Nukae nye MCH ƒe asixɔxɔ le wò ʋu ŋuti nyatakaka me? (Mean Corpuscular Hemoglobin) Mina míasrɔ̃ nu tso esia ŋu bɔbɔe!

Ne wodo ʋu kpɔ na wò la, ànya kpɔe be woŋlɔ nu vovovowo ɖe nyatakakaa me kple ŋɔŋlɔdzesi kple xexlẽdzesi ɖesiaɖe. Ɣeaɖewoɣi ne míekpɔ nusiawo la, míate ŋu akpɔ nusi wonye gɔ̃ hã le susu me o, eye míate ŋu atsi dzi vie. Nenema ke asixɔxɔ vevi ɖeka si nàkpɔ le wò ʋu ƒe xexlẽme bliboa (CBC) ŋuti nyatakaka me enye MCH . Egbea, mina míaƒo nu tso nusi MCH alo ``Mean Corpuscular Hemoglobin'' sia nye, nusi wògblɔ tso míaƒe lãmesẽ ŋu, kple nusi dzɔna ne asixɔxɔ ma dzi ɖe edzi alo dzi ɖe kpɔtɔ bɔbɔe ŋutɔ.

Nuka tututue nye MCH?

Kpuie ko la, MCH nye asixɔxɔ si dzidzea ʋumenugbagbevi dzĩ ƒe agbɔsɔsɔ si le wò ʋumenugbagbevi dzĩ (RBC) me le mama dedie nu . Azɔ bu nusi hemoglobin nye ŋu kpɔ. Hemoglobin nye protein vevi aɖe ŋutɔ le míaƒe ʋumenugbagbevi dzĩwo me. Protein siae xɔa ɔksidzin tso míaƒe lãkusi me hetsɔnɛ yia lãmenugbagbevi siwo le ŋutilã bliboa me gbɔ. Ele abe `delivery` ame si tsɔa nuɖuɖu vaa aƒemee ene. Oxygen siae naa ŋusẽ lãmenugbagbevi ɖesiaɖe le míaƒe ŋutilã me, eye nusianu si le míaƒe ŋutilã me wɔa dɔ nyuie. Eyata, míate ŋu akpɔ susu aɖe tso hemoglobin sia ŋu tso MCH ƒe asixɔxɔ me.

MCH nye asixɔxɔ ɖeka ko le ``RBC indices`` ƒe akpa si le ``CBC`` dodokpɔ si ɖɔ ʋumenugbagbevi dzĩwo me. Dzidzenu bubu geɖewo li abe esia ene:

• MCV `(Mean Corpuscular Volume)` : Esia gblɔa wò ʋumenugbagbevi dzĩwo ƒe lolome le mama dedie nu, si fia be wololo alo le sue o.
• MCHC `(Mean Corpuscular Hemoglobin Concentration)` : Esia hã fia ʋumenugbagbeviɣi ƒe agbɔsɔsɔ le ʋumenugbagbevi dzĩ me. Gake to vovo na MCH la, MCHC bua ʋumenugbagbevi dzĩwo ƒe lolome hã ŋu.
• RDW `(Red Blood Cell Distribution Width)` : Esia dzidzea alesi wò ʋumenugbagbevi dzĩwo ƒe lolome to vovoe. Eyae nye be ɖe vovototo aɖewo li, abe lãmenugbagbevi aɖewo ƒe sue eye lãmenugbagbevi aɖewo lolo enea.

Ðɔktawo zãa nyatakaka siawo katã tsɔ nyaa wò ʋumenugbagbevi dzĩwo ƒe lãmesẽ. Dzidzenu siawo le vevie ŋutɔ le nɔnɔmewo abe ʋusɔgbɔdɔ ene didi me .

Ɣekaɣie wòhiã be woawɔ MCH dodokpɔ?

MCH nye CBC dodokpɔ ƒe akpa si bɔ. Menye wò ʋumenugbagbevi dzĩwo koe CBC dodokpɔ sia dzidzea o, ke edzidzea wò ʋumenugbagbevi ɣiwo (lãmenugbagbevi siwo kpɔa mía ta tso dɔléle me) kple ʋumenugbagbevi dzĩwo (lãmenugbagbevi siwo kpena ɖe ʋu ŋu wòtsia) hã. Eyata ne wotsɔe kpe ɖe CBC ƒe dzidzenu bubuwo ŋu la, ɖɔktawo ate ŋu ade dzesi dɔléle aɖe ƒe dzesiwo kaba.

Wò ɖɔkta atsi dzi ɖe wò MCH ƒe asixɔxɔ ŋu vevietɔ ne ʋusɔgbɔdɔ ƒe dzesiwo le ŋuwò, abe ɖeɖiteameŋu, taɖuame enuenu, ɣie, kple gbɔgbɔtsixe ƒoƒo ene . Ne wò MCH ƒe xexlẽme mesɔ o ne wotsɔe sɔ kple RBC ƒe dzesi bubuwo la, ate ŋu akpe ɖe wò ɖɔkta ŋu wòanya ne ʋusɔgbɔdɔ le ŋuwò eye ne ele nenema la, nusi ate ŋu atsoe.

Aleke wowɔa dodokpɔ siae?

MCH dodokpɔa nye ʋudodokpɔ bɔbɔe ŋutɔ. Zi geɖe la, dɔnɔdzikpɔla alo ʋumenugbagbeviɣidɔdala aɖe xɔa ʋu sue aɖe le asiwò. Emegbe wotsɔa ʋudzidzenu si wowɔna le wo ɖokui si la daa ʋua kpɔna. Mɔ̃ sia naa nyatakaka tso lãmenugbagbevi siwo le wò ʋu me ŋu.

Wobua MCH ƒe asixɔxɔ ne wole wò ʋumenugbagbevi dzĩwo me dzrom.

Ðe wòhiã be nàdzra ɖo hafi adze dodokpɔa gɔmea?

Zi geɖe la, mehiã be woawɔ dzadzraɖo tɔxɛ aɖeke ɖe MCH dodokpɔ ŋu o. Gake ne wò ɖɔkta le ɖoɖo wɔm be yeawɔ dodokpɔ bubu geɖe le ʋu ɖeka ma ke ŋu la, ahiã be nàtsi nu adɔ (mègaɖu nu alo ano naneke o) gaƒoƒo ʋɛ aɖewo . Eyata wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi nyuie. Emegbe àte ŋu adzra ɖo ɖe dodokpɔa ŋu nyuie.

Nukae dzɔna le dodokpɔa wɔɣi?

Woana nànɔ zikpui dzi agblɔ na wò be nàdo asi ɖa. Ɣe ma ɣi:

• Wotsɔa dɔlékuiwutike (aha tutu) klɔa ʋufɔtiƒea.
• Woblaa rababa (tourniquet) ɖe ʋufɔti teƒea tame vie le alɔnu. Esia kpena ɖe ʋua ŋu eye wònana wònɔa bɔbɔe be woaƒo ʋu nu ƒu.
• Wotsɔa aŋe nyui aɖe ŋutɔ dea ʋukaa me vivivi.
• Woƒoa ʋu sue aɖe nu ƒu ɖe nugoe alo mɔ̃ sue aɖe me.
• Emegbe woɖea aŋea ɖa eye wotsɔa kotoku kakɛ aɖe dea eme be ʋua natɔ te.

Esiawo katã mexɔa aɖabaƒoƒo atɔ̃ o . Ne wotsɔ aŋea de eme la, àte ŋu ase le ɖokuiwò me be yeƒe lãme le ƒoƒom vie, abe anyidi ƒe ƒoƒo ene. Ne menye ema o la, vevesese gã aɖeke meli o.

Nukae dzɔna le dodokpɔa megbe?

Le ʋudodo vɔ megbe la, ne mèse le ɖokuiwò me be yeƒe ta le ƒoƒom vie o la, àte ŋu ayi aƒeme enumake. Ame aɖewo ate ŋu atɔtɔ vie ne wokpɔ ʋu, alo ne aŋewo le vɔvɔ̃m vie. Esia sɔ, eye menye wò ɖeka koe o. Ne edzɔ alea la, atikewɔlawo akpɔ dziwò vaseɖe esime wò lãme nasẽ.

Ðe afɔku aɖewo le dodokpɔ sia mea?

CBC dodokpɔ si wowɔna tsɔ léa ŋku ɖe MCH ŋu menye dodokpɔ si me afɔku le ŋutɔ o. Ne èdo ʋu vɔ la, àte ŋu ade dzesi abi vi aɖe le afisi wotsɔ aŋea de. Àte ŋu ase veve aɖe hã le wò alɔnu. Gake zi geɖe la, dzesi siawo nu yina le ŋkeke si dzi wodo ʋu na amea dzi.

Nukawoe dona tso eme? Nukae wogblɔna na mí?

MCH me tsonu ɖea hemoglobin ƒe picogram (pg/cell) agbɔsɔsɔme si le ʋumenugbagbevi dzĩ ɖeka me le dzɔdzɔme nu. Picogram nye agbɔsɔsɔ sue aɖe ŋutɔ, si ade gram ɖeka ƒe akpa triliɔn ɖeka (ema nye zero ɖeka kple wuieve).

Togbɔ be vovototo sue aɖewo le dodokpɔxɔwo dome hã la, zi geɖe la, MCH ƒe xexlẽme si sɔ na ame tsitsi (ŋutsu kple nyɔnu siaa) nɔa 27 va ɖo 33 pg/lãmenugbagbevi . Wobua nusianu si le asixɔxɔ sia te be enye MCH si bɔbɔ , eye wobua nusianu si le asixɔxɔ sia te be enye MCH si lolo .

Gake ɖo ŋku edzi be mehiã be nàtsi dzodzodzoe enumake ne wò MCH ƒe asixɔxɔ le sue alo lolo o. Wò ɖɔkta atsɔ wò MCH ƒe asixɔxɔ asɔ kple RBC ƒe dzesi bubuwo kpakple wò lãmesẽ bliboa be yeatso nya me. Ate ŋu akafu dodokpɔ bubuwo hã.

Ne MCH ƒe asixɔxɔ le sue (Low MCH) .

MCH ƒe asixɔxɔ si bɔbɔ fia be ʋusɔgbɔdɔ si me ʋumenugbagbeviɣidɔ mele o (afisi ʋumenugbagbevi dzĩwo mede esi sɔ nu o eye wòdzena abe ɖe wole ɣie ene) kple/alo ʋusɔgbɔdɔ si woyɔna be microcytic anemia (afisi ʋumenugbagbevi dzĩwo le sue le mɔ si mesɔ o nu) ate ŋu anɔ ŋuwò. Le nɔnɔme siawo evea siaa me la, ʋumenugbagbevi dzĩwo mesɔ gbɔ o.

Susu geɖewo ate ŋu ana MCH ƒe agbɔsɔsɔ naɖiɖi:

• Iron Deficiency : Ne iron mesu ŋutilãa me o la, mate ŋu awɔ hemoglobin o. Nusi koŋ gbɔ ʋusɔgbɔdɔ si iron ƒe anyimanɔmanɔ hena vɛ enye ʋu si dona le ame ŋu . Esia ate ŋu atso nuwo abe ʋu si dona le ame ŋu vevie le dzinukpɔkpɔ me, ʋu si dona le ememe (e.g., dɔgbo me abi), alo ʋu si dona fũu akpa le amekoko vɔ megbe gbɔ.
• Ʋumenugbagbeviɣidɔ : Ʋumenugbagbeviɣidɔ aɖewo siwo ƒe dome míenyi ate ŋu ahe kuxiwo vɛ le alesi ŋutilãa wɔa ʋumenugbagbeviɣidɔe ŋu. Kpɔɖeŋu aɖewoe nye thalassemia kple sickle cell anemia .
• Dzoxɔxɔ le dɔléle siwo nɔa anyi didi ta : Dzoxɔxɔ le ŋutilã me le nɔnɔme aɖewo abe dɔlékui aɖewo siwo nɔa anyi didi, ayikudɔ, aklãdɔ, kple kansa ta ate ŋu ana MCH ƒe agbɔsɔsɔ dzi naɖe akpɔtɔ.

Ne MCH ƒe asixɔxɔ le kɔkɔm (High MCH) .

MCH ƒe agbɔsɔsɔ si sɔ gbɔ fia be ɖewohĩ ʋusɔgbɔdɔ si woyɔna be macrocytic anemia le ŋuwò . Le nɔnɔme sia me la, wò ŋutilã wɔa ʋumenugbagbevi dzĩ siwo lolo le mɔ si mesɔ o nu, eye ʋumenugbagbevi dzĩwo sɔa gbɔ ɖe lãmenugbagbevi mawo me. Zi geɖe la, esia tsoa folate (vitamin B9) kple vitamin B12, siwo nye nunyiame vevi eve siwo hiã be woatsɔ awɔ ʋumenugbagbevi dzĩ siwo le lãmesẽ me, si mesɔ gbɔ o gbɔ. Alo, ate ŋu anye be atikewɔwɔ ƒe nɔnɔme aɖe le ŋuwò si xea mɔ na wò ŋutilã be wòate ŋu axɔ nunyiame siawo nyuie o.

Susu bubu siwo tae MCH ƒe asixɔxɔ dzi ɖe edzi ɖo:

• Ahanono ƒe kuxi si nɔa anyi didi .
• Thyroid gland ƒe kuxiwo .
• Atike alo atikewɔwɔ aɖewo ƒe nugbegblẽ le ame ŋu . Le kpɔɖeŋu me, atikewɔmɔnu na kansa ate ŋu ana MCV (eye to esia me MCH) nadzi ɖe edzi abe eƒe nugbegblẽ le ame ŋu ene.

Ne emetsonuwo mesɔ o la, nukae nàwɔ kplɔe ɖo?

Ne wò MCH mesɔ o la, afɔ siwo nàgaɖe anɔ te ɖe nusi gbɔ wòtso dzi. Le kpɔɖeŋu me, ne wò ɖɔkta susui be wò MCH mesɔ gbɔ o le iron ƒe anyimanɔmanɔ ta la, ate ŋu aɖe gbe be woawɔ dodokpɔ bubuwo atsɔ akpɔ wò iron ƒe agbɔsɔsɔ. Ne menye nenema o la, ne wosusu be dɔléle bubu aɖe le wo ŋu la, ahiã be woawɔ dodokpɔwo na dɔléle ma.

Wò ɖɔkta aɖo aɖaŋu na wò le nusi tututu nàwɔ ŋu le wò dɔwɔwɔ me tsonu nu.

Enye nusi sɔ be nàtsi dzodzodzoe vie alo vɔvɔ̃ ɖo ne dodokpɔ ɖesiaɖe me tsonu mesɔ o (eɖanye esi le sue alo lolo o). Gake ne míeƒo nu tso MCH ŋu la, ɖeko emetsonu si mesɔ o fia be wò ɖɔkta srɔ̃ nu geɖe tso wò lãmesẽ ŋu. Ɣeaɖewoɣi la, MCH me tsonu si mesɔ o ate ŋu anye nane si ŋu wòle be woalé ŋku ɖo ahadae, abe domenyiŋusẽfianu ƒe ʋumenugbagbeviɣidɔ ene. Gake ɣeaɖewoɣi la, ate ŋu anye nusi anɔ anyi ɣeyiɣi kpui aɖe eye naneke matsi dzi ɖe eŋu o. Ne ètsi dzi alo tsi dzi ɖe wò MCH ƒe dodokpɔ me tsonu ŋu la, ƒo nu tso eŋu na wò ɖɔkta eye nàtsɔe asɔ kple CBC ƒe dodokpɔ bubuwo be nàkpɔ alesi gɔmesese le eŋu.

Gbedasi si Wotsɔ Yi Aƒeme

MCH nye xexlẽdzesi vevi aɖe le wò ʋudodokpɔ ŋuti nyatakaka me. Egblɔa ʋumenugbagbevi dzĩ ƒe agbɔsɔsɔ si le wò ʋumenugbagbevi dzĩwo dometɔ ɖeka me le mama dedie nu.

• Hemoglobin ye nye protein si tsɔa oxygen yia ŋutilã bliboa me.
• MCH ƒe xexlẽme si bɔbɔ ate ŋu anye ʋusɔgbɔdɔ ƒe dzesi. Esia ate ŋu atso iron ƒe anyimanɔmanɔ, ʋumedɔ aɖewo, kple dɔdzẽ ƒe nɔnɔme siwo nɔa anyi didi gbɔ.
• MCH ƒe asixɔxɔ si dzi ɖe edzi hã nye ʋusɔgbɔdɔ ƒomevi bubu ƒe dzesi. Esia ate ŋu atso nusiwo le abe folate alo vitamin B12 ƒe anyimanɔmanɔ, ahanono, alo lãkusi ƒe kuxiwo gbɔ.
• Mègatsi dzodzodzoe ne wò MCH ƒe asixɔxɔ mesɔ o. Wò ɖɔkta atsɔe asɔ kple dodokpɔ ƒe asixɔxɔ bubuwo, awɔ dodokpɔ bubuwo ne ehiã, eye wòana aɖaŋuɖoɖo kple atikewɔwɔ si sɔ wu wò.

Ne nya aɖe le asiwò ku ɖe nusi le wò ʋu ŋuti nyatakaka me ŋu la, anyo wu be nàbia wò ɖɔkta.

` MCH, hemoglobin, ʋumenugbagbevi dzĩwo, ʋusɔgbɔdɔ, ʋudodokpɔ, CBC, lãmesẽ