Yu dɔn ɛva tek yu blɔd tɛst ripɔt, dat na di ‘Full Blood Count’ (FBC) ripɔt we di dɔktɔ kin rayt, ɛn kɔnfyus wit di lɛta ɛn nɔmba dɛn we de pan am? Nem dɛn de lɛk MCV, MCH, PLT, RDW, wan afta di ɔda wan. Sɔntɛm yu nɔ go ebul fɔ no wetin dɛn tin ya min. Nɔ wɔri, bɔku pipul dɛn kin fil da we de. Tide, lɛ wi ɔndastand insay wan rili simpul ɛn tɔk-tɔk we wetin na wan impɔtant valyu na dis ripɔt, dat na, wetin na RDW .
Wetin RDW jɔs min?
Fɔ tɔk am simpul wan, RDW tinap fɔ Rɛd Blɔd Sɛl Distribushɔn Width . Insay Sinhala, i min ‘Rɛd Blɔd Sɛl Distribushɔn Width’. Bɔt nɔ kɔnfyus wit da nem de. Lɛ wi ɔndastand dis izi wan.
Imajin se di rɛd blɔd sɛl dɛn na yu bɔdi na smɔl smɔl rɛd bɔl dɛn. Dɛn bɔl ya kin kɛr ɔksijɛn kɔmɔt na wi lɔng dɛn to ɔl di pat dɛn na di bɔdi, ɔl di ɔgan dɛn. Jɔs lɛk gas silinda dɛn. So, dis ɔksijɛn impɔtant fɔ mek ɛvri sɛl na di bɔdi wok ɛn mek ɛnaji.
Insay pɔsin we gɛt wɛlbɔdi, bɔku pan dɛn rɛd blɔd sɛl ya kin gɛt di sem sayz ɛn shep . Jɔs lɛk wan bɔnch lɛmon we kɔmɔt na di stoa. Sɔntɛm smɔl difrɛns de, bɔt nɔto big difrɛns.
Di RDW tɛst de mɛzhɔ aw yu rɛd blɔd sɛl dɛn difrɛn pan saiz. Dat min se, i de chɛk if ɔl yu rɛd blɔd sɛl dɛn gɛt lɛk di sem saiz, ɔ if sɔm smɔl, sɔm big, ɔ if dɛn gɛt difrɛn saiz.
Pan ɔl we dɛn gi am di nem ‘Width’, dis nɔ de mɛzhɔ di wit we blɔd sɛl gɛt. Bifo dat, i de mɛzhɔ aw di blɔd sɛl dɛn saiz difrɛn .
di ay RDW valyu min se big vεryushכn de pan di sayz fכ di rεd bכdi sεl dεm. Sɔm rili smɔl, sɔm rili big. nכmal RDW valyu min se bכku pan di rεd bכdi sεl dεm na di sem saiz.
Wetin na di rilayshɔn bitwin di RDW tɛst ɛn di kɔmplit blɔd kɔnt (CBC)?
Yu dɔktɔ nɔ go ɔda fɔ mek dɛn du tɛst fɔ chɛk jɔs di RDW. Bɔku tɛm dɛn kin du dis as pat pan di kɔmplit blɔd kɔnt (CBC) . Wi kin kɔl dis bak FBC (Ful Blɔd Kɔnt).
Wan FBC ripɔt de gi infɔmeshɔn bɔt di tri men tin dɛn we de insay yu blɔd:
- Rɛd Blɔd Sɛl dɛn
- Wait Blɔd Sɛl dɛn
- Plɛtlɛt dɛn
Dis FBC ripɔt gɛt spɛshal pat we de tɔk bɔt rɛd blɔd sɛl dɛn nɔmɔ. Dɛn kɔl am RBC Indices.RDW na wan pan dɛn RBC Indeks dɛn de. Lɛ wi luk di men valyu dɛn na dis pat.
| Test nem (RBC Indeks) . | Wetin dɛn jɔs de mɛzhɔ? |
|---|---|
| RDW (Rɛd Sɛl Distribushɔn Width) . | I de mכsu di sayz vεryushכn fכ di rεd bכdi sεl dεm. |
| MCV (Mɛn Kɔpɔsul Volyum) . | Dɛn kin mɛzhɔ di avɛrej saiz fɔ wan rɛd blɔd sɛl. |
| MCH (Mɛn Kɔpɔsul Ɛmoglobin) . | I de mɛzhɔ di ɔmɔs ɛmoglobin we nɔmal fɔ de insay wan rɛd blɔd sɛl. |
| MCHC (Mɛn Kɔpɔsul Ɛmoglobin Kɔnsɛntreshɔn) . | Aw dɛn kin no di kɔnsɛntreshɔn we di ɛmoglobin de insay wan rɛd blɔd sɛl? |
We dɔktɔ chɛk yu mɛrɛsin, mɔ wan sik lɛk anemia, dɛn kin luk ɔl dɛn valyu ya togɛda. Dɛn nɔ kin disayd fɔ du sɔntin bay we dɛn jɔs gɛt wan valyu.
Ustɛm dɛn nid fɔ du RDW tɛst?
If yu gɛt sɔm sayn dɛn we de sho se yu gɛt anemia, yu dɔktɔ kin ɔda fɔ mek dɛn du FBC tɛst. Dis go chɛk yu RDW valyu bak. Anemia na we yu nɔ gɛt bɛtɛ wɛlbɔdi rɛd blɔd sɛl fɔ kɛr ɔksijɛn rawnd yu bɔdi.
Simptom dɛm wae kin sho se yu nɔr gɛt blɔd
If yu gɛt sayn dɛn lɛk dis, i impɔtant fɔ go to dɔktɔ:
- Fɔ fil ɔltɛm fɔ taya pasmak
- Fɔ blo shɔt ivin we yu de waka smɔl
- Fɔ fil kol ɔltɛm
- Diziz ɔ layt ed
- Pale ɔ dray skin
- BɔkuEd de at
Mεdikal kכndishכn dεm we kin mek di RDW valyu εlevεt
di RDW tεst, wit כda RBC indis dεm, kin εp fכ no wetin de mek i gεt anemia. Bɔku difrɛn tin dɛn de we kin mek pɔsin nɔ gɛt bɛtɛ blɔd.
- Vitamin ɛn minral we nɔ de: Anemia, mɔ we i gɛt ayɔn, vaytamɛn B12, ɛn folate , kin mek di RDW valyu go ɔp.
- Thalassemia: Dis na wan sik we pɔsin kin gɛt we i kam pan jɛnɛtiks.
- Sik dɛm wae nɔr de dɔn: Dɛn kin gɛt sik dɛm wae kin teik lɔng tɛm lɛk dayabitis, Crohn’s disease, ɛn HIV.
- Kidni ɔ Liva sik
- Kansa
- Di sik we de ambɔg di at ɛn di blɔd
- Blɔd we de kɔmɔt bad bad wan bikɔs ɔf aksidɛnt ɔ ɔpreshɔn.
Aw dɛn kin du dis RDW tɛst? Na sɔntin we wi fɔ fred?
Atɔl. Dis na jɔs wan rili simpul, rutin blɔd tɛst. I kin tek jɔs sɔm minit dɛn.
Natin nɔ de we spɛshal yu nid fɔ rɛdi fɔ bifo yu pul yu blɔd. Bɔt if yu dɔktɔ dɔn tɛl yu fɔ du ɔda tɛst, lɛk fɔ tɛst yu blɔd shuga we yu de fast, wit di FBC, yu go nid fɔ fast fɔ sɔm awa. Yu dɔktɔ go advays yu bɔt dis.
Dis na wetin kin apin we dɛn pul blɔd:
1. Nɔs ɔ dɔktɔ go fɛn gud vein nia yu ɛlb ɔ na yu an bak.
2. Klin di say we dɛn put nidul fayn fayn wan wit alkol swab.
3. dεn tay wan rכba bכnd (lεk tכnik) sכmtεm oba di say we dεn de put di nidul fכ εp di vein fכ kכmכt bεtε.
4. Dɔn dɛn kin put di nidul insay di vein ɛn gɛda di blɔd we dɛn nid insay wan smɔl vayl. Yu kin fil lɛk se yu de sting smɔl we dɛn de put di nidul insay.
5. We dɛn dɔn pul di blɔd, dɛn kin pul di nidul, put wan kɔtɔn na di sayt, ɛn put smɔl plasta.
Bɔku tɛm yu kin kɔmɔt de wantɛm wantɛm afta yu dɔn gi yu blɔd. Sɔntɛnde, yu kin fil lɛk se yu ed de tɔn smɔl, bɔt dɛn go aks yu fɔ sidɔm fɔ sɔm minit. Di say we dɛn put di nidul kin blu smɔl, bɔt dis go go insɛf insay tu to tri dez. Dis na tɛst we rili sef.
Aw fɔ ɔndastand RDW rizɔlt?
Yu RDW valyu de sho as pasɛnt (%). Lɛ wi si if da valyu de nɔmal, ay, ɔ smɔl.
| Rizɔlt | Minin |
|---|---|
| Nɔmal RDW we nɔmal | Dis min se yu rɛd blɔd sɛl dɛn bɔku pan dɛn na di sem saiz. Di RDW valyu kin de bitwin 12% ɛn 15% . Bɔt dɛn valyu ya kin difrɛn smɔl dipen pan di lab we de du di tɛst. Di nɔmal rɛnj fɔ da lab de, dɛn tɔk bɔt am na yu ripɔt. Impɔtant: If di RDW nɔmal, bɔt ɔda valyu (lɛk MCV) nɔrmal, i kin sho bak se yu gɛt mɛdikal kɔndishɔn. |
| Di ay RDW | Dis min se difrɛns de pan di saiz fɔ di rɛd blɔd sɛl dɛn. Sɔm smɔl, sɔm big. Dis kin bi sayn fɔ anemia ɔ ɔda tin we gɛt fɔ du wit am. di RDW valyu de hכy spεshal wan pan anemia we kכz fכ ayn dεfisit. Di dɔktɔ go kɔmpia di RDW valyu wit di MCV valyu fɔ rich wan kɔnklushɔn. |
| Low RDW | Wan RDW valyu we de dɔŋ di nɔmal rɛnj nɔ kin bi natin fɔ wɔri bɔt. I nɔ gɛt ɛnitin fɔ du wit ɛni patikyula mɛrɛsin. |
I rili impɔtant: Nɔ tink se yu gɛt sik bay we yu RDW ay ɔ nɔmal. RDW na wan pat nɔmɔ pan wan big pazl. Yu dɔktɔ go yuz di ɔda valyu dɛm na di FBC ripɔt, yu simptom dɛm, ɛn ɔda tɛst dɛm, if nid de, fɔ mek yu no di sik kɔrɛkt wan.
We yu dɔn gɛt di blɔd ripɔt, kɛr am go to yu dɔktɔ we de trit yu ɛn tɔk bɔt am klia wan. Aks am ɛni kwɛstyɔn ɔ tin we de mɔna yu.
Mɛsej we dɛn kin kɛr go na os
- RDW (Red Blood Cell Distribution Width) na wan tɛst we de sho aw yu rɛd blɔd sɛl dɛn saiz difrɛn.
- Dɛn kin du dis as pat pan di kɔmplit blɔd kɔnt (FBC/CBC).
- If RDW valyu go ɔp kin bi sayn fɔ anemia, bɔt in wan nɔ go du fɔ no if pɔsin gɛt di sik.
- We di RDW valyu go dɔŋ, i nɔ kin bi sɔntin we kin mek pɔsin wɔri.
- We yu dɔn gɛt yu blɔd tɛst ripɔt, ɔltɛm tɔk bɔt di rizɔlt wit yu dɔktɔ, pas fɔ jomp to kɔnklushɔn fɔ yusɛf.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Wetin na di ‘MCH Blɔd Tɛst’ we de na di blɔd ripɔt (FBC/CBC)? Aw i gɛt fɔ du wit RDW?
di ‘MCH (Mean Corpuscular Hemoglobin)’ we de insay yu Full Blood Count (FBC) na di ‘amount of Hemoglobin’ (di ayron protin we de gi bכdi in rεd kכla εn kכri כksijεn) insay wan pan yu rεd bכdi sεl dεm (RBC). di ‘RDW’ na yu atikul na di ‘variability of size/dimensions’ fכ di bכdi sεl dεm. Na bay we yu tek dɛn tu valyu ya (MCH ɛn RDW) togɛda, na in dɔktɔ dɛn go ebul fɔ no uskayn kayn anemia yu gɛt!
💬 Wetin mek mi MCH valyu abnɔmal smɔl (Lɔw MCH) na mi ripɔt? Yu tink se i denja?
‘lɔ MCH’ valyu (bɔku tɛm i kin smɔl pas 27 pikogram) min se yu blɔd sɛl dɛn nɔ gɛt ayɔn (di blɔd sɛl dɛn kin pale). di men εn nכmba 1 kכz fכ dis na ‘Iron Deficiency Anemia’ - nכto inof ayron na di bכdi fכ prodyuz bכdi fayn fayn wan! pan tap dat, jεnεtik bכdi sik dεm lεk Thalassemia kin sho bak wan rili lכw MCH valyu.
💬 If di MCH/Hemoglobin na di blɔd ripɔt smɔl, wetin na di fatal kes dɛm we nid fɔ go ɔspitul/blɔd transfyushɔn wantɛm wantɛm?
Yu kin kɔrɛkt dis insay sɔm mɔnt if yu tek ayɛn pils. Bɔt di big denja! 1) If dis blɔd we yu de lɔs de mek yu gɛt ‘Chɛst pen / Angina’, 2) If yu de diziz ɔltɛm ɛn yu nɔ de no natin, 3) If yu at de bit abnɔmal wan, yu at nɔ go gɛt inɔf ɔksijɛn ɛn yu at kin stɔp (Hat failure)! Yu nid fɔ go na ɔspitul wantɛm wantɛm!
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