Kusiyanisa manzwiro ekuwana chirwere chepachivi uye chirwere chekushaya simba anemia

Anemia uye Arthritis

Anemia chirwere chinowanikwa apo ropa rine nhamba dzisingaverengeki dzemasero matsvuku eropa kana chiyero che hemoglobin. Hemoglobin ipuroteni yakawanda yesimbi-iyo inosungira oksijeni mumapapu kuitira kuti inogona kutakurwa kune masukisi mumuviri wose.

Anemia inowanzoshamisa kune vanhu vane zvirwere zvechirwere chinonzi arthritis, zvakadai sedheumatoid arthritis .

Semuenzaniso, chirwere chekushaya ropa chirwere chisingaperi chine chirwere chekushaya ropa chinokonzerwa nekuputika . Chirwere chepachirwere chechirwere chisingagumi chinofanira kusiyaniswa nemamwe marudzi ekushaya ropa, asi, nokuti kurapwa kunoenderana nemhando.

Zviratidzo zveAnemia

Zviratidzo zvakajairika zvinokonzerwa nehutano hwepanyama zvinosanganisira kuneta, kupererwa kwemhepo , chizivo, kukurumidza kutsamwa, kusagadzikana kwepfungwa, kuora musoro, maoko anochera, tsoka dzinotonhora, ganda rinotonhora kana rakatsvuka, uye kurwadziwa kwepfupa . Munhu ane chirwere chekushaya ropa anokwanisa kuwana imwe kana zvimwe zvezviratidzo izvi. Kana pasina zviratidzo zvisingaoneki kana zviratidzo zvekushaya ropa, chirwere chacho chinogona kuitika chisingaoneki kusvikira kuongororwa ropa kunoitwa.

Mhando dzeAnemia

Iron-inoshaiwa anemia ndiyo inowanzosvibisa chirwere chekushaya ropa . Sezvo zita rayo rinoratidzira, rudzi urwu rwehutachiona hunovapo kana iwe uine huwandu hwakawanda hwedare mumuviri wako. Kazhinji, kurasikirwa neropa ndicho chikonzero chesimbi-kushaya simba anemia, kutora mashoma kwesimbi kunogona kukonzera mamiriro acho.

Vitamini-inoshaya anemia inogona kukura kana kune madiki mavitamini B12 kana folic acid mumuviri. Nekushaya B12 , kazhinji vitamini haisati yakanyatsogadziriswa. Pernicious anemia chimwe chezvikonzero zvakawanda zvekushaya B12.

Aplastic anemia chirwere chisingawanzwi chinoputika apo muviri unorega kubudisa nhamba yakakwana yemasero matsvuku eropa.

Zvirwere zvepachirwere, kusvibiswa kumakemikari anokonzera, zvirwere zvekudzivirira muviri , uye zvimwe zvinodhaka zvinoonekwa sechikonzero chinokonzera.

Hemolytic anemia inowanikwa apo kune kusakara kwemasero matsvuku eropa muropa kana chirwere. Zvimwe zvinokonzera zvinosanganisira zvikonzero zvemagetsi (semuenzaniso, aneurysm), hutachiona, chirwere chemoto, kana kuti congenital kana kusakosha nhaka (semuenzaniso, sickle cell anemia ).

Chirwere chepachirwere chechirwere chisingaperi chine chirwere chekushaya chirwere chinokonzera kuchipiri kune imwe mamiriro ezvehutano. Inogona kubatanidzwa nekenza, zvirwere zvepfungwa, chirwere chechiropa, chirwere chetachiona, rheumatoid arthritis, kana chero mamiriro ezvinhu anokanganisa kubudiswa kwemasero matsvuku eropa.

Kusiyanisa manzwiro ekuwana chirwere chepachirwere chechirwere kubva kuIndaneti-Kushaya Njodzi Anemia

Kune vanhu vane marwaramiro emakemikari emakemikari, zvinokosha kusiyanisa pakati pemhando mbiri dzinowanzosvibisa chirwere chinokonzera ivo - iron-kukwana uye anemia ane chirwere chisingaperi. Vakawanda vane arthritis varwere vanotora NSAID (nonsteroidal anti-inflammatory drug) sechikamu chehurongwa hwehutano hwavo. NSAIDS yakasungirirwa nehuwandu hwehutachiona hwekuita ropa . Varwere uye vanachiremba vanofanira kuziva nezvekuisa njodzi, kuongorora zviratidzo pamwe nekuongorora nguva dzeropa kuongorora ropa .

Sezvakambotaurwa, kurasikirwa kweropa kunogona kuva chikonzero chinokonzerwa nesimbi-kushaya simba anemia.

Anemia yeHwere Dzakare

Nehutachiwana hwechirwere chisingaperi, simbi yemetabolism inoshandurwa. Kana kutuka kunokonzerwa nemasikirwo emusikirwo emasikirwo , masimbi emagetsi mumutumbi anowedzera kuzvidzivirira, kutaura. Kana izvi zvichiitika, kune doro rakanyoroka mu hemoglobin, shoma shoma inobatwa nemuviri, simbi isina muviri inenge yakachengetwa mumasero eropa, uye inhengo ye ferritin inowedzera.

Anemia yehosha isingaperi haifambi mberi. Kazhinji, mahemoglobine anowedzera mune zvishoma kuderera pane yakarongeka, kwete kazhinji kuderera kupfuura 9.5 mg / dl.

Mune zvose zvesimbi-kushaya simba anemia uye anemia ane chirwere chisingaperi, serum iron yakaderera. Masero maduku maduku anogona kuonekwa zvinyoronyoro mumamiriro ezvinhu chero ose, asi anowanzoita sedare-inoshaya anemia.

Transferrin, puroteni inotakura iron, inokudzwa mune iron-inoshaya anemia - chiratidzo chokuti muviri unoda mamwe iron. Zvose zvakagadzirwa nesimbi-binding (TIBC), imwe nzira isina kufanira yekutrin, inopera muropa rehutachiona hwechirwere chisingaperi - chiratidzo chokuti mune iron yakawanda asi haisi nyore nyore. TIBC inowanzokwirira apo mashizha ematare anoderera uye akaderera apo mashizha ematare anokwidziridzwa. Mune iron-inoshaya anemia, TIBC inowanzopfuura 400 mcg / dl nokuti masiteri esimbi ari pasi.

Serum ferritin inowanzoshandiswa kusiyanisa pakati pemhando mbiri dzeanemia, asi inogona kukwidziridzwa pamberi pekuputika. Nemamiriro ekuvhiringidza, serum ferritin inogona kukwidziridzwa kuhutano hwakanaka, kunyange kana dare-kushaya simba anemia iripo. Inogona kuvhiringidza. Serum transferrin receptor test inogona kubatsira kuronga iyo nokuti haina kuderedzwa nekuputika. Mu iron-inoshaya anemia, serum transferrin receptor ichave yakakwirira. Mukushaya ropa kwechirwere chisingaperi, sarum transfrin receptor inowanzova yakaderera kana kuti iri pasi.

Anemia wezvirwere zvisingaperi haasi kurapwa nesimbi yekuwedzera. Zvimwe zvimbi zvinogona kuva zvinokuvadza, zvichienderana nehutachiona hwechirwere chisingaperi. Iron supplementation inogona kuratidzwa mune iron-inoshaya anemia, zvisinei. Uyewo, kana kuine ropa, zvinobuda ropa rinofanira kuonekwa.

Sources:

Anemia. American Society of Hematology.

Iron Disorders Institute. Anemia yeHwere Dzakare.