Yu dɔn ɛva gɛt blɔd tɛst ripɔt, luk di lɛta ɛn nɔmba dɛn we de pan am, ɛn tink se, "Wetin na dis?" Na nɔmal tin fɔ mek yu fred smɔl we yu si bɔku nem dɛn lɛk CBC, MCV, RDW, ɛn MCH. Wan pan dɛn valyu dɛn de na MCH. Tide, wi de tɔk bɔt dis MCH valyu, we de tɛl yu bɔku impɔtant infɔmeshɔn bɔt yu blɔd sɛl.
Fɔ tɔk am simpul wan, wetin na MCH?
MCH na shɔt fɔ ‘Mean Corpuscular Hemoglobin’. Dis na wan pan di valyu dɛm na kɔmplit blɔd kɔnt (CBC) we wi kin du. I kin mɔs no ɔmɔs ɛmoglobin de insay wan pan yu rɛd blɔd sɛl dɛn .
Naw yu go de wɔnda, "Wetin na dis ɛmoglobin?" Tink bɔt yu rɛd blɔd sɛl dɛn lɛk smɔl trak dɛn we de kɛr ɔksijɛn ɔlsay na yu bɔdi. Ɛn ɛmoglobin na di bɔks dɛn we gɛt ɔksijɛn insay dɛn trak dɛn de . Dɛn bɔks ya na dɛn kin rili kech di ɔksijɛn, kɛr am go to ɛvri sɛl na yu bɔdi, ɛn ɛp fɔ gi dɛn sɛl dɛn de di ɛnaji we dɛn nid. So yu kin si aw ɛmoglobin impɔtant as prɔtin.
So di MCH valyu de tɛl wi wan aidia bɔt ɔmɔs ɔksijɛn tank dɛn kin de insay yu rɛd blɔd sɛl trak.
כda imכtant rεd blכd sεl indis dεm (RBC Indices) lεk MCH
Yu blɔd ripɔt nɔ jɔs gɛt MCH, bɔt i gɛt sɔm ɔda valyu dɛn bak. Ɛni wan pan dɛn tin ya kin tɛl yu difrɛn tin dɛn bɔt di wɛlbɔdi we yu rɛd blɔd sɛl dɛn gɛt. Wi kin kɔl dɛn rɛd blɔd sɛl indis (RBC indices). Dɔktɔ go luk ɔl dɛn valyu ya we i de chɛk yu mɛrɛsin, mɔ wan sik lɛk anemia.
| Index | Wetin dɛn jɔs de mɛzhɔ |
|---|---|
| Min Kɔpɔsul Volyum (MCV) . | Dis de sho di avrej saiz fɔ yu rɛd blɔd sɛl dɛn. Dat min se di sɛl dɛn big, smɔl, ɔ gɛt di sem nɔmba lɛk aw dɛn kin gɛt? |
| Min Kɔpɔsul Ɛmoglobin Kɔnsɛntreshɔn (MCHC) . | Dis na di sem tin lɛk MCH, bɔt i gɛt smɔl difrɛns. I de mɛzhɔ di ɔmɔs ɛmoglobin we de insay wan rɛd blɔd sɛl we yu kɔmpia am to di sayz we da sɛl de gɛt. Dat min se aw di ɛmoglobin pak tayt tayt wan. |
| Rɛd blɔd sɛl distribyushɔn wit (RDW) . | Dis de sho aw yu rɛd blɔd sɛl dɛn difrɛn pan saiz . Bɔku tɛm, pɔsin we gɛt wɛlbɔdi in rɛd blɔd sɛl dɛn kin gɛt di sem sayz. Wan ay valyu min se di sɛl dɛn gɛt difrɛn saiz. |
Na we dɔktɔ luk ɔl dɛn valyu ya togɛda, i go ebul fɔ ɔndastand di prɔblɛm wit yu blɔd kɔrɛkt wan.
Ustɛm yu fɔ chɛk yu MCH valyu?
MCH na kɔmɔn pat pan kɔmplit blɔd kɔnt (CBC). Dɔktɔ kin ɔda CBC fɔ chɛk yu jenɛral wɛlbɔdi.
Bɔt di MCH valyu rili impɔtant, mɔ if yu gɛt sayn dɛn fɔ anemia .
- Fɔ fil ɔltɛm fɔ taya pasmak
- Yu ed kin at ɔltɛm
- Pale skin
- Fɔ fil se yu gɛt diziz
- I nɔ kin izi fɔ yu fɔ blo
We dɔktɔ luk di MCH valyu ɛn ɔda RBC indikɛtɔ dɛm fɔ pɔsin we gɛt dɛn sik ya, i kin no if yu gɛt anemia, if na so, us kayn i bi, ɛn wetin na di pɔsibul kɔz.
Aw yu kin du dis tɛst? Yu tink se na big tin?
Dis na rili simpul, rutin blɔd tɛst, so no rizin nɔ de fɔ mek wi fred.
Yu nid fɔ rɛdi bifo di tɛst?
Yu nɔ kin nid fɔ du ɛni spɛshal tin fɔ pripia fɔ CBC tɛst. Bɔt if yu dɔktɔ dɔn tɛl yu fɔ du ɔda tɛst pan di sem blɔd sɛmpul (fɔ ɛgzampul, fɔ chɛk yu blɔd shuga), dɛn kin aks yu fɔ fast fɔ sɔm awa. So ɔltɛm fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
Wetin kin apin we dɛn de du di tɛst?
Dis na simpul tin we nɔ de tek fayv minit.
1. Dɛn mek yu sidɔm na chia ɛn aks yu fɔ es yu an.
2. Nɔs ɔ mɛdikal lɛbɔraytri tɛknishian go klin di say we dɛn put nidul wit rɔm.
3. Dɔn, dɛn kin tay wan rɔba band rawnd di ɔp an fɔ mek di vein dɛn we pɔsin kin si mɔ.
4. Dɛn kin put di nidul rili jisnɔ insay di vein ɛn dɛn kin gɛda di blɔd we dɛn nid insay wan smɔl vayl.
5. Dɔn, dɛn kin pul di nidul ɛn put wan kɔtɔn pan di say ɛn prɛs fɔ mek di blɔd nɔ kɔmɔt.
Pan ɔl we i bin tan lɛk se ilɛktrik shɔk smɔl we dɛn put di nidul, i nɔ bin rili pen.
Afta di tɛst?
Afta yu don giv yu blɔd, if yu nɔ fil diziz, yu kin go na os. Sɔm pipul dɛn kin fil bad smɔl we dɛn si blɔd. Dis na nɔmal tin. If dat apin, dɛn go kia fɔ yu te yu fil fayn.
Dis na tɛst we rili sef ɛn we kɔmɔn. Yu kin gɛt sɔm brus ɔ smɔl pen usay dɛn put di nidul, bɔt dis kin dɔn insay wan de.
Aw a go ɔndastand di MCH valyu dɛn we de na di ripɔt?
Dɛn kin mɛzhɔ MCH insay pikogram (pg), we na wan rili smɔl wet, we na lɛk wan trilyɔn pat pan wan gram.
di nכmal rεnj fכ hεlty MCH lεvεl fכ big man (man εn uman) na 27 pg to 33 pg . Bɔt mɛmba se dɛn valyu ya kin difrɛn smɔl bitwin difrɛn lɛbɔretri dɛn. So, i impɔtant fɔ kɔmpia yu rizɔlt wit di "nɔmal rɛnj" we de na yu ripɔt.
Wan valyu we smɔl pas dis rɛnj dɛn kɔl am "Low MCH" ɛn wan valyu we ay pas dis rɛnj dɛn kɔl am "High MCH".
Bɔt mɛmba dis: Nɔ panik if yu MCH valyu smɔl ɔ ay. Na in wan nɔr min se yu gɛt siriɔs sik. Yu dɔktɔ go analayz dis wit yu ɔda blɔd valyu, di sayn dɛm, ɛn ɔl yu wɛlbɔdi.
Wetin di low MCH min?
If yu MCH valyu smɔl pas aw i fɔ bi, i de sho se yu rɛd blɔd sɛl dɛn nɔ gɛt inof ɛmoglobin. Dis kin mek yu rεd bכdi sεl dεm kכla layt pas nכmal (hypochromic anemia) כ sכm sכm pas nכmal (maycrocytic anemia).
Di men rizin dɛn we mek MCH nɔ bɔku na:
- Ayɔn we nɔ de: Dis na di tin we kin mek pɔsin nɔ gɛt bɛtɛ blɔd na wi kɔntri. Ayɔn impɔtant fɔ mek dɛn mek ɛmoglobin. We ayɔn nɔ de, di ɛmoglobin we dɛn de mek nɔ de bɔku. dis kכndyushכn kin apin pan uman dεm we gεt hεvi mεnstral bכdi, bikoz fכ intanεt bכdi (e.g. intestinal כlsa), כ afta dεn כpεrayshכn.
- Jɛnɛtik prɔblɛm wit ɛmoglobin prodakshɔn (Hemoglobinopathies): Dɛn kin bɔn sɔm pipul dɛn wit jɛnɛtik kɔndishɔn we kin mek dɛn bɔdi nɔ ebul fɔ mek ɛmoglobin fayn. Thalassemia ɛn sikɛl sɛl anemia na ɛgzampul dɛn fɔ dɛn tin ya.
- Sik dɛm we nɔ de mɛn: If yu inflamɛns na di bɔdi bikɔs ɔf tin dɛm lɛk infekshɔn we de te, kidni sik, liva sik, ɛn kansa kin ambɔg di we aw dɛn de mek ɛmoglobin.
Wetin ay MCH min?
If yu MCH hכy pas nכmal, i min se yu bכdi de prodyuz big rεd blכd sεl dεm pas nכmal (Macrocytic anemia). Dɛn big big sɛl dɛn ya gɛt mɔ ɛmoglobin, bɔt dɛn nɔ de wok fayn fayn wan.
Di men rizin dɛn we mek MCH gɛt ay ay na:
- Vitamin B12 ɔ Folate Deficiency: Dɛn tu tin ya impɔtant fɔ mek wi bɔdi mek wɛlbɔdi rɛd blɔd sɛl. If wi nɔ gɛt dɛn tin ya we wi de it ɔ we wi nɔ tek dɛn fayn, dat kin mek di rɛd blɔd sɛl dɛn big pasmak.
- Fɔ drink rɔm pasmak fɔ lɔng tɛm.
- Tayrɔyd prɔblɛm: Dis kin bi bikɔs ɔf di haypothayroyd, mɔ.
- Di bad tin dɛn we sɔm mɛrɛsin dɛn kin du: Fɔ ɛgzampul, kemotɛrapi fɔ kansa kin mek pɔsin gɛt dis sik.
Wetin fɔ du nɛks if yu gɛt abnɔmal MCH valyu?
Dis na di tin we impɔtant pas ɔl. Nɔ ɛva jomp to kɔnklushɔn fɔ yusɛf bɔt if yu ripɔt ay ɔ smɔl, ɔ no se yu gɛt sik bay we yu de yuz di intanɛt.
Yu dɔktɔ go disayd wetin fɔ du nɛks.
- If yu MCH smɔl ɛn yu tink se yu nɔ gɛt ayɔn, dɛn kin aks yu fɔ du ɔda tɛst fɔ chɛk yu bɔdi in ayɔn lɛvɛl.
- If di MCH valyu ay, dɛn kin aks yu fɔ chɛk yu vaytamɛn B12 ɛn folate lɛvɛl.
Di bɛst tin fɔ mek yu du na fɔ tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu bɔt yu ripɔt . I go rivyu dɛn valyu ya wit yu ɔl yu wɛlbɔdi, ɛksplen to yu, ɛn gi yu tritmɛnt if nid de.
Mɛsej we dɛn kin kɛr go na os
- MCH na nכmal valyu we dεn kin fכnshכn pan komplit blכd kכnt (CBC). I de mɛzhɔ di avɛrej ɛmoglobin we de na wan rɛd blɔd sɛl.
- Dis valyu de ɛp dɔktɔ dɛn fɔ no bɔt sik dɛn lɛk anemia.
- Bɔku tɛm, di MCH we smɔl kin gɛt fɔ du wit we pɔsin nɔ gɛt ayɔn. Di sik dɛn we pɔsin kin gɛt we i kam pan jɛnɛtiks lɛk thalassemia kin bi bak wan tin we kin mek i apin.
- Bɔku tɛm, di ay MCH kin gɛt fɔ du wit vaytamɛn B12 ɔ fɔlet we nɔ de.
- Nɔ ala if yu MCH ridin smɔl ɔ ay. I nɔto diagnosis insɛf.
- Di tin we impɔtant pas ɔl: Ɔltɛm sho yu blɔd tɛst ripɔt to yu dɔktɔ fɔ mek i no am klia wan ɛn fɔ gi am mɔ advays.
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