Poikilocytosis - ke eng? Joalo lentsoe makatsang!

Tseleng sekolong baeloji o ka hopola hore lisele tsa mali tse khubelu - lisele tse khubelu tsa mali e ikarabella bakeng sa lipalangoang tsa oksijene le carbon dioxide ho 'mele ea rona. nyenyane tsena, hangata ho ba le sebopeho chitja, kapa ho ba e tobileng ho feta, biconcave. Leha ho le joalo, ho hlahloba ka etsoa liteko tsa laboratori, na e senola mali fetotsoeng lisele tse khubelu tsa mali a motho a (oval, seoli e bōpehileng joaloka kapa pere e bōpehileng joaloka). Fetola nepahetse lisele tse foromo mali o bitsoa "poikilocytosis". ha e le eng? Ke mang ea tla bolella.

Overview

Poikilocytosis - mali boloetse moo lisele tse khubelu tsa mali mutated foromo hampe tsoele oksijene ho lisele tse 'mele. Hangata ka ho fetisisa lefu lena le hlaha ka batho ba nang le mofuta ofe kapa ofe oa khaello ea mali.

"Poikilocytosis - ke eng?" - lintho tse amanang le ena potso tsohle tobane le lefu lena. E lokela ho utloisisa hore e le karolo ea lisele tse khubelu tsa mali a sebopeho tsoeng ntse ho ka etsahala hore ba khutlele puso nepahetse. Re bua ka echinocytes le stomatocytes. Ba bang kaofela ba mofuta o pathological (acanthocytes, sekele seleng ea kodotsity, dakriotsity et al a.) Na ha etsolloa.

Poikilocytosis ka kakaretso teko ea mali. Mefuta e sa tsoaneng le mefuta e

Ho le joalo, lefu le mali amanang le khubelu bophelo phytoteratology seleng ea mali, 'nile la bitsoa "poikilocytosis". ke eng ho eona, hona joale ho hlakile. Empa liforomo pathological tsa erythrocytes lekana. A re hlahlobeng ba ka sehloohong.

• Echinocytes - e chitja seleng e le appendages ngata. Hangata ka ho fetisisa ba teng ka ho hlahloba batho ba nang le uremia.
• Stomatocytes - e ke lisele tse khubelu tsa mali, khonvekse ka lehlakoreng le leng 'me concave ka tse ling. Ho ba teng ha lisele tsa tsena e hlokomela haholo-holo ka bakuli ba nang le mofuta o lefa ya stomatotsitoza. lebitso la e mong stomatocytes - gidrotsity.
• Acanthocytes - shporoobraznye lisele tse le e hlaheletseng ho holim'a dithulaganyo le spinous. Poikilocytosis erythrocytes foromo akantotsitnoy hlokometse ka neyroakantotsitoze le abetalipoproteinemia.
• Sekele seleng ea - ka le ka liseleng sekele nang haemoglobin S, e leng se ka polymerize le oksijene-leqeme deform lera le ka mali.
• lisele tse mishenevidnye le sebakeng seo e ile ea eketseha holim 'ka lebaka la ho e feteletseng ea k'holeseterole e ka ba - Kodotsity. Poikilocytosis ka and analysis kakaretso ea mali ka foromo ena le hlaha ka haemoglobinopathies C le S, nako e telele nyooko le botahoa pele.
• Dakriotsity emela lisele tse slezopodobnye, re hopotsang droplet ka. Hangata ka ho fetisisa, erythrocytes tsena fetotsoeng ba khetholloa ka ho batho ba nang le lefu la sebete nang le chefo e, le haella haholo tšepe, myelofibrosis.
• Microspherocytes - lisele tse itseng, boikemisetso a lona a hloka tlhokomelo e khethehileng. Na le sebopeho chitja tsa botenya kgolo, empa bophara nyenyane. mofuta ona wa lisele tse khubelu tsa mali ho tloaelehile bakuli ba khaello ea mali haemolytic.
• Elliptotsity - oval lisele tse khubelu tsa mali, tse fumanoang ka batho ba phetseng hantle. palo ea lisele tse tsena ka mali a batho ha ea lokela ho feta 8-10%. Ha ka holimo monyako o lokela ho bua ka mefuta e sa tšoaneng ea khaello ea mali kapa lefa elliptotsitoze.

Discoloration erythrocyte poikilocytosis

Mofuta o tloaelehileng haholo oa ho colouring fetotsoeng tsa lisele tse khubelu tsa mali - hypochromia tšoauoa ka bophara setsi seleng ea unstained. Sena ke ka ntlha ya go tlaase erythrocyte Hb ho tlala.

Fapaneng ketsahalo - hyperchromia. ketsahalo ena ke e loketseng ho ho tlala tse phahameng tsa khubelu seleng ea mali Hb. Le kopana ka foromo ena pathological tlase hangata e le e hangata ka ho fetisisa e amanang le ho hloka oa vithamine ea B12 le folic acid.

Polychromatophilia - ke ho khetholla lisele tse khubelu tsa mali grayish mmala. Ho fetisisa ea lisele tsena mali a hlokomela bakuli le khaello ea mali haemolytic.

Kenyelletsoa ka lisele tse khubelu tsa mali

Poikilocytosis mali bontša ka boeona e seng feela ka fetotsoeng foromo lisele tse khubelu tsa mali le shades, empa hape ka boitsebiso likarolo ka lisele tsa pathological lesapo moko nchafatso.

• Taurus feat - palo e nyenyane ea (ka tloaelo ho 1-3) ba inclusions nyane bopherese bofubelu mmala. boteng ba bona e le ntho e tloaelehileng maling a masea. Ka motho ea phetseng hantle tsena inclusions tšoanang fumanoa lokela ho ba.
• Kebota mehele - tse bakiloeng ea khetla megaloblasts konokono, penta ka mmala khubelu.
• Basophilic granularity - motheo oa granules ba putsoa, e leng e bontšoa ha chefo loto, megaloblastic khaello ea mali le thalassemie.
• Taurus Heinz-Ehrlich - ho kenyelletsoa ha lintlha, tse thehoa ho tswa ho denatured Hb. Phumano ea mefuta ena pathological - ka khoneha pontšo ea hemolysis.

Tekanyo ea ponahalo

Lengolo la tsejoa poikilocytosis mamello e bontšoa ke litšoantšo kapa melemo ena. A re ke re hlahlobeng tse ngata ka ho qaqileng:

• 1 kapa (+) - itseng se senyenyane sa lefu lena. 25% ea lisele tse khubelu tsa mali a fapana ka boholo ho tloha lisele tse phetseng hantle.
• 2, kapa (++) - e leka-lekaneng poikilocytosis. 50% ea lisele mali ka boholo ha le lumellane le ntho e tloaelehileng. Lokela ho hang-hang qala kalafo.
• 3, kapa (+++) - bontša poikilocytosis, ao ho 'ona ho fihlela ho 75% ya erythrocytes li senyehile.
• Kapa 4 (++++) - hlobaetsang mofuta o mong oa lefu lena. All lisele tse khubelu tsa mali a ka bophelo bo botle.

Re tšepa hore ka tsona sehloohong sena u tla fumana karabo ea potso e reng: "? Poikilocytosis - ke eng" - 'me ka ithuta ka lisosa tsa simolohile.