Ngezinye izikhathi uma sibheka umbiko wegazi, sibona amagama angajwayelekile kuwo, akunjalo? Uma udokotela esho igama elinjengaleli, sizizwa sinelukuluku lokwazi, mhlawumbe size sesabe kancane. Elinye lamagama anjalo yi-'Heinz Bodies'. Ngakho-ke namuhla, ake sixoxe ngokuthi lokhu kuyini ngempela, ingabe kuyisifo, noma uphawu lwesifo. Uma ukuqonda kahle lokhu, ukwesaba kwakho kuzonyamalala.
Kalula nje, ziyini lezi Heinz Bodies?
Kalula nje, i-Heinz Bodies ayisona isifo. Imane nje iyisibonakaliso sokuthi amangqamuzana akho abomvu egazi alimele. Njengoba nje sibona ukubhoboka emotweni, siyazi ukuthi kushaywe ndawana thize, futhi kunjalo nalokhu.
Lezi yizinhlayiya ezincane emaseli ethu abomvu egazi. Zingabonwa kuphela odokotela (ikakhulukazi odokotela bezifo) uma besebenzisa udayi okhethekile futhi bewabheka ngaphansi kwe-microscope. Lezi zinhlayiya empeleni zenziwe ngephrotheni ebizwa ngokuthi i-hemoglobin eyonakele. Ngakho-ke, ukuthola lezi zinhlayiya ekuhlolweni kwegazi kusho ukuthi kukhona okungahambi kahle ngamaseli abomvu egazi. Kungaba uphawu lwesimo esifana ne-anemia.
Ake siqonde ukuthi lezi zakhiwe kanjani?
Ukuze siqonde lokhu, sidinga ukwazi okuncane ngamaseli ethu abomvu egazi.
Cabanga ngamaseli abomvu egazi njengesevisi yokulethwa kwezimpahla ethwala umoya-mpilo emizimbeni yethu yonke. Umthwalo ongaphakathi kwale moto yokulethwa kwezimpahla yi-hemoglobin. Le hemoglobin yiyo ethatha umoya-mpilo bese iwuthwala usuka emaphashini uye kuzo zonke izingxenye zomzimba. Le hemoglobin yiyo enika igazi lethu umbala walo obomvu.
Ngokuvamile, iseli emzimbeni wethu line-nucleus. Kodwa-ke, iseli elibomvu legazi elivuthiwe alina-nucleus. Ngakho-ke, lingaqukatha izigidi zama-molecule e-hemoglobin.
Uma ngesizathu esithile lawa ma-hemoglobin onakele (umonakalo we-oxidative) , awasebenzi kahle. Ayahlangana futhi ahlangane. Sibiza lezo zingcezu ze-hemoglobin ezihlanganisiwe, ezonakele i-Heinz Bodies. Uma lokhu kwenzeka, amangqamuzana abomvu egazi awakwazi ukuthwala umoya-mpilo kahle. Futhi, aqala ukuqhekeka futhi abhujiswe ngokushesha kunokujwayelekile. Kwezokwelapha, lokhu kuqhekeka okusheshayo kwamangqamuzana abomvu egazi kubizwa ngokuthi i-hemolysis .
Yiziphi izimpawu ezingaba khona uma kukhona i-Heinz Bodies?
Izimpawu empeleni azibangelwa yi-Heinz Bodies, kodwa yisimo esiyisisekelo esizibangelayo, okuyinani eliphansi lamaseli abomvu egazi (i-anemia). Uma inani lamaseli akho abomvu egazi liphansi kakhulu, ungase ungabi nazimpawu nhlobo. Esikhathini esiningi, lezi zimpawu zibangelwa ukuthi umzimba wakho awutholi umoya-mpilo owanele.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukukhathala | Ukuzizwa ukhathele kakhulu ngisho noma ungenzanga lutho. |
| Isiyezi | Umuzwa wesiyezi kanye nokulahlekelwa yibhalansi. |
| Isikhumba esikhanyayo | Isikhumba esikhanyayo nezindebe ngenxa yokuntuleka kwegazi. |
| Inhliziyo esheshayo (i-Tachycardia) | Ukushaya kwenhliziyo okusheshayo, uzizwa sengathi isifuba sakho siyashaya. |
| Ubunzima bokuphefumula (i-Dyspnea) | Ukuphefumula kanzima, ukuzizwa ubuthakathaka ngisho noma uzikhandla kancane. |
| I-Jaundice | Ukuphuzi kwesikhumba kanye nokumhlophe kwamehlo. |
| I-splenomegaly | Ukukhula kwe-spleen, okususa amangqamuzana egazi abomvu abonakele. |
Uzithola kanjani lezi?
Odokotela bathola la maHeinz Bodies ngokuhlolwa okubizwa ngokuthi i-peripheral blood smear . Lokhu kuhilela ukuthatha ithonsi elincane legazi emunweni wakho bese uligcoba ku-slide yengilazi, ukwengeza udayi okhethekile, bese ulihlola ngaphansi kwe-microscope.
Okumangalisayo ngempela ukuthi la maseli abomvu egazi aneHeinz Bodies ngezinye izikhathi abukeka sengathi othile ulume ingxenye yeseli. Siwabiza ngokuthi “amaseli okuluma.”
Nansi indlela esebenza ngayo: Lapho amangqamuzana abomvu egazi onakele edlula ebhodweni lethu, ibhodwe lisebenza njengesihlungi. "Lihlafuna" imizimba ye-Heinz eyonakele. Amangqamuzana abomvu egazi asele abukeka njengokudla okuhlafunwe ngumuntu.
Yiziphi izimo zezokwelapha eziyinhloko lapho i-Heinz Bodies ibonwa khona?
Manje sesiyazi ukuthi i-Heinz Bodies iyisibonakaliso sesifo. Ngakho-ke, nansi eminye yemibandela eyinhloko lapho ibonakala khona.
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| I-Hemolytic Anemia | I-anemia ibangelwa ukuwohloka nokubhujiswa kwamaseli abomvu egazi ngesivinini esisheshayo kunaleso akhiqizwa ngaso. |
| Ukuntuleka kwe-G6PD | Lesi yisimo sofuzo (esizuzwe njengefa). Ukuntuleka kwe-enzyme i-G6PD kwandisa ingozi yokulimala kwamangqamuzana abomvu egazi. |
| I-Alpha-thalassemia | Lesi futhi yisifo esibangelwa izakhi zofuzo. Kulesi simo, umzimba awukwazi ukukhiqiza i-hemoglobin enempilo. |
| Ubende Okhulisiwe | Ubende kufanele lusebenze kanzima ukususa inani elikhulu lamaseli abomvu egazi alimele, okubangela ukuba lukhule. |
Kungani lezi Heinz Bodies zenzeka? Ziyini izimbangela?
Kunezizathu eziningana eziyinhloko ezingabangela ukulimala kwe-hemoglobin.
- Ukuchayeka emithini ethile kanye namakhemikhali: Isibonelo, eminye imithi yokutheleleka komgudu womchamo (UTIs) kanye nemithi yochoko.
- Ukuntuleka kwamaminerali: Ukuntuleka kwamaminerali emzimbeni, ikakhulukazi i-selenium.
- Ukudla okukhethekile kwabantu abanesifo se-G6PD: Uma umuntu onesifo se-G6PD edla ukudla okufana nobhontshisi be-fava , amangqamuzana akhe abomvu egazi angonakala futhi i-Heinz Bodies ingakheka.
Ukwelashwa nokuvimbela
Lena inkinga abantu abaningi abanayo. Akukho ukwelashwa okuqondile kweHeinz Bodies. Ngoba akusona isifo, kodwa uphawu lwesifo. Isihluthulelo ukuthola isimo esiyisisekelo esibangela lesi sifo bese usilapha. Udokotela wakho uzokwenza izivivinyo ezidingekayo, athole ukuthi yini ngempela ebangela lesi sifo, bese ekunikeza ukwelashwa okufanele.
Ingabe kungavinjelwa? Yebo, kwezinye izimo kungavinjelwa.
Isibonelo, uma wazi ukuthi unesifo sokuntuleka kwe-G6PD, kufanele ugweme ukudla ubhontshisi we-fava ngokuphelele. Futhi, uma uthatha imithi yanoma yisiphi esinye isimo, kubaluleke kakhulu ukwazisa udokotela wakho ukuthi unesifo sokuntuleka kwe-G6PD. Ngaleyo ndlela, udokotela wakho angakunikeza umuthi ongeke ukulimaze.
Umlayezo Wokuya Nawe Ekhaya
- I-Heinz Bodies ayisona isifo, imane nje iyisibonakaliso sokuthi amaseli akho abomvu egazi alimele.
- Lokhu kutholakala ngokuhlolwa okukhethekile okuthatha ithonsi legazi (i-Peripheral Blood Smear).
- Lokhu kungabangelwa yizimo zofuzo ezifana nokuntuleka kwe-G6PD, i-thalassemia, noma imithi ethile.
- Akukho ukwelashwa okuqondile kweHeinz Bodies. Ukwelashwa kuqondiswe esimweni esiyisisekelo esibangele lokhu.
- Uma unegama elifana naleli embikweni wakho wegazi, ungakhathazeki ngalo, bona udokotela wakho ngokushesha bese ukhuluma ngalo. Uzokunikeza zonke izeluleko ozidingayo.
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