Hemolysis ntawm cov ntshav yog txheej txheem nrog kev puas tsuaj ntawm erythrocytes (cov qe ntshav liab) thiab tso tawm hemoglobin. Tau kawg, qhov tshwm sim no yog ntuj tsim, txij li qhov nruab nrab cov qe ntshav liab nyob li ntawm 110-130 hnub. Txawm li cas los xij, qee zaum, kev puas tsuaj ntxov ntxov ntawm cov qe ntshav liab tuaj yeem ua rau muaj ntau yam teeb meem, thiab qee zaum tuag.
Hemolysis ntawm cov ntshav thiab nws ntau yam
Hnub no, nws yog ib txwm ua kom paub qhov txawv ntawm ob lub ntsiab ntawm cov kab mob hemolysis:
- Intravascular tawg ntawm erythrocytes tshwm sim ncaj qha rau hauv kab noj hniav ntawm cov hlab ntsha thiab yog nrog los ntawm kev tso tawm dawb hemoglobin rau hauv cov ntshav. Qhov kev ua txhaum cai no yuav tshwm sim los ntawm qee cov kab mob autoimmune, nkag mus rau cov tshuaj lom thiab ntau cov co toxins rau hauv cov hlab ntsha.
- Intracellular hemolysis ntawm cov ntshav yog nrog los ntawm kev puas tsuaj ntawm cov qe ntshav liab nyob rau hauv cov ntaub so ntswg ntawm ntau yam kabmob, tshwj xeeb tshaj yog lub siab, tus po thiab pob txha pob txha. ATnyob rau hauv feem ntau, qhov no yog ib tug natural mechanism rau pov tseg ntawm qub hlwb. Ib qib zuj zus tuaj yeem qhia tias muaj qee yam kab mob hnyav.
ntshav hemolysis: ua rau
Qhov tseeb, kev tawg ntawm cov hlwb liab tuaj yeem tshwm sim los ntawm ntau yam sib txawv, sab hauv thiab sab nraud.
- Ntau zaus, qee cov co toxins yog qhov ua rau, nrog rau tshuaj.
- Tseem tseem muaj tshuaj lom hemolysis, uas yog tshwm sim los ntawm tshuaj lom ntawm kab thiab lwm yam tsiaj.
- Raws li twb tau hais lawm, kab mob tuaj yeem tshwm sim tawm tsam keeb kwm ntawm qee yam kab mob loj hauv lub cev, suav nrog cov kab mob autoimmune, uas lub cev tiv thaiv kab mob tawm tsam nws cov qe ntshav.
- Kev hloov ntshav tsis tsim nyog tuaj yeem ua rau cov qe ntshav liab puas.
- Cov yam pheej hmoo muaj xws li kub hloov pauv, raug rau ultrasound.
Txawm li cas los xij, qhov laj thawj tseem ceeb heev, vim nws txiav txim siab xaiv txoj kev kho mob.
Hemolysis ntawm cov ntshav thiab nws cov tsos mob
Qhov tseeb, pathological hemolysis yog ib qho mob txaus ntshai heev. Nws cov tsos mob ncaj qha nyob ntawm tus nqi thiab qib ntawm kev puas tsuaj ntawm cov qe ntshav liab. Thiab tsis txhob hnov qab tias nws yog cov qe ntshav liab uas yog lub luag haujlwm rau kev sib pauv roj ntawm cov ntaub so ntswg - nrog rau lawv cov lej qis, oxygen tshaib plab tshwm sim.
Feem ntau, tawm tsam keeb kwm ntawm hemolysis, ib qho tshwj xeeb, sai heev ntawm kev mob ntshav qab zib. Nrog rau tus kab mob no, cov neeg mob yws ntawm qhov txo qiskev ua tau zoo, tas li tsis muaj zog, kiv taub hau, tsaug zog, tsis qab los noj mov. Yog hais tias kev puas tsuaj ntawm cov qe ntshav liab tshwm sim hauv lub cev, ces tus kab mob yog nrog los ntawm kev nce hauv daim siab thiab tus po, mob nyob rau hauv txoj cai hypochondrium. Hauv cov xwm txheej hnyav dua, jaundice tuaj yeem tsim - daim tawv nqaij thiab sclera ntawm lub qhov muag tau txais cov yam ntxwv daj daj.
Hemolysis ntawm cov ntshav: kho
Raws li tau hais lawm, kev kho ncaj qha nyob ntawm daim ntawv thiab ua rau hemolysis. Piv txwv li, nyob rau hauv cov ntaub ntawv ntawm lom, nws yog tsim nyog los tshem tawm cov co toxins los ntawm lub cev. Kev kov yeej ntawm cov tshuaj lom ntawm tus tsiaj yuav tsum tau muab cov tshuaj tua kab mob. Qee zaum, kev hloov ntshav yog ua, tab sis tsuas yog los ntawm tus neeg pub dawb tshaj plaws. Ntawm chav kawm, tus neeg mob tau muab lub txaj so thiab noj zaub mov tshwj xeeb. Qee zaum kev phais yog ua kom tshem tawm tus po.
