Macrocytic Anemia

Zoo Siab

• Macrocytic anemia cov tsos mob
• Hom thiab ua rau mob macrocytic anemia
• Megaloblastic macrocytic anemia
• Nonmegaloblastic macrocytic anemia
• Kev kuaj mob loj dua macrocytic
• Kuaj ntshav
• Kho kab mob macrocytic anemia
• Teeb meem
• Yuav tiv thaiv macrocytic anemia
• Txog kev noj qab haus huv cov ntshav liab
  

Txheej txheem cej luam

Macrocytosis yog ib lo lus siv los piav qhia cov ntshav liab uas muaj ntshav ntau dua li ib txwm. Kev mob ntshav yog thaum koj tsis tshua muaj ntshav liab txaus ua haujlwm hauv koj lub cev. Macrocytic anemia, yog li, yog ib qho mob uas koj lub cev muaj ntshav liab txaus ntau dhau thiab tsis muaj cov qe ntshav liab txaus.

Ntau hom mob ntshav khov macrocytic tuaj yeem ua raws li qhov ua rau nws mob dab tsi. Feem ntau, macrocytic anemias yog tshwm sim los ntawm cov uas tsis muaj cov vitamins B-12 thiab folate. Macrocytic anemia tseem tuaj yeem ua teeb liab qhov pib mob.

Macrocytic anemia cov tsos mob

Koj yuav tsis pom muaj tsos mob tshwm sim ntawm tus mob ntshav qog ua ntej koj tau muaj nws rau qee lub sijhawm.

Cov tsos mob muaj xws li:

• tsis qab los noj los sis hnyav
• ntsia thawv
• lub plawv dhia ceev
• zawv plab
• nkees
• tawv nqaij daj, nrog rau daim di ncauj thiab tawv muag
• txog siav
• tsis zoo mloog lossis tsis meej pem
• nco ploj

Yog tias koj muaj qee cov tsos mob no, teem caij mus ntsib koj tus kws kho mob.

Nws yog ib qho tseem ceeb uas yuav tau teem sijhawm kom sai li sai tau yog tias koj muaj cov tsos mob li nram no:

• lub plawv dhia rau lub siab
• tsis meej pem
• teeb meem nco

Hom thiab ua rau mob macrocytic anemia

Macrocytic anemia tuaj yeem tawg ua ob hom loj: megaloblastic thiab nonmegaloblastic macrocytic anemias.

Megaloblastic macrocytic anemia

Feem ntau macrocytic anemias kuj tseem megaloblastic. Megaloblastic anemia yog qhov tshwm sim ntawm qhov ua yuam kev hauv koj cov qe ntshav liab tsim DNA. Qhov no ua rau koj lub cev ua cov qe ntshav liab tsis raug.

Cov teeb meem ua tau suav nrog:

• vitamin B-12 tsis txaus
• folate deficiency
• qee cov tshuaj siv tshuaj, xws li kev siv tshuaj kho mob xws li hydroxyurea, tshuaj ua kom yuag, thiab cov tshuaj tiv thaiv kab mob siv rau cov neeg muaj mob HIV

Nonmegaloblastic macrocytic anemia

Nonmegaloblastic cov ntawv ntawm macrocytic anemia yuav yog los ntawm ntau yam. Cov no tuaj yeem suav nrog:

• haus cawv tsis txaus (cawv)
• daim siab mob
• hypothyroidism

Kev kuaj mob loj dua macrocytic

Koj tus kws kho mob yuav nug txog koj li keeb kwm kho mob thiab kev ua neej. Lawv kuj yuav nug txog koj kev noj haus yog tias lawv xav tias koj muaj hom kab mob ntshav tsis haum. Kawm paub txog koj cov kev noj haus yuav pab lawv nrhiav yog tias koj tsis muaj cov hlau, folate, lossis lwm yam cov vitamins B.

Kuaj ntshav

Koj tus kws kho mob yuav xaj kuaj ntshav mus kuaj saib puas muaj ntshav tsawg thiab ua kom cov ntshav liab ntxiv. Yog tias koj cov ntshav suav tas qhia tias tsis muaj ntshav, koj tus kws kho mob yuav ua lwm txoj kev kuaj uas hu ua kev lim ntshav rau koj. Kev ntsuam xyuas no tuaj yeem pab pom kev hloov pauv macrocytic lossis kab mob ntshav liab thaum ntxov rau koj cov ntshav liab.

Kev kuaj ntshav ntxiv ntxiv kuj tseem tuaj yeem pab pom qhov ua rau koj txoj kev mob loj dua thiab ntshav khov. Qhov no tseem ceeb heev vim tias kev kho raws li cov hauv paus hauv ntsis.

Thaum lub cev khoom noj tsis txaus ua rau muaj feem ntau macrocytic anemias, lwm yam mob lwm yam yuav ua rau qhov tsis muaj peev xwm. Koj tus kws kho mob yuav khiav cov kev kuaj xyuas seb koj cov zaub mov zoo npaum li cas. Lawv kuj tuaj yeem kuaj ntsuas ntshav saib seb puas haus cawv tsis ua hauj lwm, kab mob siab, thiab mob hypothyroidism.

Koj tus thawj kws kho mob kuj tseem yuav xa koj mus rau tus kws kho hematologist. Hematologist tshwj xeeb hauv kev ua haujlwm hauv cov ntshav. Lawv tuaj yeem txheeb xyuas qhov ua rau thiab yam tshwj xeeb ntawm koj txoj kev kuaj ntshav.

Kho kab mob macrocytic anemia

Kev kho mob rau kev mob ntshav qab zib tsom rau kev kho qhov ua rau muaj tus mob. Thawj kab kev rau kev kho mob rau ntau tus neeg yog kho cov khoom noj kom tsis muaj teeb meem. Qhov no tuaj yeem ua tiav nrog cov tshuaj ntxiv lossis zaub mov xws li zaub ntsuab thiab cov nqaij liab. Koj tuaj yeem noj cov tshuaj ntxiv uas muaj folate thiab lwm cov vitamins B. Koj kuj tseem xav tau tshuaj vitamin B-12 yog tias koj tsis nqus cov vitamin B-12 kom raug.

Cov zaub mov muaj vitamin B-12 muaj ntau:

• qaib
• fortified nplej thiab cereals
• qe
• cov nqaij liab
• ntsuas ntses
• ntses

Cov zaub mov muaj tshuaj folate ntau nyob hauv:

• zaub ntsuab tsaus, xws li kale thiab zaub ntsuab
• lentils
• enriched nplej
• txiv kab ntxwv

Teeb meem

Feem ntau ntawm cov mob ntshav qog macrocytic uas tshwm sim los ntawm cov vitamin B-12 thiab cov folate tsis txaus tuaj yeem kho thiab kho tau nrog kev noj zaub mov noj thiab tshuaj ntxiv.

Txawm li cas los xij, macrocytic anemias tuaj yeem ua rau muaj kev mob ntev ntev yog tias tsis kho. Cov teeb meem no tuaj yeem suav kev puas tsuaj mus tas li rau koj cov kev mob hlwb. Kev noj cov vitamins B-12 ntau heev yuav ua rau mob hlwb ntev mus. Lawv suav nrog mob hlab ntsha hlwb thiab dementia.

Yuav tiv thaiv macrocytic anemia

Koj ib txwm tsis tuaj yeem tiv thaiv kev mob ntshav qab zib, tshwj xeeb tshaj yog thaum nws mob los ntawm cov xwm txheej hauv qab ntawm koj txoj kev tswj hwm. Txawm li cas los xij, koj tuaj yeem tiv thaiv kom tsis txhob muaj ntshav khov los ntawm tus mob feem ntau. Sim cov lus qhia:

Txog kev noj qab haus huv cov ntshav liab

• Ntxiv ntau cov nqaij liab thiab nqaij qaib rau koj cov zaub mov kom koj cov vitamin B-12 kom tsawg.
• Yog tias koj yog ib tus neeg tsis noj nqaij lossis zaub, koj tuaj yeem ntxiv cov taum thiab tsaus, cov zaub ntsuab rau folate. Sim cov khoom noj ua kom muaj zog rau pluas tshais muaj vitamin B-12.
• Txo cov cawv koj haus cawv ntau.
• Tham nrog koj tus kws kho mob yog tias koj siv tshuaj tiv thaiv kab mob HIV rau tshuaj tiv thaiv kab mob HIV, siv tshuaj tua kab mob los yog tshuaj kho mob. Cov no yuav ua rau koj muaj feem muaj mob macrocytic anemia.