I-Macrocytic Anemia

-Delile

• Izimpawu ze-Macrocytic anemia
• Izinhlobo nezimbangela ze-macrocytic anemia
• I-Megaloblastic macrocytic anemia
• I-anmegaloblastic macrocytic anemia
• Ukuhlonza i-macrocytic anemia
• Ukuhlolwa kwegazi
• Ukwelapha i-macrocytic anemia
• Izinkinga
• Ungayivimba kanjani i-macrocytic anemia
• Ngamaseli abomvu anempilo abomvu
  

Ukubuka konke

IMacrocytosis yigama elisetshenziselwa ukuchaza amangqamuzana abomvu egazi amakhulu kunokujwayelekile. I-anemia yilapho unamanani aphansi asebenza kahle amaseli abomvu egazi emzimbeni wakho. I-Macrocytic anemia-ke yisimo lapho umzimba wakho unamaseli abomvu amakhulu ngokweqile futhi unganele amaseli egazi abomvu ajwayelekile.

Izinhlobo ezahlukene ze-macrocytic anemia zingahlukaniswa kuye ngokuthi kubangelwa yini. Esikhathini esiningi, ama-macrocytic anemias abangelwa ukungabi novithamini B-12 kanye nefolate. I-Macrocytic anemia nayo ingakhombisa isimo esingaphansi.

Izimpawu ze-Macrocytic anemia

Ungahle ungaboni zimpawu ze-macrocytic anemia uze ube nesikhathi esithile.

Izimpawu zifaka:

• ukulahlekelwa isifiso sokudla noma isisindo
• izipikili eziphukile
• ukushaya kwenhliziyo okusheshayo
• isifo sohudo
• ukukhathala
• isikhumba esiphaphathekile, kufaka phakathi izindebe namajwabu amehlo
• ukuphelelwa umoya
• ukuhlushwa okungalungile noma ukudideka
• ukulahleka kwememori

Uma unezimbalwa zalezi zimpawu, yenza isikhathi sokubonana nodokotela wakho.

Kubalulekile ukwenza i-aphoyintimenti ngokushesha okukhulu uma unezimpawu ezilandelayo:

• ukukhuphuka kwenhliziyo
• ukudideka
• izinkinga zememori

Izinhlobo nezimbangela ze-macrocytic anemia

I-Macrocytic anemia ingahlukaniswa ibe yizinhlobo ezimbili eziyinhloko: i-megaloblastic ne-nonmegaloblastic macrocytic anemias.

I-Megaloblastic macrocytic anemia

Ama-anemias amaningi we-macrocytic nawo angama-megaloblastic. I-Megaloblastic anemia ingumphumela wamaphutha ekukhiqizeni kwakho i-red cell cell DNA. Lokhu kudala ukuthi umzimba wakho wenze amaseli abomvu ngokungeyikho.

Izimbangela ezingaba khona zifaka:

• ukushoda kukavithamini B-12
• ukushoda kwabantu
• eminye imishanguzo, njengemithi yokwelapha ngamakhemikhali efana ne-hydroxyurea, imishanguzo yokuthithibalisa kanye nemithi yama-antiretroviral esetshenziselwa abantu abane-HIV

I-anmegaloblastic macrocytic anemia

Izinhlobo ze-nonmegaloblastic ze-macrocytic anemia zingadalwa yizinto ezahlukahlukene. Lokhu kungafaka:

• ukuphazamiseka kokusetshenziswa kotshwala okungamahlalakhona (ukuphuza ngokweqile)
• isifo sesibindi
• i-hypothyroidism

Ukuhlonza i-macrocytic anemia

Udokotela wakho uzokubuza ngomlando wakho wezokwelapha nangendlela ophila ngayo. Bangase babuze nangemikhuba yakho yokudla uma becabanga ukuthi unohlobo lwe-anemia. Ukufunda ngokudla kwakho kungabasiza bathole ukuthi awunayo yini i-iron, i-folate, noma amanye amavithamini e-B.

Ukuhlolwa kwegazi

Udokotela wakho uzo-oda ukuhlolwa kwegazi ukuze ahlole i-anemia namaseli abomvu akhulisiwe. Uma inani lakho eliphelele legazi likhombisa ukuntuleka kwegazi, udokotela wakho uzokwenza okunye ukuhlolwa okwaziwa njenge-peripheral blood smear. Lokhu kuhlolwa kungasiza ukubona izinguquko zakuqala ze-macrocytic noma ze-microcytic kumaseli akho abomvu egazi.

Ukuhlolwa kwegazi okungeziwe kungasiza ekutholeni imbangela ye-macrocytosis yakho kanye ne-anemia. Lokhu kubalulekile ngoba ukwelashwa kuncike embangela eyimbangela.

Ngenkathi ukushoda kwezakhi zomzimba kubangela ama-anemia amaningi we-macrocytic, ezinye izimo ezicashile zingadala ukusilela. Udokotela wakho uzoqhuba izivivinyo ukuhlola amazinga akho omsoco. Bangase futhi benze ukuhlolwa kwegazi ukubheka ukungasebenzi kahle kotshwala, isifo sesibindi kanye ne-hypothyroidism.

Udokotela wakho wokunakekela oyinhloko angakuthumela naku-hematologist. Izazi ze-Hematologists zibhekene nokuphazamiseka kwegazi. Bangakwazi ukuthola imbangela nohlobo oluthile lwe-anemia yakho.

Ukwelapha i-macrocytic anemia

Ukwelashwa kwe-macrocytic anemia kugxile ekwelapheni imbangela yalesi simo. Ulayini wokuqala wokwelashwa kwabantu abaningi ulungisa ukushoda kwezakhi. Lokhu kungenziwa ngezithasiselo noma ukudla okufana nesipinashi nenyama ebomvu. Ungakwazi ukuthatha izithasiselo ezibandakanya i-folate namanye amavithamini e-B. Ungadinga futhi imijovo kavithamini B-12 uma ungamunci kahle uvithamini B-12 womlomo.

Ukudla okuphezulu ku-vitamin B-12 kufaka:

• inyama yenkukhu
• okusanhlamvu okuqinisiwe nokusanhlamvu
• amaqanda
• inyama ebomvu
• izimbaza
• inhlanzi

Ukudla okuphezulu kakhulu kufaka phakathi:

• imifino enamaqabunga amnyama, njenge-kale nesipinashi
• udali
• izinhlamvu ezicebile
• amawolintshi

Izinkinga

Izimo eziningi ze-macrocytic anemia ezibangelwa i-vitamin B-12 kanye nokushoda kwe-folate kungalashwa futhi kuphulukiswe ngokudla nangama-supplements.

Kodwa-ke, ama-macrocytic anemias angadala izingqinamba zesikhathi eside uma engalashwa. Lezi zinkinga zingafaka ukulimala unomphela ohlelweni lwakho lwezinzwa. Ukushoda ngokweqile kwe-vitamin B-12 kungadala izinkinga zesikhathi eside ze-neurologic. Kubandakanya i-peripheral neuropathy kanye nokuwohloka komqondo.

Ungayivimba kanjani i-macrocytic anemia

Awukwazi njalo ukuvimbela i-macrocytic anemia, ikakhulukazi uma kubangelwa izimo ezingaphansi kolawulo lwakho. Kodwa-ke, ungavimbela ukuthi i-anemia ingabi nzima ezimweni eziningi. Zama lezi zeluleko:

Ngamaseli abomvu anempilo abomvu

• Faka inyama ebomvu kanye nenkukhu ekudleni kwakho ukuze wandise umthamo wakho wevithamini B-12.
• Uma ungumuntu odla imifino noma i-vegan, ungangeza ubhontshisi kanye nemifino emnyama, enamaqabunga we-folate. Zama okusanhlamvu kwasekuseni okuqinisiwe ngevithamini B-12.
• Yehlisa inani lotshwala obuphuzayo.
• Khuluma nodokotela wakho uma uthatha imishanguzo yegciwane lesandulela ngculaza, imishanguzo yokuthithibalisa, noma imithi yamakhemikhali. Lokhu kungakhuphula ubungozi bokuthola i-macrocytic anemia.