Thaum koj pom cov ntawv thiab cov lej ntawm daim ntawv qhia uas koj tau txais thaum koj mus kuaj ntshav , qee zaum koj yuav xav txog ib lo lus nug me me, puas yog? ' CBC , RDW, thiab MCV no txhais li cas?' Muaj ntau tus neeg nug txog tus nqi no, tshwj xeeb tshaj yog tus nqi RDW. Yog li hnub no, cia peb tham txog RDW no txhais li cas thiab nws hais li cas txog peb txoj kev noj qab haus huv hauv txoj kev yooj yim heev.
Cia peb xub saib, RDW no yog dab tsi?
Hais yooj yim xwb, RDW, lossis Red Blood Cell Distribution Width , ntsuas qhov sib txawv ntawm qhov loj ntawm cov qe ntshav liab hauv koj cov ntshav. Txawm hais tias nws hais tias "dav," qhov no tsis ntsuas qhov dav ntawm lub cell, nws ntsuas qhov ntau thiab tsawg ntawm cov cell.
Xav txog nws li no: cov qe ntshav liab hauv peb lub cev zoo li cov tsheb thauj khoom me me uas xa cov pa oxygen. Lawv khaws cov pa oxygen los ntawm lub ntsws thiab nqa nws mus rau txhua qhov chaw ntawm lub cev. Ib qho protein uas pab nrog txoj haujlwm no hu ua hemoglobin . Feem ntau, cov qe ntshav liab ntawm tus neeg noj qab haus huv yuav tsum muaj tib qhov loj me. Yog tias muaj qhov sib txawv loj ntawm lawv qhov loj me, nws txhais tau tias tej zaum yuav muaj teeb meem.
Thaum koj mus ntsib kws kho mob, feem ntau lawv muab daim ntawv qhia rau koj hu ua kev suav ntshav tag nrho (CBC), puas yog? RDW yog ib feem ntawm daim ntawv qhia CBC ntawd.
Puas yog RDW saib nws ib leeg xwb? Muaj dab tsi tseem ceeb ntxiv hauv daim ntawv qhia CBC?
Tus kws kho mob yeej yuav tsis kuaj mob raws li tus nqi RDW xwb. Nws zoo li ib daim duab sib dhos. Koj xav tau lwm daim kom pom tag nrho daim duab. Muaj ntau lwm yam kev ntsuas tseem ceeb ntawm cov qe ntshav liab hauv daim ntawv qhia CBC. Peb hu lawv ua Cov Qhab Ntshav Liab. RDW yog ib qho ntawm cov ntsuas ntawd.
| Cov Ntawv Qhia | Nws txhais li cas yooj yim? |
|---|---|
| MCV (Qhov Nruab Nrab Corpuscular Ntim) | Nws ntsuas qhov nruab nrab ntawm koj cov qe ntshav liab. |
| MCH (Mean Corpuscular Hemoglobin) | Nws ntsuas qhov ntau ntawm hemoglobin uas feem ntau muaj nyob rau hauv cov qe ntshav liab. |
| MCHC (Qhov Nruab Nrab ntawm Corpuscular Hemoglobin Concentration) | Qhov concentration ntawm hemoglobin hauv cov qe ntshav liab raug ntsuas. |
Koj tus kws kho mob yuav coj tag nrho cov txiaj ntsig no ua ke kom tau txais lub tswv yim tseeb ntawm koj txoj kev noj qab haus huv.
Leej twg yuav tsum txhawj xeeb txog tus nqi RDW no?
Tus nqi RDW feem ntau yog ntsuas rau txhua tus neeg uas muaj kev kuaj CBC, tab sis tus kws kho mob yuav ua tib zoo saib xyuas tus nqi no yog tias lawv xav tias koj muaj ntshav tsis txaus .
Kab mob ntshav tsis txaus (Anemia) yog ib yam mob uas lub cev tsis tsim cov qe ntshav liab txaus. Mus saib seb koj puas muaj cov tsos mob no:
- qaug zog tas li
- Ua pa nyuaj txawm tias taug kev luv luv xwb los xij
- Hnov txias txawv txawv
- kiv taub hau
- Lub cev tsis muaj sia
- Tawv nqaij dawb los yog qhuav
- Mob taub hau ntau zaus
- Lub plawv dhia ceev
Yog tias koj muaj cov tsos mob no, koj tus kws kho mob yuav saib tus nqi RDW los sim nrhiav qhov ua rau koj cov ntshav tsis txaus. Tsis tas li ntawd, tus nqi RDW kuj tseem ceeb rau cov xwm txheej hauv qab no:
- Yog tias ib tug neeg hauv tsev neeg muaj cov kab mob ntshav uas los ntawm noob caj noob ces xws li thalassemia lossis sickle cell anemia.
- Yog koj muaj cov kab mob ntev xws li mob ntshav qab zib lossis mob Crohn.
- Yog tias koj cov zaub mov tsis muaj hlau thiab lwm yam minerals txaus.
- Yog tias koj raug kev txom nyem los ntawm kev kis kab mob mus sij hawm ntev.
- Yog tias muaj ntshav ntau heev raug tshem tawm ntawm lub cev vim yog qhov xwm txheej lossis kev phais.
Cov lej hauv daim ntawv qhia RDW txhais li cas?
Zoo, tam sim no cia peb saib seb nws txhais li cas kom muaj tus nqi RDW no ntawm qib siab, qis, lossis ib txwm.
Tus nqi RDW siab
Tus nqi RDW siab txhais tau tias muaj qhov sib txawv loj ntawm koj cov qe ntshav liab. Qhov no txhais tau tias qee cov qe me me thiab qee cov loj. Qhov no tuaj yeem yog ib qho cim ntawm kev tsis muaj ntshav txaus. Kev tsis muaj hlau, tshwj xeeb, ua rau tus nqi RDW nce ntxiv. Nws kuj tseem tuaj yeem tshwm sim los ntawm kev tsis txaus cov as-ham xws li vitamin B12 lossis folate.
Tus nqi RDW qis
Tus nqi RDW qis txhais tau tias tag nrho koj cov qe ntshav liab loj sib npaug zos. Qhov no yog ib qho xwm txheej zoo heev. Tsis muaj dab tsi yuav tsum txhawj txog.
Tus nqi RDW yog qhov qub
Tus nqi RDW 'Ib txwm' (feem ntau ntawm 12% - 15%) txhais tau tias tsis muaj qhov sib txawv tseem ceeb ntawm qhov loj ntawm cov qe ntshav liab. Txawm li cas los xij, qhov no tsis tau txhais hais tias txhua yam zoo. Qee zaum, txawm tias RDW yog ib txwm muaj, cov qe ntshav liab tuaj yeem me me (tus nqi MCV qis). Qhov no tuaj yeem yog ib qho tsos mob ntawm tus kab mob caj ces xws li thalassemia .
Qhov tseem ceeb tshaj plaws yog koj tsis tuaj yeem kuaj mob raws li tus nqi RDW xwb. Tus kws kho mob yuav muab tus nqi no piv rau tus nqi MCV thiab lwm cov txiaj ntsig ntawm kev kuaj mob kom tau txais kev kuaj mob tseeb.
Qhov no tuaj yeem piav qhia ntxiv hauv lub rooj hauv qab no.
| Tus nqi RDW | Tus nqi MCV (qhov nruab nrab ntawm cov cell loj) | Feem ntau qhov xwm txheej txawv txawv |
|---|---|---|
| RDW siab | MCV qis | Kev tsis muaj hlau txaus |
| RDW ib txwm muaj | MCV qis | Kab mob ntshav tsis txaus vim yog Thalassemia lossis kab mob ntev |
| RDW siab | MCV siab | Tsis muaj vitamin B12 los yog folate txaus |
| RDW siab | MCV ib txwm muaj | Nws yuav yog ib qho teeb meem ntxov ntawm kev mob ntshav tsis txaus lossis kab mob siab. |
Puas muaj qib 'txaus ntshai' ntawm RDW tus nqi?
Hais meej meej, tsis muaj ib yam dab tsi hu ua 'tus nqi RDW txaus ntshai.' Qhov no zoo li lub tswb ceeb toom. Nws tsuas yog txhais tau tias muaj qee yam yuav tsum tau kuaj xyuas sab hauv lub cev. Yog li ntawd, tsis txhob ntshai qhov nqi RDW siab dhau.
Qhov zoo tshaj plaws uas koj ua tau yog coj koj daim ntawv qhia thiab nrog koj tus kws kho mob tham txog qhov ntawd. Nws yuav ua qhov kev kuaj ntxiv yog tias tsim nyog, nrhiav qhov ua rau muaj mob, thiab sau ntawv kho mob rau koj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- RDW tsuas yog ib feem ntawm koj cov ntshav suav tag nrho (CBC).
- Qhov no ntsuas qhov sib txawv ntawm qhov loj ntawm koj cov qe ntshav liab.
- Tus nqi RDW siab dua feem ntau tuaj yeem yog ib qho cim ntawm kev tsis muaj zog, xws li kev tsis txaus hlau.
- Tus nqi RDW qis yog ib qho mob zoo heev. Tsis muaj laj thawj yuav tsum txhawj txog qhov ntawd.
- Koj tsis tuaj yeem kuaj mob los ntawm kev saib tus nqi RDW ib leeg xwb. Tus kws kho mob muab piv rau lwm tus nqi zoo li MCV.
- Yog tias koj muaj lus nug lossis kev tsis ntseeg txog cov nqi hauv koj daim ntawv qhia, qhov zoo tshaj plaws thiab muaj kev nyab xeeb tshaj plaws yog tham nrog koj tus kws kho mob txog nws.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus