IMacrocytosis: yini, izimbangela eziyinhloko nokuthi yini okufanele uyenze

-Delile

• Izimbangela eziyinhloko
• 1. Ukushoda kukavithamini B12
• 2. Ukushoda kwefolate
• 3. Ukuphuza ngokweqile
• 4. Izinguquko zomnkantsha

IMacrocytosis yigama elingavela embikweni wokubalwa kwegazi okhombisa ukuthi ama-erythrocyte makhulu kunokujwayelekile, nokuthi ukuboniswa kwama-macrocytic erythrocyte nakho kungakhonjiswa esivivinyweni. I-Macrocytosis ihlolwa kusetshenziswa i-Average Corpuscular Volume (CMV), ekhombisa usayizi omaphakathi wamaseli abomvu egazi, ngenani lesethenjwa eliphakathi kuka-80.0 no-100.0 fL, kepha leli nani lingahluka ngokuya kwelabhorethri.

Ngakho-ke, i-macrocytosis ibhekwa lapho i-VCM ingaphezu kuka-100.0 fL. Ukuze i-macrocytosis ibe nokubaluleka komtholampilo, kubalulekile ukuthi i-CMV ihlolwe kanye namanye ama-indices akhona ekubalweni kwegazi, njengenombolo yamaseli abomvu egazi, i-hemoglobin, i-RDW, ehlola ukwehluka ngosayizi wamaseli abomvu egazi, I-average Corpuscular Hemoglobin (HCM) kanye nokugxila kwe-Average Corpuscular Hemoglobin (CHCM).

Izimbangela eziyinhloko

Ukwanda ngosayizi wamangqamuzana abomvu egazi kuvame kakhulu kubantu asebekhulile, ngoba kujwayelekile ukuthi kube nokwehla kwenani le-oxygen etholakalayo, ngesidingo sokwengeza ukutholwa kwaleli gesi ukulihambisa liye emzimbeni, okuholele ekutheni ekwandeni kwamaseli abomvu egazi.

Kodwa-ke, i-macrocytosis ingenzeka kunoma yisiphi isikhathi futhi ihlobene kakhulu nezinguquko zokudla okunempilo, kepha kungenzeka futhi ukuthi ingumphumela wezinye izimo zezempilo ezinjengotshwala noma ushintsho kumnkantsha wamathambo.

Ngakho-ke, izimbangela ezinkulu ze-macrocytosis yilezi:

1. Ukushoda kukavithamini B12

Ukwehla kwenani likavithamini B12 emzimbeni kungenye yezimbangela ezinkulu ze-macrocytosis futhi kungenzeka ngenxa yokushintsha kwenqubo yokumunca le vithamini emathunjini noma ngenxa yokwehla kwenani likavithamini B12 elidliwe kulo lonke usuku.

Ngaphezu kwe-macrocytosis, kujwayelekile ukuthi abantu abanokushoda ngamavithamini babe ne-anemia, ebizwa nangokuthi i-anemia eyingozi, futhi ngenxa yalesi sizathu kuvamile ukuba nezimpawu ezithile njengobuthakathaka, ukukhathala nokuphefumula okuncane. Yazi ukuthi ungazibona kanjani izimpawu zokushoda kukavithamini B12.

Okufanele ngikwenze: Kubalulekile ukuthi ngaphezu kokubalwa kwegazi okuphelele, kwenziwa umthamo kavithamini B12, njengoba kungenzeka ukuqinisekisa ukuxilongwa bese uqala ukwelashwa okufanele kakhulu, okungafaka ushintsho ekudleni noma ekusetshenzisweni kwezithako ngokuya kodokotela noma izincomo zikadokotela wezokudla.

2. Ukushoda kwefolate

Ukushoda kwe-folate, okwaziwa nangokuthi i-folic acid noma i-vitamin B9, nakho kuyimbangela enkulu ye-macrocytosis futhi kungenzeka ngenxa yokwehla kokusetshenziswa kwale vithamini noma ngenxa yezifo zamathumbu ezivuthayo noma ukufunwa okwengeziwe kwale vithamini, njengoba kwenzeka ekukhulelweni, ngokwesibonelo .

Ngaphezu kwe-macrocytosis, kulokhu kungenzeka futhi ukubona esithombeni segazi ubukhona bezinguquko ngaphakathi kwamangqamuzana abomvu egazi, ubukhona bama-neutrophils ane-hypersegmented kanye nokwehluka kwesimo samaseli abomvu egazi, abizwa ngokuthi i-poikilocytosis. Qonda ukuthi yini i-poikilocytosis.

Okufanele ngikwenze: Ngemuva kokukhomba imbangela yokushoda kwabantu, kukhonjiswa ukwelashwa okufanele kakhulu, futhi kunganconywa ukwanda kokusetshenziswa kwaleli vithamini noma ukusetshenziswa kwezithasiselo. Uma kwenzeka ukuthi ukushoda kwe-folate kuhlobene nezinguquko zamathumbu, udokotela angancoma ukwelashwa kwalesi sifo, ngoba kungenzeka futhi ukulawula amazinga e-folic acid emzimbeni.

3. Ukuphuza ngokweqile

Ukusetshenziswa njalo kweziphuzo ezidakayo kungaholela ekwehleni okuqhubekayo kwe-folic acid, engavumela ukwakheka kwamaseli abomvu amakhulu, ngaphezu kokunciphisa ezinye izinguquko zamakhemikhali.

Okufanele ngikwenze: Kunconywa ukunciphisa ukusetshenziswa kweziphuzo ezidakayo, ngoba kungenzeka ukukhuthaza ukusebenza kahle komzimba. Kodwa-ke, kwezinye izimo, ukuphuza uphuzo oludakayo okungapheli kungaholela ekuguqulweni kwesibindi, ikakhulukazi, futhi kulezi zimo kunconywa ukushintsha imikhuba yokudla neyokuphila futhi wenze ukwelashwa ngokusho kwesincomo sikadokotela.

4. Izinguquko zomnkantsha

Umnkantsha unesibopho sokukhiqizwa kwamangqamuzana egazi, futhi ungakhiqiza amangqamuzana egazi abomvu amakhulu ngenxa yezinguquko ekusebenzeni kwawo, njengomphumela we-leukemia noma nje ukuphendula komzimba ekulweni negazi, isibonelo.

Okufanele ngikwenze: Kulokhu, uma ezinye izinguquko ziqinisekiswa ekuhlolweni kwegazi, kunganconywa udokotela ukuthi enze i-myelogram noma umnkantsha wamathambo ukukhomba imbangela yezinguquko futhi, ngaleyo ndlela, aqale ukwelashwa okufanele kakhulu.