Ese ikizamini cy'amaraso yawe cyanditseho 'Polychromasia'? Reka turebe icyo ari cyo! (Polychromasia)

Iyo ukoze ikizamini cy'amaraso, hari igihe tubona amagambo tutazi muri raporo, si byo se? Birashoboka ko raporo yawe yari ifite ijambo `Polychromasia` cyangwa `Polychromatophilia`. Bishobora gutera ubwoba gato iyo ubibonye. Ariko ntugahangayike, tuzabivugaho uyu munsi gusa.

'Polychromasia' ni iki?

Mu magambo make, `Polychromasia` bivuze ko uturemangingo tw’amaraso dutukura dufite amabara atandukanye. Ibi bigaragarira iyo hafashwe icyitegererezo cy’amaraso yawe, kigashyirwa ku kirahuri, kigasigwa irangi ryihariye, hanyuma kikarebwa hifashishijwe mikorosikopi. Iki kizamini twita `Peripheral Blood Smear (PBS)`.

Ubusanzwe, uturemangingo dutukura tw’amaraso dufite ubuzima bwiza kandi twakuze neza tugaragara nk’umutuku muri ‘PBS’. Ariko, niba ‘Polychromasia’ ihari, muri utwo turemangingo tw’umutuku, ushobora kubona uturemangingo duke twerekana ubururu, ubururu-imvi, cyangwa umuhengeri . Utwo turemangingo dufite amabara atandukanye akenshi tuba uturemangingo dutukura tw’amaraso tudakuze . Mu buvuzi, utwo turemangingo dutukura tw’amaraso tudakuze tuzwi nka ‘Reticulocytes’.

Mu by’ukuri, polychromasia bivuze ko umwongo wo mu magufwa yawe urimo kurekura uturemangingo dushya tw’amaraso atukura (Reticulocytes) mu maraso yawe vuba cyane. Urabizi, umwongo wo mu magufwa ni igice cyoroshye kandi gifite umuyoboro mu mubiri wawe kiri mu magufwa manini. Uturemangingo twose dutukura, uturemangingo tw’amaraso umweru, na plaquettes mu maraso yawe bikorerwa mu mwongo wo mu magufwa. Ni nk’uruganda.

Kuki izi selile zitukura zisa n'ubururu?

Noneho ushobora kwibaza impamvu izi selile zitukura zidakuze (`Reticulocytes`) zisa n'ubururu. Impamvu ni uko izi `Reticulocytes` zirimo ibintu by'uturemangingo byitwa `RNA`. Iyo zihuye n'ikizinga cya `PBS`, iyi `RNA` ihinduka ubururu. Iyi `RNA` ni nk'igihe gito kiri mu selile. Iyo `Reticulocyte` ikuze ikaba selile itukura yuzuye, iyi `RNA` irashira.

Ni ngombwa kumenya izi 'Reticulocytes' muri 'PBS'. Kubera ko, 'Reticulocytes' ari itsinda ry'uturemangingo tudashobora gutwara ogisijeni neza nk'uturemangingo tw'amaraso dutukura twuzuye. Inshingano nyamukuru y'uturemangingo tw'amaraso dutukura ni ugutwara ogisijeni kuri buri turemangingo two mu mubiri wacu. Rero, kugira uturemangingo twinshi tudakuze bivuze ko iyo mirimo idakorwa neza.

Ni izihe mpamvu za 'Polychromasia'?

Polychromasia ishobora kuba ikimenyetso cy'indwara runaka. Iyi ndwara ituma umwongo wo mu magufwa yawe urekura uturemangingo dutukura tudakuze mu maraso yawe vuba cyane. Ibi bikunze kubaho iyo umubare w'uturemangingo dutukura tw’amaraso dukuze mu maraso yawe ugabanutse. Umubiri ugerageza kwishyura vuba urekura reticulocytes mu mwongo wo mu magufwa yawe mu maraso yawe.

Dore zimwe mu mpamvu zishobora gutuma ubona 'Polychromasia':

• Anemia yo mu maraso: Iyi ni indwara y'amaraso. Aha niho uturemangingo dutukura tw'amaraso twangirika imburagihe. Hari igihe uku kwangirika gushobora kubaho ku muvuduko umubiri udashobora gukora uturemangingo dushya dutukura tw'amaraso. Ibi bigatera anemia. Anemia yo mu maraso ishobora kandi guterwa n'indwara z'uruhererekane nka Paroxysmal Nocturnal Hemoglobinuria (PNH), Thalassemia, na Sickle Cell Disease. Ishobora kandi guterwa n'indwara zimwe na zimwe n'imiti imwe n'imwe.
• Gutakaza amaraso menshi: Iyo habayeho kuva amaraso menshi, haba imbere cyangwa hanze, umwotsi w'amagufwa urushaho gukururwa kugira ngo wongere umusaruro w'uturemangingo dutukura tw'amaraso. Hanyuma reticulocytes zirekurwa mu maraso kugira ngo zisimbuze uturemangingo dutukura tw'amaraso twatakaye. Tekereza, niba utakaje amaraso menshi mu mpanuka ikomeye, ibi bishobora kubaho.
• Kanseri: Hari ubwoko bwa kanseri bushobora gukwirakwira mu musemburo w'amagufwa no kubangamira ikorwa ry'uturemangingo dutukura tw'amaraso, cyangwa bugashobora gusunika uturemangingo tw'amaraso tudakuze mu maraso.
• Gutwita: Ni ibisanzwe ko umubare wa `Reticulocytes` mu maraso uba uri hejuru gato y’ibisanzwe mu gihe cyo gutwita. Akenshi, ibi si ikibazo giteye impungenge.
• Kuba mu misozi miremire: Ogisijeni iba nkeya iyo iri mu misozi miremire. Umubiri ushobora kumenyera ibura rya ogisijeni binyuze mu kongera umusaruro w'uturemangingo dutukura tw'amaraso no kurekura utunyangingo tw'amaraso mu maraso.

Intungamubiri zongera uturemangingo dutukura tw'amaraso

Hari igihe, iyo utangiye gufata vitamine n'inyongeramusaruro zikenewe kugira ngo uturemangingo dutukura tw'amaraso tubeho, ushobora kubona "Polychromasia" kuri raporo y'amaraso yawe. Ibi bivuze ko umubiri wawe uri gukora. Niba utari kubona izi ntungamubiri zihagije mu biribwa urya, muganga wawe ashobora kukugira inama:

• Vitamine B12 (`Vitamine B12`)
• Aside folike (`aside folike`)
• Icyuma

Izi ntungamubiri ni ingenzi cyane mu gukora uturemangingo dutukura tw’amaraso. Urugero, icyuma gifasha mu gukora hemoglobin, poroteyine itwara ogisijeni mu turemangingo dutukura tw’amaraso. Vitamine B12 na aside folike ni ingenzi cyane mu gutuma uturemangingo dutukura twigabanya kandi tugakura.

Ni ibihe bimenyetso bya 'Polychromasia'?

Nta bimenyetso byihariye bya Polychromasia. Ariko, ushobora kugira ibimenyetso biterwa n'indwara isanzwe, nka anemia, itera Polychromasia.

Ibi ni byo bimenyetso bikunze kugaragara by’indwara yo kubura amaraso:

• Uruhu rwerurutse
• Umutwe
• Intege nke cyangwa umunaniro
• Kugorwa no guhumeka (Dyspnea)
• Umutima utera vuba (Tachycardia)
• Kuzungera cyangwa kugira umutwe ukeye
• Umuvuduko w'amaraso uri hasi (Hypotension)
• Guhinduka umuhondo k'uruhu cyangwa umweru w'amaso (Jaundice) - Ibi bigaragara cyane cyane muri Hemolytic Anemia.
• Ubwiyongere bw'udusimba (`Splenomegaly`) cyangwa umwijima (`Hepatomegaly`)

Hari igihe nta bimenyetso na gato bihari. Byose biterwa n'indwara yateye polychromasia n'ubukana bwayo.

Ni gute wamenya 'Polychromasia'?

Abaganga bashobora kumenya niba ufite polychromasia binyuze mu bisubizo bya PBS (peripheral blood smear). Ibi bizagaragaza uturemangingo tw’amaraso dutukura tw’ubururu bwijimye cyangwa ubururu-imvi (twitwa reticulocytes) mu maraso yawe, hamwe n’uturemangingo tw’amaraso dutukura tw’umutuku dusanzwe.

Wibuke ko 'Polychromasia' ari ikintu kigaragara mu isuzuma ry'amaraso, kandi si 'isuzuma' ubwaryo.

Kubwibyo, muganga wawe ashobora gutegeka ko hakorwa ibindi bipimo kugira ngo amenye impamvu y'uburwayi bwawe. Azakubaza ibimenyetso byawe, amateka y'ubuzima bwawe, n'imiti iyo ari yo yose ufata. Bashobora kandi gukora isuzuma ry'umubiri kugira ngo barebe ibimenyetso bya anemia yo mu maraso (nk'umura cyangwa umwijima byagutse). Ibizamini byihariye uzakora bizaterwa n'impamvu ikekwa ko igira ingaruka ku irekurwa rya reticulocytes mu musokoro w'amagufwa yawe.

Polychromasia ivurwa ite?

Uburyo bwo kuvura buterwa n'icyateye polychromasia yawe. Niba impamvu ari ukubura amaraso mu mubiri kandi nta bimenyetso bikomeye ufite, ushobora kudakenera kuvurwa. Ariko, niba ufite ikibazo gikomeye gitera polychromasia yawe, muganga wawe azagusaba ubuvuzi bukwiye.

Ibi bishobora gukoreshwa nk'ubuvuzi:

• Guterwa amaraso: Mu ndwara zimwe na zimwe z’uruhererekane nk’indwara ya Sickle Cell cyangwa mu gihe umuntu ava amaraso menshi.
• Corticosteroids: Mu bihe nka Autoimmune Hemolytic Anemia, aho ubudahangarwa bw'umubiri bwawe bwangiza uturemangingo tw'amaraso dutukura.
• Imiti igabanya ubukana bw'umubiri: Iyi ishobora gutangwa iyo ubudahangarwa bw'umubiri burimo kwangiza uturemangingo dutukura tw'amaraso kandi imiti nka corticosteroids idakora neza.

Niba polychromasia iterwa n'ubwandu bwa bagiteri, virusi, cyangwa parasites, imiti yihariye ishobora gukenerwa kuri ubwo bwandu. Niba iyo ndwara iterwa n'umuti, ushobora kureka gufata uwo muti cyangwa ugahindura undi muti. Ariko, ntugahagarike gufata umuti uwo ari wo wose utabanje kugirwa inama na muganga. Muganga wawe azagufasha witonze.

Ese ugomba gutinya 'Polychromasia'?

Si ngombwa. Polychromasia ishobora kuba ikimenyetso cy'indwara y'amaraso ikeneye kuvurwa, cyangwa ikaba ikintu kitagize icyo kitwaye na gato. Urugero, niba utwite cyangwa utangiye gufata inyunganiramirire ya feri, ibi bishobora kuba ibisanzwe.

Muganga wawe azakubwira ibi bisubizo kandi agusobanurire niba ari ikintu gikwiye guhangayikishwa cyangwa niba hakenewe ibindi bipimo.

Ni ryari ngomba kujya kwa muganga?

Niba ufite ibimenyetso by'amaraso make, nko kunanirwa, kubura umwuka, no kubura umwuka, fata gahunda yo kubonana na muganga. Hagati aho, ntukirengagize isuzuma ryawe rya buri mwaka. Muganga wawe ashobora gukurikirana uturemangingo tw'amaraso yawe akoresheje ibizamini nka PBS nibiba ngombwa.

Raporo z'ibipimo by'amaraso zishobora gutanga amakuru menshi ku buzima bwawe muri rusange. Zishobora kandi kugufasha kumenya indwara z'amaraso zishobora gukenera kuvurwa hakiri kare.

Muri make (Ubutumwa bwo kujyana mu rugo)

Ntugahangayike iyo ubonye ijambo 'Polychromasia' ku isuzuma ry'amaraso yawe. Ibuka:

• "Polychromasia" ni ibisobanuro, si indwara. Bisobanura gusa ko ufite uturemangingo tw'amaraso dutukura tudakuze kurusha uko bisanzwe mu maraso yawe.
• Ibi bishobora kuba ikimenyetso cy'uburwayi busanzwe, cyangwa bikaba ari ikintu kitagize icyo kivuze kandi cy'igihe gito.
• Niba ufite impungenge kuri ibi, vugana na muganga wawe. Ashobora gusobanura uburyo ibi bisubizo bikugizeho ingaruka.

Kubwibyo, ni ngombwa cyane guhora uvugana neza na muganga wawe. Nibo basobanukiwe neza ubuzima bwawe.

Polychromaziya , Uturemangingo dutukura tw'amaraso, Ibipimo by'amaraso, Reticulocytes, Umwobo w'amagufwa, Anemia