Yu dɔn ɛva pik blɔd ripɔt, luk di lɛta ɛn nɔmba dɛn we de pan am, ɛn tink se, ‘Wetin na dis?’ CBC, WBC, RBC, MCH... Bɔku pan dɛn wɔd ya na tin we wi nɔ sabi, nɔto so? Sɔntɛnde, wi kin jɔs fred we wi si dɛn. So tide wi go tɔk bɔt wan pan dɛn kayn valyu dɛn de, dat na di MCH valyu. Lɛ wi si wetin i jɔs min, ɛn wetin i de tɔk bɔt wi bɔdi we i de bɔku ɔ we i de go dɔŋ.
Mek wi si fos, wetin na MCH?
MCH na abbrevieshɔn fɔ di Inglish wɔd dɛn ‘Mean Corpuscular Hemoglobin’. Fɔ tɔk am simpul wan, dis de sho
ɔmɔs ɛmoglobin de na yu rɛd blɔd sɛl . Naw yu go de wɔnda, ‘Wetin na dis ɛmoglobin?’ Ɛmoglobin na spɛshal prɔtin we de insay wi rɛd blɔd sɛl dɛn we de kɛr ɔksijɛn go ɔlsay na di bɔdi. fכ bi prεsis, dis εmoglobin na di ‘dεlivεri sεvis’ we de gi di כksijεn we wi de tek frכm wi lכng to εvri sεl na di bכdi. So di MCH valyu na di avrej valyu fɔ ɔmɔs kago (ɛmoglobin we de kɛr ɔksijɛn) de na di motoka dɛn (rɛd blɔd sɛl dɛn) na dis delivri savis. Bɔku tɛm, yu go no bɔt dis MCH valyu we yu du blɔd tɛst we dɛn kɔl
CBC (Complete Blood Count) . Dis na tɛst we dɛn kin du bad bad wan. Dɔktɔ kin yuz dis valyu fɔ ɛp fɔ no if yu nɔ gɛt bɛtɛ tin fɔ it, if yu gɛt prɔblɛm wit yu liva, ɔ if yu gɛt ɔda sik.
Wan shɔt introdukshɔn to di CBC (Kɔmplit Blɔd Kɔnt) tɛst
Dis tɛst rili impɔtant bikɔs i kin gi infɔmeshɔn bɔt sɔm impɔtant tin dɛn we de na yu blɔd. Di men wan:
Yu dɔktɔ kin ɔda dis tɛst as pat pan yu chɛk-ap ɛvri ia, ɔ if yu sɔspɛkt se yu gɛt mɛdikal kɔndishɔn bays pan yu simptom dɛm (e.g., taya, paleness). Dis min se yu fɔ tek smɔl blɔd frɔm wan vein we de na yu an. Dɛn kin sɛn am na wan lab fɔ mek dɛn tɛst am ɛn fɔ mek dɛn gi am ripɔt.
Wetin di MCH valyu fɔ bi nɔmal wan?
Di yunit fɔ mɛzhɔ fɔ MCH na
Pikogram (pikogram ɔ pg). nכmal wan, dis valyu fכ big man εn pikin we gεt hεlty de bitwin 27 pg εn 31 pg . fכ pikin we dεn bכn, dis kin hכy sכmtεm, dat min se i kin bi frכm 32 pg to 34 pg . Bɔt mɛmba se dɛn valyu ya kin difrɛn smɔl frɔm wan lab to ɔda lab, so i bɛtɛ fɔ kɔmpia dɛn to di ‘Nɔmal Rɛnj’ we de na yu ripɔt.
Wetin fɔ du if di MCH valyu smɔl?
MCH valyu we smɔl, dat min se yu rɛd blɔd sɛl dɛn gɛt di ɛmoglobin we smɔl pas di nɔmal. Dis kin mek yu rεd bכdi sεl dεm de sho sכm ‘pale’ כ ‘drab’. Bɔku men rizin dɛn de fɔ dis. Lɛ wi tek wan luk pan wetin dɛn bi ɛn wetin na di sayn dɛm. | Rizin fɔ low MCH valyu | Simptom dɛm wae yu kin si |
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| Anemia na di tin we kin mek pɔsin nɔ gɛt bɛtɛ blɔd. Na bikɔs i nɔ gɛt wɛlbɔdi rɛd blɔd sɛl fɔ kɛr ɔksijɛn go na di bɔdi. Dis kin bi bikɔs i nɔ gɛt bɛtɛ ayɔn, vaytamɛn B12, ɔ folate. | |
| εmoglobinopathies na sik dεm we dεn kin gεt we dεn kin kכz fכ difεkt dεm na di shep fכ di εmoglobin mכlekyul כ di prכsεs we i de mek. Ɛgzampul dɛn: Thalassemia ɛn Siklɔs Sɛl Sik. | Insay thalassemia: sayn dɛm fɔ anemia, bɛlɛ swel, dak urine. Insay siklɛt sik: sayn dɛm fɔ blɔd, dak urine, yɔlɔ na di yay, pen ɛn swel na di an ɛn fut, ɛn wan wan tɛm i kin gɛt bad bad pen na di bɔdi. |
Yu tink se di MCH valyu kin go ɔp?
Yes, sɔmtɛm di MCH valyu kin ay pas aw i kin bi. Dis min se yu rɛd blɔd sɛl dɛn big pas aw i fɔ bi. Dɛn kɔl dis sik we dɛn kɔl Macrocytosis . Bɔku tɛm, dis nɔto natin fɔ wɔri bɔt. Bɔt sɔntɛnde, e kin bi sayn fɔ wan mɛrɛsin sik. Rizin fɔ mek di MCH valyu go ɔp:
- Vitamin B12 ɔ Folate Deficiency: Nɔ sɔprayz, we dɛn nyutriɛnt ya smɔl, anemia (MCH we de dɔŋ) kin apin, ɛn bak di rɛd blɔd sɛl dɛn kin big (MCH kin bɔku). Dɛn kɔl dis Makrosaytik Anemia.
- Sɔm sik dɛn na di liva: Sɔm prɔblɛm dɛn we kin apin we di liva de wok kin mek di MCH lɛvɛl go ɔp.
- Fɔ drink pasmak: Fɔ drink pasmak fɔ lɔng tɛm na in bak kin mek dis apin.
- Hypothyroidism: Dis na we di bɔdi de mek smɔl tayroyd ɔmon.
- Dis difrɛns kin kam bak bikɔs ɔf sɔm mɛrɛsin dɛn: mɛrɛsin lɛk kemotɛrapi, sɔm antibayɔtik, ɛn antivayral.
- Sɔm kansa dɛn we gɛt fɔ du wit blɔd.
Di impɔtant tin na dat di MCH lɛvɛl we de ɔp nɔ de mek ɛni patikyula simptom. Bɔt di ɔndalayn sik we de mek dɛn gɛt dɛn kin mek dɛn gɛt sɔm sayn dɛn. Fɔ ɛgzampul, if yu gɛt Hypothyroidism, yu kin gɛt sɔm sayn dɛn lɛk fɔ taya, fɔ gɛt bɔku bɔku wet, yu an ɛn finga dɛn kin swɛla, ɛn yu mɔsul dɛn kin pen. If yu gɛt liva sik, yu kin gɛt pen na yu bɛlɛ ɔp, yu nɔ kin want fɔ it, ɛn yu yay kin yɔlɔ. Mɛsej we dɛn kin kɛr go na os
- MCH na jɔs wan valyu pan yu blɔd ripɔt. I de gi yu wan jenɛral aidia bɔt di ɔmɔs ɛmoglobin we de na yu rɛd blɔd sɛl dɛn.
- MCH valyu we smɔl ɔ ay kin bi bikɔs ɔf wan kɔmɔn kɔndishɔn lɛk anemia, ɔ sɔntɛnde i kin bi sayn fɔ wan sik we siriɔs pasmak we nid fɔ pe atɛnshɔn mɔ.
- Nɔ ɛva no yusɛf bay we yu du blɔd tɛst ɔ luk fɔ infɔmeshɔn na di intanɛt. Dis go jɔs mek yu strɛs we yu nɔ nid.
- If chenj de na yu MCH valyu ɔ ɛni ɔda valyu, na yu dɔktɔ nɔmɔ go gi yu di bɛst ɛn kɔrɛkt advays. I go du ɔda tɛst dɛn, if nid de, fɔ no di rayt rizin, ɛn gi am di tritmɛnt we i nid.
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