Ingaba iiseli zakho ezibomvu zegazi zincinci? Masithethe ngeMicrocytosis!

Ngamanye amaxesha xa uvavanywa igazi, uziva usoyika kancinci xa ubona amagama athile kwingxelo, akunjalo? Elinye igama elinjalo 'yiMicrocytosis'. Kodwa ungoyiki, eli asilogama lesifo esibi. Kuthetha nje ukuba iiseli zakho ezibomvu zegazi zincinci kancinci kunesiqhelo. Namhlanje, siza kuthetha ngale nto ngokweenkcukacha, ngokulula.

Yintoni iMicrocytosis?

Ngamafutshane, i-microcytosis iyenzeka xa iiseli ezibomvu zegazi lakho zincinci kunesiqhelo. Asiyithathi le nto njengesifo, kodwa sisiphumo esinokubonwa emva kovavanyo lwegazi. Oku kuqhele ukufunyaniswa ngokubalwa kwegazi okupheleleyo (i-CBC). Cinga ngayo njengengxelo enika iinkcukacha malunga neeseli zegazi emzimbeni wakho.

Kukho ixabiso kule ngxelo ye-`CBC`, ebizwa ngokuba yi -`Mean Corpuscular Volume` (MCV) . Eli xabiso le-`MCV` lisetyenziselwa ukulinganisa ubungakanani obuqhelekileyo beeseli zakho ezibomvu zegazi. Kwimeko yomntu omdala, ukuba eli xabiso le-`MCV` lingaphantsi kweefemtoliters ezingama-80 `(80 fL)`, sithi kukho i-microcytosis.

Amaxesha amaninzi, le meko ibizwa ngokuba yi-microcytosis inokuba luphawu lohlobo lwe-anemia ebizwa ngokuba yi -microcytic anemia . Kule microcytic anemia, kukho ukungabikho kwe -hemoglobin eyaneleyo kwiiseli ezibomvu zegazi. Ubusazi na ukuba i-hemoglobin yiproteni ebaluleke kakhulu enceda iiseli zethu ezibomvu zegazi zithwale ioksijini emzimbeni wonke?

Ixhaphake kangakanani le meko?

Enyanisweni, le meko ibizwa ngokuba yiMicrocytic Anemia luhlobo oluqhelekileyo lwe-anemia olubonwa kubantu abadala nabantwana abancinci. Ngoko ke, kubaluleke kakhulu ukukwazi oku.

Ziziphi iimpawu zeMicrocytosis?

Ixesha elininzi, akukho zimpawu zithile. Okubonakalayo kwingxelo kukuba ixabiso le-`MCV` liphantsi.

Nangona kunjalo, ukuba iimpawu ziyavela, ziyafana neempawu zesifo iMicrocytic Anemia endizikhankanyileyo ngaphambili. Zezi:

• Ndiziva ndidiniwe ngalo lonke ixesha. Ngokungathi akukho bomi emzimbeni.
• Ulusu oluphaphathekileyo. Ngamanye amaxesha imilebe nolwimi lunokuba mhlophe.
• Ubunzima bokuphefumla. Ungaziva utyhafile nokuba ukhe wazibhokoxa kancinci.
• Isantya sentliziyo siyanda.
• Imeko ebizwa ngokuba yi-'Pica'. Oku kwenzeka kuphela xa ukunqongophala kwesinyithi kubangela i-microcytosis. 'I-Pica' ngumnqweno wokutya izinto ezingatyiwayo njengothuli, iityhubhu zomkhenkce, nodongwe.

Ukongeza kwezi mpawu, unokufumana iimpawu ezinxulumene nesizathu esiyintloko se-microcytosis.

Kutheni le nto kukho le microcytosis?

Eyona nto ixhaphakileyo ebangela i-microcytosis kukuba umzimba wakho awufumani i-iron eyaneleyo. Oku kubizwa ngokuba yi -anemia yokunqongophala kwe-iron . Khumbula, ndithe i-iron ibalulekile ekwenzeni i-hemoglobin.

Ukongeza, izinto ezingqongileyo, iimeko ezithile zempilo (zombini ezizalwa nazo nezifunyenweyo), kunye nemikhwa ethile nazo zinokubangela i-microcytosis.

Izizathu eziphambili ze-microcytosis:

• Ukunqongophala kwesinyithi:
• Ukungafumani i-iron eyaneleyo ekutyeni: Ngamanye amaxesha ukutya esikutyayo kusenokunganikeli i-iron eyaneleyo emizimbeni yethu. Abantu abatya imifuno kuphela kufuneka balumke ngale nto.
• Iingxaki zokufunxwa kwesinyithi: Khawuthelekelele, nokuba utya ukutya okunesinyithi, ukuba unesifo esifana 'nesifo seCeliac' okanye isifo sesisu esifana 'nesifo seH. pylori' , umzimba awukwazi ukufunxwa kwesinyithi ngokufanelekileyo. Kwakhona, esi sifo sinokwenzeka emva kotyando olufana 'notyando lweGastric bypass' lokunciphisa umzimba.
• Ukunqongophala kwesinyithi ngenxa yokopha: Kwabasetyhini, ukopha kakhulu exesheni ngexesha lokuya exesheni kunokubangela ukunqongophala kwesinyithi. Kwakhona, ukopha kwamathumbu (GI) ngenxa yesilonda esiswini okanye emathunjini yenye imbangela.

• I-Thalassemia:
• Esi sisifo semfuza esifunyanwa njengelifa. Kule meko, umzimba awukwazi ukuvelisa i-hemoglobin ngokufanelekileyo. Umntu one-thalassemia unokuba nenani eliqhelekileyo okanye elandileyo leeseli ezibomvu zegazi, kodwa ubungakanani be-hemoglobin ngaphakathi kwezo seli buphantsi. Oku kubizwa ngokuba yi -hypochromic microcytosis . Kwezinye iintlobo ze-thalassemia ezithambileyo, yi-microcytosis kuphela enokubonwa ngaphandle kwe-anemia.

• I-anemia yesifo esingapheliyo:
• Ukudumba okubangelwa zizifo ezihlala ixesha elide ezifana nezifo ezihlasela umzimba ( umz. i-rheumatoid arthritis), usulelo olungapheliyo, isifo sezintso, kunye nomhlaza kunokuphazamisa amandla omzimba okusebenzisa i-iron ukwenza iiseli ezibomvu zegazi ezisempilweni.

Izizathu ezingaqhelekanga ze-microcytosis:

Ezi zincinci kancinci, kodwa kulungile ukuzazi:

• Iimeko ezingaqhelekanga zemfuza eziphazamisa ukuveliswa nokusebenza kweeseli ezibomvu zegazi.
• Ukunqongophala kwezimbiwa (umzekelo, ukunqongophala kobhedu).
• Ityhefu yelothe.

Ungazi njani ngokuchanekileyo ukuba une-microcytosis?

Njengoko benditshilo ngaphambili, i-microcytosis ayilogama elisemthethweni lesifo. Ithetha nje ukuba iiseli zakho ezibomvu zegazi zincinci kunesiqhelo.

Ugqirha wakho uza kuqwalasela iimpawu zakho, ubudala bakho, isini sakho, kunye nembali yakho yezonyango ukuze abone ukuba yintoni enokubangela oku. Umzekelo, ukuba uphuma igazi elininzi ngexesha lokuya esikhathini, isenokuba yi-anemia yokungabikho kwesinyithi. Okanye, ukuba umntu kusapho lwakho une-thalassemia, oko kungaba yimbangela.

Ugqirha angenza iimvavanyo ezingaphezulu ukuze afumanise ukuba yintoni kanye kanye imbangela yokwenyani.

Zeziphi iimvavanyo ezenziwayo koku?

Kukho iimvavanyo ezininzi ezinokunceda ugqirha ukuba afumane unobangela wale meko:

• I-smear yegazi engaphandle: Oku kuquka ukuthatha isampuli yegazi lakho uze uyijonge phantsi kwe-microscope. Oku kunokuqinisekisa ukuba iiseli zakho ezibomvu zegazi zincinci ngokwenene na kwaye ukuba zinazo naziphi na ezinye iingxaki. Ukuba iiseli zakho ezibomvu zegazi zinobukhulu obahlukeneyo kunye nemilo (i-Poikilocytosis), kunokuba luphawu lwezinye zezifo ezibangela i-microcytosis.
• Ububanzi bokusasazwa kweeseli ezibomvu (RDW): Oku kukwalinganisa umahluko kubungakanani beeseli zakho ezibomvu zegazi. Eli lixabiso elifumaneka kwingxelo ye-CBC. Ngokwesiqhelo, iiseli ezibomvu zegazi zilingana ngobukhulu. Nangona kunjalo, ukuba kukho umahluko omkhulu kubungakanani beeseli (i-Anisocytosis), kunokunika umbono ngezinye izifo.
• Amanqanaba esinyithi: Amanqanaba esinyithi aphantsi egazini luphawu lwe-anemia yokungabikho kwesinyithi.
• Amanqanaba eFerritin: IFerritin yiproteni egcina i-iron ngaphakathi kweeseli zethu. Ngokujonga eli nqanaba le-ferritin, ungafumanisa ukuba ingakanani i-iron ekhoyo emzimbeni.
• Umthamo wokubopha intsimbi iyonke (TIBC): Olu vavanyo, xa lwenziwa kunye namanqanaba entsimbi kunye ne-ferritin, lunokuba luncedo olukhulu ekuchongeni ukungabikho kwentsimbi. Lunokunceda ekuchongeni i-anemia ebangelwa zizifo ezingapheliyo okanye ukudumba.

Nje ukuba kuqinisekiswe ukuba akukho ngxaki yesinyithi, ukuze wazi ngokuqinisekileyo ukuba imbangela yi-thalassemia, kuya kufuneka kwenziwe uvavanyo olufana ne -hemoglobin electrophoresis kunye novavanyo lwemfuza .

Iphathwa njani iMicrocytosis?

Unyango luxhomekeke kwisizathu sokuba inani leeseli ezibomvu zegazi lakho liphantsi. Ngamanye amaxesha, ukuba awunazo iimpawu kwaye iziphumo zovavanyo azikho mbi kakhulu, unyango lusenokungabi yimfuneko.

Ngokuxhomekeke kwisizathu, unyango olulandelayo lunokwenziwa:

• Utshintsho kwindlela yokutya: Ukongeza ukutya okutyebileyo kwi-iron (umz., intlanzi, iimveliso zesoya (i-tofu), ii-peas, iimbotyi, imifuno eluhlaza, iziqhamo) ekutyeni.
• Izongezo zesinyithi: Ezi zinikwa abantu abane-anemia enqongopheleyo yesinyithi.
• Utofelo-gazi: Oku kwenziwa kuphela xa i-anemia imbi kakhulu.

Eyona nto ibalulekileyo kukulandela isicwangciso sonyango esinikwa ngugqirha wakho ngokwengxaki esisiseko.

Ngaba iMicrocytosis ingabuyiselwa kwimeko yesiqhelo?

Oko kuxhomekeke kwisizathu. Kwiimeko ezininzi, i-microcytosis iyaphela xa imeko engundoqo inyangiwe. Ugqirha wakho angakuxelela indlela unyango oluya kuzichaphazela ngayo iiseli zakho zegazi kunye nempilo iyonke.

Kuza kwenzeka ntoni ukuba ayinyangwa?

Ayingabo bonke abantu abane-microcytosis okanye i-microcytic anemia abaya kufuna unyango. Nangona kunjalo, ukuba unesifo esinzulu esibangela ukuba iiseli zakho ezibomvu zegazi zibe ncinci, kubalulekile ukuba uxilongwe kwaye unyangwe ngokukhawuleza. Landela imiyalelo kagqirha wakho malunga nokuba uyalufuna na unyango kunye nento onokuyilindela kunyango.

Ngaba iMicrocytosis iyingozi kakhulu?

I-Microcytosis yenye nje yeempawu zeeseli zakho ezibomvu zegazi. Isenokuba luphawu lwesifo esifuna unyango (kunye nezinye iimpawu). Kodwa uninzi lwexesha, ayibalulekanga kangako, kwaye isenokuba yinto oyibonayo kwingxelo.

Ugqirha wakho uza kukuxelela ukuba i-microcytosis yakho ibonisa imeko efuna unyango.

Ndingenza ntoni ukunciphisa lo mngcipheko?

Akunakwenzeka ukuthintela zonke izifo ezinokubangela ukutshatyalaliswa kweeseli ezibomvu zegazi. Nangona kunjalo, unganciphisa umngcipheko wakho ngokulandela imikhwa ethile yezempilo.

Eyona nto ibalulekileyo koku kukuqinisekisa ukuba ufumana i-iron eyaneleyo ekutyeni kwakho. Ukutya okutyebileyo kwi-iron kuquka:

• Ukutya kwaselwandle okufana ne-tuna kunye ne-mackerel
• Iimveliso ezisekwe kwisoya (iTofu)
• Iimbotyi ezifana neembotyi, iimbotyi eziluhlaza, iitships, kunye neelentile
• Imifuno eluhlaza okwesibhakabhaka efana nespinatshi, ikale, kunye nemifuno eluhlaza
• Iziqhamo ezifana needethi kunye neerayisi
• Inyama, ingakumbi inyama ebomvu (inyama yenkomo, yebhokhwe) kunye nenkukhu

Kwakhona, ukuba ukhe wenziwa utyando lwesisu okanye unesinye isifo esinciphisa amandla akho okufunxa i-iron ekutyeni, thetha nogqirha wakho malunga nezongezo ze-iron ozifunayo.

Ukuba unemeko ekubeka esichengeni se-anemia, njenge-thalassemia okanye isifo sokuzikhusela komzimba, landela icebiso likagqirha wakho malunga nendlela yokunciphisa umngcipheko wakho.

Ndingayibuza ntoni ugqirha?

Ukuba ufumanisa ukuba une-microcytosis, landela imiyalelo kagqirha wakho malunga nento omawuyenze ngokulandelayo. Usenokubuza imibuzo efana nale:

• 'Ngaba kufuneka ndikhathazeke nge-MCV yam ephantsi?'
• 'Zeziphi ezinye iimvavanyo endiza kuzidinga ukuze ndifumane unobangela we-microcytosis?'
• 'Ngaba ndiza kufuna unyango?'
• 'Luhlobo luni lweziphumo endimele ndizilindele kolu nyango?'
• 'Zeziphi iinguqu endinokuzitshintsha kwindlela endiphila ngayo ukuze nditshintshe le microcytosis?'

Ngaba kukho unxibelelwano phakathi kwe-microcytosis kunye nomhlaza?

I-Microcytosis ngamanye amaxesha inokuba luphawu lomhlaza, kodwa idla ngokuba luphawu lwezinye iimeko. I-Microcytosis idla ngokuba luphawu lokunqongophala kwesinyithi. Into ebalulekileyo kukungaxhalabi uze ucinge ukuba ngumhlaza (okanye enye into) de ugqirha wakho akuchazele okwenzekayo ngovavanyo lwakho lwegazi.

Kuqhelekile ukuba nexhala xa ubona iziphumo ezingaqhelekanga kuvavanyo lwezonyango. Nangona kunjalo, ukuba nomlinganiselo ongaqhelekanga akuthethi ukuba uyagula okanye udinga unyango. Amaxabiso afana ne-"MCV" lulwazi nje olunceda ugqirha wakho aqonde impilo yakho iyonke. Cela ugqirha wakho ukuba akunike isikhokelo malunga nendlela iziphumo zovavanyo lwakho ezinokuluchaphazela ngayo unyango lwakho lwexesha elizayo.

Ngoko ke, zeziphi izinto ekufuneka sizikhumbule kuzo zonke ezi zinto?

Kulungile, makhe sijonge nje ezinye zezona zinto zibalulekileyo ekufuneka uzikhumbule kwinto esithethe ngayo:

• I-Microcytosis ayisosifo, ithetha nje ukuba iiseli zakho ezibomvu zegazi zincinci kunesiqhelo.
• Oku kudla ngokufunyaniswa nge-"CBC" (ubalo lwegazi olupheleleyo).
• Eyona nto ixhaphakileyo kukungabikho kwesinyithi emzimbeni, kodwa kunokubakho nezinye izizathu, ezifana ne-thalassemia kunye nezifo ezingapheliyo.
• Abantu abaninzi ababonisi zimpawu. Ukuba bazibonakalisa, basenokudinwa, babe buthathaka, kwaye babe nobunzima bokuphefumla.
• Ugqirha uza kwenza iimvavanyo ezingaphezulu ukuze afumane unobangela.
• Unyango luxhomekeke kwisizathu. Ngamanye amaxesha, unyango lusenokungabi yimfuneko konke konke.
• Musa ukoyika! Ukuba uqaphela ukuba i-MCV yakho iphantsi, thetha nogqirha wakho ukuze ufumane isizathu sokuba kutheni kwaye wenze ntoni.
• Kubalulekile ukugcina ukutya okunempilo, ingakumbi ukutya ukutya okutyebileyo kwi-iron.

Khumbula, olu lwazi lujolise ekunikeni ulwazi kuphela, kungekhona ukukoyikisa ucinge ukuba unesifo. Ukuba unamathandabuzo okanye imibuzo, kungcono ukubona ugqirha ukuze akunike ingcebiso.

"I-Microcytosis, Iiseli ezibomvu zegazi, I-Anemia, Ukungabikho kwe-iron, i-Hemoglobin, i-MCV