Wetin na di MCH valyu na yu blɔd ripɔt? (Mean Corpuscular Hemoglobin) Lɛ wi lan bɔt dis jɔs!

We dɛn du yu blɔd tɛst, yu go dɔn si se di ripɔt gɛt difrɛn tin dɛn we dɛn rayt wit ɛni lɛta ɛn nɔmba. Sɔntɛnde, we wi si dɛn tin ya, wi nɔ kin ivin imajin wetin dɛn bi, ɛn wi kin wɔri smɔl. Semweso, wan impɔtant valyu we yu go si na yu kɔmplit blɔd kɔnt (CBC) ripɔt na MCH . Tide, lɛ wi tɔk bɔt wetin na dis MCH ɔ ``Mean Corpuscular Hemoglobin'', wetin i se bɔt wi wɛlbɔdi, ɛn wetin kin apin if da valyu de go ɔp ɔ dɔŋ rili simpul wan.

Wetin na MCH rili?

Fɔ tɔk am simpul wan, MCH na valyu we de mɛzhɔ di avɛrej ɛmoglobin we de na yu rɛd blɔd sɛl (RBC) . Naw tink bɔt wetin na ɛmoglobin. Ɛmoglobin na wan impɔtant prɔtin we de insay wi rɛd blɔd sɛl dɛn. Na dis protin we de tek ɔksijɛn frɔm wi lɔng ɛn kɛr am go na di sɛl dɛn ɔlsay na di bɔdi. I tan lɛk `delivery` pɔsin we de kam wit it na os. Dis ɔksijɛn na in de gi ɛnaji to ɔl di sɛl dɛn na wi bɔdi, ɛn ɔltin na wi bɔdi de wok fayn fayn wan. So, wi kin gεt sכm aidia bכt dis εmoglobin frכm di MCH valyu.

MCH na jכs wan valyu na di ``RBC indices`` sεkshכn na di ``CBC`` tεst we de dεskrεb rεd bכdi sεl dεm. Bɔku ɔda valyu dɛn de lɛk dis:

• MCV `(Mean Corpuscular Volume)` : dis de tεl yu di avrej saiz fכ yu rεd bכdi sεl dεm, dat na if dεn big כ sכm.
• MCHC `(Mean Corpuscular Hemoglobin Concentration)` : dis de tכk bכt di kכnsantreshכn fכ hεmoglobin insay wan rεd bכdi sεl. כltu, i nכ lεk MCH, MCHC de tek in kכntכm bak di sayz fכ di rεd bכdi sεl dεm.
• RDW `(Red Blood Cell Distribution Width)` : dis de mכsu aw difrεn yu rεd bכdi sεl dεm de insay saiz. Dat min se, yu tink se ɛnitin de we nɔ gri wit dɛnsɛf, lɛk sɔm sɛl dɛn we smɔl ɛn sɔm sɛl dɛn big.

Dɔktɔ dɛn kin yuz ɔl dɛn tin ya fɔ no if yu rɛd blɔd sɛl dɛn gɛt wɛlbɔdi. Dɛn valyu ya impɔtant mɔ fɔ no bɔt tin dɛn lɛk anemia .

Ustɛm dɛn nid fɔ du MCH tɛst?

MCH na wan kɔmɔn pat pan wan CBC tɛst. Dis CBC tɛst nɔ de jɔs mɛzhɔ yu rɛd blɔd sɛl dɛm, bɔt i de mɛzhɔ yu wayt blɔd sɛl dɛm (di sɛl dɛm we de protɛkt wi frɔm sik) ɛn di pletlɛt dɛm (di sɛl dɛm we de ɛp fɔ mek blɔd klɔt). So, we dɛn put am togɛda wit ɔda CBC valyu dɛm, dɔktɔ dɛn kin no di fɔs sayn dɛm fɔ wan mɛdikal kɔndishɔn.

Yu dɔktɔ go bisin mɔ bɔt yu MCH valyu if yu gɛt sɔm sayn dɛn we de sho se yu nɔ gɛt blɔd, lɛk fɔ taya, yu ed de at ɔltɛm, yu de shayn, ɛn yu nɔ de blo fayn . If yu MCH valyu nɔrmal we yu kɔmpia am wit ɔda RBC indis dɛm, i kin ɛp yu dɔktɔ fɔ no if yu gɛt anemia ɛn, if na so, wetin kin bi di kɔz.

Aw dɛn kin du dis tɛst?

Di MCH tɛst na wan rili simpul blɔd tɛst. Bɔku tɛm, nɔs ɔ dɔktɔ we de mɛn yu blɔd kin tek smɔl blɔd frɔm yu. Dɔn dɛn kin yuz wan ɔtomatik blɔd kɔnta fɔ chɛk di blɔd sɛmpul. Dis mashin de gi yu infɔmeshɔn bɔt di sɛl dɛn we de na yu blɔd.

Dɛn kin kɔl di MCH valyu we dɛn de analayz yu rɛd blɔd sɛl dɛn.

Yu nid fɔ rɛdi bifo di tɛst?

Bɔku tɛm, dɛn nɔ nid spɛshal pripia fɔ MCH tɛst. Bɔt if yu dɔktɔ de plan fɔ du bɔku ɔda tɛst dɛn pan di sem blɔd sɛmpul, yu go nid fɔ fast (nɔ it ɔ drink ɛnitin) fɔ sɔm awa . So, tek tɛm fala wetin yu dɔktɔ tɛl yu fɔ du. Dɔn yu kin rɛdi fɔ di tɛst fayn fayn wan.

Wetin kin apin we dɛn de du di tɛst?

Dɛn go mek yu sidɔm na chia ɛn tɛl yu fɔ es yu an. Dɔn:

• Dɛn kin klin di say we dɛn kin gɛda blɔd wit wan antisɛptik sɔlvushɔn (alkohol wayp).
• Dɛn kin tay wan rɔba band (tɔnikɛt) smɔl ɔp di say we dɛn kin gɛda blɔd na di an. Dis kin ɛp di blɔd pul ɛn mek i izi fɔ gɛda blɔd.
• Dɛn kin put wan rili fayn nidul insay di vein smɔl smɔl.
• Dɛn kin gɛda smɔl blɔd insay wan smɔl vayl ɔ tiub.
• Dɔn dɛn kin pul di nidul ɛn put wan kɔtɔn fɔ mek di blɔd nɔ kɔmɔt.

Ɔl dis nɔ kin tek fayv minit . We dɛn put di nidul insay, yu kin fil lɛk se ant de swɛt. Apat frɔm dat, no big pen nɔ de.

Wetin kin apin afta di tɛst?

Afta yu dɔn gi blɔd, if yu nɔ fil diziz smɔl, yu kin go na os wantɛm wantɛm. Sɔm pipul dɛn kin fil smɔl diziz we dɛn si blɔd, ɔ if dɛn de fred smɔl fɔ nidul. Dis na nɔmal tin, ɛn nɔto yu wan de. If dis apin, di dɔktɔ dɛn go kia fɔ yu te yu fil fayn.

Ɛni risk de fɔ dis tɛst?

Di CBC tɛst fɔ chɛk MCH nɔto tɛst we gɛt ay risk. Afta yu dɔn gi blɔd, yu go notis smɔl brus usay dɛn put di nidul. Yu kin fil sɔm pen bak na yu an. Bɔt, dɛn sik ya kin dɔn di sem de we dɛn gi di blɔd.

Wetin na di tin dɛn we kin apin? Wetin dɛn de tɛl wi?

di MCH risal dεm sho כl di pikogram (pg/sεl) fכ hεmoglobin we yu nכmal fכ gεt na wan rεd bכdi sεl. Pikogram na wan rili smɔl tin, we na lɛk wan trilyɔn (dat na wan ɛn twɛlv ziro) pan wan gram.

pan ɔl we smɔl difrɛns de bitwin lab dɛn, di nɔmal MCH valyu fɔ big pɔsin (man ɛn uman) jɔs de bitwin 27 ɛn 33 pg/sɛl . Enitin we de dɔŋ dis valyu dɛn kin tek am se na low MCH , ɛn ɛnitin we de ɔp dis valyu dɛn kin tek am se i ay MCH .

Bɔt mɛmba se yu nɔ nid fɔ panik wantɛm wantɛm if yu MCH valyu smɔl ɔ ay. Yu dɔktɔ go kɔmpia yu MCH valyu wit ɔda RBC indis ɛn yu ɔl wɛl bɔdi fɔ mek yu disayd. I kin tɛl am bak fɔ du ɔda tɛst dɛn.

If di MCH valyu smɔl (Lɔw MCH) .

MCH valyu we lכw min se yu kin gεt haypochromic anemia (we di rεd blכd sεl dεm nכ de sכmtεm εn i de sho se i bεlε) εn/כ maykrosaytik anemia (we di rεd bכdi sεl dεm nכ de sכm abnכmal). Insay dɛn tu tin ya, yu rɛd blɔd sɛl dɛn nɔ kin gɛt inof ɛmoglobin.

Bɔku rizin kin mek di MCH lɛvɛl smɔl:

• Iron Deficiency : We di bɔdi nɔ gɛt inof ayron, i nɔ kin ebul fɔ mek ɛmoglobin. Di men tin we kin mek pɔsin gɛt anemia we i nɔ gɛt ayɔn na we i de blɔd . dis kin bi bay tin dεm lεk hεvi mεnstral bכdi blεd, insay blכd (e.g., intestinal כlsa), כ blכd bכku afta dεn כpεrayshכn.
• Ɛmoglobinopathies : Sɔm sik dɛn we pɔsin kin gɛt frɔm in blɔd kin mek prɔblɛm wit di we aw di bɔdi de mek ɛmoglobin. Sɔm ɛgzampul dɛn na thalassemia ɛn sikɛl sɛl anemia .
• Inflameshɔn bikɔs ɔf sik dɛn we nɔ de mɛn : Inflameshɔn na di bɔdi bikɔs ɔf tin dɛn lɛk sɔm infɛkshɔn dɛn we nɔ de dɔn, kidni sik, liva sik, ɛn kansa kin mek di MCH lɛvɛl go dɔŋ.

If di MCH valyu ay (High MCH) .

wan ay MCH lεvεl min se yu kin gεt makrosaytik anεmia . We yu gɛt dis sik, yu bɔdi de mek big big rɛd blɔd sɛl dɛn we nɔmal, ɛn dɛn sɛl dɛn de gɛt bɔku bɔku ɛmoglobin. Bɔku tɛm dis kin apin bikɔs yu nɔ gɛt inof folate (vitamin B9) ɛn vaytamɛn B12, we na tu impɔtant tin dɛn we yu nid fɔ mek yu gɛt wɛlbɔdi rɛd blɔd sɛl. Ɔ, yu kin gɛt wan sik we de mek yu bɔdi nɔ ebul fɔ tek dɛn tin ya fayn fayn wan.

Ɔda rizin dɛn we mek di MCH valyu go ɔp:

• Di prɔblɛm we pɔsin kin gɛt we i de drink rɔm fɔ lɔng tɛm .
• Prɔblɛm dɛn we de na di tayroyd gland .
• Di sayd ɛfɛkt dɛn we sɔm mɛrɛsin dɛn ɔ tritmɛnt dɛn kin gɛt . Fɔ ɛgzampul, kemotɛrapi fɔ kansa kin mek MCV (ɛn so MCH) go ɔp as sayd ɛfɛkt.

If di tin dɛn we kin apin nɔ kin fayn, wetin yu kin du nɛks?

If yu MCH nɔrmal, di nɛks tin dɛm wae yu go du go dipen pan di kɔz. Fɔ ɛgzampul, if yu dɔktɔ sɔspɛkt se yu MCH nɔ bɔku bikɔs yu nɔ gɛt ayɔn, dɛn kin ɔda fɔ du ɔda tɛst fɔ chɛk yu ayɔn lɛvɛl. If nɔto dat, if dɛn tink se dɛn gɛt ɔda sik, dɛn go nid fɔ du tɛst fɔ da sik de.

Yu dɔktɔ go advays yu ɛksaktɔli wetin fɔ du bay di rizɔlt we yu gɛt.

Na nɔmal tin fɔ fil smɔl nervɔs ɔ frayd we ɛni tɛst rizɔlt nɔr nɔmal (ilɛksɛf i smɔl ɔ i ay). Bɔt we i kam pan MCH, wan abnɔmal rizɔlt jɔs min se yu dɔktɔ dɔn lan mɔ bɔt yu wɛlbɔdi. Sɔntɛnde, wan abnɔmal MCH rizɔlt kin bi sɔntin we nid fɔ de wach ɛn trit, lɛk wan blɔd dizayd we pɔsin kin gɛt frɔm in mama ɛn papa. Bɔt sɔntɛnde, i kin bi sɔntin we nɔ go te ɛn we nɔ go wɔri bɔt. If yu de wɔri ɔ wɔri bɔt yu MCH rizɔlt, tɔk to yu dɔktɔ bɔt am ɛn kɔmpia am wit ɔda CBC rizɔlt fɔ si aw i mek sɛns.

Mɛsej we dɛn kin kɛr go na os

MCH na impɔtant nɔmba na yu blɔd tɛst ripɔt. I de tɛl yu di avɛrej ɛmoglobin we de na wan pan yu rɛd blɔd sɛl dɛn.

• Ɛmoglobin na di prɔtin we de kɛr ɔksijɛn go ɔlsay na di bɔdi.
• MCH valyu we smɔl kin bi sayn fɔ anemia. Dis kin bi bikɔs i nɔ gɛt ayɔn, sɔm sik dɛn na di blɔd, ɛn i kin gɛt inflammatory kɔndishɔn fɔ lɔng tɛm.
• We di MCH valyu go ɔp na sayn bak fɔ ɔda kayn anemia. Dis kin kam bikɔs ɔf tin dɛm lɛk wae yu nɔr gɛt bɛtɛ folate ɔr vaytamɛn B12, yu de drink rɔm, ɔr yu gɛt prɔblɛm wit yu tayroyd.
• Nɔ panik if yu MCH valyu nɔrmal. Yu dɔktɔ go kɔmpia am wit ɔda tɛst valyu dɛn, du ɔda tɛst dɛn if nid de, ɛn gi yu di advays ɛn tritmɛnt we fit yu pas ɔl.

If yu gɛt ɛni kwɛstyɔn bɔt wetin de na yu blɔd ripɔt, i go fayn fɔ aks yu dɔktɔ.

` MCH, ɛmoglobin, rɛd blɔd sɛl, anemia, blɔd tɛst, CBC, wɛlbɔdi