Lefa elliptocytosis

Hereditary elliptocytosis ke bothata bo fetisoang ke malapa ao lisele tse khubelu tsa mali li bopehileng ka mokhoa o sa tloaelehang. E ts'oana le maemo a mang a mali joalo ka lefutso spherocytosis le lefa la ovalocytosis.

Elliptocytosis e ama motho a le mong ho ba bang le ba bang ba 2500 ba lefa la Europe leboea. E atile haholo bathong ba litloholo tsa Afrika le Mediterranean. U na le monyetla oa ho hlaolela boemo bona haeba motho e mong ka lapeng la hau a bile le bona.

Matšoao a ka kenyelletsa:

• Mokhathala
• Phefumoloho e khutšoanyane
• Letlalo le mosehla le mahlo (jaundice). E ka tsoelapele nako e telele leseeng le sa tsoa tsoaloa.

Tlhahlobo ea mofani oa tlhokomelo ea bophelo e ka bonts'a spleen e atolositsoeng.

Liphetho tse latelang tsa liteko li ka thusa ho fumana boemo:

• Boemo ba Bilirubin bo ka ba holimo.
• Smear ea mali e ka bonts'a lisele tse khubelu tsa mali tse elliptical.
• Palo e felletseng ea mali (CBC) e ka bontša phokolo ea mali kapa matšoao a tšenyo ea lisele tse khubelu tsa mali.
• Lactate dehydrogenase boemo bo ka ba holimo.
• Ho nahana ka gallbladder ho ka bonts'a majoe a majoe.

Ha ho na kalafo e hlokahalang bakeng sa lefu lena ntle le haeba matšoao a matla a phokolo ea mali kapa phokolo ea mali a hlaha. Ho buoa ho tlosa spleen ho ka fokotsa sekhahla sa tšenyo ea lisele tse khubelu tsa mali.

Batho ba bangata ba nang le lefa la elliptocytosis ha ba na mathata. Hangata ha ba tsebe hore ba na le boemo bona.

Elliptocytosis hangata ha e kotsi. Maemong a bobebe, lisele tse khubelu tsa mali tse ka tlase ho 15% li sebopeho sa selikalikoe. Leha ho le joalo, batho ba bang ba kanna ba ba le mathata ao lisele tse khubelu tsa mali li phatlohang ho 'ona. Sena se ka etsahala ha ba na le tšoaetso ea vaerase. Batho ba nang le lefu lena ba ka hlaseloa ke phokolo ea mali, lefu la nyooko le makhopho.

Bitsa mofani oa hau haeba u e-na le lefu la manonyeletso le sa foleng kapa matšoao a phokolo ea mali kapa masapo.

Tlhabollo ea lefutso e ka ba e loketseng batho ba nang le nalane ea malapa ea lefu lena ba lakatsang ho ba batsoali.

Elliptocytosis - lefutso

• Lisele tse khubelu tsa mali - elliptocytosis
• Lisele tsa mali

Gallagher PG. Hemolytic anemias: lisele tse khubelu tsa lisele tsa mali le likoli tsa metabolism. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 152.

Gallagher PG. Mathata a lisele tse khubelu tsa lisele tsa mali. Ka: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Melao-motheo le Tloaelo ea Motheo. La 7th. Philadelphia, PA: Elsevier; 2018: khaolo ea 45.

MD ea Merguerian, Gallagher PG. Lefa la elliptocytosis, pyropoikilocytosis ea lefutso, le mathata a amanang le ona. Ka: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, bahlophisi. Buka ea Nelson ea Pediatrics. La 21 Ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 486.