Anemia vs Hlau Deficiency
ntshav qab zib thiab tsis muaj hlau yog ob lo lus uas sib koom tes feem ntau vim tias feem ntau ua rau mob ntshav qab zib yog qhov tsis muaj hlau. Txawm li cas los xij, muaj ntau ntau rau anemia dua li cov hlau tsis muaj peev xwm. Yog li ntawd, nws yog ib qho tseem ceeb kom nkag siab qhov sib txawv ntawm ob nqe lus.
Anemia
Anemia txhais tau hais tias kev kho mob muaj qis dua li cov hemoglobin ib txwm muaj rau hnub nyoog thiab kev noj qab haus huv. Feem ntau, qhov qis tshaj plaws hemoglobin concentration yog 10mg / dl. Hemoglobin yog cov xim liab hauv cov qe ntshav liab. Nws yog tsim los ntawm plaub globin chains thiab plaub pawg heme. Hemoglobin yog lub luag haujlwm thauj oxygen hauv cov ntshav. Ib qho hemoglobin molecule tuaj yeem khi rau plaub lub pa oxygen molecules. Hemoglobin khi nrog oxygen thaum cov pa oxygen ib feem siab siab, thiab tso tawm cov pa khi, qhov twg nws qis. Yog li, physiologically muaj ob hom hemoglobin. Lawv yog deoxygenated thiab oxygenated hemoglobin. Thaum tus nqi ntawm deoxygenated hemoglobin siab, daim tawv nqaij hloov xim xiav, thiab qhov no hu ua cyanosis. Cov pa oxygen ib nrab ntawm cov ntshav hloov ntawm 10.5 KPa mus rau 13.5 KPa. Cov pa roj carbon dioxide li qub hloov ntawm 4.5 KPa mus rau 6 KPa. Anemia tuaj yeem yog vim muaj ntau yam.
Dab tsi ua rau ntshav ntshav tuaj yeem ua rau tsis zoo ntawm hemoglobin; ntau lawm txawv txav lossis ntau dhau lawm. Cov qe ntshav liab yog tsim nyob rau hauv cov pob txha pob txha ntawm cov neeg laus. Cov kab mob hauv pob txha ua rau tsis zoo (aplastic anemia). Tsis muaj cov hlau hauv lub cev qeeb qeeb ntawm cov qe ntshav liab thiab cov ntshav ntau dhau ua rau lub cev tsis muaj hlau (hlau deficiency anemia). Kev tsim tawm txawv txav ua rau hemoglobinopathies. Kev puas tsuaj ntau dhau ntawm cov qe ntshav liab ua rau hemolytic anemia. Cov kab mob ntev ntev tuaj yeem ua rau muaj kab mob ntshav qab zib.
Txhua hom kab mob ntshav qab zib no qhia txog cov tsos mob thiab cov tsos mob. Cov neeg mob uas muaj txhua hom ntshav qab zib yuav tshwm sim nrog kev qaug zog, txo qis kev ua haujlwm siab, tsis muaj zog thiab daj ntseg. Lawv kuj tuaj yeem mob hauv siab yog tias mob ntshav siab txaus. Ntxiv nrog rau cov yam ntxwv zoo sib xws, menorrhagia, hematemesis, melena, hemorrhoids, hemoptysis, qaug zog, mob pob txha, mob rov tshwm sim, angular stomatitis, coated nplaig, jaundice, zis tsaus nti thiab cov quav tsaus yuav nyob ntawd. Cov ntshav suav tag nrho yuav pom tias qis hemoglobin. Muaj ntau hom ntshav qab zib nyob ntawm qhov loj me, morphology thiab hemoglobin concentration hauv cov qe ntshav liab. Cov qe ntshav liab me (microcytic), cov qe ntshav liab loj (macrocytic), thiab cov qe ntshav liab tsis zoo (hypochromic) yog hom ntau. Daim duab ntshav yuav pab kom sib txawv ntawm hom. Cov kev tshawb fawb hlau yuav qhia txog cov xwm txheej ntawm lub cev hlau khw. Vit B, qib folic acid, serum bilirubin, urinalysis, pob txha pob txha biopsy tej zaum yuav xav tau los mus rau kev kuaj pom tseeb hauv cov teeb meem nyuaj. Hauv txhua hom ntshav qab zib, kev hloov hlau yog qhov tseem ceeb. Yog tias xav tau vitamin B, C, folic acid thiab kev hloov ntshav tuaj yeem muab.
Iron Deficiency
Iron deficiency yog muaj cov khw muag khoom hlau qis dua rau lub cev. Kev cia siab ntawm cov khoom siv hlau muaj qhov sib txawv ntawm cov poj niam, txiv neej, cev xeeb tub thiab lactation. Cov hlau tsis muaj peev xwm tuaj yeem yog vim cov khoom siv tsis zoo, kev poob ntau dhau, thiab kev siv ntau dhau. Kev noj zaub mov tsis zoo uas muaj cov ntsiab lus hlau tsis zoo, enteropathies ua rau lub plab zom mov tsis zoo, thiab ntau dhau ntawm cov qe ntshav liab vim yog qhov ua rau lwm yam tuaj yeem ua rau tsis muaj hlau. Cov qib hlau hlau, ferritin, thiab hlau khi cov protein ntau yog qhov tseem ceeb rau kev soj ntsuam cov khw muag khoom hlau. Iron deficiency anemia yog tshwm sim los ntawm lub cev tsis muaj hlau thiab ntshav poob.
Dab tsi yog qhov txawv ntawm Anemia thiab Iron Deficiency?
• Anemia yog qhov qis hemoglobin concentration thaum lub cev tsis muaj hlau tsis muaj hlau hauv lub cev.
• Anemia yog ib qho paub txog qhov tsis muaj hlau.
