Ngezinye izikhathi, iziguli ezinenkinga ye- anemia aziphenduli ngensimbi. Lezi ziguli kungenzeka ukuthi zinezinsimbi ezengeziwe ezinyangeni kuya eminyakeni ezingenakuphuthunyiswa kwe-anemia. Izizathu zokuthi kungani isiguli singase singaphenduli ekwelashweni kwe-iron sihlanganisa:
- I-supplementation ye-Iron iphansi kakhulu: Uma usuhlakulela ukuntuleka kwe-anemia yensimbi, udinga okungaphezu kwesamba esidingekayo nsuku zonke ekudleni kwakho. Kufaka ukudla okunezinsimbi ezidliwayo ekudleni kwakho kuyasiza kepha ukwesekwa kwe-iron kumele kuqhutshwe kuze kufike ukuxazululwa ngokugcwele.
- Ukungathathi insimbi njengoba kuqondiswa: Ukuthatha insimbi akulula ngaso sonke isikhathi, ikakhulukazi kwabancane okufanele bathathe uketshezi. I-iron kufanele ithathwe ngesisu esingenalutho. Cabanga ukuwuthatha ngejusi elincane le-orange ukuze uthuthukise ukungena. I-iron akufanele ithathwe ngobisi njengoba ivimbela ukungena kwensimbi.
- Isiguli asizange sincishise ukuthambisa ubisi njengoba kunconywa: Ukuntuleka kwe-Iron ekuncelweni kwegazi emantwaneni ngokuvamile kuhlotshaniswa nokudla ngokweqile ubisi. Ukwehlisa ubisi ubisi yingxenye ebalulekile yokwelashwa.
- Umzimba wakho awunamathelisi insimbi: Ezinye iziguli zingase zibe nobunzima ekutholeni insimbi emathunjini. Lokhu kungathathwa ngokuhlolwa kwe-iron absorption. Ngokuyinhloko, amazinga akho ensimbi ahlolwe ngemuva kokuzila ukudla (engenakho lutho lokudla noma ukuphuza) isikhathi esithile. Wena unikezwa umthamo wensimbi futhi izinga lensimbi liphindaphindiwe. Uma umzimba wakho uyakwazi ukuthatha insimbi, izinga liyokhula ngokuphawulekayo. Uma kukhona okungenakuphuthunyiswa, udokotela wakho angancoma i-IV iv.
- Ukuxilongwa okungalungile: Ukuxilongwa okuvame kakhulu okungabanjwanga yi-thalassemia.
I-Thalassemia Trait
I-Thalassemia kusho igazi lolwandle njengoba lihlotshaniswa neLwandle iMedithera. Namuhla i-thalassemia ingabonwa ezinhlotsheni eziningi nezinhlanga. I-Thalassemia iyisifo se-hemoglobin, iphrotheni emavikini abomvu obomvu.
Lokhu kubangela i-anemia encane kanye namaseli abomvu abomvu kakhulu (okuthiwa i-microcytosis). Abantu abathwala i-thalassemia (ebizwa nangokuthi i-thalassemia trait) bangase bakhohliswe njengensimbi yokuntula i-anemia. Kunezinhlobo ezimbili ezinkulu ze-thalassemia, i-alpha ne-beta.
Isizathu Sokuba Abantu abane-Thalassemia Trait Get Mislabeled njengoba Ukuntuleka Kwe-Iron Anemia
Amanani welebhu afana kakhulu nokuntuleka kwensimbi nomphumela we-thalassemia. Uma ubona kuqala inani eliphelele legazi (i-CBC), i-hemoglobin izoba ephansi ekhomba i- anemia kanye nevolumu ye-corpuscular mean (MCV), noma ubukhulu beseli elibomvu legazi, lizobe liphansi. Iningi labantu abanalolu shintsho ku-CBC banenkinga ye-anemia yensimbi.
Ukuvivinywa kokuntula kwensimbi kungaba yinkinga. Izinga lensimbi lithonywa ukudla. Uma isiguli sinemibhoshongo ethola into yokuqala ekuseni, ngaphambi kokuthola into yokudla, izinga lesimbi lingase liphansi ngenxa yokuthi alizange angene noma yini ngensimbi kamuva. Ukuhlolwa okuwusizo kakhulu yizinga le-ferritin, elilinganisa isitoreji sensimbi emzimbeni wakho. Izinga eliphansi le-ferritin lihambisana nokuntuleka kwensimbi.
Ukuhlukanisa Ukuntula Kwe-Iron Anemia Ukusuka eThalassemia Trait
Umehluko wokuqala ungaphakathi kokubala kwesibalo segazi (kubhalwe i-RBC).
Ngokuntuleka kwensimbi, leli xabiso liphansi ngoba umnto wethambo awukwazi ukukhiqiza amangqamuzana abomvu egazi. Esimeni se-thalassemia, i-RBC ivamile ukuphakanyiswa. Izinga elijwayelekile le-ferritin lingalawula ukungabi nensimbi.
Isivivinyo esiqondile, ngezinye izikhathi esibizwa ngokuthi i-hemoglobin electrophoresis noma ukuhlola kwe-hemoglobinopathy, silinganisa izinhlobo ezahlukene ze-hemoglobin egazini lethu. Kumuntu omdala, kufanele kube ne-hemoglobin A ne-A2. Abantu abanesici se-beta thalassemia bayoba ne-hemoglobin A2 kanye / noma i-F (fetal). Asikho ukuhlolwa okulula kwesici se-alpha thalassemia. Ngokuvamile, udokotela ulawula ukungabi nensimbi kanye ne-beta thalassemia.
Uma lezi zifo ezimbili zikhishwa ngaphandle, uhlamvu lwe-alpha thalassemia yi-diagnostic yokuzivikela.
Ngakho Ungayithuthukisa Kanjani I-Anemia Yakho?
Ukwelashwa akudingeki noma kunconywa. Lesi yisimo sokuphila impilo yonke ne-anemia emnene kanye namaseli amancane egazi abomvu. Abantu abanesici se-thalassemia akufanele bathathe ukwesekwa kwe-iron ngoba lokhu ngeke kuthuthukise i-anemia yakho. Ukuba nomphumela we-thalassemia akufanele kubangele noma yiziphi izinkinga zezempilo.
Kungani Kubalulekile Ukukwazi Uma Unomthamo We-Thalassemia
Uma wena nomlingani wakho bobabili benomqondo ofanayo we-thalassemia (kokubili i-alpha noma kokubili i-beta), une-1 ku-4 (25%) wokuba nengane ene-thalassemia isifo se-Thalassemia singasuka ku-anemia esilinganiselwe kuya ku-anemia esindayo edinga igazi nyangazonke ukumpontshelwa.