Ðe wò ʋu ŋuti nyatakaka gblɔ be RDW? Na míakpɔ nusi wònye ɖa! (RDW Ʋudodokpɔ) .

Ɣeaɖewoɣi ne èdo ʋu kpɔ la, àte ŋu akpɔ asixɔxɔ aɖe si woyɔna be RDW le nyatakakaa dzi. Ekema àte ŋu asusu be, ‘Oo, nukae nye RDW sia?’ Mègatsi dzi o, ele bɔbɔe ŋutɔ. Egbea, míaƒo nu tso ʋudodokpɔ sia si woyɔna be RDW (Red Blood Cell Distribution Width) ŋu, si le bɔbɔe abe nuƒoƒo na xɔ̃wò ene.

Nukae nye RDW (Lãmenugbagbevi Dzĩwo ƒe Mama ƒe Kekeme)?

Kpuie ko la, ʋudodokpɔ sia si woyɔna be RDW la léa ŋku ɖe ʋumenugbagbevi dzĩ agbɔsɔsɔme si le asiwò, kple lãmenugbagbevi mawo ƒe lolome kple lolome vovovo neni ŋu. Ènyaa, ʋumenugbagbevi dzĩ siawoe tsɔa ɔksidzin tso lãkusi me yia míaƒe ŋutilã katã me. Oxygen siae kpena ɖe míaƒe ŋutilã ƒe lãmenugbagbeviwo ŋu be ŋusẽ nɔa wo ŋu eye wowɔa dɔ.

Fifia, ʋumenugbagbevi dzĩ siawo ƒe lolome le vevie ŋutɔ. Zi geɖe la, ʋumenugbagbevi dzĩ siwo le lãmesẽ me ƒe lolome sɔ, si nye micrometer 6.2 va ɖo 8.2. Gake ne ʋumenugbagbevi dzĩ siawo ƒe lolome to vovo kura (si fia be wotrɔna ŋutɔ) la, ate ŋu anye nɔnɔme aɖe si woyɔna be ʋusɔgbɔdɔ ƒe dzesi . Kpuie ko la, ʋusɔgbɔdɔ fia be ʋumenugbagbevi dzĩ siwo le lãmesẽ me sɔ gbɔ be woana oxygen si wò ŋutilã hiã o. Esiae míeyɔna ɣeaɖewoɣi be ‘ʋusɔgbɔdɔ.’

Ʋudodokpɔ si nye RDW nye dodokpɔ ɖeka si wò ɖɔkta zãna tsɔ dea dzesi ʋusɔgbɔdɔ alo atikewɔwɔ me nɔnɔme bubuwo. Ðɔktaa zãa nyatakaka siwo le eme tsɔ ƒoa nya ta to wo tsɔtsɔ kpe ɖe nyatakaka siwo wokpɔ tso dodokpɔ bubuwo me ŋu me.

Vovototo kae le RDW dodokpɔ kple CBC (ʋu ƒe xexlẽme bliboa) dome?

Wò ɖɔkta ate ŋu abia be woawɔ RDW dodokpɔa wòanye ʋudodokpɔ si me kɔ wu si woyɔna be Ʋu Xexlẽme Blibo (CBC) ƒe akpa aɖe . CBC nye ʋudodokpɔ si naa nyatakaka tso wò ʋu ƒe akpa geɖe ŋu, siwo dometɔ aɖewoe nye ʋumenugbagbevi dzĩwo, ʋumenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩwo. CBC la le abe ‘lãmesẽ ŋuti ɖaseɖigbalẽ’ ene na ʋu si le wò ŋutilã me.

CBC ƒe akpa aɖe nye dodokpɔwo ƒe ƒuƒoƒo aɖe si woyɔna be RBC (Red Blood Cell Indices) . RBC ƒe dzesi siawo naa nyatakaka siwo ku ɖe wò ʋumenugbagbevi dzĩwo ŋu koŋ. RDW ʋudodokpɔ nye dodokpɔ mawo dometɔ ɖeka.

RBC ƒe dzesiwo dometɔ aɖewoe nye:

• Lãmenugbagbevi Dzĩwo Mama ƒe Kekeme (RDW): Esia dzidzea wò ʋumenugbagbevi dzĩwo ƒe lolome ƒe tɔtrɔ. Eyae nye alesi lãmenugbagbevi dzĩawo loloe eye wole suee.
• Mean Corpuscular Volume (MCV): Esia dzidzea wò ʋumenugbagbevi dzĩwo ƒe lolome le mama dedie nu. Eyae nye alesi lãmenugbagbevi dzĩ loloe le mamã dedie nu.
• Mean Corpuscular Hemoglobin (MCH): Esia dzidzea ʋumenugbagbeviɣi ƒe agbɔsɔsɔ si le wò ʋumenugbagbevi dzĩwo me le mama dedie nu. Hemoglobin nye protein si kpena ɖe wò ʋumenugbagbevi dzĩwo ŋu be woatsɔ oxygen ayi wò ŋutilã katã me eye wònaa woƒe amadede dzĩ.
• Mean Corpuscular Hemoglobin Concentration (MCHC): Esia dzidzea ʋumenugbagbeviɣi agbɔsɔsɔme si le wò ʋumenugbagbevi dzĩwo me (woƒo ƒu ɖekae, woblae sesĩe) le mama dedie nu.

Dodokpɔ siawo katã ƒo ƒu kpena ɖe ame ŋu ŋutɔ le atikewɔwɔ me nɔnɔme vovovo siwo ate ŋu ado ƒome kple kuxi siwo le wò ʋumenugbagbevi dzĩwo ŋu la didi me.

Nuka tututue RDW dzidzena?

Nya 'Red Cell Distribution Width' ateŋu atɔtɔ vie elabena efia 'kekeme'. Ðewohĩ àsusu be edzidzea wò ʋumenugbagbevi dzĩwo ƒe kekeme, gake medzidzenɛ o. RDW ʋudodokpɔa dzidzea vovototo si le lãmenugbagbevi siwo le wò ʋumenugbagbevi dzĩwo ƒe kpɔɖeŋu aɖe me ƒe lolome me. Ele abe be woakpɔe ɖa be ɖevi siwo le klass aɖe me katã ƒe kɔkɔme sɔ hã, alo ɖevi kɔkɔ kple kpui geɖe le tsakatsaka la me ene.

‘Lãmenugbagbeviwo ƒe mama ƒe kekeme’ nye didime si le lãmenugbagbeviwo ƒe lolome dome ne wowɔ nɔnɔmetata ɖe histogram dzi . Histogram nye nɔnɔmetata tɔxɛ aɖe si ɖea xexlẽdzesi alo asixɔxɔ vovovowo fiana, abe ʋumenugbagbevi dzĩwo ƒe lolome ƒe didime ene.

Bu eŋu kpɔ, ne wò ʋumenugbagbevi dzĩwo katã ƒe lolome anɔ abe ɖeka ene, si fia be wole lãmesẽ me la, ke asixɔxɔ mawo aƒo ƒu ɖe teƒe sue aɖe le histogram la dzi. Emegbe RDW ƒe asixɔxɔa le sue. Ema fia be nu vovovowo mesɔ gbɔ boo o.

Gake ne ʋumenugbagbevi dzĩwo ƒe lolome to vovo kura (ɖewo le sue, ɖewo lolo) la, xexlẽme mawo akaka ɖe didiƒe ʋĩ le histogram la dzi. Ɣemaɣie míegblɔna be asixɔxɔwo ƒe mama keke ta. Le nɔnɔme sia tɔgbe me la, RDW ƒe asixɔxɔ lolo ŋutɔ. Ema fia be nu vovovo geɖe le eme.

Ɣekaɣie wòhiã be woawɔ RDW dodokpɔ?

Ne dzesiwo abe ʋusɔgbɔdɔ ene le ŋuwò, alo ne atikewɔwɔ me dɔléle aɖe le ŋuwò si do ƒome kple ʋusɔgbɔdɔ la, RDW dodokpɔ sia akpe ɖe wò ɖɔkta ŋu wòanya nusi tututu wònye.

Nukawoe nye wò dzesiwo?

Ðewohĩ wò ɖɔkta aɖo aɖaŋu be nàwɔ RDW dodokpɔ atsɔ anya ne ʋusɔgbɔdɔ gbɔe wò dzesiawo tso. Nusiwo gbɔna nye ʋusɔgbɔdɔ ƒe dzesi siwo bɔ wu dometɔ aɖewo:

• Ðeɖiteameŋu ƒe seselelãme ɣesiaɣi (Ðeɖiteameŋu). Abe ɖe ŋutilãa gbɔdzɔ ale gbegbe be mate ŋu awɔ naneke o ene.
• Gbɔgbɔtsixetsixe, sese le ɖokuiwò me be yeagbɔdzɔ ne èzɔ mɔ kpui aɖe gɔ̃ hã.
• Ne vuvɔ sena le ɖokuiwò me ɣesiaɣi la, ne ame bubuwo ƒe yame ƒe dzoxɔxɔ sɔ hã la, èsena le ɖokuiwò me be vuvɔ le ye ŋu.
• Sese le eɖokui me be taɖuame alo gbɔdzɔgbɔdzɔ.
• Ŋutilãa va nɔa ɣie eye wòƒuna. Ɣeaɖewoɣi la, ate ŋu azu ɣie le ŋku te gɔ̃ hã.
• Taɖuame.

RDW ʋudodokpɔ ate ŋu ana nyatakaka tso ʋusɔgbɔdɔ ƒomevi tɔxɛ si le ŋuwò hã ŋu, elabena RDW ƒe asixɔxɔ ate ŋu ato vovo le ʋusɔgbɔdɔ ƒomevi vovovowo me.

Dɔléle siwo ate ŋu ahe ʋusɔgbɔdɔ vɛ

RDW ʋudodokpɔ, si wotsɔ kpe ɖe RBC ƒe dzesi bubuwo ŋu, ate ŋu akpe ɖe ame ŋu woanya nusi gbɔ ʋusɔgbɔdɔ tsona. Nɔnɔme siwo ate ŋu ado ƒome kple ʋusɔgbɔdɔ dometɔ aɖewoe nye:

• Kansa.
• Dzitodzito me dɔléle.
• Ayikudɔléle.
• Aklãdɔléle.
• Thalassemia - Esia nye domenyiŋusẽfianu ƒe dɔléle.
• Dɔléle siwo nɔa anyi didi - woƒe kpɔɖeŋuwoe nye Crohn ƒe dɔléle (dɔléle si le nuɖuɖumeŋusẽ me), Suklidɔ , kple HIV .
• Vitamin kple mineral ƒe anyimanɔmanɔ - Le kpɔɖeŋu me, nusiwo le abe iron , vitamin B12 , kple folate ene ƒe anyimanɔmanɔ. Esiawoe nye nusiwo gbɔ ʋusɔgbɔdɔ tsona wu.

Azɔ hã, ʋusɔgbɔdɔ ate ŋu adzɔ ne ʋu gbogbo aɖe bu le ŋutilãa me, eɖanye le dɔlékui si xɔ ɣeyiɣi didi aɖe, afɔku aɖe, alo amekoko ta o.

Aleke wowɔa RDW dodokpɔae?

RDW ʋudodokpɔ nye ʋudodokpɔ bɔbɔe ŋutɔ. Woɖoa ʋu si nèxɔ la ɖe dodokpɔxɔ aɖe. Afimae eŋutinunyala bibi aɖe (zi geɖe la, enyea atikewɔƒe ƒe dzɔdzɔmeŋutinunyala) tsɔa nusuekpɔmɔ̃ léa ŋku ɖe wò ʋumenugbagbevi dzĩwo ŋu heléa ŋku ɖe woƒe lolome ƒe vovototo ŋu hã. Wozãa ʋu si woda kpɔ le mɔ sia nu abe kpɔɖeŋu ene be woakpɔ vovototo si le wò ʋumenugbagbevi dzĩwo ƒe lolome me le wò ŋutilã katã me nyuie wu.

Ðe wòhiã be nàdzra ɖo ɖe RDW dodokpɔa ŋua?

Zi geɖe la, mehiã be nàwɔ nu tɔxɛ aɖeke hafi adzra ɖo ɖe RDW dodokpɔa ɖeɖeko ŋu o. Gake ne wò ɖɔkta ɖe gbe be woawɔ ʋudodokpɔ bubu geɖe kpe ɖe RDW dodokpɔa ŋu la, dodokpɔ mawo dometɔ aɖewo ate ŋu abia be nàdzra ɖo etɔxɛe. Le kpɔɖeŋu me, dodokpɔ aɖewo ate ŋu abia be nàtsi nu dɔ gaƒoƒo ʋɛ aɖewo, si fia be màɖu nu alo ano naneke o. Le nɔnɔme mawo me la, ele vevie be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ, ale be nàte ŋu adzra ɖo ɖe dodokpɔ siwo katã nèhiã be woatsɔ akpɔ dɔléleae ŋu.

Nukae nàkpɔ mɔ na ne èle RDW dodokpɔa wɔm?

Enyo, azɔ mina míakpɔ nusi adzɔ ne èwɔ RDW dodokpɔ sia, nusi wòle be nàkpɔ mɔ na. Le nyateƒe me la, enye nu sue aɖe ŋutɔ, eye wowɔa esia le aɖabaƒoƒo ʋɛ aɖewo ko me. Ðeko wòle abe ʋudodo edziedzi ene.

• Gbã la, wò ɖɔkta alo dɔnɔdzikpɔla akpɔ teƒe nyuitɔ si woaɖe ʋu le. Zi geɖe la, esia anye ʋuka si le wò abɔta te tututu, alo le wò asi ƒe megbe.
• Emegbe, wokɔa teƒe si wotsɔ aŋea de la ŋu nyuie eye wotsɔa dɔlékuiwutike tutunɛ. Esia le vevie ŋutɔ, elabena ekema dɔlékui aɖeke mage ɖe ŋutilãa me o.
• Eyome, wò ɖɔkta abla elastic band (si woyɔna hã be tourniquet) ɖe teƒe si wotsɔ aŋea de wò alɔnu la tame tututu. Wowɔa esia be woatsɔ akpɔ ʋu ƒe sisi le wò alɔnu dzi, ana ʋukaa nadze nyuie wu, eye wòana wòanɔ bɔbɔe be nàhe ʋu.
• Fifia woɖea ʋua. Ne aŋea ge ɖe eme la, àte ŋu ase le ɖokuiwò me be yele ʋuʋum vie, abe alesi anyidi ɖu wò ene. Sɛkɛnd ʋɛ aɖewo koe wòxɔna. Woƒoa ʋu sue aɖe nu ƒu ɖe aŋetu (vial) sue aɖe si wotsɔ do ka kple aŋea me.
• Ne woɖe ʋu agbɔsɔsɔme si wodi vɔ la, woɖea aŋea ɖa eye wotsɔa aŋɔ alo kotoku sue aɖe dana ɖe afisi ʋua le dodom le la dzi, eye woƒonɛ ɖe enu be ʋua natɔ te.

Emae nye ema! Dodokpɔa wu enu.

Le RDW dodokpɔa megbea? Ðe afɔku aɖewo lia?

Àte ŋu adzo le ʋuɖeɖe vɔ megbe kpuie. Ɣeaɖewoɣi la, ɖɔktaa agblɔ na wò be nàlala aɖabaƒoƒo ʋɛ aɖewo be nàkpɔ egbɔ be mègagblẽ nu le ŋuwò o.

RDW ʋudodokpɔ nye dodokpɔ si le dedie ŋutɔ , eye eƒe nugbegblẽ le ame ŋu ʋɛ aɖewo koe. Teƒe si wotsɔ aŋea de la ate ŋu anye blɔ vie alo aƒoe. Esia nu ayi le eɖokui si le ŋkeke ʋee aɖewo megbe. Ame aɖewo ate ŋu ase le wo ɖokui me be taɖuame vie le ʋua ɖeɖe vɔ megbe, gake seselelãme sia menɔa anyi didi o.

Gake ne ʋu si le dodom le afisi wodo atike na wò le medzudzɔ o, alo ne èdze lãmetutudɔ alo lãmetutudɔ gɔme la, gblɔe na wò ɖɔkta. Nu gbegblẽ siawo ate ŋu adzɔ, gake ƒã ŋutɔ.

Aleke RDW ƒe emetsonuwo va dzɔnae? Nukae wofia?

Wotsɔ dodokpɔa me tsonuawo na abe alafa memamã ene. Esia akpe ɖe ŋuwò nànya ne wò emetsonuwo le afisi sɔ, alo ne wò RDW ƒe asixɔxɔ lolo alo le sue.

Nukae nye RDW ƒe asixɔxɔ si sɔ?

Wò RDW ƒe xexlẽme sɔ, si fia be wò ʋumenugbagbevi dzĩwo katã ƒe lolome sɔ. Ema fia be vovototo boo aɖeke mele woƒe lolome me o. RDW ƒe asixɔxɔ si bɔ la le 12% va ɖo 15% dome . Gake nenɔ susu me na wò be dometsotso sia ate ŋu ato vovo vie le dodokpɔxɔ si wɔa dodokpɔa nu. Nyatakaka si nàxɔ la agblɔ nusi nye didime si sɔ la eme nakɔ. Emegbe àte ŋu atsɔ wò asixɔxɔ asɔ kplii.

Gake RDW ƒe xexlẽme si sɔ mefia be dɔléle bubu aɖeke mele ŋuwò si hiã be woawɔ atike nɛ o. Le ʋusɔgbɔdɔ ƒomevi aɖewo me la, ne RDW ƒe xexlẽme sɔ gɔ̃ hã la, RBC ƒe dzesi bubuawo dometɔ ɖeka ƒe asixɔxɔ ate ŋu asɔ gbɔ alo anɔ sue. Esia tae ɖɔkta wɔa nyametsotso ne elé ŋku ɖe nyatakaka bliboa ŋu vɔ ko.

Nukae RDW si sɔ gbɔ fia?

RDW ƒe xexlẽme si lolo fia be wò ʋumenugbagbevi dzĩwo ƒe lolome sɔ gbɔ wu alesi wòle. Esia fia be ʋumenugbagbevi dzĩ aɖewo le sue akpa, evɔ bubuwo ya lolo akpa. RDW ƒe xexlẽme si lolo ate ŋu anye ʋusɔgbɔdɔ alo nɔnɔme si do ƒome kplii ƒe dzesi. Gake ahiã be wò ɖɔkta nalé ŋku ɖe dodokpɔ bubuwo ŋuti nyatakaka ŋu hafi anya dɔlélea si ŋu kakaɖedzi le. Zi geɖe la, wozãa RDW (ʋumenugbagbevi dzĩwo ƒe lolome ƒe tɔtrɔ) ƒe asixɔxɔ kple MCV (ʋumenugbagbevi dzĩwo ƒe lolome le mama dedie nu) ƒe asixɔxɔ ɖekae tsɔ daa wò ʋumenugbagbevi dzĩwo ƒe lãmesẽ kpɔna.

Nukae RDW si bɔbɔ ɖe anyi fia?

Zi geɖe la, RDW ƒe xexlẽme si bɔbɔ menye nusi ŋu woatsi dzi ɖo o, eye medo ƒome kple ʋusɔgbɔdɔ ƒomevi aɖeke koŋ o.

Ɣekaɣie manya dodokpɔa ƒe nyatakakaa?

Zi geɖe la, àte ŋu akpɔ wò ʋu ƒe dodokpɔ le ŋkeke ʋɛ aɖewo megbe ne wò ʋu va ɖo dodokpɔxɔa. Ne èhiã kpekpeɖeŋu be nàse wò emetsonuwo gɔme la, ƒo nu kple wò ɖɔkta. Ƒo nu kplii tso nusi nàwɔ azɔ be nànya wò dɔlélea ŋu.

Eɖanye RDW ƒe ʋudodokpɔ me tsonu sɔ gbɔ, le sue, alo sɔ o, ɖɔkta mate ŋu anɔ te ɖe ema ɖeɖeko dzi akpɔ dɔlélea o. Gake RDW ʋudodokpɔ nye aɖaŋunu vevi aɖe si kpena ɖe mía ŋu míesea alesi wò ʋumenugbagbevi dzĩwo le ɔksidzin tsɔm yi wò ŋutilã katã me nyuie gɔme. Eyata anyo wu be nàbia wò ɖɔkta be nukae wò RDW ʋudodokpɔ me tsonu fia, tsɔ kpe ɖe wò CBC dodokpɔa me tsonu bubuwo ŋu.

Nu vevitɔ kekeake si wòle be wòanɔ susu me na wò

Enyo, eyata míeƒo nu geɖe tso RDW ƒe ʋudodokpɔ ŋu. Nu ʋɛ aɖewo siwo wòle be wòanɔ susu me na wòe nye esi:

• RDW dodokpɔa dzidzea wò ʋumenugbagbevi dzĩwo ƒe lolome ƒe tɔtrɔ.
• Esia kpena ɖe ame ŋu wòkpɔa nɔnɔmewo abe ʋusɔgbɔdɔ ene .
• Zi geɖe la, wowɔa esia abe dodokpɔ si woyɔna be CBC (ʋu ƒe xexlẽme bliboa) ƒe akpa aɖe ene .
• Gɔmesese mele RDW ƒe emetsonu ɖeɖeko ŋu o. Ele be ɖɔkta nadae akpɔ kpe ɖe ʋudodokpɔ bubuwo kple wò dzesiwo ŋu .

Ne nya aɖe le asiwò ku ɖe wò RDW ƒe asixɔxɔ ŋu la, mègahe ɖe megbe le wò ɖɔkta biabia me o. Ekema àte ŋu ase egɔme nyuie.

` RDW, Ʋumenugbagbevi dzĩwo, Ʋudodokpɔ, Ʋusɔgbɔdɔ, CBC, MCV, Hemoglobin, Ʋusɔgbɔdɔ, Ʋudodokpɔ, Ʋumenugbagbevi dzĩwo, Ʋu Xexlẽme Blibo, Ʋusɔgbɔdɔ, RDW ƒe Asixɔxɔ