Umbhali: Judy Howell
Umhla Wokudalwa: 3 Eyekhala 2021
Hlaziya Umhla: 1 Eyekhala 2024
Anonim
Yintoni iPolychromasia? - Zempilo
Yintoni iPolychromasia? - Zempilo

Umxholo

I-Polychromasia kukubonakaliswa kweeseli ezibomvu zegazi kuvavanyo lwe-smear yegazi. Ibonisa ukuba iiseli ezibomvu zegazi zikhutshwa ngaphambi kwexesha kumongo wethambo ngexesha lokwakheka.

Ngelixa i-polychromasia ngokwayo ingeyiyo imeko, inokubangelwa kukuphazamiseka kwegazi. Xa une-polychromasia, kubalulekile ukufumana oyena nobangela ukuze ufumane unyango kwangoko.

Kule nqaku, siza kuxubusha ukuba yintoni i-polychromasia, zeziphi iingxaki zegazi ezinokubangela, kunye nokuba zeziphi iimpawu ezinokubangela ezo meko ziphantsi.

Ukuqonda ipolychromasia

Ukuqonda ukuba yintoni i-polychromasia, kufuneka uqale uqonde umxholo emva kovavanyo lwe-smear yegazi, ekwabizwa ngokuba yifilimu yegazi.

Ifilimu yegazi ejikelezayo

Ifilimu yegazi esecaleni sisixhobo sokuchonga esinokusetyenziselwa ukufumanisa nokujonga izifo ezichaphazela iiseli zegazi.

Ngexesha lovavanyo, ugqirha wezifo uthambisa isilayidi kunye nesampulu yegazi lakho emva koko atyibilikise isilayidi ukujonga iintlobo ezahlukeneyo zeeseli ngaphakathi kwesampulu.


Idayi eyongezwe kwisampulu yegazi kwi inokunceda ukwahlula iintlobo ezahlukeneyo zeeseli. Umzekelo, imibala yeeseli eqhelekileyo inokusukela kumbala oluhlaza okwesibhakabhaka ukuya kwimfusa enzulu, nangaphezulu.

Ngokwesiqhelo, iiseli ezibomvu zegazi zijika umbala wepinki we-salmon xa zinamabala. Nangona kunjalo, nge-polychromasia, ezinye iiseli ezibomvu zegazi zinokubonakala ziluhlaza okwesibhakabhaka, ngwevu okanye luhlaza.

Kutheni iiseli ezibomvu zegazi zijika zibe luhlaza okwesibhakabhaka

Iiseli ezibomvu zegazi (ii-RBCs) zenziwa kumongo wethambo lakho. I-Polychromasia ibangelwa xa ii-RBCs ezingafakwanga, ezibizwa ngokuba zii-reticulocytes, zikhutshwa ngaphambi kwexesha kumongo wethambo.

Ezi reticulocytes zibonakala kwifilimu yegazi njengombala oluhlaza okwesibhakabhaka kuba zisenazo, ezingafane zibonakale kwii-RBCs esele zikhulile.

Iimeko ezichaphazela ukubuyiswa kweRBC ngokubanzi ziyingcambu ye-polychromasia.

Ezi ntlobo zeemeko zinokubangela ukwanda kokulahleka kwegazi kunye nokutshatyalaliswa kwee-RBCs, ezinokuthi emva koko zikonyuse imveliso yeRBC. Oku kunokubangela ukuba ii-reticulocytes zikhutshwe egazini ngaphambi kwexesha njengoko umzimba uhlawula ukungabikho kwee-RBCs.


Iimeko ezisisiseko ezibangela i-polychromasia

Ukuba ugqirha uqaphele ukuba une-polychromasia, kukho iimeko ezininzi ezisisiseko ezinokubangela.

Unyango lweengxaki ezithile zegazi (ngakumbi ezo zinxulumene nomsebenzi womongo wethambo) zinokukhokelela nakwi-polychromasia. Kwiimeko ezinjalo, i-polychromasia iba sisiphumo secala lonyango endaweni yokuba ibe sisifo.

Itheyibhile engezantsi idwelisa iimeko eziqhelekileyo ezinokubangela i-polychromasia. Olunye ulwazi malunga nemeko nganye kunye nendlela abayichaphazela ngayo imveliso yeRBC ilandela itafile.

Imeko esezantsiIziphumokwimveliso yeRBC
i-hemolytic anemiayenzeka ngenxa yokonyuka kokutshatyalaliswa kwee-RBCs, ibangela ukwanda kwemali eyi-RBCs
paroxysmal ebusuku hemoglobinuria (PNH)kunokubangela i-hemolytic anemia, amahlwili egazi, kunye nokungasebenzi komongo wethambo- le yokugqibela inokuthi izise ukukhutshwa kwangoko kwee-RBCs

I-anemia yeHemolytic

I-hemolytic anemia luhlobo lwe-anemia olwenzeka xa umzimba wakho ungakwazi ukuvelisa ii-RBCs ngokukhawuleza njengoko zitshatyalaliswa.


Iimeko ezininzi zinokubangela ukutshatyalaliswa kwe-RBC kwaye zikhokelele kwi-hemolytic anemia. Ezinye iimeko, ezinje nge thalassemia, zibangela ii-RBCs ezingasebenzi kakuhle, ezinokuthi zikhokelele kwi-hemolytic anemia. Zombini ezi ntlobo zeemeko zibangela ukwanda kwemali kwi-RBCs kunye ne-polychromasia.

I-Paroxysmal nocturnal hemoglobinuria (PNH)

I-Paroxysmal nocturnal hemoglobinuria (PNH) sisifo esingaqhelekanga segazi esibangela i-hemolytic anemia, amahlwili egazi, kunye nokungasebenzi komongo wethambo.

Ngesi sifo, ingeniso ye-RBC ichaphazeleka kakhulu yi-hemolytic anemia. Ukungasebenzi komongo wethambo kunokubangela ukuba umzimba uhlawule ngaphezulu kwaye ukhulule ii-RBCs kwangoko. Zombini zinokukhokelela kwi-polychromasia kwiziphumo ze-smear yegazi.

Eminye imihlaza

Ayizizo zonke iintlobo zomhlaza ezichaphazela ingeniso yeRBC. Nangona kunjalo, umhlaza wegazi unokuchaphazela kakhulu impilo yeeseli zakho zegazi.

Eminye imihlaza yegazi, njengeleukemia, iqala kumongo wethambo kwaye inokuba nefuthe kakhulu kwimveliso yeRBC. Ukongeza, xa naluphi na uhlobo lomhlaza lusasazekile emzimbeni, kunokubangela ukutshatyalaliswa kwe-RBCs. Ezi ntlobo zomhlaza zinokubonisa i-polychromasia ngexesha lokuvavanywa kwegazi.

Unyango ngemitha

Unyango ngemitha lukhetho olubalulekileyo kunyango lomhlaza. Nangona kunjalo, phantse zonke iintlobo zonyango lomhlaza zichaphazela zombini iiseli zomhlaza kunye neeseli ezisempilweni.

Ngamanye amaxesha, unyango ngemitha lunokubangela utshintsho kwindlela ezijongeka ngayo iiseli zegazi. Oku kunokukhokelela kwi-polychromasia xa kubuyiswa igazi lakho kwakhona.

Iimpawu ezinxulumene nepolychromasia

Akukho zimpawu zihambelana ngqo ne-polychromasia. Nangona kunjalo, kukho iimpawu ezinxulunyaniswa neemeko ezingunobangela we-polychromasia.

Iimpawu ze-hemolytic anemia

Iimpawu ze-hemolytic anemia zibandakanya:

  • ulusu oluthuthu
  • intloko elula okanye isiyezi
  • ubuthathaka
  • ukudideka
  • ukubetha kwentliziyo
  • isibindi esandisiweyo okanye udakada

Iimpawu ze-paroxysmal sebusuku hemoglobinuria

Iimpawu ze-paroxysmal nocturnal hemoglobinuria zibandakanya:

  • Iimpawu ze-hemolytic anemia (ezidweliswe apha ngasentla)
  • Izifo eziphindaphindayo
  • Imicimbi yokopha
  • amahlwili egazi

Iimpawu zomhlaza wegazi

Iimpawu zomhlaza wegazi zibandakanya:

  • ukubila ebusuku
  • ukunciphisa umzimba ngempazamo
  • iintlungu zethambo
  • ukudumba kwamalungu enkovu
  • isibindi esandisiweyo okanye udakada
  • umkhuhlane kunye nosulelo rhoqo

Ukuba unayo nayiphi na le mpawu, ugqirha wakho uya kufuna ukuqhuba iimvavanyo zegazi ukumisela ukuba unazo naziphi na iimeko ezinxulumene noko.

Ngelo xesha, baya kuba nako ukufumana i-polychromasia kwi-smear yegazi ukuba ikhona. Nangona kunjalo, kubalulekile ukugcina engqondweni ukuba i-polychromasia ayisiyiyo kuphela indlela yokufumanisa le meko, kwaye ke ugqirha wakho usenokungayikhankanyi nokuyiqonda.

Iphathwa njani i-polychromasia

Unyango lwe-polychromasia luxhomekeke kuhlobo lokuphazamiseka kwegazi elibangela oko. Izinketho zonyango zingabandakanya:

  • utofelo-gazi, ezinokukunceda ekubuyiseleni ukubala kwe-RBC kwiimeko ezinje ngeanemia
  • amayeza, ezinje ngezinto zokukhula, ezinokukhuthaza imveliso yeRBC
  • inyango, ukunyanga usulelo kunye neemeko eziphelisa inani le-RBC
  • ichemotherapy, kunyango lomhlaza ochaphazela ukubala kwe-RBC
  • ukufakelwa umongo wethambo, yeemeko ezinzulu ezibandakanya ukungasebenzi komongo wethambo

Ukuba uye wafumanisa ukuba unayo nayiphi na imeko enokubangela i-polychromasia, thetha nogqirha wakho malunga nolona hlobo lonyango lukhuselekileyo nolusebenzayo.

Iindlela zokuthatha eziphambili

I-Polychromasia inokuba luphawu lwesifo esibi segazi, njenge-hemolytic anemia okanye umhlaza wegazi.

I-Polychromasia, kunye nokuphazamiseka kwegazi okuyibangelayo, kunokufunyanwa kuvavanyo lwe-smear yegazi. Akukho zimpawu zepolychromasia uqobo. Nangona kunjalo, iimeko ezingunobangela we-polychromasia zinokubangela iimpawu ezahlukeneyo.

Ukuba une-polychromasia, kubalulekile ukudibana nogqirha ukuxilonga imeko ekuyo kwaye nixoxe ngeendlela zonyango.

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