Pernicious anemia: chii, zviratidzo uye kurapwa

Zvemukati

• Zviratidzo zvikuru
• Zvinogona kukonzerwa
• Maitiro ekuongororwa kunoitwa
• Kurapa sei

Pernicious anemia, inozivikanwawo seAddison's anemia, rudzi rwe megaloblastic anemia inokonzerwa nekushomeka kwevhitamini B12 (kana cobalamin) mumuviri, zvichitungamira kuzviratidzo senge kushaya simba, kupora, kuneta uye kurira kwemaoko nemakumbo, semuenzaniso . Dzidza zvakawanda nezve vhitamini B12.

Rudzi urwu rweanemia runowanzo kuwanikwa mushure memakore makumi matatu ekuberekwa, zvisinei muzviitiko zvekushomeka kwemwana, semuenzaniso, panogona kunge paine kushomeka kwevhitamini iyi, inoratidzira chirwere chevechidiki chine njodzi.

Kuongororwa kwehutachiona hweanemia kunoitwa kunyanya kuburikidza nemabvunzo e laboratory, umo kuongororwa kwevhitamini B12 mumuguta kunoongororwa, semuenzaniso. Kurapa kunowanzoitwa nekuwedzera vhitamini B12 uye folic acid, mukuwedzera pakutora chikafu chine hutano chakazara muvhitamini B12.

Zviratidzo zvikuru

Zviratidzo zvekupererwa kweropa zvine njodzi zvine chekuita nekushayikwa kwevhitamini B12 mumuviri, iwo makuru ari:

• Kushaya simba;
• Pallor;
• Kurwadziwa nemusoro;
• Kuneta;
• Manyoka;
• Rurimi rwakatsetseka;
• Kuisa mumaoko nemakumbo;
• Moyo palpitations;
• Dzungu;
• Kufema kwekufema;
• Kutsamwa;
• Maoko anotonhora nemakumbo;
• Kuonekwa kwemaronda mukona yemuromo.

Muzviitiko zvakakomba zvakanyanya zveanemia inokanganisa, zvinokwanisika kuti hurongwa hwetsinga hukanganiswe, izvo zvinogona kutungamira kumatambudziko mukufamba, kushushikana uye kusagadzikana kwepfungwa. Dzidza zvakawanda nezvezviratidzo zvehutachiona hweanemia.

Zvinogona kukonzerwa

Anemia inonetsa inozivikanwa nekushayikwa kwevhitamini B12 mumuviri nekukanganisa kunwa kwevhitamini iyi nekuda kwekushomeka kwechinhu chiri mukati, iri puroteni inosungirwa vhitamini B12 kuti inyurwe nemuviri. Nekudaro, mukushomeka kwechinhu chemukati kudzvanywa kwevhitamini B12 kwakakanganiswa.

Chikonzero chinonyanya kukonzera kupererwa neropa ndeye immunological: immune system inogona kuita zvisirizvo pane gastric mucosa, ichikonzera iyo atrophy uye kusingaperi kuzvimba, uko kunoguma nekuwedzera kwehydrochloric acid kuchengetedzwa nedumbu uye kuderera kwemukati wekugadzira chinhu, nekudaro kudzikisa kunwa vhitamini B12.

Pamusoro pechikonzero chekuzvidzivirira mumuviri, kupererwa neropa kwakakomba kunogona kukonzerwa nemamiriro akaita seeceliac chirwere, homocystinuria, kushomeka kwekobalt, kushomeka kwemwana, kurapwa neparaminosalicylic acid uye kushaya zvinovaka muviri panguva yekuzvitakura, izvo zvinogona kukonzera kuti mwana azvarwe aine anemia yakaipa.

Maitiro ekuongororwa kunoitwa

Kuongororwa kwehutachiona hweanemia kunoitwa zvinoenderana nezviratidzo zvemunhu uye tsika dzekudya. Nekudaro, kuti usimbise kuongororwa kunofanirwa kuita mimwe bvunzo senge yekugaya endoscopy, inovavarira kuona maronda mudumbu. Nzwisisa kuti endoscopy inoitwa sei.

Kuongororwa kwerabhoritari kunoshandiswa kusimbisa kuongororwa kweanemia inouraya ndiyo Schilling bvunzo, mune radioactive vhitamini B12 inoitiswa nemuromo uye maawa maviri gare gare jekiseni ine isina-radioactive vhitamini B12 inoitiswa. Mushure memaawa makumi maviri nemana, weti inounganidzwa uye kuongororwa murabhoritari. Kana kuwanda kwakadzika kwe radioactive vhitamini B12 kunowanikwa mune weti, chemukati chinhu chinosanganiswa ne vhitamini B12 chinotarisirwa mazuva matatu kusvika manomwe mushure mekutanga bvunzo. Mushure memaawa makumi maviri nemana, weti yacho inounganidzwa uye kuongororwa zvakare uye kana paine kugadziriswa kwehuwandu hwevhitamini B12 mumugini, muyedzo unonzi wakanaka kune anemia ine ngozi, sezvo muviri wakapihwa puroteni isiri kuburitswa. uye izvozvo zvinogadzirisa dambudziko.

Pamusoro peyedzo yeSchilling, huwandu hweropa hwakazara hunogona kukumbirwa, sezvo iri zvakare bvunzo inobvumidza kuongororwa kweanemia. Huwandu hweropa hwehutachiona hweanemia hune huwandu hwakakwira hweCMV (Avhareji Corpuscular Vhoriyamu), sezvo masero matsvuku eropa ari makuru, kuderera kwenhamba yese yemasero matsvuku eropa, kuwedzera kweRWW, izvo zvinoratidza kuti kune musiyano mukuru pakati pehukuru hwesero dzvuku reropa, shanduko muchimiro chemasero matsvuku eropa.

Iyo myelogram inogona zvakare kukumbirwa, unova muyedzo unoratidza mashandiro ari kuita mwongo wemapfupa, uyo mune nyaya yekuparadza anemia kunoratidza kuvepo kweakakura uye asina kukura erythroid precursors. Uyu muedzo, zvisinei, unopinda uye haawanzo kukumbirwa kubatsira kuongorora chirwere chekushaya ropa. Ona kuti ndeapi mabvunzo anosimbisa kupererwa neropa.

Kurapa sei

Kurapa kwehutachiona hweanemia kunogona kuitwa nemajekiseni evhitamini B12 ine 50 - 1000µg kana piritsi yemuromo ine 1000µg yevhitamini maererano nezano rekurapa. Uye zvakare, kushandiswa kwe folic acid kunogona kukurudzirwa kudzivirira mhedzisiro. Dzidza zvakawanda nezve kurapwa kweanokuvadza anemia.

Izvo zvakakoshawo kuti ubvunze nyanzvi yezvokudya kuitira kuti ugone kuwana nhungamiro iri nani pane zvekudya zvinofanirwa kudyiwa mukuparadza kupererwa neropa, nekudyiwa kwenyama tsvuku, mazai nechizi, semuenzaniso, kazhinji zvichiratidzwa. Ona kuti ndezvipi zvekudya zvakapfuma mu vitamini B12.

Tarisa vhidhiyo inotevera uye dzidza zvakawanda nezve rudzi urwu rweanemia: