Poikilocytosis - ndichiyani? Mawu otero lachilendo!

Zimene sukulu zamoyo mukakumbukire kuti maselo magazi wofiira - maselo ofiira ndi amene mayendedwe a mpweya ndi mpweya mu thupi lathu. corpuscles awa, kawirikawiri ndi mawonekedwe zozungulira, kapena kukhala enieni kwambiri, biconcave. Komabe, kusanthula anatenga zasayansi, angaulule magazi kusinthidwa maselo ofiira munthu (chowulungika, kachigawo woboola pakati kapena peyala woboola pakati). Kusintha zolondola maselo mawonekedwe magazi amatchedwa "poikilocytosis". Ndi chiyani icho? Ndani angafotokoze.

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Poikilocytosis - magazi matenda mmene maselo ofiira mutated mawonekedwe bwino kunyamula mpweya zimakhala thupi. Nthawi zambiri matendawa amapezeka anthu akuvutika mawonekedwe aliwonse a magazi m'thupi.

"Poikilocytosis - ndichiyani?" - zofuna Funso onse anakumana ndi matenda. Iwo ayenera kumvetsa kuti mbali ya maselo ofiira a mawonekedwe osasamba akadali zotheka kuti abwerere ku dziko zolondola. Tikuyankhula zokhudza echinocytes ndi stomatocytes. Otsala a mtundu pathological (acanthocytes, zenga selo kodotsity, dakriotsity neri Al.) Kodi sizingasinthe.

Poikilocytosis mu ambiri magazi. Mitundu ndi mitundu

Choncho, matenda magazi kugwirizana ndi wofiira thanzi mkhutu maselo a magazi, umatchedwa "poikilocytosis". Kodi izo, tsopano zikuonekeratu. Koma mitundu pathological wa erythrocytes zokwanira. Tiyeni tikambirane akuluakulu.

• Echinocytes - ndi ozungulira selo ndi zokhudzana angapo. Nthawi zambiri zidzachitika mu kusanthula anthu akuvutika uremia.
• Stomatocytes - ndi maselo ofiira, otukukira kunja mbali imodzi ndi concave mbali inayo. Kupezeka kwa maselo amenewa zimawonedwa makamaka odwala ndi mawonekedwe cholowa cha stomatotsitoza. dzina lina stomatocytes - gidrotsity.
• Acanthocytes - shporoobraznye maselo ndi yotundumukira kunja kwa mpanda padziko njira spinous. Poikilocytosis erythrocytes mawonekedwe akantotsitnoy anamuona neyroakantotsitoze ndi abetalipoproteinemia.
• Zenga selo - maselo zenga munali hemoglobin S, amene angathe polymerize ndi mpweya-chofunika deform Kakhungu mu magazi.
• maselo mishenevidnye ndi malo kuchuluka pamwamba chifukwa ndi muyeso wa mafuta m'thupi mwa iwo - Kodotsity. Poikilocytosis mu kusanthula ambiri magazi mu mawonekedwe limapezeka mu haemoglobinopathies C ndi S, yaitali matenda a chikasu ndiyo ndi kuledzera patsogolo.
• Dakriotsity kuimira maselo slezopodobnye, amatikumbutsa droplet a. Nthawi zambiri, erythrocytes izi kusinthidwa amadziwika anthu akuvutika chiwindi poizoni, ndi akusowa aakulu chitsulo, myelofibrosis.
• Microspherocytes - maselo yeniyeni, mtima umene amafuna kusamalidwa. Ndi mawonekedwe ozungulira a makulidwe lalikulu, koma m'mimba mwake yaing'ono. Mtundu wa maselo a magazi ndi ofanana odwala ndi magazi m'thupi hemolytic.
• Elliptotsity - chowulungika maselo ofiira, zimene zimapezeka anthu athanzi. chiwerengero cha maselo amenewa mu magazi a anthu sayenera upambana 8-10%. Pamene pamwamba pakhomo ayenera kulankhula za zosiyanasiyana za magazi m'thupi kapena cholowa elliptotsitoze.

Discoloration erythrocyte poikilocytosis

Mawonekedwe ambiri a mitundu kusinthidwa maselo a magazi - hypochromia yodziwika ndi lonse pakati selo unstained. Ichi ndi chifukwa otsika erythrocyte HB machulukitsidwe.

Zotsutsana chodabwitsa - hyperchromia. zodabwitsazi ndi chifukwa machulukitsidwe mkulu wa maselo ofiira magazi HB. Ndikapeza fomu iyi pathological zochepa zambiri ndipo nthawi zambiri kugwirizana ndi losowa vitamini B12 ndiponso kupatsidwa folic acid.

Polychromatophilia - ndi kupeza maselo ofiira grayish mtundu. Ambiri a maselo amenewa magazi anati odwala ndi magazi m'thupi hemolytic.

Mupezeke maselo ofiira

Poikilocytosis magazi kumaonekera osati kusinthidwa mawonekedwe maselo ofiira ndi mithunzi, komanso chizindikiritso cha zinthu maselo a pathological mafupa kusinthika.

• Taurus Jolly - ochepa (amangoona 1-3) wa inclusions yaing'ono violet-wofiira mtundu. pamaso pawo ndi ponseponse mu mwazi wa ana. Munthu akakhala wathanzi izi inclusions yemweyo anapezanso sayenera.
• Kebota mphete - ndi zotsala za chipolopolo megaloblasts pachimake, utoto mtundu wofiira.
• Basophilic granularity - akamanena za granules buluu, amene anaonetsanso poyizoni kutsogolera megaloblastic magazi m'thupi ndi thalassemia.
• Taurus Heinz-Ehrlich - ndi kulolerana, amene amapangidwa kuchokera denatured HB. Kudziwika mitundu imeneyi pathological - zotheka chizindikiro cha hemolysis.

Mlingo wa mawonetseredwe

Digiri kuzindikiridwa poikilocytosis mtima umaonekera kanjedza kapena ubwino. Tiyeni tikambirane zambiri mwatsatanetsatane:

• 1 kapena (+) - digiri ka matenda. 25% ya maselo ofiira zosiyanasiyana kukula kwa maselo wathanzi.
• 2, kapena (++) - zolimbitsa poikilocytosis. 50% ya maselo magazi ukulu si zizigwirizana yachibadwa. Kodi nthawi yomweyo anayamba mankhwala.
• 3, kapena (+++) - anasonyeza poikilocytosis, mmene mpaka 75% a erythrocytes ndi kuonongeka.
• Kapena 4 (++++) - pachimake mawonekedwe a matenda. Onse maselo ofiira wathanzi.

Tikukhulupirira kuti m'nkhani ino mupeza yankho ku funso lakuti: "? Poikilocytosis - ndichiyani" - ndipo anaphunzira zinthu zimene zimachititsa chiyambi chake.