I-hemoglobin umchamo: kusho ukuthini? Izimbangela, izimpawu kanye ukubonakaliswa ukwephulwa

I-hemoglobin wumkhakha kwamangqamuzana egazi abomvu egazi abomvu. Iqukethe yensimbi, esiza unamathisele molecule umoya-mpilo ne-carbon dioxide futhi abakhulule ukugeleza kwegazi ezicutshini eziyishumi nemitshingo. I-hemoglobin itholakala ngaphakathi kwengqamuzana futhi bathole ezinye has a isisindo yamangqamuzana sezingeni eliphezulu. Through the izinso izihlungi kunzima kakhulu ukuba kudlule, ngakho ngokuvamile akufanele kube umchamo.

Nokho, uma le Ucwaningo luthole elithwala umoya-mpilo kule umchamo, ukuthi kusho, tshela udokotela ukuba khona. Futhi, njengoba umthetho, efana ukuthi libonisa ukuthuthukiswa kwamanye pathologies. Ukukhomba kubo, kubalulekile ukuqhuba uphethwe esibanzi.

I-hemoglobin umchamo: kusho ukuthini?

Ukuba khona-hemoglobin umchamo kungase kubonise ukuthuthukiswa izifo emzimbeni ezifana hemoglobinuria. Kwesinye isifo okuthiwa i-anemiya hemolytic. A uphawu lesi sifo kokuziphatha elithwala umoya-mpilo umchamo. Kulokhu, kukhona nokwahlukana ngaleso sikhathi zonke egazi. Emzimbeni, kulokhu ingaqala yiziphi izifo, isibonelo, umkhuhlane efanayo. Ngaphezu kwalokho, lesi sifo singumbulali akwazi ukuzibonakalisa ngemva hypothermia ezinzima, ukulimala ezihlukahlukene, ukusebenza komzimba.

It is a uhlobo ezinobuthi of hemoglobinuria futhi atholwe. uhlobo Kutholiwe libizwa paroxysmal hemoglobinuria ebusuku (Shtryubinga-Marchiafava isifo). Nquma ukuthola iminonjana elithwala umoya-mpilo kule umchamo, ukuthi lisho ukuthini, kumelwe kuphela onguchwepheshe. Mhlawumbe nje ukusetha nesineke atholwe hemoglobinuria.

Olunye uhlobo (enobuthi) libhekene hemolysis okukhulu. Bathola zonke izimpawu ubuthi enobuthi-zinambuzane, ezinobuthi, izinambuzane ezinobuthi. I-hemoglobin kungenzeka futhi isifo noMsekeli uma kukhona nengcindezi enamandla phezu ngezinyawo. Uhlobo eziyivelakancane ka hemoglobinuria - Kholodov.

Izimbangela elithwala umoya-mpilo kule umchamo

Esikhathini ekwelapheni izifo ezihlukahlukene igazi uma uhlola ukuhlolwa isiguli, odokotela bavame ukukuthola elithwala umoya-mpilo umchamo. Kusho ukuthini lokhu ku omdala? Mhlawumbe ubuthi Isihlungu, udayi, acid. I-hemoglobin kungenzeka emva ukusha kanye - kule nkathi, omunye ingxenye yalo ngefomu isibiyeli, futhi okusele ekhiqizwa ngenxa umcimbi nolokubhujiswa amangqamuzana abomvu.

Isizathu sokuba ukhona elithwala umoya-mpilo egazini bangaba ukugijima okukhulu, usheshe. Ukuze ulondoloze impilo, okwesikhathi esithile kubalulekile ukumisa Amazing. Amandla ukuqeqeshwa kuzoncika amakhono umzimba. ukusatshalaliswa kahle umthwalo amahora amabili ngesonto (mhlawumbe ekuseni nakusihlwa), give up imikhuba emibi. Qiniseka ukuba banamathele ngokudla ngendlela efanele, udle ukudla kuphela, ungakhohlwa mayelana amavithamini. Ukungenwa amakhaza futhi inadmissible, lokho kungase kubangele izimpawu ka-hemoglobin umchamo.

Inkomba esemqoka yokuba khona hemoglobinuria - staining umchamo umbala brown amnyama. Kodwa ungesabi umbala omnyama, uma usuku ngaphambi kokuba udle beet.

izimpawu

Ngokuvamile aqukethe elithwala umoya-mpilo kule umchamo akufanele. Lokhu kubonakaliswa kuyoboniswa nguMbusi ngokuvamile sibonisa uhlobo oluthile izinqubo ukuvuvukala emzimbeni, ukubhidlika kwalo kwemisipha izicubu kanye nezinye izifo eziyingozi ukuthi ukuthuthukisa emzimbeni. Hemoglobinuria ephelezelwa zimpawu ezilandelayo:

• izinhlungu zekhanda ezinamandla, okuyinto ukhule ube umuntu migraine;
• ubuhlungu emuva;
• retching, isicanucanu;
• buthakathaka komzimba;
• ezidabukile kuzo zonke ngokuhlanganyela;
• ukugula febrile;
• ukwandisa izinga lokushisa komzimba.

Phezu ukuthola lezi zimpawu kumele uye emtholampilo futhi uyohlola. Uma umchamo itholakala nge-hemoglobin, emi unogada, ngoba kube inkomba yokuthi ezinye iziyaluyalu nokukhubazeka umuntu emzimbeni.

zinhlobo isifo

Kwezokwelapha, kukhona izinhlobo eziningana esachazwa zokugula:

• ifomu ebusuku Paroxysmal. Isimo aluthola lapho nokwahlukana okusheshayo egazi lilimele.
• ifomu Toxic. hemolysis Massive. I-hemoglobin umchamo livela ngenxa ubuthi oqinile anobuthi iyiphi ubuthi izinto.
• Omasha fomu. Ukugula Ngokuvamile ubonakaliswa isimo sengqondo abasubathi nge osindayo onyaweni. Kungenjalo, leli fomu ibizwa ngokuthi amasosha egunjini lokuhlolwa kwezifo.
• ifomu abandayo Paroxysmal. Ziningi kakhulu ezingavamile. Zenzo ziwukubonakaliswa ejwayelekile ka haemolysis sokuhlasela kwamasosha omzimba.

ukuhlola

Uma i-hemoglobin itholwa e umchamo, kusho ukuthini? Yikuphi udokotela kufanele ukubhekana nalokhu zokugula? Urologist noma Nephrologist uyosingatha luhlolo okugcwele ngoba uyayazi imbangela. Uma kunesidingo, isiguli ingaqondiswa ku ukusihlola Ochwepheshe: udokotela wezifo zabesifazane, endocrinology, eyisazi.

Imiphumela yaloku kuhlola okungenhla indinganiso isimo inikezwe inalokhu izinyathelo ezilandelayo:

1. inhlolovo isiguli neluhlolo ephelele. Kuyadingeka ukucacisa umlando ephelele yokuphila, isimo sokugembula (ukuthi wabonakaliswa isikhathi eside, yiziphi izimpawu).
2. Qedela segazi.
3. ukuhlaziywa kwamakhemikhali kwegazi.
4. Urinalysis.
5. Ukukhomba amasayithi urinary ezithathelwanayo.
6. YeSampuli Rehberg.
7. Umchamo ngoba Nechiporenko.
8. ultrasound okhalo, lesisu, uhlelo urinary.

Uma idatha uphethwe akwanele, lo Udokotela angase anikeze isiguli i-MRI noma-CT scan.

I-hemoglobin umchamo - kusho ukuthini e ingane?

umama ngamunye uyayikhathalela impilo ingane yakho kanye nanoma yisiphi ukuphambuka kufanele ukusheshe wezingane usizo. Uma uqaphela ukuthi umbala umchamo ku ingane baba normal, ensundu-emnyama, kunesidingo esiphuthumayo iphumelele ekuhlolweni futhi ukuhlonza izimbangela zokugula. Uma i-hemoglobin ezitholakala umchamo, ukuthi lisho ukuthini, uthintane wabantwana.

Emva ukuhlaziywa lokuqala kufanele kwenziwe kamuva, nokulandelela cwaningo. Uma umchamo itholakala nge-hemoglobin, ingane izothunyelwa ukuhlola okunzulu - ultrasound ohlelweni genitourinary, isivivinyo igazi. Uma udokotela uyamisa hemoglobinuria ingane, ukuhlonza izimbangela zako, ke Kuzoqokwa ukuphathwa kunesidingo.

Izimbangela hemoglobinuria

Ngakho, i-hemoglobin umchamo omuhle - kusho ukuthini? Ngaphezu kwezimbangela eziyinhloko hemoglobinuria, ingane lesi simo singenzeka kunoma izimo:

• Phimosis kubafana.
• Ukutheleleka, lapho kukhona imfiva.
• Ukuvuvukala uhlelo urogenital.
• Glomerulonephritis.
• esingamahlalakhona kwezinso.
• Isifo sofuba.
• izifo emathunjini.
• Igazi iqembu okungalungile.
• Izifo uhlelo senhliziyo nemithambo yegazi.

Imithi

Lapho ukuhlaziywa wembula elithwala umoya-mpilo kule umchamo, kusho siyaqonda. Futhi manje ngalokho izinyathelo okudingeka zithathwe nendlela ngayo. Kumele ngokuqinile ukuhambisana nayo yonke izincomo udokotela. Uma hemoglobinuria kubonisa khona isifo, kufanele aphathwe. I izincomo main kulokhu zimi kanje:

1. Phakathi naso sonke isikhathi ukuphathwa kubalulekile ukusebenzisa uketshezi ngangokusemandleni okudambisa uhlelo urogenital.
2. lesigceme Maximum off hypothermia, futhi ebusika kungcono ngisho ukuphuma endlini.

ukwelashwa hemoglobinuria akuyona ukwenza izincomo elula kadokotela ngokwanele into enzima futhi ngesikhathi esifanayo ukusebenzisa imithi okhethiwe. Amaqembu elandelayo izidakamizwa ezingahle zinqunywe:

• amalungiselelo equkethe yensimbi;
• anabolics;
• Antioxidants;
• Vitamin izakhiwo;
• isisu.

Indlela eyisisekelo ukwelashwa hemoglobinuria ebusuku - ukumpompela (ukumpontshelwa) incibilikiswa amangqamuzana abomvu egazi. Le ndlela ihlukile ukumpontshelwa igazi fresh futhi inika yi omuhle uzinze ngokwengeziwe. Udinga ukuchitha ukumpontshelwa enjalo okungenani ezinhlanu. It kuncike ngezimo zesiguli, ngobucayi isifo.

Ngenxa yokwelashwa yesikhashana lingaze yaleli fomu lesi sifo isebenzisa izidakamizwa Anabolic "Nerobolum". Futhi njengoba ukwelashwa adjunctive - yensimbi izakhamzimba, gepatoprotektory, anticoagulants.