Macrocytosis: nws yog dab tsi, vim li cas tseem ceeb thiab yuav ua li cas

Zoo Siab

• Cov tseem ceeb ua
• 1. Vitamin B12 tsis muaj peev xwm
• 2. Cov tshuaj folate
• 3. Kev quav dej quav cawv
• 4. Cov pob txha caj qaum hloov

Macrocytosis yog ib lo lus uas tuaj yeem tshwm sim hauv daim ntawv qhia txog cov ntshav uas qhia tias erythrocytes loj dua li ib txwm, thiab tias kev pom ntawm macrocytic erythrocytes kuj tseem qhia tau hauv kev kuaj mob. Macrocytosis raug txheeb xyuas los ntawm Kev Siv Nruab Nrab Corpuscular Volume (CMV), uas qhia txog qhov nruab nrab ntawm cov ntshav liab, nrog rau tus nqi siv ntawm 80.0 txog 100.0 fL, txawm li cas los xij tus nqi no yuav txawv raws li kev ntsuas.

Yog li, macrocytosis yog xam thaum VCM siab dua 100.0 fL. Rau macrocytosis kom muaj kev soj ntsuam sib txawv, nws yog ib qho tseem ceeb uas CMV raug soj ntsuam ua ke nrog lwm cov cim qhia hauv cov ntshav suav, xws li cov qe ntshav liab, hemoglobin, RDW, uas ntsuas qhov sib txawv ntawm qhov loj ntawm cov ntshav liab, Nruab Nrab Corpuscular Hemoglobin (HCM) thiab Kev Sib Tham Nruab Nrab ntawm Corpuscular Hemoglobin (CHCM).

Cov tseem ceeb ua

Qhov nce ntawm cov qe ntshav liab ntau dua rau cov neeg laus, vim tias nws yog ib txwm muaj qhov kev txo qis ntawm cov pa oxygen ntau dua, nrog qhov yuav tsum tau nce cov roj ntawm cov roj av los thauj nws mus rau cov kab mob, ua rau hauv kev nce ntxiv hauv cov ntshav liab.

Txawm li cas los xij, macrocytosis tuaj yeem tshwm sim rau txhua lub hnub nyoog thiab feem ntau cuam tshuam nrog kev hloov khoom noj khoom haus, txawm li cas los xij nws tseem muaj peev xwm ua tau vim nws yog lwm qhov kev mob nkeeg xws li kev haus cawv lossis hloov pob txha pob txha.

Yog li, qhov tseem ceeb ntawm macrocytosis yog:

1. Vitamin B12 tsis muaj peev xwm

Kev txo qis hauv cov vitamin B12 hauv lub cev yog ib qho tseem ceeb ua rau macrocytosis thiab tuaj yeem tshwm sim vim qhov kev hloov pauv ntawm cov txheej txheem nqus ntawm cov vitamins no hauv cov hnyuv lossis vim qhov txo qis hauv cov vitamin B12 noj thoob plaws hauv hnub.

Ntxiv rau macrocytosis, nws yog ib qho muaj rau cov neeg muaj vitamin tsis txaus kom muaj ntshav tsawg, tseem hu ua tus mob qog ntshav, thiab vim li no nws nquag tshwm sim qee cov tsos mob xws li tsis muaj zog, nkees thiab ua pa luv. Paub yuav ua li cas paub cov tsos mob ntawm vitamin B12 tsis muaj peev xwm.

Yuav ua li cas: Nws yog ib qho tseem ceeb uas ntxiv rau kev ua tiav cov ntshav suav, kev noj cov tshuaj vitamin B12 yog tsim, vim nws muaj peev xwm lees paub qhov kev kuaj mob thiab pib kev kho mob uas tsim nyog, uas yuav suav nrog kev hloov pauv kev noj zaub mov lossis siv tshuaj ntxiv raws li kws kho mob lossis tus noj haus kev pom zoo.

2. Cov tshuaj folate

Folate deficiency, tseem hu ua folic acid lossis vitamin B9, kuj yog qhov tseem ceeb ntawm macrocytosis thiab tuaj yeem tshwm sim vim kev noj cov vitamins no tsawg dua los yog vim yog mob plab hnyuv lossis ua rau muaj kev thov rau cov vitamin no ntau, vim tias nws tshwm sim hauv cev xeeb tub, piv txwv Cov.

Ntxiv nrog rau macrocytosis, qhov no nws kuj tseem tuaj yeem soj ntsuam nyob rau hauv daim duab ntshav muaj cov kev hloov pauv nyob hauv cov qe ntshav liab, muaj cov kab mob hypersegmented neutrophils thiab kev txawv txav hauv cov duab ntawm cov ntshav liab, paub tias yog poikilocytosis. Nkag siab txog dab tsi yog poikilocytosis.

Yuav ua li cas: Tom qab txheeb xyuas qhov ua rau muaj folate deficiency, txoj kev kho mob uas tsim nyog tshaj plaws tau qhia, thiab kev nce ntxiv ntawm kev noj cov vitamins no lossis kev siv tshuaj pab yuav raug pom zoo. Thaum muaj cov folate tsis txaus ntseeg txog kev hloov pauv hauv plab hnyuv, tus kws kho mob yuav pom zoo kom kho cov kab mob, vim nws tseem muaj peev xwm tswj hwm cov qib ntawm cov folic acid hauv lub cev.

3. Kev quav dej quav cawv

Kev haus dej haus cawv ntau dhau tuaj yeem ua rau txo cov tshuaj folic acid ntau ntxiv, uas tuaj yeem txhawb qhov kev loj hlob ntawm cov ntshav liab ntau dua, ntxiv rau qhov tsim nyog hloov lwm yam kev hloov pauv biochemical.

Yuav ua li cas: Nws raug nquahu kom txo qis kev haus dej haus cawv, nws yog ib qho ua tau los txhawb txoj haujlwm ua haujlwm ntawm lub cev. Txawm li cas los xij, hauv qee kis, kev haus dej haus cawv ntev ntev tuaj yeem ua rau lub siab hloov pauv, feem ntau, thiab hauv qee kis no nws pom zoo kom hloov pauv kev noj zaub mov thiab ua neej nyob thiab coj kev kho mob raws li kws kho mob pom zoo.

4. Cov pob txha caj qaum hloov

Lub hlwb pob txha yog lub luag haujlwm rau kev tsim cov qe ntshav, thiab tuaj yeem tsim cov qe ntshav liab loj vim muaj kev hloov pauv hauv lawv cov kev ua haujlwm, ua rau lub cev qog ntshav lossis tsuas yog ua rau lub cev ua haujlwm tiv thaiv cov ntshav tsis txaus, piv txwv.

Yuav ua li cas: Hauv qhov no, yog tias lwm qhov kev hloov pauv tau pom tseeb hauv kev kuaj ntshav, nws yuav tsum tau pom zoo los ntawm tus kws kho mob kom ua cov pob txha caj qaum (myelogram lossis pob txha caj qaum) txhawm rau txhawm rau txheeb xyuas qhov ua rau kev hloov pauv thiab, yog li, pib kho qhov tsim nyog tshaj plaws.