Koj puas tau khaws daim ntawv qhia txog ntshav, saib cov ntawv thiab cov lej ntawm nws, thiab xav tias, 'Qhov no yog dab tsi?' CBC, WBC, RBC, MCH... Ntau cov lus no peb tsis paub, puas yog? Qee zaum peb tsuas yog ntshai thaum peb pom lawv. Yog li hnub no peb yuav tham txog ib qho txiaj ntsig zoo li no, uas yog, tus nqi MCH. Cia peb saib nws txhais li cas, thiab nws hais li cas txog peb lub cev thaum nws nce lossis txo qis.
Cia peb xub saib seb, MCH yog dab tsi?
MCH yog ib lo lus luv rau cov lus Askiv 'Mean Corpuscular Hemoglobin'. Hauv cov lus yooj yim, qhov no ntsuas
seb muaj pes tsawg hemoglobin nyob hauv koj cov qe ntshav liab . Tam sim no koj yuav xav paub, 'Qhov hemoglobin no yog dab tsi?' Hemoglobin yog ib qho protein tshwj xeeb pom muaj nyob rau hauv peb cov qe ntshav liab uas nqa oxygen thoob plaws lub cev. Yog xav kom meej, qhov hemoglobin no yog 'kev pabcuam xa khoom' uas xa cov pa oxygen uas peb coj los ntawm peb lub ntsws mus rau txhua lub qe hauv lub cev. Yog li tus nqi MCH yog tus nqi nruab nrab ntawm ntau npaum li cas cov khoom thauj (hemoglobin nqa oxygen) nyob hauv cov tsheb (cov qe ntshav liab) ntawm qhov kev pabcuam xa khoom no. Feem ntau, koj yuav pom txog tus nqi MCH no thaum koj ua qhov kev kuaj ntshav hu ua
CBC (Complete Blood Count) . Qhov no yog ib qho kev xeem uas siv ntau heev. Tus kws kho mob siv tus nqi no los pab txiav txim siab seb koj puas muaj kev tsis txaus noj haus, teeb meem siab, lossis lwm yam mob.
Kev Taw Qhia Luv Luv Txog Kev Ntsuas Ntshav Tag Nrho (CBC)
Qhov kev kuaj no tseem ceeb heev vim nws tuaj yeem muab cov ntaub ntawv hais txog ntau yam tseem ceeb ntawm koj cov ntshav. Feem ntau:
- Cov Qog Ntshav Liab : Cov no yog cov qe ntshav uas nqa oxygen uas peb nyuam qhuav tham txog.
- Cov Qog Ntshav Dawb : Zoo li peb lub cev 'tub rog' uas tawm tsam kev kis kab mob.
- Hemoglobin : Tus nqa oxygen hauv cov qe ntshav liab.
- Platelets: Cov qe ntshav uas pab cov ntshav txhaws thaum muaj kev raug mob.
Koj tus kws kho mob yuav xaj kom kuaj qhov no ua ib feem ntawm koj qhov kev kuaj mob txhua xyoo, lossis yog tias koj xav tias muaj mob raws li koj cov tsos mob (piv txwv li, qaug zog, ntsej muag dawb). Qhov no suav nrog kev coj me me ntawm cov ntshav los ntawm cov leeg ntshav hauv koj txhais caj npab. Nws raug xa mus rau chav kuaj mob kom kuaj thiab daim ntawv qhia.
Tus nqi MCH yuav tsum yog dab tsi feem ntau?
Lub chav ntsuas rau MCH yog
Cov Picograms (picograms lossis pg). Feem ntau, tus nqi no rau ib tus neeg laus thiab menyuam yaus noj qab nyob zoo yog ntawm 27 pg thiab 31 pg . Rau ib tus menyuam mos, qhov no siab dua me ntsis, uas yog, nws tuaj yeem yog los ntawm 32 pg txog 34 pg . Tab sis nco ntsoov, cov nqi no tuaj yeem sib txawv me ntsis ntawm chav kuaj mus rau chav kuaj, yog li nws yog qhov zoo tshaj plaws los piv rau 'Normal Range' ntawm koj daim ntawv qhia.
Yog tias tus nqi MCH qis dua, yuav ua li cas?
Tus nqi MCH qis txhais tau tias koj cov qe ntshav liab muaj cov hemoglobin qis dua li qub. Qhov no tuaj yeem ua rau koj cov qe ntshav liab zoo li 'dawb' lossis 'tsis zoo' me ntsis. Muaj ntau yam laj thawj tseem ceeb rau qhov no. Cia peb saib seb lawv yog dab tsi thiab cov tsos mob yog dab tsi. | Vim li cas tus nqi MCH qis | Cov tsos mob uas pom tau |
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| Kab mob ntshav tsis txaus (anemia) yog qhov ua rau mob ntshav tsis txaus (anemia). Nws yog tshwm sim los ntawm tsis muaj cov qe ntshav liab noj qab haus huv uas nqa oxygen mus rau lub cev. Qhov no tuaj yeem tshwm sim los ntawm tsis muaj hlau, vitamin B12, lossis folate txaus. | |
| Cov kab mob ntshav liab (hemoglobinopathies) yog cov kab mob uas tau txais los ntawm noob caj noob ces los ntawm kev puas tsuaj ntawm cov duab ntawm cov hemoglobin molecule lossis hauv nws cov txheej txheem tsim khoom. Piv txwv li: Thalassemia thiab Sickle Cell Disease. | Hauv thalassemia: cov cim qhia tias muaj ntshav tsis txaus, plab o, zis dub. Hauv kab mob sickle cell: cov cim qhia tias muaj ntshav tsis txaus, zis dub, qhov muag daj, mob thiab o ntawm tes thiab taw, thiab qee zaum mob hnyav hauv lub cev. |
Tus nqi MCH puas tuaj yeem nce ntxiv?
Yog, qee zaum tus nqi MCH tuaj yeem siab dua li qub. Qhov no txhais tau tias koj cov qe ntshav liab loj dua li qub. Qhov mob no hu ua Macrocytosis hauv kev kho mob. Feem ntau, qhov no tsis muaj dab tsi yuav txhawj txog. Tab sis qee zaum, nws tuaj yeem yog ib qho tsos mob ntawm tus mob. Cov laj thawj rau kev nce nqi MCH:
- Vitamin B12 lossis Folate Tsis Txaus: Tsis txhob xav tsis thoob, thaum cov as-ham no tsawg, anemia (MCH txo qis) tuaj yeem tshwm sim, nrog rau cov qe ntshav liab loj hlob (MCH nce). Qhov no hu ua Macrocytic Anemia.
- Qee yam kab mob siab: Qee yam teeb meem nrog kev ua haujlwm ntawm lub siab tuaj yeem ua rau MCH theem nce ntxiv.
- Haus dej cawv ntau dhau: Kev haus dej cawv ntau dhau rau lub sijhawm ntev kuj yog ib qho ua rau qhov no.
- Hypothyroidism: Qhov no yog thaum lub cev tsim cov tshuaj hormones thyroid tsawg dua.
- Qhov sib txawv no kuj tuaj yeem tshwm sim los ntawm qee cov tshuaj: cov tshuaj xws li chemotherapy, qee cov tshuaj tua kab mob, thiab cov tshuaj tua kab mob.
- Qee cov mob qog noj ntshav.
Qhov tseem ceeb yog tias cov qib MCH siab tsis ua rau muaj cov tsos mob tshwj xeeb. Txawm li cas los xij, tus kab mob hauv qab uas ua rau lawv yuav ua rau muaj cov tsos mob. Piv txwv li, yog tias koj muaj Hypothyroidism, koj yuav muaj cov tsos mob xws li qaug zog, hnyav nce, loog hauv koj txhais tes thiab ntiv tes, thiab mob nqaij. Yog tias koj muaj kab mob siab, koj yuav mob plab sab saud, tsis xav noj mov, thiab daj ntawm lub qhov muag. Cov Lus Qhia Txog Kev Coj Mus Tsev
- MCH tsuas yog ib qho nqi ntawm koj daim ntawv qhia txog ntshav xwb. Nws muab lub tswv yim dav dav txog qhov ntau ntawm hemoglobin hauv koj cov qe ntshav liab.
- Tus nqi MCH qis lossis siab tuaj yeem tshwm sim los ntawm ib qho mob uas tshwm sim xws li ntshav tsis txaus, lossis qee zaum nws tuaj yeem yog ib qho tsos mob ntawm ib qho mob hnyav dua uas xav tau kev saib xyuas ntau dua.
- Tsis txhob kuaj koj tus kheej los ntawm kev kuaj ntshav lossis tshawb nrhiav hauv internet kom paub ntxiv. Qhov no tsuas yog ua rau muaj kev ntxhov siab tsis tsim nyog xwb.
- Yog tias muaj kev hloov pauv ntawm koj tus nqi MCH lossis lwm yam nqi, tsuas yog koj tus kws kho mob thiaj li muab tau cov lus qhia zoo tshaj plaws thiab raug rau koj. Nws yuav ua qhov kev kuaj ntxiv, yog tias tsim nyog, kom nrhiav tau qhov ua rau tseeb, thiab sau ntawv kho mob tsim nyog.
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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