Munyori: Randy Alexander
Zuva Rekusika: 24 Kubvumbi 2021
Gadziridza Zuva: 1 Chikunguru 2024
Anonim
Macrocytic Anemia | Megaloblastic vs Non-Megaloblastic | Approach & Causes
Vhidhiyo: Macrocytic Anemia | Megaloblastic vs Non-Megaloblastic | Approach & Causes

Zvemukati

Mhedziso

Macrocytosis izwi rinoshandiswa kutsanangura masero matsvuku eropa akakura kupfuura zvakajairwa. Anemia ndipo paunenge uine huwandu hwakaderera hwekushanda nemazvo masero matsvuku eropa mumuviri wako. Macrocytic anemia, saka, mamiriro ezvinhu umo muviri wako une masero matsvuku eropa akawandisa uye asina kukwana masero matsvuku eropa.

Mhando dzakasiyana dze macrocytic anemia dzinogona kuverengerwa zvichienderana nezviri kukonzeresa. Kazhinji kazhinji, macrocytic anemias anokonzerwa nekushaikwa kwevhitamini B-12 uye folate. Macrocytic anemia inogona zvakare kuratidza mamiriro ari pasi.

Macrocytic anemia zviratidzo

Iwe haugone kucherechedza chero zviratidzo zve macrocytic anemia kusvikira wave nazvo kwenguva yakati.

Zviratidzo zvinosanganisira:

  • kurasikirwa nehavi kana huremu
  • zvipikiri zvinopwanyika
  • kukurumidza kurova kwemoyo
  • manyoka
  • kuneta
  • ganda rakachenuruka, kusanganisira miromo uye maziso
  • mweya wekufema
  • kutarisisa kana kusanzwisisika
  • ndangariro kurasikirwa

Kana iwe uine akati wandei ezviratidzo izvi, ita musangano kuti uone chiremba wako.


Zvakakosha kuita musangano nekukurumidza sezvinobvira kana iwe uine zvinotevera zviratidzo:

  • yakawedzera kurova kwemoyo
  • kuvhiringidzika
  • matambudziko ekurangarira

Mhando uye zvikonzero zve macrocytic anemia

Macrocytic anemia inogona kutyorwa kuita maviri makuru mhando: megaloblastic uye nonmegaloblastic macrocytic anemias.

Megaloblastic macrocytic kupererwa neropa

Mazhinji macrocytic anemias zvakare megaloblastic. Megaloblastic anemia ndeye mhedzisiro yekukanganisa mune rako dzvuku reropa masero ekugadzirwa kweDNA. Izvi zvinokonzera kuti muviri wako ugadzire masero matsvuku eropa zvisizvo.

Zvimwe zvinokonzeresa zvinosanganisira:

  • vhitamini B-12 kushomeka
  • kushomeka kwemunhu
  • mimwe mishonga, yakadai semakemotherapy mishonga yakaita sehydroxyurea, mishonga yekudzivirira, uye mishonga yemaARV inoshandiswa kune vanhu vane HIV

Nonmegaloblastic macrocytic kupererwa neropa

Fomu dzisiri megaloblastic dze macrocytic anemia dzinogona kukonzerwa nezvakasiyana zvinhu. Izvi zvinogona kusanganisira:

  • chisingaperi kunwa doro kusagadzikana (kudhakwa)
  • chirwere chechiropa
  • hypothyroidism

Kuongorora macrocytic anemia

Chiremba wako anozobvunza nezve yako nhoroondo yezvokurapa uye mararamiro. Vanogona zvakare kubvunza nezve maitiro ako ekudya kana vachifunga kuti une mhando yeanemia. Kudzidza nezvechikafu chako kunogona kuvabatsira kuti vaone kana usine simbi, folate, kana chero imwe yemamwe mavitamini B.


Kuongororwa kweropa

Chiremba wako acharaira kuongororwa kweropa kuti atarise kushomeka uye akawedzera masero matsvuku eropa. Kana yako yakazara yeropa kuverenga inoratidza kupererwa neropa, chiremba wako achaita imwe bvunzo inozivikanwa seyakaperera yeropa smear. Bvunzo iyi inogona kubatsira kuona epakutanga macrocytic kana microcytic shanduko kumasero ako matsvuku eropa.

Kuwedzera kuongororwa kweropa kunogona kubatsirawo kuwana chinokonzeresa yako macrocytosis uye kupererwa neropa. Izvi zvakakosha nekuti kurapwa kunoenderana nechikonzero chiri kukonzera.

Nepo kushomeka kwehutano kunokonzeresa macrocytic anemias, mamwe mamiriro ezvinhu anogona kukonzera kushomeka. Chiremba wako anomhanyisa bvunzo kuti aongorore huwandu hwako hwemuviri. Ivo vanogona zvakare kuita kuongororwa kweropa kuti vatarise kunwa doro kusagadzikana, chirwere chechiropa, uye hypothyroidism.

Chiremba wako wekutanga anotarisira anogona zvakare kukuendesa kuna hematologist. Hematologists anonyanya kugadzirisa kusagadzikana kweropa. Vanogona kuongorora chinokonzera uye chaicho mhando yeanemia yako.

Kurapa macrocytic anemia

Kurapa kwe macrocytic anemia kunotarisa pakurapa zvakakonzera mamiriro acho. Mutsara wekutanga wekurapa kwevanhu vazhinji kururamisa kushomeka kwehutano. Izvi zvinogona kuitwa nema supplements kana zvekudya senge sipinashi uye nyama tsvuku. Iwe unogona kukwanisa kutora zvinowedzera zvinosanganisira folate uye mamwe B mavitamini. Iwe unogona zvakare kuda vhitamini B-12 majekiseni kana iwe usingatore wemuromo vhitamini B-12 nemazvo.


Zvokudya zvakakwirira mu vitamini B-12 zvinosanganisira:

  • huku
  • zviyo zvakasimbiswa nezviyo
  • mazai
  • nyama tsvuku
  • hove
  • hove

Zvikafu zvakakwirira mumutambo zvinosanganisira:

  • yakasviba mashizha mashizha, akadai sekare uye sipinashi
  • nyemba
  • zviyo zvakapfumisa
  • maranjisi

Matambudziko

Mazhinji kesi e macrocytic anemia anokonzerwa ne vhitamini B-12 uye kusakwana kwe folate kunogona kurapwa nekuporeswa nekudya uye zvinowedzera.

Nekudaro, macrocytic anemias inogona kukonzera kusagadzikana kwenguva refu kana ikasiiwa isina kurapwa. Aya matambudziko anogona kusanganisira kukuvara zvachose kuhurongwa hwako hwemitsipa. Kunyanya kushomeka kwevhitamini B-12 kunogona kukonzera kushushikana kwenguva refu neurologic. Zvinosanganisira peripheral neuropathy uye kuora mwoyo.

Maitiro ekudzivirira macrocytic anemia

Iwe haugone kudzivirira macrocytic anemia nguva dzose, kunyanya kana zvichikonzerwa nemamiriro ezvinhu ari pasi pesimba rako. Zvisinei, iwe unogona kudzivirira kupererwa neropa kubva pakuva kwakanyanya muzviitiko zvakawanda. Edza aya matipi:

Kune maseru matsvuku eropa

  • Wedzera imwe tsvuku nyama uye huku kuchikafu chako kuti uwedzere yako vitamini B-12 kudya.
  • Kana iwe uri miriwo kana vegan, iwe unogona kuwedzera bhinzi uye nerima, mashizha emashizha e folate. Edza zviyo zvemangwanani zvakasimbiswa zvevhitamini B-12.
  • Deredza huwandu hwedoro raunonwa.
  • Taura nachiremba wako kana ukatora maantiretrovirals eHIV, mishonga yekudzivirira, kana chemotherapy mishonga. Izvi zvinogona kuwedzera njodzi yako yekuvandudza macrocytic anemia.

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