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An k’a lajɛ fɔlɔ, MCH ye mun ye?
MCH ye tubabukan daɲɛw surunyalen ye ‘Mean Corpuscular Hemoglobin’. Ni an b’a fɔ cogo nɔgɔman na, o bɛ ɛmoɲini hakɛ jateminɛ i ka joli kuru bilenman na . Sisan, n’a sɔrɔ i b’i yɛrɛ ɲininka ko: ‘Nin ɛmoɲini ye mun ye?’ Ɛmoɲini ye farikolojɔlifɛn kɛrɛnkɛrɛnnen ye min bɛ sɔrɔ an ka joli kuru bilenmanw na, o bɛ oksizɛni ta farikolo fan bɛɛ la. Ni an b’a fɛ k’a fɔ tigitigi, o ɛmoɲini in ye ‘jili baara’ ye min bɛ an bɛ oksizɛni min ta an fogonfogon la, o lase farikolo selilɛri bɛɛ ma. O la, MCH hakɛ ye doni hakɛ danmadɔ ye (ɛmoɲini min bɛ oksizɛni ta) bɛ nin jiginni baara in ka mobili kɔnɔ (joli kuru bilenmanw). A ka ca a la, aw bɛna o MCH hakɛ dɔn ni aw ye joli sɛgɛsɛgɛli kɛ min bɛ wele ko CBC (Complete Blood Count) . Nin ye kɔrɔbɔli ye min ka teli ka kɛ. Dɔgɔtɔrɔ bɛ baara kɛ ni o nafa ye walasa ka dɛmɛ don ka a dɔn ni balodɛsɛ bɛ aw la, ni sugunɛ gɛlɛya walima ni furakɛli bana wɛrɛ bɛ aw la.CBC (Complete Blood Count) sɛgɛsɛgɛli daminɛ surun
Nin sɛgɛsɛgɛli in nafa ka bon kosɛbɛ barisa a bɛ se ka kunnafoni di aw joli yɔrɔ koloma caman kan. Kɛrɛnkɛrɛnnenya la:- Joli kuru bilenmanw: An ye kuma minnu kan sisan, olu ye oksizɛni tabaga ye.
- Joli kuru finmanw : I n’a fɔ an farikolo ‘kɛlɛbolo’ min bɛ banakisɛw kɛlɛ.
- Ɛmoɲini : Oksizɛni tabaga don joli kuru bilenmanw na.
- Jolilabanaw (Platelets): Farikolo minnu bɛ joli kuruli dɛmɛ ni joginda dɔ bɛ a la.
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Check Availability →MCH hakɛ ka kan ka kɛ mun ye cogoya la?
Sumanikɛlan min bɛ MCH la, o yePikogrammes walima pg). A ka ca a la, o hakɛ bɛ kɛ baliku ni den kɛnɛman na, o bɛ kɛ pg 27 ni pg 31 cɛ. Den bangenen kura ta la, o ka ca dɔɔni, o kɔrɔ ye ko a bɛ se ka bɔ ɲɛ 32 na ka se ɲɛ 34 ma .Nka aw hakili to a la ko nin nafa ninnu bɛ se ka ɲɔgɔn ta dɔɔni laboratuwari ni laboratuwari cɛ, o la a ka fisa aw k’u suma ni ‘Normal Range’ ye aw ka jatebɔsɛbɛn kan.
Ni MCH hakɛ ka dɔgɔn do?
MCH hakɛ dɔgɔyali kɔrɔ ye ko aw ka joli kuru bilenmanw ka ɛmoɲini hakɛ ka dɔgɔn ka tɛmɛ a cogo kɔrɔ kan. O bɛ se ka kɛ sababu ye ka aw ka joli kuru bilenmanw kɛ i n’a fɔ ‘ɲɛnajɛ’ walima ‘dɔgɔtɔrɔso’ dɔɔni. Kunba damadɔ bɛ o la. An ka a lajɛ u ye fɛn minnu ye ani u taamasiɲɛw ye fɛn minnu ye.| Kun min na MCH nafa dɔgɔyara | Taamasiɲɛ minnu bɛ se ka ye |
|---|---|
| Jolidɛsɛ de ka teli ka kɛ a sababu ye. A bɛ sɔrɔ joli kuru bilenman kɛnɛmanw dɛsɛ fɛ walasa ka oksizɛni ta ka taa farikolo la. O bɛ se ka sɔrɔ nɛgɛ, witamini B12 walima folate dɛsɛ fɛ. |
|
| Emoglobinopathies ye banaw ye minnu bɛ sɔrɔ ciyɛn fɛ, minnu bɛ sɔrɔ ɛmoɲini mɔlikulu cogoya la walima a dilanni kɛcogo nafama fɛ. Misaliw: Talasemie ni sikilibana. | Talasemiya la : jolidɛsɛ taamasiɲɛw, kɔnɔbara fununi, sugunɛ dibi. Sikilibana na : jolidɛsɛ taamasiɲɛw, sugunɛ dibi, ɲɛ jɛman, dimi ni funu tɛgɛw ni senw na, ani dimi jugumanba farikolo la tuma dɔw la. |
Yala MCH nafa bɛ se ka bonya wa?
Ɔwɔ, tuma dɔw la, MCH hakɛ bɛ se ka caya ka tɛmɛ a cogo kɔrɔ kan. O kɔrɔ ye ko aw ka joli kuru bilenmanw ka bon ka tɛmɛ a cogo kɔrɔ kan. o bana in bɛ wele furakɛli siratigɛ la ko Macrocytose . Tuma caman na, o tɛ haminanko ye. Nka tuma dɔw la, a bɛ se ka kɛ furakɛli bana dɔ taamasiɲɛ ye.Kun minnu b’a to dɔ farala MCH nafa kan:
- Witamini B12 walima folate dɛsɛ : Aw kana kabakoya, ni o balofɛnw ka dɔgɔn, jolidɛsɛ (MCH dɔgɔyali) bɛ se ka kɛ, ka fara joli kuru bilenmanw bonya kan (MCH ka caya). O bɛ wele ko Jolidɛsɛ min bɛ wele ko Macrocytic Anemia.
- Sugunɛbana dɔw : Gɛlɛya dɔw bɛ sugunɛ baara la, olu bɛ se ka kɛ sababu ye ka MCH hakɛ caya.
- Dɔlɔmin kojugu: Dɔlɔmin kojugu waati jan kɔnɔ, o fana ye o sababu ye.
- Ɲɛgɛnɛsiraw dɔgɔyali (hypothyroïdie): O ye waati ye farikolo la, sɔgɔsɔgɔninjɛ hormone (banakisɛfagalan) dɔɔni.
- O danfara bɛ se ka sɔrɔ fura dɔw fana fɛ: furaw i n’a fɔ chimiothérapie, banakisɛfagalan dɔw, ani banakisɛfagalanw.
- Kansɛri dɔw bɛ sɔrɔ joli fɛ.
Take-Home cikan
- MCH ye nafa kelen dɔrɔn ye i ka joli jatebɔsɛbɛn kan. A bɛ hakilina caman di ɛmoɲini hakɛ kan i ka joli kuru bilenmanw na.
- MCH hakɛ dɔgɔyali walima a caya bɛ se ka sɔrɔ bana dɔ fɛ min ka ca i n’a fɔ jolidɛsɛ, walima tuma dɔw la a bɛ se ka kɛ bana jugumanba taamasiɲɛ ye min ka kan ka jateminɛ kosɛbɛ.
- Aw kana aw yɛrɛ sɛgɛsɛgɛ abada ka da joli sɛgɛsɛgɛli kan walima ka kunnafoniw ɲini ɛntɛrinɛti kan. O bɛna degun kunntan dɔrɔn de lase mɔgɔ ma.
- Ni fɛn dɔ yera aw ka MCH nafa la walima nafa wɛrɛ la, aw ka dɔgɔtɔrɔ dɔrɔn de bɛ se ka laadilikan ɲumanw ni tiɲɛnenw di aw ma. A bɛna sɛgɛsɛgɛli wɛrɛw kɛ, ni a mago bɛ a la, walasa ka a sababu tigitigi dɔn, ka furakɛli wajibiyalen sɛbɛn.
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