Masero ako matsvuku eropa madiki here? Ngatitaurei nezve Microcytosis!

Dzimwe nguva paunoongororwa ropa, unonzwa kutya zvishoma paunoona mamwe mazwi pamushumo, handiti? Rimwe remazwi akadaro ndi 'Microcytosis'. Asi usatye, iri harisi zita rechirwere chakakomba. Zvinongoreva kuti masero matsvuku eropa rako madiki pane zvakajairika. Nhasi, tichataura nezvazvo zvakadzama, zviri nyore.

Chii chinonzi Microcytosis?

Zvichitaurwa zviri nyore, microcytosis inoitika kana masero matsvuku eropa ari muropa rako ari madiki pane zvakajairika. Hatifungi kuti ichi chirwere, asi kuti chinhu chinogona kuonekwa mushure mekuongororwa ropa. Izvi ndizvo zvaunogona kuwana nekuongorora ropa rose (CBC). Funga nezvazvo semushumo unopa ruzivo nezvemasero eropa mumuviri wako.

Pane kukosha mumushumo uyu we 'CBC', unonzi `Mean Corpuscular Volume` (MCV) . Kukosha uku kwe 'MCV` kunoshandiswa kuyera avhareji yehukuru hwemasero matsvuku eropa rako. Kana ari munhu mukuru, kana kukosha uku kwe 'MCV` kuri pasi pe80 femtoliters `(80 fL)`, saka tinoti pane microcytosis.

Kazhinji, chirwere ichi chinonzi microcytosis chinogona kuva chiratidzo cherudzi rwe anemia inonzi microcytic anemia . Mu microcytic anemia iyi, pane kushomeka kwe hemoglobin yakakwana mumasero matsvuku eropa. Waizviziva here kuti hemoglobin ipuroteni inokosha zvikuru inobatsira masero matsvuku eropa kutakura okisijeni mumuviri wese?

Dambudziko iri rakajairika zvakadii?

Kutaura zvazviri, chirwere ichi chinonzi Microcytic Anemia imhando yeanemia inowanikwa nevanhu vakuru nevana vadiki. Saka, zvakakosha kuziva izvi.

Ndezvipi zviratidzo zveMicrocytosis?

Kazhinji, hapana zviratidzo chaizvo. Chinongoonekwa mumushumo ndechekuti kukosha kwe `MCV` kwakaderera.

Zvisinei, kana zviratidzo zvikaonekwa, zvakafanana nezviratidzo zveMicrocytic Anemia zvandambotaura. Izvi ndeizvi:

• Kunzwa kuneta nguva dzese. Sekunge hapana hupenyu mumuviri.
• Ganda rakachenuruka. Dzimwe nguva miromo nerurimi zvinogonawo kuchenuruka.
• Kutadza kufema zvakanaka. Unganzwa kupera simba kunyangwe ukashanda nesimba zvishoma.
• Kurova kwemoyo kunowedzera.
• Chirwere chinonzi 'Pica'. Izvi zvinoitika chete kana kushaikwa kwesimbi kuchikonzera microcytosis. 'Pica' chishuwo chekudya zvinhu zvisingadyike zvakaita sevhu, macube echando, nevhu.

Kuwedzera kune zviratidzo izvi, unogona zvakare kuona zviratidzo zvine chekuita nechikonzero chikuru che microcytosis.

Sei ichi microcytosis ichiitika?

Chikonzero chinowanzo kukonzera microcytosis ndechekuti muviri wako hauna iron yakakwana. Izvi zvinonzi iron-deficiency anemia . Yeuka, ndakati iron inokosha pakugadzira hemoglobin.

Pamusoro pezvo, zvinhu zvinokonzeresa nharaunda, mamwe mamiriro ehutano (ekuzvarwa nawo neakawanikwa), uye mamwe maitiro zvinogona kukonzerawo microcytosis.

Zvikonzero zvikuru zve microcytosis:

• Kushaikwa kwesimbi:
• Kusawana iron yakakwana kubva muchikafu: Dzimwe nguva chikafu chatinodya chingasapa iron yakakwana kumuviri wedu. Vanhu vanodya miriwo chete ndivo vanofanira kungwarira izvi.
• Matambudziko ekunwa iron: Fungidzira, kunyangwe ukadya chikafu chine iron, kana uine chirwere chakadai se 'Celiac disease' kana chirwere chemudumbu chakadai se 'H. pylori infection' , muviri haugone kunwa iron iyoyo zvakanaka. Zvakare, chirwere ichi chinogona kuitika mushure mekuvhiyiwa kwakadai se 'Gastric bypass surgery' yekuderedza uremu.
• Kushaikwa kwesimbi kunokonzerwa nekubuda ropa: Kune vakadzi, kubuda ropa rakawanda panguva yekuenda kumwedzi kunogona kukonzera kushomeka kwesimbi. Uyewo, kubuda ropa mudumbu (GI) kunokonzerwa nechironda mudumbu kana muura chimwe chikonzero.

• Thalassemia:
• Ichi chirwere chemajini chinogarwa nhaka. Mumamiriro ezvinhu aya, muviri haugone kugadzira hemoglobin zvakanaka. Munhu ane thalassemia anogona kunge aine huwandu hwakajairika kana hwakawanda hwemasero matsvuku eropa, asi huwandu hwehemoglobin huri mukati memasero iwayo hwakaderera. Izvi zvinonzi hypochromic microcytosis . Mune mamwe marudzi ethalassemia asina kusimba, microcytosis chete ndiyo inogona kuonekwa pasina anemia.

• Anemia yechirwere chisingaperi:
• Kuzvimba kunokonzerwa nezvirwere zvinogara kwenguva refu zvakaita sezvirwere zve autoimmune ( semuenzaniso rheumatoid arthritis), hutachiona husingaperi, chirwere cheitsvo, uye kenza zvinogona kukanganisa kugona kwemuviri kushandisa iron kugadzira masero matsvuku eropa ane hutano.

Zvikonzero zvisingawanzoitiki zve microcytosis:

Izvi zvishoma, asi zvakanaka kuziva:

• Zvirwere zvisingawanzoitiki zvemajini zvinokanganisa kugadzirwa uye kushanda kwemasero matsvuku eropa.
• Kushomeka kwemaminerari (semuenzaniso, kushomeka kwemhangura).
• Chepfu yemutobvu.

Ungaziva sei nemazvo kana uine microcytosis?

Sezvandambotaura, microcytosis harisi zita repamutemo rechirwere. Zvinongoreva kuti masero matsvuku eropa rako madiki pane zvakajairika.

Chiremba wako achaongorora zviratidzo zvako, zera rako, murume kana mukadzi, uye nhoroondo yako yehutano kuti aone kuti chii chingave chiri kukonzera izvi. Semuenzaniso, kana uine ropa rakawanda panguva yako yekutevera, inogona kunge iri iron deficiency anemia. Kana, kana mumwe munhu mumhuri yako aine thalassemia, izvozvo zvinogonawo kuva chikonzero.

Chiremba anogona kuita mimwe miedzo kuti aone kuti chii chaizvo chiri kukonzera chirwere ichi.

Ndedzipi bvunzo dziri kuitwa pakuita izvi?

Kune bvunzo dzakawanda dzinogona kubatsira chiremba kuwana chikonzero chechirwere ichi:

• Kuongororwa kweropa: Izvi zvinosanganisira kutora sampuro yeropa rako woritarisa uchishandisa maikorosikopu. Izvi zvinogona kusimbisa kana masero matsvuku eropa rako ari madiki uye kana aine zvimwe zvirwere. Kana masero matsvuku eropa rako ari akasiyana saizi uye maumbirwo (Poikilocytosis), zvinogona kuva chiratidzo chezvimwe zvezvirwere zvinokonzera microcytosis.
• Upamhi hwekugoverwa kwemasero matsvuku (RDW): Izvi zvinoyerawo musiyano wehukuru hwemasero matsvuku eropa rako. Izvi zvinowanikwawo muCBC report. Kazhinji, masero matsvuku eropa akafanana. Zvisinei, kana paine musiyano mukuru muhukuru hwemasero (Anisocytosis), zvinogonawo kupa pfungwa nezvezvimwe zvirwere.
• Kuwanda kwesimbi: Kuderera kwesimbi muropa chiratidzo chekusakwana kwesimbi mumuviri.
• Mazinga eFerritin: Ferritin ipuroteni inochengeta iron mumasero edu. Nekutarisa mazinga aya eferritin, unogona kuona kuti iron yakawanda sei inowanikwa mumuviri.
• Kukwanisa kubata simbi yese (TIBC): Kuongororwa uku, kana kuchiitwa pamwe chete nehuwandu hwesimbi neferritin, kunogona kubatsira zvikuru pakuongorora kushomeka kwesimbi. Kunogonawo kubatsira pakuona anemia inokonzerwa nezvirwere zvisingaperi kana kuzvimba.

Kana zvangosimbiswa kuti hapana kushomeka kwesimbi mumuviri, kuti uzive zvechokwadi kana chikonzero chacho chiri thalassemia, bvunzo dzakadai se hemoglobin electrophoresis uye bvunzo dzemajini dzinofanira kuitwa.

Microcytosis inorapwa sei?

Kurapwa kunoenderana nechikonzero chehuwandu hwemasero matsvuku eropa rako. Dzimwe nguva, kana usina zviratidzo uye mhedzisiro yekuongororwa isiri yakanyanya kuipa, kurapwa kungasave kwakakosha.

Zvichienderana nechikonzero, nzira dzinotevera dzekurapa dzinogona kuitwa:

• Kuchinja kwekudya: Kuwedzera chikafu chine iron yakawanda (semuenzaniso, hove, soy products (tofu), pizi, nyemba, miriwo, michero) mukudya.
• Mishonga yekuwedzera iron: Izvi zvinopihwa vanhu vane anemia yekushomeka kweiron.
• Kuwedzerwa ropa: Izvi zvinoitwa chete kana chirwere chekushaya ropa chakanyanya.

Chinhu chinonyanya kukosha ndechekutevedzera hurongwa hwekurapa hwaunopihwa nachiremba wako zvichienderana nedambudziko riripo.

Ko microcytosis inogona kudzoserwa shure here?

Izvi zvinoenderanawo nechikonzero chacho. Kazhinji, microcytosis inonyangarika kana chirwere chacho charapwa. Chiremba wako anogona kukuudza kuti kurapwa kuchakanganisa sei masero eropa rako uye hutano hwako hwese.

Chii chinoitika kana chikasarapwa?

Havasi vese vane microcytosis kana microcytic anemia vachada kurapwa. Zvisinei, kana uine chirwere chakakomba chiri kukonzera masero matsvuku eropa rako kuti ave madiki, zvakakosha kuti chiongororwe uye chirapwe nekukurumidza. Tevedzera mirairo yachiremba wako pamusoro pekuti unoda kurapwa here uye zvaunotarisira kubva pakurapwa.

Microcytosis yakakomba here?

Microcytosis inongova imwe yezviratidzo zvemasero matsvuku eropa rako. Inogona kuva chiratidzo chechirwere chinoda kurapwa (pamwe chete nezvimwe zviratidzo). Asi kazhinji, hachisi chakakomba zvakadaro, uye chingangova chimwe chinhu chaunoona pamushumo.

Chiremba wako achakuudza kana microcytosis yako ichiratidza chirwere chinoda kurapwa.

Ndingaitei kuti ndideredze njodzi iyi?

Hazvigoneki kudzivirira zvirwere zvese zvinogona kukonzera kuparadzwa kwemasero matsvuku eropa. Zvisinei, unogona kuderedza njodzi yako nekutevedzera dzimwe tsika dzehutano.

Chinokosha pakuita izvi ndechekuva nechokwadi chekuti uri kuwana iron yakakwana kubva mukudya kwako. Zvikafu zvine iron yakawanda zvinosanganisira:

• Hove dzegungwa dzakadai se tuna ne mackerel
• Zvigadzirwa zvinobva musoya (Tofu)
• Nyemba dzakadai sepizi, bhinzi dzegirini, nyemba, uye nyemba
• Muriwo une mashizha matema akaita sespinachi, kale, uye collard greens
• Michero yakaita semadate nemazambiringa akaomeswa
• Nyama, kunyanya nyama tsvuku (nyama yemombe, yembudzi) nehuku

Uyewo, kana wakambovhiyiwa gastric bypass kana kuti uine chimwe chirwere chinoita kuti usakwanise kupinza iron kubva muchikafu, taura nachiremba wako nezvemishonga yekuwedzera iron yaunoda.

Kana uine chirwere chinokuisa panjodzi yekushayiwa ropa, senge thalassemia kana chirwere che autoimmune, tevera zano rachiremba wako rekuti ungaderedza sei njodzi yako.

Chii chandinofanira kubvunza chiremba?

Kana ukaona kuti une microcytosis, tevera mirairo yachiremba wako nezve zvekuita zvinotevera. Ungangoda kubvunza mibvunzo yakaita seiyi:

• 'Ndinofanira kunetseka here nezvekushaya kwangu MCV?'
• 'Ndedzipi dzimwe bvunzo dzandichafanira kuita kuti ndiwane chikonzero che microcytosis?'
• 'Ndichada kurapwa here?'
• 'Ndingatarisira mhedzisiro yerudzii kubva mukurapwa uku?'
• 'Ndedzipi shanduko dzemararamiro andingaite kuti ndigadzirise chirwere ichi che microcytosis?'

Pane hukama huripo pakati pe microcytosis nekenza here?

Microcytosis dzimwe nguva inogona kuva chiratidzo chekenza, asi kazhinji chiratidzo chezvimwe zvirwere. Microcytosis inowanzova chiratidzo chekushaikwa kwesimbi mumuviri. Chinhu chakakosha ndechekusatya wofunga kuti ikenza (kana chimwe chinhu) kusvika chiremba wako atsanangura zviri kuitika nekuongororwa kweropa rako.

Zvakajairika kuti unzwe kunetseka kana ukaona mhedzisiro isingawanzoitika pabvunzo yekurapa. Zvisinei, kuva nezviratidzo zvisina kujairika hazvirevi kuti uri kurwara kana kuti unoda kurapwa. Zviratidzo zvakaita se "MCV" ingori ruzivo runobatsira chiremba wako kunzwisisa hutano hwako hwese. Kumbira chiremba wako kuti akutungamirire kuti mhinduro dzebvunzo dzako dzingakanganisa sei kurapwa kwako mune ramangwana.

Saka, ndezvipi zvinhu zvatinofanira kurangarira kubva pane izvi zvose?

Zvakanaka, ngatimbokurukurai zvimwe zvezvinhu zvakakosha zvaunofanira kuyeuka kubva pane zvatataura nezvazvo:

• Microcytosis haisi chirwere, zvinongoreva kuti masero matsvuku eropa rako madiki pane zvakajairika.
• Izvi zvinowanzoonekwa ne "CBC" (kuverengwa kweropa rose).
• Chikonzero chikuru ndechekushaikwa kwesimbi mumuviri, asi panogona kunge paine zvimwe zvikonzero, zvakaita se thalassemia nezvirwere zvisingaperi.
• Vanhu vazhinji havaratidzi zviratidzo. Kana zvikaitika, vanogona kuneta, kucheneruka, uye kuoma kufema.
• Chiremba achaita mimwe miedzo kuti awane chikonzero.
• Kurapwa kunoenderana nechikonzero. Dzimwe nguva, kurapwa kungasave kwakakosha zvachose.
• Usavhunduke! Kana ukaona kuti MCV yako yakaderera, taura nachiremba wako kuti uzive chikonzero chaicho uye zvekuita.
• Zvakakosha kuchengetedza kudya kwakanaka, kunyanya kudya chikafu chine iron yakawanda.

Rangarirai kuti ruzivo urwu nderwekupa ruzivo chete, kwete kuti mutyise kuti mufunge kuti mune chirwere. Kana muine kusava nechokwadi kana mibvunzo, zvakanaka kuti muone chiremba kuti akupei mazano.

'Microcytosis, Masero matsvuku eropa, Anemia, Kushaikwa kwesimbi, Hemoglobin, MCV