Ngaba ubusoloko unesifo seswekile, isifo samathambo, isifo sezintso, okanye esinye isifo esinganyangekiyo kangangeenyanga, mhlawumbi neminyaka, kwaye ngaba uziva udiniwe kwaye ucotha rhoqo? Ugqirha wakho usenokuba ukuxelele ukuba unegazi eliphantsi. Oku kusenokuba kungenxa yokungabikho kwegazi okubangelwa sisifo sakho esinganyangekiyo. Yiloo nto sithetha ngayo namhlanje. Oku ngokwezonyango kubizwa ngokuba yi-'Anemia of Chronic Disease'.
Yintoni i-anemia ebangelwa zizifo ezihlala ixesha elide?
Ngamafutshane, oku kukwayi-anemia. Kuthetha ukuba inani leeseli ezibomvu zegazi ezithwala ioksijini emzimbeni wonke liyancipha. Kodwa oku kwahlukile kancinci kwi-anemia esiqhele ukuyiva ngenxa yokunqongophala kwesinyithi. Le meko ibangelwa kukudumba okubangelwa yimeko yezonyango ebisemzimbeni wakho kangangeenyanga ezingaphezu kwezintathu. Ngamanye amaxesha oogqirha babiza oku ngokuthi "i-Anemia of Inflammation".
Khawuthelekelele ukuba unesifo esinganyangekiyo esibangela ukuba umzimba wakho uhlale "utshile" kancinci (ukudumba). Oku kuthintela imizimba yethu ekusebenziseni ngokufanelekileyo i-iron efunekayo ukwenza iiseli ezibomvu zegazi. Kufana nokuba nazo zonke izithako zokupheka ekhaya, kodwa ungakwazi ukupheka ngaphandle kwegesi. Kodwa iindaba ezimnandi zezokuba uninzi lwabantu abanale meko bane-anemia encinci, engeyonto imbi kangako.
Ngubani onokuthi abe nale meko?
Njengoko igama lisitsho, i-anemia inokukhula nakubani na onesifo esingapheliyo. Nangona kunjalo, ixhaphake kakhulu kubantu abangaphezu kweminyaka engama-65 ubudala. Kukho iindidi eziphambili zezifo ezinokubangela i-anemia:
- Umhlaza
- Isifo sezintso esingapheliyo
- Ukumelwa yintliziyo
- Izifo ezizikhusela ngokwazo: Ezi zizifo apho inkqubo yomzimba yokuzikhusela, ekufanele ukuba ikhusele imizimba yethu, ihlasela umzimba ngokwawo.
Makhe sijonge indlela le anemia enokubangelwa ngayo zizifo ezininzi zenkqubo yomzimba yokuzikhusela kunye nezinye iimeko.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| Irheumatoid arthritis | Ukudumba ixesha elide kunye nentlungu emalungeni. |
| I-Lupus | Umonakalo obangelwa yinkqubo yomzimba yokuzikhusela ehlasela izicubu ezahlukeneyo emzimbeni. |
| I-Vasculitis | Ukudumba okanye ukudumba kwemithambo yegazi. |
| Isifo samathumbu esidumbileyo | Iimeko zamathumbu ezifana nesifo sikaCrohn kunye ne-ulcerative colitis. |
| Naluphi na uhlobo losulelo lwexesha elide | Naluphi na usulelo oluhlala emzimbeni ixesha elide lunokubangela oku. |
| Ukutyeba kakhulu | Ukutyeba kakhulu kunokubangela ukudumba okungapheliyo emzimbeni. |
Kutheni i-iron esemzimbeni ingasetyenziswa kwesi sifo?
Kunzima ukuyiqonda le nto, kodwa yingongoma ebaluleke kakhulu. Cinga ngayo ngolu hlobo...
Iseli ebomvu yegazi emzimbeni wethu idla ngokuhlala malunga neentsuku ezili-120. Emva kokuba zifile, umzimba ngobuchule uphinda usebenzise isinyithi kwezo seli ukuze wenze iiseli ezibomvu zegazi ezintsha.
Kodwa, xa unesifo esingapheliyo, uhlobo oluthile lweseli emzimbeni wethu olubizwa ngokuba zii-macrophages lubambelela kwi-iron evela kwezi seli zibomvu zegazi. Oko kukuthi, aziyikhuphi loo iron. Kufana nokuba ziyayivalela i-iron.
Ngoko ke, nangona i-iron igcinwa emzimbeni (njengeproteni ebizwa ngokuba yi-'Ferritin'), i-iron ayikhutshelwa egazini, ngoko ke iiseli ezintsha ezibomvu zegazi azinakwenziwa. Le yeyona nto iphambili eyenzekayo kwesi sifo.
Zithini iimpawu zoku?
Ezi mpawu zifana kakhulu nezo ze-anemia ebangelwa kukungabikho kwe-iron. Abanye abantu basenokungabi nazo kwaphela iimpawu. Abanye banokuba nazo kuphela ezi mpawu xa bezilolonga. Abantu abaneempawu banokuba nazo:
| Uphawu | Inkcazo |
|---|---|
| Ukudinwa kakhulu kunye nobuthathaka | Ukuziva ubuthathaka kangangokuba awukwazi nokwenza imisebenzi yakho yemihla ngemihla. |
| Ubunzima bokuphefumla | Ukuziva unesizungu nokuba uhamba kancinci okanye unyuka izinyuko. |
| Inkangeleko ekhanyayo yolusu | Ulusu, imilebe, kunye neentende zibonakala zimhlophe kunesiqhelo. |
| Ukubila ngaphandle kwesizathu | Ukuziva ubanda kwaye ubila ngaphandle kwesizathu esithile. |
| Ukudinwa kunye nokuquleka | Uziva ngathi amehlo akho ajika abe luhlaza okwesibhakabhaka xa usukuma okanye uphakama ngequbuliso. |
| Intloko ebuhlungu | Intloko ebuhlungu rhoqo. |
Uyifumana njani le nto, Gqirha?
Ugqirha wakho uza kukubuza ngeempawu zakho kunye nazo naziphi na ezinye iimeko zempilo onokuba nazo, kwaye ukuba bacinga ukuba oku kunjalo, baza kuyalela uvavanyo lwegazi. Olu vavanyo lwegazi lolona kuphela indlela yokufumanisa esi sifo.
Oko kuboniswa ziingxelo zovavanyo lwegazi
| Uvavanyo | Ngamafutshane, ubona ntoni kule nto? |
|---|---|
| Inqanaba le-hemoglobin | Iproteni enika iiseli ezibomvu zegazi umbala wazo obomvu kwaye ithwala ioksijini. Ixabiso layo liyehla. |
| Inqanaba lesinyithi se-serum | Ubungakanani be-iron ekhululekileyo egazini. Eli lixabiso eliphantsi. |
| Inani lee-reticulocyte | Oku kubhekisa kwiiseli ezibomvu zegazi "ezincinci". Ukuba eli nani liphantsi, kuthetha ukuba umongo wethambo awuvelisi iiseli ezintsha ngesantya esicothayo. |
| Inqanaba le-serum ferritin | Le yeyona nto ibalulekileyo . I-Ferritin yiproteni egcina i-iron emzimbeni. Nangona iphantsi kakhulu kwi-iron enqongopheleyo, ixabiso layo liqhelekile okanye liphezulu kwi-Anemia yeSifo esiNgapheliyo . |
Kunqabile kakhulu, ugqirha angacebisa ukuba kwenziwe i-bone marrow biopsy ukuba kuyimfuneko.
Zithini iindlela zonyango zoku?
Unyango olungcono nolubaluleke kakhulu lwale anemia kukunyanga ngokufanelekileyo isifo esibangele i-anemia.
Khawuthelekelele ukuba une-anemia ngenxa ye-rheumatoid arthritis. Xa usela amayeza anikwe ngugqirha wakho ukulawula i-arthritis yakho, ukudumba emzimbeni wakho kuncipha. Emva koko i-iron ebambekileyo iyakhululwa, kwaye i-anemia phantse iphucuke ngokuzenzekelayo.
Kubaluleke kakhulu: Ungaze uthathe izongezo zesinyithi wedwa ngaphandle kokubonisana nogqirha wakho. Oku kungenxa yokuba isinyithi sigcinwa emzimbeni ngeli xesha lokugula, kwaye ukongeza isinyithi esingaphezulu kunokuba yingozi emzimbeni.
Abantu abane-anemia enzima ngamanye amaxesha banokufuna olunye unyango:
- Utofelo-gazi: Olu lulungiso olukhawulezileyo, kodwa alusosisombululo sexesha elide.
- Unyango lwe-EPO oluyilwe ngokwenziwa: I-EPO yi-hormone eveliswa zizintso. Inika umqondiso kumongo wethambo ukuba "wenze iiseli ezibomvu zegazi." Xa olu tyando lunikwa, ukuveliswa kweeseli ezibomvu zegazi kuyanda.
- Iipilisi zentsimbi: Ngamanye amaxesha, ugqirha wakho unokugqiba ekubeni akunike iipilisi zentsimbi kunye nenaliti ye-EPO, kodwa oku kufanele kwenziwe kuphela phantsi kweliso likagqirha.
Usenokuba uzive udiniwe kakhulu kwaye uxinezelekile ngenxa yezi mpawu ze-anemia, kunye nemeko yakho yempilo yexesha elide. Kodwa khumbula, le meko idla ngokuba ncinci kwaye iba ngcono xa imeko engaphantsi inyangwa. Kubalulekile ukuthetha nogqirha wakho malunga notshintsho kwindlela yokutya kunye nendlela yokuphila olulungele wena.
Umyalezo Wokuya Ekhaya
- I-anemia yeSifo Esingapheliyo ayikokunqongophala kwe-iron ekutyeni kwakho. Ibangelwa kukudumba emzimbeni ngenxa yesifo esihlala ixesha elide.
- Eyona ndlela ilungileyo yokunyanga oku kukuphatha imeko onayo (umz., isifo samathambo, isifo sezintso).
- Ukuba uneempawu ezinje ngokudinwa kakhulu, ukuphefumla kancinci, kunye nokuba mdaka, xelela ugqirha wakho.
- Musa ukusebenzisa iipilisi zesinyithi ngaphandle kwengcebiso kagqirha nangasiphi na isizathu. Kwimeko enjalo, inokulimaza umzimba.
- Thetha ngokukhululekileyo nogqirha wakho ngazo zonke iingxaki zakho zempilo kunye nonyango.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho