Wake wathola umbiko wegazi, ikakhulukazi inani legazi eliphelele, wazibuza, "Kuyini lokhu?" Uma inani le-RDW kulowo mbiko liphakeme kunokujwayelekile, udokotela wakho angasebenzisa igama elithi "Anisocytosis." Leli gama lingase lesabe kancane ukulizwa, kodwa ungakhathazeki. Ake sixoxe ngalo kalula nangokucacile namuhla.
Kalula nje, iyini i-Anisocytosis?
I-Anisocytosis akuyona isifo. Yigama elisetshenziswa odokotela. Kalula nje, kusho ukuthi amangqamuzana akho abomvu egazi (ama-RBC) awalingani ngobukhulu, kodwa anobukhulu obuhlukene. Amanye amangqamuzana angaba makhulu kunokuvamile, amanye angaba mancane, noma inhlanganisela yakho kokubili.
Ngokuvamile, amangqamuzana abomvu egazi omuntu ophilile acishe abe nobukhulu obufanayo. Ngakho-ke lo mehluko ngobukhulu umane nje uwuphawu kithi mayelana nokuthile okwenzekayo ngaphakathi emzimbeni wethu. Ngakho-ke, lokhu asikubheki njengesifo, kodwa njengophawu lwesimo esingaphansi.
Kungani amangqamuzana egazi abomvu ebaluleke kangaka emizimbeni yethu?
Cabanga ngakho njengesevisi yokulethwa kwezimpahla ethwala umoya-mpilo emizimbeni yethu yonke. Yilokho okwenziwa amangqamuzana egazi abomvu. Akhiwa emnkantsheni wethu wamathambo futhi avuthwe cishe ezinsukwini eziyi-7.
- Umsebenzi oyinhloko: Ukuthwala umoya-mpilo, ongena emaphashini lapho siphefumula, uye kuwo wonke amaseli emzimbeni.
- Omunye umsebenzi: ukubuyisa ikhabhoni dioksijini ekhiqizwa kulawo maseli emaphashini.
Lokhu bakwenza ngokusebenzisa iphrotheni ebizwa ngokuthi i-hemoglobin . Amaseli abomvu egazi nawo anesimo esikhethekile kakhulu. Afana ne-donut engenambobo phakathi, futhi mancane phakathi. Lesi simo siwavumela ukuthi agobe futhi ahambe kalula ngisho nasemithonjeni yegazi emincane emzimbeni.
Izinguquko ngobukhulu, ukuma, noma inani lala maseli abomvu egazi zingathinta ngqo impilo yethu, njengoba ukutholakala komoya-mpilo emzimbeni kungase kuphazamiseke.
Wazi kanjani ukuthi une-anisocytosis?
Udokotela wakho angasebenzisa izivivinyo ezimbili eziyinhloko ukuthola lokhu.
1. Ukubalwa Kwegazi Okuphelele (i-CBC): Lolu vivinyo oluvame ukwenziwa. Lo mbiko uhlanganisa inani elibizwa ngokuthi i-RDW (Ububanzi Bokusabalalisa Amaseli Egazi Abomvu) . Lokhu kulinganisa ukuthi kungakanani ukwehluka, noma umehluko, ngobukhulu bamaseli akho abomvu egazi.
- Inani eliphezulu le-RDW lisho ukuthi kunokwehluka okukhulu ngobukhulu bamaseli abomvu egazi.
- Inani elijwayelekile le-RDW liphakathi kuka-12% no-15%.Kufanele kube phakathi.
- Kodwa khumbula, akuzona zonke izikhathi lapho inani lakho le-RDW likhuphuka, kusho ukuthi unesifo. Leli nani lingakhula kancane ngobudala, ngesikhathi sokukhulelwa, nangemva kokuvivinya umzimba kakhulu.
2. I-Peripheral Blood Smear (PBS): Lokhu kuhilela ukuthatha ithonsi lesampula yegazi lakho bese ulibheka ngaphansi kwe-microscope. Lokhu kuvumela udokotela ukubona usayizi nesimo samaseli abomvu egazi ngamehlo womabili.
Umehluko Phakathi kwe-Anisocytosis ne-Poikilocytosis
Womabili la magama asetshenziselwa ukuchaza ukungalingani kwamangqamuzana abomvu egazi. Ukuze uqonde kalula umehluko phakathi kwalawa amabili, bheka ithebula elingezansi.
| Isimo | Incazelo |
|---|---|
| I-Anisocytosis | Izinguquko ngobukhulu bamaseli abomvu egazi (amaseli aba makhulu noma abe mancane) |
| I-Poikilocytosis | Izinguquko esimweni samaseli abomvu egazi (isb., ngesimo sesikele, esimise okweqanda) |
Ngezinye izikhathi zombili lezi zimo zingenzeka ndawonye. Lokhu kusho ukuthi kokubili usayizi kanye nesimo samaseli abomvu egazi kuyashintsha. Lokhu kuvame ukubonakala ezimweni ezifana ne -anemia .
Yiziphi izimbangela eziyinhloko ze-Anisocytosis?
Imbangela evame kakhulu nehamba phambili ye-anisocytosis yi-anemia , okuyilokho esikubiza ngokuthi "ukuntuleka kwegazi." I-anemia ukuntuleka kwamangqamuzana egazi abomvu anempilo athwala umoya-mpilo owanele ezicutshini zomzimba wakho.
Izimpawu ezivamile ze-anemia
- Ukukhathala okuqhubekayo kanye nokulala ngokweqile
- Ubuthakathaka
- Isikhumba esikhanyayo (ubumthubi)
- Ubunzima bokuphefumula, noma ukuphefumula kanzima, ngisho noma uzikhandla kancane
Izinhlobo ze-Anisocytosis Ezingabangela I-Anemia
| Uhlobo lwe-anemia | Incazelo elula |
|---|---|
| I-anemia yokuntuleka kwensimbi | Kubangelwa ukuntuleka kwensimbi emzimbeni. Kulesi simo, amangqamuzana abomvu egazi ngokuvamile mancane (i-microcytosis). |
| I-anemia yokuntuleka kwamavithamini | Ngenxa yokuntuleka kwe-vitamin B12 noma i-folate, amangqamuzana abomvu egazi aba makhulu ngendlela engavamile (i-Macrocytosis). |
| I-anemia yamaseli esikele | Isimo sofuzo lapho amangqamuzana abomvu egazi eba sesimweni sesikele futhi abhujiswe ngokushesha. |
| I-autoimmune hemolytic anemia | Ukubhujiswa kwamangqamuzana abomvu egazi omzimba yisimiso somzimba sokuzivikela. |
Ezinye izimo ezihambisana ne-Anisocytosis ngaphandle kwe-anemia
Abacwaningi bathole ukuthi ngaphezu kwe-anemia, inani le-RDW liyakhuphuka kwezinye izifo eziningi. Okusho ukuthi, isimo se-Anisocytosis siyabonakala. Ngakho-ke, inani le-RDW libhekwa njengesibonakaliso esinikeza inkomba ethile yesimo sempilo iyonke.
Ezinye izimo ezingase zihlotshaniswe ne-anisocytosis zifaka:
- Isifo senhliziyo: Abantu abaningi abanezimo ezifana nesifo senhliziyo nesifo semithambo yegazi yenhliziyo banezinga eliphezulu le-RDW.
- Isifo sesibindi
- Isifo sezinso
- Umdlavuza othile: Umdlavuza ofana ne-leukemia kanye ne-lymphoma, ikakhulukazi lowo othinta umongo wamathambo.
- I-COVID-19: Amanani aphezulu e-RDW abonwe kwezinye iziguli ze-COVID-19, ikakhulukazi lezo ezinesifo esibi kakhulu.
- Lesi simo singase senzeke okwesikhashana ngemva kokumpontshelwa igazi noma ngenxa yemithi ethile.
Into ebaluleke kakhulu:Ukuthi nje utshelwe ngalezi zimo akusho ukuthi udinga ukwethuka. Inani eliphakeme le-RDW akusho ukuthi unesinye salezi zifo. Kumane kuyinkomba yokuthi kufanele ufune ukuhlolwa okwengeziwe.
Umlayezo Wokuya Nawe Ekhaya
- I-Anisocytosis akuyona isifo. Yisimo sezokwelapha esibonisa ukuthi amangqamuzana akho abomvu egazi anobukhulu obuhlukene. Lokhu kungabonakala ngenani eliphakeme le-RDW embikweni wegazi.
- Imbangela evame kakhulu yalokhu i-anemia ebangelwa yi-iron, i-vitamin B12, noma ukuntuleka kwe-folate.
- Ngaphezu kwe-anemia, lokhu kungabonakala nakwezinye izimo zezokwelapha njengezifo zenhliziyo, isibindi kanye nezinso.
- Ungakhathazeki ngenani eliphakeme le-RDW. Akubonisi njalo isimo esibucayi sezempilo.
- Iseluleko esibaluleke kakhulu nesiwukuphela kwaso ukuthi uma kukhona ushintsho embikweni wakho wegazi, ikakhulukazi inani le-RDW elikhuphukile, kufanele ukhulume nodokotela wakho ngakho futhi ufune iseluleko sakhe. Gwema ukuzihlola wena kanye nokuzelapha ngokuphelele.
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