He aha ka Anisositosis?

Anter

• Hōʻike Overview
• Nā ʻōuli o anisositosis
• Nā kumu o anisositosis
• ʻImiʻike anisocytosis
• Pehea e mālama ai i ka anisocytosis
• Anisositosis i ka hāpai keiki
• Nā pilikia o ka anisositosis
• Outlook

Hōʻike Overview

ʻO Anisocytosis ka wā lapaʻau no ka loaʻa ʻana o nā hunaola ʻulaʻula (RBC) i kaulike ʻole ka nui. ʻO ka maʻamau, ʻo nā RBC a ke kanaka e like paha me ka nui like.

Hoʻokumu pinepine ʻia ʻo Anisositosis e kekahi ʻano olakino ʻē aʻe i kapa ʻia he anemia. Hoʻokumu ʻia paha ia i nā maʻi koko ʻē aʻe a i ʻole kekahi mau lāʻau i hoʻohana ʻia e mālama ai i ka maʻi ʻaʻai. No kēia kumu, kōkua pinepine ke alo o ka anisositosis ma ke kuhikuhi ʻana i nā maʻi koko e like me ka anemia.

ʻO ka mālama ʻana no ka anisositosis ma muli o ke kumu. ʻAʻole weliweli ke kūlana ma kāna iho, akā hōʻike ia i kahi pilikia pilikia me nā RBC.

Nā ʻōuli o anisositosis

Kaukaʻi ʻia i ke kumu o ka anisocytosis, ʻo ka RBC paha:

• ʻoi aku ka nui ma mua o ka maʻamau (macrocytosis)
• ʻoi aku ka liʻiliʻi ma mua o ka maʻamau (microcytosis), a i ʻole
• ʻelua (ʻoi aku ka nui a ʻoi aku kekahi o ka liʻiliʻi ma mua o ka maʻamau)

ʻO nā ʻōuli nui o anisositosis nā anemia a me nā maʻi koko ʻē aʻe:

• nāwaliwali
• luhi
• ʻili mae
• pokole o ka hanu

ʻO ka nui o nā ʻōuli ke hopena o ka hōʻemi ʻana o ka lawe ʻana o ka oxygen i nā aʻa o ke kino a me nā meaola.

Ua manaʻo ʻia ʻo Anisositosis kahi hōʻailona o nā maʻi koko he nui.

Nā kumu o anisositosis

ʻO ka Anisocytosis ka hopena o kahi ʻano ʻē aʻe i kapa ʻia he anemia. I ka anemia, ʻaʻole hiki i nā RBC ke lawe i ka oxygen lawa i nā kino o kou kino. Nui paha nā RBC, ʻewaʻewa paha nā kinona i ke ʻano, a ʻaʻole lawa paha lākou i kahi hui nui i kapa ʻia ʻo hemoglobin.

Aia kekahi mau ʻano anemia like ʻole i hiki ke alakaʻi i nā RBC kūlike ʻole, e like me:

• ʻO ka anemia hemahema hao: ʻO kēia ka ʻano maʻamau o ka anemia. Kū i ka wā ʻaʻole lawa ka hao o ke kino, ma muli o ke kahe o ke koko a i ʻole ka lawa ʻole o ka papaʻai. ʻO ka hopena maʻamau ka hopena i ka microcytic anisositosis.
• Anemia sickle cell: Loaʻa kēia maʻi genetical i nā RBC me kahi ʻano crescent ʻano ʻole.
• Thalassemia: ʻO kēia kahi maʻi koko i hoʻoili ʻia i ke kino e hana ai ka hemoglobin maʻamau. ʻO ka hopena maʻamau ka hopena i ka microcytic anisositosis.
• Autoimmune hemolytic anemias: Kēia pūʻulu o nā maʻi līlū ke kūpale ke kino palekana i nā RBC.
• Anemia Megaloblastic: Ke liʻiliʻi ka nui ma mua o nā RBC maʻamau a ʻoi aku ka nui o nā RBC ma mua o ka maʻamau (macrocytic anisositosis), hopena kēia anemia. Hoʻokumu pinepine ʻia ia e ka hemahema o ka folate a i ʻole ka wikamina B-12.
• Pernicious anemia: ʻO kēia kahi ʻano o ka anemia macrocytic i hoʻokumu ʻia e ka kino i hiki ʻole ke omo i ka wikamina B-12. ʻO ka anemia Pernicious kahi maʻi autoimmune.

Nā maʻi ʻē aʻe i hiki ke kumu i ka anisositosis e komo pū me:

• myelodysplastic maʻi maʻi
• maʻi maʻi ate
• nā maʻi o ka thyroid

Eia kekahi, ʻo kekahi mau lāʻau i hoʻohana ʻia e mālama i ka maʻi ʻaʻai, i kapa ʻia ʻo cytotoxic chemotherapy, hiki ke hopena i ka anisositosis.

Hiki ke ʻike ʻia ka Anisocytosis i loko o ka poʻe me ka maʻi maʻi ʻōpū a me kekahi mau maʻi ʻaʻai.

ʻImiʻike anisocytosis

Hoʻomaopopo pinepine ʻia ka Anisocytosis i ka wā o ke kahe ʻana o ke koko. I loko o kēia hoʻokolohua, hoʻolaha ke kauka i kahi papa lahilahi o ke koko ma ka paheʻe microscope. Hoʻopili ʻia ke koko e kōkua i ka hoʻokaʻawale ʻana i nā hunaola a laila nānā ʻia ma lalo o kahi microscope. ʻO kēia ka hiki i ke kauka ke ʻike i ka nui a me ke ʻano o kāu RBC.

Inā hōʻike ke kahe o ke koko he anisositosis kāu, makemake paha kāu kauka e holo hou i nā hoʻokolohua diagnostics e ʻike i ke kumu o ka kaulike ʻole o ka nui o kāu RBC. E nīnau paha lākou iā ʻoe i nā nīnau e pili ana i ka mōʻaukala o kou ʻohana e like me kāu. E pono e haʻi aku i kāu kauka inā loaʻa nā hōʻailona ʻē aʻe a i ʻole inā e lawe ʻoe i nā lāʻau. E nīnau paha ke kauka iā ʻoe i nā nīnau e pili ana i kāu papaʻai.

Hiki i nā hoʻokolohua diagnostical ʻē aʻe ke:

• helu piha koko (CBC)
• pae pae serum
• hoʻāʻo ferritin
• wikamina B-12 hōʻike
• hoʻāʻo folate

Pehea e mālama ai i ka anisocytosis

ʻO ka mālama ʻana no ka anisositosis ma muli o ka hopena o ke ʻano. ʻO kahi laʻana, ʻo anisocytosis i hoʻokumu ʻia e kahi anemia e pili ana i ka papaʻai haʻahaʻa i ka wikamina B-12, folate, a me ka hao paha e mālama ʻia e ka lawe ʻana i nā mea hoʻopiha a hoʻonui i ka nui o kēia mau huaora i kāu papaʻai

ʻO ka poʻe me nā ʻano anemia ʻē aʻe, e like me ka anemia o ka cell sickle a i ʻole ka thalassemia, e koi paha i nā transfusions o ke koko e mālama i ko lākou kūlana. Pono paha ka poʻe me ka myelodysplastic syndrome i kahi neʻe ʻana o ka iwi iwi.

Anisositosis i ka hāpai keiki

ʻO ka Anisocytosis i ka wā o ka hāpai ʻana ka mea i hoʻomoe pinepine ʻia e ka maʻi anemia hemahema o ka hao. ʻOi aku ka makaʻu o nā wahine hāpai i kēia no ka mea makemake lākou i ka hao hou aʻe e hana i nā RBC no kā lākou pēpē ulu.

hōʻike i ka hoʻāʻo ʻana no ka anisocytosis hiki ke lilo i ala e ʻike ai i ka hemahema o ka hao i ka wā hāpai.

Inā hāpai ʻoe a loaʻa i ka anisositosis, makemake paha kāu kauka e holo i nā hoʻokolohua ʻē aʻe inā ʻike he anemia a hoʻomaka koke ka mālama ʻana iā ia. Anemia hiki i weliweli no ka fetus no keia mau kumu:

• ʻAʻole lawa paha ka oxygen i ka fetus.
• Hiki iā ʻoe ke luhi nui.
• Hoʻonui ʻia ka makaʻu o ka hana mua a me nā pilikia ʻē aʻe.

Nā pilikia o ka anisositosis

Inā haʻalele ʻole ʻia, anisositosis - a i ʻole kumu kumu - hiki ke alakaʻi iā:

• haʻahaʻa pae o ke keʻokeʻo keena a me ka platelet
• hōʻino kino ʻōnaehana
• kōmi puʻuwai wikiwiki
• nā pilikia o ka hāpai ʻana, e komo pū me nā kīnā hānau koʻikoʻi i ka iwi kuamoo a me ka lolo o kahi ʻōpū e ulu ana (nā kīnā neural tube)

Outlook

ʻO ka nānā lōʻihi no ka anisositosis e pili ana i kāna kumu a me ka wikiwiki o kou mālama ʻana. ʻO ka Anemia, no ka laʻana, hiki ke mālama pinepine ʻia, akā hiki ke makaʻu inā haʻalele ʻia. ʻO ka Anemia i hoʻokumu ʻia e kahi maʻi genetical (e like me ka anemia o ka cell sickle) e koi ʻia i kahi ola lōʻihi.

Pono nā wahine hāpai me ka anisositosis e mālama pono i ke ʻano, no ka mea, hiki i ka anemia ke kumu i nā pilikia o ka hāpai ʻana.