ʻO nā mea āpau āu e ʻike ai e pili ana i ka Microcytic Anemia

Anter

• Ka wehewehe anemia Microcytic
• Nā ʻōuli anemia Microcytic
• Nā ʻano anemia Microcytic a me nā kumu
• 1. Nā anemias microcytic Hypochromic
• 2. Nā anemias microcytic Normochromic
• 3. Nā anemias microchtic hyperchromic
• 4. Nā kumu ʻē aʻe o ka anemia microcytic
• ʻIke i ka anemia microcytic
• Hoʻomaʻo Microcytic anemia
• ʻO Outlook no ka anemia microcytic
• Kāohi i ka anemia microcytic me kāu papaʻai

Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.

Ka wehewehe anemia Microcytic

ʻO Microcytosis kahi manawa i hoʻohana ʻia e wehewehe i nā hunaola ʻulaʻula i ʻoi aku ka liʻiliʻi 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.

I nā anemias microcytic, ʻoi aku ka liʻiliʻi o ko ke kino ʻulaʻula i ke kino ma mua o ka maʻamau. Liʻiliʻi loa nā hunaola ʻulaʻula i loaʻa iā ia. Hiki ke wehewehe ʻia kekahi mau ʻano anemias ma ke ʻano microcytic.

Hoʻokumu ʻia nā anemias Microcytic e nā kūlana e pale i kou kino mai ka hana ʻana i ka hemoglobin. ʻO Hemoglobin kahi ʻāpana o kou koko. Kōkua ia i ka lawe ʻana i ka oxygen i kāu mau pūnaewele a hāʻawi i kou mau ʻulaʻula i ko lākou ʻulaʻula.

ʻO ka hemahema hao ke kumu o ka nui o nā anemias microcytic. Pono ka hao i kou kino e hana i ka hemoglobin. Akā hiki i nā ʻano ʻē aʻe ke kumu i nā anemias microcytic. E mālama i kahi anemia microcytic, e ʻike mua kāu kauka i ke kumu kumu.

Nā ʻōuli anemia Microcytic

ʻAʻole paha ʻoe e ʻike i kekahi ʻōuli o ka microcytic anemia ma ka mua. Hōʻike pinepine ʻia nā ʻōuli ma kahi pae holomua ke hiki i ka nele o nā hunaola ʻulaʻula maʻamau i kāu mau pūnaewele.

ʻO nā ʻōuli maʻamau o nā microcytic anemias:

• luhi, nāwaliwali, a luhi hoʻi
• lilo o ke kūpaʻa
• pokole o ka hanu
• ʻūpā
• ʻili mae

Inā ʻike ʻoe i kekahi o kēia mau ʻōuli a ʻaʻole lākou e hoʻonā i loko o ʻelua mau pule, e hoʻokohu e ʻike i kāu kauka.

Pono ʻoe e hana i kahi manawa e ʻike ai i kāu kauka ke hiki koke inā ʻike ʻoe i ka luhi nui a i ʻole ka liʻiliʻi o ka hanu.

Nā ʻano anemia Microcytic a me nā kumu

Hiki ke wehewehe hou ʻia nā anemias Microcytic e like me ka nui o ka hemoglobin i nā hunaola ʻulaʻula. Hiki iā lākou ke lilo i hypochromic, normochromic, a i ʻole hyperchromic:

1. Nā anemias microcytic Hypochromic

Hypochromic ʻo ia hoʻi, ʻoi aku ka liʻiliʻi o ka hemoglobin o ke koko ʻulaʻula ma mua o ka maʻamau. ʻO nā haʻahaʻa haʻahaʻa o ka hemoglobin i loko o kāu mau ʻulaʻula e alakaʻi ai e hōʻike i ka ʻula o ke kala. I ka anemia microcytic hypochromic, loaʻa i kou kino nā pae haʻahaʻa o nā hunaola ʻulaʻula e liʻiliʻi a paler ma mua o ka maʻamau.

ʻO ka hapa nui o nā anemias microcytic hypochromic. Aia nā anemias hypcyromic microcytic:

ʻO ka anemia hemahema hao: ʻO ke kumu maʻamau o ka anemia microcytic kahi hemahema hao i ke koko. Hiki ke hoʻokumu ʻia ka anemia hemahema hao e:

• ka lawa pono ʻole o ka hao, ma ke ʻano he hopena o kāu papaʻai
• hiki ʻole ke omo i ka hao ma muli o nā kūlana e like me ka maʻi celiac a i ʻole ʻO ka maʻi Helicobacter pylori
• nalowale ke koko ma muli o ka manawa pinepine a kaumaha paha i nā wahine a i ʻole nā ​​gastrointestinal (GI) kahe mai nā kahe kiʻekiʻe o GI a i ʻole nā ​​maʻi ʻōpū.
• hāpai keiki

Thalassemia: ʻO Thalassemia kahi ʻano anemia i hoʻokumu ʻia e kahi abnormalities hoʻoilina. Hoʻopili ia i nā hoʻololi i nā gen e pono ai no ka hana hemoglobin maʻamau.

Anemia Sideroblastic: Hiki ke hoʻoilina ʻia ʻo Sideroblastic anemia ma muli o ka mutation gene (congenital). Hiki iā ia ke kumu ʻia e kahi kūlana i loaʻa ma hope o ke ola e pale ai i ka hiki i kou kino ke hoʻohui i ka hao i hoʻokahi o nā mea e pono ai e hana hemoglobin. ʻO kēia ka hopena i ke kūkulu ʻia o ka hao i loko o kāu mau ʻulaʻula.

ʻO ke kinemona sideroblastic anemia ka maʻa mau o microcytic a me hypochromic.

2. Nā anemias microcytic Normochromic

Normochromic ʻo ia hoʻi, he hemoglobin ka nui o nā hunaola koko ʻulaʻula, a ʻaʻole pale a hohonu ka waihoʻoluʻu o ka ʻulaʻula. ʻO kahi laʻana o ka normochromic microcytic anemia:

Anemia o ka lī a me ka maʻi maʻi. ʻO ka Anemia ma muli o kēia mau ʻano maʻamau ka normochromic a me ka normocytic (he maʻamau ka nui o nā hunaola ʻulaʻula). ʻIke ʻia ʻo Normochromic microcytic anemia i ka poʻe me:

• nā maʻi infectious, e like me tuberculosis, HIV / AIDS, a i ʻole endocarditis
• nā maʻi hōʻeha, e like me rheumatoid arthritis, Crohn's disease, a i ʻole diabetes mellitus
• maʻi maʻi ʻōpū
• maʻi ʻaʻai

Hiki i kēia mau kūlana ke pale i nā hunaola ʻulaʻula mai ka hana maʻamau. Hiki i kēia ke alakaʻi i ka hoʻoliʻiliʻi hao lawe ʻia a hoʻohana ʻana paha.

3. Nā anemias microchtic hyperchromic

ʻO ke ʻano ʻo Hyperchromic ʻoi aku ka nui o nā hemoglobin o ke koko ʻulaʻula ma mua o ka maʻamau. Nā pae kiʻekiʻe o hemoglobin i loko o kou mau ʻulaʻula e hoʻolilo iā lākou i hue hohonu o ka ʻulaʻula ma mua o ka maʻamau.

ʻO ka anemia spherocytic Congenital: ʻAʻohe loa ʻo Hyperchromic microcytic anemias. Hoʻokumu ʻia lākou e kahi ʻano genetical i kapa ʻia ʻo congenital spherocytic anemia. Kāhea ʻia kēia ʻo spherocytosis hereditary.

I kēia maʻi, ʻaʻole kū pololei ka membrane o kāu mau hunaola ʻulaʻula. ʻO kēia ke kumu o ka paʻakikī a spherical spherical. Hoʻouna ʻia lākou e wāwahi ʻia a make i loko o ka maʻi pākī no ka mea ʻaʻole lākou e huakaʻi pono i nā kahe o ke koko.

4. Nā kumu ʻē aʻe o ka anemia microcytic

Nā kumu ʻē aʻe o ka anemia microcytic pū kekahi:

• kēpau ʻino
• hemahema keleawe
• zinc oi aku, ʻo ia ke kumu o ka lawa ʻole o ke keleawe
• inu ʻona
• hoʻohana lāʻau

ʻIke i ka anemia microcytic

ʻIke pinepine ʻia nā anemias Microcytic ma hope o ke kauka a kāu kauka i kauoha ai i kahi hoʻokolohua koko i ʻike ʻia ma ke ʻano he helu koko piha (CBC) no kekahi kumu ʻē aʻe. Inā hōʻike kāu CBC he anemia kou, e kauoha aku 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 microcytic a i ʻole macrocytic mua i kāu mau hunaola ʻulaʻula. Hiki ke ʻike ʻia ʻo Hypochromia, normochromia, a i ʻole hyperchromia me ka hoʻāʻo ʻana o ke koko peripheral.

Hiki i kāu kauka mālama mua ke kuhikuhi iā ʻoe i ka hematologist. ʻO kahi hematologist kahi loea e hana me nā maʻi koko. Hiki paha iā lākou ke hōʻoia pono loa a mālama i ke ʻano kikoʻī o ka anemia microcytic a hoʻomaopopo i kāna kumu kumu.

Ke hōʻoia ke kauka iā ʻoe me ka anemia microcytic, e holo lākou i nā hoʻokolohua e hoʻoholo ai i ke kumu o ke ʻano. Hiki iā lākou ke holo i nā hoʻokolohua koko e nānā ai no ka maʻi celiac. Hiki iā lākou ke hoʻāʻo i kou koko a me ka pahu H. pylori maʻi kīnā.

E nīnau paha kāu kauka iā ʻoe e pili ana i nā ʻōuli ʻē aʻe āu i ʻike ai inā manaʻo lākou ʻo ka nalowale koko mau ke kumu o kāu anemia microcytic. Hiki iā lākou ke kuhikuhi iā ʻoe i kahi gastroenterologist inā ʻoe he ʻōpū a ʻeha ʻeha ʻē aʻe paha. Hiki paha i kahi gastroenterologist ke holo i nā hoʻokolohua kiʻi e nānā no nā ʻano ʻokoʻa. Aia kēia mau hoʻāʻo:

• ultrasound ʻōpū
• luna GI endoscopy (EGD)
• CT scan o ka ʻōpū

No nā wahine me ka ʻeha pelvis a me nā wā kaumaha, hiki i kahi gynecologist ke nānā no nā fibroids uterine a i ʻole nā ​​kūlana ʻē aʻe e hiki ai ke kahe nui.

Hoʻomaʻo Microcytic anemia

Mālama ka mālama ʻana no ka anemia microcytic i ka mālama ʻana i ke kumu kumu o ke ʻano.

Hiki i kāu kauka ke koi aku iā ʻoe e lawe i nā mea hoʻohui hao a me ka wikamina C. E kōkua ka hao i ka mālama ʻana i ka anemia ʻoiai ka wikamina C e kōkua i ka hoʻonui ʻana i ka hiki i kou kino ke komo i ka hao.

E kālele ana kāu kauka i ke kuhi a me ka mālama ʻana i ke kumu o ke kahe o ke koko inā loaʻa a hāʻawi ʻia paha ke kahe o ke koko a koʻikoʻi paha i ka anemia microcytic. ʻO nā wahine me ka nele hao mai nā wā koʻikoʻi hiki ke kuhikuhi ʻia i ka lāʻau hormonal, e like me nā lāʻau kaohi hānau.

I nā hihia o ka anemia microcytic nui loa a makaʻu ʻoe no nā pilikia e like me ka maikaʻi ʻole o ka puʻuwai, pono paha ʻoe e kiʻi i ke kahe o ke koko koko. Hiki i kēia ke hoʻonui i ka helu o nā hunaola ʻulaʻula olakino e pono ai kāu mau ʻōhua.

ʻO Outlook no ka anemia microcytic

Hiki ke pololei i ka hoʻomaʻamaʻa inā ʻo nā hemahema maʻalahi o ke kumu ke kumu o ka anemia microcytic. ʻOiai hiki ke mālama ʻia ke kumu kumu o ka anemia, hiki ke mālama ʻia ka anemia iho a hoʻōla ʻia hoʻi.

I nā hihia koʻikoʻi loa, hiki i ka anemia microcytic i mālama ʻole ʻia ke lilo i mea weliweli. Hiki iā ia ke kumu i ka hypoxia aʻa. ʻO kēia ka manawa i hoʻonele ʻia kaʻiʻo o ka oxygen. Hiki iā ia ke kumu i nā pilikia me:

• ke koko haʻahaʻa, i kapa ʻia hoʻi he kiʻekiʻe
• nā pilikia aʻa o ka coronary
• pilikia pulmonary
• pīhoihoi

ʻOi aku ka maʻamau o kēia mau pilikia i nā mākua ʻelemakule i loaʻa i nā maʻi pulmonary a i ʻole nā ​​maʻi maʻi maʻi.

Kāohi i ka anemia microcytic me kāu papaʻai

ʻO ke ala ʻoi loa e pale aku ai i ka anemia microcytic e loaʻa ka lawa o ka hao i kāu papaʻai. Hiki ke kōkua i ka hoʻonui ʻana i kāu ʻai C i kou kino e omo i ka hao hou.

Hiki iā ʻoe ke noʻonoʻo i ka lawe ʻana i kahi pākuʻi hao o kēlā me kēia lā. Paipai pinepine ʻia kēia inā he anemia kāu. E kamaʻilio mau ʻoe me kāu kauka ma mua o kou hoʻomaka ʻana e lawe i nā mea kōkua.

Hiki iā ʻoe ke hoʻāʻo e loaʻa i nā meaʻai hou aʻe ma o kāu meaʻai.

ʻO nā meaʻai waiwai i ka hao:

• ʻiʻo ʻulaʻula e like me ka pipi
• manu moa
• ʻōmaʻomaʻo lau uli
• pīni
• nā hua maloʻo e like me nā hua puaʻa a me nā apricots

ʻO nā meaʻai e waiwai ana i ka huaora C pū kekahi:

• nā hua citrus, ʻo ka ʻalani hoʻi a me nā grapefruits
• kale
• pepa ʻulaʻula
• Palukela kupu
• strawberry
• broccoli