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KAMHUNi

kamhuniKAMHUNi (Anaemia; az yun. oin – hissachai inkori va haima – khun), anemiya, bemorie, ki ba on kam shudani miqdori eritrositho va gemoglobini khun khos ast. K. dar natijai ikhtiloli ravandi khunhosilshavi, talafi khun, vayron shudani zarrachahoi surkhi khun (eritrositho), nuqsi kori magzi ustukhon, ki uzvi asosii khunofar ast, paydo meshavad. K. metavonad hangomi baze bemoriho (mas., amrozi siroyati) niz inkishof yobad. K.- i vobasta ba norasoii ohan va vitamini V12 beshtar pahn shudaast.
Ohan chun moddai khimiyavi dar faoliyati organizm ahamiyati kalon dorad. On baroi hosil shudani gemoglobine, ki oksigenro az shush ba boftaho merasonad, nihoyat zarur ast. Hangomi narasidani ohan kori gadudhoi hozima, sistemai asab va mushakho vayron meshavad.
K.-i ohannoraso asosan dar natijai talafi khun ba vujud meoyad. Hunravii duru daroz, mas., hangomi bavosir yo zakhmi meda va rudai duvozdahangushta, boisi K.-i sakht megardad . Asosan zanhoe, ki dar vaqti hayz khuni bisyor talaf medihand, ba in namudi K. giriftor meshavand. Homilagii pay dar pay va muddati daroz sina makondani kudakon niz ba inkishofi K. musoidat mekunad. Gusht manbai asosii ohan buda, narasidani on dar voyai khurok, khususan dar gizoi kudakon, sababi K.-i onho megardad.
Alomathoi asosii K.-i ohannoraso chuninad: kam shudani gemoglobini khun dar hole, ki miqdori erirotsitho andake kam yo mutadil ast, vale har yak erirotsit gemoglobini nihoyat kam dorad (K.-i gipokhromi). Dar in mavrid nishondihandai rangi khun past meshavad. Bemorone, ki dar tarkibi khunashon ohan kam ast, rangparidaand, zud khasta meshavand, dard va charkhzanii sarro his karda, chashmonashon siyohi mezanad, muyashon merezad; nokhunhoyash murd shuda, bazan furu burdani khurok dushvor megardad; mekhohand bur, ohak, khuroki tundu tez va shur istemol namoyand.
Sababi paydoishi chunin zuhurot asosan ba ikhtiloli ravandi taminu istifodai oksigen az jonibi boftahoi organizm vobasta ast. Dar mavridi norasoii ohan faoliyati fermenthoi nafaskashi, ki oksigenro az uzvhoi nafasgiri ba boftaho merasonand, khalal meyobad. Paridani rangi ru va tez zadani dil hangomi kori jismoni alomati K. ast.
Baroi peshgiri va muolija K.- i ohannoraso sarivaqt oshkor va bartaraf kardani manbai talafi khun va murattab budani tagziya ahmiyati kalon dorad. Hangomi homilagi va sinamakoni istemoli khuroki sergizo (miqdori gusht ba darajai kofi boshad) modar va kudaki shirmakro az inkishofi K. peshgiri mekunad.
Muolijai K. qatiyan az rui tainoti dukhtur va dar sharoiti ambulatoriya ba muddati tuloni guzaronida meshavad. Alomathoi nakhustini behtar shudani ahvoli bemor bad az 3 hafta ayon megardand.
K.-e, ki ba narasidani vitamini V12 yo kislotai foliat (nig. Vitaminkohish) vobasta ast, kam vomekhurad. Ba chunin K., odatan, odamoni solkhurda, ki faoliyati pardai luobii medaashon vayron shudaast, inchunin marizoni giriftori gelmintozho, bazan zanoni homila duchor meoyand.
Az narasidani vitamini V12 yo kislotai foliat dar khun miqdori eritrositho kam meshavad. Sukhtani zabon, ishol va dar mavridi kuhna shudani bemori illati sistemai asab (noustuvori va dudilagii raftor va g.) alomathoi khosi in namudi K. meboshand.
Baroi peshgirii K.-e, ki az narasidani vitamini V12 yo kislotai foliat paydo meshavad, favran oshkor va muolija kardani illati medayu ruda (khususan hangomi ishol) zarur ast. Dar mahalhoe, ki kirmi tasmashakl pahn shudaast (nig. Difillobotrioz), rioyai qoidahoi behdosht va murojiati sarivaqti ba dukhturon ahamiyati kalon dorad.
K.-i az narasidani vitamini V12 sarzadaro ba maslihat va nazorati dukhtur tabobat boyad kard. Vitamini V12 dorui purtasir buda, bazan ba on kislotai foliatro hamroh mekunand.
K.-i gemolizie, ki sababi on ikhtiloli eritrositho ast, namudhoi gunogun dorad. On modarzod va gayrimodarzod meshavad; beshtar bo zard shudani pust va pardahoi luobi zohir megardad. Az hamin sabab bazan in namudi K.-ro ba bemorihoi jigar nisbat medihand. Baroi tashkhisi aniq va muolijai durusti K. ba dukhtur murojiat kardan zarur ast.

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