Isibalo Se-Hemoglobin Ephansi

I-Hemoglobin ikhona emangqamuzaneni akho abomvu egazi athwala umoya-mpilo usuka emaphashini uye kumaseli ahlukene emzimbeni. Amangqamuzana amaprotheni amane axhumene enza ukwakheka kwe-hemoglobin. Izinga elivamile le<em>hemoglobin egazini lakho lingamagremu angu-12 kuya kwangu-15 idesilitha ngalinye kwabesifazane, futhi elabesilisa lingamagremu angu-14 kuya kwangu-17 idesilitha ngalinye. Ku amacala aphansi inani le-hemoglobin, izinga le-hemoglobin lehla kakhulu. Yaziwa nangokuthi i-anemia. I-anemia iyinkinga evamile, futhi itholakala kakhulu kwabesifazane ngenxa yokuya esikhathini nokubeletha. Nge-anemia, igazi alinayo i-iron ne-hemoglobin.

Izimbangela Zesibalo Se-Hemoglobin Ephansi

Isibalo esiphansi se-hemoglobin singaxhunyaniswa nesifo/isimo esidala ukuthi umzimba ube namaseli abomvu egazi aphansi kakhulu. Lokhu kungenzeka uma

• Ulahlekelwe igazi
• Umzimba wakho ukhiqiza inani elincane lamangqamuzana abomvu egazi kunokuvamile
• Umzimba wakho ubhubhisa amangqamuzana abomvu egazi ngokushesha kunalokho angenziwa

Izifo nezimo ezenza umzimba wakho ukhiqize amangqamuzana abomvu egazi amancane kunokuvamile ahlanganisa

• Cancer
• I-aplastic anemia

Eminye imithi efana nemithi ye-chemotherapy yomdlavuza kanye nemishanguzo yezidambisigciwane yokutheleleka nge-HIV kuhlanganise nezinye izimo

1. Ukushoda kwe-Vitamin anemia
2. I-cirrhosis
3. I-Hypothyroidism (i-thyroid engasebenzi kahle)
4. I-Hodgkin's lymphoma (isifo sikaHodgkin)
5. Isifo sofuba esiswini (IBD)
6. Ukushoda kwe-iron anemia
7. Ubuthi obuholayo
8. I-leukemia
9. Isifo sezinso ezingapheli
10. Ama-syndromes we-Myelodysplastic
11. I-myeloma eminingi
12. I-non-Hodgkin's lymphoma
13. rheumatoid arthritis

Izifo nezimo ezingabangela umzimba wakho ukuthi ubhubhise amangqamuzana abomvu egazi ngokushesha kunokuba angakhiqizwa

• Thalassemia 
• Ubende olukhulisiwe (i-splenomegaly)
• I-Porphyria
• I-Hemolysis 
• Isifo se-anemia yesifo

ukulahlekelwa kwegazi futhi kuyisizathu sokubala kwe-hemoglobin ephansi, okungase kube ngenxa

• Ukunikela ngegazi njalo 
• Ukopha emgudwini wokugaya ukudla njengezilonda, umdlavuza noma hemorrhoids
• Ukopha kakhulu esikhathini (I-Menorrhagia): Ukopha kakhulu kokuya esikhathini, nakuba ngisho nokopha okuvamile kokuya esikhathini kungase kubangele i-hemoglobin ephansi kancane

Ukuqonda I-anemia

Umuntu one-hemoglobin ephansi egazini kuthiwa une-anemia, futhi uhlushwa yi-anemia. Ngokuya ngobunzima bazo, kunezinhlobo ezahlukene ze-anemia. Nakuba ezinye zimnene, ezinye zingaba nzima kakhulu. Umuntu one-anemia untula amangqamuzana abomvu egazi anele ukuze athwale umoya-mpilo owanele ezicutshini zomzimba. I-anemia kungakwenza uzizwe ukhathele futhi ubuthakathaka.

Xhumana nodokotela uma ungabaza ukuthi une-anemia. Kungaba uphawu oluyisixwayiso lwesifo esibi kakhulu.

Izinhlobo ze-anemia zihlanganisa

• I-anemia yokuntuleka kwe-iron: Kubhekwa njengohlobo oluvame kakhulu lwe-anemia, i-anemia yokuntuleka kwensimbi, njengoba negama libonisa, kubangelwa ukushoda kwensimbi emzimbeni wethu. Umnkantsha wethu udinga okusansimbi ukuze wenze i-hemoglobin futhi ngaphandle kwe-iron eyanele, umzimba wethu awukwazi ukukhiqiza i-hemoglobin eyanele yamangqamuzana abomvu egazi.
• I-aplastic anemia: Kuwuhlobo olusongela ukuphila lwe-anemia olubangelwa ukuhluleka komnkantsha wamathambo. Nge-anemia ye-aplastic, igazi alinawo amangqamuzana egazi abomvu, amangqamuzana egazi amhlophe namaplatelet.
• I-anemia eyingozi: Kungenxa yokuntuleka kwe-vitamin B12. Kubonakala kubantu abanenkinga yokumunca uvithamini B12.
• I-anemia ye-Genetic: I-anemia yezakhi zofuzo inemiphumela yesikhathi eside emzimbeni, futhi ukwelashwa kwayo kuthatha isikhathi. Izifo zofuzo nazo zingadala i-anemia, njenge-sickle cell anemia, i-alpha thalassemia, ne-beta thalassemia. 
• I-anemia ye-Hemolytic: kuwukuphazamiseka lapho umzimba ubhubhisa khona ama-RBC ngaphambi kokuba kukhiqizwe okwengeziwe.
• I-Autoimmune anemia: Kwenzeka ngenxa yezifo ezizimele njenge-rheumatoid sokuqaqamba kwamalunga. Ezimweni ezinjalo, udokotela ubeka umuthi we-immunosuppressive.

Izimpawu Ze-Hemoglobin Ephansi

Izimpawu ze-hemoglobin ephansi zivame kakhulu. Kunjalo:

• isiyezi
• I-nausea
• Ukungabi namandla
• Ubuhlungu emzimbeni
• Isikhumba esiphaphathekile nezinsini
• Ukuphathwa ikhanda njalo
• Ukuzizwa ngikhathele njalo
• Ukulahlekelwa kwesifiso
• Ukuzizwa unomkhuhlane
• Ukushaya kwenhliziyo okungavamile
• Ubunzima bokuphefumula

Sifo

I-hemoglobin ephansi ingatholwa kusetshenziswa a Gcwalisa Isibalo Segazi (CBC).. Kunezingxenye eziyisithupha ezinkulu ekuhlolweni kwesibalo segazi esiphelele - Isibalo sePlatelet, Isibalo samangqamuzana Egazi Abomvu (RBC), Isibalo Samangqamuzana Egazi Amhlophe (WBC), I-Hemoglobin, I-Hematocrit, kanye Nesibalo Segazi Esihlukile. Kulezi eziyisithupha, ezintathu zibalulekile ekuhlonzeni i-anemia. Amangqamuzana Egazi Abomvu, okungukuthi, inani le-RBC, i-hemoglobin, ne-hematocrit. Itshela odokotela ngenani le-hemoglobin ekhona egazini. Udokotela angase futhi akucele ukuthi uhlole ezinye igazi, kuye ngohlobo lwe-anemia, njenge-X-ray yesifuba, I-MRI, i-ultrasound jikelele, i-CT scan ye-pelvis nesifunda sesisu, njll.

Ukwelashwa

Ukwelashwa kwe-hemoglobin ephansi kuncike kumbangela yayo. Uma imbangela ye-hemoglobin ephansi kuwukungathandi ukudla, udokotela angase asikisele izinguquko ezithile ekudleni futhi uzocela ukuthi ushintshele ekudleni okune-iron. Ezimweni eziphansi ze-anemia, odokotela basikisela izithasiselo ze-iron ngomlomo nemijovo ye-iron. Uma une-anemia enzima, udokotela wakho angase asikisele ukumpontshelwa amangqamuzana abomvu egazi futhi athathe i-erythropoietin. I-Erythropoietin iyi-hormone ekhulisa ukukhiqizwa kwamangqamuzana abomvu egazi. Kanye nemithi enikezwa udokotela, kumelwe uzame futhi ukuzivocavoca njalo, ugweme ukubhema notshwala, ugweme ukudla ngokweqile i-caffeine, udle imifino eluhlaza, futhi uphuze amanzi anele ukuze ululame ngokushesha. 

Ukudla okuthile kucebile nge-ayoni. Lokhu kubenza babe yisinqumo esingcono kakhulu sokwelapha izibalo eziphansi ze-hemoglobin. Nalu uhlu lokudla okumele ukufake ekudleni kwakho.

• Imifino eluhlaza njengesipinashi nolethisi.
• Ilayisi.
• Irayisi elinsundu.
• Ukwatapheya.
• Ubhontshisi wezinso.
• Amantongomane
• Uphizi onamehlo amnyama.
• Amaqanda.
• Imfene.
• Ukhwathu.
• I-Tofu.
• Ama-Molasses.

Ungakwazi ukwandisa umthamo wokumuncwa kwensimbi emzimbeni wakho ngokudla ukudla okunothe ngovithamini C, okufana nalokhu: 

• Izithelo ezisawolintshi njengelamula namawolintshi.
• Amajikijolo.
• Imifino enamahlamvu.
• Isibindi sezinhlanzi.

Ukudla kwakho kufanele kuhlanganise uvithamini A kanye ne-beta-carotene futhi. Ukudla okunjengomango, izaqathe, nobhatata nakho kuyasiza ekumunceni insimbi. Izibhedlela ze-Apollo zinikeza isiqondiso sochwepheshe futhi zinikeza ukwelashwa okuthembeke kakhulu kwe-hemoglobin ephansi.

Cela isikhathi sokuhlangana e-Apollo Hospitals. 

Shayela ku-1860-500-1066 ukuze ubhuke i-aphoyintimenti.

Prevention

Esinye sezizathu eziyinhloko ze-hemoglobin ephansi ukudla okungalungile. Kufanele udle kahle, uphuze amanzi anele, futhi udle nezithako zokusansimbi.

Kafushane nje, izinga eliphansi le-hemoglobin liyithinta kabi impilo yakho. Ikwenza ube buthakathaka, ube buthakathaka, njll. I-ayoni iyingxenye enkulu yegazi, futhi ibalulekile ekusebenzeni kwayo. I-hemoglobin ephansi ilandelwa isibalo esiphansi samangqamuzana abomvu egazi kanye ne-hematocrit ephansi. Ungakwazi ukulawula i-hemoglobin ephansi ngezindlela ezihlukahlukene. 

Umuntu one-anemia kufanele aphumule phakathi kwemisebenzi yomzimba futhi agweme ukwenza imisebenzi edinga amandla amakhulu omzimba ukuze wonge amandla. Hlela usuku lwakho ukuze ukhiqize kakhudlwana, ugweme ukuphuza utshwala neziphuzo ezine-caffeine, uqinisekise ukulala ngokwanele, udle ukudla okulinganiselayo okucebile okusansimbi, ugweme ukucindezeleka, njll. Ezimweni eziningi, odokotela basikisela ukuhlolwa kwegazi ukuze kuqinisekiswe i-anemia kanye nohlobo lwayo. I-anemia ngokuvamile iyisifo eselaphekayo. Kodwa-ke, ezimweni ezimbi kakhulu, kungaba yingozi empilweni, noma kudinga isikhathi eside sokwelashwa. Akumele ulahlekelwe yithemba futhi uzinakekele kahle.