Umlobi: Judy Howell
Usuku Lokudalwa: 3 Ujulayi 2021
Ukuvuselela Usuku: 1 Ujulayi 2024
Anonim
Kuyini iPolychromasia? - Impilo
Kuyini iPolychromasia? - Impilo

-Delile

I-Polychromasia ukwethulwa kwamaseli abomvu anemibala ehlukahlukene esivivinyweni segazi se-smear. Kuyinkomba yokuthi amangqamuzana abomvu egazi akhishwa ngaphambi kwesikhathi emnkantsheni wethambo ngesikhathi sokwakheka.

Ngenkathi i-polychromasia uqobo ingeyona isimo, ingabangelwa yisifo segazi esiyimbangela. Uma une-polychromasia, kubalulekile ukuthola imbangela eyisisekelo ukuze uthole ukwelashwa ngokushesha.

Kule ndatshana, sizoxoxa ngokuthi yini i-polychromasia, ukuthi iziphi izinkinga zegazi ezingayibangela, nokuthi zingahle zibe yini izimpawu zalezo zimo ezingaphansi.

Ukuqonda i-polychromasia

Ukuze uqonde ukuthi yini i-polychromasia, kufanele uqale uqonde umqondo ngemuva kokuhlolwa kwegazi smear, owaziwa nangokuthi yifilimu yegazi eseceleni.

Ifilimu yegazi eseceleni

Ifilimu yegazi eseceleni iyithuluzi lokuxilonga elingasetshenziswa ukuxilonga nokuqapha izifo ezithinta amangqamuzana egazi.

Ngesikhathi sokuhlolwa, udokotela wezifo ugcoba isilayidi ngesampula segazi lakho bese efaka isilayidi ukubuka izinhlobo ezahlukahlukene zamaseli ngaphakathi kwesampula.


Idayi efakwe kusampula yegazi ku-ingasiza ukuhlukanisa izinhlobo ezahlukahlukene zamaseli. Isibonelo, imibala yeseli ejwayelekile ingahle isuke kokuluhlaza okwesibhakabhaka iye kokunsomi okujulile, nokuningi.

Imvamisa, amangqamuzana abomvu egazi aphendula umbala obomvana we-salmon uma unamabala. Kodwa-ke, nge-polychromasia, amanye amangqamuzana abomvu egazi angabonakala eluhlaza okwesibhakabhaka, ompunga oluhlaza okwesibhakabhaka, noma onsomi.

Kungani amangqamuzana abomvu egazi eba luhlaza okwesibhakabhaka

Amaseli abomvu egazi (ama-RBC) akhiwa emnkantsheni wakho wethambo. I-Polychromasia ibangelwa lapho ama-RBC angavuthiwe, abizwa ngokuthi ama-reticulocytes, ekhishwa ngaphambi kwesikhathi emnkantsheni wethambo.

Lawa ma-reticulocytes avela kwifilimu yegazi njengombala oluhlaza okwesibhakabhaka ngoba aqukethe, angavamisile ukuba khona kuma-RBC avuthiwe.

Izimo ezithinta inzuzo ye-RBC ngokuvamile ziyimbangela eyinhloko ye-polychromasia.

Lezi zinhlobo zezimo zingadala ukwanda kokulahleka kwegazi kanye nokucekelwa phansi kwama-RBC, nawo angakhuphula ukukhiqizwa kwe-RBC. Lokhu kungadala ukuthi ama-reticulocyte adedelwe angene egazini ngaphambi kwesikhathi njengoba umzimba ukhokha ngokushoda kwama-RBC.


Izimo ezingaphansi ezibangela i-polychromasia

Uma udokotela eqaphele ukuthi une-polychromasia, kunezimo ezimbalwa ezingaphansi kwesizathu okungenzeka ukuthi ziyimbangela.

Ukwelashwa kwezifo ezithile zegazi (ikakhulukazi lezo ezihlobene nomsebenzi womnkantsha wethambo) kungaholela nase-polychromasia. Ezimweni ezinjalo, i-polychromasia iba umphumela ohlangothini wokwelashwa hhayi uphawu lwesifo.

Ithebula elingezansi libala izimo ezivame kakhulu ezingadala i-polychromasia. Imininingwane engaphezulu ngesimo ngasinye nokuthi ikuthinta kanjani ukukhiqizwa kwe-RBC kulandela ithebula.

Isimo esingaphansiUmphumelaekukhiqizeni i-RBC
i-hemolytic anemiaKwenzeka ngenxa yokwenyuka kokubhujiswa kwama-RBC, kubangela ukwenyuka kwemali okwenziwe ngama-RBC
i-paroxysmal nocturnal hemoglobinuria (PNH)kungadala i-hemolytic anemia, amahlule egazi, nokungasebenzi kahle komnkantsha wamathambo - lokhu okungenzeka ukuthi kuletha ukukhululwa kwangaphambi kwesikhathi kwama-RBC

I-hemolytic anemia

I-hemolytic anemia wuhlobo lwe-anemia olwenzeka lapho umzimba wakho ungakwazi ukukhiqiza ama-RBCs ngokushesha njengoba ecekelwa phansi.


Izimo eziningi zingadala ukubhujiswa kwe-RBC futhi ziholele kwi-hemolytic anemia. Ezinye izimo, njenge-thalassemia, zidala ama-RBC angasebenzi kahle, nawo angaholela ekushoneni kwegazi kwe-hemolytic. Zombili lezi zinhlobo zezimo zidala ukukhula okwenyukayo kwama-RBC kanye ne-polychromasia.

I-paroxysmal nocturnal hemoglobinuria (PNH)

I-Paroxysmal nocturnal hemoglobinuria (PNH) isifo esingajwayelekile segazi esidala i-hemolytic anemia, amahlule egazi, nokungasebenzi kahle komnkantsha.

Ngalesi sifo, inzuzo ye-RBC ithinteka kakhulu yi-hemolytic anemia. Ukungasebenzi kahle komnkantsha wamathambo nakho kungadala ukuthi umzimba ukhokhele ngokweqile futhi ukhiphe ama-RBCs kusenesikhathi. Kokubili kungaholela kwi-polychromasia kwimiphumela ye-smear yegazi.

Imidlavuza ethile

Akuwona wonke umdlavuza othinta inzuzo ye-RBC. Kodwa-ke, umdlavuza wegazi ungathinta kakhulu impilo yamaseli akho egazi.

Amanye umdlavuza wegazi, njenge-leukemia, aqala emnkantsheni wethambo futhi angaba nomthelela omkhulu ekukhiqizeni i-RBC. Ngaphezu kwalokho, uma noma yiluphi uhlobo lomdlavuza selusabalele emzimbeni wonke, kungadala ukubhujiswa okuqhubekayo kwama-RBC. Lezi zinhlobo zomdlavuza kungenzeka zikhombise i-polychromasia ngesikhathi sokuhlolwa kwegazi.

Ukwelashwa ngemisebe

Ukwelashwa ngemisebe kuyindlela yokwelashwa ebalulekile yomdlavuza. Kodwa-ke, cishe zonke izinhlobo zokwelashwa komdlavuza zithinta womabili amangqamuzana omdlavuza kanye namaseli anempilo.

Kwezinye izimo, ukwelashwa ngemisebe kungadala ushintsho endleleni amaseli egazi abukeka ngayo. Lokhu kungaholela ku-polychromasia lapho kubuyiselwa igazi lakho.

Izimpawu ezihambisana ne-polychromasia

Azikho izimpawu ezihlobene ngqo ne-polychromasia. Kodwa-ke, kunezimpawu ezihambisana nezimo ezingaphansi ezibangela i-polychromasia.

Izimpawu ze-hemolytic anemia

Izimpawu ze-hemolytic anemia zifaka:

  • isikhumba esiphaphathekile
  • ikhanda elikhanyayo noma isiyezi
  • ubuthakathaka
  • ukudideka
  • ukushaya kwenhliziyo
  • isibindi esikhulisiwe noma ubende

Izimpawu ze-paroxysmal nocturnal hemoglobinuria

Izimpawu ze-paroxysmal nocturnal hemoglobinuria zifaka:

  • izimpawu ze-hemolytic anemia (ezibalwe ngenhla)
  • izifo eziphindaphindayo
  • ukukhishwa kwegazi
  • amahlule egazi

Izimpawu zomdlavuza wegazi

Izimpawu zomdlavuza wegazi zifaka:

  • ukujuluka ebusuku
  • ukuncipha kwesisindo ngokungenhloso
  • ubuhlungu bamathambo
  • ama-lymph node avuvukile
  • isibindi esikhulisiwe noma ubende
  • umkhuhlane kanye nokutheleleka okungapheli

Uma unanoma iyiphi yalezi zimpawu, udokotela wakho kungenzeka afune ukwenza ukuhlolwa kwegazi ukuthola ukuthi unazo yini ezinye zezimo ezihambisana nazo.

Ngaleso sikhathi, bazokwazi ukuthola i-polychromasia ku-smear yegazi uma ikhona. Kodwa-ke, kubalulekile ukukhumbula ukuthi i-polychromasia akuyona ukuphela kwendlela yokuthola lezi zimo, ngakho-ke udokotela wakho kungenzeka angaze akusho lapho exilongwa.

I-polychromasia iphathwa kanjani

Ukwelashwa kwe-polychromasia kuya ngohlobo lokuphazamiseka kwegazi okukubangelayo. Izinketho zokwelashwa zingafaka:

  • ukumpontshelwa igazi, ezingasiza ekubuyiseleni ukubalwa kwe-RBC ezimeni ezinjenge-anemia
  • imithi, njengezici zokukhula, ezingakhuthaza ukukhiqizwa kwe-RBC
  • i-immunotherapy, ukwelapha izifo kanye nemibandela eqeda inani le-RBC
  • ukwelashwa ngamakhemikhali, ekwelashweni komdlavuza othinta ukubalwa kwe-RBC
  • ukufakelwa umnkantsha wethambo, ngezimo ezibucayi ezibandakanya ukungasebenzi kahle komnkantsha wethambo

Uma utholwe unanoma yiziphi izimo ezingadala i-polychromasia, khuluma nodokotela wakho ngezindlela eziphephe kunazo zonke, neziphumelela kakhulu zokwelashwa kwakho.

Ukuthatha ukhiye

I-Polychromasia ingaba uphawu lwesifo esibi segazi, njenge-hemolytic anemia noma umdlavuza wegazi.

I-Polychromasia, kanye nokuphazamiseka okuthile kwegazi okuyibangelayo, kungatholakala ngokuhlolwa kwegazi. Azikho izimpawu ze-polychromasia uqobo. Kodwa-ke, izimo ezibangela i-polychromasia zingadala izimpawu ezahlukahlukene ezahlukahlukene.

Uma une-polychromasia, kubalulekile ukuhlangana nodokotela ukuxilonga isimo esingaphansi futhi nixoxe ngezindlela zokwelashwa.

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