He aha nā microcytosis a me nā kumu nui

Anter

• Nā kumu nui o Microcytosis
• 1. Thalassemia
• 2. Hheritary spherositosis
• 3. Nā maʻi ʻino
• 4. Anemia hemahema hao
• 5. Anemia Maʻi Maʻi

ʻO Microcytosis kahi manawa i hiki ke loaʻa i ka hōʻike hemogram e hōʻike ana ua ʻoi aku ka liʻiliʻi o nā erythrocytes ma mua o ka maʻamau, a hiki ke hōʻike ʻia ke alo o nā microcytic erythrocytes i ka hemogram. Loiloi ʻia ʻo Microcytosis ma ka hoʻohana ʻana i ka papa kuhikuhi VCM a i ʻole Average Corpuscular Volume, e hōʻike ana i ka awelika o ka nui o nā hunaola ʻulaʻula, me ka helu kūmole ma waena o 80.0 a me 100.0 fL, akā ʻokoʻa paha kēia waiwai e like me ka keʻena hoʻokolohua.

No ka microcytosis e lilo i mea nui i ka lāʻau, koi ʻia e unuhi pū ʻia ka hopena VCM me nā ʻike ʻē aʻe i ana ʻia i ka helu o ke koko, e like me Average Corpuscular Hemoglobin (HCM), hemoglobin nui, Average Corpuscular Hemoglobin Concentration (CHCM) a me RDW, ʻo ia ka papa kuhikuhi e hōʻike ana i ka nui o ka hoʻololi ma waena o nā hunaola ʻulaʻula. E aʻo hou aʻe e pili ana iā VCM.

Nā kumu nui o Microcytosis

Ke hōʻike ka helu o ke koko ua hoʻololi wale ʻia ka VCM a kokoke ka waiwai i ke kumukūʻai kūmole, ʻaʻole hāʻawi ʻia ia mea nui, hiki ke hōʻike i kahi manawa pōkole wale nō a kapa ʻia ʻo microcytosis discrete. Eia nō naʻe, inā haʻahaʻa loa nā waiwai he mea nui ia e nānā inā hoʻololi ʻia kekahi papa kuhikuhi ʻē aʻe. Inā ʻo nā ʻikepili ʻē aʻe i loiloi ʻia i ka helu o ke koko he maʻamau, makemake ʻia e hana hou i ka helu o ke koko.

ʻO ka maʻamau, pili ka microcytosis i nā loli nutritional a i pili i ka hoʻokumu ʻana o hemoglobin. No laila, ʻo nā kumu nui o microcytosis:

1. Thalassemia

ʻO Thalassemia kahi maʻi maʻi i hōʻike ʻia e nā loli i ke kaʻina hana hemoglobin, kahi e hoʻololi ai i hoʻokahi a ʻoi paha nā kaulahao globin, e hopena ai i nā loli hana i nā hunaola ʻulaʻula. Ma waho aʻe o ka VCM i hoʻololi ʻia, malia paha ua hoʻololi ʻia kekahi mau ʻike ʻē aʻe, e like me HCM, CHCM, RDW a me hemoglobin.

Ma muli o ka loli o ke kaʻina hana hemoglobin, hoʻololi ʻia ka lawe ʻana o ka oxygen i nā aʻa, no ka mea ʻo hemoglobin ke kuleana o kēia kaʻina. No laila, kū aʻe kekahi mau ʻōuli o ka thalassemia, e like me ka luhi, huhū, pallor a me ka hoʻololi i ke kaʻina hanu. E aʻo e ʻike i nā hōʻailona a me nā ʻōuli o ka thalassemia.

2. Hheritary spherositosis

ʻO ka hereditary a congenital spherocytosis kahi maʻi i hōʻike ʻia e nā loli i ka membrane o nā hunaola ʻulaʻula, e liʻiliʻi ana a liʻiliʻi hoʻi ke kūpaʻa ʻana, me kahi kiʻekiʻe o ka luku ʻia o nā hunaola ʻulaʻula. No laila, i kēia maʻi, me ka hoʻohui i nā hoʻololi ʻē aʻe, hiki ke hōʻoia ʻia ka liʻiliʻi o nā hunaola ʻulaʻula a hoʻemi ʻia ka CMV.

E like me ka inoa o ka inoa, hereditary spherocytosis, ʻo ia hoʻi, hala ia hanauna i kekahi hanauna a hānau ʻia ke kanaka me kēia loli. Eia nō naʻe, hiki ke loli ke koʻikoʻi o ka maʻi mai kēlā me kēia kanaka, a he mea nui e hoʻomaka koke i ka mālama ʻana ma hope o ka hānau ʻana e like me ke alakaʻi a ka hematologist.

3. Nā maʻi ʻino

Hiki i nā maʻi kūlohelohe ke hopena i nā hunaola koko ʻulaʻula microcytic, no ka mea ʻo ka paʻa mau o ka agena nāna e mālama i ka maʻi i ke kino e hopena i nā hemahema o ke olakino a me nā loli i ka ʻōnaehana pale, e hoʻololi ana ʻaʻole wale nā ​​helu helu hematological akā kekahi mau ʻaoʻao keʻena hoʻokolohua.

E hōʻoia i ka maʻi, he mea nui e kauoha a loiloi ke kauka i nā hoʻokolohua ʻē aʻe, e like me ke ana ʻana o C-Reactive Protein (CRP), hoʻāʻo mimi a me ka hoʻāʻo microbiological. Hōʻike paha ka helu o ke koko i ka maʻi, akā pono nā hōʻike hou e hōʻoia i ka ʻike a hoʻomaka i ka lāʻau kūpono.

4. Anemia hemahema hao

ʻO ka anemia hemahema o ka hao, i kapa ʻia he anemia hemahema hao, ʻike ʻia e nā haʻahaʻa haʻahaʻa o ka hao e hele ana i loko o ke koko ma muli o ka maikaʻi ʻole o ka hao a i ʻole he hopena o ke kahe ʻana a i ʻole ka menstruation koʻikoʻi, no ka laʻana.

Hoʻopilikia ka emi o ka nui o ka hao me ka nui o hemoglobin, ʻoiai he mea nui ia i ke kaʻina o ka hemoglobin. No laila, i ka nele o ka hao, ke emi nei ka nui o ka hemoglobin, e alakaʻi ana i ke ʻano o kekahi o nā hōʻailona a me nā ʻōuli, e like me ka nāwaliwali, luhi pinepine, maʻule, lauoho lauoho, nāwaliwali o nā kui a me ka ʻole o ka makemake, o kahi laʻana.

ʻO ka hapa nui o nā maʻi anemia hemahema hao ma muli o nā hemahema o ka meaʻai. No laila, ʻo ka hopena ka hoʻololi i nā ʻano ʻai, hoʻonui i ka ʻai o nā meaʻai i ka hao, e like me ka milo, nā pi a me ka ʻiʻo. E ʻike pehea e pono ai ka hoʻomaʻamaʻa ʻana i ka hao deficit anemia.

5. Anemia Maʻi Maʻi

ʻO ka Anemia o ka maʻi maʻi maʻamau he ʻano anemia maʻamau ia i loaʻa i nā mea maʻi i hōʻola ʻia i ka haukapila, me nā loli ʻaʻole wale i ka waiwai o CMV, akā i HCM, CHCM, RDW a me hemoglobin. ʻO kēia ʻano anemia ka mea pinepine pinepine i nā mea maʻi me nā maʻi mau, nā maʻi hoʻāla a me nā neoplasms.

ʻOiai ke ʻano maʻamau kēia ʻano anemia i ka wā o ka mālama ʻana, hoʻokumu koke ʻia ka maʻi a me ka mālama ʻana e pale i nā pilikia hou aʻe no ka mea maʻi. E aʻo hou aʻe e pili ana i ka anemia o nā maʻi maʻi.