Anisopoikilocytosis

Umxholo

• Yintoni i-anisopoikilocytosis?
• Yintoni unobangela?
• Oonobangela anisocytosis
• Oonobangela poikilocytosis
• Oonobangela anisopoikilocytosis
• Ziintoni iimpawu?
• Kufunyaniswa njani?
• Inyangwa njani?
• Ngaba zikhona iingxaki?
• Yintoni imbonakalo?

Yintoni i-anisopoikilocytosis?

I-Anisopoikilocytosis kuxa uneeseli ezibomvu zegazi ezinobungakanani obahlukeneyo kunye neemilo.

Igama elithi anisopoikilocytosis lenziwe ngamagama amabini ahlukeneyo: i-anisocytosis kunye ne-poikilocytosis. I-Anisocytosis ithetha ukuba kukho iiseli ezibomvu zegazi ezahlukileyo ubukhulu kwigazi lakho lokuthambisa. I-Poikilocytosis ithetha ukuba kukho iiseli ezibomvu zegazi ezahlukileyo iimilo kwigazi lakho lokuthambisa.

Iziphumo ezivela kwigazi smear nazo zinokufumana i-anisopoikilocytosis ethambileyo. Oku kuthetha ukuba inani leeseli ezibomvu ezibonisa ubungakanani obahlukeneyo kunye neemilo ziphakathi.

Yintoni unobangela?

I-Anisopoikilocytosis kuthetha ukuba ne-anisocytosis kunye ne-poikilocytosis. Ke ngoko, kuyanceda ukuqala ngokudiliza oonobangela bezi meko zimbini ngokukodwa.

Oonobangela anisocytosis

Ubungakanani obungaqhelekanga beseli ebomvu ebomvu obonwe kwi-anisocytosis bunokubangelwa ziimeko ezahlukeneyo:

• Iimpawu. Oku kubandakanya i-anemia yokunqongophala kwe-iron, i-hemolytic anemia, i-sickle cell anemia, kunye ne-megaloblastic anemia.
• I-spherocytosis yelifa. Le yimeko yelifa ebonakaliswe bubukho be-hemolytic anemia.
• Thalassemia. Esi sisifo segazi esizuzwe njengelifa esibonakaliswa ziihemoglobin ezingaphantsi kunye namanqanaba asezantsi eeseli ezibomvu emzimbeni.
• Ukunqongophala kweVitamin. Ngokukodwa, ukusilela kwi-folate okanye i-vitamin B-12.
• Izifo zentliziyo. Ingaba nzima okanye ingapheliyo.

Oonobangela poikilocytosis

Oonobangela bemilo yeseli ebomvu ebomvu engaqhelekanga ebonwa kwi-poikilocytosis inokubangelwa ziimeko ezahlukeneyo. Uninzi lwezi ziyafana nezo zinokubangela i-anisocytosis:

• iinduma
• spherocytosis yelifa
• ilifa elliptocytosis, isifo esizuzwe njengelifa apho iiseli ezibomvu zegazi zimile okweqanda okanye zimile okweqanda
• thalassemia
• I-folate kunye ne-vitamin B-12
• isifo sesibindi okanye i-cirrhosis
• isifo sezintso

Oonobangela anisopoikilocytosis

Kukho ukungqubana phakathi kweemeko ezibangela i-anisocytosis kunye ne-poikilocytosis. Oku kuthetha ukuba anisopoikilocytosis inokwenzeka kwezi meko zilandelayo:

• iinduma
• spherocytosis yelifa
• thalassemia
• I-folate kunye ne-vitamin B-12

Ziintoni iimpawu?

Akukho zimpawu ze-anisopoikilocytosis. Nangona kunjalo, unokufumana iimpawu ezivela kwimeko ebangela oko. Iimpawu zingabandakanya:

• ubuthathaka okanye ukungabikho kwamandla
• ukuqhawukelwa ngumphefumlo
• isiyezi
• ukubetha kwentliziyo okukhawulezayo okanye okungaqhelekanga
• intloko ebuhlungu
• izandla ezibandayo okanye iinyawo
• i-jaundice, okanye ulusu olumbala okanye umbala omthubi
• iintlungu esifubeni sakho

Ezinye iimpawu zinxulunyaniswa neemeko ezithile, ezinje:

Thalassemia

• ukudumba kwesisu
• umchamo omnyama

Ukusilela kwe-Folate okanye i-B-12

• izilonda zomlomo
• iingxaki zombono
• imvakalelo yezikhonkwane kunye neenaliti
• iingxaki zengqondo, kubandakanya ukudideka, inkumbulo, kunye nemicimbi yokugweba

I-spherocytosis yelifa okanye i-thalassemia

• ipeni eyandisiweyo

Kufunyaniswa njani?

Ugqirha wakho unokuchonga i-anisopoikilocytosis usebenzisa i-peripheral blood smear. Kolu vavanyo, ithontsi elincinci legazi lakho libekwa kwisilayidi seglasi esibonwa linyangwe ngebala. Ubume kunye nobungakanani beeseli zegazi ezikhoyo kwisilayidi emva koko zinokuhlaziywa.

I-peripheral blood smear ihlala isenziwa kunye nokubalwa kwegazi (CBC). Ugqirha wakho usebenzisa i-CBC ukukhangela iintlobo ezahlukeneyo zeeseli zegazi emzimbeni wakho. Oku kubandakanya iiseli ezibomvu zegazi, iiseli ezimhlophe zegazi kunye neeplatelets.

Ugqirha wakho unokuyalela iimvavanyo ukuvavanya i-hemoglobin yakho, i-iron, i-folate, okanye amanqanaba e-vitamin B-12.

Ezinye zeemeko ezibangela i-anisopoikilocytosis zizuzwe njengelifa. Oku kubandakanya i-thalassemia kunye ne-spherocytosis yelifa. Ugqirha wakho unokukubuza malunga nembali yonyango yosapho lwakho.

Inyangwa njani?

Unyango luya kuxhomekeka kwimeko ephantsi ebangela i-anisopoikilocytosis.

Ngamanye amaxesha, unyango lunokubandakanya ukutshintsha indlela otya ngayo okanye ukuthatha izongezo zokutya. Oku kubalulekile xa amanqanaba asezantsi e-iron, folate, okanye i-vitamin B-12 ibangela iimpawu.

I-anemia enzima kakhulu kunye ne-spherocytosis yelifa inokufuna ukunyanga ngegazi ukunyanga. Ukufakelwa komongo wethambo nako kunokwenziwa.

Abantu abane-thalassemia bafuna ukuphindiselwa kwegazi kunyango. Ukongeza, i-iron chelation ihlala ifuneka. Kule nkqubo, i-iron engaphezulu iyasuswa egazini emva kotofelo-gazi. I-Splenectomy (ukususwa kwepeni) kunokufuneka nakubantu abane-thalassemia.

Ngaba zikhona iingxaki?

Kunokubakho iingxaki ezivela kwimeko ephantsi ebangela i-anisopoikilocytosis. Iingxaki zinokubandakanya:

• iingxaki zokukhulelwa, kubandakanya ukuhanjiswa kwangethuba okanye iziphene zokuzalwa
• Imiba yentliziyo ngenxa yokubetha kwentliziyo okukhawulezayo okanye okungaqhelekanga
• Imiba yenkqubo yemithambo-luvo
• Usulelo olunzima kubantu abane-thalassemia ngenxa yokumpontshelwa kwegazi okuphindaphindiweyo okanye ukususwa kwepleen

Yintoni imbonakalo?

Imbonakalo yakho ixhomekeke kunyango olufumanayo kwimeko ebangela ukuba i-anisopoikilocytosis.

Ezinye ii-anemias kunye nokusilela kweevithamini kuyanyangeka ngokulula. Imiqathango efana ne-sickle cell anemia, i-spherocytosis yelifa, kunye ne-thalassemia izuzwe njengelifa. Baya kufuna unyango kunye nokubeka iliso ebomini bakho bonke. Thetha neqela lakho lezonyango malunga neendlela zokhetho ezikulungeleyo.