Microcytosis le lisosa tse ka sehloohong ke eng

Litaba

• Lisosa tse ka sehloohong tsa Microcytosis
• 1. Thalassemia
• 2. Spherocytosis ea lefutso
• 3. Mafu
• 4. Khaello ea tšepe ea khaello ea mali
• 5. Phokolo ea mali e sa Foleng

Microcytosis ke lentsoe le ka fumanoang tlalehong ea hemogram e bonts'ang hore li-erythrocyte li nyane ho feta tse tloaelehileng, mme ho ba teng ha li-erythrocyte tsa microcytic le hona ho ka bonts'oa ho hemogram. Microcytosis e hlahlojoa ho sebelisoa index ea VCM kapa Average Corpuscular Volume, e bonts'ang boholo ba lisele tse khubelu tsa mali, ka boleng ba eona bo pakeng tsa 80.0 le 100.0 fL, leha ho le joalo boleng bona bo ka fapana ho latela laboratori.

Hore microcytosis e be bohlokoa ho tsa bongaka, ho kgothaletswa hore sephetho sa VCM se hlalosoe hammoho le li-indices tse ling tse lekantsoeng palong ea mali, joalo ka Average Corpuscular Hemoglobin (HCM), hemoglobin amount, Average Corpuscular Hemoglobin Concentration (CHCM) le RDW, eleng lenane le supang phapang ea boholo lipakeng tsa lisele tse khubelu tsa mali. Ithute haholoanyane ka VCM.

Lisosa tse ka sehloohong tsa Microcytosis

Ha palo ea mali e bontša hore ke VCM feela e fetotsoeng 'me boleng bo haufi le boleng ba ts'upiso, hangata ha bo fuoe bohlokoa, ho khona ho emela boemo ba motsotsoana feela le ho bitsoa discrete microcytosis. Leha ho le joalo, ha litekanyetso li le tlase haholo ho bohlokoa ho hlahloba hore na index efe kapa efe e fetotsoe. Haeba li-indices tse ling tse lekiloeng palong ea mali li tloaelehile, ho kgothaletswa ho pheta palo ea mali.

Hangata, microcytosis e amana le liphetoho tsa phepo kapa e amana le sebopeho sa hemoglobin. Kahoo, lisosa tsa mantlha tsa microcytosis ke:

1. Thalassemia

Thalassemia ke lefu la liphatsa tsa lefutso le khetholloang ke liphetoho tsamaisong ea hemoglobin, eo ho eona ho nang le phetoho lipakeng tsa ketane e le 'ngoe kapa tse' maloa tsa globin, e hlahisang liphetoho tse sebetsang liseleng tse khubelu tsa mali. Ntle le VCM e fetotsoeng, ho ka etsahala hore li-indices tse ling le tsona li fetoloe, joalo ka HCM, CHCM, RDW le hemoglobin.

Kaha ho na le phetoho ts'ebetsong ea sebopeho sa hemoglobin, ho tsamaisoa ha oksijene ho lisele le hona ho fetotsoe, hobane hemoglobin e ikarabella bakeng sa ts'ebetso ena. Kahoo, matšoao a mang a thalassemia a hlaha, joalo ka mokhathala, ho teneha kapele, pallor le phetoho ts'ebetsong ea ho hema. Ithute ho amohela matšoao a thalassemia.

2. Spherocytosis ea lefutso

Lefa kapa congenital spherocytosis ke lefu le khetholloang ke liphetoho lera la lisele tse khubelu tsa mali, ho li etsa tse nyane le tse hanyetsanang, ka sekhahla se phahameng sa tšenyo ea lisele tse khubelu tsa mali. Kahoo, lefung lena, ntle le liphetoho tse ling, lisele tse khubelu tsa mali le CMV e ka netefatsoa.

Joalokaha lebitso la eona le bolela, spherocytosis ke lefutso, ke hore, e tloha molokong o mong ho ea molokong o mong 'me motho o hlaha ka phetoho ena. Leha ho le joalo, ho teba ha lefu ho ka fapana ho ea ka motho, 'me ho bohlokoa ho qala kalafo hang kamora ho hlaha ho latela tataiso ea ngaka ea mali.

3. Mafu

Ts'oaetso e sa foleng e ka baka lisele tse khubelu tsa mali tse nyane, hobane ho tšoarella ha moemeli ea ikarabellang bakeng sa ts'oaetso 'meleng ho ka baka khaello ea phepo le liphetoho tsamaisong ea' mele ea ho itšireletsa mafung, ho fetola eseng feela li-index tsa hematological empa le likarolo tse ling tsa laboratori.

Ho netefatsa ts'oaetso, ho bohlokoa hore ngaka e laele le ho lekola liteko tse ling tsa laboratori, joalo ka tekanyo ea C-Reactive Protein (CRP), teko ea moroto le tlhahlobo ea microbiological. Palo ea mali e kanna ea fana ka maikutlo a ts'oaetso, empa ho hlokahala liteko tse ling ho netefatsa tlhahlobo le ho qala kalafo e nepahetseng.

4. Khaello ea tšepe ea khaello ea mali

Phokolo ea mali ea khaello ea tšepe, eo hape e bitsoang khaello ea mali ea khaello ea tšepe, e tšoauoa ka palo e tlase ea tšepe e potolohang maling ka lebaka la ho se je hantle ka tšepe kapa ka lebaka la ho tsoa mali kapa ho ilela khoeli ka matla, mohlala.

Ho fokotseha ha tšepe ho kenella ka kotloloho ho hemoglobin, hobane ke ea bohlokoa molemong oa sebopeho sa hemoglobin. Kahoo, ha tšepe e le sieo, hemoglobin e ngata ea fokotseha, e lebisang ponts'ong ea matšoao a mang, joalo ka bofokoli, mokhathala khafetsa, ho felloa ke matla, ho lahleheloa ke moriri, ho fokolisa manala le ho hloka takatso ea lijo, ka mohlala.

Maemo a mangata a khaello ea mali ea khauta a hlaha ka lebaka la khaello ea phepo e nepahetseng. Kahoo, tharollo ke ho fetola mekhoa ea ho ja, ho eketsa ts'ebeliso ea lijo tse nang le tšepe e ngata joalo ka sepinichi, linaoa le nama. Bona hore na kalafo ea khaello ea mali ea tšepe e lokela ho ba joang.

5. Phokolo ea mali e sa Foleng

Phokolo ea mali ea lefu le sa foleng ke mofuta o tloaelehileng oa phokolo ea mali e hlahang ho bakuli ba kenang sepetlele, ka liphetoho eseng feela molemong oa CMV, empa le ho HCM, CHCM, RDW le hemoglobin. Mofuta ona oa phokolo ea mali o fumaneha khafetsa ho bakuli ba nang le tšoaetso e sa foleng, mafu a ho ruruha le lihlahala.

Ha mofuta ona oa phokolo ea mali hangata o hlaha nakong ea kalafo, tlhahlobo le kalafo li theoa hanghang ho thibela mathata a mang ho mokuli. Ithute haholoanyane ka khaello ea mali ea mafu a sa foleng.