Megaloblastic Anemia

Zvemukati

• Zvinokonzera Megaloblastic Anemia
• Vitamin B-12 Kushomeka
• Kushaikwa kweFolate
• Ndeapi Zviratidzo zveMegaloblastic Anemia?
• Kuongorora Megaloblastic Anemia
• Ko Megaloblastic Anemia Inoitiswa Sei?
• Vitamin B-12 Kushomeka
• Kushaikwa kweFolate
• Kurarama neMegaloblastic Anemia
• Mhando dzakasiyana dzekushaya ropa
• Mubvunzo:
• A:

Chii chinonzi Megaloblastic Anemia?

Megaloblastic anemia rudzi rweanemia, chirwere cheropa umo nhamba yemasero matsvuku eropa yakaderera pane zvakajairwa. Masero matsvuku eropa anotakura okisijeni kuburikidza nemuviri. Kana muviri wako usina masero matsvuku eropa akakwana, nyama dzako nenhengo dzako hazviwane oxygen yakakwana.

Kune akawanda marudzi eanemia ane zvikonzero zvakasiyana uye hunhu. Megaloblastic anemia inozivikanwa nemasero matsvuku eropa akakura kupfuura zvakajairwa. Ikoko zvakare hakuna kukwana kwavo. Iyo inozivikanwa sevhitamini B-12 kana folate kushomeka anemia, kana macrocytic anemia, futi.

Megaloblastic anemia inokonzerwa kana masero matsvuku eropa asina kugadzirwa nemazvo. Nekuti maseru akakurisa, vangangotadza kubuda mumongo wefupa kuti vapinde muropa uye vaendese okisijeni.

Zvinokonzera Megaloblastic Anemia

Zvikonzero zviviri zvinowanzoitika zve megaloblastic anemia kushomeka kwevhitamini B-12 kana folate. Izvi zviviri zvinovaka muviri zvinodiwa pakugadzira masero matsvuku eropa. Kana iwe ukasawana zvakakwana kwavari, zvinokanganisa kugadzirwa kwemasero ako matsvuku eropa. Izvi zvinotungamira kune masero asina kupatsanuka uye kubereka nenzira yavanofanira kuita.

Vitamin B-12 Kushomeka

Vitamini B-12 chinhu chinovaka muviri chinowanikwa mune zvimwe zvekudya senyama, hove, mazai uye mukaka. Vamwe vanhu havagone kutora zvakakwana vitamini B-12 kubva kuchikafu chavo, zvichitungamira ku megaloblastic anemia. Megaloblastic anemia inokonzerwa ne vhitamini B-12 kushomeka inonzi seanokuvadza anemia.

Kushomeka kweVitamin B-12 kunowanzo kukonzerwa nekushaikwa kweprotein mudumbu inonzi "yemukati chinhu." Pasina chinhu chemukati, vhitamini B-12 haigone kunyudzwa, zvisinei nekuti unodya zvakadii. Izvo zvakare zvinokwanisika kuve nehutachiona hweanemia nekuti hapana zvakakwana vhitamini B-12 mukudya kwako.

Kushaikwa kweFolate

Folate ndechimwe chikafu chakakosha mukusimudzira masero matsvuku eropa. Folate inowanikwa mune zvekudya senge yemombe chiropa, sipinashi, uye Brussels inomera. Folate inowanzo sanganiswa ne folic acid - nehunyanzvi, folic acid ndiyo fomu yekuumbwa, inowanikwa mune zvinowedzera. Iwe unogona zvakare kuwana folic acid muzviyo zvakasimbiswa uye chikafu.

Kudya kwako chinhu chakakosha pakuona kuti une zvakakwana folate. Kushomeka kwemunhu kunogona kukonzerwa nekushandisa doro zvisina mwero, sezvo doro richikanganisa kugona kwemuviri kutora folic acid. Vakadzi vane nhumbu vanowanzo kuve nekushomeka kwe folate, nekuda kweiyo yakawanda folate inodiwa nemucheche ari kukura.

Ndeapi Zviratidzo zveMegaloblastic Anemia?

Chiratidzo chinowanzozivikanwa che megaloblastic anemia ndiko kuneta. Zviratidzo zvinogona kusiyana kubva pamunhu kusvika kumunhu. Zviratidzo zvakajairika zvinosanganisira:

• mweya wekufema
• kushaya simba kwetsandanyama
• kuchena kusarongeka kweganda
• glossitis (yakazvimba rurimi)
• kurasikirwa nenzara / kurasikirwa uremu
• manyoka
• kusvotwa
• kukurumidza kurova kwemoyo
• runyoro kana runyoro rurimi
• kurira maoko nemakumbo
• chiveve mumativi

Kuongorora Megaloblastic Anemia

Imwe bvunzo inoshandiswa kuongorora mafomu mazhinji eanemia ndiyo yakazara ropa kuverenga (CBC). Muedzo uyu unoyera zvikamu zvakasiyana zveropa rako. Chiremba wako anogona kutarisa huwandu uye kuoneka kwemasero matsvuku eropa. Vachaonekwa vakakura uye vasina kusimukira kana iwe uine megaloblastic anemia. Chiremba wako achaunganidzawo nhoroondo yako yezvokurapa uye oita bvunzo dzepanyama kutonga zvimwe zvikonzero zvezviratidzo zvako.

Chiremba wako anozoda kuita yakawanda kuongororwa kweropa kuti uone kana kushomeka kwevhitamini kuri kukonzeresa kupererwa neropa. Iyi bvunzo ichavabatsirawo kuti vaone kana iri vhitamini B-12 kana kushomeka kwefolate kuri kukonzera mamiriro acho.

Imwe bvunzo ingashandiswa nachiremba wako kubatsira kukubatsira kuti uone iwe ndiyo Schilling bvunzo. Chiyero cheSchilling kuongororwa kweropa kunoongorora kugona kwako kutora vitamini B-12. Mushure mekutora diki rekuwedzera re radioactive vhitamini B-12, iwe unotora weti sampuro kuti chiremba wako aongorore. Iwe unozobva watora imwecheteyo radioactive yekuwedzera pamwe ne "intrinsic factor" protein iyo muviri wako unoda kukwanisa kutora vitamini B-12. Ipapo iwe unozopa imwe weti sampuro kuti igone kufananidzwa neyekutanga.

Chiratidzo chekuti haugadzi chinhu chemukati chako kana iwo maspini weti achiratidza kuti iwe wakangopinza B-12 mushure mekuidya pamwe chete nechinhu chiri mukati. Izvi zvinoreva kuti iwe haugone kutora vitamini B-12 zvakasikwa.

Ko Megaloblastic Anemia Inoitiswa Sei?

Maitiro iwe nachiremba wako masarudza kurapa megaloblastic anemia zvinoenderana nezviri kukonzeresa. Chirongwa chako chekurapa chinogona zvakare kutsamira pazera rako uye hutano hwakazara pamwe nemhinduro yako kumarapirwo uye kuti chirwere chakanyanya sei. Kurapa kwekutarisira kupererwa neropa kunowanzoenderera.

Vitamin B-12 Kushomeka

Muchiitiko che megaloblastic anemia inokonzerwa ne vhitamini B-12 kushomeka, ungangoda majekiseni emwedzi nemwedzi e vitamini B-12. Oral zvekuwedzera zvinogona zvakare kupihwa. Kuwedzera zvimwe zvekudya zvine vhitamini B-12 kuchikafu chako kunogona kubatsira. Zvikafu zvine vhitamini B-12 mazviri zvinosanganisira:

• mazai
• huku
• zviyo zvakasimbiswa (kunyanya bran)
• nyama tsvuku (kunyanya nyama yemombe)
• mukaka
• hove

Vamwe vanhu vane genetic mutation paMTHFR (methylenetetrahydrofolate reductase) geni. Iyi MTHFR gene inoitisa shanduko yemamwe mavitamini B, kusanganisira B-12 uye folate, mumafomu avo anoshandiswa mukati memuviri. Vanhu vane MTHFR mutation vanokurudzirwa kutora supplemental methylcobalamin. Kugara uchidya vhitamini B-12-zvakapfuma zvekudya, mavitamini, kana kusimbiswa hazvingagone kudzivirira kushomeka kana mhedzisiro yehutano kune avo vane ino genet mutation.

Kushaikwa kweFolate

Megaloblastic anemia inokonzerwa nekushaikwa kwe folate inogona kurapwa nemuromo kana intravenous folic acid inowedzera. Dhijitari shanduko inobatsirawo kuwedzera folate mazinga. Chikafu chekuisa mukudya kwako chinosanganisira:

• maranjisi
• miriwo yakasvibira ine mashizha
• nzungu
• nyemba
• zviyo zvakapfumisa

Sezvakaita vhitamini B-12, vanhu vane shanduko yeMTHFR vanokurudzirwa kutora methylfolate kudzivirira kushomeka kwefolate uye njodzi dzayo.

Kurarama neMegaloblastic Anemia

Munguva yakapfuura, megaloblastic anemia yaive yakaoma kurapa. Nhasi, vanhu vane megaloblastic anemia nekuda kweiyo vhitamini B-12 kana kushomeka kwefolate vanogona kubata zviratidzo zvavo uye vanzwe zvirinani nekuenderera mberi kwekurapwa uye zvinowedzera zvinovaka muviri.

Vitamin B-12 kushomeka kunogona kutungamira kune mamwe matambudziko. Izvi zvinogona kusanganisira kukuvara kwemitsipa, matambudziko etsinga, uye matambudziko ekugaya. Aya matambudziko anogona kudzoserwa kana iwe ukaonekwa uye ukarapwa nekukurumidza. Genetic test inowanikwa kuti uone kana iwe uine MTHFR genetic mutation. Vanhu vane anemia inouraya zvakare vanogona kunge vari panjodzi yakanyanya yekushaya simba kwepfupa uye kenza yemudumbu. Nezvikonzero izvi, zvakakosha kubata megaloblastic anemia kutanga. Taura nachiremba wako kana iwe ukaona chero zviratidzo zvekushaya ropa saka iwe nachiremba wako munogona kuuya nehurongwa hwekurapa uye kubatsira kudzivirira chero kukuvara zvachose.

Mhando dzakasiyana dzekushaya ropa

Mubvunzo:

Ndeupi mutsauko uripo pakati pe macrocytic anemia uye microcytic anemia?

A:

Anemia izwi rezasi hemoglobin kana masero matsvuku eropa. Anemia inogona kuganhurwa mumhando dzakasiyana zvichienderana nevhoriyamu remasero matsvuku eropa. Macrocytic anemia zvinoreva kuti masero matsvuku eropa akakura pane zvakajairwa. Mune microcytic anemia, maseru ari madiki pane zvakajairwa. Isu tinoshandisa iyi classification nekuti inotibatsira kuti tione chinokonzera kushomeka kweropa.

Zvinonyanya kukonzera macrocytic kupererwa neropa ndivhitamini B-12 uye kushomeka kwemanyepo. Anonetseka kupererwa neropa rudzi rwe macrocytic anemia nekuda kwemuviri kusakwanisa kutora vitamini B-12. Vakwegura, vegans, uye zvidhakwa zvinokanganisa kukura macrocytic anemia.

Chikonzero chinowanzoitika che microcytic anemia kushomeka kwesimbi, kazhinji nekuda kwekudya kwakashata kana kurasikirwa neropa, senge kurasikirwa nekuenda kumwedzi kweropa kana kuburikidza nemudumbu. Kubata, vakadzi vari kumwedzi, vacheche, uye avo vane kudya kwakaderera musimbi vanogona kuva nemukana wakawanda wekuvandudza microcytic anemia. Zvimwe zvikonzero zve microcytic anemia zvinosanganisira hurema mukugadzirwa kwehemoglobin senge sickle cell chirwere, thalassemia, uye sideroblastic anemia.