Ese wigeze ureba raporo ya Full Blood Count maze ukibaza bimwe mu biranga iyi raporo? Muganga wawe ashobora kuba yarakubwiye ati: "Insoro zitukura z'amaraso yawe zisa n'izinini gato." Ibyo ni byo twita Macrocytosis mu buvuzi. Mu by'ukuri si indwara ubwayo. Ariko ni ikimenyetso cy'ingenzi cy'uko hari ikibazo mu mibiri yacu. Iyo ubyirengagije, ushobora no kurwara indwara ikomeye yo kubura amaraso yitwa macrocytic anemia. Rero, ntugahangayike. Reka tuvuge kuri byose mu buryo busobanutse kandi bworoshye.
Macrocytosis ni iki mu by'ukuri?
Mu magambo make, Macrocytosis ni igihe uturemangingo dutukura mu maraso yawe tuba tunini kuruta ibisanzwe. Ibi rimwe na rimwe byitwa megalocytosis cyangwa macrocythemia. Iyo umaze kubara amaraso yose, raporo izakubwira ingano y'uturemangingo dutukura tw'amaraso yawe. Hari agaciro gabiri k'ingenzi muganga azareba iyo akeka ko iyi ndwara ari yo: 1.
MCV (Ubwinshi bw'imisemburo y'amaraso): Iyi ni ingano mpuzandengo y'uturemangingo dutukura tw'amaraso yawe. 2.
MCH (Ubwinshi bw'imisemburo y'amaraso): Iyi ni ingano ya hemoglobin mu turemangingo dutukura tw'amaraso. Niba kimwe muri ibi cyangwa byombi ari hejuru y'ibisanzwe, ni ikimenyetso cyiza cy'uko ushobora kuba ufite Macrocytosis.
Ni ibihe bimenyetso by'iyi ndwara?
Akenshi,
amaraso make aterwa na Macrocytosis agenda buhoro cyane mu mubiri. Kubwibyo, iyo ndwara
ntabwo igaragaza ibimenyetso bikomeye kugeza igihe irushijeho gukomera. Ariko, iyo indwara irushijeho gukomera, bimwe mu bimenyetso bikurikira bishobora kugaragara.
| Ibimenyetso | Ibisobanuro |
|---|
| Impiswi | Kubyimba inda kenshi. |
| Ububyimbirwe bw'ururimi | Gutukura, kubyimba, cyangwa kubabara ururimi. |
| Anorexia | Kugabanuka k'ubushake bwo kurya. |
| Udukoko tw'imitsi yo mu mpande | Kumva ufite ibinya no gushya mu maguru. |
| Impinduka mu migendekere | Kugorwa no kugumana uburinganire mu gihe ugenda n'amaguru. |
Ni izihe mpamvu zitera macrocytosis?
Nkuko twabivuze mbere, Macrocytosis si indwara imwe. Ni ingaruka z'ikindi kibazo cy'ubuzima. Reka turebe impamvu nyamukuru zibigiraho ingaruka.
| Impamvu z'ingenzi |
|---|
| Kubura Vitamine B12 | Kutabona vitamine B12 ihagije cyangwa kutabasha kuyifata. |
| Kubura folate | Folate, izwi kandi nka vitamine B9, ni ingenzi mu mikurire y'uturemangingo. Kubura kwayo nabyo ni impamvu ikomeye. |
| Indwara y'umwijima | Indwara y'umwijima idakora neza. |
| Ubusinzi | Inzoga zirinda kwinjizwa kwa vitamine ndetse zikanangiza umwotsi w'amagufwa. |
| Ibibazo bya tiroyide (Hypothyroidism) | Kugabanuka k'urugero rw'imisemburo ya tiroyide. |
Byongeye kandi,
bishobora kuba ingaruka mbi z'imiti imwe n'imwe ikoreshwa mu kuvura indwara nka kanseri, ibicurane, cyangwa indwara ziterwa n'ubwiyongere bw'umubiri (indwara aho ubudahangarwa bw'umubiri bwibasira).Macrocytosis ishobora kandi guterwa na kanseri y'umusemburo w'amagufwa (syndrome ya myelodysplastic).
Ni gute wamenya iyi ndwara?
Niba umuganga wawe abikeka ibi, azagutegeka ibizamini byinshi kugira ngo byemezwe.
Igikuru ni uko ibi bizamini bitareba gusa niba Macrocytosis ihari, ahubwo binamenye neza icyabiteye.
Ibizamini by'ingenzi byakozwe ni ibi bikurikira:
- Umubare wuzuye w'amaraso (CBC): Umubare wuzuye w'amaraso.
- Gusiga amaraso mu gice cyo hagati (Peripheral Smoke): Iki ni ikizamini cy'ingenzi cyane. Ikizamini cy'amaraso gisuzumwa hifashishijwe mikorosikopi kugira ngo harebwe imiterere n'ingano y'uturemangingo dutukura tw'amaraso.
- Umubare wa reticulocytes : Ipima umubare w'uturemangingo dutukura tw'amaraso dushya mu musokoro w'amagufwa.
- Uruhare rwa Vitamine B12 na Folate: Kugenzura urugero rw'izi vitamine mu maraso.
Macrocytosis ishobora kumenyekana neza hakoreshejwe smear yo mu gice cyo ku ruhande. Uretse kuba uturemangingo dutukura twiyongereye, iyo hari ibimenyetso by'imibiri ya
Howell-Jolly (uduce duto turi mu turemangingo) no kwiyongera
kw'uturemangingo (ubwoko bw'uturemangingo tw'amaraso twera), ni ikimenyetso gikomeye cy'amaraso make adafite amaraso.
Ivurwa ite?
Ikintu cy'ingenzi mu kuvura macrocytosis ni
ukumenya no kuvura impamvu nyamukuru . Iyo impamvu imaze kuboneka, muganga wawe ni we uzagena gahunda y'ubuvuzi.
- Uburyo bwo kuvura ibura rya vitamine: Niba impamvu ari ibura rya vitamine B12 cyangwa folate, ni ngombwa guhindura imirire, gutera inyongera za vitamine, cyangwa gutera inshinge za vitamine mu gihe bibaye ngombwa. Ariko ibuka ko muganga wawe ari we wenyine ushobora gufata icyemezo niba ukeneye inyongera za vitamine n'ingano yazo. Kubwibyo, ntugafate vitamine utabanje kugirwa inama na muganga.
- Kubura amaraso mu mubiri bikabije: Iyo kubura amaraso mu mubiri bikabije, bishobora kuba ngombwa ko uterwa amaraso .
Ibyokurya bikungahaye kuri vitamine B12
Abantu bakuru barengeje imyaka 14 bakeneye mikorogarama 2.4 za vitamine B12 ku munsi. Ababyeyi batwite n'abonsa bakeneye mikorogarama 2.6-2.8. Ibiribwa bikunze kuba bikungahaye kuri izi vitamine birimo:
- Ubwoko bw'amafi n'ibinyamisogwe
- Umwijima
- Inyama zitukura
- Amagi
- Inkoko
- Ibyokurya by'amata nk'amata, foromaje, yawurute
- Ibinyampeke bya mu gitondo bifite inyongera
Ibyokurya bikungahaye kuri folate
Umuntu wese urengeje imyaka 19 akeneye mikorogarama 400 za folate ku munsi. Umubyeyi utwite akeneye 600, naho umubyeyi wonsa akeneye 500. Ni ngombwa kandi ko abanywa inzoga bahabwa mikorogarama 600 ku munsi, kuko inzoga zigabanya ubushobozi bwo kwinjiza folate.
- Imboga z'icyatsi kibisi nka epinari, kale, salade, broccoli
- Ibinyamisogwe nk'ibishyimbo n'amashaza
- Ubunyobwa
- Imbuto z'ibihwagari
- Imbuto nshya
- Ibinyampeke byuzuye
- Ibiryo byo mu nyanja
- Amagi
- Ibiryo bikungahaye ku nkunga
Ubutumwa bwo kujyana mu rugo
- Macrocytosis bivuze ko uturemangingo tw'amaraso dutukura tuba tunini kurusha uko bisanzwe. Ntabwo ari indwara ubwayo, ahubwo ni ikimenyetso cy'ikindi kibazo mu mubiri.
- Impamvu ikunze kugaragara ni ukubura vitamine B12 cyangwa folate. Izindi mpamvu zirimo indwara z'umwijima no kunywa inzoga nyinshi .
- Niba agaciro ka MCV kawe kariyongereye muri raporo y'amaraso yawe, ntugatinye kandi uganire na muganga wawe ako kanya.
- Uburyo bwo kuvura bushingira ku mpamvu nyamukuru. Gushaka impamvu ikwiye no kuyivura bishobora kugenzura burundu iyi ndwara.
- Kugumana indyo yuzuye kandi ifite intungamubiri ni ingenzi cyane.
Macrocytosis, uturemangingo dutukura tw'amaraso, ibizamini by'amaraso, vitamine B12, folate, kubura amaraso, MCV
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