Ingabe uvame ukuzizwa ukhathele futhi ungenampilo? Ngezinye izikhathi sicabanga ukuthi lokhu kuyinto evamile, ukukhathala okuvela ekusebenzeni ngokweqile. Kodwa-ke, kungase kube nesizathu esibucayi esifihliwe ngaphansi kwalokhu kukhathala. Namuhla sizokhuluma nge-anemia enjalo, noma isimo esikhethekile esihlobene nokuntuleka kwegazi emzimbeni. Lokhu kubizwa ngokuthi i-Heinz Body Anemia.
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Kalula nje, ziyini lezi Heinz Bodies?
Ukuze siqonde lokhu, sidinga ukwazi okuncane ngegazi lethu. Igazi lethu liqukethe uhlobo lweseli elibizwa ngokuthi amangqamuzana egazi abomvu. Lawa amangqamuzana athwala umoya-mpilo emizimbeni yethu yonke. Cabanga ngala mangqamuzana egazi abomvu njengamaloli amancane athwala umoya-mpilo. Ingxenye eyinhloko yala maloli athwala umoya-mpilo ibizwa ngokuthi i-hemoglobin . Le phrotheni ebizwa ngokuthi i-hemoglobin yilokho okunikeza igazi lethu umbala walo obomvu.
Kodwa-ke, ngesizathu esithile, la ma-molecule e-hemoglobin angonakala. Njengoba nje indawo yokulayisha iloli yonakala. I-hemoglobin eyonakele iyahlangana, ihlangane, futhi inamathele odongeni lweseli elibomvu legazi. Sibiza lawo ma-clumps ngokuthi ama -Heinz Bodies .
Lezi zidumbu ze-Heinz zibangela ukuba amangqamuzana abomvu egazi alahlekelwe ukuguquguquka kwawo futhi abe lukhuni. Ngokuvamile, amangqamuzana abomvu egazi aphilile angadlula kalula ngisho nasemithanjeni yegazi emincane kakhulu. Kodwa lawa maseli aqinile anenkinga yokwenza kanjalo. Ubende bethu buyisitho esihlanza igazi lethu. Njengoba ludlula kulesi sihlungi, ubende bubona amangqamuzana abomvu egazi ngalezi zidumbu ze-Heinz eziqinile bese buwabhubhisa. Ngezinye izikhathi, kususwa ingxenye yomzimba ye-Heinz kuphela, futhi amangqamuzana abomvu egazi abukeka sengathi othile ulume ucezu lwebhisikidi. Siphinde sibize lawa maseli okuluma .
Ngale ndlela, lapho la maseli abomvu egazi onakele ephuka ngokushesha kunokuba umzimba wethu ungakha amasha, inani legazi emzimbeni wethu liyancipha. Yilokho esikubiza ngokuthi i-Heinz Body Anemia.
Kungani lesi simo senzeka? Yiziphi izizathu?
Imbangela eyinhloko yemizimba ye-Heinz ukulimala kwamakhemikhali noma kwe-oxidative kumaseli ethu abomvu egazi. Lokhu kungatholakala ngemva kokuzalwa, noma kungabangelwa yisimo sokuzalwa.
Izimbangela ezenzeka ngemva kokuzalwa
Lokhu kubangelwa kakhulu izinto ezingena emzimbeni zivela ngaphandle.
| Isizathu | Incazelo nezibonelo |
|---|---|
| Ezinye izidakamizwa namakhemikhali | Ukuchayeka emithini ethile kanye namakhemikhali kungalimaza amaseli abomvu egazi. Izibonelo:
|
| Ukuntuleka kwamaminerali | I-Selenium iyiminerali ebalulekile emzimbeni wethu. Isiza ekwenzeni i-antioxidant enamandla ebizwa ngokuthi i-glutathione. Le antioxidant yiyo evikela amangqamuzana ethu abomvu emonakalweni. Uma kukhona ukuntuleka kwe-selenium, lokhu kuvikelwa kuyancishiswa futhi imizimba ye-Heinz ingakheka. |
Izimbangela zokuzalwa (izimo zofuzo)
Lezi yizimo zofuzo ezizuzwa ngabazali ezinganeni.
- Ukuntuleka kwe-G6PD: Igama eliphelele lalokhu ukuntuleka kwe-Glucose-6-phosphate dehydrogenase. Lesi yisimo esibonakala nasezweni lethu. Le G6PD iyi-enzyme ebaluleke kakhulu evikela amangqamuzana abomvu egazi. Kubantu abaswele le-enzyme, lapho bethatha imithi ethile, lapho bethola izifo ezithile, noma lapho bedla ukudla okuthile (isib. ubhontshisi be-fava), amangqamuzana abo abomvu egazi aqala ukuwohloka ngokushesha.
- I-Thalassemia: Lokhu futhi kuyiphutha lofuzo ekukhiqizweni kwe-hemoglobin elivame ezweni lethu. Imizimba ye-Heinz ingabonakala nasegazini leziguli ezine-thalassemia.
- I-hemoglobinopathy engazinzile: Abanye abantu bazalwa benezinhlobo ezingavamile nezingazinzi ze-hemoglobin. Lezi zilimaza kalula futhi zibangela imizimba ye-Heinz.
Ingabe nawe unalezi zimpawu?
Ukuba khona kwemizimba ye-Heinz akubangeli izimpawu. Kodwa-ke, lapho inani elikhulu lamaseli abomvu egazi liqala ukuwohloka, kuvela i-anemia futhi kungase kuvele izimpawu ezahlukahlukene.
| Izimpawu ezivamile ze-Heinz body anemia | |
|---|---|
| Ukuphuzi kwesikhumba namehlo (i-Jaundice) | Ukuzizwa njalo kokukhathala okukhulu nokukhathala |
| Ubunzima bokuphefumula nokuphefumula | Isikhumba esikhanyayo |
| Ukushaya kwenhliziyo okungajwayelekile noma okusheshayo | Ukuvuvukala kwesibindi noma i-spleen (ubuhlungu esiswini esingaphezulu) |
Ukuthola kanjani lokhu? Yiziphi izivivinyo ezenziwayo?
Uma unezimpawu ezinjengalezi, into yokuqala udokotela wakho azokwenza ukukuhlola bese eyala ukuhlolwa kwegazi.
- Ukubalwa Kwegazi Okuphelele (i-CBC): Lokhu kulinganisa inani lamaseli abomvu egazi, amaseli amhlophe egazi, nama-platelet egazini lakho. Lokhu kubalulekile ukuhlola i-anemia.
- I-Hemoglobin kanye ne-Hematocrit: Lokhu futhi kulinganisa inani lamaseli abomvu egazi kanye namazinga e-hemoglobin.
- Ukuskena Kwegazi Okungaphandle: Lokhu ukuhlolwa okubaluleke kakhulu. Lapha, iconsi legazi ligcotshwa kuslayidi yengilazi bese lihlolwa ngaphansi kwe-microscope. Ngemuva kwalokho, isimo nobukhulu bamaseli abomvu egazi kungabonakala. "Amaseli okuluma" esikhulume ngawo ngaphambili angabonakala nangalo kuhlolwa. Ukuze ubone imizimba kaHeinz ngqo, kumele kusetshenziswe udayi okhethekile (ibala) kulolu vivinyo.
- Ukuhlolwa komchamo: Uma amangqamuzana abomvu egazi ewohloka, i-hemoglobin ingakhishwa ingene emchameni. Lokhu kuhlolwa kwenziwa ukuze kubonakale ukuthi ikhona yini.
Yiziphi izindlela zokwelapha?
Ukwelashwa kuncike embangela yesimo. Udokotela wakho uzonquma imbangela futhi anikeze ukwelashwa okufanele kakhulu.
- Ukuyeka umuthi obangela lesi simo: Uma kutholakala ukuthi umuthi ubangela lesi simo, lowo muthi uzomiswa futhi, uma kudingeka, kuzonikezwa umuthi ophephile esikhundleni salokho.
- Ukuhlinzeka ngezithako zokudla okunempilo: Uma lesi simo sibangelwa ukuntuleka kwamaminerali njenge-selenium, kuzonikezwa izithako zokudla okunempilo.
- Ama-antibiotic: Uma i-anemia ibhebhethekiswa ukutheleleka.
- Ukufakelwa Igazi: Uma i-anemia inzima kakhulu, ukumpontshelwa igazi kunganikezwa ukuze kubuyiselwe amazinga egazi ngokushesha.
- Ukususwa kwe-spleen: Kwezinye izimo ezinzima, ukususwa kwe-spleen ngokuhlinzwa, okuyindawo eyinhloko yokubhujiswa kwamangqamuzana egazi abomvu, kunganconywa.
- Ukwelashwa okufana nemithi yokucindezela amasosha omzimba kanye nokufakelwa kwamaseli okuqala kungasetshenziswa nasezimweni ezingavamile kakhulu nezinzima.
Okubaluleke kakhulu: Ungalokothi uyeke ukuthatha noma yimuphi umuthi noma ushintshe umthamo ngaphandle kokukhuluma nodokotela wakho. Kungaba yingozi.
Yiziphi izinkinga ezingaba khona ngenxa yalesi simo?
Uma i-anemia yomzimba kaHeinz ingaphathwa kahle, izinkinga ezithile zingavela. Lokhu kuyahlukahluka kuye ngembangela kanye nokwelashwa kwalesi sifo.
- Amahlule egazi (ikakhulukazi emaphashini)
- Amatshe enyongo
- Ukwehluleka kwezinso
- Ukwehluleka kwenhliziyo
- Ukushaqeka
- Imiphumela emibi yemithi ethathwayo yokwelashwa
Ezinye zalezi zinkinga ziyizimo eziphuthumayo zezokwelapha. Ngakho-ke, uma uzizwa ungaphilile ngokuzumayo, unenkinga enkulu yokuphefumula, noma uzwa ubuhlungu esifubeni, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Uma usola ukuthi lesi simo sibangelwe ukugwinya into ethile yamakhemikhali, ungashayela neNational Poisons Information Centre eColombo National Hospital ukuze uthole iseluleko.
Umlayezo Wokuya Nawe Ekhaya
- I-Heinz Body Anemia yisimo lapho umzimba uphula khona amangqamuzana abomvu egazi ngokushesha kunokuba ungenza amasha.
- Lokhu kungabangelwa imithi ethile, amakhemikhali, noma izimo zokuzalwa ezifana nokuntuleka kwe-G6PD kanye ne-thalassemia.
- Izimpawu eziyinhloko ukukhathala okuvamile, ukuphuzi kwesikhumba, kanye nokufiphala.
- Ukuhlolwa kwegazi kubalulekile ukuze kutholakale lesi simo ngokunembile.
- Ukwelashwa kuncike embangela yesifo, ngakho-ke kubaluleke kakhulu ukufuna iseluleko sezokwelapha.
- Ungayeki ukuthatha noma yimuphi umuthi ngaphandle kokubonisana nodokotela. Uma uzwa noma yikuphi ukungakhululeki, xhumana nodokotela wakho ngokushesha.
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