Wake wabukeza imiphumela yakho yegazi ( umbiko wegazi ) futhi waphawula inothi mayelana namaseli abomvu egazi akhulisiwe, noma mhlawumbe udokotela wakho ukhulume ngesimo esibizwa ngokuthi “i-Macrocytosis”? Kungokwemvelo ukuzizwa ukhathazekile kancane, kodwa sicela uhlale uzolile. I-Macrocytosis akuyona isifo ngokwayo; kumane nje kuwukuthola ukuthi amaseli akho abomvu egazi makhulu kunokuvamile.
Kuyini i-Macrocytosis?
Kalula nje, i-Macrocytosis isho ukuthi amangqamuzana akho abomvu egazi makhulu kunosayizi ojwayelekile. Akubhekwe njengesifo, kodwa kusebenza njengesibonakaliso sezokwelapha esikhomba into eyisisekelo emzimbeni wakho. Ngokuvamile lokhu ukuthole nge-Complete Blood Count (CBC) / Full Blood Count ( FBC ). Odokotela bavame uku-oda lokhu kuhlolwa ukuze bahlole impilo yakho iyonke nokuthi amangqamuzana akho egazi asebenza kanjani.
Umbiko wakho we-CBC uhlanganisa inani elibizwa ngokuthi i-`MCV (Mean Corpuscular Volume)`, elilinganisa ubukhulu obujwayelekile bamaseli akho abomvu egazi. Kubantu abadala, uma inani le-`MCV` liphakeme kune-100 femtoliters (`100 fL`), lihlukaniswa njenge-Macrocytosis.
Nakuba ngokuvamile kungekubi kangako, la maseli amakhulu ngezinye izikhathi awanazo izakhamzimba ezidingekayo ukuze asebenze kahle, okusho ukuthi ayahluleka ukufeza indima yawo eyinhloko: ukuthwala umoya-mpilo emzimbeni wakho wonke. Lesi simo sibizwa ngokuthi 'i-Macrocytic Anemia' (i-macrocytic anemia ). Uma singalashwa, singaholela ezinkingeni ezinkulu zempilo.
Sivame kangakanani lesi simo?
Cishe u-2% kuya ku-4% wabantu bomhlaba wonke bane-Macrocytosis. Kuleli qembu, cishe u-60% nabo babhekene ne-anemia ehambisanayo.
Kodwa-ke, i-Macrocytosis eyenzeka ngaphandle kwe-anemia ivame ukubonwa ezinganeni nakubantu asebekhulile.
Ziyini izimpawu ze-Macrocytosis?
Ezimweni eziningi, okuwukuphela kwesibonakaliso se-Macrocytosis inani eliphakeme le-'MCV' embikweni wakho we-'CBC'. Uma izimpawu zivela, zivame ukuhlotshaniswa nembangela eyinhloko yokwanda kwamaseli abomvu egazi.
Isibonelo, uma une-'Macrocytic Anemia', ungase ube nezimpawu ze-anemia ezivamile njengokukhathala , ukukhathala, kanye nesikhumba esikhanyayo . Ngaphezu kwalokho, uma imbangela eyinhloko iwukuntuleka kokudla okunempilo, ungase ube nesifo sohudo, izinkinga zenkumbulo, noma ukulahlekelwa ibhalansi .
Ngenxa yokuthi kunezizathu eziningi ze-Macrocytosis, izimpawu zingahluka kakhulu kumuntu nomuntu.
Yini ebangela i-Macrocytosis?
Amaseli akho egazi akhiqizwa ngaphakathi komnkantsha wakho wethambo. Ngakho-ke, i-Macrocytosis ingabangelwa izinkinga ngokukhiqizwa kwamaseli abomvu egazi lomnkantsha noma izinkinga ngesakhiwo samaseli abomvu egazi ngokwawo. Ngezinye izikhathi, ukwanda kwamaseli abomvu egazi angakavuthwa (abizwa ngokuthi 'ama-reticulocytes') kungabangela i-'MCV' ephezulu, njengoba lawa maseli makhulu ngokwemvelo kunamaseli abomvu egazi avuthiwe.
Nazi ezinye zezimbangela eziyinhloko ze-Macrocytosis:
Ukuntuleka Kokudla Okunomsoco
Umzimba wakho udinga izakhamzimba ezifana neVithamini B12 kanye ne-folate (iVithamini B9) ukuze wakhe amaseli abomvu egazi anempilo. Uma ungatholi okwanele kwalawa ngokudla kwakho, noma uma isimo sempilo esiyimfihlo sivimbela umzimba wakho ekumunceni, amaseli akho abomvu egazi ngeke akhule kahle. Ukuntuleka kweVithamini B12 kanye ne-folate kuyizimbangela eziphambili ze-'Macrocytic Anemia'. Isibonelo, ukudla okulinganiselwe kwemifino eluhlaza nezithelo kungaholela ekuntuleni i-folate, kuyilapho ukudla okuqinile kwe-vegan kungabangela ukuntuleka kweVithamini B12.
Imithi Ethile
Imithi ehlukahlukene ingabangela i-Macrocytosis, okuhlanganisa i-'hydroxyurea' (evame ukusetshenziselwa isifo se-sickle cell), izidakamizwa ezithile ze-'chemotherapy', kanye ne-'antiretroviral therapy (ART)' ye-HIV. Udokotela wakho cishe uzokwazi ukuthi noma yimuphi umuthi owuthathayo unale ngozi.
Ukusetshenziswa Kotshwala
Ukuphuza utshwala ngokweqile noma okungapheli kuyimbangela evamile ye-Macrocytosis. Utshwala bungaphazamisa ikhono lomzimba lokumunca izakhamzimba ezibalulekile ezidingekayo ukuze kukhiqizwe amangqamuzana abomvu egazi anempilo.
Isifo Sesibindi
I-Macrocytosis ngezinye izikhathi ingaba uphawu lwesifo sesibindi. Nakuba ivame ukuhlotshaniswa nokusetshenziswa kotshwala, ingavela nakwezinye izimo zesibindi ezingahlobene notshwala.
I-Hemolytic Anemia
Ku-'Hemolytic anemia', amangqamuzana akho abomvu egazi abhujiswa ngaphambi kwesikhathi. Ukuze kulungiswe lokhu, umzimba wakho ukhipha ama-'reticulocyte' amaningi (amangqamuzana angakavuthwa) egazini, okungakhuphula izinga lakho le-MCV.
Ukulahlekelwa Yigazi Okuphawulekayo
Ngemva kwengozi, ukuhlinzwa, noma okunye ukulimala, uma ulahlekelwa igazi eliningi, umzimba wakho uphuthuma ukukhiqiza amangqamuzana amasha, ukukhulula 'ama-reticulocyte' ekujikelezeni kwegazi, okufana nenqubo ebonwa ku-hemolytic anemia.
Isifo se-Myelodysplastic
Leli yiqembu lomdlavuza ohlobene nomnkantsha wamathambo ovimbela umzimba ekukhiqizeni amangqamuzana egazi aphilile futhi avuthiwe.
I-Hypothyroidism
Indlala yegilo engasebenzi kahle, noma 'i-Hypothyroidism', ingahlotshaniswa ne-Macrocytosis, kungakhathaliseki ukuthi ikhona yini i-anemia noma cha.
Ngezinye izikhathi, imbangela ecacile ye-Macrocytosis ayikwazi ukutholakala, ikakhulukazi uma ungenayo i-anemia noma ezinye izimpawu.
I-Macrocytosis itholakala kanjani?
Njengoba sishilo ngaphambilini, i-macrocytosis iyigama elisetshenziselwa ukuchaza amangqamuzana abomvu egazi akhulisiwe, hhayi isifo esisemthethweni ngokwaso. Uma umbiko wakho CBC ukhombisa inani le MCV eliphakeme kune 100 fL , kusho ukuthi amangqamuzana akho abomvu egazi makhulu kunokujwayelekile.
Ngezinye izikhathi, ngokusekelwe ebunzimeni be-macrocytosis, udokotela wakho angakwazi ukuthola imbangela engaba khona. Isibonelo, uma inani lakho MCV liphakeme kakhulu (njenge-110 - 115 fL), kungaba uphawu lwesimo esibucayi njenge- macrocytic anemia , okuhlanganisa ne megaloblastic anemia .
Ukuhlolwa Kokuxilonga Ukuthola Imbangela Ye-Macrocytosis
Uma udokotela wakho ekhathazekile ngamaseli akho abomvu egazi akhuphukile, uzobuza imibuzo ukuze athole imbangela eyinhloko. Bangase babuze nge-umlando wezokwelapha wangaphambilini, imithi oyiphuzayo, ukudla kwakho, kanye nokuphuza kwakho utshwala. Ngaphezu kwalokho, bangase batuse ukuhlolwa okulandelayo:
- I-smear yegazi elingaphandle: Kule nqubo, isampula encane yegazi lakho ihlolwa ngaphansi kwe-microscope. Lokhu kuvumela udokotela ukuthi ahlole ukukhubazeka okungadala i-macrocytosis, njengezinkinga zokukhula kwamaseli abomvu egazi.
- Ukuhlolwa kwe -Vitamin B12 kanye nezinga le-folate: Amazinga aphansi e-vitamin B12 noma i-folate egazini lakho abonisa ukuntuleka kokudla okunempilo, okusho ukuthi umzimba wakho awunazo izakhi ezidingekayo ukuze ukhiqize amangqamuzana egazi abomvu anempilo.
- Inani lama-reticulocyte: Lokhu kuhlolwa kulinganisa inani lamaseli abomvu egazi angakavuthwa esampula yegazi lakho, okusiza ekunqumeni ukuthi lokhu kuyimbangela ye
MCVephezulu. - Ukuhlolwa kokusebenza kwesibindi: Lokhu kuhlolwa kuhlola ukuthi isibindi sakho sisebenza kahle kangakanani ekucubunguleni izakhamzimba ezidingekayo ukuze kukhiqizwe amaseli egazi abomvu anempilo.
- Ukuhlolwa komnkantsha wethambo: Uma udokotela wakho esola ukuthi kukhona isimo esingaphansi komnkantsha wakho esivimbela ukukhiqizwa kwamangqamuzana abomvu egazi, angase asikisele lokhu kuhlolwa. Isampula encane yomnkantsha wethambo iyaqoqwa futhi ihlolwe ngaphansi kwe-microscope ukuze kutholakale noma yikuphi ukukhubazeka.
Iphathwa kanjani i-Macrocytosis?
Uma ungenazo izimpawu ze-anemia futhi imiphumela yakho yokuhlolwa ingakhombisi ezinye izinkinga, ungase ungadingi ukwelashwa nhlobo. Ngaphandle kwalokho, uhlelo lokwelashwa lunqunywa imbangela ethile yokwanda kwamaseli akho abomvu egazi.
- Uma i-macrocytosis yakho ibangelwa ukuntuleka kokudla okunempilo, kungadingeka ulungise ukudla kwakho noma uthathe izithasiselo zamavithamini .
- Uma umuthi uyimbangela, udokotela wakho angase alungise umthamo noma akunikeze omunye umuthi .
- Uma ubhekene ne-anemia enzima kanye ne-macrocytosis, kungadingeka ukumpontshelwa igazi .
Okubaluleke kakhulu, kungakhathaliseki ukuthi imbangela ye-macrocytosis yakho iyini, landela uhlelo lokwelashwa lukadokotela wakho ngokunembile.
Ingabe i-Macrocytosis ingelapheka?
Ezimweni eziningi, uma imbangela eyinhloko seyelashwe, isimo se-macrocytosis siyaguqulwa. Khuluma nodokotela wakho ngokuthi uhlelo lwakho lokwelashwa luzothinta kanjani impilo yakho iyonke.
Unganciphisa Kanjani Ingozi Ye-Macrocytosis?
Nakuba singeke sikwazi ukuvimbela zonke izimbangela ze-macrocytosis, ukwamukela imikhuba enempilo kungasiza ekunciphiseni ubungozi bakho. Isibonelo:
- Faka ukudla okucebile ngeVithamini B12 kanye ne-folate – njengenhlanzi, imikhiqizo yobisi, amaqanda , imifino enamaqabunga, kanye nokusanhlamvu okuqinisiwe – ukuze unciphise ingozi yokuba ne
macrocytic anemia. - Ukunciphisa ukusetshenziswa kotshwalakubaluleke kakhulu.
- Ngaphezu kwalokho, ungayeki ukuhlolwa kwegazi kwakho kwaminyaka yonke. I-Macrocytosis ivame ukutholakala ngengozi ngesikhathi sokuhlolwa kwegazi okuvamile. Ukuxilongwa kusenesikhathi kanye nokwelashwa ngesikhathi kungavimbela lesi simo ukuthi singabi sibi kakhulu.
Kwenzekani Uma I-Macrocytosis Ingalashwa?
Udokotela wakho kuphela onganquma ukuthi i-macrocytosis yakho idinga ukungenelela. Uma une-macrocytosis ehambisana ne-anemia, ukufuna ukwelashwa kubalulekile. Ukungayilaphi kungaholela ezinkingeni ezinkulu zempilo ngenxa ye macrocytic anemia .
Yini Okufanele Ngiyibuze Udokotela Wami?
Uma uthola ukuthi amangqamuzana akho abomvu egazi makhulu kunokuvamile, landela iseluleko sikadokotela wakho ngezinyathelo ezilandelayo. Ungase ufune ukubuza imibuzo elandelayo:
- Ingabe kufanele ngikhathazeke nge
MCVyami ephezulu? - Yiziphi izivivinyo engizodinga ukuthola imbangela ye-macrocytosis yami?
- Ingabe ngidinga ukwelashwa ngembangela eyinhloko yokwanda kwamaseli ami abomvu egazi?
- Yiziphi izinguquko zendlela yokuphila engingayenza ukuze ngiphathe lesi simo?
Umyalezo Wokugcina Wokuya Nasekhaya
I-Macrocytosis noma inani eliphakeme MCV akuzona njalo izizathu zokwethuka. Ungesabi uma lezi zindinganiso zibonakala ziphezulu embikweni wakho CBC . Funa isiqondiso kudokotela wakho ukuze uqonde imiphumela yakho. Kuye ngokutholile kwakho, udokotela wakho angase asikisele izinguquko zokudla noma izithasiselo zamavithamini. Unganqikazi ukubuza ukuthi uhlelo lwakho lokwelashwa luzothinta kanjani amaseli akho abomvu egazi kanye nempilo yakho iyonke. Ukuhlala uphilile yikho okubaluleke kakhulu!
