Konke Odinga Ukukwazi Nge-Microcytic Anemia

-Delile

• Incazelo ye-Microcytic anemia
• Izimpawu ze-Microcytic anemia
• Izinhlobo ze-Microcytic anemia nezimbangela
• 1. I-Hypochromic anemias microcytic
• 2. Ama-anemias we-Normochromic microcytic
• 3. Ama-anemias we-Hyperchromic microcytic
• 4. Ezinye izimbangela ze-microcytic anemia
• Ukuhlonza i-anemia encane
• Ukwelashwa kwe-Microcytic anemia
• Umbono we-anemia encane
• Ukuvimbela i-microcytic anemia ngokudla kwakho

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Incazelo ye-Microcytic anemia

I-Microcytosis igama elisetshenziselwa ukuchaza amangqamuzana abomvu egazi amancane kunokujwayelekile. I-anemia yilapho unamanani aphansi asebenza kahle amaseli abomvu egazi emzimbeni wakho.

Ku-anemias microcytic, umzimba wakho unamaseli abomvu egazi ambalwa kunokujwayelekile. Amaseli egazi abomvu anawo nawo mancane kakhulu. Izinhlobo ezahlukahlukene zama-anemias zingachazwa njenge-microcytic.

Ama-anemias ama-Microcytic abangelwa yizimo ezivimbela umzimba wakho ekukhiqizeni i-hemoglobin eyanele. IHemoglobin yingxenye yegazi lakho. Kuyasiza ukuhambisa umoya-mpilo kuzicubu zakho futhi kunikeze amaseli akho abomvu umbala wawo obomvu.

Ukushoda kwe-Iron kubangela ama-anemias amaningi we-microcytic. Umzimba wakho udinga i-iron ukukhiqiza i-hemoglobin. Kepha ezinye izimo zingadala ama-microcytic anemias, nawo. Ukwelapha i-anaemia encane, udokotela wakho uzoqala ahlolisise imbangela.

Izimpawu ze-Microcytic anemia

Ungahle ungaziboni izimpawu ze-anemia encane ekuqaleni. Izimpawu zivame ukuvela ezingeni eliphakeme lapho ukuntuleka kwamaseli abomvu ejwayelekile kuthinta izicubu zakho.

Izimpawu ezivamile ze-anemias microcytic zifaka:

• ukukhathala, ubuthakathaka nokukhathala
• ukulahlekelwa amandla
• ukuphelelwa umoya
• isiyezi
• isikhumba esiphaphathekile

Uma uhlangabezana nanoma yiziphi zalezi zimpawu futhi azixazululi kungakapheli amasonto amabili, yenza i-aphoyintimenti yokubonana nodokotela wakho.

Kufanele wenze i-aphoyintimenti yokubona udokotela wakho ngokushesha okukhulu uma uba nesiyezi noma ukuphefumula kanzima.

Izinhlobo ze-Microcytic anemia nezimbangela

Ama-anemias ama-Microcytic angachazwa ngokuqhubekayo ngokwenani le-hemoglobin kumaseli abomvu egazi. Zingaba yi-hypochromic, normochromic, noma i-hyperchromic:

1. I-Hypochromic anemias microcytic

I-Hypochromic isho ukuthi amaseli abomvu egazi ane-hemoglobin encane kunokujwayelekile. Amazinga aphansi e-hemoglobin kumaseli akho abomvu egazi aholela ekubonakaleni ngombala. Ku-anemia ye-microcytic hypochromic, umzimba wakho unamazinga aphansi amangqamuzana abomvu egazi womabili amancane futhi abukeka kahle kunokujwayelekile.

Ama-anemias amaningi we-microcytic yi-hypochromic. Ama-anemias we-Hypochromic microcytic afaka:

Ukushoda kwe-iron anemia: Isizathu esivame kakhulu se-microcytic anemia ukuntuleka kwensimbi egazini. Ukushoda kwe-iron anemia kungabangelwa:

• ukudla insimbi okunganele, imvamisa ngenxa yokudla kwakho
• ukungakwazi ukuncela i-ayoni ngenxa yezimo ezifana nesifo se-celiac noma Ukutheleleka kwe-Helicobacter pylori
• ukopha okungapheli ngenxa yezikhathi ezivamile noma ezisindayo kwabesifazane noma ngamathumbu (GI) aphuma kwizilonda ezingenhla ze-GI noma izifo zamathumbu ezivuthayo
• ukukhulelwa

Thalassemia: I-Thalassemia uhlobo lwe-anemia olubangelwa ukungajwayelekile okuzuzwe njengefa. Kubandakanya ukuguqulwa kwezakhi zofuzo ezidingekayo ekukhiqizeni okuvamile kwe-hemoglobin.

I-anemia ye-Sideroblastic: I-Sideroblastic anemia ingazuzwa njengefa ngenxa yokuguqulwa kwezakhi zofuzo (ezalwa naso). Kungabangelwa futhi yisimo esitholwe kamuva empilweni esivimbela amandla omzimba wakho wokuhlanganisa insimbi kwenye yezinto ezidingekayo ukwenza i-hemoglobin. Lokhu kuholela ekwakhiweni kwensimbi kumaseli akho abomvu egazi.

I-congenital sideroblastic anemia imvamisa i-microcytic ne-hypochromic.

2. Ama-anemias we-Normochromic microcytic

INormochromic isho ukuthi amangqamuzana akho abomvu egazi anenani elijwayelekile le-hemoglobin, futhi umbala obomvu awuphaphatheki kakhulu noma umbala ojulile. Isibonelo se-normochromic anemia microcytic yile:

I-anemia yokuvuvukala nesifo esingelapheki: I-anemia ngenxa yalezi zimo imvamisa i-normochromic ne-normocytic (amaseli abomvu egazi ngosayizi ojwayelekile). I-Normochromic anemia microcytic ingabonakala kubantu abane:

• izifo ezithathelwanayo, njengesifo sofuba, i-HIV / AIDS, noma i-endocarditis
• izifo ezivuthayo, njenge-rheumatoid arthritis, isifo sikaCrohn, noma isifo sikashukela
• isifo sezinso
• umdlavuza

Lezi zimo zingavimbela amangqamuzana abomvu egazi ekusebenzeni ngokujwayelekile. Lokhu kungaholela ekunciphiseni noma ekusetshenzisweni kwensimbi.

3. Ama-anemias we-Hyperchromic microcytic

I-Hyperchromic isho ukuthi amaseli abomvu egazi ane-hemoglobin eningi kunokujwayelekile. Amazinga aphezulu e-hemoglobin kumaseli akho abomvu egazi abenza umbala obomvu ujule kunokujwayelekile.

I-anemia ye-spherocytic yokuzalwa: I-Hyperchromic microcytic anemias ayivamile. Zingabangelwa isimo sofuzo esaziwa njenge-congenital spherocytic anemia. Lokhu kubizwa nangokuthi i-spherocytosis eyifa.

Kulesi sifo, ulwelwesi lwamaseli akho abomvu alwakhi kahle. Lokhu kubangela ukuthi babe lukhuni futhi babe yindilinga engafanele. Zithunyelwa ukuthi zidilizwe futhi zifele emthonjeni ngoba azihambi kahle kumaseli egazi.

4. Ezinye izimbangela ze-microcytic anemia

Ezinye izimbangela ze-microcytic anemia zifaka:

• kuholele ubuthi
• ukuntuleka kwethusi
• okweqile kwe-zinc, okubangela ukuntuleka kwethusi
• ukusetshenziswa kotshwala
• ukusetshenziswa kwezidakamizwa

Ukuhlonza i-anemia encane

Ama-anemias ama-Microcytic avame ukubonwa kuqala ngemuva kokuthi udokotela wakho eyalele ukuhlolwa kwegazi okwaziwa ngokuthi ukubalwa kwegazi okuphelele (CBC) ngesinye isizathu. Uma i-CBC yakho ikhombisa ukuthi une-anemia, udokotela wakho uzoku-oda okunye ukuhlolwa okwaziwa njenge-peripheral blood smear.

Lokhu kuhlolwa kungasiza ukubona izinguquko zakuqala ze-microcytic noma ze-macrocytic kumaseli akho abomvu egazi. I-Hypochromia, i-normochromia, noma i-hyperchromia nayo ingabonakala ngokuhlolwa kwegazi le-permeheral smear.

Udokotela wakho wokunakekela oyinhloko angakudlulisela ku-hematologist. I-hematologist ingcweti esebenza ngokuphazamiseka kwegazi. Bangakwazi ukuxilonga kahle futhi baphathe uhlobo oluthile lwe-anemia encane futhi bakhombe imbangela yalo.

Lapho nje udokotela esekutholile ukuthi une-anemia ye-microcytic, bazokwenza izivivinyo ukuthola imbangela yalesi simo. Bangase bahlole ukuhlolwa kwegazi ukuhlola isifo se-celiac. Bangase bahlole igazi lakho nendle yakho H. pylori ukutheleleka kwamagciwane.

Udokotela wakho angakubuza ngezinye izimpawu oke wabhekana nazo uma esola ukuthi ukulahleka kwegazi okungamahlalakhona kuyimbangela ye-anemia yakho encane. Bangakudlulisela ku-gastroenterologist uma unesisu noma obunye ubuhlungu besisu. I-gastroenterologist ingahle ihlole ukuhlolwa kwe-imaging ukubheka izimo ezahlukahlukene. Lezi zivivinyo zifaka:

• i-ultrasound yesisu
• i-endoscopy ephezulu ye-GI (EGD)
• I-CT scan yesisu

Kwabesifazane abanobuhlungu be-pelvic nezikhathi ezinzima, udokotela wezifo zabesifazane angafuna ama-uterine fibroids noma ezinye izimo ezingadala ukugeleza okunzima.

Ukwelashwa kwe-Microcytic anemia

Ukwelashwa kwe-anemia encane kugxile ekwelapheni imbangela yalesi simo.

Udokotela wakho angancoma ukuthi uthathe izengezo zensimbi novithamini C. I-ayoni izosiza ekwelapheni i-anemia ngenkathi i-vitamin C izosiza ukukhulisa amandla omzimba wakho wokuthola i-iron.

Udokotela wakho uzogxila ekuhloleni nasekwelapheni imbangela yokulahleka kwegazi uma ukulahleka kwegazi okunamandla noma okungapheli kubangela noma kunikela kwi-anemia ye-microcytic. Abesifazane abanenkinga yokushoda ngensimbi kusuka ezikhathini ezinzima bangabelwa ukwelashwa ngamahomoni, njengamaphilisi okulawula ukubeletha.

Ezimweni ze-microcytic anemia ezinzima kangangoba usengozini yezinkinga ezifana nokwehluleka kwenhliziyo, ungadinga ukuthola ukumpontshelwa igazi kwamaseli abomvu abanikeli. Lokhu kungakhuphula inani lamaseli abomvu anempilo adinga izitho zakho.

Umbono we-anemia encane

Ukwelashwa kungaba okuqondile uma ukuswela izakhi okulula kuyimbangela yokushoda kwegazi okuncane. Uma nje kungalashwa imbangela eyimbangela yokushoda kwegazi, i-anemia uqobo ingelashwa futhi yelashwe.

Ezimweni ezinzima kakhulu, i-microcytic anemia engalashwa ingaba yingozi. Kungadala izicubu hypoxia. Yilapho izicubu ziphucwa umoya-mpilo. Kungadala izinkinga kufaka phakathi:

• umfutho wegazi ophansi, obizwa nangokuthi i-hypotension
• Izinkinga zomthambo we-coronary
• izinkinga zamaphaphu
• ukushaqeka

Lezi zinkinga zivame kakhulu kubantu abadala asebevele benezifo zamaphaphu noma zenhliziyo.

Ukuvimbela i-microcytic anemia ngokudla kwakho

Indlela engcono yokuvimbela i-microcytic anemia ukuthola insimbi eyanele ekudleni kwakho. Ukwengeza ukudla kwakho uvithamini C nakho kungasiza umzimba wakho ukuthi uthathe insimbi eyengeziwe.

Ungacabanga nokuthatha isithasiselo sensimbi sansuku zonke. Lokhu kuvame ukunconywa uma usuvele une-anemia. Kufanele uhlale ukhuluma nodokotela wakho ngaphambi kokuthi uqale ukuthatha noma yiziphi izithasiselo.

Ungazama futhi ukuthola izakhamzimba eziningi ngokudla kwakho.

Ukudla okunothe ngensimbi kufaka:

• inyama ebomvu njengenyama yenkomo
• izinkukhu
• imifino enamaqabunga amnyama
• ubhontshisi
• izithelo ezomisiwe njengamagilebhisi omisiwe nama-apricot

Ukudla okunothe ku-vitamin C kufaka:

• izithelo ezisawolintshi, ikakhulukazi amawolintshi nezithelo zomvini
• i-kale
• upelepele obomvu
• Amahlumela eBrussels
• ama-strawberry
• i-broccoli