RBC Maitiro anobatsira kuona zvinokonzerwa nehutachiona hwezvirwere uye dzimwe zvirwere
Kana iwe uri kutarisa chikamu chako chebhupa tsvuku pane imwe CBC, unogona kuona nhamba dzakasiyana-siyana dzakabatanidzwa pamwe chete nehuwandu hwekuverenga. Iko tsvuku tsvuku yeropa, inonzi MCHC, MCV, MCH, uye RDW inopa mamwe mashoko pamusoro pemasero matsvuku eropa uye inogona kubatsira mukugadzirisa chinokonzera chirwere chekushaya ropa uye zvimwe zvirwere.
Ngatitarisei nezvemashoko akawanikwa muhuwandu hwehuwandu hwemvura ( CBC ), kusanganisira ropa renyu rekuyera ropa, uye kurukurai zvinorehwa uye kukosha kwechimwe chezvikamu izvi.
Your Complete Blood Count (CBC)
Izvo zvakakwana kuverenga ropa (CBC) kuongororwa ropa kunorayirwa navanachiremba kuitira kuti vagone kuongorora kuumbwa uye kunaka kwemasero eropa mumuviri wako. Aya masero eropa anosanganisira:
- Maso matsvene eropa (leukocytes) anobatsira kurwisa utachiona
- Masero matsvuku eropa (erythrocytes) ayo anoparadzira oksijeni mumuviri wose
- Platelets (thrombocytes) iyo inovhara ropa
Red Blood Cell Count (RBC)
Iko tsvuku tsvuku yeropa (RBC) ndiyo nhamba yemasero matsvuku eropa anowanikwa muropa rako. Chirongwa cheRBC chinowanzoenderana nezera uye zvepabonde:
- Kune vakadzi, 4.2 - 5.4 mamiriyoni / mcL
- Kune varume, 4.7 - 6.1 mamiriyoni / mcL
- Kune vana 4.1 - 5.5 mamiriyoni / mcL
A low red red cell count inonzi inemia . Kune zvikonzero zvakawanda zvakasiyana-siyana zvehutachiona hwehutachiwana, iyo inoshaya dare ndiyo imwe chete. Ropa tsvuku dzedopa rinobatsira zvikuru mukusiyanisa zvikonzero izvi zvakasiyana.
Chimwe chemasero chemasero matsvuku eropa chinonzi erythrocytosis kana polycythemia .
Zvinokonzera zvinogona kusanganisira kupera mvura (iyo iyo inenge isina kunyanya kukwirira, asi inowanikwa nenzira iyoyo nemhaka yehuwandu hwemvura inopa muropa), chido chekuwedzera kwe okisijeni kutakura simba reropa, zvakadai sekugara kumusoro, COPD, kana kuti kukanganiswa kwemoyo, uye kuwedzera kwekushandiswa kwemasero matsvuku mumapfupa emapfupa zvichienderana nemamiriro ezvinhu akadai se polycythemia vera.
Kunyangwe kutarisa kuwanda kweRBC count kunogona kukuudza kana nhamba yako yemasero matsvuku eropa ari pasi, akaenzana, kana akakwirira, haakuudze kuti nei kuverenga kuri kusina kunaka. Nokudaro kudikanwa kwekuwedzera kuongororwa kwemasero. Kunyangwe kana RBC yakaverengwa yakajairika, kutarisa maharasi eRBC dzimwe nguva inopa mazano anokosha pakuongorora mamiriro ekurapa.
Nhamba dzeRopa Dzvuku (RBC)
Pamwe chete neRBC yakawanda, maRBC mazano anopa ruzivo nezvehukuru uye hutano hwemasero matsvuku eropa. Izvi zvinogona kushandiswa kutsvaga chinokonzera uye kukurira kwehutachiwana uye kupa hutano hunokosha pamusoro pemamwe mararamiro aungave nawo.
Zvinyorwa zveRBC zvakanyorwa nezvinhu zvina zvakasiyana-siyana zvinozivikanwa sezvinoreva corpuscular hemoglobin concentration (MCHC), iyo inonzi corpuscular volume (MCV), zvinoreva corpuscular hemoglobin (MCH), uye red cell cell distribution width (RDW).
Zvinoreva Hemoglobin Concentration Concentration (MCHC)
Icho chinonzi corpuscular hemoglobin concentration (MCHC) ndiyo inowanikwa yakawanda ye hemoglobin mumasero matsvuku eropa.
Hemoglobin ndiyo puroteni ine iron-inotakura mumasero matsvuku eropa ayo basa iri kutakura oksijeni. Ichowo ichocho chinopa iyo inopa masero matsvuku eropa marara. Chero humwe humwe humwe huri muhutano hunogona kuita kuti masero aoneke zvishoma kana zvitsvuku.
MCHC inonyatsokuudza iwe kana masero matsvuku emunhu ane zvishoma kana zvishoma hemoglobin pane izvo zvaizotarisirwa. Nzira yakakwana yeMCHC iri pakati pe 33.4 uye 35,5 gm per deciliter kuvanhu vakuru. Chero kukoshesa kwekunze kwekunyoresa bhora kunotsanangurwa sezvizvi:
Pamusoro MCHC: Apo MCHC yakakwirira, masero matsvuku anonzi anonzi hyperchromic . Zvimwe zvinokonzera kukwirira kweMCHC (iyo isingawanzozivikanwa) inosanganisira:
- Zvimwe zvinokonzera hemolytic anemia , mamiriro ezvinhu umo miviri yechirwere chemasimba inorwisa masero matsvuku eropa
- Hereditary spherocytosis, ruzivo rwemamiriro ezvinhu anoratidzwa neanemia uye gallstones
Low MCHC: Apo MCHC iri yakaderera, masero anonzi anonzi hypochromic . Zvimwe zvinokonzera zvinosanganisira:
- Kurema kwehuni anemia . Nhamba ipi zvayo yemamiriro ezvinhu inogona kukonzera kushaya simba kwesimbi, kusanganisira kubata, kurasikirwa kweropa, kushaya masimbi yakawanda mumatumbo (zvichiita, somuenzaniso, nechirwere cheCeliac kana chirwere cheCrohn), uye kushaya zvokudya zvinovaka muviri zvesimbi.
Pasinei nehutachiona kana hypochromic, kurapwa kunonyanya kutarirwa mukurapa mamiriro ezvinhu aripo. Iron supplementation uye kuwedzera kwezvokudya zvekudya kwesimbi kunogona kubatsira kubata chirwere chinoshaya anemia, asi kuwedzera kwesimbi hakukurudzirwi kune vanhu vasina kusimba simbi (yakawandisa simbi inogona kuchengetwa muropa uye mwoyo). Kuwedzerwa ropa kunogona kushandiswa mumatambudziko akaoma.
Zvinoreva Maumbirwo Akafanana (MCV)
Izvozvo zvinoshandiswa kuwirirana (MCV) inoshandisa masvondo matsvuku eropa rekuyera, zvichireva kukura chaiyo kwemasero pachavo.
Ruzhinji rwakakwana rweMDCV rwunenge ruri pakati pevarume makumi mapfumbamwe nemakumi mapfumbamwe nemakumi matanhatu nezana nezana nemasere.
Low MCV: A low MCV inoratidza kuti masero matsvuku eropa maduku, kana microcytic . Zvimwe zvinokonzera zvinosanganisira:
- Ita chepfu
- Thalassemia (iyo thalassemias inokonzerwa nehutachiona hunoratidzwa nehutachiona hemoglobin)
- Anemia wezvirwere zvisingaperi
- Rheumatoid arthritis
- Giant cell arteritis .
Pamusoro MCV: MCV yakakwirira inoreva kuti masero matsvuku eropa akawandisa kupfuura ose, kana macrocytic . Zvinokonzera macrocytic anemia zvinosanganisira:
- Vitamini B12 inoshaya
- Kushayikwa kwechirwere (zvose zvinokonzerwa ne vitamini B12 uye kukanganisa kwemapurisa zvinonziwo megaloblastic anemia, nemhaka yeRBCs macrocytic)
- Chiropa chechiropa
- Kunwa doro
- Hypothyroidism
- Mishonga yakadai sedhemotherapy mishonga uye retroviral mishonga yeHIV
Kazhinji MCV: Zvakakosha kucherechedza kuti munhu angave ane anemia uye ane MCV chaiyo. Izvi zvinonzi normocytic anemia. Zvinokonzera zvinogona kusanganisira:
- Kuerekana kwarashira ropa
- Kuora kweiyo
- Hemolytic anemia
- Kusakwana kwezvokudya
Kureva Hemoglobin Corpuscular (MCH)
Izvozvo zvinonzi corpuscular hemoglobin (MCH) inowanikwa yakawandisa ye hemoglobin pamusero weropa tsvuku mune muenzaniso weropa. Nzira yakakwana yeMCH iri pakati pe 27.5 ne33.2 mapikicha pamasekeri.
MCH inokosha inofananidzwa zvakananga neCVV, uye vamwe vanachiremba vanoona kuti kuedza kwakanyanya. Sezvo zvakadaro, kana uwandu hwemasero matsvuku eropa hukuru (sekuenzaniswa ne MCV), huwandu hwe hemoglobin pamasero matsvuku eropa huchakwirira (sezvinoyerwa ne MCH), uye zvakasiyana.
Kunyange zvazvo MCH inogona kushandiswa yoga kuti ione kana chirwere chemahyamu chiine hyper-, hypo-, kana normocytic, MCV inofanirwa kufungwa pamwe chete neMCH sezvo serovhesi inobata zvakananga zvinyorwa zve hemoglobin pamusero.
Red Cell Distribution Width (RDW)
Red cell cell distribution width (RDW) chiratidzo chinoratidza kusiyana kwehukuru hwemasero matsvuku eropa (uye inokwana kuparara kweMMV). A RDW inowanzoreva kuti masero matsvuku eropa ose akafanana akaenzana, asi RDW yakakwirira inoreva kuti pane kuchinja kwakasiyana nekukura kwemasero matsvuku eropa.
Vamwe vanachiremba vanodavira kuti RDW ndeimwe yemhando inobatsira yakasvibirira masero ekuita zvirwere. Kunze kwebasa rayo pakubatsira kuongorora chirwere chemaperembudzi, RDW yakakwirira inogona kufanotaura kuvapo kwehutano hwehutano hwevanhu muvanhu vane ropa rakanyanya. Iyo inopawo zvinyorwa kune kushayikwa kwekudya kwekutanga kunogona kusingaonekwi pamwe chete nedzimwe mimwe miedzo. Pakupedzisira, iri muedzo wakanaka wekuona kana kuwedzerwa kuongororwa kunodiwa, kwakadai seperiipheral blood smear.
Ruzhinji rwakakwana rweRWW ndeye 10.2 kusvika 14,5 muzana.
RDW inobatsira zvikuru kana ichiongororwa pamwe chete ne MCV. Chimwe chezvikonzero zvinosanganisira:
High RDW uye pasi MCV (microcytic):
- Kurema kwehuni anemia
- Sickle cell anemia
High RDW uye yakakwana MCV (normocytic):
- Kurema kwehuni anemia
- Akabatanidza anemias
- Hemorrhage (mazuva mashomanana gare gare)
- Hemoglobin variants
High RDW uye yakakwirira MCV (macrocytic):
- Vitamini B12 inoshaya
- Kushayikwa kwechirikadzi
- Cold agglutinin chirwere
- Myelodysplastic syndrome
- Immune hemolytic anemia
Kazhinji RDW uye yakakwirira MCV :
- Chirwere chirwere (chisingaperi)
- Aplastic anemia
- Doro-yakabatana
Kazhinji RDW uye yakaderera MCV :
- Anemia wezvirwere zvisingaperi
- Mamwe marudzi e thalassemia
- Zvimwe zvisingawanzoitiki zvehemoglobine
Zvakakosha kucherechedza kuti izvi ndezvienzaniso zvishoma, uye kune mikana yakawanda.
Shoko Rinobva
ICBC ndeyekuenzanisa kweropa rekuongorora uye inosanganisira tsvuku dzeropa rekuverenga pane kuwedzera kuchena kwechiero cheropa uye maplatelet. Ropa rekuyera ropa rinogona kuudza vanachiremba nezvehuwandu hwemasero matsvuku eropa asi iwe unotaura zvishomanana pamusoro pechikonzero chekusava nemamwe.
RBC inotsanangurira, kuburikidza nekucherechedza maitiro emasero matsvuku eropa, inobatsira mukungoratidzira kwete chikonzero chekushaya ropa asi pakuona zvirwere zvehutano kunyange kana ropa rvuku rekuyera rakawanda.
Kubatanidzwa kwezvikwangwani izvi kunopawo mazano anokosha mukuderedza chirwere chekushaya ropa. Mienzaniso yakapiwa pamusoro inongova mashomanana ezvinokonzera zvinokonzera, uye kugadzirisa chinonyatsokonzerwa nekushaya ropa kune dzimwe nguva kwakaoma zvikuru. Kuongororwa kweropa kunoshandiswa zvakanakisisa mukubatanidza nhoroondo yekuchenjerera, kuongorora kwepanyama, uye chero miedzo yekufungidzira inoratidzwa.
Kudzidza pamusoro pekuongororwa kweropa kunogona kukubatsira kubvunza chiremba wako mibvunzo kuitira kuti iwe unzwisise zvakakwana kuongorora kwaakaita, kana kuti kuwedzera kuedza ari kukurudzira. Zvinowedzera, vanhu vari kudanwa kuti vave nhengo inoshingaira mukuchengetedza kwavo utano, nekudzidza nzira yekuita zvisarudzo zvakajeka pamusoro pehutano hwavo. Kutora nguva yekudzidza pamusoro pehutano hwako hunogona kukubatsira kuti uwane simba mukuita zvisarudzo zvakakunakira iwe woga.
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> Kumar, Vinay, Abul K. Abbas, uye Jon C. Aster. Robbins uye Cotran Pathologic Basis of Disease. Philadelphia: Elsevier-Saunders, 2015. Print.
> Nagao, T., naM. Hirokawa. Kuongororwa uye Kurapa kweMacrocytic Anemia muVakuru. Zvinyorwa zveGeneral and Family Medicine . 2017. 18 (5): 200-204.
> Shah, N., Pahuja, M., Pant, S. et al. Kukura Kwemajeri Kupararira Kuwedzera uye Njodzi Yekufa Kwemwoyo: Insights kubva kuNational Health uye Nutrition Examination Survey (NHANESI) -III. International Journal of Cardiology . 2017. 232: 105-110.