Uvavanyo oluqinisekisa i-anemia

Umxholo

• Iimpawu eziqinisekisa i-anemia
• Uvavanyo lokuchonga uhlobo lwe-anemia

Ukufumanisa i-anemia kuyimfuneko ukuba kuvavanyo lwegazi ukuvavanya inani leeseli ezibomvu zegazi kunye ne-hemoglobin, edla ngokubonisa i-anemia xa amaxabiso e-hemoglobin engaphantsi kwe-12 g / dL yabasetyhini kunye ne-14 g / dL kwizigulana zamadoda.

Nangona kunjalo, uxinzelelo lwe-hemoglobin ayisiyiyo kuphela iparameter yokuchongwa kwe-anemia, kwaye ezinye iimvavanyo zihlala zicelwa ukuba zichonge unobangela we-hemoglobin esezantsi kwaye ziqale olona nyango lufanelekileyo. Fumana ukuba amaxabiso ehemoglobin atshintshiweyo angabonisa ntoni.

Kuba i-anemia yokunqongophala kwe-iron yeyona ixhaphakileyo, ugqirha uqala ngokuvavanya isixa se-ferritin egazini, kuba xa le nto ikwisixa esincinci oko kuthetha ukuba kukho i-iron encinci emzimbeni. Nangona kunjalo, ukuba amaxabiso e-ferritin aqhelekileyo, ezinye iimvavanyo ezinjenge-hemoglobin electrophoresis okanye ukubala i-vitamin B12 kunye ne-folic acid, enceda ekuchongeni ezinye iintlobo ze-anemia, kunokuba yimfuneko.

Iimpawu eziqinisekisa i-anemia

Ukuchongwa kwe-anemia kwenziwa xa amaxabiso e-hemoglobin kubalo lwegazi ngala:

• Kumadoda: ngaphantsi kwe-14 g / dL yegazi;
• Kwabasetyhini: ngaphantsi kwe-12 g / dL yegazi;

Ngokwesiqhelo, olu vavanyo lwegazi sele lubandakanya isixa se-ferritin, ke ugqirha unokuvavanya ukuba i-anemia yakho ibangelwa kukungabikho kwentsimbi. Ukuba kunjalo, ixabiso le-ferritin liya kuba sezantsi, libonisa amanqanaba e-iron asezantsi, anokuthi abonakalise ukusilela kwe-anemia. Nangona kunjalo, ukuba amanqanaba e-ferritin aqhelekile, luphawu lokuba i-anemia ibangelwa yenye ingxaki kwaye, ke ngoko, iimvavanyo ezingaphezulu zinokuyalelwa ukuba zichonge unobangela ochanekileyo.

Ukongeza kuvavanyo lwehemoglobin, ugqirha ujonga ixabiso lezinye iihemogram index, ezinje ngeAverage Corpuscular Volume (VCM), Average Corpuscular Hemoglobin (HCM), Average Corpuscular Hemoglobin Concentration (CHCM) kunye neRRW, ethi ilinganise umahluko ngobukhulu phakathi kweeseli ezibomvu zegazi. Ukusuka kuhlalutyo lobalo lwegazi, ugqirha uyakwazi ukuchonga uhlobo lwe-anemia. Qonda ukuba ubalo lwegazi lusebenza njani.

Uvavanyo lokuchonga uhlobo lwe-anemia

Ukongeza kubalo lwegazi kunye neferritin, kukho ezinye iimvavanyo ezinoku-odolwa ngugqirha ukuba achonge ezinye iintlobo ze-anemia, ezinje:

• IHemoglobin electrophoresis: Uhlalutya iintlobo ezahlukeneyo zehemoglobin egazini kwaye unokunceda ukufumanisa uhlobo lwe-anemia, olwenziwa ikakhulu ekuchongeni iarhente yeseli yegazi. Qonda ukuba ihemoglobin electrophoresis yenziwa njani;
• Uvavanyo lwe-permeheral smear examination: Uvavanya ukubonakala kweeseli ezibomvu zegazi phantsi kwemicroscope ukumisela ubungakanani, imilo, inani, kunye nokubonakala, kwaye unokunceda ekufumaniseni isifo segazi learhente, i-thalassemia, i-megaloblastic anemia kunye nolunye utshintsho lwe-hematological;
• Ukubala kweReticulocyte: kuvavanya ukuba umongo wethambo uvelisa iiseli ezibomvu zegazi, ukuvumela ukubona i-aplastic anemia;
• Uviwo lwelindle: inokunceda ekufumaneni ukopha esiswini okanye emathunjini, anokuba ngunobangela we-anemia;
• Amanqanaba e- ivithamini B12 kumchamo: Ukunqongophala kwale vithamini kunokubangela i-anemia eyingozi;
• Amanqanaba eBilirubin: Iluncedo ekumiseni ukuba iiseli ezibomvu zegazi zitshatyalalisiwe ngaphakathi emzimbeni, ezinokuba luphawu lwe-hemolytic anemia;
• Amanqanaba okhokelo: ilothe ityhefu inokuba sesinye sezizathu zokunqongophala kwegazi ebantwaneni;
• Uvavanyo lomsebenzi wesibindiukuvavanya ukusebenza kwesibindi, esinokuba sesinye sezizathu zokunqongophala kwegazi;
• Uvavanyo lwezintso: inokunceda ekuboneni ukuba ngaba kukho naziphi na iingxaki zezintso, ezinje ngokusilela kwezintso, umzekelo, ezinokubangela i-anemia;
• Umongo wethambo: kuvavanya ukuveliswa kweeseli ezibomvu zegazi kwaye kunokwenziwa xa ingxaki yomongo wethambo kurhanelwa ukuba ibangele i-anemia. Jonga ukuba yenzelwe ntoni kwaye yenziwa njani umongo wethambo.

Olunye uvavanyo olunjengeMRI, iX-reyi, iCT scan, uvavanyo lomchamo, uvavanyo lwemfuza, uvavanyo lwe-serological kunye ne-biochemical zingasetyenziselwa ukuxilonga uhlobo lwe-anemia, nangona kunjalo azifuneki rhoqo.

Kubalulekile ukuba iziphumo zeemviwo zivavanywe ngugqirha, kuba kuphela emva koko apho kunokwenzeka ukuba uqale unyango olufanelekileyo kule meko. Ukuba ne-hemoglobin concentration phantsi kwexabiso lesalathiso akwanele ukumisela i-anemia, kwaye kubaluleke kakhulu ukwenza uvavanyo oluthe kratya. Funda kabanzi malunga neentlobo ezahlukeneyo ze-anemia.

Enye indlela yokuthintela ukunqongophala kwe-iron kunye ne-anemia eyingozi, enokuthi ivele ngenxa yokutya, kukutshintsha indlela otya ngayo. Jonga le vidiyo ilandelayo ukuze ubone indlela yokuthintela ezi ntlobo zeanemia: