I-Anemia kunye neArthritis
I-anemia yimeko eyenzekayo xa igazi linombolo encinci yeeseli ezibomvu zegazi okanye inani le-hemoglobin. I-Hemoglobin yiprotheni enesityebi esinezixhobo ezinamathele kwi-oksijini kwimiphunga ukuze ikwazi ukuthunyelwa kwiishubhu kuwo wonke umzimba.
I-anemia ayiqhelekanga kubantu abanezintlu ezivuthayo ze-arthritis, njenge- rheumatoid arthritis .
Ngokomzekelo, i-anemia yezifo ezingapheliyo zihlobo oluthile lwe-anemia oluza kuphendulwa ekuvukeleni . I-anemia yezifo ezingapheliyo kufuneka zihluke kwezinye iintlobo ze-anemia, nangona, kuba unyango luxhomekeke kulolu hlobo.
Iimpawu zeAemia
Izimpawu eziqhelekileyo ezinxulumene ne-anemia zibandakanya ukukhathala, ukuphefumula okufutshane , ukuzondla, ukunyamekela kwentliziyo, ukunyaniseka kwentliziyo, iintloko, izandla ezibandayo, iinyawo ezinqabileyo, ulusu olumnyama okanye oluphuzi, kunye nentlungu yesifuba . Umntu one-anemia unokufumana enye okanye ngaphezulu kwezi zimpawu. Ukuba akukho zibonakaliso ezibonakalayo okanye iimpawu ze-anemia, le meko ingahamba ingafunyanwa de kube kwenziwe uvavanyo lwegazi.
Iintlobo zeAnemia
Ukunqongophala kwe-iron anemia yindlela exhaphakileyo ye- anemia . Njengoko igama layo lisikisela, olu hlobo lwe-anemia luyaqhubeka xa unganayo isamba esaneleyo sensimbi emzimbeni wakho. Ngokuqhelekileyo, ukulahleka kwegazi yeso sizathu sokwenza i-iron-deficiency anemia, ukungabikho kwemfono engapheliyo kwintsimbi kungabangela ukuba imeko.
I-vitamin-deficiency-anemia iyakhula xa kukho amazinga aphantsi a vithamini B12 okanye i- folic acid emzimbeni. Ngobunzima be-B12 , ngokuqhelekileyo i-vitamin ayifumananga kakuhle. I-anemia engunobungozi yenye yezona zinto ezibangela ukusilela kwe-B12.
I-anemia ye-aplastiki yinto engaqhelekanga ye-anemia eqhubekayo xa umzimba uyeka ukuvelisa inani elaneleyo lweeseli ezibomvu zegazi.
Ukusuleleka kwiintsholongwane zentsholongwane, ukunyuka kwiimichiza eziyingozi, izifo ezizimele , kunye neziyobisi ezithile zibhekwa njengezizathu ezinokwenzeka.
I-héemolytic anemia eyenzekayo xa kukho ukuphuka okungavamile kweeseli ezibomvu zegazi kwigazi okanye ipeni. Izizathu ezinokwenzeka zibandakanya izizathu zombane (umz., Aneurysm), ukusuleleka, isifo sokuzimela, okanye ukuzalwa okungafaniyo (umz.
I-anemia yezifo ezingapheliyo ziyimeko enesifo esiphezulu esenza isibini kwimeko ethile yonyango. Ingadityaniswa nomhlaza, isifo sesifo, isifo sesibindi, isifo se-thyroid, i-rheumatoid arthritis, okanye nayiphi na imeko ephazamisa ukuveliswa kweeseli ezibomvu zegazi.
Ukuhlukanisa iAnemia yezifo ezingapheliyo ukusuka kwi-Iron-Deficiency Anemia
Kubantu abanezintlu ezivuthayo zesifo se-arthritis, kubalulekile ukuhlukanisa phakathi kweentlobo ezimbini eziqhelekileyo ze- anemia ezichaphazelayo - ukungabikho kwesinyithi kunye ne-anemia yezifo ezingapheliyo. Uninzi lwezigulane ze-arthritis zithatha i- NSAID (i-nonsteroidal anti-inflammatory drug) njengenxalenye yengxelo yonyango. I-NSAIDS iboshwe kwengozi yokwanda kwamanzi esiswini . Izigulane kunye noogqirha kufuneka baqaphele ingozi, iimpawu zokubeka esweni kunye nokuhlolwa kwegazi ngexesha elifanelekileyo ukujonga ukubala kwegazi .
Njengoko kuthethwe ngaphambili, ukulahlekelwa kwegazi kungaba sisizathu esivakalayo sokunqongophala kwe-anemia yesinyithi.
Inemia yeSifo esiPhezulu
Ngenxa yokugula kwesifo esingapheliyo, i-iron metabolism yatshintsha. Xa ukuvuvukala kushukunyiswa ngumzimba wokuzivikela , insimbi ye-metabolism emzimbeni iya kwindlela yokukhusela, oko kuthetha. Xa oko kwenzeka, kukho i-hemoglobin epholileyo, insimbi encinci ibanjwe ngumzimba, insimbi yomsindo emzimbeni igcinwa kwiiseli zesibindi, kunye ne-ferritin inqanaba le-serum landa.
I-anemia yesifo esingapheliyo ayiqhubeki. Ngokuqhelekileyo, amanqanaba e-hemoglobin ahamba ngaphantsi kwinqanaba eliqhelekileyo, aqhelekanga phantsi kwe-9.5 mg / dl.
Kuzo zombini unesia ne-anemia yezifo ezingapheliyo, i-serum isinyithi iphantsi. Amaseli amancinci amancinci angabonwa ngobuncinane kwiimeko zonke, kodwa zibonakala zifana ne-iron disability deficiency.
I-Transferrin, iprotheni ethatha isinyithi, iphakanyiswe kwi-anemia ye-iron-deficiency - uphawu lokuba umzimba udinga insimbi engaphezulu. Isisombululo esipheleleyo se-iron (TIBC), isilinganisi esingathanga ngqo sokudluliselwa kwe-transfrin, sincinci kwi-anemia yezifo ezingapheliyo-uphawu lokuba kukhona insimbi eyaneleyo kodwa ayifumaneki lula. I-TIBC idla ngokuphakamileyo xa izitishi zensimbi zinciphisa kwaye ziphantsi xa izitishi zensimbi ziphakanyisiwe. Ngokwe-iron-deficiency anemia, i-TIBC ngokuqhelekileyo ingaphezu kwe-400 mcg / dl kuba izitoro zentsimbi ziphantsi.
I-Serum ferritin isetyenziselwa ukuhlukanisa phakathi kwezi zimbini ze-anemia, kodwa inokuphakanyiswa ebusweni bokuvuvukala. Ngesimo esivuthayo, i-serum ferritin inokuphakanyiswa kumazinga aqhelekileyo, nokuba i-anemia ye-iron-deficiency exists. Kudideka. Uvavanyo lwe-receptor receptor lwe-serum lunokukunceda ukuluhlenga ngaphandle kuba luchaphazeleka kakhulu. Ngokwe-iron anemia, i-serum transferrin receptor iya kuba phezulu. Kwi-anemia yezifo ezingapheliyo, i-receptor receptor ye-serum idla ngokuphantsi okanye kwicala eliphantsi eliqhelekileyo.
I-anemia yezifo ezingapheliyo ayiphathwa ngenyango yokuncedisa. Insimbi eyongeziweyo ingaba yingozi, kuxhomekeke kwisifo esingapheliyo. I-Iron Supplementation ingabonakaliswa kwi-anemia ye-iron-deficiency. Kwakhona, ukuba kuphuma igazi, umthombo wokuphuma kwamanzi kufuneka uchongwe.
Imithombo:
IAnemia. Umbutho waseMelika weHematology.
Iziko leNtsholongwane. Inemia yeSifo esiPhezulu.