We yu si di lɛta ɛn nɔmba dɛn na di ripɔt we yu kin gɛt we yu de du blɔd tɛst, sɔntɛnde, smɔl kwɛstyɔn kin kam na yu maynd, nɔto so? ‘Wetin dɛn CBC , RDW, ɛn MCV ya min?’ Bɔku pipul dɛn kin aks bɔt dis valyu, mɔ di RDW valyu. So tide, lɛ wi tɔk bɔt wetin dis RDW min ɛn wetin i se bɔt wi wɛlbɔdi biznɛs na wan rili simpul we.
Mek wi si fos, wetin na dis RDW?
Fɔ tɔk am simpul wan, RDW, ɔ Red Blood Cell Distribution Width , de sho aw di rɛd blɔd sɛl dɛn we de na yu blɔd de chenj. pan tap we i se "width," dis nכ de mכsu di wit fכ wan sεl, i de mכsu di rεnj fכ di sεl saiz dεm.
Tink bɔt dis we: di rɛd blɔd sɛl dɛn na wi bɔdi tan lɛk smɔl smɔl trak dɛn we de kɛr ɔksijɛn. Dɛn kin pik ɔksijɛn frɔm di lɔng dɛn ɛn kɛr am go na ɔl di ɔda pat dɛn na di bɔdi. Wan prɔtin we de ɛp fɔ du dis wok na in dɛn kɔl ɛmoglobin . Nɔmal wan, pɔsin we gɛt wɛlbɔdi in rɛd blɔd sɛl dɛn ɔl fɔ gɛt lɛk di sem saiz. If big difrɛns de bitwin dɛn saiz, dat min se prɔblɛm kin de.
We yu go to dɔktɔ, dɛn kin gi yu ripɔt we dɛn kɔl kɔmplit blɔd kɔnt (CBC), nɔto so? RDW na wan pat pan da CBC ripɔt de.
Na RDW de luk am in wan? Wetin ɔda tin impɔtant na di CBC ripɔt?
Dɔktɔ nɔ go ɛva mek di diagnosis bay di RDW valyu nɔmɔ. I tan lɛk wan pat pan pɔzl. Yu nid di ɔda pat dɛn fɔ si di wan ol pikchɔ. Bɔku ɔda impɔtant tin dɛn de we dɛn kin yuz fɔ mɛzhɔ di rɛd blɔd sɛl dɛn na di CBC ripɔt. Wi kin kɔl dɛn Rɛd Blɔd Sɛl Indiks. RDW na wan pan dɛn indis dɛn de.
| Index | Wetin i min jɔs? |
|---|---|
| MCV (Mɛn Kɔpɔsul Volyum) . | I de mɛzhɔ di avrej saiz fɔ yu rɛd blɔd sɛl dɛn. |
| MCH (Mɛn Kɔpɔsul Ɛmoglobin) . | I de mɛzhɔ di ɔmɔs ɛmoglobin we nɔmal fɔ de insay wan rɛd blɔd sɛl. |
| MCHC (Mɛn Kɔpɔsul Ɛmoglobin Kɔnsɛntreshɔn) . | Dɛn kin mɛzhɔ di kɔnsɛntreshɔn we di ɛmoglobin de insay wan rɛd blɔd sɛl. |
Yu dɔktɔ go tek ɔl dɛn valyu ya togɛda fɔ gɛt kɔrɛkt aidia bɔt yu wɛlbɔdi biznɛs.
Udat fɔ bisin mɔ bɔt dis RDW valyu?
Dɛn kin mɛzhɔ di RDW valyu pan ɔlman we gɛt CBC tɛst, bɔt dɔktɔ go pe spɛshal atɛnshɔn to dis valyu if dɛn tink se yu gɛt anemia .
Anemia na wan sik we di bɔdi nɔ de mek inof wɛlbɔdi rɛd blɔd sɛl. Chek fɔ si if yu gɛt ɛni wan pan dɛn sik ya:
- Fɔ taya ɔltɛm
- I nɔ kin izi fɔ yu fɔ blo ivin we yu de waka fɔ shɔt tɛm
- Fɔ fil kol we nɔ kɔmɔn
- Diziz we pɔsin kin gɛt
- Bɔdi we nɔ gɛt layf
- Pale ɔ dray skin
- Yu ed kin at ɔltɛm
- Di at we de blo
If yu gɛt dɛn sik ya, yu dɔktɔ go luk di RDW valyu fɔ tray fɔ fɛn di tin we mek yu nɔ gɛt bɛtɛ blɔd. Apat frɔm dat, di RDW valyu impɔtant bak pan dɛn tin ya:
- If pɔsin na di famili gɛt blɔd sik dɛn we pɔsin kin gɛt frɔm in mama ɛn papa lɛk thalassemia ɔ sikɛl sɛl anemia.
- If yu gɛt sik dɛn we nɔ de mɛn lɛk dayabitis ɔ Crohn’s disease.
- If yu it nɔ gɛt bɔku ayɔn ɛn ɔda minral dɛn.
- If yu de sɔfa wit wan infekshɔn we dɔn de fɔ lɔng tɛm.
- If dɛn dɔn pul bɔku bɔku blɔd na di bɔdi bikɔs ɔf aksidɛnt ɔ ɔpreshɔn.
Wetin di nɔmba dɛn we de na di RDW ripɔt min?
Okay, naw lɛ wi si wetin i min fɔ gɛt dis RDW valyu na ay, lɔw, ɔ nɔmal lɛvɛl.
Di RDW valyu we ay
If yu gɛt ay RDW valyu, dat min se big difrɛns de pan di sayz fɔ yu rɛd blɔd sɛl dɛn. Dis min se sɔm sɛl dɛn smɔl ɛn sɔm big. Dis kin bi sayn fɔ se pɔsin nɔ gɛt bɛtɛ blɔd. Iron-deficiency anemia, in patikyula, de inkrisayz di RDW valyu. I kin bi bak we yu nɔ gɛt bɛtɛ tin dɛn lɛk vaytamɛn B12 ɔ folate.
Low RDW valyu
RDW valyu we smɔl min se ɔl yu rɛd blɔd sɛl dɛn gɛt lɛk di sem saiz. Dis na tin we rili fayn. Natin nɔ de fɔ wɔri bɔt atɔl.
RDW valyu bi nɔmal
wan ‘Nכmal’ RDW valyu (usually bitwin 12% - 15%) min se nכ big difrεns de pan di saiz fכ di rεd bכdi sεl dεm. Bɔt dis nɔ min se ɔltin fayn. Sɔntɛnde, ivin if di RDW nɔmal, di rɛd blɔd sɛl dɛn ɔl kin smɔl (di MCV valyu smɔl). Dis kin bi sayn fɔ wan sik we pɔsin kin gɛt frɔm in mama ɛn papa lɛk thalassemia .
Di tin we impɔtant pas ɔl na dat yu nɔ go ebul fɔ mek diagnosis bay di RDW valyu nɔmɔ. Di dɔktɔ go kɔmpia dis valyu wit di MCV valyu ɛn ɔda tɛst rizɔlt fɔ rich di kɔrɛkt diagnosis.
Wi kin ɛksplen dis mɔ na di tebul we de dɔŋ ya.
| RDW valyu | MCV valyu (avrej sɛl saiz) . | Bɔku tɛm, tin kin apin we pɔsin kin sɔprayz |
|---|---|---|
| Di ay RDW | Low MCV | Anemia we nɔ gɛt ayɔn |
| Nɔmal RDW we nɔmal | Low MCV | Anemia bikɔs ɔf Thalassemia ɔ sik we nɔ de mɛn |
| Di ay RDW | Di MCV we ay | Vitamin B12 ɔ fɔlet we nɔ de |
| Di ay RDW | Nɔmal MCV we dɛn kin yuz | I kin bi wan fɔs kes fɔ anemia ɔ liva sik. |
Yu tink se ‘dangerous’ lɛvɛl de fɔ RDW valyu?
Fɔ tɔk am klia wan, no tin nɔ de we dɛn kɔl ‘dangerous RDW value.’ Dis tan lɛk bɛl we de wɔn pipul dɛn. I jɔs min se dɛn nid fɔ chɛk sɔntin insay di bɔdi. So nɔ fred fɔ wan ɛlevɛt RDW valyu we nɔ nid fɔ bi.
Di bɛst tin we yu kin du na fɔ tek yu ripɔt ɛn tɔk to yu dɔktɔ bɔt am. I go du ɔda tɛst dɛn if nid de, fɛn di rayt tin we mek yu gɛt di sik, ɛn tɛl yu di tritmɛnt we yu nid.
Mɛsej we dɛn kin kɛr go na os
- RDW na jɔs wan pat pan yu kɔmplit blɔd kɔnt (CBC).
- Dis kin mɛzhɔ di difrɛns pan di saiz fɔ yu rɛd blɔd sɛl dɛn.
- Bɔku tɛm we di RDW valyu go ɔp kin bi sayn fɔ lɛ pɔsin nɔ gɛt bɛtɛ blɔd, lɛk we i nɔ gɛt ayɔn.
- Wan lɔw RDW valyu na wan rili gud kɔndishɔn. No rizin nɔ de fɔ mek wi wɔri bɔt am.
- Yu nɔ go ebul fɔ no ɛni sik bay we yu luk di RDW valyu nɔmɔ. Di dɔktɔ kɔmpia am wit ɔda valyu dɛn lɛk MCV.
- If yu gɛt ɛni kwɛstyɔn ɔ dawt bɔt di valyu dɛn we de na yu ripɔt, di bɛst ɛn sef tin fɔ du na fɔ tɔk to yu dɔktɔ bɔt am.
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