Hemolytic kupererwa neropa

Anemia mamiriro ezvinhu umo muviri usina masero matsvuku eropa akagwinya. Masero matsvuku eropa anopa okisijeni kumatumbu emuviri.

Kazhinji, masero matsvuku eropa anogara kwemazuva angangoita zana nemakumi maviri mumuviri. Mune hemolytic anemia, matsvuku eropa muropa anoparadzwa pakutanga pane zvakajairwa.

Iyo pfupa yemapfupa inonyanya kuita basa rekugadzira matsva maseru. Bone mwongo ndiyo nyoro nyoro iri pakati pemabhonzo iyo inobatsira kuumba ese masero eropa.

Hemolytic anemia inoitika apo mwongo wepfupa usiri kugadzira masero matsvuku akakwana kutsiva ayo ari kuparadzwa.

Kune zvikonzero zvinoverengeka zvinogona kukonzera hemolytic anemia. Masero matsvuku eropa anogona kuparadzwa nekuda kwe:

• Dambudziko rekuzvimiririra umo immune system inoona zvisirizvo yako maseru matsvuku eropa sezvinhu zvekunze uye nekuaparadza
• Genetic defects mukati memasero matsvuku (akadai sekeresa cell anemia, thalassemia, uye kushomeka kweG6PD)
• Kuratidzwa kune mamwe makemikari, mishonga, uye chepfu
• Zvirwere
• Ropa rinovhara mumidziyo midiki yeropa
• Kuisirwa ropa kubva kune anenge apa neropa rerudzi rwusingaenderane nerako

Iwe unogona kunge usina zviratidzo kana iyo anemia iri nyoro. Kana dambudziko rikakura zvishoma nezvishoma, yekutanga zviratidzo inogona kunge iri:

• Kunzwa kupera simba kana kuneta kazhinji kazhinji kupfuura zvakajairwa, kana nekurovedza muviri
• Kunzwa kuti moyo wako uri kurova kana kumhanya
• Kutemwa nemusoro
• Matambudziko ekuisa pfungwa kana kufunga

Kana kushomeka kweropa kuchikura, zviratidzo zvinogona kusanganisira:

• Musoro wakareruka paunosimuka
• Ganda rakachenuruka
• Kufema kwekufema
• Rurimi rwakaipa
• Yakawedzera spleen

Muedzo unonzi wakazara huwandu hweropa (CBC) unogona kubatsira kuongorora kupererwa neropa uye nekupa mamwe mazano kune mhando uye chinokonzera dambudziko. Zvikamu zvakakosha zveCBC zvinosanganisira dzvuku reropa kuverenga (RBC), hemoglobin, uye hematocrit (HCT).

Aya maedzo anogona kuratidza mhando yehemolytic anemia:

• Mhedziso reticulocyte kuverenga
• Coombs bvunzo, yakananga uye isina kunangana
• Donath-Landsteiner bvunzo
• Cold agglutinins
• Yemahara hemoglobin mune iyo serum kana weti
• Hemosiderin mune weti
• Platelet kuverenga
• Mapuroteni electrophoresis - serum
• Pyruvate kinase
• Serum haptoglobin mazinga
• Serum LDH
• Chikamu cheCarboxyhemoglobin
  

Kurapa kunoenderana nerudzi uye chikonzero chehemolytic anemia:

• Munguva dzekukurumidzira, kuwedzerwa ropa kunogona kudiwa.
• Nezvikonzero zvezvirwere, mishonga inodzvinyirira immune system inogona kushandiswa.
• Kana masero eropa ari kuparadzwa nekumhanya, muviri ungangoda imwe folic acid nesimbi zvinowedzera kutsiva izvo zviri kurasika.

Muzviitiko zvisingawanzoitika, kuvhiya kunodiwa kuti utore spleen. Izvi zvinodaro nekuti iyo spleen inoshanda sefirita iyo inobvisa isina kujairika maseru kubva muropa.

Mhedzisiro inoenderana nerudzi uye chikonzero chehemolytic anemia. Kuwedzera kweanemia kunogona kuita kuti chirwere chemwoyo, chirwere chemapapu, kana chirwere checebrovascular chinyanye.

Fonera wako mupi wezvehutano kana iwe ukaita zviratidzo zvehemolytic anemia.

Anemia - hemolytic

• Masero matsvuku eropa, jeko masero
• Masero matsvuku eropa - akawanda masero masero
• Masero matsvuku eropa - masero masero
• Masero matsvuku eropa - jeko uye Pappenheimer
• Masero eropa

Brodsky RA. Paroxysmal husiku hemoglobinuria. Muna: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Basic Misimboti uye Maitiro. 7th ed. Philadelphia, PA: Elsevier; 2018: chits.

Gallagher PG. Hemolytic anemias: red sero membrane membrane uye metabolic kukanganisa. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 152.

Kumar V, Abbas AK, Aster JC. Hematopoietic uye lymphoid masisitimu. Mune: Kumar V, Abbas AK, Aster JC, eds. Robbins Basic Pathology. 10th ed. Philadelphia, PA: Elsevier; 2018: chits.