Ingabe amangqamuzana abomvu egazini lakho abika ngobukhulu obuhlukene? Ake sifunde nge-Anisocytosis!

Wake wathola imiphumela yokuhlolwa kwegazi lakho wabona amagama athile kuwo wabe usuthuka kancane, ucabanga ukuthi, 'Kusho ukuthini lokhu?'? Ngezinye izikhathi kuyinto evamile ukwesaba kancane uma sibona igama ongalijwayele. Elinye lamagama anjalo yi-'Anisocytosis.' Nakuba ungase ucabange ukuthi kuyisimo esibi, empeleni kusho ukuthi amangqamuzana abomvu egazini lakho anobukhulu obuhlukene, okusho ukuthi amanye makhulu kanti amanye mancane.

Kuyini ngempela 'i-Anisocytosis'?

Kalula nje, igama elithi 'anisocytosis' yigama lezokwelapha lapho amangqamuzana akho abomvu engafani ngobukhulu, kodwa enobukhulu obuhlukile. Ngezinye izikhathi, lokhu kuhlukahluka kobukhulu bamangqamuzana akho abomvu kungaba uphawu lwenkinga yempilo eyisisekelo. Ungathola ngalesi simo kuphela uma uhlolwa igazi.

Ukuze siqonde incazelo yegama elithi 'anisocytosis' ngendlela elula, ake sichaze kahle, akunjalo?

• U-Aniso usho ukuthi 'ukungalingani' noma 'akufani'.
• I-Cytosis yinto ehlobene namaseli (kulokhu, ikakhulukazi amaseli abomvu egazi).

Uma lokhu kokubili kuhlanganiswa, kunengqondo ukuthi kusho 'amaseli angalingani', akunjalo?

Ngokuvamile, amangqamuzana abomvu egazi omuntu ophilile kufanele abe nobukhulu nesimo esifanayo (njengediski encane eyindilinga). Iseli elibomvu legazi linalesi simo nobukhulu obuthile ngesizathu esithile. Kungenxa yalokhu ukuthi lingenza umsebenzi walo oyinhloko, okuwukuthwala umoya-mpilo emaseli emzimbeni wethu wonke. Lo moya-mpilo yiwona onikeza izitho zethu amandla eziwadingayo ukuze zisebenze.

Ngakho-ke, uma amangqamuzana akho abomvu enokuhlukahluka kobukhulu (i-anisocytosis), kusho ukuthi angase angakwazi ukuthwala umoya-mpilo kahle. Lokhu kungaholela ezimweni ezifana ne -anemia . Ngezinye izikhathi, amangqamuzana abomvu egazi angase abe nokungalingani ngesimo sawo, okubizwa ngokuthi 'i-poikilocytosis.'

Yiziphi izinguquko ngobukhulu bamaseli abomvu egazi?

Uma une-anisocytosis, amangqamuzana akho abomvu egazi angaba mancane noma abe makhulu kunamangqamuzana abomvu egazi avamile.

• I-Macrocytosis isho ukuthi amangqamuzana akho abomvu egazi makhulu kunokuvamile.
• I-Microcytosis isho ukuthi amangqamuzana akho abomvu egazi mancane kunokuvamile.

Ngezinye izikhathi, kungase kube nengxube yamaseli amakhulu namancane.

Into ebalulekile ukuthi la magama (Macrocytosis, Microcytosis) achaza kuphela. I-Anisocytosis ingaba uphawu lwesifo esidinga ukwelashwa noma cha. Ngakho-ke ungakhathazeki uma uzwa leli gama.

Ziyini izimpawu ze-Anisocytosis?

Manje ungase ucabange, 'Kulungile, kwenzekani uma usayizi wamaseli abomvu egazi ushintsha? Yiziphi izimpawu engizozibona?' Ngokuvamile, izimpawu zalesi simo zifana neze-anemia. Zihlanganisa:

• Ubuthakathaka noma ukuzizwa ukhathele ngaso sonke isikhathi.
• Ubunzima bokuphefumula (njengokuphefumula kanzima) (Dyspnea).
• Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile (i-Arrhythmia).
• Ngezinye izikhathi ukuzwa umsindo "wokukhala" endlebeni (i-Pulsatile tinnitus).
• Ikhanda elibuhlungu.
• Isiyezi.
• Isikhumba esimpunga.
• Ubuhlungu besifuba.

Uma unesinye noma ngaphezulu salezi zimpawu, kubalulekile ukufuna iseluleko sezokwelapha.

Yiziphi izimbangela ze-Anisocytosis?

I-Anisocytosis ivame ukuba uphawu lwe-anemia. Kunezimbangela eziningi ezahlukene ze-anemia. I-Anisocytosis ingabangelwa nezinye izimo zezokwelapha ezingahlobene ne-anemia.

Izinhlobo ze-anemia ezingase zihlotshaniswe ne-anisocytosis:

• I-autoimmune hemolytic anemia
• I-anemia yokuntuleka kwensimbi
• I-Megaloblastic anemia
• I-anemia eyingozi
• I-anemia yamaseli esikele
• I-anemia ye-Sideroblastic

Kuvamile ukuba ne -anemia ngesikhathi sokukhulelwa . Ukuhlolwa kwegazi lakho kungabonisa i-anisocytosis. Lokhu kungenxa yokuthi umzimba wakho udinga i-iron ukuze wenze amangqamuzana egazi abomvu. Wena nomntwana wakho nidinga i-iron eningi, ngakho-ke ngezinye izikhathi kungaba nzima ukuthola okwanele ekudleni kuphela. Udokotela wakho angase akuncomele ukudla noma izithasiselo ze-iron.

Ezinye izimo ezingase zihlotshaniswe ne-Anisocytosis:

• Umdlavuza wamathumbu amakhulu
• Isifo senhliziyo
• I-spherocytosis yefa
• Isifo sezinso
• Isifo sesibindi
• I-Myelodysplastic syndrome
• I-Myelofibrosis
• Isifo se-thyroid
• I-Thalassemia

Ngaphezu kwalokho, imiphumela yokuhlolwa kwegazi ingabonisa i-anisocytosis ngemva kokumpontshelwa igazi . Lesi simo singabangelwa nayimithi ethile.

Ingabe i-Anisocytosis ingabangela izinkinga?

Uma isimo esiyisisekelo esibangela i-anisocytosis singelashwa, ezinye izinkinga zingase zivele. Isibonelo, ezinye izinhlobo ze-anemia zingabangela ukulimala kwezitho zomzimba . Uma i-anemia ingelashwa ezinganeni ezincane, ukukhula kwazo kungase kubambezeleke .

Nakuba i-anemia encane ivame kakhulu ngesikhathi sokukhulelwa, i-anemia enzima ingaholela ezinkingeni ezifana nokubeletha ngaphambi kwesikhathi uma ingelashwa.

Uma udokotela wakho esethole imbangela yokushintsha kosayizi wamaseli akho abomvu egazi, uzokunikeza ukwelashwa okudingekayo ukuze kuvinjelwe izinkinga.

I-Anisocytosis ihlolwa kanjani?

Odokotela bangasebenzisa eyodwa noma zombili lezi zivivinyo ukuthola i-anisocytosis:

• Inani eliphelele legazi (i-CBC) kanye nobubanzi bokusatshalaliswa kwamaseli abomvu egazi (i-RDW):

Ukubalwa kwegazi okuphelele (i-CBC) ukuhlolwa kwegazi okuvamile okwenziwa odokotela ukuhlola amaseli akho egazi. Kubheka inani elikhethekile elibizwa ngokuthi inani le-RDW . Lokhu kulinganisa ukuthi amaseli akho abomvu anamasayizi amangaki ahlukene. Ngokuvamile, leli nani le-RDW kufanele libe phakathi kuka-12% no-15%. Noma yini ephakeme kunalokho isho ukuthi kunokwehluka okukhulu ngobukhulu bamaseli akho abomvu egazi kunokuvamile.

• I-smear yegazi elingaphandle (i-PBS):

Kulolu vivinyo (i-PBS), uchwepheshe welebhu ugcoba isampula yegazi lakho ku-slide yengilazi bese elibheka ngaphansi kwe-microscope. Lokhu kubavumela ukuthi babone ngokucacile umehluko wosayizi kumaseli abomvu egazi futhi bathole 'i-anisocytosis'.

Ukuhlolwa okwengeziwe ukuthola imbangela ye-anisocytosis

Udokotela wakho angase enze izivivinyo ezengeziwe ukuze athole ukuthi yini ngempela ebangela ukushintsha kwenani lamaseli akho abomvu egazi. Uzokubuza ngezimpawu zakho, noma yimiphi imithi noma izithasiselo ozithathayo, kanye nanoma yiziphi izimo zezokwelapha emndenini wakho. Angase akubuze nangokudla kwakho.

Bangase bahlole lezi zinto:

• Amazinga e-Vitamin B12 kanye ne-folate: Lezi zakhamzimba zibalulekile emzimbeni ukuze wakhe amangqamuzana egazi abomvu anempilo.
• Amazinga ensimbi: Insimbi iyadingeka futhi ukuze kukhiqizwe amangqamuzana abomvu egazi anempilo.
• Amazinga e-Ferritin: I-Ferritin iyiprotheni egcina insimbi.
• Ukusebenza kwesibindi: Isibindi simunca izakhamzimba ezidingekayo ukuze kwakheke amangqamuzana egazi abomvu anempilo.

Uma kudingeka, udokotela angenza nokuhlolwa okwengeziwe.

Iphathwa kanjani i-Anisocytosis?

Indlela yokwelapha lokhu incike esizathwini sokushintsha kosayizi wamaseli abomvu egazi. Izinketho zokwelapha zifaka :

• Uma imbangela iwukuntuleka kokudla okunempilo, cabanga ngokunikeza i-vitamin B12 kanye nezithasiselo ze-folate .
• Ukumpontshelwa igazi kwezinye izimo ezizuzwe njengefa, njengesifo se-sickle cell.
• Uma kunenkinga ngokukhiqizwa kwamangqamuzana abomvu egazi,Ukufakelwa komnkantsha wethambo. Amaseli ethu abomvu egazi akhiqizwa emnkantsha wethambo. Lokhu kwelashwa kungadingeka uma une-anisocytosis ngenxa yezimo ezifana ne-myelodysplastic syndromes noma izinhlobo ezithile zomdlavuza.

Iyini inhloso yesimo 'se-Anisocytosis'?

Esikhathini esiningi, izimbangela ze-anisocytosis zingelapheka noma zilawulwe ngokwelashwa. Kodwa-ke, ezinye izimo, njengomdlavuza, kanye nezimo zesikhathi eside, njengesifo se-sickle cell, zidinga ukwelashwa okuqhubekayo kanye nokulandelela ngokucophelela.

Ezinye izifundo zibonise ukuthi i-anisocytosis ingaba yisandulela sobucayi bezifo ezithile. Izifo ezingase zibe zimbi kakhulu yi-anisocytosis zifaka:

• I-Covid-19 (i-COVID-19)
• Isifo senhliziyo
• Isifo sezinso
• Isifo sesibindi
• Isifo sohlangothi

Kudingeka ucwaningo olwengeziwe ukuze kuqondwe kahle ubudlelwano phakathi kwalezi zibalo ezingavamile zamaseli abomvu egazi kanye nobunzima besifo.

Ingabe i-Anisocytosis ingavinjelwa?

Asikwazi ukuvimbela konke okubangela lokhu.

Kodwa-ke, ngokuthola izakhamzimba ezifanele ekudleni kwakho, unganciphisa ingozi yakho yokuthola ezinye zezimo ezihambisana ne-anisocytosis, ikakhulukazi:

• I-Vitamin B12: Itholakala kweminye imikhiqizo yobisi nenyama. Amanye ama-cereal nawo ane-vitamin B12 eyengeziwe kuwo.
• I-Folate: Itholakala kwezinye izithelo, imifino, amantongomane, kanye nemifino. I-Folate nayo ifakwa kokunye okusanhlamvu.
• Insimbi: Itholakala kwezinye izinyama, ubhontshisi, nemifino. Ezinye izinkwa kanye nokolweni nazo zinensimbi eyengeziwe.

Kufanele ngimbone nini udokotela?

Uma unezimpawu ze-anemia, njengokuzizwa ukhathele ngaso sonke isikhathi, unenkinga yokuphefumula, noma isikhumba esimpunga, qiniseka ukuthi ubona udokotela. Futhi, ungayeki ukuhlolwa kwegazi kwakho kwaminyaka yonke, njengoba kungasiza ekuboneni noma yiziphi izinkinga zempilo ezifihliwe kusenesikhathi.

Ngamafuphi (Umyalezo Wokuya Ekhaya)

Ungakhathazeki uma uzwa igama elithi 'anisocytosis'. Akuyona inkinga enkulu yokuxilonga. Kusho ukuthi amangqamuzana akho abomvu egazi anokwehluka ngobukhulu. Kungaba nezizathu eziningi zokuthi kungani ubukhulu bamangqamuzana akho abomvu egazi bungahluka. Sebenzisana nodokotela wakho ukuthola ukuthi yini ebangela lokhu. Uma 'i-anisocytosis' iyisibonakaliso sesimo sezokwelapha, udokotela wakho uzoncoma ukwelashwa okungakusiza. Into ebaluleke kakhulu ukungesabi bese ulandela imiyalelo kadokotela wakho.

I- Anisocytosis, Amaseli Egazi Abomvu, I-Anemia, Ukuhlolwa Kwegazi, I-RDW, I-Anisocytosis, Izimpawu