Chii chinonzi microcytosis uye zvikonzero zvikuru

Zvemukati

• Zvinonyanya kukonzera Microcytosis
• 1. Thalassemia
• 2. Nhaka spherocytosis
• 3. Zvirwere
• 4. Iron kushaya anemia
• 5. Chirwere Chirwere Anemia

Microcytosis izwi rinogona kuwanikwa mumushumo wehemogram unoratidza kuti ma erythrocyte madiki pane zvakajairwa, uye kuvepo kwe microcytic erythrocyte kunogona kuratidzwawo muhemogram. Microcytosis inoongororwa uchishandisa iyo VCM index kana Avhareji Corpuscular Vhoriyamu, iyo inoratidza saizi saizi yemasero matsvuku eropa, iine kukosha kwehuwandu pakati pe80.0 ne100.0 fL, zvisinei kukosha uku kunogona kusiyana zvichienderana nerabhoritari.

Kuti microcytosis ive yakakosha pakiriniki, zvinokurudzirwa kuti mhedzisiro yeVCM idudzirwe pamwe chete nemamwe maIndices akayerwa muyero yeropa, seAvhareji Corpuscular Hemoglobin (HCM), hemoglobin huwandu, Avhareji Corpuscular Hemoglobin Concentration (CHCM) uye RDW, inova iyo indekisi inoratidza saizi kusiana pakati pemasero matsvuku eropa. Dzidza zvakawanda nezve VCM.

Zvinonyanya kukonzera Microcytosis

Kana huwandu hweropa huchitaridza kuti chete VCM inoshandurwa uye kukosha kuri padyo nereferensi kukosha, kazhinji haina kupihwa kukosha, kugona kumiririra mamiriro ezvinhu kwenguva pfupi uye kunzi discrete microcytosis. Nekudaro, kana iwo maitiro akaderera zvakanyanya zvakakosha kuti utarise kana paine imwe indekisi yakashandurwa. Kana mamwe maIndices akaongororwa muhuwandu hweropa ari akajairwa, zvinokurudzirwa kudzokorora kuverenga kweropa.

Kazhinji, microcytosis inoenderana nekuchinja kwehutano kana inoenderana nekuumbwa kwehemoglobin. Nekudaro, izvo zvikonzero zvikuru zve microcytosis ndezvi:

1. Thalassemia

Thalassemia chirwere chemageneti chinoratidzwa neshanduko muhemoglobin synthesis process, umo mune shanduko mune imwe kana akawanda emaketani emaketani, zvichikonzera shanduko inoshanda mumasero matsvuku eropa. Pamusoro peiyo VCM yakashandurwa, zvinokwanisika kuti mamwe maindices akachinjwawo, senge HCM, CHCM, RDW uye hemoglobin.

Sezvo paine shanduko muhemoglobin yekuumbika maitiro, kutakurwa kweoxygen kuenda kumatishu kunoshandurwawo, nekuti hemoglobin ndiyo inoitisa izvi. Nekudaro, zvimwe zviratidzo zve thalassemia zvinomuka, senge kuneta, kushatirwa, kusanzwisisika uye shanduko mukufema maitiro. Dzidza kuziva zviratidzo nezviratidzo zve thalassemia.

2. Nhaka spherocytosis

Hereditary kana congenital spherocytosis chirwere chinoratidzirwa neshanduko mune membrane yemasero matsvuku eropa, ichivaita madiki uye asinganyararire, iine mwero wepamusoro wekuparadzwa kwemasero matsvuku eropa. Nekudaro, muchirwere ichi, mukuwedzera kune dzimwe shanduko, mashoma masero matsvuku eropa uye akaderedzwa CMV anogona kusimbiswa.

Sezvo zita rayo rinotaura, spherocytosis inhaka, ndiko kuti, inopfuura kubva kuchizvarwa kuenda kuchizvarwa uye munhu anozvarwa aine shanduko iyi. Zvisinei, kukura kwechirwere kunogona kusiyana kubva kumunhu kusvika kumunhu, uye zvakakosha kutanga kurapwa munguva pfupi mushure mekuberekwa maererano nekutungamira kwehematologist.

3. Zvirwere

Zvirwere zvenguva refu zvinogona zvakare kukonzera microcytic masero matsvuku eropa, nekuti kusingaperi kwemumiririri anokonzeresa hutachiona mumuviri kunogona kukonzera kushomeka kwekudya zvinovaka muviri uye shanduko mune immune system, ichichinja kwete chete mahematological indexes asiwo mamwe marabhoritari parameter.

Kuti usimbise hutachiona, zvakakosha kuti chiremba arayire uye aongorore kumwe kuyedzwa kwerabhoritari, senge kuyerwa kweC-Reactive Protein (CRP), weti bvunzo uye microbiological test. Huwandu hweropa hunogona kuratidza hutachiona, asi kumwe kuyedzwa kunodiwa kuti ubvume kuongororwa uye kutanga kurapwa kwakakodzera.

4. Iron kushaya anemia

Iron inoshaya anemia, inonziwo kushomeka kwesimbi, inoratidzirwa nehuremu hwesimbi inotenderera muropa nekuda kwekutora simbi kudya kana semhedzisiro yekubuda ropa kana kuenda kumwedzi kwakanyanya, semuenzaniso.

Kuderera kwehuwandu hwesimbi kunokanganisa zvakananga nehuwandu hwehemoglobin, sezvo iri yakakosha mukugadzirwa kwehemoglobin. Nekudaro, mukushayikwa kwesimbi, pane kuderera kwehuwandu hwehemoglobin, zvichitungamira pakuonekwa kwezvimwe zviratidzo nezviratidzo, senge kushaya simba, kugara wakaneta, kunzwa kupera simba, kurasikirwa nevhudzi, kushomeka kwembambo nekushaiwa kudya, Semuyenzaniso.

Kazhinji kesi dzekushomeka kwesimbi anemia dzinoitika semhedzisiro yekushomeka kwehutano. Nekudaro, mhinduro ndeyokuchinja maitiro ekudya, kuwedzera kudyiwa kwezvikafu zvakapfuma musimbi, senge sipinashi, bhinzi nenyama. Ona kuti kurapwa kwesimbi kushomeka anemia kunofanira kunge kuri.

5. Chirwere Chirwere Anemia

Anemia yechirwere chisingaperi rudzi rwakajairika rwekupererwa neropa kunoitika kune varwere vari muchipatara, nekuchinja kwete chete mukukosha kweCMV, asiwo muHCM, CHCM, RDW uye hemoglobin. Rudzi urwu rweanemia rwunowanzoitika kune varwere vane hutachiona husingaperi, hutachiona hwehutachiona uye neoplasms.

Sezvo rudzi urwu rweanemia rwunowanzoitika panguva yekurapwa, kuongororwa uye kurapwa kunoitwa nekukurumidza kudzivirira kumwe kunetseka kwemurwere. Dzidza zvakawanda nezve kushomeka kwechirwere chisingaperi.