Ngesikhathi ubona umbiko wokuhlolwa kwegazi muva nje, ingabe uthe inani lamaseli akho abomvu egazi liphezulu? Kuvamile ukuzizwa ukhathazekile futhi wesaba kancane uma ubona into efana naleyo. Ungase ucabange, "Kuyini lokhu? Ingabe nginesifo esibi kakhulu?" Kodwa ungakhathazeki. Namuhla, sizoxoxa ngalokhu kalula, njengoba nje ungatshela umngane.
Kusho ukuthini lokhu kwanda kwamaseli abomvu egazi?
Kalula nje, lokhu kusho ukuthi inani lamaseli abomvu egazi (ama-RBC) egazini lakho liphakeme kunejwayelekile. Igazi lethu lakhiwe kakhulu izingxenye ezintathu: amaseli abomvu, amaseli amhlophe, nama-platelet. Umsebenzi oyinhloko wamaseli abomvu ukuthutha umoya-mpilo usuka emaphashini uye kuwo wonke umzimba.
Cabanga ngakho njengezimoto emgwaqweni. Uma kunezimoto ezanele, ithrafikhi ihamba kahle ngaphandle kokuminyana. Ngokufanayo, uma kunezinhlayiya zegazi ezibomvu ezanele, umoya-mpilo uhamba kuwo wonke umzimba. Kodwa uma inani lamangqamuzana egazi abomvu landa kakhulu, njengalapho umgwaqo ugcwele izimoto, ukuminyana kwezimoto, igazi lethu liyaqina. Lokhu kubizwa ngokuthi "i-Erythrocytosis" ngokwezokwelapha. Uma igazi liqina, ingozi yokuqhekeka kwegazi inganda. Kungaba futhi uphawu lwenkinga yezempilo eyisisekelo.
Mangaki amangqamuzana abomvu egazi abhekwa 'njengophezulu'?
Odokotela balinganisa inani lamaseli akho abomvu egazi ukuze baqonde impilo yakho futhi baxilonge izifo. Ngokuvamile, la manani angahluka kancane kuye ngelebhu eqhuba ukuhlolwa. Kodwa ngokuvamile, amanani ajwayelekile alandelayo.
| Umuntu | Usayizi ojwayelekile wamaseli abomvu (nge-microliter ngayinye yegazi) |
|---|---|
| Abesilisa | Izigidi ezingu-4.7 kuya kwezingu-6.1 |
| Abesifazane | Izigidi ezingu-4.2 kuya ku-5.4 |
| Izingane | Izigidi ezingu-4.0 kuya ku-5.5 |
Ngokuvamile, inani eliphezulu lamaseli abomvu egazi litholakala lapho kwenziwa ukuhlolwa kwegazi kwenye inkinga yezempilo. Uma lokhu kwenzeka, udokotela wakho uzoncoma ukuhlolwa okwengeziwe ukuthola imbangela.
Yiziphi izimpawu zokwanda kwamaseli abomvu egazi?
Abanye abantu bangase bangabi nazo izimpawu noma ngabe inani lamaseli abo abomvu egazi liphezulu. Kodwa-ke, abanye abantu bangase babe nalezi zimpawu ezilandelayo:
| Isibonakaliso | Incazelo |
|---|---|
| Ukukhathala/ukukhathala | Ukukhathala okukhulu ngaphandle kwesizathu. |
| Ubunzima bokuphefumula | Ukuzizwa uphelelwa umoya ngisho noma uzikhandla kancane. |
| Ikhanda elibuhlungu kanye nokungaboni kahle | Ubuhlungu bekhanda obuhlala bukhona kanye nokungaboni kahle. |
| Ubuhlungu bamalunga | Ubuhlungu bamalunga. |
| Isikhumba esilumayo | Isikhumba esilumayo, ikakhulukazi ngemva kokugeza ngamanzi ashisayo. |
| Izinkinga zokulala | Ukungalali noma ukuhona okwandisiwe. |
Kungani inani lamaseli abomvu egazi likhuphuka? Ziyini izimbangela?
Kunezizathu eziningana zokuthi kungani inani eliphezulu lamaseli abomvu egazini lingenzeka. Lokhu akulona njalo uphawu lokugula okukhulu. Kungabangelwa futhi yizinto ezithile endleleni yethu yokuphila. Ake sibheke izimbangela eziyinhloko.
Ngenxa yezimo zezokwelapha
- Ukwehluleka Kwenhliziyo: Lapho inhliziyo iba buthakathaka, ayikwazi ukupompa umoya-mpilo owanele emzimbeni. Ukuze kulungiswe lokhu, umzimba uqala ukukhiqiza amangqamuzana egazi abomvu engeziwe.
- Isifo Senhliziyo Esizalwa Naso: Ngenxa yeziphambeko ezithile enhliziyweni ezikhona lapho umuntu ezalwa.
- I-Polycythemia Vera: Lolu uhlobo olungavamile lomdlavuza wegazi lapho umongo wamathambo ukhiqiza khona amangqamuzana abomvu egazi ngokungalawuleki.
- Izimila Zezinso: Ngenxa yokukhiqizwa ngokweqile kwehomoni (i-Erythropoietin) ekhuthaza ukukhiqizwa kwamaseli abomvu egazi yizinso.
- Izifo zamaphaphu: Izifo ezifana ne-'COPD' kanye ne-'Emphysema' zinciphisa inani lomoya-mpilo elitholwa ngumzimba. Ukuze kulungiswe lokhu, umzimba ukhiqiza amangqamuzana egazi abomvu engeziwe.
- I-Hypoxia: Noma yisiphi isimo lapho izinga lomoya-mpilo egazini liphansi khona.
- I-Sleep Apnea: Isimo lapho ukuphefumula kuyeka khona njalo ngesikhathi sokulala. Lokhu kunciphisa amazinga omoya-mpilo emzimbeni futhi kwandisa ukukhiqizwa kwamaseli abomvu egazi.
Umthelela wendlela yethu yokuphila
- Ukubhema: I-carbon monoxide entuthwini kagwayi ibopha i-hemoglobin, iphrotheni ethwala umoya-mpilo egazini. Lokhu kunciphisa ikhono legazi lokubopha umoya-mpilo. Umzimba ubuyisela ngokukhiqiza amangqamuzana egazi abomvu engeziwe.
- Ukuhlala ezindaweni eziphakeme: Zicabange usuka eColombo uya eNuwara Eliya. Ukuhlushwa komoya-mpilo emkhathini ezindaweni eziphakeme kuphansi. Ukuze uzivumelanise nalokhu, umzimba wakho ngokwemvelo wandisa ukukhiqizwa kwawo kwamangqamuzana egazi abomvu.
- Ukusetshenziswa kwemithi ethuthukisa ukusebenza: Abanye abasubathi basebenzisa ama-anabolic steroids noma i-erythropoietin, okungakhuphula ukukhiqizwa kwamaseli abomvu egazi ngokwenziwa.
Ingabe ukucindezeleka kungadala ukwanda kwamaseli abomvu egazi?
Yebo. Ucwaningo luthole ukuxhumana phakathi kokucindezeleka namaseli egazi. Ukucindezeleka okuphezulu kungandisa inani lamaseli abomvu egazi, ama-neutrophil, uhlobo lwamaseli amhlophe egazi, nama-platelet.
Kuphathwa kanjani ukwanda kwenani lamaseli abomvu egazi?
Into ebaluleke kakhulu ukuthi ukwelashwa kuncike embangela eyinhloko yokubalwa kwamaseli abomvu egazi okuphezulu. Kubaluleke kakhulu ukuthola imbangela nokuyiphatha kunokunciphisa nje inani lamaseli abomvu egazi.
Isibonelo, uma unesifo esibizwa ngokuthi i-`Polycythemia Vera`, udokotela wakho angase akunikeze umuthi ofana ne-`(Hydroxyurea)` ukulawula ukukhiqizwa kwamaseli abomvu egazi. Futhi, ngezinye izikhathi kusetshenziswa ukwelashwa okubizwa ngokuthi i-`Therapeutic Phlebotomy`. Lokhu kuhilela ukususa inani elincane legazi emzimbeni wakho ngezikhathi ezithile , okufana nokunikela ngegazi, ukulawula inani lamaseli abomvu egazi lakho.
Ngakho-ke, uma inani lamaseli akho abomvu egazini liphezulu, kufanele nakanjani ubonane nodokotela wakho nixoxe ngakho. Nguye ozothola imbangela yangempela futhi anqume ukuthi yiluphi ukwelashwa okudingayo.
Yini esingayenza ukuze sivimbele ukwanda kwamaseli abomvu egazi?
Nakuba singenakukwazi ukuvimbela lokhu njalo, kunezinto ezimbalwa esingazenza ukunciphisa ingozi:
- Phuza amanzi amaningi: Ukuphuza okungenani izingilazi zamanzi ezingu-8-10 ngosuku kungasiza ekunciphiseni ukujiya kwegazi.
- Nciphisa izinto ezifana nekhofi neziphuzo ezinoshukela: Lezi yizidakamizwa zokukhipha amanzi emzimbeni ezibangela ukulahleka kwamanzi emzimbeni futhi ezingabangela ukuqina kwegazi.
- Gwema ukubhema ngokuphelele: Lena enye yezinto ezinhle kakhulu ongazenza.
- Ukuzivocavoca: Ukuzivocavoca njalo kuhle kakhulu ekujikelezeni kwegazi nenhliziyo.
- Ungaphuzi amaphilisi ensimbi ngaphandle kokuthi udinga: Ungaphuzi amaphilisi ensimbi ngaphandle kokuthi udokotela wakho akutuse, ngoba insimbi iyisakhi esibalulekile sokwenza amangqamuzana egazi abomvu.
- Uma une-Sleep Apnea: Sebenzisa amadivayisi anjenge-'CPAP' ngendlela efanele njengoba uqondiswe udokotela wakho.
- Uma unesifo senhliziyo: Landela uhlelo lokwelashwa olunikezwe udokotela wakho ngqo.
Umlayezo Wokuya Nawe Ekhaya
- Ungesabi uma ubona inani lamaseli abomvu egazi (RBC) ephezulu embikweni wakho wegazi. Kodwa ungakushayi indiva lokho.
- Ukwanda kwamangqamuzana abomvu egazi kusho ukuthi igazi liyaqina futhi ingozi yokuqhekeka kwegazi iyanda.
- Lokhu kungabangelwa izici zendlela yokuphila njengokubhema nokuhlala ezindaweni eziphakeme, kanye nesifo senhliziyo, isifo samaphaphu, noma umdlavuza othile.
- Into ebaluleke kakhulu ukubonana nodokotela ngokushesha bese uthola imbangela yangempela.
- Ukwelashwa kuncike embangela eyinhloko. Ukulondoloza indlela yokuphila enempilo kunganciphisa ingozi.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Kuyini 'Inani Eliphezulu Lamaseli Abomvu Egazi / I-Polycythemia'?
Ngokuvamile, igazi lethu kufanele libe namaseli abomvu egazi ukuze lithwale umoya-mpilo. Kodwa kulesi sifo, ngenxa yenkinga ethile embi emzimbeni/emonothweni wamathambo, inani lamaseli abomvu egazi landa ngamashumi ezinkulungwane (i-Elevated RBC/Hematocrit), okuyisimo esibulalayo lapho igazi liba 'likhulu/lijiyile njengoju' (i-Hyperviscosity) esikhundleni samanzi. Lokhu kubangela amahlule egazi futhi isiguli singaba nokuhlaselwa yinhliziyo/uhlangothi nganoma yisiphi isikhathi bese sifa!
💬 Yiziphi izimbangela eziyinhloko zokuqina kwegazi kanye nokwanda kwamaseli abomvu egazi (i-Polycythemia)?
Kunezizathu ezimbili eziyinhloko zalokhu: 1) I-Secondary Polycythemia - Lokhu kwenzeka ngoba ubhema kakhulu, unesifo senhliziyo/amaphaphu (COPD), noma unesifo sokuphefumula esibangelwa ukulala! Bese ubuchopho buqala ukwesaba ngoba umzimba ulambile umoya-mpilo futhi butshela izinso ukuthi zenze amangqamuzana amasha (ukukhululwa kwe-EPO). 2) I-Polycythemia Vera (PV) - Lokhu 'umdlavuza wegazi / isifo somnkantsha wamathambo'! Ngaphandle kwesizathu, umnkantsha wamathambo ukhipha amashumi ezinkulungwane zamaseli abomvu egazini.
💬 Yiziphi izimpawu eziyingozi ze-RBC ephezulu? Kufanele ubonane nodokotela nini?
Izimpawu ezinkulu kakhulu ikhanda elingabekezeleleki (ngenxa yomfutho wegazi ophakeme), ukubona okufiphele, kanye nokulunywa umzimba wonke ngemva kokugeza/ukugeza ngamanzi ashisayo! Futhi, ubuso buhlala bubomvu kakhulu (iPlethora). Kodwa-ke, uma 1) isifuba sigubha/sicindezela, 2) ngokuzumayo awukwazi ukuphefumula, 3) ingalo noma umlenze uba ndikindiki futhi ulahlekelwa ingqondo (izimpawu zesifo sohlangothi), udinga ukuya esibhedlela ngokushesha ngoba ihlule legazi (amahlule egazi/i-Thrombosis) lingase libambeke!
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