ʻO Macrocytosis: he aha ia, nā kumu nui a me nā mea e hana ai

Anter

• Nā kumu nui
• 1. ʻO ka hemahema ʻo Vitamin B12
• 2. Ka hemahema folate
• 3. ʻAlekohola
• 4. Hoʻololi ka iwi iwi

ʻO Macrocytosis kahi manawa i hiki ke hōʻike ʻia i loko o ka hōʻike helu koko e hōʻike ana he ʻoi aku ka nui o nā erythrocytes ma mua o ka maʻamau, a e hōʻike ʻia hoʻi ka ʻike ʻana o nā erythrocytes macrocytic i ka hōʻike. Loiloi ʻia ʻo Macrocytosis e hoʻohana ana i ka Average Corpuscular Volume (CMV), e hōʻike ana i ka awelika o ka nui o nā hunaola ʻulaʻula, me ka helu kuhikuhi ma waena o 80.0 a me 100.0 fL, akā ʻokoʻa paha kēia waiwai e like me ka keʻena hoʻokolohua.

No laila, noʻonoʻo ʻia ka macrocytosis ke kiʻekiʻe ka VCM ma luna o 100.0 fL. No ka pilina pilikino o ka macrocytosis, he mea nui e loiloi ʻia ka CMV me nā ʻike ʻē aʻe i loaʻa i ka helu o ke koko, e like me ka nui o nā hunaola ʻulaʻula, hemoglobin, RDW, e nānā ana i ka loli o ka nui o nā hunaola ʻulaʻula. ʻO ka maʻamau ʻo Corpuscular Hemoglobin (HCM) a me ka noʻonoʻo o ka average Corpuscular Hemoglobin (CHCM).

Nā kumu nui

ʻO ka hoʻonui ʻana i ka nui o nā hunaola ʻulaʻula ka mea maʻamau i ka poʻe ʻelemakule, no ka mea he mea maʻamau ka hōʻemi ʻana o ka nui o ka oxygen e loaʻa ana, me ka pono e hoʻonui i ka lawe ʻana o kēia kinoea e lawe iā ia i ka meaola, nā hopena i ka hoʻonui ʻana i nā hunaola ʻulaʻula.

Eia nō naʻe, hiki i ka macrocytosis ke hana i kēlā me kēia makahiki a pili nui i nā loli olakino, akā hiki nō paha kahi hopena o nā ʻano olakino ʻē aʻe e like me ka waiʻona a i ʻole nā ​​iwi o ka iwi.

No laila, ʻo nā kumu nui o ka macrocytosis:

1. ʻO ka hemahema ʻo Vitamin B12

ʻO ka hōʻemi ʻana i ka nui o ka wikamina B12 i loko o ke kino kekahi o nā kumu nui o ka macrocytosis a hiki ke hana ma muli o ka loli o ke kaʻina omo o kēia huaora i loko o ka ʻōpū a i ʻole ka hōʻemi o ka nui o ka huaʻai B12 i hoʻopau ʻia ma loko o ka lā.

Ma waho aʻe o ka macrocytosis, he mea maʻamau ia no ka poʻe me ka lawa ʻole o ka wikamina e loaʻa i ka anemia, a i kapa ʻia hoʻi he anemia makehewa, a no kēia kumu he mea maʻamau ka hoʻomohala ʻana i kekahi mau ʻōuli e like me ka nāwaliwali, luhi a me ka liʻiliʻi o ka hanu. ʻIke pehea e ʻike ai i nā ʻōuli o ka nele o ka wikamina B12.

He aha e hana ai: He mea nui i ka hoʻohui ʻana i ka helu piha o ke koko, hana ʻia ke ana o ka wikamina B12, no ka mea hiki ke hōʻoia i ka hōʻailona a hoʻomaka i ka lāʻau kūpono kūpono loa, e komo pū paha me nā loli i ka papaʻai a i ʻole ka hoʻohana ʻana o nā mea hoʻohui e like me ka kauka a i ʻole. ʻōlelo paipai a ka mea hānai.

2. Ka hemahema folate

ʻO ka hemahema folate, i ʻike ʻia ʻo folic acid a i ʻole wikamina B9, kekahi kumu nui o ka macrocytosis a hiki ke hana ma muli o ka hōʻemi ʻana o ka hoʻohana ʻia ʻana o kēia huaola a i ʻole ma muli o nā maʻi ʻōpū a me ka hoʻonui ʻana o ka noi no kēia huaora, e like me ka mea e hāpai ana i ka hāpai ʻana, no ka laʻana .

Ma waho aʻe o ka macrocytosis, i kēia hihia hiki nō ke nānā i ke kiʻi o ke koko i ke kū ʻana o nā loli i loko o nā hunaola ʻulaʻula, ke kū ʻana o nā neutrophil hypersegmented a me ka loli i ke ʻano o nā hunaola ʻulaʻula, ʻike ʻia ʻo ka poikilositosis. Hoʻomaopopo i ke ʻano o ka poikilocytosis.

He aha e hana ai: Ma hope o ka ʻike ʻana i ke kumu o ka hemahema o ka folate, hōʻike ʻia ka lāʻau kūpono kūpono loa, a e ʻōlelo ʻia hoʻi ka hoʻonui ʻana i ka ʻai o kēia wikamina a i ʻole ka hoʻohana ʻana o nā mea hoʻohui. Inā pili ka hemahema folate i nā hoʻololi o ka ʻōpū, hiki i ke kauka ke koi aku i ka mālama ʻana i ka maʻi, ʻoiai hiki ke hoʻoponopono i nā pae o ka folic acid i loko o ke kino.

3. ʻAlekohola

ʻO ka ʻai pinepine ʻana i nā mea inu ʻona hiki ke alakaʻi i kahi hōʻemi holomua o ka waikawa folic, hiki ke ʻoluʻolu i ka hoʻomohala ʻana o nā hunaola ʻulaʻula nui, a me ka hoʻoulu ʻana i nā loli biochemical ʻē aʻe.

He aha e hana ai: Paipai ʻia e hōʻemi i ka hoʻohana ʻana i nā mea inu ʻona, ʻoiai hiki ke hāpai i ka hana kūpono o ke kino. Eia nō naʻe, i kekahi mau hihia, hiki i ka ʻai mau ʻana o nā mea inu ʻona ke alakaʻi i nā loli i ke ake, ka hapanui, a ma kēia mau hihia ua ʻōlelo ʻia e hoʻololi i ka ʻai ʻana a me nā ʻano ola a hoʻokō i ka lāʻau e like me ka ʻōlelo a ke kauka.

4. Hoʻololi ka iwi iwi

ʻO ka iwi iwi ke kuleana o ka hana ʻana o nā hunaola, a hiki ke hana i nā hunaola ʻulaʻula nui aʻe ma muli o nā loli i kā lākou hana ʻana, ma muli o ka leukemia a i ʻole ke pane ʻana o ke kino e kūʻē i ka anemia, no ka laʻana.

He aha e hana ai: I kēia hihia, inā hōʻoia ʻia nā hoʻololi ʻē aʻe i ka hoʻāʻo ʻana o ke koko, e koi ʻia paha e ke kauka e hana i kahi myelogram a i ʻole ka biopsy iwi e ʻike ai i ke kumu o nā loli a, no laila, hoʻomaka i ka lāʻau kūpono kūpono loa.