Linjani izinga lensimbi emzimbeni wakho? (Ukuhlolwa kwe-Ferritin) Ake sithole ngalokhu.

Wake wezwa ngaleli gama elithi 'Ferritin'? Mhlawumbe udokotela ukucele ukuthi ubhale lesi sivivinyo. Noma mhlawumbe uke wezwa umngane ekhuluma ngaso. Kalula nje, lesi sivivinyo se-ferritin siwukuhlolwa kwegazi okuhlola ukuthi unensimbi engakanani emzimbeni wakho. Insimbi iyinto ebalulekile emizimbeni yethu, akunjalo? Ngakho-ke ake sixoxe ngalesi sivivinyo ngokuningiliziwe namuhla.

Imizimba yethu idinga insimbi ukuze yenze amangqamuzana abomvu egazi aphilile. Lawa mangqamuzana abomvu egazi athwala umoya-mpilo ovela emaphashini uye kuwo wonke umzimba. Insimbi ibalulekile futhi emisipheni enempilo, umnkantsha wamathambo, kanye nezinye izitho zomzimba ukuze zisebenze kahle. Noma iyiphi insimbi eningi emzimbeni wakho igcinwa ngaphakathi kwamangqamuzana akho njenge-ferritin, esetshenziswa kamuva. Lokhu kugcinwa kakhulu kumaseli akho esibindi kanye namasosha omzimba.

Uma umzimba wakho usebenzisa insimbi, inani elincane le-ferritin likhishwa emaseli liye egazini. Yingakho izinga le-ferritin egazini lakho lingakunikeza umbono wokuthi ingakanani insimbi egcinwe emzimbeni wakho.

Kungani udokotela angancoma lolu vivinyo lwe-ferritin?

Kulungile, manje ake sibone ukuthi kungani udokotela engayala lokhu kuhlolwa kwe-ferritin. Isizathu esiyinhloko ukuhlola ukuthi unenani elifanele lensimbi emzimbeni wakho. Ngezinye izikhathi odokotela benza lokhu ukuhlola ukugula. Okusho ukuthi, uma besola ukuthi unezinga eliphansi lensimbi, noma uma ubonisa izimpawu ezihlobene nayo, bazoyala lokhu kuhlolwa. Ngoba kokubili amazinga aphansi nephezulu ensimbi angabangela izinkinga.

Kwezinye izimo, uma unesifo esifana ne- Restless Legs Syndrome (okusho ukuthi umane nje uzizwa ungakhululekile emilenzeni yakho, uhlala uzizwa sengathi ufuna ukuhambisa imilenze yakho), noma uma unezifo ezithile zesibindi, ungase ufune ukwenza lolu vivinyo lwe-ferritin. Futhi, uma i-Complete Blood Count (CBC) yakho ikhombisa ukuthi amanani akho e-Hemoglobin noma i-Hematocrit aphansi, ungase ufune ukuhlola le-ferritin ngokulandelayo.

Ngezinye izikhathi, noma kungekho zimpawu, odokotela basebenzisa lokhu 'njengokuhlola', ukuhlolwa kokuthola isifo ngaphambi kokuba sivele. Kodwa hhayi wonke umuntu. Kwenzelwa abantu abasengozini enkulu yokuthola ukuntuleka kwensimbi. Isibonelo:

• Uma isisindo somzimba wakho singaphansi kwezinga elinconywayo.
• Uma uphuma igazi eliningi ngesikhathi sokuya esikhathini.
• Uma ukhulelwe.
• Uma unenkinga yokumunca izakhamzimba ekudleni (isibonelo, isimo esifana nesifo samathumbu esivuvukalayo ) noma uke wahlinzwa ngendlela ethile yokuhlinzwa kwamathumbu (GI).

Ziyini izimpawu ze-iron ephansi kanye ne-ferritin ephansi?

Manje ake sibone ukuthi yiziphi izimpawu ezingavela uma umzimba une-iron ephansi, okungukuthi, uma i-ferritin iphansi. Siphinde sikubize lokhu ngokuthi 'i-anemia yokuntuleka kwe-iron' . Cabanga uma ubuzizwa izinto ezinjengalezi:

• Isikhumba sibukeka simhlophe kunokujwayelekile.
• Ngizizwa ngikhathele futhi ngingakwazi ukwenza lutho.
• Ukuzizwa ubuthakathaka .
• Kungazwakala sengathi unesiyezi .
• Uma uhamba ngokushesha noma ukhuphuka izitebhisi, uzizwa sengathi unenkinga yokuphefumula (i-Dyspnea).
• Inhliziyo ingase izwakale sengathi ishaya ngokushesha (i-tachycardia).

Lezi ezinye zezimpawu eziyinhloko zokuntuleka kwensimbi.

Ziyini izimpawu ze-iron ephezulu kanye ne-ferritin ephezulu?

Njengoba nje ukuba nensimbi encane kakhulu, ukuba nensimbi eningi nakho kubi. Lokhu kubizwa ngokuthi i-hemochromatosis , noma ukugcwala kwensimbi ngokweqile. Kungabangela izimpawu ezifana nalezi:

• Ubuhlungu bamalunga .
• Izinkinga zenhliziyo zingase zibe khona.
• Ungase wehlise isisindo ngaphandle kwesizathu.
• Ungase ube nobuhlungu besisu .
• Izinwele zomzimba zingase ziqale ukuwohloka .
• Isifiso socansi singase sehle .
• Ungase uzizwe ukhathele futhi ungenampilo ngaso sonke isikhathi.

Ubani ohlola lokhu kwe-Ferritin?

Ngokuvamile, lokhu kudonsa igazi kwenziwa ngumuntu oqeqeshwe ngokukhethekile obizwa ngokuthi 'i-Phlebotomist' . Okusho ukuthi, umuntu onguchwepheshe ekudonseni igazi. Kodwa-ke, noma yimuphi umsebenzi wezempilo noma umhlengikazi oqeqeshwe ukudonsa igazi angakwenza lokhu. Ngemva kokuba isampula yegazi selithathwe kuwe, lithunyelwa elabhorethri. Lapho, usosayensi weLabhorethri Yezokwelapha ulungisa isampula futhi asebenzise imishini ekhethekile (ama-Analyzers) ukwenza lokhu kuhlolwa.

Ingabe udinga ukulungiselela ngaphambi kokuhlolwa?

Yebo, ngezinye izikhathi udokotela wakho uzokutshela ukuthi ungadli noma uphuze lutho amahora ayi-12 ngaphambi kokuhlolwa (amanzi nje alungile). Lokhu sikubiza ngokuthi 'ukuzila ukudla'. Kodwa lokhu akudingeki ngaso sonke isikhathi. Ngakho-ke kungcono ukubuza udokotela wakho noma ilebhu ngqo. Ungabi namahloni okubuza, "Dokotela, akufanele ngidle ngaphambi kwalokhu kuhlolwa?" Uma unemibuzo, ungesabi ukubuza udokotela wakho.

Kwenzekani uma ubhala isivivinyo?

Ukunikela ngegazi kuyinto abantu abaningi abayaziyo. Kodwa ake sibheke ukuthi kwenzekani ngempela:

• Uzohlaliswa esihlalweni. Ngemuva kwalokho isisebenzi sezempilo sizobheka izingalo zakho bese sithola umthambo olula wokukhipha igazi kuwo. Ngokuvamile, ungaphakathi kwendololwane.
• Uma umthambo usutholakele, indawo iyahlanzwa kahle futhi ihlanzwe ngamagciwane.
• Bese kufakwa inaliti encane emthanjeni bese kuthathwa isampula yegazi. Ngalesi sikhathi, ungase uzizwe ungenamizwa kanye nobuhlungu obuncane, njengokulunywa yintuthwane.
• Ngemva kokufaka inaliti, inani elincane legazi liqoqwa epayipini lokuhlola.
• Ngemva kokuthathwa kwegazi elidingekayo ekuhlolweni, inaliti iyasuswa bese kufakwa ucezu lwekotini noma i-gauze endaweni bese kufakwa ingcindezi encane ukuze kumiswe ukopha.
• Ngemuva kwalokho, kufakwa ucezu oluncane lweplasta endaweni bese umsebenzi usuphelile.

Kuthatha imizuzu engaphansi kwemihlanu ukwenza konke lokhu. Umsebenzi osheshayo kakhulu.

Ngemva kokuhlolwa?

Ngemva kokuthathwa kwesampula yegazi lakho, lizothunyelwa elabhorethri ukuze lihlolwe. Uma umbiko usubuyile, udokotela wakho uzokukhombisa wona futhi akuchazele imininingwane.

Ingabe kukhona ingozi kulokhu?

Ukuhlolwa kwegazi kuvame kakhulu. Kubalulekile ekuhlolweni kwezokwelapha. Ngakho-ke akukho bungozi obukhulu kulokhu. Ungase uzizwe ubuhlungu noma uluhlaza okwesibhakabhaka lapho igazi lithathwe khona. Kodwa lokho kuzolunga maduze.

Kuthatha isikhathi esingakanani ukuthi umbiko ufike?

Esikhathini esiningi, ungathola umbiko wakho wokuhlolwa kwe-ferritin ngosuku olulodwa noma ezimbili . Kodwa-ke, kwamanye ama-lab, ngezinye izikhathi kungathatha isikhathi eside. Kungahluka kuye ngelab.

Yini ekulo mbiko? Uyiqonda kanjani?

Uma uthola umbiko wegazi, okungukuthi, umbiko we-ferritin, ngokuvamile uqukethe imininingwane efana nale:

• Igama lokuhlolwa kwegazi okwenziwe, noma lokho okulinganiswe egazini lakho.
• Umphumela wokuhlolwa kwegazi lakho, okungukuthi, inani.
• Ububanzi obujwayelekile bamanani alolo vivinyo (olubizwa nangokuthi 'ububanzi bokubhekisela').
• Ulwazi olukhombisa ukuthi umphumela wakho ujwayelekile, awujwayelekile, uphansi, noma uphezulu.

Ayini amazinga ajwayelekile e-ferritin?

Lokhu kubaluleke kancane. Ububanzi obujwayelekile bamanani e-ferritin bungahluka kancane kusuka kwelebhu kuya kwelebhu. Uma uthola umbiko wakho, uzosho ukuthi ungakanani ububanzi obujwayelekile baleyo lebhu.

Kodwa ngokuvamile, amazinga ajwayelekile e-ferritin anjengoba alandelayo:

• Kwabesifazane : 14.7 kuya ku-205.1 nanograms nge-milliliter (14.7 kuya ku-205.1 ng/mL).
• Kwabesilisa : 30.3 kuya ku-565.7 nanograms nge-milliliter (30.3 kuya ku-565.7 ng/mL).

Uma unemibuzo mayelana nombiko wakho, ngokuqinisekile kuwumqondo omuhle ukubuza udokotela wakho. Ungacabangi nokubuza ukuthi, "Dokotela, ingabe lokhu kuyinto evamile kimi?"

Kusho ukuthini ukuthi i-ferritin ephezulu isho ukuthini?

Uma izinga lakho le-ferritin liphezulu, imbangela eyodwa engaba khona yisimo esibizwa ngokuthi i-hemochromatosis , okuwukuqongelela kwensimbi eningi emzimbeni.

Kodwa lesi akusona ukuphela kwesizathu sokwanda kwe-ferritin. I-Ferritin iwuphawu olubalulekile lokuvuvukala emzimbeni. Ngakho-ke, uma kukhona ukutheleleka noma ukuvuvukala emzimbeni, inani le-ferritin lingakhuphuka kalula.

Ezinye izizathu zokuthi kungani i-ferritin ingakhuphuka zifaka:

• Ukusebenzisa utshwala ngokweqile (inkinga yokusebenzisa utshwala).
• Izifo ezingamahlalakhona njengesifo sikashukela kanye nezifo ze-Autoimmune .
• Ezinye izinhlobo zomdlavuza , isibonelo, umdlavuza wegazi (i-Leukemia noma i-Lymphoma).
• Ukukhuluphala ngokweqile .
• Ukwanda komsebenzi we-thyroid gland (i-Hyperthyroidism).
• Isifo sika-Still esiqala kubantu abadala .
• Izifo zesibindi , isibonelo , i-cirrhosis .
• Ukulimala kwe-spleen, i-bone morrow, noma isibindi .

Kusho ukuthini ukuthi i-ferritin ephansi isho ukuthini?

Uma umbiko wakho we-ferritin uphansi kunojwayelekile, kungasho izinto ezifana nalezi:

• I-anemia yokuntuleka kwensimbi . Lokhu kusho ukuthi umzimba wakho awunawo amangqamuzana abomvu egazi anele anempilo. Lena yimbangela engenzeka kakhulu ye-ferritin ephansi.
• Ukopha (okuvame kakhulu okuvela endleleni yokugaya ukudla).
• Umzimba wakho ungase ungamunci kahle i-iron ekudleni okudlayo .

Uma izinga lakho le-ferritin liphansi, udokotela wakho cishe uzoyala ukuhlolwa kwegazi okwengeziwe. Ngokuqhathanisa lokhu nombiko, banganquma ukuthi unesifo esingakanani sokushoda kwensimbi. Ezinye izivivinyo zifaka:

• Insimbi ye-serum .
• Umthamo ophelele wokubopha insimbi (TIBC) .
• Ukugcwala kwe-Transferrin .

Ingabe kufanele ngikhathazeke uma izinga lami le-ferritin lishintsha?

Ukuthi nje umbiko wakho we-ferritin uphansi noma uphezulu akusho ukuthi unesifo esibi kakhulu.

Ngezinye izikhathi, izinto ezifana nokudla kwakho nezinye izimo zokuvuvukala emzimbeni wakho zingathinta amazinga akho e-ferritin. Noma, kungaba nephutha elincane lapho uthatha igazi ukuze ulihlole, uliyise elabhorethri, noma wenza ukuhlolwa elabhorethri.

Uma uthola umphumela ongajwayelekile, udokotela wakho uzokhuluma nawe ngakho futhi angenza ezinye izivivinyo ukuthola ukuthi kungani inani lishintshile.

Kufanele ngimbone nini udokotela?

Uma uzizwa sengathi unezimpawu zokuntuleka kwensimbi noma ukugcwala kwensimbi okukhulunywe ngakho ekuqaleni, bona udokotela ngokushesha okukhulu.

Kujwayelekile ukuzizwa ukhathazekile kancane uma ubona ushintsho embikweni. Kodwa khumbula, kungakhathaliseki ukuthi i-ferritin yakho iphansi noma iphezulu, akusho ukuthi unesifo noma udinga ukuthatha imithi. Cishe umuntu oyedwa kwabangu-20 abaphilile angase abe nombiko ongaphezu kwesilinganiso esijwayelekile. Udokotela wakho uzokutshela uma udinga ukwenza ezinye izivivinyo nokuthi kungani inani lishintshile.

Ingxenye engcono kakhulu ukuthi izimo eziningi ezibangelwa ukuntuleka kwensimbi zingelashwa ngempumelelo ngemithi, ukushintsha ukudla, noma ezinye izindlela zokwelapha.Ngakho-ke ungesabi ukubuza udokotela wakho imibuzo. Bakhona ukuzokusiza.

Izinto ezibaluleke kakhulu okufanele sizithathe ekhaya kule ndaba yilezi:

Kulungile, ngakho-ke sikhulume kakhulu ngokuhlolwa kweFerritin namuhla, akunjalo?

Kalula nje, lokhu kulinganisa ukuthi ingakanani insimbi oyigcinile emzimbeni wakho . Insimbi ibaluleke kakhulu emizimbeni yethu.

• Lokhu kuhlola kungabona ukuntuleka kwensimbi (i-anemia) kanye nokugcwala kwensimbi .
• Kungase kudingeke uyeke ukudla noma ukuphuza ngaphambi kokuhlolwa. Buza udokotela wakho ngalokhu.
• Ukunikela ngegazi kulula, kuyashesha, futhi akulona ingozi enkulu.
• Ungesabi umphumela ongaphezu kwesilinganiso esijwayelekile . Khuluma nodokotela wakho ukuze uthole ukuthi kungani.
• Uma unezimpawu ezibangelwa ukushintsha kwamazinga ensimbi, bona udokotela ngokushesha .

Khumbula, lezi zivivinyo zikhona ukuze zisisize sihlale siphilile. Ngakho-ke, uma udokotela ekucela ukuthi wenze lolu vivinyo, thola ulwazi oluphelele ngakho futhi ubhekane nakho.

I- Iron, i-Ferritin, Ukuhlolwa Kwegazi, I-Anemia, i-Hemochromatosis, Impilo, Izimpawu