Wake wabheka umbiko we-Full Blood Count wazibuza ngamanye amanani akuwo? Udokotela wakho kungenzeka ukuthi wathi, "Amangqamuzana akho abomvu egazi abukeka emakhulu kancane." Yilokho esikubiza ngezokwelapha ngokuthi i-Macrocytosis. Akusona ngempela isifo ngokwaso. Kodwa kuyisibonakaliso esibalulekile sokuthi kukhona okungahambi kahle emizimbeni yethu. Uma ungasinaki, ungaze ukhule ube yi-anemia enzima ebizwa ngokuthi i-macrocytic anemia. Ngakho-ke, ungakhathazeki. Ake sixoxe ngakho konke ngokucacile nangokulula.
Iyini ngempela i-Macrocytosis?
Kalula nje, i-Macrocytosis yilapho amangqamuzana abomvu egazini lakho emakhulu kunokujwayelekile. Lokhu ngezinye izikhathi kubizwa ngokuthi i-megalocytosis noma i-macrocythemia. Uma unesibalo segazi esiphelele, umbiko uzokutshela ubukhulu bamangqamuzana akho abomvu egazi. Kunezindinganiso ezimbili eziyinhloko udokotela azobheka kuzo uma esola lesi simo: 1.
I-MCV (Umthamo We-Corpuscular Ophakathi): Lena yivolumu emaphakathi yamangqamuzana akho abomvu egazi. 2.
I-MCH (I-Hemoglobin Ye-Corpuscular Ophakathi): Lena inani le-hemoglobin kuseli elibomvu legazi. Uma noma yiliphi lala manani noma womabili ephakeme kunokujwayelekile, kuyisibonakaliso esihle sokuthi ungase ube ne-Macrocytosis.
Ziyini izimpawu zalesi simo?
Esikhathini esiningi, i
-anemia ehambisana ne-Macrocytosis ikhula kancane emzimbeni. Ngakho-ke, lesi simo
asibonisi zimpawu ezinkulu kuze kube yilapho sesibi kakhulu. Kodwa-ke, lapho isimo sibi kakhulu, ezinye zezimpawu ezingezansi zingase zivele.
| Isibonakaliso | Incazelo |
|---|
| Uhudo | Ukuqunjelwa njalo. |
| Ukuvuvukala kolimi | Ubomvu, ukuvuvukala, noma ubuhlungu olimini. |
| I-Anorexia | Ukuncipha kwesifiso sokudla. |
| I-Peripheral Neuropathy | Imizwa yokuba ndikindiki nokusha ezithweni. |
| Izinguquko zendlela yokuhamba | Ubunzima bokugcina ibhalansi ngenkathi uhamba. |
Yiziphi izimbangela ze-macrocytosis?
Njengoba sesishilo ngaphambili, i-Macrocytosis ayisona isifo esisodwa. Iwumphumela wenye inkinga yezempilo. Ake sibone ukuthi yiziphi izimbangela eziyinhloko eziyithintayo.
| Izizathu eziyinhloko |
|---|
| Ukuntuleka kwe-Vitamin B12 | Ukungatholi i-vitamin B12 eyanele noma ukungakwazi ukuyimunca. |
| Ukuntuleka kwe-folate | I-Folate, eyaziwa nangokuthi i-vitamin B9, ibalulekile ekukhuleni kwamaseli. Ukuntuleka kwayo nakho kuyimbangela enkulu. |
| Isifo sesibindi | Ukungasebenzi kahle kwesibindi. |
| Utshwala | Utshwala buvimbela ukumuncwa kwamavithamini futhi bulimaza nomnkantsha wamathambo. |
| Izinkinga ze-thyroid (i-Hypothyroidism) | Ukwehla kwamazinga e-hormone ye-thyroid. |
Ngaphezu kwalokho,
kungaba umphumela omubi wemithi ethile esetshenziselwa ukwelapha izimo ezinjengomdlavuza, ukuxhuzula, noma izifo ezibangelwa ukuzivikela komzimba (izifo lapho amasosha omzimba ezihlasela khona).I-Macrocytosis ingenzeka futhi ngenxa yomdlavuza womnkantsha wamathambo (i-myelodysplastic syndrome).
Ungasibona kanjani lesi simo?
Uma udokotela wakho esola lokhu, uzoyala ukuhlolwa okuningana ukuze akuqinisekise.
Into ebaluleke kakhulu ukuthi lezi zivivinyo azihloli nje kuphela ukuba khona kwe-Macrocytosis, kodwa futhi zithole ukuthi yini ngempela ebangela lokho.
Ukuhlolwa okuyinhloko okwenziwe yile:
- Inani Eliphelele Legazi (CBC): Inani eliphelele legazi.
- Ukucwiliswa Kwegazi Okungaphandle (Ukucwiliswa Kwegazi): Lokhu ukuhlolwa okubaluleke kakhulu. Isampula yegazi ihlolwa ngaphansi kwe-microscope ukuze kubonwe ukuma nobukhulu bamaseli abomvu egazi.
- Inani lama -Reticulocyte : Lilinganisa inani lamaseli abomvu egazi asanda kwakheka emnkantsheni wethambo.
- Amazinga e -Vitamin B12 kanye ne-Folate: Ukuhlola amazinga ala mavithamini egazini.
I-Macrocytosis ingatholakala kangcono nge-smear engaphandle. Ngaphezu kwamangqamuzana abomvu egazi akhulisiwe, uma kunezimpawu
zemizimba kaHowell-Jolly (izingcezu ezincane ngaphakathi kwamangqamuzana) kanye nokwanda kwe-
granulocytes (uhlobo lweseli elimhlophe legazi), kuyisibonakaliso esinamandla se-macrocytic anemia.
Iphathwa kanjani?
Into ebaluleke kakhulu ekwelapheni i-macrocytosis
ukuthola nokwelapha imbangela eyisisekelo . Uma imbangela isitholakele, udokotela wakho uzonquma uhlelo lokwelashwa.
- Ukwelashwa kokuntuleka kwamavithamini: Uma imbangela kungukuntuleka kwevithamini B12 noma i-folate, khona-ke kunconywa ukushintsha ukudla okufanele, izithasiselo zamavithamini, noma imijovo yamavithamini uma kudingeka. Kodwa khumbula, udokotela wakho kuphela onganquma ukuthi udinga izithasiselo zamavithamini ezengeziwe nokuthi kufanele uthathe malini. Ngakho-ke, ungawasebenzisi amavithamini ngaphandle kweseluleko sikadokotela.
- I-anemia enzima: Uma i-anemia inzima kakhulu, kungadingeka ukumpontshelwa igazi .
Ukudla okucebile nge-vitamin B12
Abantu abadala abaneminyaka engaphezu kwengu-14 badinga cishe ama-microgram angu-2.4 e-vitamin B12 ngosuku. Omama abakhulelwe nabancelisayo badinga ama-microgram angu-2.6-2.8. Ukudla okuvame ukucebile kula mavithamini kufaka phakathi:
- Izinhlobo zezinhlanzi kanye ne-shellfish
- Isibindi
- Inyama ebomvu
- Amaqanda
- Inyama yenkukhu
- Ukudla kobisi okufana nobisi, ushizi, i-yogurt
- Okusanhlamvu kwasekuseni okuqinisiwe
Ukudla okucebile nge-folate
Noma ubani oneminyaka engaphezu kwengu-19 udinga ama-microgram angu-400 e-folate ngosuku. Umama okhulelwe udinga ama-microgram angu-600, kanti umama oncelisayo udinga ama-500. Kubalulekile futhi ukuthi labo abaphuza utshwala bathole ama-microgram angu-600 ngosuku, ngoba utshwala buphazamisa ukumuncwa kwe-folate.
- Imifino eluhlaza okotshani njengespinashi, i-kale, ilethisi, i-broccoli
- Imifino efana nobhontshisi nobhontshisi
- I-Peanut
- Imbewu yelanga
- Izithelo ezintsha
- Okusanhlamvu okuphelele
- Ukudla kwasolwandle
- Amaqanda
- Ukudla okuqinisiwe
Umlayezo Wokuya Nawe Ekhaya
- I-Macrocytosis isho ukuthi amangqamuzana akho abomvu egazi makhulu kunokuvamile. Akusona isifo ngokwaso, kodwa uphawu lwenye inkinga emzimbeni.
- Imbangela evame kakhulu ukuntuleka kwe-vitamin B12 noma i-folate. Ezinye izimbangela zifaka phakathi izifo zesibindi kanye nokusebenzisa kabi utshwala .
- Uma inani lakho le-MCV liphakeme embikweni wakho wegazi, ungesabi futhi ukhulume nodokotela wakho ngokushesha.
- Ukwelashwa kuncike embangela eyisisekelo. Ukuthola imbangela efanele nokuyiphatha kungalawula ngokuphelele lesi simo.
- Ukugcina ukudla okunempilo nokulinganiselayo kubaluleke kakhulu.
I-Macrocytosis, amaseli abomvu egazi, ukuhlolwa kwegazi, i-vitamin B12, i-folate, i-anemia, i-MCV
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