Created at:1/13/2025
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Ukubalwa okuphezulu kwe-hemoglobin kusho ukuthi unamaseli abomvu egazi amaningi noma amaprotheni e-hemoglobin egazini lakho kunokujwayelekile. Lesi simo, esibizwa nge-polycythemia, singenza igazi lakho libe mnyinyana futhi lithinte ukuthi lihamba kahle kangakanani emzimbeni wakho.
Ngenkathi ukuba namaseli abomvu egazi anempilo kubalulekile ekuthwaleni umoya-mpilo, amaningi kakhulu ngezinye izikhathi angabonisa izinkinga zempilo ezingaphansi. Ukuqonda ukuthi yini ebangela i-hemoglobin ephezulu nokuthi nini okufanele ufune usizo kungakunika ukuthula kwengqondo futhi kukusize wenze izinqumo ezinolwazi mayelana nempilo yakho.
Ukubalwa okuphezulu kwe-hemoglobin kwenzeka lapho igazi lakho liqukethe i-hemoglobin eningi kunezinga elijwayelekile leminyaka yakho nobulili bakho. I-Hemoglobin iyiprotheni enothile ngensimbi emaseleni abomvu egazi ethwala umoya-mpilo emathunjini akho iye kuyo yonke ingxenye yomzimba wakho.
Amazinga e-hemoglobin ajwayelekile ngokuvamile asukela ku-12-15.5 amagremu ngedesilitha kwabesifazane kanye no-13.5-17.5 amagremu ngedesilitha kwabesilisa. Uma amazinga akho elinganisa ngaphezu kwala mazinga, udokotela wakho angase ahlole ngokuqhubekayo ukuze aqonde ukuthi kungani.
Cabanga nge-hemoglobin njengamaloli okuletha athwala amaphakheji omoya-mpilo emzimbeni wakho wonke. Ukuba namaloli amaningi kakhulu emgwaqeni kungadala ukuminyana kwethrafikhi emithanjeni yakho yegazi, okwenza kube nzima ukuthi igazi lihambe kahle.
Abantu abaningi abanamazinga e-hemoglobin aphakeme kancane abaqapheli noma yiziphi izimpawu. Uma izimpawu zivela, zivame ukuthuthuka kancane kancane njengoba igazi lakho liba mnyinyana futhi ukujikeleza kushintsha.
Ungase uzwe ukukhathala noma ubuthakathaka, okungase kubonakale kudida ngoba amaseli abomvu egazi amaningi kufanele ngokwethiyori athwale umoya-mpilo omningi. Nokho, igazi elinqamulelayo lihamba kancane emithanjeni yakho, okungenzeka ukuthi kunciphisa ukusebenza kahle kokulethwa komoya-mpilo.
Nawa amanye amanye amanye izimpawu ongase uzibone uma ukubalwa kwakho kwe-hemoglobin kuphakeme kakhulu:
Lezi zimpawu zingahambisana nezinye izimo eziningi, ngakho azizona izinkomba eziqinisekile zodwa. Uma uhlangabezana nezimpawu eziningi ngasikhathi sinye, kufanelekile ukuxoxa nodokotela wakho.
Ukwanda kwe-hemoglobin kungase kubangelwe umzimba wakho ukukhiqiza amaseli amaningi egazi elibomvu noma ngenxa yezinto ezigxilisa amaseli egazi elibomvu onawo kakade. Ukuqonda imbangela ekhona ngaphansi kusiza ukunquma indlela engcono yokwelashwa.
Umzimba wakho ungase ukwandise ukukhiqizwa kwamaseli egazi elibomvu uma uzwa isidingo sokuthwala umoya-mpilo omningi. Lokhu kungenzeka ngokwemvelo ezindaweni ezithile noma njengempendulo ezimweni ezihlukahlukene zezokwelapha.
Izimbangela ezivamile eziholela ekwandeni kokukhiqizwa kwamaseli egazi elibomvu zihlanganisa:
Ngezinye izikhathi i-hemoglobin ephezulu ivela ekugxilweni kwegazi esikhundleni sokukhiqizwa ngokweqile. Lokhu kwenzeka uma ulahlekelwa uketshezi kodwa ugcina amaseli egazi elibomvu, okwenza igazi lakho ligxile kakhulu.
Izinto ezingagxilisa igazi lakho zihlanganisa:
I-High hemoglobin count ingabonisa izimo ezihlukahlukene ezingaphansi, kusukela ezimweni zesikhashana kuya ezifweni ezingamahlalakhona. Ukuhlonza imbangela eyinhloko kusiza udokotela wakho ukuthi anikeze ukwelashwa okufanele futhi aqaphe impilo yakho ngempumelelo.
I-Primary polycythemia vera yisifo esingavamile somnkantsha wamathambo lapho umzimba wakho ukhiqiza amaseli amaningi egazi elibomvu ngaphandle kwento ecacile ebangela. Lesi simo sithinta amaseli esiqu esisemnkantshini wamathambo akho, okubenza bakhiqize amanani amaningi amaseli egazi.
Ngokuvamile, i-high hemoglobin ithuthuka ngoba kunezimo ezinye ezenza isidingo esifanele sokuthwala umoya-mpilo omningi. Umzimba wakho usabela ngokunengqondo kulezi zimo ngokukhiqiza amaseli amaningi egazi elibomvu.
Izimo zezokwelapha ezingaholela ku-high hemoglobin zihlanganisa:
Izinto zemvelo nendlela yokuphila nazo zingaba nomthelela emazingeni e-hemoglobin aphakeme. Lezi zimo zivame ukuxazululwa lapho kuxazululwa into eyinhloko.
Izimbangela zesikhashana zingahlanganisa:
Ukubala okuphezulu kwe-hemoglobin ngezinye izikhathi kungazixazulula ngokwako, ikakhulukazi uma kubangelwa izinto zesikhashana ezinjengokuphelelwa amanzi emzimbeni noma izinguquko ze-altitude. Umzimba wakho uvame ukulungisa amazinga e-hemoglobin njengoba izimo zibuyela kokujwayelekile.
Uma ukungabi namanzi emzimbeni kubangele amazinga akho aphakeme, ukuphuza uketshezi olwanele ngokuvamile kusiza ukujwayela ukugxila kwegazi lakho phakathi nezinsuku kuya emavikini. Ngokufanayo, amazinga e-hemoglobin ngokuvamile ayancipha ngemva kokubuya ekuphakameni okuphezulu njengoba umzimba wakho uzivumela emazingeni avamile omoya-mpilo.
Nokho, i-hemoglobin ephezulu ebangelwa izimo ezingapheli njengesifo samaphaphu noma i-polycythemia vera ngeke ixazululwe ngaphandle kokubhekana nenkinga ekhona. Lezi zimo zidinga ukuphathwa kwezokwelapha okuqhubekayo ukuvimbela izinkinga.
Isikhathi sokuthuthuka sincike embangela. Ukuphakama kwesikhashana okuvela ekuphelelwe amanzi emzimbeni kungase kuxazululwe emahoreni angu-24-48 ngokuhambisana noketshezi olufanele, kuyilapho izinguquko ezihlobene ne-altitude zingathatha amasonto amaningana kuya ezinyangeni ukuthi zijwayele.
Ukuphathwa ekhaya kokubala okuphezulu kwe-hemoglobin kugxila ekubhekaneni nezinto ezilawulekayo nokusekela impilo yakho yonke. Nakuba ungenakuzelapha izimo zezokwelapha ezingaphansi ekhaya, izindlela ezithile zokuphila zingasiza ukuthuthukisa impilo yakho yegazi.
Ukuhlala unamanzi kahle kungenye yezinyathelo ezibaluleke kakhulu ongazithatha. Ukuthola amanzi afanele kusiza ukuvimbela ukugxila kwegazi futhi kusekela ukujikeleza okunempilo emzimbeni wakho wonke.
Nawa amanye amasu okusekela ongazama ekhaya:
Uma uhlala endaweni ephakeme, umzimba wakho ungase uzivumelanise kancane kancane ngokuhamba kwesikhathi, kodwa le nqubo ingathatha izinyanga. Abanye abantu bayazuza ekuvakasheni ngezikhathi ezithile ezindaweni eziphansi ukuze banike imizimba yabo ikhefu.
Kubalulekile ukukhumbula ukuthi izinyathelo zasekhaya zisebenza kahle kakhulu ekuphakameni okuncane noma ezimbangela zesikhashana. I-hemoglobin ephezulu ebalulekile noma eqhubekayo idinga ukuhlolwa kwezokwelapha kanye nokwelashwa.
Ukwelashwa kwezokwelapha kwe-high hemoglobin count kuncike embangeleni ongaphansi kanye nobukhulu besimo sakho. Udokotela wakho uzoqala ukusebenza ukuze athole ukuthi kungani i-hemoglobin yakho iphakeme, bese ethuthukisa uhlelo lokwelapha olwenzelwe isimo sakho esithile.
Nge-polycythemia vera, ukwelashwa kuvame ukubandakanya ukunciphisa inani lamaseli abomvu egazi ngenqubo ebizwa ngokuthi i-phlebotomy. Le nqubo isusa igazi emzimbeni wakho, okufana nokunikela ngegazi, okusiza ukwehlisa amazinga akho e-hemoglobin.
Udokotela wakho angase ancome imithi yokusiza ukuphatha amazinga aphezulu e-hemoglobin. Lokhu kwelashwa kusebenza ngezindlela ezahlukene ukunciphisa ukukhiqizwa kwamaseli abomvu egazi noma ukuthuthukisa ukugeleza kwegazi.
Ukwelashwa okuvamile kwezokwelapha kufaka:
Ezimbangela zesibili, ukwelapha isimo esiyisisekelo kuvame ukusiza ukujwayela amazinga e-hemoglobin. Ngokwesibonelo, ukuphatha i-sleep apnea ngemithi ye-CPAP noma ukwelapha izimo zenhliziyo kunganciphisa kancane kancane isidingo somzimba wakho samangqamuzana abomvu egazi engeziwe.
Udokotela wakho uzoqapha ukusabela kwakho emithini ngokuhlolwa kwegazi njalo. Lokhu kusiza ukuqinisekisa ukuthi amazinga akho e-hemoglobin aya ngokuya emazingeni ajwayelekile nokuthi awutholi imiphumela emibi emithini.
Kufanele ubone udokotela noma nini lapho ukuhlolwa kwegazi okujwayelekile kukhombisa amazinga e-hemoglobin aphakeme, ngisho noma uzizwa ulungile. Ukutholwa kwasekuqaleni nokuhlola kungasiza ekuvimbeleni izinkinga futhi kutholakale noma yiziphi izimo eziyisisekelo ezidinga ukunakwa.
Uma uhlangabezana nezimpawu ezingase zibonise i-hemoglobin ephezulu, ungalindi ukuhlolwa kwakho okulandelayo okujwayelekile. Izimpawu ezinjengobuhlungu bekhanda obuqhubekayo, ukukhathala okungachazeki, noma izinguquko embonweni zidinga ukuhlolwa kwezokwelapha.
Funani ukwelashwa ngokushesha uma uhlangabezana:
Hlela i-aphoyintimenti ejwayelekile uma uqaphela izimpawu ezithambile njengokukhathala okuqhubekayo, ubuhlungu bekhanda obuncane, noma izinguquko emibaleni yesikhumba sakho. Udokotela wakho angahlola lezi zimpawu futhi a-ode ukuhlolwa okufanele.
Uma unezici eziyingozi ze-hemoglobin ephezulu, njengesifo samaphaphu esingamahlalakhona noma i-sleep apnea, ukuqapha njalo kubaluleke nakakhulu. Udokotela wakho angase ancome ukuhlolwa kwegazi okuningi ukuze alandele izinguquko ngokuhamba kwesikhathi.
Izinto eziningana zingakhuphula amathuba akho okuba ne-hemoglobin ephezulu. Ukuqonda lezi zinto eziyingozi kukusiza kanye nodokotela wakho ukuthi bahlale beqaphele izimpawu zakuqala futhi bathathe izinyathelo zokuvimbela uma kungenzeka.
Ubudala nobulili badlala indima emazingeni e-hemoglobin, njengoba amadoda ngokuvamile enamazinga aphezulu kune-baseline kunabesifazane. Abantu abadala bangase babe sengozini enkulu yezimo ezibangela i-polycythemia yesibili.
Izimo zezokwelapha ezithinta ukulethwa komoya-mpilo zenza izici eziyingozi kakhulu ze-hemoglobin ekhuphukile. Umzimba wakho ngokwemvelo uzama ukubuyisela umoya-mpilo ongaphansi ngokukhiqiza amaseli abomvu egazi engeziwe.
Izici eziyingozi ezibalulekile zihlanganisa:
Izinto zemvelo nendlela yokuphila nazo zingaba nomthelela engozini yakho. Ukuhlala ezindaweni eziphakeme ngokwemvelo kuvuselela ukukhiqizwa kwamaseli abomvu egazi, kuyilapho imisebenzi ethile noma izinto ozithandayo zingakwenza uvele ezintweni ezithinta amazinga e-hemoglobin.
Ezinye izici eziyingozi zihlanganisa:
I-hemoglobin ephezulu ingaholela ezinkingeni ezingathi sína uma ingelashwa, ikakhulukazi ngoba igazi eliwugqinsi libeka ingcindezi eyengeziwe ohlelweni lwakho lwe-cardiovascular. Ukuqonda lezi zinkinga ezingaba khona kusiza ukugcizelela ukubaluleka kokuphathwa kahle kwezokwelapha.
Izinkinga ezikhathaza kakhulu zibandakanya amahlule egazi, angakheka kalula uma igazi lakho liqina kunokujwayelekile. Lawa mahlule angavimba ukuhamba kwegazi ezingxenyeni ezibalulekile zomzimba, okungase kubangele izimo ezisongela impilo.
Izinkinga ezihlobene nama-clot egazi zingabandakanya:
Izinkinga zenhliziyo nemithambo yegazi zingase zivele njengoba inhliziyo yakho isebenza kanzima ukuphusha igazi eliqinile emzimbeni wakho. Lo msebenzi owengeziwe ungase ugcine usithinta ukusebenza kwenhliziyo nokulawulwa komfutho wegazi.
Ezinye izinkinga ezingaba khona zifaka:
Izindaba ezinhle ukuthi ukwelashwa okufanele kunciphisa kakhulu ingozi yakho yalezi zinkinga. Ukuqapha njalo nokuphathwa kwezokwelapha okufanele kungakusiza ukuthi ugcine amazinga e-hemoglobin anempilo futhi uvikele impilo yakho yonke.
I-high hemoglobin count ingase iphuthelwe ezinye izimo eziningi ngoba izimpawu zayo zihambisana nezinkinga eziningi zempilo ezivamile. Lokhu kufana ngezinye izikhathi kungaholela ekubambezelekeni ekuxilongweni okufanele nokwelashwa.
Ukukhathala nobuthakathaka obuhambisana ne-high hemoglobin kungase kudidaniswe ne-anemia, ebangela amazinga aphansi e-hemoglobin. Zombili lezi zimo zingakwenza uzizwe ukhathele, kodwa zidinga ukwelashwa okuhlukile ngokuphelele.
Ukuqaqamba kwekhanda nesiyezi okuvela ku-hemoglobin ephezulu kungalingisa izimo ezihlukahlukene. Udokotela wakho udinga ukucabangela isithombe esiphelele somtholampilo ukuze enze ukuxilongwa okunembile.
Izimo ezingase zixutshwe ne-hemoglobin ephezulu zihlanganisa:
Ngezinye izikhathi i-hemoglobin ephakeme iphuthelwa njengokuhlukahluka okuvamile, ikakhulukazi kubantu abahlala ezindaweni eziphakeme noma abanamazinga aphezulu ngokwemvelo. Kodwa-ke, ngisho nakulaba bantu, amazinga aphakeme kakhulu adinga ukuhlolwa.
Amaphutha elebhu nawo angaholela ekudidekeni. Ukuphelelwa amanzi emzimbeni ngesikhathi sokudonswa kwegazi, ukuphathwa kwesampula okungafanele, noma izinkinga zemishini kungase kubangele imiphumela ephakeme ngamanga. Udokotela wakho angase aphinde ahlolisise ukuqinisekisa okutholakele okungavamile.
Ukuphuza amanzi amaningi kungasiza uma ukuphelelwa amanzi emzimbeni kugxilisa igazi lakho futhi kwenze amazinga e-hemoglobin abonakale ephakeme kunalokho ayikho ngempela. Ukuthatha amanzi afanele kusiza ukugcina ivolumu yegazi ejwayelekile nokuvumelana.
Kodwa-ke, amanzi kuphela ngeke alungise i-hemoglobin ephezulu ebangelwa izimo zezokwelapha ezinjenge-polycythemia vera noma isifo samaphaphu. Lezi zimo zidinga ukwelashwa okuthile kwezokwelapha ukuze kulungiswe imbangela eyisisekelo yokukhiqizwa kwamaseli abomvu egazi.
I-hemoglobin ephakeme kancane ayinayo ingozi ngaso sonke isikhathi, ikakhulukazi uma kungokwesikhashana noma ngenxa yezinto ezinjengendawo ephakeme. Kodwa-ke, amazinga aphakeme kakhulu noma ukuphakama okuqhubekayo kungakhuphula ingozi yakho yama-clot egazi kanye nezinkinga ze-cardiovascular.
Okhiye ukusebenza nodokotela wakho ukuthola imbangela nokulandela amazinga akho ngokuhamba kwesikhathi. Ngisho nokukhuphuka okuncane kufanele kunakekelwe ngudokotela ukuze kuqedwe izimo ezingaphansi futhi kuvinjelwe izinkinga ezingase zibe khona.
Ukuqeqeshwa okukhulu kokukhuthazela kungakhuphula okwesikhashana amazinga e-hemoglobin njengoba umzimba wakho uzivumela ezidingweni ezinkulu zomoya-mpilo. Lokhu kuvamile ukuba yimpendulo ejwayelekile ekuqeqeshweni futhi kungenzeka kungadingi ukwelashwa.
Kodwa-ke, uma amazinga akho e-hemoglobin eba phezulu kakhulu noma uqala ukuba nezimpawu, udokotela wakho kufanele ahlolisise ukuthi umkhuba wakho wokuzivocavoca ulungile yini noma ngabe ezinye izinto zingase zibe nomthelela ekukhuphukeni.
Ukuvama kokuqapha kuncike ekutheni amazinga akho aphakeme kangakanani nokuthi yini ebangela lokho. Udokotela wakho angase ancome ukuhlola njalo ngemva kwamasonto ambalwa ekuqaleni, bese enweba njalo ngemva kwezinyanga ezimbalwa uma isimo sakho sizinzile.
Uma uthola ukwelashwa okufana ne-phlebotomy, uzodinga ukuqapha njalo ukuze uqinisekise ukuthi amazinga akho ayaphendula ngendlela efanele. Umhlinzeki wakho wezempilo uzokwenza isimiso sokuqapha esifanele isimo sakho esithile.
I-hemoglobin ephezulu ngesikhathi sokukhulelwa ingakhuphula izingozi kumama nomntwana, okuhlanganisa amahlule egazi nezinkinga zokukhulelwa. Abesifazane abakhulelwe abane-hemoglobin ekhuphukile badinga ukuqapha ngokucophelela futhi bangase badinge ukunakekelwa okukhethekile.
Uma uhlela ukukhulelwa noma usuvele ukhulelwe nge-hemoglobin ephezulu, xoxa ngalokhu nomhlinzeki wakho wezempilo. Bangasiza ekuphatheni isimo sakho ngokuphepha ngesikhathi sokukhulelwa nokubeletha.