Koj puas xav tias koj nkees thiab qaug zog txhua lub sijhawm? Koj puas xav tias koj tsis muaj zog txawm tias ua haujlwm me ntsis lawm los xij? Los yog tej zaum koj tus kws kho mob tau hais kom koj kuaj ntshav kom paub seb koj cov hlau nyob hauv koj cov ntshav muaj pes tsawg. Ib qho kev kuaj tseem ceeb heev uas ua rau lub sijhawm zoo li no yog TIBC. Txawm hais tias lub npe yuav zoo li nyuaj me ntsis los xij, nws yeej yooj yim heev. Cia peb tham txog qhov no hnub no.
Hais yooj yim xwb, qhov kev xeem TIBC no yog dab tsi?
Lub ntsiab lus tag nrho ntawm TIBC yog `(Tag Nrho Cov Peev Xwm Khi Hlau)`. Hauv Sinhala, nws txhais tau tias "tag nrho cov peev xwm khi hlau". Zoo, qhov ntawd suab nyuaj me ntsis, puas yog? Cia peb nkag siab nws li no.
Xav txog tias muaj cov "tsheb thauj khoom me me" hauv peb cov ntshav uas thauj hlau (piv txwv li, nqa nws thoob plaws lub cev). Hauv cov lus kho mob, peb hu cov tsheb thauj khoom no ua transferrin . Cov no yog cov protein tshwj xeeb uas peb lub siab ua. Yog li, qhov kev xeem TIBC ntsuas seb cov "tsheb thauj khoom" lossis transferrin, hauv koj cov ntshav tuaj yeem tuav hlau ntau npaum li cas. Hauv lwm lo lus, qhov kev xeem no ntsuas tag nrho qhov chaw muaj nyob hauv cov tsheb thauj khoom no.
Vim li cas hlau thiaj tseem ceeb rau peb lub cev?
- Yuav ua cov qe ntshav liab: Hlau yog qhov tseem ceeb rau kev ua hemoglobin, cov protein hauv cov qe ntshav liab uas nqa oxygen thoob plaws peb lub cev.
- Rau lub zog: Hlau yog qhov xav tau rau kev ua haujlwm zoo ntawm peb cov leeg, pob txha pob txha, thiab lwm yam kabmob.
TIBC thiab Ferritin puas yog tib yam?
Tsis yog. Txawm hais tias ob qho no yog kev ntsuam xyuas hlau, lawv ntsuas ob yam sib txawv. Muaj ntau tus neeg tsis meej pem txog qhov no.
- TIBC: Qhov no ntsuas lub peev xwm thauj hlau. Ntawd yog, tag nrho qhov chaw muaj nyob rau hauv cov "tsheb thauj khoom" uas peb tau tham txog ua ntej.
- Ferritin: Qhov no ntsuas qhov ntau ntawm cov hlau khaws cia rau hauv koj lub cev cov hlwb, zoo ib yam li cov hlau hauv peb "chav khaws cia."
Hais yooj yim xwb, thaum TIBC yog hais txog kev thauj hlau, ferritin yog hais txog kev khaws hlau. Qhov tseeb, qhov kev kuaj ferritin yog qhov qhia tau zoo dua ntawm seb ib tug neeg puas tsis muaj hlau txaus.
Yuav tsum kuaj TIBC thaum twg?
Feem ntau tus kws kho mob yuav kom kuaj qhov no yog tias lawv xav tias koj muaj teeb meem hlau. Ntawd yog, thaum koj cov hlau qis dhau (iron-deficiency anemia) lossis siab dhau (hemochromatosis) .
Koj tus kws kho mob yuav ua qhov kev kuaj no yog tias koj muaj cov tsos mob no:
- Kev xav tias nkees heev thiab qaug zog tas li
- Daim tawv nqaij daj ntseg
- Ua pa nyuaj (ua pa luv luv)
- kiv taub hau
- Cov rau tes khoov rau saum toj zoo li diav
Feem ntau qhov kev kuaj TIBC tsis yog ua nws tus kheej xwb. Nws yog ua ib feem ntawm ntau qhov kev kuaj hu ua "iron panel." Qhov no yuav suav nrog:
- Cov Hlau Hauv Cov Ntshav - Tus nqi ntawm cov hlau dawb hauv cov ntshav.
- Ferritin - Tus nqi hlau uas khaws cia rau hauv lub cev.
- Transferrin Saturation - Muaj pes tsawg tus protein thauj hlau uas muaj hlau puv.
Koj npaj li cas rau qhov kev xeem no?
Qhov no tsis tas yuav npaj ntau, tab sis koj tus kws kho mob yuav qhia koj ua cov no:
- Kev yoo mov rau 12 teev: Qhov no txhais tau tias koj yuav tsum tsis txhob noj lossis haus dej rau 12 teev ua ntej qhov kev kuaj mob. Txawm li cas los xij, haus dej xwb feem ntau tsis yog teeb meem.
- Tsum tsis txhob noj cov tshuaj ntxiv hlau: Yog tias koj noj ib yam dab tsi zoo li cov tshuaj ntxiv hlau, koj tus kws kho mob yuav qhia koj kom tsum tsis txhob noj lawv 12-24 teev ua ntej qhov kev kuaj mob.
Yog koj muaj lus nug txog qhov no, zoo dua nug koj tus kws kho mob ua ntej kuaj kom paub tseeb.
Yuav nkag siab li cas txog daim ntawv qhia TIBC?
Zoo, tam sim no peb tuaj txog qhov tseem ceeb tshaj plaws. Tom qab koj cov ntshav kuaj raug coj mus rau chav kuaj mob, koj yuav tau txais daim ntawv qhia li ib lossis ob hnub. Koj yuav pom tias daim ntawv qhia muaj tus nqi TIBC thiab "Normal Range", uas yog, ntau yam ntawm cov nqi ib txwm muaj.
Qhov tseem ceeb yog tias qhov ntau thiab tsawg no tuaj yeem txawv me ntsis ntawm chav kuaj mus rau chav kuaj, yog li koj yuav tsum piv koj tus nqi rau qhov ntau thiab tsawg uas tau muab rau hauv koj daim ntawv qhia.
Feem ntau, tus nqi TIBC rau ib tus neeg laus noj qab haus huv yog ntawm 240 thiab 450 micrograms/deciliter (240 - 450 mcg/dL) .
Tam sim no cia peb saib seb tus nqi no txhais li cas. Tus kws kho mob tsis yog kuaj mob raws li tus nqi TIBC xwb, tab sis los ntawm kev muab piv rau cov txiaj ntsig ntawm lwm yam kev kuaj mob.
| Qhov tshwm sim | Qhov no txhais li cas | Piav qhia yooj yim |
|---|---|---|
| TIBC siab thiab Ferritin qis | Kev tsis muaj hlau txaus (Kev tsis muaj hlau txaus ua rau ntshav tsis txaus) | Vim tias lub cev cov hlau khaws cia tsawg, muaj ntau cov "carriers" (transferrin) khoob hauv cov ntshav uas tuaj yeem khi hlau. Yog li ntawd, lub peev xwm khi hlau nce ntxiv. |
| TIBC qis thiab Ferritin/Hlau siab | Hlau ntau dhau (Hemochromatosis) | Vim tias lub cev muaj hlau ntau dhau, tag nrho cov "tsheb thauj khoom" uas tuav hlau yuav luag puv lawm. Yog li ntawd, muaj qhov chaw me me (peev xwm) rau cov hlau tshiab kom nqus tau. |
| TIBC qis thiab Iron/Ferritin qis | Cov mob xws li mob o ntev, kis kab mob, tsis muaj zaub mov zoo, cirrhosis, thiab nephrotic syndrome. | Hauv qee cov kab mob ntev, lub cev lub peev xwm siv thiab thauj hlau txo qis. Yog li ntawd, ob qho tib si qib hlau thiab lub peev xwm khi hlau tuaj yeem txo qis. |
Kuv puas yuav tsum txhawj xeeb yog tias tus nqi ntawm daim ntawv qhia tsis zoo?
Tsis yog li ntawd. Tsuas yog vim koj daim ntawv qhia TIBC tsis nyob sab nraud ntawm qhov ib txwm tsis tau txhais hais tias koj muaj kab mob. Kwv yees li ib ntawm 20 tus neeg noj qab haus huv yuav muaj cov txiaj ntsig sab nraud ntawm qhov ib txwm.
Cov nqi TIBC kuj tseem tuaj yeem hloov pauv rau lwm yam laj thawj, xws li:
- Yog tias koj nyuam qhuav tau txais ntshav los ntawm kev pub ntshav (Kev hloov ntshav tsis ntev los no).
- Kev siv cov tshuaj tiv thaiv kev yug me nyuam (kev tswj xeeb tub hauv qhov ncauj).
- Qee cov tshuaj, piv txwv li, cov tshuaj kho qhov muag xws li Chloramphenicol.
- Muaj qhov yuam kev me me tshwm sim thaum lub sijhawm sau, thauj, lossis kuaj cov ntshav.
Tsis txhob txiav txim siab loj raws li ib daim ntawv qhia txog kev kuaj mob xwb. Koj tus kws kho mob yuav qhia rau koj paub tias koj tus mob tiag tiag yog dab tsi tom qab saib koj cov tsos mob, cov txiaj ntsig ntawm lwm yam kev kuaj mob, thiab tag nrho cov no, thiab ua kev kuaj mob ntxiv yog tias tsim nyog.
Yog li ntawd, yog tias muaj kev hloov pauv ntawm tus nqi ntawm daim ntawv qhia, tsis txhob ntshai, coj nws thiab ntsib nrog koj tus kws kho mob los tham txog nws. Qhov xov xwm zoo yog tias feem ntau cov mob ntsig txog hlau tuaj yeem kho tau tag nrho nrog kev kho mob kom zoo.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Qhov kev kuaj TIBC qhia tau tias koj cov ntshav tuaj yeem thauj hlau tau zoo npaum li cas.
- Feem ntau, tus nqi TIBC siab qhia tias tsis muaj hlau txaus, thaum tus nqi TIBC qis qhia tias muaj hlau ntau dhau lossis lwm yam mob ntev.
- Rau kev kuaj mob kom raug, qhov kev xeem TIBC yeej ib txwm siv ua ke nrog lwm yam kev xeem xws li Ferritin thiab Serum Iron.
- Tsis txhob ntshai yog tias koj cov txiaj ntsig kuaj tsis zoo li qub. Tus neeg zoo tshaj plaws thiab tib tus neeg uas yuav tham txog qhov no yog koj tus kws kho mob .
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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