Anisopoikilocytosis
Litaba
- Anisopoikilocytosis ke eng?
- Lisosa ke life?
- Lisosa tsa anisocytosis
- Lisosa tsa poikilocytosis
- Lisosa tsa anisopoikilocytosis
- Matšoao ke afe?
- E fumanoa joang?
- E alafshoa joang?
- Na ho na le mathata?
- Pono ke efe?
Anisopoikilocytosis ke eng?
Anisopoikilocytosis ke ha o na le lisele tse khubelu tsa mali tse fapaneng ka boholo le libopeho tse fapaneng.
Lentsoe anisopoikilocytosis ha e le hantle le entsoe ka mantsoe a mabeli a fapaneng: anisocytosis le poikilocytosis. Anisocytosis e bolela hore ho na le lisele tse khubelu tsa mali tse fapaneng boholo mali a hao a tlotsa. Poikilocytosis e bolela hore ho na le lisele tse khubelu tsa mali tse fapaneng libopeho mali a hao a tlotsa.
Litholoana tsa smear ea mali le tsona li ka fumana anisopoikilocytosis e bonolo. Sena se bolela hore palo ea lisele tse khubelu tsa mali tse bonts'ang boholo le libopeho tse fapaneng e lekane haholo.
Lisosa ke life?
Anisopoikilocytosis e bolela ho ba le anisocytosis le poikilocytosis. Ka hona, ho a thusa ho qala ka ho senya lisosa tsa maemo ana a mabeli ka bonngoe.
Lisosa tsa anisocytosis
Boholo bo sa tloaelehang ba lisele tse khubelu tsa mali bo bonoang ho anisocytosis bo ka bakoa ke maemo a fapaneng a fapaneng:
- Anemias. Tsena li kenyelletsa khaello ea mali ea khauta, phokolo ea mali ea hemolytic, khaello ea mali ea sickle cell le phokolo ea mali e megaloblastic.
- Lefa spherocytosis. Ena ke boemo bo futsitsoeng bo khetholloang ke boteng ba phokolo ea mali ea hemolytic.
- Thalassemia. Ena ke lefu la mali le futsitsoeng le khetholloang ke hemoglobin e nyane le maemo a tlase a lisele tse khubelu tsa mali 'meleng.
- Khaello ea vithamine. Ka ho khetheha, khaello ea folate kapa vithamine B-12.
- Maloetse a pelo. E ka ba matla kapa e sa foleng.
Lisosa tsa poikilocytosis
Lisosa tsa sebopeho se sa tloaelehang sa lisele tse khubelu tsa mali tse bonoang ho poikilocytosis le tsona li ka bakoa ke maemo a fapaneng. Tse ngata tsa tsona li ts'oana le tse ka bakang anisocytosis:
- likokoana-hloko
- lefutso spherocytosis
- lefutso elliptocytosis, lefu le futsitsoeng leo ho lona lisele tse khubelu tsa mali li leng motopo kapa lehe
- thalassemia
- folate le khaello ea vithamine B-12
- lefu la sebete kapa lefu la ho thatafala ha sebete
- lefu la liphio
Lisosa tsa anisopoikilocytosis
Ho na le ho kopana ho hong lipakeng tsa maemo a bakang anisocytosis le poikilocytosis. Sena se bolela hore anisopoikilocytosis e ka hlaha maemong a latelang:
- likokoana-hloko
- lefutso spherocytosis
- thalassemia
- folate le khaello ea vithamine B-12
Matšoao ke afe?
Ha ho na matšoao a anisopoikilocytosis. Leha ho le joalo, o ka ba le matšoao a tsoang boemong bo o bakang. Matšoao a ka kenyelletsa:
- bofokoli kapa ho hloka matla
- phefumoloho e kgutshoane
- ho tsekela
- ho otla ha pelo kapele kapa hampe
- hlooho e opang
- matsoho kapa maoto a batang
- jaundice, kapa letlalo le lebala kapa le bosehla
- mahlaba sefubeng sa hao
Matšoao a mang a amahanngoa le maemo a ikhethileng, joalo ka:
Thalassemia
- ho ruruha ka mpeng
- moroto o lefifi
Ho haella ha Folate kapa B-12
- Liso tsa molomo
- mathata a pono
- boikutlo ba liphini le linalete
- mathata a kelello, ho kenyelletsa pherekano, mohopolo le litaba tsa kahlolo
Lefa la spherocytosis kapa thalassemia
- ho holisa spleen
E fumanoa joang?
Ngaka ea hau e ka hlahloba anisopoikilocytosis e sebelisa smear ea mali. Bakeng sa teko ena, lerotholi le lenyane la mali a hau le beoa holim'a selaete sa khalase mme le alafshoa ka letheba. Sebopeho le boholo ba lisele tsa mali tse teng slide li ka hlahlojoa.
Smear ea pheripheral ea mali e atisa ho etsoa hammoho le palo e felletseng ea mali (CBC). Ngaka ea hau e sebelisa CBC ho lekola mefuta e fapaneng ea lisele tsa mali 'meleng oa hau. Tsena li kenyelletsa lisele tse khubelu tsa mali, lisele tse tšoeu tsa mali le liplatelete.
Ngaka ea hau e kanna ea laela liteko ho lekola hemoglobin ea hau, iron, folate kapa vithamine B-12.
Maemo a mang a bakang anisopoikilocytosis a futsitsoe. Tsena li kenyelletsa thalassemia le lefutso spherocytosis. Ngaka ea hau e kanna ea u botsa ka nalane ea bongaka ea lelapa la hau.
E alafshoa joang?
Kalafo e tla itšetleha ka maemo a bakang anisopoikilocytosis.
Maemong a mang, kalafo e ka kenyelletsa ho fetola tsela eo u jang ka eona kapa ho noa li-supplement. Sena ke sa bohlokoa ha maemo a tlase a tšepe, folate, kapa vithamine B-12 a baka matšoao.
Phokolo ea mali e matla haholo le lefutso spherocytosis li ka hloka litšelo tsa mali ho phekola. Ho kenyelletsa 'mele oa masapo le hona ho ka etsoa.
Batho ba nang le thalassemia hangata ba hloka ho phetoa litšelo tsa mali bakeng sa kalafo. Ntle le moo, hangata chelation ea tšepe ea hlokahala. Mokhoa ona, tšepe e ngata e tlosoa maling kamora tšelo ea mali. Splenectomy (ho tlosoa ha spleen) e kanna ea hlokahala ho batho ba nang le thalassemia.
Na ho na le mathata?
Ho ka ba le mathata ho tloha boemong bo bakang anisopoikilocytosis. Mathata a ka kenyelletsa:
- mathata a bokhachane, ho kenyelletsa ho pepa kapele kapa mathata a pelehi
- mathata a pelo ka lebaka la ho otla ha pelo kapele kapa hampe
- litaba tsa methapo
- tšoaetso e matla ho batho ba nang le thalassemia ka lebaka la ho tšeloa mali khafetsa kapa ho tlosoa ha spleen
Pono ke efe?
Pono ea hau e latela kalafo eo u e fumanang bakeng sa boemo bo bakang anisopoikilocytosis.
Mefokolo e meng ea anemias le vithamine e phekoleha habonolo. Maemo a joalo ka "sickle cell anemia", lefutso spherocytosis le thalassemia ba futsitse. Li tla hloka kalafo le tlhokomelo nakong eohle ea bophelo ba hau. Bua le sehlopha sa hau sa bongaka ka mekhoa ea kalafo e u loketseng.