Miedzo inosimbisa kupererwa neropa

Zvemukati

• Maitiro anosimbisa kupererwa neropa
• Kuyedza kuziva mhando yeropa

Kuti uongorore kupererwa neropa unofanirwa kuongororwa ropa kuti uongorore huwandu hwesero dzvuku reropa uye hemoglobin, iyo inowanzo kuratidza kushomeka kweropa kana huwandu hwehemoglobin huri pasi pegumi nemaviri g / dL yevakadzi uye 14 g / dL yevarwere varume.

Nekudaro, hemoglobin yevasungwa haisiyo yega paramende yekuongororwa kweanemia, uye kumwe kuyedza kunowanzokumbirwa kuziva chinokonzera hemoglobin yakadzika uye kutanga kurapwa kwakakodzera kwazvo. Tsvaga izvo izvo zvakachinjwa hemoglobin kukosha kungaratidza.

Sezvo kushomeka kwesimbi kushomeka kweropa kuri kwakanyanya, chiremba anotanga nekuongorora huwandu hweferritin muropa, nekuti kana chinhu ichi chiri chidiki zvinoreva kuti pane iron shoma mumuviri. Nekudaro, kana ferritin kukosha kwakajairika, kumwezve kuyedzwa senge hemoglobin electrophoresis kana kuverenga vhitamini B12 uye folic acid mazinga, ayo anobatsira kuona mamwe marudzi eanemia, angave anodikanwa.

Maitiro anosimbisa kupererwa neropa

Kuongororwa kweanemia kunoitwa kana iyo hemoglobin kukosha muhuwandu hweropa iri:

• Mune varume: asingasviki gumi nemana g / dL reropa;
• Mune vakadzi: asingasviki gumi nemaviri g / dL reropa;

Kazhinji, kuongororwa kweropa uku kunosanganisira huwandu hweferritin, saka chiremba wako anogona kuongorora kana kupererwa neropa kwako kuri kukonzerwa nekushaikwa kwesimbi. Kana zvirizvo, iyo ferritin kukosha ichave zvakare yakaderera, zvichiratidza yakaderera ropa masimbi mazinga, ayo anogona kunge achiratidza ekushomeka kwesimbi anemia. Zvisinei, kana huwandu hweferritin hwakajairika, mucherechedzo wekuti kupererwa neropa kuri kukonzereswa nerimwe dambudziko uye, nekudaro, kumwezve kuyedzwa kunogona kurairwa kuti vaone chikonzero chaicho.

Pamusoro pekuongorora kukosha kwehemoglobin, chiremba anoongorora kukosha kweimwe hemogram indexes, senge Avhareji Corpuscular Vhoriyamu (VCM), Avhareji Corpuscular Hemoglobin (HCM), Avhareji Corpuscular Hemoglobin Concentration (CHCM) uye iyo RDW, inoyera mutsauko pakukura pakati pemasero matsvuku eropa. Kubva pakuongorora kwehuwandu hweropa, chiremba anokwanisa kuona mhando yeropa. Nzwisisa mashandiro anoita kuwanda kweropa.

Kuyedza kuziva mhando yeropa

Pamusoro pekuverenga ropa uye ferritin, kune mamwe bvunzo dzinogona kurairwa nachiremba kuti aone mamwe marudzi eanemia, akadai se:

• Hemoglobin electrophoresis: inoongorora mhando dzakasiyana dzehemoglobin muropa uye inogona kubatsira kuongorora mhando yerudzi rweanemia, ichinyanya kuitirwa kuti iwane sickle cell anemia. Nzwisisa kuti hemoglobin electrophoresis inoitwa sei;
• Peripheral ropa smear kuongororwa: inoongorora kuoneka kwemasero matsvuku eropa pasi pe microscope kuona saizi, chimiro, nhamba, uye chitarisiko, uye inogona kubatsira mukuongororwa kwechirwere cheseroya anemia, thalassemia, megaloblastic anemia uye kumwe kuchinja kwehematological;
• Reticulocyte kuverenga: inoongorora kuti kana mwongo wepfupa urikugadzira matsva masero matsvuku eropa, uchibvumira kuona aplastic anemia;
• Stool kuongorora: inogona kubatsira kuona kubuda ropa kubva mudumbu kana ura, izvo zvinogona kuve chikonzero chekushaya ropa;
• Mazinga e vitamini B12 mumuti: kushomeka kwevhitamini iyi kunogona kukonzera kuperevedza kwekushaya ropa;
• Bilirubin mazinga: inobatsira pakusarudza kana masero matsvuku eropa akaparadzwa mukati memuviri, izvo zvinogona kuve chiratidzo chehemolytic anemia;
• Lead nhanho: lead lead chepfu inogona kuva imwe yezvikonzero zvekushaya ropa muvana;
• Chiropa basa bvunzo: kuongorora kushanda kwechiropa, icho chinogona kuve chimwe chezvikonzero zvekushaya ropa;
• Itsvo basa rekuyedza: inogona kubatsira kuona kana paine chero matambudziko eitsvo, akadai seitsvo kutadza, semuenzaniso, izvo zvinogona kukonzera kushomeka kweropa;
• Bone marora bhiopsy: inoongorora kugadzirwa kwemasero matsvuku eropa uye inogona kuitwa kana dambudziko remongo wefupa richifungidzirwa kuti rakakonzera kupererwa neropa. Ona kuti ndezvipi uye mashandiro emongo wemapfupa anoitwa.

Dzimwe bvunzo dzakadai seMRI, X-ray, CT scan, weti bvunzo, majekiseni miedzo, serological uye biochemical bvunzo dzinogona zvakare kushandiswa kuongorora rudzi rweanemia, zvisinei izvo hazviwanzo kukumbirwa.

Izvo zvakakosha kuti mhedzisiro yemiedzo iongororwe nachiremba, nekuti ipapo chete ndipo panogona kutanga kurapa kwakakodzera kwemamiriro ezvinhu. Kungova nehemoglobin concentration pazasi pereferensi kukosha hakuna kukwana kuona kushomeka kweropa, uye zvakakosha kuti uwedzere kumwe kuyedza. Dzidza zvakawanda nezve akasiyana marudzi eanemia.

Imwe nzira yekudzivirira kushomeka kwesimbi uye anemia yakaipa, iyo inogona kumuka nekuda kwekudya, ndeyokuchinja maitiro ekudya. Tarisa vhidhiyo inotevera kuti uone maitiro ekudzivirira aya marudzi eanemia: