gukumira zimwe mu mpamvu zishobora gutera iyi ndwara nyuma.
• Niba ufite ibimenyetso cyangwa ufite gushidikanya kuri ibi, ni byiza kugana muganga kugira ngo akugire inama.

Rero, ndizera ko aya makuru azakugirira akamaro. Komeza ugire ubuzima bwiza!

Poikilocytosis , Uturemangingo dutukura tw'amaraso, Imiterere y'uturemangingo tw'amaraso, Anemia, Ibipimo by'amaraso, Ubuzima, Anemia, Uturemangingo dutukura tw'amaraso, Isuzuma ry'amaraso