Phokolo ea mali ea Macrocytic

Litaba

• Matšoao a phokolo ea mali a Macrocytic
• Mefuta le lisosa tsa phokolo ea mali ea macrocytic
• Phokolo ea mali ea Megaloblastic macrocytic
• Phokolo ea mali ea nonmegaloblastic macrocytic
• Ho lemoha khaello ea mali ea macrocytic
• Liteko tsa mali
• Ho phekola khaello ea mali ea macrocytic
• Mathata
• Mokhoa oa ho thibela phokolo ea mali ea macrocytic
• Bakeng sa lisele tse khubelu tsa mali tse phetseng hantle
  

Kakaretso

Macrocytosis ke lentsoe le sebelisetsoang ho hlalosa lisele tse khubelu tsa mali tse kholo ho feta tse tloaelehileng. Phokolo ea mali ke ha o na le linomoro tse tlase tsa lisele tse khubelu tsa mali tse sebetsang hantle 'meleng oa hau. Phokolo ea mali ea macrocytic, ke boemo boo 'mele oa hau o nang le lisele tse khubelu tsa mali tse ngata haholo mme o se na lisele tse khubelu tse tloaelehileng tsa mali.

Mefuta e fapaneng ea phokolo ea mali ea macrocytic e ka aroloa ho latela hore na e bakoa ke eng. Hangata, li-anemia tsa macrocytic li bakoa ke ho haella ha vithamine B-12 le folate. Phokolo ea mali ea Macrocytic le eona e ka supa boemo bo teng.

Matšoao a phokolo ea mali a Macrocytic

U kanna oa se ke oa bona matšoao afe kapa afe a phokolo ea mali ea macrocytic ho fihlela u e-na le eona nakoana.

Matšoao a kenyelletsa:

• ho felloa ke takatso ya dijo kapa boima ba mmele
• manala a robehang
• ho otla ha pelo kapele
• letšollo
• mokgathala
• letlalo le putswa, ho kenyeletswa molomo le dintshi
• phefumoloho e kgutshoane
• ho se tsepamise mohopolo kapa pherekano
• ho lebala

Haeba u na le matšoao a 'maloa, etsa kopano ea ho ea ngakeng.

Ho bohlokoa ho etsa tumellano ea kopano kapele kamoo ho ka khonehang haeba u na le matšoao a latelang:

• keketseho ea lebelo la pelo
• pherekano
• mathata a ho hopola

Mefuta le lisosa tsa phokolo ea mali ea macrocytic

Phokolo ea mali ea Macrocytic e ka aroloa ka mefuta e 'meli e meholo: megaloblastic le nonmegaloblastic macrocytic anemias.

Phokolo ea mali ea Megaloblastic macrocytic

Boholo ba anemias ea macrocytic le eona ke megaloblastic. Phokolo ea mali ea Megaloblastic ke phello ea liphoso tlhahiso ea lisele tsa hao tse khubelu tsa DNA. Sena se etsa hore 'mele oa hau o etse lisele tse khubelu tsa mali hampe.

Lisosa tse ka bang teng li kenyelletsa:

• khaello ea vithamine B-12
• khaello ea folate
• meriana e meng, joalo ka litlhare tsa chemotherapy joalo ka hydroxyurea, meriana e thibelang likokoana-hloko le lithethefatsi tsa li-antiretroviral tse sebelisetsoang batho ba nang le HIV

Phokolo ea mali ea nonmegaloblastic macrocytic

Mefuta e meng e sa sebetsanang le khaello ea mali ea macrocytic e ka bakoa ke mabaka a fapaneng. Tsena li ka kenyelletsa:

• boloetse bo sa foleng ba tšebeliso ea joala (joala)
• lefu la sebete
• hypothyroidism

Ho lemoha khaello ea mali ea macrocytic

Ngaka ea hau e tla u botsa ka nalane ea hau ea bongaka le bophelo ba hau. Ba kanna ba botsa ka mokhoa oa hau oa ho ja haeba ba nahana hore u na le mofuta oa phokolo ea mali. Ho ithuta ka lijo tseo u li jang ho ka ba thusa ho tseba hore na u haelloa ke tšepe, folate kapa vithamine efe kapa efe ea B.

Liteko tsa mali

Ngaka ea hau e tla odara liteko tsa mali ho hlahloba phokolo ea mali le lisele tse khubelu tsa mali. Haeba palo ea mali e felletseng e bontša phokolo ea mali, ngaka ea hau e tla etsa tlhahlobo e 'ngoe e tsejoang ka hore ke smear ea mali. Teko ena e ka thusa ho bona liphetoho tsa "macrocytic" kapa "microcytic" tsa pele liseleng tse khubelu tsa mali.

Liteko tse ling tsa mali li ka thusa ho fumana sesosa sa macrocytosis ea hau le phokolo ea mali. Sena se bohlokoa hobane kalafo e ipapisitse le sesosa sa motheo.

Le ha khaello ea limatlafatsi e baka likokoana-hloko tse ngata tsa "macrocytic", maemo a mang a ka bakang bofokoli. Ngaka ea hau e tla etsa liteko ho lekola maemo a hau a limatlafatsi. Ba kanna ba etsa liteko tsa mali ho hlahloba ts'ebeliso ea joala, lefu la sebete le hypothyroidism.

Ngaka ea hau ea tlhokomelo ea mantlha e kanna ea u fetisetsa ho hematologist. Litsebi tsa hematologists li ikhethile ka mathata a mali. Ba ka tseba sesosa le mofuta o itseng oa phokolo ea mali ea hau.

Ho phekola khaello ea mali ea macrocytic

Kalafo ea phokolo ea mali ea macrocytic e shebile ho phekola sesosa sa boemo boo. Mohala oa pele oa kalafo bakeng sa batho ba bangata ke ho lokisa bofokoli ba limatlafatsi. Sena se ka etsoa ka litlatsetso kapa lijo tse kang sepinichi le nama e khubelu. U ka khona ho nka li-supplement tse kenyeletsang folate le livithamini tse ling tsa B. U kanna ua hloka liente tsa vithamine B-12 haeba u sa monye vithamine B-12 ea molomo hantle.

Lijo tse nang le vithamine B-12 e ngata li kenyelletsa:

• khoho
• khoahlapisitseng le lijo-thollo
• mahe
• nama e khubelu
• kgaketla
• litlhapi

Lijo tse phahameng haholo li kenyelletsa:

• meroho e makhasi a lefifi, joalo ka khale le spinach
• lensisi
• khoahlapisitseng lithollo
• lilamunu

Mathata

Maemong a mangata a phokolo ea mali ea macrocytic a bakoang ke vithamine B-12 le bofokoli ba folate a ka phekoloa le ho phekoloa ka lijo le li-supplement.

Leha ho le joalo, li-anemia tsa macrocytic li ka baka mathata a nako e telele haeba li sa alafatsoe. Mathata ana a ka kenyelletsa tšenyo e sa feleng tsamaisong ea hau ea methapo. Ho haelloa ke vithamine B-12 ho feteletseng ho ka baka mathata a nako e telele a methapo ea pelo. Li kenyelletsa peripheral neuropathy le 'dementia'.

Mokhoa oa ho thibela phokolo ea mali ea macrocytic

U ke ke ua lula u thibela phokolo ea mali ea macrocytic, haholo ha e bakoa ke maemo a tsoang taolong ea hau. Leha ho le joalo, o ka thibela phokolo ea mali hore e se ke ea ba matla maemong a mangata. Leka malebela ana:

Bakeng sa lisele tse khubelu tsa mali tse phetseng hantle

• Kenya nama e khubelu le khoho lijong tsa hau ho eketsa vithamine ea B-12.
• Haeba u le nama kapa vegan, u ka eketsa linaoa le botšo, meroho e makhasi bakeng sa folate. Leka lijo-thollo tsa lijo tsa hoseng tse matlafalitsoeng bakeng sa vithamine B-12.
• Fokotsa joala boo u bo noang.
• Bua le ngaka ea hau haeba u noa li-antiretrovirals bakeng sa HIV, meriana e thibelang mafu kapa chemotherapy. Tsena li ka eketsa menyetla ea ho ba le phokolo ea mali ea macrocytic.