Uzizwa ubuthakathaka? Uzizwa uphansi egazini? Lokhu kungaba yi-Macrocytic Anemia!

Uzizwa ukhathele ngaso sonke isikhathi? Ingabe ngezinye izikhathi uzizwa sengathi awunawo amandla futhi ukuthola kunzima ukuphefumula? Lokhu kungase kungabi ukukhathala nje kuphela. Kungase kube nenkinga encane ngamaseli abomvu egazi emzimbeni wakho. Namuhla, sizoxoxa ngalesi simo esibizwa ngokuthi i-Macrocytic Anemia.

Kuyini i-Macrocytic Anemia?

Kalula nje, i-Macrocytic Anemia yisifo segazi lapho umongo wakho wamathambo ukhiqiza khona amangqamuzana egazi abomvu amakhulu ngendlela engavamile . Cabanga ngakho njengezimoto ezincane emizimbeni yethu ezithwala umoya-mpilo. Kodwa lawa mangqamuzana egazi abomvu amakhulu afana nezimoto ezinkulu kodwa ezingenamsebenzi. Awanazo izakhamzimba ezidingwa amangqamuzana abomvu avamile ukuze asebenze kahle. Lesi akusona isifo esibi kakhulu, kodwa uma singelashwa kahle, singaholela ezinkingeni ezinkulu zempilo. Uyakwazi?

Yiziphi izinhlobo eziyinhloko ze-macrocytic anemia?

Kunezinhlobo ezimbili eziyinhloko ze-macrocytic anemia. Lokhu kwenzeka lapho umzimba wakho untula izakhamzimba ezithile. Ake sibheke ukuthi ziyini.

1. I-Megaloblastic macrocytic anemia

Lolu uhlobo oluvame kakhulu. Kwenzeka uma ungatholi i-vitamin B12 eyanele kanye/noma i-vitamin B9 (folate). Ngaphandle kwalezi zakhamzimba, umnkantsha wakho awukwazi ukwenza amangqamuzana abomvu egazi anempilo. Lokho kusho ukuthi awukwazi ukwenza amangqamuzana athwala umoya-mpilo emzimbeni wakho. Cabanga ngakho njengomuntu osebenza ngaphandle kokudla. Enye into ukuthi, amangqamuzana angajwayelekile akheka ngale ndlela ayafa ngaphambi kokuba amangqamuzana ajwayelekile asebenze. Ngakho inani lamangqamuzana abomvu egazi emzimbeni liyancipha.

2. I-non-megaloblastic macrocytic anemia

Lolu hlobo lungavela uma unezinye izimo zempilo ezithinta ikhono lomzimba wakho lokumunca izakhamzimba. Lokhu kusho ukuthi noma udla kahle, umzimba wakho awutholi izakhamzimba ozidingayo. Ezinye izifo zingabangela lokhu.

Izimo ezibangela i-non-megaloblastic macrocytic anemia

Kunezizathu eziningana eziyinhloko zalokhu:

• I-Myelodysplastic syndrome: Empeleni leli yiqembu lezifo. Okwenzekayo lapha ukuthi kukhona okungahambi kahle ngomnkantsha wakho futhi awukwazi ukwenza amangqamuzana egazi aphilile. Kufana nomshini ophukile efektri ongakwazi ukwenza izimpahla ezinhle.
• Inkinga yokusebenzisa utshwala: Uma uphuza utshwala obuningi, umzimba wakho uyayeka ukumunca i-vitamin B12. Lokhu kuyinkinga kubantu abaningi. Abanye abantu bacabanga ukuthi ukuphuza kancane kulungile, kodwa yilapho uphuza kakhulu lapho kuvela khona izinkinga.
• I-Hypothyroidism:Lesi yisimo esithinta ukusebenza kwe-thyroid gland. Le gland encane entanyeni yethu ilawula imisebenzi eminingi yomzimba. Ngakho-ke uma ingasebenzi kahle, i-anemia efana nale ingenzeka.

Kungani kwenzeka i-macrocytic anemia?

Njengoba ubona, lesi simo sibangelwa kakhulu ukuntuleka kwevithamini B12 kanye/noma i-folate (ivithamini B9), okubalulekile ekukhiqizweni kwamangqamuzana abomvu egazi anempilo, noma ngezinye izimo zezokwelapha ezivimbela umzimba ekumunceni lezi zakhi. Kalula nje, "izithako" ezakha amangqamuzana abomvu egazi azanele, noma umzimba awukwazi ukuwamunca.

Odokotela bakuthola kanjani lokhu?

Uma unalezi zimpawu, into yokuqala udokotela noma umhlengikazi angayenza ukukuhlola bese ekubuza ngezimpawu zakho. Bazokubuza ukuthi usunesikhathi esingakanani uzizwa ukhathele, ukuthi ukudla kwakho kunjani, nokuthi unazo yini ezinye izimo zezokwelapha. Bangase ba-ode ukuhlolwa kwegazi, okufana nalokhu:

• Ukubalwa kwegazi okuphelele (i-CBC): Lokhu ukuhlolwa kwegazi okuyisisekelo okwenziwa njalo. Kuhlola inani lamaseli akho abomvu egazi, inani lamaseli amhlophe egazi, kanye nenani lamaplatelet. Kungahlola nokuthi amaseli akho abomvu egazi akhulisiwe yini ku-macrocytic anemia kanye nokuthi lingakanani izinga lawo le-hemoglobin.
• I-Peripheral blood smear (PBS): Lolu uhlobo lokuhlolwa olukhethekile. Ngokungafani nokuhlolwa kwegazi okuthile, odokotela bathatha isampula yegazi lakho, baligcobe esilayidini sengilazi, balifake ibala, bese belibheka ngaphansi kwe-microscope ukuze bahlole amangqamuzana egazi. Lokhu kubavumela ukuthi babone ukuma, usayizi, nombala wamangqamuzana. Amangqamuzana amakhulu abomvu egazi (ama-macrocyte) angabonakala kahle.
• Inani lama-reticulocyte: Ama-reticulocyte amaseli abomvu egazi amasha, angavuthiwe. Afana namaseli "abantwana" akhiwa emnkantsheni wamathambo bese ekhishwa egazini. Lokhu kuhlola kuhlola ukuthi umnkantshe wakho wamathambo ukhiqiza amangqamuzana abomvu egazi anele yini. Lokhu kuhlola kungakunikeza umbono wokuthi umnkantshe wakho wamathambo wenza kanjani amangqamuzana amasha ngempumelelo ekuphenduleni i-anemia.

Kanye nalezi zivivinyo, ukuhlolwa okuhlukile kungenziwa futhi ukuhlola amazinga e-vitamin B12 kanye ne-folate, uma kudingeka.

Kuphathwa kanjani lokhu?

Ukwelashwa kuncike embangela eyinhloko yalesi simo. Odokotela bazozama ukusiza umongo wakho wamathambo ukuthi ukhiqize amaseli egazi abomvu aphilile futhi.

Cabanga nje, unalesi simo ngoba awudli kahle, noma ngoba ukudla kwakho akunavithamini B12 noma i-Folate.Kungenzeka. Abantu abaningi abadla imifino bangase babe ne-vitamin B12 entula, ngoba itholakala kakhulu ekudleni kwezilwane. Uma kunjalo, udokotela wakho angakunika izithasiselo eziqukethe lesi sakhi, kungaba ngamaphilisi noma mhlawumbe imijovo. Ungase utshelwe ukuthi uthathe lezi zithasiselo kuze kube yilapho ukuhlolwa kwegazi kuqinisekisa ukuthi umongo wakho wamathambo wenza amangqamuzana egazi abomvu anempilo.

Ngezinye izikhathi, abantu badla kahle, kodwa kunenkinga evimbela umzimba ukuthi ungamunci lezo zakhi zomzimba . Isibonelo, lokhu kungenzeka ngenxa yezinkinga ezithile zesisu. Ezimweni ezinjalo, udokotela angase anikeze nezithasiselo.

Into ebaluleke kakhulu ukwelapha imbangela eyisisekelo.

Isibonelo, abanye abantu banezimo zezokwelapha (njenge-myelodysplastic syndrome) ezivimbela umzimba ukuthi umunce izakhamzimba ezibalulekile. Uma kunjalo, lesi simo sidinga ukwelashwa. Uma une-hypothyroidism, ukuthatha imithi yayo kungasiza futhi nge-anemia yakho.

Abantu abaningi baba nale nkinga ye-macrocytic anemia ngoba baphuza utshwala obuningi. Uma kunjalo, udokotela wakho angakuthumela ekwelashweni nasekwelulekweni ukuze akusize ulawule ukusetshenziswa kwakho kotshwala. Lokhu akulula, kodwa kungenziwa ngosizo.

Ingabe lokhu kungavinjelwa ukuthi kwenzeke?

Njengoba kunezimbangela eziningi ze-macrocytic anemia, kunzima ngathi ukuvimbela ezinye izimo zezokwelapha eziyisisekelo. Kodwa-ke, uma ungenaso isimo sezokwelapha esinjalo, kunezinyathelo eziningana ongazithatha ukunciphisa, futhi mhlawumbe nokuvimbela, le ngozi:

• Nakekela impilo yakho iyonke: Izimpawu ze-macrocytic anemia zingaba zincane ekuqaleni, kodwa zingaba zimbi kakhulu ngokuhamba kwesikhathi. Uma ubona noma yiziphi izinguquko emzimbeni wakho, njengokukhathala okukhulu, ukukhathala, ubuhlungu besifuba, noma isikhumba esikhanyayo , khuluma nodokotela wakho ngokushesha. Ungacabangi nje ukuthi "ubumatasa kakhulu kulezi zinsuku."
• Yidla ukudla okunempilo: Ngokuvamile, ingozi enkulu yalokhu ukungatholi i-vitamin B12 eyanele kanye/noma i-folate. Ngakho-ke, kubaluleke kakhulu ukudla ukudla okunempilo nokulinganiselayo.
• Ukudla okucebile ngevithamini B12: inyama, inhlanzi, amaqanda, ubisi kanye nemikhiqizo yobisi (iyogathi, ushizi).
• Ukudla okucebile nge-folate: Imifino eluhlaza, imifino enamaqabunga (isipinashi, i-kale, ilethisi), ubhontshisi, ubhontshisi, ama-lentils, amawolintshi, amakinati.

Zama ukungeza lokhu ekudleni kwakho.

Kwenzekani uma ngine-Macrocytic Anemia?

Abantu abaningi bayalulama kule macrocytic anemia ngemva kokuthatha izithasiselo zamavithamini. Okusho ukuthi, umphumela uvame ukuba muhle.Kodwa-ke, isibikezelo somuntu onesifo esiyisisekelo sincike esimweni sezokwelapha esiyisisekelo kanye nesimo sakhe somuntu ngamunye. Udokotela wakho uzokuchazela lokhu.

Ngizinakekela kanjani?

Uma unalesi simo, ungenza lezi zinto ukuze uzinakekele:

• Thatha izithasiselo ezinikezwe udokotela wakho ngesikhathi sokwelashwa. Lokhu kubaluleke kakhulu. Abanye abantu bayayeka ukuphuza imithi yabo uma bezizwa bengcono kancane, ngakho-ke ungakwenzi lokho.
• Yakha imikhuba yokudla enempilo ukuqinisekisa ukuthi uthola i-vitamin B12 ne-folate eyanele. Ungase ufune nokuthola iseluleko kuchwepheshe wezokudla.
• Uma uzizwa sengathi izimpawu zakho ze-anemia ziyabuya (isib., ukuzizwa ukhathele futhi, ukuzizwa ubuthakathaka), bona udokotela wakho ngokushesha.
• Uma ukusebenzisa utshwala kuyinkinga, thola usizo lokuyilawula.

Ngakho-ke, njengoba ubona, abantu baba ne-macrocytic anemia uma bengatholi izakhamzimba ezanele ezisiza imizimba yabo ukuba ikhule amaseli abomvu egazi anempilo. Lokhu kungenzeka kubantu abalandela ukudla okuthile noma abanezimo ezithile zezokwelapha eziyisisekelo. Khumbula, i-macrocytic anemia akuyona inkinga enkulu, kodwa ingaholela ezinkingeni ezinkulu zezokwelapha uma ingelashwa. Ukudla ukudla okunempilo kungakusiza ukuvimbela lesi simo. Uma ukhathazekile ngalokhu, khuluma nodokotela wakho. Angahlola isimo sakho futhi ancome izindlela zokuthuthukisa ukudla kwakho. Uma une-macrocytic anemia, udokotela wakho cishe uzokunikeza izithasiselo zokusiza ukugcwalisa izakhamzimba ezintulekayo. Uzokusiza futhi ukuthi uhlakulele imikhuba enempilo.

Umyalezo Wokugcina Wokuya Nasekhaya

• I-Macrocytic anemia yisimo lapho umongo wamathambo ukhiqiza khona amangqamuzana egazi abomvu amakhulu ngendlela engavamile.
• Izimbangela eziyinhloko zalokhu ukuntuleka kwe-vitamin B12 kanye/noma i-folate (i-vitamin B9) noma izinkinga zokumunca.
• Kungabangelwa futhi yizimo ezinjengokuphuza utshwala ngokweqile kanye ne-hypothyroidism.
• Uma uhlangabezana nezimpawu ezifana nokukhathala njalo, ubunzima bokuphefumula, kanye nesikhumba esikhanyayo, funa iseluleko sezokwelapha.
• Lesi simo sivame ukwelapheka ngokudla okunempilo kanye nokuthatha izithasiselo ezinikezwe udokotela.
• Uma kukhona inkinga yezempilo eyisisekelo , kubalulekile ukuyilapha.

Nakekela impilo yakho, yidla ukudla okunempilo, futhi ungakhohlwa ukubona udokotela uma ubona okuthile okuhlukile!

I- Macrocytic anemia, i-anemia, i-vitamin B12, i-folate, amaseli abomvu egazi, umongo wamathambo, ukuntuleka kokudla okunempilo