Txhua Yam Koj Yuav Tsum Tau Paub Txog Microcytic Anemia

Zoo Siab

• Microcytic anemia kev txhais
• Cov tsos mob ua mob mentsis
• Microcytic anemia hom thiab ua rau
• 1. Cov tshuaj tiv thaiv hypomromic microcytic anemias
• 2. Normochromic microcytic anemias
• 3. Cov kab mob hyperchromic microcytic anemias
• 4. Lwm yam ua rau microcytic anemia
• Kev kuaj mob microcytic anemia
• Microcytic anemia kev kho mob
• Outlook rau kev mob ntshav qab zib tsawg
• Tiv thaiv kab mob microcytic rau hauv koj cov zaub mov noj

Peb suav nrog cov khoom uas peb xav tias tseem ceeb rau peb cov nyeem. Yog tias koj yuav los ntawm cov txuas hauv nplooj ntawv no, peb yuav khwv tau nyiaj me me. Ntawm no yog peb cov txheej txheem.

Microcytic anemia kev txhais

Microcytosis yog ib lo lus siv los piav txog cov ntshav liab uas me me dua li ib txwm. Kev mob ntshav yog thaum koj tsis tshua muaj ntshav liab txaus ua haujlwm hauv koj lub cev.

Hauv microcytic anemias, koj lub cev muaj ntshav liab tsawg dua li ib txwm. Cov ntshav liab nws muaj kuj yog ib yam me me thiab. Ntau hom anemias tuaj yeem piav qhia yog microcytic.

Microcytic anemias yog tshwm sim los ntawm cov xwm txheej uas tiv thaiv koj lub cev los ntawm kev tsim hemoglobin txaus. Hemoglobin yog ib qho txuam ntawm koj cov ntshav. Nws pab thauj oxygen rau koj cov ntaub so ntswg thiab muab koj cov ntshav liab liab.

Hlau tsis muaj peev xwm ua rau feem ntau microcytic anemias. Koj lub cev xav tau hlau los tsim hemoglobin. Tab sis lwm yam mob tuaj yeem ua rau microcytic anemias, ib yam nkaus. Txhawm rau kho microcytic anemia, koj tus kws kho mob yuav kuaj pom qhov pib puas ua ntej.

Cov tsos mob ua mob mentsis

Koj yuav tsis pom muaj cov tsos mob tshwm sim ntawm microcytic anemia thaum xub thawj. Cov tsos mob feem ntau tshwm sim ntawm theem siab thaum tsis muaj cov qe ntshav liab rau koj cov ntaub so ntswg.

Cov tsos mob tshwm sim ntawm microcytic anemias suav nrog:

• kev nkees, qaug zog thiab nkees nkees
• poob ntawm qhov muaj lub zog
• txog siav
• kiv taub hau
• daj ntseg tawv nqaij

Yog tias koj muaj cov tsos mob no thiab lawv tsis daws nyob hauv ob lub lis piam, teem caij mus ntsib koj tus kws kho mob.

Koj yuav tsum teem sijhawm mus ntsib koj tus kws kho mob kom sai li sai tau yog tias koj muaj kiv tob hau lossis ua pa siav.

Microcytic anemia hom thiab ua rau

Microcytic anemias tuaj yeem piav qhia ntxiv raws li tus nqi ntawm hemoglobin hauv cov ntshav liab. Lawv tuaj yeem yog qhov yog hypochromic, normochromic, lossis hyperchromic:

1. Cov tshuaj tiv thaiv hypomromic microcytic anemias

Hypochromic txhais tau tias cov ntshav liab muaj ntshav tsawg tsawg dua li ib txwm. Cov ntshav hemoglobin tsawg hauv koj cov ntshav liab ua rau cov xim muaj xim. Hauv microcytic hypochromic anemia, koj lub cev muaj cov qe ntshav liab tsawg uas yog ob qho me dua thiab zoo dua li ib txwm.

Feem ntau microcytic anemias yog hypochromic. Hypochromic microcytic anemias suav nrog:

Anemia tsis muaj zog: Feem ntau ua rau microcytic anemia yog hlau tsis muaj zog hauv cov ntshav. Mob ntshav liab lub cev tsis txaus siab tuaj yeem tshwm sim los ntawm:

• kev noj haus hlau tsis zoo, feem ntau yog los ntawm kev noj zaub mov koj noj
• ua tsis taus cov hlau vim muaj tej yam mob xws li mob celiac lossis Helicobacter pylori mob
• mob ntshav tas mus li vim poj niam los yog pais plab hnyuv (GI) los ntshav los ntawm sab hauv GI mob rau sab hauv los yog mob hnyuv.
• cev xeeb tub

Thalassemia: Thalassemia yog ib yam kab mob ntshav siab uas tshwm sim los ntawm kev muaj keeb. Nws cuam tshuam kev hloov hauv cov noob xav tau rau kev tsim hemoglobin ib txwm muaj.

Sideroblastic anemia: Sideroblastic kev mob ntshav khov tuaj yeem tau los ntawm noob caj noob ceg (yug los ua qe). Nws kuj tseem tuaj yeem yog los ntawm cov mob uas tau txais tom qab lub neej uas cuam tshuam koj lub cev lub peev xwm los sib xyaw hlau rau ib qho ntawm cov khoom siv uas xav tau los ua hemoglobin. Qhov no ua rau muaj kev tsim cov hlau hauv koj cov ntshav liab.

Congenital sideroblastic anemia feem ntau yog microcytic thiab hypochromic.

2. Normochromic microcytic anemias

Normochromic txhais tau tias koj cov ntshav liab muaj ib qho hemoglobin zoo li qub, thiab cov hue ntawm xim liab tsis dhau xim daj lossis tob hauv cov xim. Ib qho piv txwv ntawm cov ntshav liab normochromic me ntsis yog:

Kev mob nkees ntawm o thiab mob mob: Kev mob ntshav ntshav vim yog cov mob no feem ntau yog muaj mob normochromic thiab normocytic (cov qe ntshav liab yog qhov loj). Hauv cov neeg nrog: Normochromic microcytic anemia yuav pom rau cov neeg uas muaj:

• cov kab mob kis, xws li tuberculosis, HIV / AIDS, lossis endocarditis
• cov kab mob inflammatory, xws li mob caj dab, mob Crohn's, lossis ntshav qab zib mellitus
• mob raum
• mob cancer

Cov mob no tuaj yeem tiv thaiv kom cov ntshav liab tsis ua haujlwm ib txwm muaj. Qhov no tuaj yeem ua rau kom cov hlau tsis tshua nqus lossis siv.

3. Cov kab mob hyperchromic microcytic anemias

Hyperchromic txhais tau tias cov ntshav liab muaj ntau ntau cov hemoglobin ntau dua li ib txwm. Cov ntshav ntshav ntau hauv koj cov ntshav liab ua rau lawv lub ntsej muag liab ntau dua li ib txwm.

Congenital spherocytic anemia: Hyperchromic microcytic anemias muaj tsawg. Lawv yuav tshwm sim los ntawm caj ces mob hu ua congenital spherocytic anemia. Qhov no tseem hu ua kab mob hereditary spherocytosis.

Hauv kev cuam tshuam no, daim nyias nyias ntawm koj cov ntshav liab tsis ua haujlwm kom raug. Qhov no ua rau lawv tsis yeem thiab tsis tuaj yeem muaj lub txim kheej kheej. Lawv raug xa mus ua kom tawg thiab tuag hauv tus po vim tias lawv tsis mus nyob hauv cov ntshav cov ntshav.

4. Lwm yam ua rau microcytic anemia

Lwm yam ua rau muaj tus mob microcytic suav nrog:

• taug txhuas lom
• tooj liab tsis txaus
• zinc ntau dhau, uas ua rau tooj liab tsis txaus
• haus cawv
• siv yeeb tshuaj

Kev kuaj mob microcytic anemia

Microcytic anemias feem ntau pom thawj zaug tom qab koj tus kws kho mob tau txiav txim siab kuaj ntshav uas paub tias ua tiav ntshav suav (CBC) rau lwm qhov laj thawj. Yog tias koj CBC qhia tias koj muaj ntshav khov, koj tus kws kho mob yuav hais kom kuaj lwm yam uas paub tias mob ntshav lossis txau ntshav.

Txoj kev ntsuam xyuas no tuaj yeem pab pom kev hloov pauv microcytic lossis loj heev rau koj cov ntshav liab. Hypochromia, normochromia, lossis hyperchromia kuj tseem tuaj yeem pom nrog kev kuaj mob peripheral ntshav smear.

Koj thawj tus kws khomob yuav xa koj mus rau tus kws kho hematologist. Hematologist yog tus kws tshaj lij uas ua haujlwm nrog cov ntshav tsis zoo. Lawv tuaj yeem muaj peev xwm soj ntsuam zoo tshaj plaws thiab kho hom mob tshwj xeeb ntawm tus mob ntshav qab zib (microcytic anemia) thiab txheeb xyuas qhov ua rau nws.

Thaum ib tus kws kho mob tau kuaj pom koj lub microcytic anemia, lawv yuav khiav cov kev ntsuas kom paub qhov ua rau muaj mob. Lawv yuav mus kuaj ntshav seb puas muaj mob celiac. Lawv yuav kuaj koj cov ntshav thiab cov quav H. pylori cov kab mob sib kis.

Koj tus kws kho mob yuav nug koj txog lwm cov tsos mob uas koj tau pom dua yog tias lawv xav tias qhov ua rau mob ntshav ploj tuaj yog qhov ua rau koj muaj mob ntshav khov. Lawv yuav xa koj mus ntsib tus kws kho mob plab plab yog tias koj muaj plab lossis mob plab. Tus kws kho mob soj ntsuam yuav khiav cov duab mus saib seb puas sib txawv. Cov kev ntsuam xyuas no suav nrog:

• mob plab hauv ultrasound
• sab sauv GI endoscopy (EGD)
• CT scan ntawm lub plab mog

Rau cov poj niam uas mob plab thiab lub caij hnyav, tus kws kho mob poj niam yuav nrhiav cov leeg hauv plab lossis lwm yam mob uas tuaj yeem ua rau cov dej ntws hnyav.

Microcytic anemia kev kho mob

Kev kho mob rau tus mob ntshav khov (microcytic anemia) tsom rau kev kho qhov pib ntawm tus mob.

Koj tus kws kho mob yuav qhia koj kom noj tshuaj iron thiab vitamin C ntxiv. Cov hlau yuav pab kho kev mob ntshav siab thaum vitamin C yuav pab koj lub cev kev muaj peev xwm nqus cov hlau.

Koj tus kws kho mob yuav tsom mus kuaj thiab kho qhov ua rau poob ntshav yog tias mob ntshav qis los yog mob ntev yuav ua rau lossis pab txhawb kev mob ntshav microcytic. Cov poj niam uas muaj lub cev tsis muaj hlau vim lub sijhawm hnyav heev yuav tau siv cov kev kho tshuaj hormones, xws li tshuaj noj txwv.

Yog hais tias muaj ntshav liab txaus ua rau koj muaj kev pheej hmoo rau cov teeb meem xws li mob plawv tsis ua haujlwm, tej zaum koj yuav tau tso ntshav tawm rau cov ntshav liab. Qhov no tuaj yeem nce cov qe ntshav liab kom zoo uas koj lub plab hnyuv siab raum xav tau.

Outlook rau kev mob ntshav qab zib tsawg

Kev kho mob tuaj yeem ua rau ncaj qha yog tias yooj yim noj haus muaj txiaj ntsig yog qhov ua rau microcytic tsis txaus. Tsuav yog cov hauv paus tuaj yeem siv tshuaj kho tus mob ntshav qab zib tau, txoj kev kho ntshav qab zib nws tus kheej tuaj yeem kho thiab txawm tias yuav kho tau.

Hauv cov uas mob hnyav, kev kho tus mob ntshav tsis haum yuav ua tau txaus ntshai. Nws tuaj yeem ua rau cov ntaub so ntswg hypoxia. Qhov no yog thaum cov nqaij mos yog tsis ua pa. Nws tuaj yeem ua rau muaj kev nyuaj siab nrog rau:

• tsis muaj ntshav siab, tseem hu ua hypotension
• lub plawv txoj hlab ntsha
• teeb meem ntsws
• poob siab

Cov teeb meem no muaj ntau dua rau cov neeg laus uas twb muaj mob ntsws los yog mob plawv.

Tiv thaiv kab mob microcytic rau hauv koj cov zaub mov noj

Txoj hauv kev zoo tshaj plaws rau kev tiv thaiv kab mob microcytic yog kom tau txais hlau txaus hauv koj cov zaub mov noj. Kev ua kom koj cov vitamin C ntau ntxiv tuaj yeem pab koj lub cev nqus tau hlau ntxiv.

Koj tuaj yeem txiav txim siab txiav txim siab noj cov khoom noj tshuaj hlau txhua hnub. Cov no feem ntau pom zoo yog tias koj twb muaj anemia. Koj yuav tsum nco ntsoov tham nrog koj tus kws kho mob ua ntej koj pib noj cov tshuaj ntxiv.

Koj tuaj yeem sim muab khoom noj muaj txiaj ntsig ntau ntxiv los ntawm koj cov khoom noj.

Cov zaub mov muaj hlau ntau:

• liab nqaij zoo li nqaij nyuj
• nqaij qaib
• tsaus nplooj zaub ntsuab
• taum
• txiv hmab txiv ntoo qhuav zoo li raisins thiab apricots

Cov zaub mov muaj protein ntau C:

• cov txiv hmab txiv ntoo, tshwj xeeb tshaj yog txiv kab ntxwv thiab txiv kab ntxwv qaub
• kale
• liab kua txob
• Zaub pob qe
• txiv pos nphuab
• zaub paj ntsuab