Txhua yam kev ntxhov siab rau lub cev tau tshwm sim hauv cov txheej txheem tshwm sim hauv nws. Txawm hais tias nws yog ib qho kev mus rau toj siab mus rau qhov siab txaus lossis qhov tsis txaus ntawm cov vitamin hauv kev noj haus. Xav txog dab tsi yog RBC anisocytosis.
Kev txhais ntawm anisocytosis
Anisocytosis yog cov txheej txheem pathological uas tshwm sim hauv lub cev raws li kev cuam tshuam ntawm ntau yam thiab kev hloov pauv hauv cov khoom zoo ntawm cov hlwb. Qhov no hloov qhov loj ntawm cov qe ntshav no. Feem ntau, thaj tsam ntawm erythrocytes yog nyob rau hauv thaj tsam ntawm 7 mus rau 9 micrometers nrog rau cov muaj pes tsawg leeg ntawm cov hlwb uas nws qhov ntau thiab tsawg mus dhau cov ciam teb no. Yog li, nws raug suav hais tias yog cov txheej txheem physiological ib txwm yog, ntxiv rau 70% ntawm erythrocytes ntawm qhov muaj txiaj ntsig zoo, 15% ntawm cov qe ntshav nrog qhov me me kuj tau txiav txim siab, thiab cov feem pua ntawm cov ntshav, tab sis twb loj.
Kev faib tawm
Pathology los ntawm ob hom:
- RBC anisocytosis.
- Anisocytosis ntawm platelets.
Kuj ua taumanifestation nyob rau hauv ob daim ntawv:
- Anisocytosis pom thaum cev xeeb tub.
- Anisocytosis hauv menyuam yaus.
Cia li sim seb nws yog dab tsi - erythrocyte anisocytosis.
Yuav ua li cas rau cov qe ntshav liab?
Cov qauv rau qhov loj ntawm cov qe ntshav liab (lub npe hu ua erythrocytes), raws li peb tau pom lawm, nyob rau hauv thaj tsam ntawm 7 txog 9 micrometers. Yog hais tias lub cell loj yog tsawg dua qhov tseem ceeb, ces cov qe ntshav liab no hu ua microcytes (lawv txoj kab uas hla yog tsawg dua 6.9 micrometers). Yog tias lawv qhov loj dua li cov qauv tsim, ces cov qe ntshav no hu ua macrocytes (inch ncav cuag 12 micrometers) lossis megalocytes (lawv tus lej muaj nqis tshaj 12 micrometers).
Yog li ntawd, los ntawm kev txheeb xyuas cov qe ntshav twg yog qhov tseem ceeb thiab kuaj pom: microcytosis, macrocytosis lossis ib hom sib xyaw ntawm anisocytosis (ua ke cov cim ntawm thawj thiab thib ob hom). RBC anisocytosis index yog lawv qhov loj me.
Txhua yam ntawm cov kab mob uas tau xaiv no muaj nws tus kheej ua rau kev loj hlob. Yog li, thaum kuaj pom microcytosis hauv tus neeg mob, peb tuaj yeem xav tias nws muaj qee yam kab mob ntev, piv txwv li, ntawm kab mob siab, lossis nws lub cev xav tau hlau lossis vitamin B 12. Yog tias, ntawm qhov tsis sib xws, tus neeg mob tau kuaj pom tias muaj. yog macrocytosis, nws tseem ceeb heev los txheeb xyuas qhov ua rau thiab ua txhua yam kev ntsuas tsim nyog los kho.
Peb tau saib erythrocyte anisocytosis. Tab sis muaj lwm yamxwm txheej.
Hloov pauv ntawm platelet loj
txheej txheem no tuaj yeem pom thaum nag lossis daus, koom nrog lossis tsis muaj cov khoom sib txuas hauv lub cev. Nws feem ntau tshwm sim los ntawm ntau yam kev hloov pauv myeloproliferative hauv lub cev:
- rau leukemia.
- rau anemia.
- rau kev mob hluav taws xob.
- rau kab mob kis.
- Nrog myelodysplastic syndrome.
- Rau Niemann-pick disease.
Etiological ua rau
Yuav ua li cas thiaj ua rau muaj kev sib txawv ntawm hom no:
- Cov no suav nrog kev noj zaub mov tsis zoo - feem ntau yog qhov tsis muaj cov vitamins thiab minerals, ua rau tsis muaj cov ntsiab lus hlau hauv lub cev, nrog rau cov vitamins B12 thiab A. Txij li cov vitamin B12 thiab hlau koom nrog hauv kev tsim. ntawm cov qe ntshav liab, yog li ntawd, lawv qhov tsis muaj peev xwm ua rau kev txhim kho cov duab anemic. Vitamin A txhawb cov txheej txheem ntawm stabilizing qhov loj ntawm cov qe ntshav.
- Hemotransfusion - ua ntej ua cov ntshav, nws yog ib qho tsim nyog yuav tsum tau ua tib zoo kawm los txiav txim qhov loj. Tus neeg pub lub cev yuav tsis muaj peev xwm tiv tau tam sim ntawd nrog cov qe ntshav ntau ntawm qhov txawv txav - qhov no yuav nyuaj rau nws.
Nyob rau hauv lub xub ntiag ntawm cov qog, tshwj xeeb tshaj yog cov nyob rau hauv cov pob txha pob txha, cov txheej txheem ntawm kev hloov qhov loj ntawm lub hlwb pib. Lub xub ntiag ntawm cov txheej txheem myelodysplastic ua rau tsim cov qe ntshav sib txawv.
Qhov no yog anisocytosis. Nws yog dab tsi, peb txheeb nws tawm.
Degrees ntawm qhov hnyav
Muaj ntau qib ntawm qhov hnyav ntawm pathology:
- Mild (tsis tseem ceeb), uas tus lej hloov pauv tsis tshaj 0, 25 lossis 25%, feem.
- Moderate (moderate severity) - feem pua ntawm cov hlwb li 50%.
- Severe - ntau dua 50% tab sis tsawg dua 75% ntawm feem pua ntawm cov hlwb ib txwm.
- Sarly pronounced (plaub degree) - tus naj npawb ntawm cov hlwb mus txog 100%.
Puas yog RBC anisocytosis txaus ntshai? Qhov ntsuas no tuaj yeem nce ntxiv hauv cov menyuam yaus thiab.
Anisocytosis hauv menyuam yaus
Kev kuaj xyuas cov ntsuas ntsuas ntawm macrocytosis hauv cov menyuam mos liab yog cov txheej txheem physiological, nyob rau ob peb lub hlis tom ntej no, cov qe ntshav rov qab los rau lawv txoj haujlwm zoo. Raws li cov poj niam cev xeeb tub, kuaj pom megalocytosis, uas yog txiav txim siab ntawm lub cev thiab tsis xav tau kev kho mob tshwj xeeb.
Dhau li ntawm qhov no, ib qho me me ntawm microcytes thiab macrocytes kuj tau pom nyob rau hauv cov ntshav ntawm tus menyuam noj qab nyob zoo, ib yam li cov neeg laus.
Cov menyuam yaus muaj kev pheej hmoo ntau dua los tsim cov kab mob no vim qhov tsis muaj cov zaub mov muaj hlau thiab cov vitamins ntau dua.
Hauv cov menyuam yaus, anisocytosis ntawm erythrocytes (tus qauv peb tau txiav txim siab) tsis yog li ntawd.
Kev kho mob
Kev kho mob pib nrog kev tshem tawm cov kab mob hauv qab, uas yog lub hauv paus ntawm kev txhim kho kom zooyam ntxwv ntawm cov qe ntshav.
Lub hauv paus ntawm kev kho mob ntawm cov kab mob no yog kev kho etiopathogenetic. Yog li yog tias qhov ua rau anisocytosis yog folate deficiency lossis hlau deficiency anemia, ces nws yog ib qho tsim nyog los kho cov kab mob ua ntej ntawm tag nrho cov, uas yog, cov kab mob uas coj mus rau cov txheej txheem pathological no. Txawm hais tias RBC anisocytosis qis lossis siab.
Kev kho mob hauv qhov no yuav tsum suav nrog kev noj zaub mov kom zoo thiab muaj txiaj ntsig, suav nrog cov hlau (rau cov tsis muaj hlau tsis muaj ntshav liab) lossis B vitamins. Cov zaub mov tsis tuaj yeem ua ke, zoo li hauv cov xwm txheej no, qee cov vitamins yuav tsis nqus. Piv txwv li, tannins muaj nyob rau hauv cov tshuaj yej muaj zog inhibit qhov nqus ntawm hlau. Cov tshuaj rau IDA yog cov khoom muaj hlau ("Ferrum-Lek"), thiab nyob rau hauv cov ntaub ntawv ntawm folic acid deficiency anemia, folic acid ("Cyanocobolamin" ntawm ib koob ntawm 500 milligrams intramuscularly).
Zoo kawg
Nyob rau qee qhov xwm txheej, kev kho mob tsis pom zoo, vim tias cov txheej txheem ntawm kev hloov pauv ntawm cov qe ntshav yog ib ntus, thiab tej zaum yuav muaj lub cev nqaij daim tawv, piv txwv li, hauv cov menyuam yaus lossis cov poj niam cev xeeb tub.
Txawm li cas los xij, nws yuav tsum nco ntsoov tias kev kho mob tsuas yog sau los ntawm kws kho mob thiab ntawm tus kheej xwb. Kev noj tshuaj rau tus kheej tsis tuaj yeem lees txais thiab tuaj yeem ua rau muaj teeb meem loj.
Peb tau tshuaj xyuas kom meej qhov anisocytosis ntawm erythrocytes.
