I-Megaloblastic Anemia

Umxholo

• Oonobangela be-Megaloblastic Anemia
• Ukusilela kweVitamin B-12
• Ukusilela koBugcisa
• Ziintoni Iimpawu zeMegaloblastic Anemia?
• Ukuchonga i-Megaloblastic Anemia
• I-Megaloblastic Anemia ithathwa njani?
• Ukusilela kweVitamin B-12
• Ukusilela koBugcisa
• Ukuhlala neMegaloblastic Anemia
• Iindidi ezahlukeneyo zeanemia
• Q:
• A:

Yintoni i-Megaloblastic Anemia?

I-Megaloblastic anemia luhlobo lwe-anemia, ukuphazamiseka kwegazi apho inani leeseli ezibomvu zegazi lingaphantsi kunesiqhelo. Iiseli ezibomvu zegazi zihambisa ioksijini emzimbeni. Xa umzimba wakho ungenayo iiseli ezibomvu zegazi ezaneleyo, izihlunu zakho kunye namalungu akho angafumani oksijini yaneleyo.

Zininzi iintlobo ze-anemia ezinezizathu ezahlukeneyo kunye neempawu. I-Megaloblastic anemia ibonakaliswa ziiseli ezibomvu zegazi ezinkulu kunesiqhelo. Kananjalo azonelanga kuzo. Yaziwa ngokuba yi-vitamin B-12 okanye i-folate defence anemia, okanye i-macrocytic anemia, nayo.

I-Megaloblastic anemia ibangelwa xa iiseli ezibomvu zegazi zingaveliswanga ngokufanelekileyo. Ngenxa yokuba iiseli zikhulu kakhulu, azinakho ukuphuma kumongo wethambo zingene kwigazi kwaye zihambise ioksijini.

Oonobangela be-Megaloblastic Anemia

Oonobangela ababini abaqhelekileyo be-megaloblastic anemia kukusilela kwe-vitamin B-12 okanye ifolate. Ezi zimbini izondlo ziyimfuneko ekuveliseni iiseli ezibomvu zegazi. Xa ungafumani ngokwaneleyo kuzo, ichaphazela ukwakheka kweeseli zakho ezibomvu zegazi. Oku kukhokelela kwiiseli ezingahluli kwaye ziphinde zivelise ngendlela ebezifanele.

Ukusilela kweVitamin B-12

I-Vitamin B-12 sisondlo esifunyanwa kokunye ukutya okufana nenyama, intlanzi, amaqanda, kunye nobisi. Abanye abantu abanakho ukufunxa i-vitamin B-12 eyaneleyo ekutyeni kwabo, nto leyo ekhokelela kwi-megaloblastic anemia. I-Megaloblastic anemia ebangelwa kukusilela kwe-vitamin B-12 ibizwa ngokuba yi-anemia eyingozi.

Ukunqongophala kukaVitamin B-12 kudla ngokubangelwa kukunqongophala kweprotein esiswini ebizwa ngokuba yi "intrinsic factor" Ngaphandle kwento yangaphakathi, ivithamini B-12 ayinakuthathwa, nokuba utya kangakanani. Kwakhona kunokwenzeka ukuphuhlisa i-anemia eyingozi kuba akukho vithamini B-12 eyaneleyo ekudleni kwakho.

Ukusilela koBugcisa

I-Folate sesinye isondlo esibalulekileyo kuphuhliso lweeseli ezibomvu ezisempilweni. I-Folate ifumaneka kukutya okufana nesibindi senkomo, isipinatshi kunye nehlumelo laseBrussels. I-folate ihlala ixutywe ne-folic acid -ngokobuchwephesha, i-folic acid yindlela eyenziweyo, efumaneka kwizongezo. Unokufumana i-folic acid kwiicereal ezinqatyisiweyo kunye nokutya.

Ukutya kwakho yinto ebalulekileyo ekuqinisekiseni ukuba unefatoli eyaneleyo. Ukungabikho komzimba kungabangelwa kukusetyenziswa gwenxa kotywala gwenxa, kuba utywala buphazamisa amandla omzimba okufumana i-folic acid. Abafazi abakhulelweyo kunokwenzeka ukuba banesiphene somntu, ngenxa yexabiso eliphezulu le-folate efunwa ngumntwana okhulayo.

Ziintoni Iimpawu zeMegaloblastic Anemia?

Olona phawu luqhelekileyo lwe-megaloblastic anemia kukudinwa. Iimpawu ziyahluka ukusuka komnye umntu ukuya komnye. Iimpawu eziqhelekileyo zibandakanya:

• ukuqhawukelwa ngumphefumlo
• ubuthathaka bemisipha
• luthuthu olungaqhelekanga kolusu
• i-glossitis (ulwimi oludumbileyo)
• ukulahleka kwesidlo / ukunciphisa umzimba
• urhudo
• isicaphucaphu
• ukubetha kwentliziyo ngokukhawuleza
• ulwimi olugudileyo okanye oluthambileyo
• ukurhawuzelela izandla neenyawo
• Ukuba ndindisholo eziphelweni

Ukuchonga i-Megaloblastic Anemia

Olunye uvavanyo olusetyenziselwa ukufumanisa iindlela ezininzi ze-anemia kukubala okupheleleyo kwegazi (CBC). Olu vavanyo lulinganisa iinxalenye ezahlukeneyo zegazi lakho. Ugqirha wakho unokujonga inani kunye nokubonakala kweeseli ezibomvu zegazi. Ziya kubonakala zikhulu kwaye zingaphuhlanga ukuba une-megaloblastic anemia. Ugqirha wakho uya kuqokelela nembali yakho yezonyango kwaye enze uvavanyo lomzimba ukulawula ezinye izizathu zeempawu zakho.

Ugqirha wakho kuya kufuneka enze iimvavanyo ezininzi zegazi ukuze aqonde ukuba ukungabikho kweevithamini kubangela i-anemia yakho. Ezi mvavanyo ziya kubanceda bafumane ukuba ngaba yi-vitamin B-12 okanye i-folate defence ebangela imeko.

Olunye uvavanyo olunokuthi lusetyenziswe ngugqirha ukukunceda ukufumanisa ukuba luvavanyo lweSchilling. Uvavanyo lweSchilling luvavanyo lwegazi oluvavanya amandla akho okufumana ivithamini B-12. Emva kokuba uthathe isongezelelo esincinci sevithamini B-12 eqhumayo, uya kuqokelela isampuli yomchamo ukuze ihlaziywe ngugqirha wakho. Uya kuthi emva koko uthathe isongezelelo sokusasazeka ngemitha ngokudibanisa neprotein "ye-intrinsic factor" umzimba wakho ekufuneka ukwazi ukuthatha ivithamini B-12. Emva koko uya kunika enye isampuli yomchamo ukuze ithelekiswe neyokuqala.

Luphawu lokuba awuyivelisi into eyangaphakathi ukuba iisampulu zomchamo zibonisa ukuba uthathe i-B-12 kuphela emva kokuyisebenzisa kunye ne-intrinsic factor. Oku kuthetha ukuba awukwazi ukufumana i-vitamin B-12 ngokwemvelo.

I-Megaloblastic Anemia ithathwa njani?

Indlela wena nogqirha wakho ogqiba ngayo ukunyanga i-megaloblastic anemia ixhomekeke kwinto ebangela oko. Isicwangciso sakho sonyango sinokuxhomekeka kubudala bakho nakwimpilo yakho yonke nakwimpendulo yakho kunyango kunye nokuba isifo siqatha kangakanani. Unyango lokulawula i-anemia luhlala luqhubeka.

Ukusilela kweVitamin B-12

Kwimeko ye-megaloblastic anemia ebangelwa kukunqongophala kwe-vitamin B-12, unokufuna inaliti yenyanga nganye ye-vitamin B-12. Izongezo zomlomo nazo zinokunikwa. Ukongeza ukutya okuninzi kunye nevithamini B-12 kwisidlo sakho kunokunceda. Ukutya okune-vitamin B-12 kuzo kubandakanya:

• amaqanda
• inkukhu
• Ukutya okuqinileyo (ngakumbi i-bran)
• inyama ebomvu (ngakumbi inyama yenkomo)
• ubisi
• iqokobhe

Abanye abantu banokutshintsha kwemfuza kwi-MTHFR (methylenetetrahydrofolate reductase) gene. Olu hlobo lwe-MTHFR linoxanduva lokuguqula iivithamini ezithile ze-B, kubandakanya i-B-12 kunye ne-folate, kwiifom zazo ezisebenzisekayo emzimbeni. Abantu abane-MTHFR mutation bayacetyiswa ukuba bathathe i-methylcobalamin eyongezelelweyo. Ukutya rhoqo i-vithamini B-12 yokutya okutyebileyo, iivithamini, okanye ukuqiniswa akunakulindeleka ukunqanda ukusilela okanye iziphumo zempilo kwabo banolu tshintsho lwemfuzo.

Ukusilela koBugcisa

I-Megaloblastic anemia ebangelwa kukungabikho kwe-folate inokunyangwa ngomlomo okanye nge-intravenous folic acid. Utshintsho lwezidlo lukwanceda ukukhulisa amanqanaba abantu. Ukutya okubandakanya ukutya kwakho kubandakanya:

• iiorenji
• imifuno eluhlaza eluhlaza
• amandongomane
• iilentile
• ukutya okuziinkozo

Njengoko i-vitamin B-12, abantu abane-MTHFR ukuguquka bayakhuthazwa ukuba bathathe i-methylfolate ukukhusela ukungabikho komntu kunye nobungozi bayo.

Ukuhlala neMegaloblastic Anemia

Kwixesha elidlulileyo, i-megaloblastic anemia kwakunzima ukuyinyanga. Namhlanje, abantu abane-megaloblastic anemia ngenxa ye-vitamin B-12 okanye ukusilela kwe-folate banokulawula iimpawu zabo kwaye bazive bhetele ngonyango oluqhubekayo kunye nezongezelelo zezondlo.

Ukusilela kweVitamin B-12 kungakhokelela kwezinye iingxaki. Oku kunokubandakanya ukonakala kwentliziyo, iingxaki zemithambo-luvo, kunye neengxaki zendlela yokwetyisa. Ezi ngxaki zinokubuyela umva ukuba ufumanekile kwaye wanyangwa kwangoko. Uvavanyo lwe-Genetic luyafumaneka ukumisela ukuba unayo i-MTHFR yemfuza. Abantu abane-anemia eyingozi banokuba semngciphekweni omkhulu wokuba buthathaka kwamathambo kunye nomhlaza wesisu. Ngenxa yezi zizathu, kubalulekile ukubamba i-megaloblastic anemia kwangethuba. Thetha nogqirha wakho ukuba ubona naziphi na iimpawu zokungabikho kwegazi ukuze wena nogqirha wakho nize nesicwangciso sonyango kwaye nincede ukunqanda nawuphi na umonakalo osisigxina.

Iindidi ezahlukeneyo zeanemia

Q:

Uyintoni umahluko phakathi kwe-macrocytic anemia kunye ne-microcytic anemia?

A:

I-anemia ligama lehemoglobin esezantsi okanye iiseli ezibomvu zegazi. I-anemia inokwahlulwa ngokweendidi ezahlukeneyo ngokusekwe kubungakanani beeseli ezibomvu zegazi. I-Macrocytic anemia ithetha ukuba iiseli ezibomvu zegazi zinkulu kunesiqhelo. Kwi-microcytic anemia, iiseli zincinci kuneziqhelekileyo. Sisebenzisa olu luhlu kuba luyasinceda ukufumanisa unobangela we-anemia.

Oonobangela abaqhelekileyo be-macrocytic anemia yi-vitamin B-12 kunye nokusilela komntu. I-anemia ekhathazayo luhlobo lwe-macrocytic anemia ngenxa yomzimba ongakwaziyo ukufumana i-vitamin B-12. Abantu abadala, ii-vegans, kunye neziselo ezinxilisayo zichaphazeleka kakhulu ekuphuhliseni i-macrocytic anemia.

Oyena nobangela uqhelekileyo we-microcytic anemia kukunqongophala kwe-anemia yentsimbi, ngesiqhelo ngenxa yokutya ukutya okungalunganga okanye ukulahleka kwegazi, njengokuphuma kwegazi lokuya exesheni okanye iphecana lesisu. Ukukhulelwa, ukuba sexesheni kwabasetyhini, iintsana, kunye nabo banesondlo esincinci kwi-iron banokuba nethuba elongeziweyo lokufumana i-microcytic anemia. Ezinye izizathu ze-microcytic anemia zibandakanya iziphene kwimveliso ye-hemoglobin enje ngesifo serhengqa, i-thalassemia, kunye ne-sideroblastic anemia.