Chii chinonzi Anisocytosis?

Zvemukati

• Mhedziso
• Zviratidzo zveanisocytosis
• Zvinokonzera anisocytosis
• Kuongorora anisocytosis
• Anisocytosis inorapwa sei
• Anisocytosis pakubata
• Matambudziko eanisocytosis
• Outlook

Mhedziso

Anisocytosis ndiro izwi rekurapa rekuve nemasero matsvuku eropa (RBCs) ayo asina kuenzana pakukura. Kazhinji, maRBC emunhu anofanirwa kunge akaenzana saizi.

Anisocytosis inowanzo kukonzerwa neimwezve yekurapa inonzi anemia. Inogona zvakare kukonzerwa nezvimwe zvirwere zveropa kana nemamwe madhiragi anoshandiswa kurapa cancer. Nechikonzero ichi, kuvepo kweanisocytosis kunowanzo batsira pakuongorora kusagadzikana kweropa senge anemia.

Kurapa kweanisocytosis kunoenderana nechikonzero. Mamiriro acho haana njodzi ega, asi zvinoratidza dambudziko riri pasi neRBCs.

Zviratidzo zveanisocytosis

Zvichienderana nezviri kukonzera anisocytosis, maRBC anogona kunge ari:

• yakakura kudarika zvakajairwa (macrocytosis)
• diki pane zvakajairwa (microcytosis), kana
• zvese zviri zviviri (zvimwe zvakakura uye zvimwe zvidiki pane zvakajairwa)

Zviratidzo zvikuru zveanisocytosis ndezve zvekushaya ropa uye kumwe kusarongeka kweropa:

• kushaya simba
• kuneta
• ganda rakachenuruka
• mweya wekufema

Zvizhinji zvezviratidzo mhedzisiro yekudzikira kwekuendesa kweoksijeni kumatumbu enyama uye nhengo.

Anisocytosis zvakare inoonekwa sechiratidzo cheakawanda matambudziko eropa.

Zvinokonzera anisocytosis

Anisocytosis inowanzo kuve mugumisiro weimwe mamiriro anonzi anemia. Mukushaya ropa, maRBC haakwanise kutakura oxygen yakakwana kumatumbu emuviri wako. Panogona kunge paine mashoma maRBCs, maseru anogona kunge asina kuenzana muchimiro, kana anogona kunge asina kukwana kwakakosha kwakabatana kunozivikanwa sehemoglobin.

Kune akatiwandei mhando dzakasiyana dzeanemia dzinogona kutungamira kune akaenzana saizi maRBC, anosanganisira:

• Iron inoshaya anemia: Iyi ndiyo nzira yakajairika yekushaya ropa. Zvinoitika kana muviri usina iron yakakwana, kungave nekuda kwekurasikirwa neropa kana kushomeka kwekudya. Inowanzo guma ne microcytic anisocytosis.
• Sickle cell anemia: Ichi chirwere chinokonzera maRBC ane chimiro chisina kujairika chemukati.
• Thalassemia: Ichi chirwere cheropa chakagarwa nhaka umo muviri unogadzira hemoglobin isina kujairika. Inowanzo guma ne microcytic anisocytosis.
• Autoimmune hemolytic anemias: Iri boka rematambudziko rinoitika kana immune system ichikanganisa RBCs.
• Megaloblastic anemia: Kana paine mashoma pane akajairwa maRBC uye maRBC akakura kupfuura zvakajairwa (macrocytic anisocytosis), iyi anemia inoguma. Inowanzo kukonzerwa nekushomeka kwe folate kana vhitamini B-12.
• Pernicious anemia: Urwu rudzi rwe macrocytic anemia inokonzerwa nemuviri kusakwanisa kutora vhitamini B-12. Pernicious anemia chirwere chemuviri.

Zvimwe zvinokanganisa zvinogona kukonzera anisocytosis zvinosanganisira:

• myelodysplastic chirwere
• chirwere chisingaperi chechiropa
• kusagadzikana kwetachiona

Uye zvakare, mimwe mishonga inoshandiswa kurapa cancer, inozivikanwa secytotoxic chemotherapy madhiragi, inogona kukonzera anisocytosis.

Anisocytosis inogonawo kuonekwa kune avo vane chirwere chemwoyo uye mamwe kanzira.

Kuongorora anisocytosis

Anisocytosis inowanzo kuongororwa panguva yeropa smear. Munguva yebvunzo iyi, chiremba anoparadzira nhete yeropa pane maikorosikopu inotsvedza. Ropa rakasvibiswa kuti ribatsire kusiyanisa maseru uyezve rinotariswa pasi pe microscope. Nenzira iyi chiremba achakwanisa kuona saizi uye chimiro cheRBCs dzako.

Kana iyo smear yeropa ichiratidza kuti une anisocytosis, chiremba wako angangoda kumhanyisa bvunzo dzekuongorora kuti aone kuti chii chiri kuita kuti maRBCs ako asaenzane muhukuru. Ivo vangango bvunza iwe mibvunzo nezve yako yemhuri yekurapa nhoroondo pamwe neyako. Ive neshuwa yekuudza chiremba wako kana iwe uine chero zvimwe zviratidzo kana kana iwe uri kutora chero mishonga. Chiremba anogona zvakare kukubvunza mibvunzo nezve kudya kwako.

Mimwe bvunzo yekuongorora inogona kusanganisira:

• yakazara ropa kuverenga (CBC)
• serum simbi mazinga
• ferritin bvunzo
• vhitamini B-12 bvunzo
• folate bvunzo

Anisocytosis inorapwa sei

Mushonga weanisocytosis zvinoenderana nezvinokonzera mamiriro acho. Semuenzaniso, anisocytosis inokonzerwa neanemia ine chekuita nekudya kushomeka muvhitamini B-12, folate, kana simbi ingangorapwa nekutora zvinowedzera uye nekuwedzera huwandu hweaya mavitamini mune chako chikafu.

Vanhu vane mamwe marudzi eanemia, senge sickle cell anemia kana thalassemia, vangangoda kuwedzerwa ropa kuti varape mamiriro avo. Vanhu vane myelodysplastic syndrome vangangoda bone marrow kuisirwa.

Anisocytosis pakubata

Anisocytosis panguva yekuzvitakura inowanzo kukonzerwa nekushomeka kwesimbi anemia. Vakadzi vane nhumbu vari panjodzi huru yeizvi nekuti vanoda iron yakawanda kuti vagadzire maRBC emwana wavo ari kukura.

inoratidza kuti kuyedzwa kweanisocytosis inogona kunge iri nzira yekuona kushomeka kwesimbi pakutanga panguva yepamuviri.

Kana iwe uri nepamuviri uye uine anisocytosis, chiremba wako angangoda kumhanyisa mimwe bvunzo kuti aone kana iwe uine anemia uye wotanga kuirapa ipapo ipapo. Anemia inogona kuve nenjodzi kune iyo fetus nekuda kwezvikonzero izvi:

• Iyo fetus inogona kunge isiri kuwana oxygen yakakwana.
• Unogona kuneta zvakanyanya.
• Ngozi yekutanga kwebasa uye zvimwe zvinetso zvinowedzerwa.

Matambudziko eanisocytosis

Kana ikasarapwa, anisocytosis - kana chikonzero chayo - inogona kutungamira ku:

• mashoma masero machena eropa uye maplatelet
• tsinga kukuvara system
• kukurumidza kurova kwemoyo
• kunetsekana kwepamuviri, kusanganisira zvakakomba zvirema zvekuberekwa mumutsipa wepelinha uye huropi hwechiri kukura fetus (neural tube hurema)

Outlook

Maonero kwenguva refu eanisocytosis anoenderana nechakakonzera uye nekukurumidza kwaunorapwa. Anemia, semuenzaniso, inowanzorapika, asi inogona kuva nenjodzi kana ikasarapwa. Anemia inokonzerwa nehutachiona kusagadzikana (senge sickle cell anemia) inoda kurapwa kwehupenyu hwese.

Vakadzi vane nhumbu vane anisocytosis vanofanirwa kutora mamiriro acho zvakanyanya, nekuti kupererwa neropa kunogona kukonzera kusangana kwepamuviri.