Macrocytosis: chii zvazviri, zvikonzero zvikuru uye zvekuita

Zvemukati

• Zvinokonzera
• 1. Kushayikwa kweVitamin B12
• 2. Kushomeka kwemunhu
• 3. Kudhakwa
• 4. Bhonzo remongo rinoshanduka

Macrocytosis izwi rinokwanisa kuoneka muropa rekuverenga rinoratidza kuti erythrocyte akakura kupfuura zvakajairwa, uye kuti kuratidzwa kwemacrocytic erythrocyte kunogona kuratidzwawo pabvunzo. Macrocytosis inoongororwa uchishandisa iyo Avhareji Corpuscular Vhoriyamu (CMV), iyo inoratidza saizi yepakati yemasero matsvuku eropa, ine kukosha kwereferenzi pakati pe80.0 ne100.0 fL, zvisinei kukosha uku kunogona kusiyana zvichienderana nerabhoritari.

Nekudaro, macrocytosis inofungidzirwa kana iyo VCM iri pamusoro pe100.0 fL. Kuti macrocytosis ive nehukama hwekiriniki, zvakakosha kuti iyo CMV iongororwe pamwe chete nedzimwe indices dziripo mukuverenga kweropa, senge nhamba yemasero matsvuku eropa, hemoglobin, RDW, inoongorora mutsauko mukukura kwemasero matsvuku eropa, Avhareji Corpuscular Hemoglobin (HCM) uye Kuunganidzwa kweAvhareji Corpuscular Hemoglobin (CHCM).

Zvinokonzera

Iko kuwedzera kwehukuru hwemasero matsvuku eropa kunowanzoitika kune vanhu vakura, nekuti zvakajairika kuti pane kuderera kwehuwandu hwenhepfenyuro inowanika, nekudikanwa kwekuwedzera kutora kweiyi gasi kuendesa kune iyo muviri, zvichikonzera mukuwedzera kwemasero matsvuku eropa.

Nekudaro, macrocytosis inogona kuitika chero zera uye inowirirana zvakanyanya nekuchinja kwehutano, zvisinei zvakare zvinokwanisika kuti imhedzisiro yehumwe hutano mamiriro sekudhakwa kana shanduko yemongo.

Nekudaro, izvo zvikonzero zvikuru zve macrocytosis ndezvi:

1. Kushayikwa kweVitamin B12

Kuderera kwehuwandu hwevhitamini B12 mumuviri ndechimwe chezvinhu zvikuru zvinokonzeresa macrocytosis uye zvinogona kuitika nekuda kwekuchinja kwekutora kwevhitamini iyi mumatumbo kana nekuda kwekuderera kwehuwandu hwevhitamini B12 yakadyiwa mukati mese zuva.

Pamusoro pe macrocytosis, zvakajairika kuti vanhu vane vhitamini kushomeka vane chirwere chekushaya ropa, chinonziwo annemia anemia, uye nekuda kweichi chikonzero zvakajairika kukudziridza zvimwe zviratidzo sekushaya simba, kuneta uye kufema kwekufema. Ziva maitiro ekuziva zviratidzo zvevhitamini B12 kushomeka.

Zvekuita: Izvo zvakakosha kuti pamusoro pekuzara kuwanda kweropa, kuyerwa kwevhitamini B12 kunoitwa, sezvo zvichikwanisika kusimbisa kuongororwa uye kutanga kurapwa kwakakodzera, uko kunogona kusanganisira shanduko mukudya kana kushandiswa kwezvokuwedzera zvinoenderana nachiremba kurudziro yezvehutano.

2. Kushomeka kwemunhu

Kushomeka kwemunhu, inozivikanwawo sekuti folic acid kana vhitamini B9, ndiyo honzeri huru yemacrocytosis uye inogona kuitika nekuda kwekudzikira kudyiwa kwevhitamini iyi kana nekuda kwezvirwere zvemuviri zvinoputira kana kuwedzera kudiwa kwevhitamini iyi, semuenzaniso. .

Pamusoro pe macrocytosis, mune iyi kesi zvakare zvinokwanisika kucherechedza muropa mufananidzo kuvapo kweshanduko mukati memasero matsvuku eropa, kuvepo kweiyo hypersegmented neutrophils uye musiyano muchimiro chemasero matsvuku eropa, anozivikanwa sepoikilocytosis. Nzwisisa chii chinonzi poikilocytosis.

Zvekuita: Mushure mekuziva chinokonzeresa kushomeka kwemurume, kurapwa kwakakodzera kwazvo kunoratidzwa, uye kuwedzera kwekushandisa kwevhitamini iyi kana kushandiswa kwezvokuwedzera zvinogona kukurudzirwa. Muchiitiko chekuti kushomeka kwehukama kunoenderana nekuchinja kwemukati, chiremba anogona kukurudzira kurapwa kwechirwere, sezvo zvichigoneka kudzora mwero we folic acid mumuviri.

3. Kudhakwa

Kugara uchinwa zvinwiwa zvinodhaka kunogona kukonzeresa kuderera kunofambira mberi kwe folic acid, iyo inogona kufarira kukura kwemasero matsvuku eropa, mukuwedzera pakukonzera kumwe kuchinja kwehunyanzvi.

Zvekuita: Inokurudzirwa kudzikisa kunwa kwezvinwiwa zvinodhaka, sezvo zvichikwanisika kusimudzira mashandiro akanaka emuviri. Nekudaro, mune dzimwe nguva, kunwa kusingaperi kwezvinwiwa zvinodhaka kunogona kukonzera shanduko muchiropa, kunyanya, uye mune izvi zviitiko zvinokurudzirwa kushandura kudya nemararamiro uye kuita kurapwa zvinoenderana nezvakakurudzirwa nachiremba.

4. Bhonzo remongo rinoshanduka

Bhonzo remapfupa rinoita kugadzirwa kwemasero eropa, uye rinogona kuburitsa masero matsvuku eropa nekuda kweshanduko mukushanda kwawo, semhedzisiro yeleukemia kana kungova mhinduro yemuviri kurwisa kupererwa neropa, semuenzaniso.

Zvekuita: Muchiitiko ichi, kana dzimwe shanduko dzakasimbiswa mukuongororwa kweropa, zvinogona kukurudzirwa nachiremba kuti aite myelogram kana bone marrow biopsy kuti aone chinokonzera shanduko uye, nekudaro, atange kurapwa kwakakodzera kwazvo.