Une ropa shoma here? Ngatikurukurei nezveMegaloblastic Anemia!

Unonzwawo kuneta nguva dzese here? Unonzwa hope zuva rese, uye muviri wako uchinzwa usina hupenyu hwekuita chero chinhu here? Dzimwe nguva ganda rako rinoshanduka kuita chena uye unonzwa kushaya mweya? Usangozvitora sezvinhu zvakajairika. Izvi zvinogona kuva zviratidzo zvedambudziko muropa rako. Nhasi tichataura nezveMegaloblastic Anemia , chirwere chinokonzera zviratidzo zvakaita seizvi, kunyanya kana usina vhitamini B12 nevhitamini B9 (inozivikanwawo sefolate).

Chii chinonzi Megaloblastic Anemia?

Zvichitaurwa zviri nyore, megaloblastic anemia imhando yeanemia inokanganisa masero matsvuku eropa muropa. Chinoitika apa ndechekuti masero matsvuku eropa anogadzirwa mumongo wedu wemapfupa anokura kupfuura zvakajairika . Ndosaka ichinziwo 'macrocytic anemia', zvinoreva kushomeka kwemasero makuru eropa .

Nemamwe mashoko, iyi idambudziko rekushaya mavhitamini . Dambudziko iri rinoitika kana muviri usingawani zvinovaka muviri zviviri zvakakwana , vhitamini B12 nevhitamini B9 ( folate ) . Asi musazvidya mwoyo, vanachiremba vanogona kurapa dambudziko iri nekupa vhitamini B12 neB9 zvinowedzera.

Kushaya simba kweropa kunokanganisa sei muviri wedu?

Zvino, tarisai, miviri yedu inoda huwandu hwakati hwemasero matsvuku eropa ane hutano. Nekuti masero matsvuku aya ndiwo anotakura okisijeni kubva kumapapu kuenda kunhengo dzemuviri wese, uye anotakura carbon dioxide zvakare. Kufanana nemamwe masero ese eropa, masero matsvuku eropa anotanga ari masero ekutanga mumongo wedu wemapfupa.

Vhitamini B12 nevhitamini B9 zvakakosha pakuumbwa kwemasero matsvuku eropa. Pasina iwo, miviri yedu inogadzira rudzi rusina kujairika rwemasero anonzi megaloblasts .

Fungidzira, aya ma megaloblast, masero anopatsanuka uye anowanda semasero ane hutano, haaumbi matsva. Izvi zvinoreva kuti huwandu hwemasero matsvuku eropa mumongo wemapfupa hunoderera. Chimwe chikonzero ndechekuti masero aya asina kujairika akakura zvikuru. Akakura zvekuti dzimwe nguva haakwanise kubuda mumongo wemapfupa opinda muropa. Kunyangwe zvikadaro, masero aya asina kujairika anofa nekukurumidza kupfuura masero matsvuku ane hutano. Kana zvese izvi zvikabatana, huwandu hwemasero matsvuku eropa mumuviri hunoderera, zvichikonzera anemia, inova kushomeka kweropa.

Uhu chirwere chakakomba here?

Chimwe chinokonzera megaloblastic anemia kushomeka kwevhitamini B12. Kana ikasarapwa, kushomeka kwevhitamini B12 kunogona kukonzera matambudziko etsinga . Semuenzaniso, kurasikirwa nekurangarira, kurasikirwa nekuenzanisa, uye kunzwa kwekukwenya kana kubaya mumakumbo, kunozivikanwa se'paresthesia'. Saka ichi hachisi chinhu chekurerutsa.

Chirwere ichi chakajairika zvakadii?

Kushaya simba kweropa (megaloblastic anemia) hachisi chirwere chisingawanzoitiki, asi vanachiremba havana ruzivo rwakakwana rwekutaura kuti vangani vanhu vane chirwere ichi.

Chii chinokonzera megaloblastic anemia?

Sezvambotaurwa, chikonzero chikuru cheizvi ndechekuti mupfupa wedu hauna vhitamini B12 kana vhitamini B9 yakakwana yekugadzira masero matsvuku eropa ane hutano anotakura okisijeni mumuviri wese.

Ndezvipi zvikonzero zvekushaikwa kwevhitamini B12?

Vamwe vanhu vanowana kushaya vhitamini B12 nekuti havadyi zvekudya zvakakwana zvine vhitamini B12, zvakaita senyama, hove, mazai, nemukaka. Vamwe vane matambudziko ekunwa vhitamini B12, kungave nekuda kwemamwe matambudziko ehutano kana nekuda kwekurapwa. Matambudziko akadaro anosanganisira:

• Kushaya simba kwemuviri: Ichi chirwere chinokonzerwa ne autoimmune chinotadzisa muviri kutora vhitamini B12 .
• Kuvhiyiwa kweGastrectomy: Uku kuvhiyiwa kunobvisa chikamu chedumbu. Izvi zvinogona kukanganisa kunyudzwa kwevhitamini B12.
• Zollinger-Ellison syndrome: Ichi chirwere chisingawanzoitiki chinodzivirirawo muviri kuti usatore vhitamini B12.
• Chirwere cheBlind loop: Apa ndipo apo chikafu chatinogaya chinenge chisingafambi zvakanaka nemumatumbu uye chinonamira panzvimbo imwe chete, uko mabhakitiriya anokura opedza vhitamini B12.
• Kubatwa nehove dzine tapeworm: Utachiona uhwu hunogona kubatwa nekudya hove dzisina kubikwa zvakanaka uye dzine hutachiona. Makonye aya anorarama nekunwa vhitamini B12.
• Kusakwana kwePancreatic: Mumamiriro ezvinhu aya, pancreas yako haigone kugadzira ma enzymes ekugaya chikafu akakwana. Izvi zvinoreva kuti ungasawana zvakakwana zvekudya zvese zvaunoda, zvakaita semavhitamini B12 kana B9.

Ndezvipi zvikonzero zvekushaikwa kwevhitamini B9 (folate)?

Kushaikwa kweVitamin B9 (folate) kunogona kuitika kana tikasawedzera miriwo yakasvibira, michero, nyama, nenyemba zvakakwana mukudya kwedu kwezuva nezuva, kana chikafu chakawedzerwa folic acid. Kune zvimwe zvikonzero zvakare:

• Zvirwere zvemudumbu: Kana uine chirwere chakadai sechirwere cheCrohn kana chirwere checeliac, muviri wako ungasatora folic acid zvakanaka.
• Kunwa doro zvakanyanya: Vanhu vanonwa doro rakawanda dzimwe nguva vanotsiva chikafu nedoro. Nekuda kweizvozvo, havawani folate yakakwana.
• Kubika michero nemiriwo zvakanyanya: Kana ukabika michero nemiriwo zvakanyanya, kupisa kunogona kuparadza folate iri mazviri.
• Hemolytic anemia: Ichi chirwere cheropa umo masero matsvuku eropa anoparadzwa uye mupfupa wako haugone kuagadzira zvakare nekukurumidza.
• Mimwe mishonga: Mimwe mishonga yepfari nemaronda emudumbuMishonga inopiwa yechirwere chegomarara inokanganisa kunyudzwa kwefolate zvakanaka.
• Dialysis: Vanhu vari padialysis dzimwe nguva vanoshaya chido chekudya nekuda kwekutadza kushanda kweitsvo. Izvi zvinogona kukanganisa huwandu hwevhitamini B12 yavanowana kubva muchikafu. (Unofanirawo kuverenga nezveB9 pano, kunyangwe chinyorwa chekutanga chichitaura kuti B12, inogonawo kuva B9 zvichienderana nemamiriro ezvinhu.)

Ndezvipi zviratidzo zve megaloblastic anemia?

Zviratidzo zve anemia ye megaloblastic zvakafanana nezvemamwe marudzi e anemia:

• Kuneta: Kunzwa kuneta zvekuti haugone kuita mabasa ezuva nezuva.
• Kushaya simba: Kunzwa sekuti muviri wako hauna hupenyu, haugone kufamba-famba kana kuita chero chinhu.
• Kutsvuka: Ganda rako rinotsvuka kupfuura zvakajairika.
• Kushaya simba: Kunzwa kushaya mweya, kuoma kufema zvakadzika.
• Dzungu kana kufenda: Kunzwa kutenderera kana kurasikirwa nepfungwa.

Kushaikwa kweVitamin B12, kunyanya, dzimwe nguva kunogona kukanganisa tsinga dzako, zvichikonzera zviratidzo zvakaita sekuoma kwemakumbo ako, kurasikirwa nemanzwiro, kana kushaya simba kwetsandanyama.

Vanachiremba vanonzwisisa sei izvi chaizvo?

Vanachiremba vanoongorora megaloblastic anemia nekukuongorora panyama uye nekukubvunza mibvunzo nezvezviratidzo zvako. Vanogonawo kuraira kuongororwa kweropa, zvakaita se:

• Kuverengwa kweropa rose (FBC): Kuongororwa uku kunoongorora huwandu hwemasero matsvuku eropa rako uye mashandiro awo.
• Kuongororwa kweropa (PBS): Izvi zvinosanganisira kutarisa masero eropa rako uchishandisa maikorosikopu. Kunyange zvazvo kumwe kuongororwa kweropa kuchiongororwa nemuchina, muchiitiko ichi, chiremba anotarisa masero acho obva aita sarudzo.
• Kuwanda kwemasero matsvuku eropa: Izvi zvinoyera huwandu hwemasero matsvuku eropa (reticulocytes) asina kukura mumongo wako wemapfupa. Izvi zvinobatsira vanachiremba kuona kana mumongo wako wemapfupa uri kugadzira masero matsvuku eropa ane hutano akakwana.

Izvi zvinorapwa sei?

Vanachiremba vanorapa megaloblastic anemia nekupa mavhitamini ekuwedzera. Tarisa izvi:

• Kurapa Kushaikwa kweVitamin B12: Chiremba wako anogona kukurudzira kuti upiwe majekiseni eVitamin B12 kwemavhiki mashoma kusvika huwandu hweVitamin B12 yako hwadzokera pahunhu hwakanaka. Kana kushomeka kweVitamin B12 kwako kuchikonzerwa nedambudziko rekukwanisa kwemuviri wako kupinza B12, ungangoda kutora majekiseni eB12 mwedzi mishoma yega yega kwehupenyu hwako hwese. Zvakare, vanhu vasina B12 yakakwana nekuda kwechirwere chinonzi pernicious anemia vangangoda kutora ma supplements eB12 kwehupenyu hwavo hwese.
• Kurapa Kushaikwa kweVitamin B9: Chiremba wako anogona kukupa mapiritsi e folic acid kugadzirisa kushomeka kweVitamin B9. Vachaongororawo huwandu hweVitamin B12 yako kuti ive nechokwadi chekuti iri mukati memiganhu yakajairika. Izvi zvinodaro nekuti dzimwe nguva mishonga yeVitamin B9 inogona kuderedza zviratidzo zve megaloblastic anemia uye kuvharira kushomeka kweVitamin B12 (izvo zvinogona kukonzera kukuvara kwetsinga).

Tingaderedza sei njodzi yekubatwa nechirwere ichi?

Kune nzira dzakawanda dzekuderedza njodzi:

• Edza kudya chikafu chine vhitamini B12 nevhitamini B9 zvinokosheswa .
• Deredza kunwa doro nguva dzose. Kunwa doro nguva dzose kunogona kukanganisa kugaya kwako uye kudzivirira muviri wako kubva mukunwa vhitamini B12.
• Kana uine chirwere chinokutadzisa kunwa mavhitamini aya, shanda nachiremba wako kuti ugadzirise dambudziko racho.

Zvikafu zvine vhitamini B12:

• Zvikafu zvemhuka: Nyama tsvuku, hove, huku, mazai, mukaka, nezvimwe zvigadzirwa zvemukaka zvine vhitamini B12 yakawanda.
• Zvekudya zvakasimbiswa: Izvi zvekudya zvakasimbiswa nemavhitamini nezvimwe zvinovaka muviri zvisiri zvechisikigo. Mienzaniso inosanganisira zvimwe zvekudya zvekuseni, mbiriso yekudya, mimwe mukaka wezvirimwa, nezvimwe zvingwa. Zvakakosha kutarisa zvakanyorwa papepa rezvekudya kuti uve nechokwadi chekuti chikafu chakasimbiswa nevhitamini B12.

Zvikafu zvakapfuma muvhitamini B9 (folate):

• Muriwo: Muriwo wegirini yakasviba (senge sipinachi, kale), nyemba, bhinzi, nenyemba.
• Muchero: Michero yeCitrus (senge maranjisi nematangerini).
• Zvikafu zvemhuka: chiropa, hove, nyama nehuku.
• Mazai nezvikafu zvemukaka.
• Zvekudya zvinosimbisa muviri: Zvimwe zvingwa, hupfu, mapasta, mupunga, nezviyo zvine folic acid. Zvakare, tarisa zvakanyorwa papepa rezvekudya kuti uve nechokwadi chekuti chikafu chacho chakasimbiswa nevhitamini B9 (folic acid).

Chii chandingatarisira kana ndine megaloblastic anemia?

Vanhu vazhinji vanopora kubva ku megaloblastic anemia mushure mekutora mishonga yekuwedzera mavitamini. Chiremba wako anotarisa huwandu hwemavhitamini ako nguva nenguva kuti ave nechokwadi chekuti uri kuwana vhitamini B12 nevhitamini B9 zvakakwana. Semuenzaniso, unogona kuongororwa ropa mavhiki mashoma mushure mekutanga kurapwa kuti uone kana mishonga yekuwedzera yakawedzera huwandu hwevhitamini B12 ne/kana B9.

Ndinozvitarisira sei?

Unogona kuzvitarisira seizvi:

• Inwa mavitamini sezvakarairwa nachiremba wako.
• Iva netsika dzakanaka dzekudya kuti uve nechokwadi chekuti unowana vhitamini B12 nevhitamini B9 zvakakwana.
• Chengetedza hutano hwako uye ona chiremba kana uchinzwa sekunge uri kunzwa zviratidzo zveanemia zvakare.

Rangarira kuti kana uine megaloblastic anemia, zvinoreva kuti hausi kuwana vhitamini B12 yakakwana uye/kana vhitamini B9. Mavhitamini aya anobatsira muviri wako kugadzira masero matsvuku eropa ane hutano. Masero matsvuku eropa ane hutano anoita basa rakakosha rekutakura okisijeni mumuviri wako wese. Nerombo rakanaka, vanachiremba vanogona kugadzirisa kushomeka uku nekukupa zvekudya zvinovaka muviri kuti uwedzere mazinga evhitamini B12 nevhitamini B9. Unogona zvakare kudya chikafu chakapfuma muvhitamini uye kubvunza chiremba wako nezvenzira dzekuona kuti uri kuwana vhitamini B12 nevhitamini B9 yakakwana.

Pfupiso (Mharidzo Yekuenda Nayo Kumba)

Zvakanaka, ngatidzokororei zvatataura nezvazvo nhasi. Megaloblastic anemia chirwere apo masero matsvuku eropa makuru, asina kujairika anogadzirwa mumongo wemapfupa kana muviri usina vhitamini B12 kana vhitamini B9 (folate).

• Zviratidzo zvikuru kuneta zvakanyanya, kushaya simba, ganda rakachenuruka, uye kunetseka kufema. Kushomeka kweB12 kunogonawo kukanganisa tsinga.
• Chikonzero chacho kungave kushaikwa kwekudya kwakakwana kwemavhitamini aya, kana chirwere chinotadzisa muviri kuatora.
• Inoonekwa kuburikidza nekuongororwa kweropa, kunyanya izvo zvakaita seCBC nePeripheral Blood Smear.
• Kurapa kunosanganisira vhitamini B12 uye folic acid supplements, izvo vamwe vanhu vangangoda kutora kwenguva refu.
• Nzira yakanakisisa yekudzivirira uye kudzora chirwere ichi ndeyekudya chikafu chakakwana chine mavhitamini B12 neB9, kuderedza doro, uye kurapa zvirwere zviri kukonzera chirwere ichi nemazvo.

Saka, kana uine zviratidzo izvi, kuchenjera kutsvaga rubatsiro rwechiremba nekukurumidza. Nekuti kana zvikaonekwa nekukurumidza, kurapwa kuri nyore uye kupora kunokurumidza.