IMacrocytosis: yintoni, oyena nobangela kunye nokwenza

Umxholo

• Izizathu eziphambili
• 1. Ukusilela kweVitamin B12
• 2. Ukusilela komntu
• 3. Ukunxila
• 4. Utshintsho lomongo wethambo

IMacrocytosis ligama elinokubonakala kwingxelo yokubala kwegazi ebonisa ukuba ii-erythrocyte zikhulu kunesiqhelo, kwaye ukubonwa kwee-macrocytic erythrocytes nako kunokuboniswa kuvavanyo. IMacrocytosis iyavavanywa kusetyenziswa Umndilili weCorpuscular Volume (CMV), ebonisa ubungakanani obuqhelekileyo beeseli ezibomvu zegazi, kunye nexabiso lesalathiso phakathi kwe80.0 kunye ne-100.0 fL, kodwa eli xabiso lingahluka ngokwelabhoratri.

Ke, i-macrocytosis ithathelwa ingqalelo xa i-VCM ingaphezulu kwe-100.0 fL. Ukuze i-macrocytosis ibenokubaluleka kweklinikhi, kubalulekile ukuba i-CMV ivavanywe kunye nezinye ii-indices ezikhoyo kubalo lwegazi, njengenani leeseli ezibomvu zegazi, ihemoglobin, i-RDW, evavanya umahluko kubungakanani beeseli ezibomvu zegazi, Umndilili weCopuscular Hemoglobin (HCM) kunye noQinisekiso loMyinge weHemoglobin yeCorpuscular (CHCM).

Izizathu eziphambili

Ukwanda kobungakanani beeseli ezibomvu zegazi kuxhaphakile kubantu abadala, kuba kuqhelekile ukuba kukho ukuhla kwesixa seoksijini ekhoyo, kunye nesidingo sokwandisa ukuthathwa kwale gesi ukuyihambisa iye kumzimba. ngokwanda kweeseli ezibomvu zegazi.

Nangona kunjalo, i-macrocytosis inokwenzeka nakweyiphi na iminyaka kwaye inxulumene ikakhulu notshintsho lwesondlo, nangona kunjalo kunokwenzeka ukuba sisiphumo sezinye iimeko zempilo ezinjengotywala okanye utshintsho lomongo wethambo.

Ke, oonobangela abaphambili be-macrocytosis zezi:

1. Ukusilela kweVitamin B12

Ukwehla kwenani levithamini B12 emzimbeni sesinye sezizathu eziphambili ze-macrocytosis kwaye kunokwenzeka ngenxa yotshintsho kwinkqubo yokufunxa yale vithamini emathunjini okanye ngenxa yokwehla kwenani levithamini B12 egqitywe kuyo yonke indawo usuku.

Ukongeza kwi-macrocytosis, kuqhelekile ukuba abantu abanesifo se-vithamini babe ne-anemia, ekwabizwa ngokuba yi-anemia eyingozi, kwaye ngenxa yesi sizathu kuyinto eqhelekileyo ukuvelisa ezinye iimpawu ezinje ngobuthathaka, ukudinwa kunye nokuphefumla kancinci. Yazi indlela yokuchonga iimpawu zokunqongophala kukavithamini B12.

Kwenziwe ntoni: Kubalulekile ukuba ukongeza kubalo olupheleleyo lwegazi, idosi yevithamini B12 yenziwa, njengoko kunokwenzeka ukuqinisekisa isifo kwaye uqalise olona nyango lufanelekileyo, olunokubandakanya utshintsho kwindlela otya ngayo okanye ekusetyenzisweni kwezongezo ngokwegqirha okanye Ingcebiso yesondlo.

2. Ukusilela komntu

Ukunqongophala kwe-folate, okwaziwa ngokuba yi-folic acid okanye i-vitamin B9, ikwangunobangela omkhulu we-macrocytosis kwaye inokwenzeka ngenxa yokwehla kokusetyenziswa kwale vithamini okanye ngenxa yezifo zesisu ezivuthayo okanye ukunyuka kwemfuno yale vithamini, njengoko kusenzeka xa ukhulelwe, umzekelo .

Ukongeza kwi-macrocytosis, kule meko kunokwenzeka ukuba kugcinwe kumfanekiso wegazi ubukho botshintsho ngaphakathi kweeseli ezibomvu zegazi, ubukho be-neutrophils ene-hypersegmented kunye nokwahluka kubume beeseli ezibomvu zegazi, ezaziwa ngokuba yi-poikilocytosis. Qonda ukuba yintoni poikilocytosis.

Kwenziwe ntoni: Emva kokuchonga unobangela wokusilela komntu, olona nyango lufanelekileyo lubonakalisiwe, kwaye ukonyuka kokusetyenziswa kwale vithamini okanye ukusetyenziswa kwezixhasi kunokucetyiswa. Kwimeko apho ukusilela komntu kunxulumene notshintsho lwamathumbu, ugqirha unokucebisa unyango lwesi sifo, njengoko kunokwenzeka ukulawula amanqanaba e-folic acid emzimbeni.

3. Ukunxila

Ukusetyenziswa rhoqo kotywala kunokubangela ukwehla okuqhubekayo kwe-folic acid, enokuthi ikhuthaze ukukhula kweeseli ezibomvu zegazi, ukongeza ekunciphiseni olunye utshintsho lwebhayoloji.

Kwenziwe ntoni: Kuyacetyiswa ukunciphisa ukusetyenziswa kweziselo ezinxilisayo, njengoko kunokwenzeka ukukhuthaza ukusebenza ngokukuko komzimba. Nangona kunjalo, kwezinye iimeko, ukusetyenziswa gwenxa kotywala kungakhokelela kutshintsho esibindini, ikakhulu, kwaye kwezi meko kuyacetyiswa ukuba utshintshe ukutya kunye nemikhwa yokuphila kwaye wenze unyango ngokwesindululo sikagqirha.

4. Utshintsho lomongo wethambo

Umongo wethambo unoxanduva lokuvelisa iiseli zegazi, kwaye unokuvelisa iiseli ezibomvu ezinkulu zegazi ngenxa yotshintsho ekusebenzeni kwabo, njengesiphumo se-leukemia okanye nje ngokuba yimpendulo yomzimba ngokuchasene ne-anemia, umzekelo.

Kwenziwe ntoni: Kule meko, ukuba ezinye iinguqu ziqinisekisiwe kuvavanyo lwegazi, kunokucetyiswa ngugqirha ukuba enze i-myelogram okanye umongo wethambo lokuchonga unobangela wotshintsho kwaye, ngenxa yoko, aqalise olona nyango lufanelekileyo.