Zvirwere zvinosangana nekuparadzwa kwe erythrocytes pane intracellular kana intravascular level pamwe chete neboka rimwe rinonzi hemolytic anemia. Iyo inoratidzirwa kufa kweperi nguva isati yasvika nekuda kwezvinhu zvakasiyana-siyana. Kugadzikana kwe erythrocyte kunobva pane seproteins, hemoglobin, muviri weropa uye zvimwe zvikamu. Nemhaka yekuvhiringidza kwezvikamu zvepakati kana zvidimbu zve erythrocyte, inotanga kuparadzaniswa.
Hemolytic anemia - classification
Anemia inofanira kugoverwa mu congenital uye inowanikwa.
Akawana ndeyemhando dzakadaro:
- mafungiro ezvirwere anemia, anosanganisira autoimmune hemolytic anemia uye immune;
- Kwete-immune, inokonzerwa nehutungamiri hwezvinodhaka kana nekuda kwemaronda uye zvirwere.
Mune zvimwe zviitiko, kuwana anemia kunogona kuva chinhu chenguva pfupi, vamwe vanogona kupinda muchigarire chisingaperi.
Hereditary hemolytic anemia
Vanomuka nekuda kwekuremara kwemitumbi mutsvuku ivo pachavo. Sarudza kuti inogona kunge iri mudiki, kana iwe ukateerera kutapudzwa kwehemoglobin, kuonekwa kwejerice uye kuvapo kwezvirwere muhama.
Congenital anemia inosanganiswa ne:
- kushungurudzwa mubasa re enzyme yemasero matsvuku eropa;
- zvikanganiso muHemoglobin components (sickle-cell anemia);
- kusagadzikana muchitarisiko chemuviri we erythrocyte (microspherocytic hemolytic anemia).
Zvimwewo chirwere chinokonzera ropa chinogona kuitika kunyange pasina kushungurudzika kwemasero matsvuku eropa, asi vanoparadzwa pasi pesimba rerwere rakakomba.
Hemolytic anemia - zviratidzo
Zviratidzo zve hemolytic anemia kazhinji zvinofanana nekuratidzwa kweimwe ropa reemia. Asi iwe unofanira kuona chiremba kana ukawana chimwe chezviratidzo zvinotevera:
- misoro, kuneta , kushaya simba, moyo palpitations;
- pallor, ruvara rweganda rakatsvuka, ziso, nekuda kwekuwedzera kwemajeri nekuda kwekuparadzwa kwemasero matsvuku eropa re bilirubin;
- kuwedzera kwepleen, sezvo iri munhengo ino kuti rufu rwemasero matsvuku eropa runoitika, kurwadziwa kune rumwe rutivi rworuboshwe pasi pechibvu kunowanzoonekwa;
- kusviba kwemuti nekuda kwekuti yakazadzwa nemishonga yekuparara kwe hemoglobin.
Hemolytic anemia - kuongororwa
Chokutanga pane zvose, chiremba anofanirwa kugadzira anornesis yakazara yechirwere. Anofanira kuziva kana mumwe wehama dzake akawana hemolytic anemia, angave ari vagari vemakomo. Ichi chinhu chakakosha zvikuru, sezvo vagari veDagestan neAzerbaijan vane hutano hwekushaya ropa.
Nokuda kwekuongororwa, nyanzvi inofanira kuziva nguva iyo izvo zviratidzo zvekutanga zvekushaya ropa zvakaratidzwa.
Mukana wekufungira kuti akawana chirwere chekushaya ropa, chiremba achaedza kuziva chikonzero chakakonzera chirwere chacho. Kuti kusimbise kuvepo kwehupenyu hwekushaya ropa, zvakakosha kutarisira kune zvimwe zvisizvo zvepanyama (kushanduka kwemazino, kuwedzera kusingaverengeki).
Mushure mekuita annesnesis kuti asarudze hemolytic anemicia, chiremba acharayira kuongorora ropa. Iyo inotarisa kucheka kwehutano hwe hemoglobin uye kuwedzerwa kwehuwandu hwereticulocytes. Paunenge uchiongorora masero matsvuku eropa pasi pekroscope,
Hemolytic anemia - kurapwa
Hondo yekurwisa anemia inobva pane zvakaratidzwa zvayo uye kuwedzera kwechirwere chacho. Zvino shandisa nzira idzi:
- Ipa kugamuchirwa kwe glucosteroids, iyo inopesana nekukura kwezvirwere zvinoparadza masero matsvuku eropa.
- Kana sarmone therapy isingashandisi, ipapo spleen inobviswa.
- Kukunda kurwisa ropa, plasmapheresis inoshandiswa.