I-anemia ye-Megaloblastic ivela ngokuntuleka kwe-vitamin B12 noma i-folic acid, ehlanganyela iqhaza ekusunguleni amaseli egazi abomvu emzimbeni, futhi ezingeni lezinto eziphilayo libonakala ngokushintsha kwesimo futhi landa ngobukhulu bamaseli abomvu obomvu.
Izimbangela ze-anemia ye-megaloblastic
Izimbangela zokuntuleka kwala mavithamini yizi:
- ukungabi nevithamini B12 ne folic acid ekudleni;
- ezinye izifo zesimiso sokugaya ukudla, ikakhulu ukungena kwesibindi, isifo sofuba, isifo se-incology esiswini, isibindi noma emathunjini;
- ukuhlukunyezwa kwe-DNA okuzalwa futhi okutholile;
- ukuthatha izinhlobo ezithile zemithi, isibonelo, ama-anticonvulsants.
Izimpawu ze-anemia ye-megaloblastic
Ezimweni zokuqala, i-megaloblastic anemia iyatholakala kuphela lapho kuhlolwa ukuhlolwa kwegazi. Ngokuthuthukiswa kwesifo, kukhona izinguquko ezibonakalayo ezithombeni nasezikhunjweni:
- Isidlala se-oksijeni, ngenxa yalokho okushiwo isiguli esibuthakathaka, ukungakhathazeki emzimbeni. Kunesizungu, ikhanda, ukukhukhumeza nokuphefumula .
- Umthunzi omnyama wesikhumba.
- Ukuvuvukala kolimi (glossitis) nokuphazamiseka emagumbini ezindebe (stomatitis ene-angular).
- Ukuphazamiseka kokugaya.
- Ubungako bemikhawulo, ukwanda okukhulu, izinguquko ekuhambeni okubangelwa ukulimala ohlelweni lwezinzwa.
- Ekucwaningweni kwelabhutriki egazini kukhona ama-erythrocyte ashintshiwe, futhi ekuthunjweni kwe-puncture e-osteal-brain pathologically cell cells ezinkulu. Ukuhlola igazi kwegazi kuyodingeka kubonise izinga eliphezulu le-bilirubin ne-lactate dehydrogenase.
Ukwelashwa kwe-anemia ye-megaloblastic
Umgomo oyinhloko wezokwelapha we-megaloblastic anemia yodokotela nesiguli kungukuqedwa kwezimbangela zesifo:
1. Uma ukukhulelwa kwe-anemia kushukunyiswa izifo zamathumbu, khona-ke ukwelashwa kwalesi sifo sezempilo kwenziwa ngokuyinhloko.
2. Ukuntuleka kwe-enzyme ye-Hereditary kudinga ukwelashwa okushintshiwe.
3. Uma i-anemia yenzeka ngenxa yokuthatha imithi ethile, kutuswa ukuba ukhansele ukusetshenziswa kwabo noma, ku
4. Ukuntuleka kokudla kwe-vitamin B12 ne-folic acid kufanele kuqedwe, kufaka phakathi imikhiqizo efana nalokhu:
- inyama ebomvu;
- isibindi sesilwane;
- imifino eluhlaza (isipinashi, iklabishi, ulethisi, njll);
- izithelo, amajikijolo, izithelo zezithelo.
5. Kuboniswa ukudla okudingekayo kwamavithamini ama-complexes ngevithamini B12 kanye nokuqukethwe kwe-folic acid.