Anemia Macrocytic

Anter

• Nā ʻōuli anemia Macrocytic
• Nā ʻano a me nā kumu o ka anemia macrocytic
• ʻO ka anemia Megaloblastic macrocytic
• Nonmegaloblastic macrocytic anemia
• ʻIke i ka anemia macrocytic
• Nā hoʻāʻo koko
• Ke mālama nei i ka anemia macrocytic
• Nā pilikia
• Pehea e pale ai i ka anemia macrocytic
• No nā keena ʻulaʻula olakino olakino
  

Hōʻike Overview

ʻO Macrocytosis kahi manawa i hoʻohana ʻia e wehewehe i nā hunaola ʻulaʻula i ʻoi aku ka nui ma mua o ka maʻamau. ʻO ka Anemia ke loaʻa ʻoe i nā helu haʻahaʻa o ka hana pono ʻana i nā hunaola ʻulaʻula i kou kino. ʻO ka anemia Macrocytic, a laila, he ʻano ia e nui ai ka nui o nā hunaola ʻulaʻula o kou kino a ʻaʻole lawa ka nā koko koko ʻulaʻula maʻamau.

Hiki ke hoʻokaʻawale ʻia nā ʻano like ʻole o ka anemia macrocytic ma muli o ke kumu o ia. ʻO ka pinepine, nā macrocytic anemias ka hopena o ka nele o ka wikamina B-12 a me ka folate. Hiki i ka anemia Macrocytic ke hōʻailona i kahi ʻano paʻa.

Nā ʻōuli anemia Macrocytic

ʻAʻole paha ʻoe e ʻike i kekahi ʻōuli o ka anemia macrocytic a hiki i kou loaʻa ʻana no kekahi manawa.

ʻO nā hōʻailona me:

• lilo o ka makemake a kaumaha paha
• nā kui kuʻi
• puʻuwai wikiwiki
• pāhoehoe
• luhi
• ʻili mae, me nā lehelehe a me nā lihilihi
• pokole o ka hanu
• huikau paha a huikau paha
• poho hoʻomanaʻo

Inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli, koho i ka manawa e ʻike ai i kāu kauka.

He mea nui e koho i kahi manawa i ka manawa hiki ke loaʻa iā ʻoe kēia mau ʻōuli:

• hoʻonui ʻia ka helu o ka puʻuwai
• huikau
• pilikia pilikia hoʻomanaʻo

Nā ʻano a me nā kumu o ka anemia macrocytic

Hiki ke haki ʻia ka anemia Macrocytic i ʻelua mau ʻano nui: megaloblastic a me nonmegaloblastic macrocytic anemias.

ʻO ka anemia Megaloblastic macrocytic

ʻO ka hapa nui o nā anemias macrocytic kekahi megaloblastic. ʻO ka anemia Megaloblastic kahi hopena o nā hewa i kāu hana ʻana i ka DNA koko ʻulaʻula. Kuhi kēia i kou kino e hana hewa i nā hunaola ʻulaʻula.

ʻO nā kumu i hiki ke hoʻopili ʻia:

• Ka loaʻa ʻole o ka wikamina B-12
• hemahema folate
• kekahi mau lāʻau, e like me nā lāʻau chemotherapy e like me hydroxyurea, nā lāʻau antiseizure, a me nā lāʻau antiretroviral i hoʻohana ʻia no nā poʻe me ka maʻi HIV.

Nonmegaloblastic macrocytic anemia

Hoʻokumu ʻia nā ʻano nonmegaloblastic o ka anemia macrocytic e nā ʻano like ʻole. Hiki i kēia mau mea ke:

• hoʻohana mau loa i ka wai ʻona (alkoholism)
• maʻi maʻi ate
• hypothyroidism

ʻIke i ka anemia macrocytic

E nīnau ana kāu kauka e pili ana i kāu mōʻaukala olakino a me kou ʻano nohona. E nīnau paha lākou e pili ana i kāu ʻano ʻai inā manaʻo lākou he ʻano anemia kāu. ʻO ke aʻo ʻana e pili ana i kāu papaʻai hiki ke kōkua iā lākou e ʻike inā nele ʻoe i ka hao, folate, a i ʻole kekahi o nā huaora B ʻē aʻe.

Nā hoʻāʻo koko

E kauoha aku kāu kauka i nā hoʻokolohua koko e nānā no ka anemia a hoʻonui ʻia nā hunaola ʻulaʻula. Inā hōʻike kāu helu piha i ke anemia, e hana hou kāu kauka i kahi hōʻike ʻē aʻe i ʻike ʻia he smear koko ākea. Hiki i kēia hoʻāʻo ke kōkua i ke ʻike ʻana i nā loli macrocytic a i ʻole microcytic i mua i kāu mau hunaola ʻulaʻula.

Hiki ke kōkua i nā hoʻokolohua koko hou aʻe e ʻike i ke kumu o kāu macrocytosis a me ka anemia. He mea nui kēia no ka mea pili ka mālama ʻana i ke kumu kumu.

ʻOiai nā hemahema o ka nutrient i kumu i ka hapa nui o nā anemias macrocytic, hiki i nā kumu kumu ʻē aʻe ke kumu i nā hemahema. E holo ana kāu kauka i nā hoʻokolohua e nānā i kāu pae momona. Hiki iā lākou ke hana i nā hoʻokolohua koko e nānā ai no ka hoʻohana ʻana o ka wai ʻona, nā maʻi ate, a me ka hypothyroidism.

E kuhikuhi paha kāu kauka mālama mua iā ʻoe i ka hematologist. Hoʻomaʻamaʻa ʻo Hematologists i nā maʻi koko. Hiki iā lākou ke kuhikuhi i ke kumu a me ke ʻano kikoʻī o kāu anemia.

Ke mālama nei i ka anemia macrocytic

Mālama ka mālama ʻana no ka anemia macrocytic i ka mālama ʻana i ke kumu o ke ʻano. ʻO ka lālani mua o ka mālama ʻana no nā poʻe he nui e hoʻoponopono ana i nā hemahema o ka momona. Hiki ke hana i kēia me nā mea hoʻopihapiha a i ʻole nā ​​meaʻai e like me ka milo a me ka ʻulaʻula. Hiki paha iā ʻoe ke lawe i nā mea hoʻopihapiha e hoʻopili ana i ka folate a me nā huaora B ʻē aʻe. Pono paha ʻoe i nā lāʻau hoʻokomo B-12 inā ʻaʻole ʻoe e omo pono i ka wikamina B-12 waha.

ʻO nā meaʻai kiʻekiʻe i ka wikamina B-12:

• moa
• nā hua palaoa paʻa a me nā palaoa
• huamoa
• ʻiʻo ʻulaʻula
• pūpū
• iʻa

ʻO nā meaʻai kiʻekiʻe i ka folate:

• ʻōmaʻomaʻo lau uli, e like me kale a me ka milo
• ʻāpala
• hua palaoa
• ʻalani

Nā pilikia

ʻO ka hapa nui o nā anemia macrocytic i hoʻokumu ʻia e ka wikamina B-12 a me nā hemahema folate hiki ke mālama ʻia a hoʻōla ʻia me ka papaʻai a me nā mea hoʻopili.

Eia nō naʻe, hiki i nā anemias macrocytic ke kumu i nā pilikia lōʻihi inā haʻalele ʻole ʻia. Hiki i kēia mau pilikia ke hoʻopili i ka hōʻino mau i kāu ʻōnaehana makaʻu. Hiki i nā hemahema ka wikamina B-12 ke kumu i nā pilikia neurologic lōʻihi. Hoʻopili lākou i ka neuropathy ākea a me ka dementia.

Pehea e pale ai i ka anemia macrocytic

ʻAʻole hiki iā ʻoe ke pale mau i ka anemia macrocytic, ʻoiai ke kumu ia e nā kumu i lalo o kāu kaohi. Eia nō naʻe, hiki iā ʻoe ke pale i ke anemia mai ka paʻakikī ʻana i ka hapanui o nā hihia. E hoʻāʻo i kēia mau ʻōlelo aʻoaʻo:

No nā keena ʻulaʻula olakino olakino

• Hoʻohui hou i kaʻiʻo ʻulaʻula a me ka moa i kāu papaʻai e hoʻonui i kāu wikamina B-12.
• Inā he mea ʻai ʻoe a mea ʻai paha, hiki iā ʻoe ke hoʻohui i nā pīni a me nā lau uli, nā lau lau no ka folate. E hoʻāʻo i nā mea ʻai kakahiaka paʻa loa no ka wikamina B-12.
• E hoʻemi i ka nui o ka waiʻona āu e inu ai.
• E kamaʻilio me kāu kauka inā lawe ʻoe i nā antiretrovirals no ka maʻi HIV, nā lāʻau antiseizure, a me nā lāʻau chemotherapy. Hiki i kēia ke hoʻonui i kou makaʻu i ka hoʻomohala ʻana i ka anemia macrocytic.