Ukuhlukanisa i-anemia yezifo ezingapheli kanye nokuntula kwe-Iron anemia

I-anemia ne-Arthritis

I-anemia yisimo esenzeka lapho igazi linenani elingavamile lamaseli abomvu noma inani le-hemoglobin. I-Hemoglobin iyi-protein ecebile ensimbi ehlanganisa umoya-mpilo emaphashini ukuze ihanjiswe kumathishu kuwo wonke umzimba.

I-anemia ayiyona into engavamile kubantu abanezinhlungu zokuphefumula zamathambo, njenge- arthritis ye-rheumatoid .

Isibonelo, i-anemia yezifo ezingelapheki uhlobo oluthile lwe-anemia oluqala ekuphenduleni ukuvuvukala . I-anemia yezifo ezingapheli kumele zihlukaniswe nezinye izinhlobo ze-anemia, noma kunjalo, ngoba ukwelashwa kuxhomeke kohlobo.

Izimpawu ze-Anemia

Izimpawu ezivamile ezihambisana ne-anemia zihlanganisa ukukhathala, ukuphefumula , isizungu, ukushaya kwenhliziyo okusheshayo, ukushaya kwenhliziyo okungahambi kahle, ikhanda, izandla ezibandayo, izinyawo ezibandayo, isikhumba esibucayi noma esiphuzi, nobuhlungu besifuba . Umuntu one-anemia angase athole eyodwa noma ngaphezulu yalezi zimpawu. Uma kungekho zibonakaliso ezicacile noma izimpawu ze-anemia, lesi simo singase singakutholakali kuze kwenziwe ukuhlolwa kwegazi.

Izinhlobo ze-Anemia

Uhlobo lwe- iron-lack anemia yilona uhlobo oluvame kakhulu lwe- anemia . Njengoba igama layo liphakamisa, lolu hlobo lwe-anemia luqala uma ungenayo inani elanele lezinsimbi emzimbeni wakho. Ngokuvamile, ukulahleka kwegazi yisisusa sokuntula i-iron-deficiency anemia, ukungenwa kahle kwe-iron kungabangela nesimo.

I-vitamin-deficiency anemia ingathuthuka uma kunamazinga aphansi kavithamini B12 noma i- folic acid emzimbeni. Njengoba kunesisindo se-B12 , ngokuvamile i-vitamin ayitholi kahle. I-anemia engenayo ingenye yezimbangela eziningi zokuntula kwe-B12.

I-anemia ye-aplastic iyinhlobo engavamile ye-anemia eqhubekayo lapho umzimba uyeka ukukhiqiza izinombolo ezanele zamaseli abomvu.

Ukutheleleka ngegciwane, ukutholakala kwamakhemikhali anobuthi, izifo ezizimele , kanye nezidakamizwa ezithile kubhekwa njengezimbangela ezikhona.

I-anemia ye-Hemolytic iyenzeka uma kunqamuka okungavamile kwamaseli abomvu egazini egazini noma epeni. Izimbangela ezikhona zingabangela izizathu zomshini (isb., Aneurysm), ukutheleleka, isifo sokuzimela, noma ukukhubazeka okuzalwa noma okuzuzwa njengefa (isb., I- sickle cell anemia ).

I-anemia yesifo esingelapheki yisimo esibhekene nesifo sofuba esikahle sesibili kwesinye isimo sezokwelapha. Kungase kuhlotshaniswe nomdlavuza, isifo sezinso, izifo zesibindi, isifo se-thyroid, isifo samathambo, noma yisiphi isimo esiphazamisa ukukhiqizwa kwamaseli abomvu.

Ukuhlukanisa i-anemia yezifo ezingelapheki Kusukela ku-Iron-Deficiency Anemia

Kubantu abanesifo sokudla kwamathambo esibalulekile, kubalulekile ukuhlukanisa phakathi kwezinhlobo ezimbili ezivame kakhulu ze- anemia ezithinta - ukungenwa kwensimbi kanye ne-anemia yezifo ezingapheliyo. Iziguli eziningi ze-arthritis zithatha i- NSAID (izidakamizwa ezingezona ukuvuvukala) njengengxenye yomuthi wabo wokwelashwa. I-NSAIDS iye yahlanganiswa nengozi eyengeziwe yokugaya amathumbu . Iziguli nodokotela kumele baqaphele izingozi, izimpawu zokuqapha kanye nokuhlolwa kwegazi ngezikhathi ezithile ukuhlola ukubala kwegazi .

Njengoba kushiwo ngaphambili, ukulahleka kwegazi kungaba yimbangela eyinhloko yokwenza i-iron-deficiency anemia.

I-anemia yezifo ezingelapheki

Nge-anemia yezifo ezingelapheki, ukuguquka kwensimbi kuyashintsha. Uma ukuvuvukala kubangelwa isimiso somzimba sokuzivikela , insimbi ye-metabolism emzimbeni iya emoyeni wokuzivikela, okushoyo. Uma lokhu kwenzeka, kunomthelela omncane we-hemoglobin, insimbi encane ibanjwe ngumzimba, insimbi yamahhala emzimbeni igcinwa emangqamuzaneni wesibindi, futhi izinga le-ferritin lisanda kwi-serum.

I-anemia yesifo esingenasifo ayiqhubeki. Ngokuvamile, amazinga e- hemoglobin ahamba kancane kancane kunezinga elijwayelekile, ngokuvamile aphansi kune-9.5 mg / dl.

Kuzo zombili izinsimbi ezingenayo i-anemia kanye ne-anemia yezifo ezingelapheki, i-serum iron iphansi. Amaseli amancane abomvu angabonwa amancane kakhulu kunoma yisiphi isimo, kodwa ajwayelekile kakhulu kuncike ekutheni i-iron-deficiency anemia.

I-Transferrin, iprotheni ehambisa i-iron, iphakanyiswe ekunweleni kwe-anemia - isibonakaliso sokuthi umzimba udinga insimbi engaphezulu. Umthamo we-iron-binding ophelele (i-TIBC), isilinganiso esingavamile sokudlulisa, sinesifo esiphansi sezifo ezingelapheki - isibonakaliso sokuthi kukhona insimbi eyanele kodwa ayitholakali kalula. I-TIBC ivame ukuphakama lapho izitolo zensimbi ziyancipha futhi ziphansi uma izitolo zensimbi ziphakanyisiwe. E-iron-insufficient anemia, i-TIBC ngokuvamile ingaphezu kuka-400 mcg / dl ngoba izitolo zensimbi ziphansi.

I-serum ferritin ivame ukusetshenziselwa ukuhlukanisa phakathi kwezinhlobo ezimbili ze-anemia, kodwa ingaphakanyiswa phambi kokuvuvukala. Ngesimo sokuvuvukala, i-serum ferritin ingakhulelwa emazingeni ajwayelekile, ngisho noma i-anemia ye-anemia ekhona. Kungaba ukudideka. Ukuhlolwa kwe-receptor receptor ye-serum kungasiza ukukuhlunga ngoba kungaphansi kokuthinteka. E-iron-deficiency anemia, i-serum transferrin receptor izoba phezulu. E-anemia yezifo ezingapheli, i-serum transferrin receptor ngokuvamile iphansi noma ehlangothini eliphansi elijwayelekile.

I-anemia yezifo ezingelapheki ayiphathwa nge-supplementation yensimbi. Insimbi eyengeziwe ingaba yingozi, kuye ngokuthi isifo esingapheli esingaphansi. I-supplementation ye-Iron ingaboniswa ekunakekeni kwe-iron, kodwa. Futhi, uma kukhona ukuphuma, umthombo wokuphuma kwamanzi kufanele ubonakale.

_Imithombo:

_{I-anemia. I-American Society of Hematology.}

_{I-Iron Disorders Institute. I-anemia yezifo ezingelapheki.}