Ðe nèxɔ wò ʋudodokpɔ ŋuti nyatakaka, si nye ‘Ʋu Blibo Xexlẽme’ (FBC) ƒe nyatakaka si ɖɔkta ŋlɔna zi geɖe, eye ŋɔŋlɔdzesiwo kple xexlẽdzesi siwo le edzi la tɔtɔ wò kpɔa? Ŋkɔwo li abe MCV, MCH, PLT, RDW, ɖeka ɖe wo nɔewo yome. Ðewohĩ màte ŋu anya nusi nusiawo fia o. Mègatsi dzi o, ame geɖe sena le wo ɖokui me nenema. Egbea, mina míase nusi nye asixɔxɔ vevi ɖeka si le nyatakaka sia me gɔme le mɔ bɔbɔe ŋutɔ kple dzeɖoɖo nu, si nye nusi RDW nye.
Nukae RDW fia ko?
Kpuie ko la, RDW tsi tre ɖi na Ʋumenugbagbevi Dzĩwo ƒe Mama ƒe Kekeme . Le Sinhalagbe me la, efia be ‘Ʋumenugbagbevi Dzĩwo ƒe Mama ƒe Kekeme’. Gake mègatɔtɔ le ŋkɔ ma ta o. Mina míase esia gɔme bɔbɔe ŋutɔ.
Tsɔe be ʋumenugbagbevi dzĩ siwo le wò ŋutilã me nye bɔl dzĩ suesuesuewo. Bɔl siawo tsɔa ɔksidzin tso míaƒe lãkusiwo me yia ŋutilã ƒe akpa ɖesiaɖe, ŋutinu ɖesiaɖe. Abe gas-gowo ene. Eyata oxygen sia hiã vevie be lãmenugbagbevi ɖesiaɖe si le ŋutilãa me nate ŋu awɔ dɔ ahawɔ ŋusẽ.
Le ame si le lãmesẽ me gome la, ʋumenugbagbevi dzĩ siawo ƒe lolome kple nɔnɔme sɔ kple wo nɔewo ƒe akpa gãtɔ . Abe lime babla aɖe si tso fiasea me ene. Vovototo sue aɖewo ate ŋu anɔ wo dome, gake menye vovototo gã aɖeke o.
RDW dodokpɔa dzidzea alesi gbegbe wò ʋumenugbagbevi dzĩwo ƒe lolome to vovoe. Eyae nye be eléa ŋku ɖe eŋu nenye be wò ʋumenugbagbevi dzĩwo katã ƒe lolome sɔ, alo ɖewo le sue, ɖewo lolo, alo woƒe lolome to vovo hã.
Togbɔ be wotsɔ ŋkɔ nɛ be ‘Kekeme’ hã la, esia medzidzea ʋumenugbagbeviɣi ƒe kekeme o. Ke boŋ edzidzea tɔtrɔ agbɔsɔsɔme si le ʋumenugbagbeviɣiwo ƒe lolome me.
RDW ƒe asixɔxɔ si lolo fia be vovototo gã aɖe le ʋumenugbagbevi dzĩwo ƒe lolome me. Ðewo le sue ŋutɔ, ɖewo lolo ŋutɔ. RDW ƒe xexlẽme si sɔ fia be ʋumenugbagbevi dzĩ akpa gãtɔ ƒe lolome sɔ.
Ƒomedodo kae le RDW dodokpɔ kple ʋu ƒe xexlẽme bliboa (CBC) dome?
Wò ɖɔkta maɖe gbe be woawɔ dodokpɔ aɖe atsɔ alé ŋku ɖe RDW ɖeɖeko ŋu o. Zi geɖe la, wowɔa esia abe ʋudodo blibo (CBC) ƒe akpa aɖe ene . Míeyɔa esia hã be FBC (Ʋu Xexlẽme Blibo).
FBC ƒe nyatakaka aɖe na nyatakaka tso wò ʋu ƒe akpa vevi etɔ̃awo ŋu:
- Ʋumenugbagbevi Dzĩwo
- Ʋumenugbagbeviɣiwo
- Ʋumenugbagbeviɣidɔ
Akpa tɔxɛ aɖe le FBC ƒe nyatakaka sia si ƒo nu tso ʋumenugbagbevi dzĩwo ko ŋu. Woyɔa esia be RBC Indices.RDW nye RBC Indices mawo dometɔ ɖeka. Mina míalé ŋku ɖe asixɔxɔ vevi siwo le akpa sia ŋu.
| Dodokpɔ ƒe ŋkɔ (RBC Index) . | Nukae wodzidzena ko? |
|---|---|
| RDW (Lãmenugbagbevi Dzĩwo ƒe Mama ƒe Kekeme) . | Edzidzea ʋumenugbagbevi dzĩwo ƒe lolome ƒe tɔtrɔ. |
| MCV (Ŋutilã ƒe Agbɔsɔsɔme Mamã dedie) . | Wodzidzea ʋumenugbagbevi dzĩ aɖe ƒe lolome le mama dedie nu. |
| MCH (Hemoglobin si le lãmekawo me ƒe mama dedie) . | Edzidzea ʋumenugbagbevi dzĩ ƒe agbɔsɔsɔ si le ʋumenugbagbevi dzĩ ɖeka me le dzɔdzɔme nu. |
| MCHC (Hemoglobin ƒe Agbɔsɔsɔme Si Le Lãmetsiŋusẽ Me Mamã dedie) . | Aleke wodzidzea ʋumenugbagbevi dzĩ ƒe agbɔsɔsɔ si le ʋumenugbagbevi dzĩ me? |
Ne ɖɔkta aɖe lé ŋku ɖe wò atikewɔwɔ ƒe nɔnɔmea ŋu, vevietɔ nɔnɔme aɖe abe ʋusɔgbɔdɔ ene la, woléa ŋku ɖe dzidzenu siawo katã ŋu ɖekae. Womenɔa te ɖe dzidzenu ɖeka ko dzi wɔa nyametsotso o.
Ɣekaɣie wòhiã be woawɔ RDW dodokpɔ?
Ne dzesi aɖewo le ŋuwò si fia be ʋusɔgbɔdɔ le ŋuwò la, wò ɖɔkta ate ŋu aɖe gbe be woado FBC kpɔ. Esia hã alé ŋku ɖe wò RDW ƒe asixɔxɔ ŋu. Ʋusɔgbɔdɔ nye ne ʋumenugbagbevi dzĩ siwo le lãmesẽ me sɔ gbɔ be woatsɔ oxygen aƒo xlã wò ŋutilã o.
Dzesi siwo ate ŋu afia be ʋusɔgbɔdɔ le lãme na ame
Ne dzesi siawo tɔgbe le ŋuwò la, ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo:
- Ðeɖiteameŋu si gbɔ eme ƒe seselelãme ɣesiaɣi
- Gbɔgbɔtsixe ne èle azɔli zɔm vie gɔ̃ hã
- Vuvɔ ƒe seselelãme ɣesiaɣi
- Taɖuame alo taɖuame
- Ŋutilã si le ɣie alo ƒu
- EdziedziTaɖuame
Atikewɔwɔ ƒe nɔnɔme siwo ate ŋu ana RDW ƒe asixɔxɔ nakɔ
RDW dodokpɔa, tsɔ kpe ɖe RBC ƒe dzesi bubuwo ŋu, ate ŋu akpe ɖe ame ŋu woanya nusi gbɔ ʋusɔgbɔdɔ tsona. Nu vovovo geɖewo li siwo gbɔ ʋusɔgbɔdɔ tsona.
- Vitamin kple mineral ƒe anyimanɔmanɔ: Ʋusɔgbɔdɔ, vevietɔ si iron, vitamin B12, kple folate ƒe anyimanɔmanɔ hena vɛ, ate ŋu ana RDW ƒe agbɔsɔsɔ nadzi ɖe edzi.
- Thalassemia: Esia nye domenyiŋusẽfianu ƒe dɔléle.
- Dɔléle siwo nɔa anyi didi: Nɔnɔme siwo nɔa anyi didi abe suklidɔ, Crohn ƒe dɔléle, kple HIV ene.
- Ayiku alo Aklãdɔléle
- Kansa
- Dzitodzito me dɔléle
- Ʋu si dona vevie le afɔku alo amekoko ta.
Aleke wowɔa RDW dodokpɔ siae? Ðe wònye nusi wòle be woavɔ̃ na?
Gbɛɖɛ. Ʋudodokpɔ si le bɔbɔe ŋutɔ, si wowɔna edziedzi koe nye esia. Aɖabaƒoƒo ʋɛ aɖewo koe wòxɔna.
Naneke tɔxɛ aɖeke meli si ŋu wòle be nàdzra ɖo hafi axɔ wò ʋu o. Gake ne wò ɖɔkta de se be nàdoe kpɔ bubu, abe suklidɔ dodokpɔ le nutsitsidɔ me ene, tsɔ kpe ɖe FBC ŋu la, ahiã be nàtsi nu dɔ gaƒoƒo xexlẽme aɖe koŋ. Wò ɖɔkta aɖo aɖaŋu na wò le esia ŋu.
Esiae dzɔna ne woɖe ʋu:
1. Dɔnɔdzikpɔla alo ɖɔkta akpɔ ʋuka nyui aɖe le wò abɔta gbɔ alo le wò asi ƒe megbe.
2. Tsɔ aha sesẽ klɔ afisi wotsɔ aŋea de la nyuie.
3. Woblaa rababa (abe tourniquet ene) ɖe afisi woatsɔ aŋea ade la tame vie be wòakpe ɖe ʋukaa ŋu wòado nyuie wu.
4. Emegbe wotsɔa aŋea dea ʋukaa me eye woƒoa ʋu agbɔsɔsɔme si hiã la nu ƒu ɖe go sue aɖe me. Àte ŋu ase veve vie ne wole aŋea dem.
5. Ne wonya ɖe ʋua ko la, woɖea aŋea, tsɔa kotoklobo kakɛ aɖe dana ɖe teƒea, eye wotsɔa aŋɔ sue aɖe dea teƒea.
Zi geɖe la, àte ŋu adzo enumake le ʋudodo vɔ megbe. Ɣeaɖewoɣi la, wò ta ate ŋu atɔ vie, gake woabia tso asiwò be nànɔ anyi aɖabaƒoƒo ʋɛ aɖewo. Teƒe si wotsɔ aŋea de ate ŋu anye blɔ vie, gake esia nu ayi le eɖokui si le ŋkeke eve va ɖo etɔ̃ megbe. Esia nye dodokpɔ si le dedie ŋutɔ.
Aleke woawɔ ase RDW ƒe emetsonuwo gɔmee?
Woɖe wò RDW ƒe asixɔxɔ fia abe alafa memamã (%) ene. Na míakpɔe ɖa be asixɔxɔ ma sɔ, ekɔ, alo bɔbɔ hã.
| Metsonu | Gɔmeɖeɖe |
|---|---|
| RDW si sɔ | Esia fia be wò ʋumenugbagbevi dzĩwo ƒe lolome sɔ. Zi geɖe la, RDW ƒe asixɔxɔ nɔa 12% kple 15% dome . Gake asixɔxɔ siawo ate ŋu ato vovo vie le dodokpɔxɔ si wɔa dodokpɔa nu. Woyɔ afisi sɔ na dodokpɔxɔ ma le wò nyatakakaa me. Vevietɔ: Ne RDW la sɔ, gake asixɔxɔ bubu (abe MCV ene) ya mesɔ o la, ate ŋu afia atikewɔwɔ ƒe nɔnɔme aɖe hã. |
| RDW si kɔkɔ wu | Esia fia be vovototo gã aɖe le ʋumenugbagbevi dzĩwo ƒe lolome me. Ðewo le sue, ɖewo lolo. Esia ate ŋu anye ʋusɔgbɔdɔ alo nɔnɔme bubu si do ƒome kplii ƒe dzesi. RDW ƒe asixɔxɔ lolona vevietɔ le ʋusɔgbɔdɔ si iron ƒe anyimanɔmanɔ hena vɛ me. Ðɔktaa atsɔ RDW ƒe asixɔxɔ asɔ kple MCV ƒe asixɔxɔ be wòaƒo nya ta. |
| RDW si bɔbɔ ɖe anyi | Zi geɖe la, RDW ƒe asixɔxɔ si bɔbɔ wu afisi wòle be wòanɔ la menye naneke si ŋu woatsi dzi ɖo o. Medo ƒome kple atikewɔwɔ ƒe nɔnɔme aɖeke koŋ o. |
Vevietɔ ŋutɔ: Mègatsɔe be dɔléle aɖe le ye ŋu le esi wò RDW sɔ gbɔ alo esɔ ta o. RDW nye aɖaŋunu si lolo wu ƒe akpa ɖeka ko. Wò ɖɔkta azã dzidzenu bubu siwo le FBC ƒe nyatakakaa me, wò dzesiwo, kple dodokpɔ bubuwo, ne ehiã, atsɔ akpɔ dɔlélea nyuie.
Ne ènya xɔ ʋukɔntabubua ko la, tsɔe yi ɖɔkta si le dɔ wɔm na wò gbɔ eye nàdzro eme eme nakɔ. Bia nya alo nya ɖe sia ɖe si ŋu nètsi dzi ɖo lae.
Gbedasi si Wotsɔ Yi Aƒeme
- RDW (Red Blood Cell Distribution Width) nye dodokpɔ si dzidzea wò ʋumenugbagbevi dzĩwo ƒe lolome ƒe tɔtrɔ.
- Zi geɖe la, wowɔa esia abe ʋuxexlẽ blibo (FBC/CBC) ƒe akpa aɖe ene.
- RDW ƒe xexlẽme si kɔ ate ŋu anye ʋusɔgbɔdɔ ƒe dzesi, gake eya ɖeɖe mesɔ gbɔ na dɔlélea didi o.
- Zi geɖe la, RDW ƒe asixɔxɔ dzi ɖeɖe kpɔtɔ menye nusi ŋu woatsi dzi ɖo o.
- Ne ènya xɔ wò ʋudodokpɔ ŋuti nyatakaka ko la, dzro emetsonuwo me kple wò ɖɔkta ɣesiaɣi, tsɔ wu be nàti kpo aƒo nya ta le ɖokuiwò si.
👩🏽 ⚕️ Nyabiase bubuwo (FAQs)
💬 Nukae nye 'MCH Ʋudodokpɔ' le ʋu ƒe nyatakaka (FBC/CBC) me? Aleke wòdo ƒome kple RDW?
‘MCH (Mean Corpuscular Hemoglobin)’ si le wò Ʋu Blibo Xexlẽme (FBC) me nye ‘Hemoglobin’ (iron protein si naa ʋu ƒe amadede dzĩ eye wòtsɔa oxygen) ƒe agbɔsɔsɔ si le wò ʋumenugbagbevi dzĩwo (RBC) dometɔ ɖeka me. ‘RDW’ si le wò nyatia me enye ʋumenugbagbeviwo ƒe ‘lolome/dzidzeme ƒe tɔtrɔ’. Ne ɖɔktawo tsɔ dzidzenu eve siawo (MCH kple RDW) ƒo ƒui la, woate ŋu anya ʋusɔgbɔdɔ ƒomevi si tututu le ŋuwò!
💬 Nukatae nye MCH ƒe asixɔxɔ le sue le mɔ si mesɔ o nu (Low MCH) le nye nyatakaka me? Ðe wònye afɔkua?
‘MCH’ ƒe xexlẽme si bɔbɔ (zi geɖe la, medea picogram 27 o) fia be iron mele wò ʋumenugbagbeviwo me o (ʋumenugbagbeviawo me mekɔna o). Nu vevitɔ kple xexlẽdzesi 1 si gbɔ esia tsona enye ‘Iron Deficiency Anemia’ - iron mesɔ gbɔ le ŋutilã me be wòawɔ ʋu nyuie o! Tsɔ kpe ɖe eŋu la, domenyiŋusẽfianu ƒe ʋumenugbagbeviɣidɔ abe Thalassemia ene hã ate ŋu aɖe MCH ƒe asixɔxɔ si bɔbɔ ŋutɔ afia.
💬 Ne MCH/Hemoglobin si le ʋu ƒe nyatakaka me le sue la, nukae nye dɔléle siwo wua ame siwo hiã be woaxɔ ame ɖe kɔdzi/ʋudodo enumake?
Woate ŋu aɖɔ esia ɖo le ɣleti ʋɛ aɖewo megbe ne wozã gayibɔtikewo. Gake afɔku gãtɔ kekeake! 1) Ne ʋu ƒe sisi sia na be 'Akɔtave / Angina' le ŋuwò, 2) Ne èle ta ƒom ɣesiaɣi eye mègatsia dzodzodzoe o, 3) Ne wò dzi ƒe tsotso le du dzi le mɔ si mesɔ o nu la, ɖewohĩ wò dzi maxɔ oxygen si sɔ o eye wò dzi ate ŋu atɔ (Heart failure)! Ele be woaxɔ wò ɖe kɔdzi enumake!
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