Anemia-ʻoihana anemia

ʻO ka anemia Folate-deficiement ka hoʻemi ʻana i nā hunaola ʻulaʻula (anemia) ma muli o ka nele o ka folate. ʻO Folate kahi ʻano o ka huaola B. Kapa ʻia ia he waikawa folic.

ʻO ke Anemia kahi ʻano i lawa ʻole ke kino i nā hunaola ʻulaʻula olakino. Hāʻawi nā hunaola ʻulaʻula i ka oxygen i nā aʻa o ke kino.

Pono ʻia ʻo Folate (folic acid) no nā hunaola ʻulaʻula e hana a ulu. Hiki iā ʻoe ke loaʻa i ka folate ma ka ʻai ʻana i nā lau lau ʻōmaʻomaʻo a me ke ake. Eia naʻe, ʻaʻole mālama kou kino i ka folate i ka nui. No laila, pono ʻoe e ʻai i ka nui o nā meaʻai waiwai folate e mālama ai i nā pae maʻamau o kēia wikamina.

I ka anemia hemahema folate, nui ʻole nā ​​ʻula o ke koko ʻulaʻula. Kapa ʻia ia mau ʻāpana he mau makika. Kāhea ʻia lākou he mau megaloblast, ke ʻike ʻia lākou i ka iwi iwi. ʻO ia ke kumu i kapa ʻia ai kēia anemia he meemia megaloblastic.

ʻO nā kumu o kēia ʻano anemia e:

• ʻO ka liʻiliʻi o ka waikawa folic i kāu papaʻai
• Hemolytic anemia
• Ka inu lama lōʻihi
• Hoʻohana o kekahi mau lāʻau (e like me phenytoin [Dilantin], methotrexate, sulfasalazine, triamterene, pyrimethamine, trimethoprim-sulfamethoxazole, a me barbiturates)

ʻO ka mea aʻe e hāpai i kou makaʻu no kēia ʻano anemia:

• ʻAlekohola
• ʻAi ʻai ʻai pau ʻole
• Kaʻai maikaʻi ʻole (ʻike pinepine ʻia i ka poʻe hune, ka poʻe ʻelemākule, a me ka poʻe ʻai ʻole i nā huaʻai a i ʻole nā ​​mea kanu).
• Hapai keiki
• Nā papaʻai hoʻemi kaumaha

Pono ka acid Folic e kōkua i kahi pēpē i loko o ka ʻōpū e ulu pono. ʻO ka liʻiliʻi o ka waikawa folic i ka wā o ka hāpai ʻana e alakaʻi i nā kīnā hānau i kahi pēpē.

Pākuʻi ʻia paha nā ʻōuli:

• Ka luhi
• Nawaliwali
• ʻEha poʻo
• Pallor
• Uha ka waha a me ke alelo

E hana ka mea mālama ola i kahi hoʻokolohua kino. ʻO nā hoʻāʻo e hana ʻia ana paha:

• Helu piha koko (CBC)
• ʻO ka pae folate o ke koko ʻulaʻula

I nā hihia kakaikahi, hiki ke hana ʻia kahi nānā iwi iwi.

ʻO ka pahuhopu e ʻike a mālama i ke kumu o ka hemahema folate.

Loaʻa paha iā ʻoe nā mea kōkua folic acid e ka waha, injected into muscle, or through a vein (in rare case). Inā loaʻa ʻoe i nā pae folate haʻahaʻa ma muli o kahi pilikia me kou ʻōpū, pono ʻoe i ka lāʻau no ke koena o kou ola.

Hiki i nā hoʻololi o ka papaʻai ke kōkua i ka hoʻonui ʻana i kāu pae folate. E ʻai hou i nā ʻōmaʻomaʻo, nā lau lau a me nā hua citrus.

ʻO ka anemia hemahema-ʻole ka pane pinepine ʻana i ka mālama ʻana ma waena o 3 a 6 mau mahina. E maikaʻi paha ia ke mālama ʻia ke kumu kumu o ka hemahema.

Hiki i nā ʻōuli o ke anemia ke hōʻoluʻolu. I nā wahine hāpai, pili ka hemahema folate me ka neural tube a i ʻole nā ​​maʻi ʻōiwi (e like me spina bifida) i ka pēpē.

ʻO nā mea ʻē aʻe, ʻoi aku ka paʻakikī i loko o nā pilikia:

• Lauoho oho hina
• Hoʻonui i ke kala o kaʻili (pigment)
• Hoʻoipo
• Hoʻonui i ka maʻi puʻuwai a i ʻole ʻole ka puʻuwai

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā hōʻailona o ka anemia hemahema folate.

ʻO ka ʻai ʻana i nā meaʻai waiwai folate hiki ke kōkua i ke pale ʻana i kēia ʻano.

Paipai nā loea i nā wahine e lawe i 400 micrograms (mcg) o ka waikawa folic i kēlā me kēia lā ma mua o ka hāpai ʻana a ma o nā mahina 3 mua o ko lākou hāpai ʻana.

• Anemia Megaloblastic - nānā i nā hunaola ʻulaʻula
• Nā pūnaewele koko

ʻO Antony AC. Nā anemias Megaloblastic. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 39.

Kumar V, Abbas AK, Aster JC. Nā ʻōnaehana Hematopoietic a me lymphoid. I: Kumar V, Abbas AK, Aster JC, eds. ʻO Robbins Basic Pathology. 10 o ka lā. Piladelapia, PA: Elsevier; 2018: chap 12.