Bw’ogenda okulaba omusawo, ajja kukukebera omusaayi. Bw’ogenda mu laabu n’olupapula olwo, ojja kulaba nga luwandiikiddwako ‘FBC’ oba ‘CBC’. Abantu abamu kino era bakiyita ‘Full Blood Count’. Ddala ekigezo kino ekya CBC kye ki? Kikebera ki? Kino kintu kya kutya? Okay, ka twogere ku kino mu ngeri ennyangu ennyo leero, mu ngeri gy’osobola okutegeera.
Lwaki omusawo yandiwadde amagezi okukeberebwa CBC?
CBC (Complete Blood Count) kwekebeza omusaayi okwa bulijjo ennyo era kukulu nnyo. Mu ngeri ennyangu, ebala ebika by’obutoffaali ebikulu mu musaayi gwo. Buno bwe butoffaali obumyufu, obutoffaali obweru, n’obutoffaali obuyitibwa platelets. Waliwo ensonga eziwerako lwaki omusawo ayinza okulagira okukeberebwa kuno.
- Ng’ekimu ku bitundu by’okukeberebwa obulamu obwa bulijjo: Kebera obulamu bwo okutwalira awamu.
- Kebera obulwadde bw’okubulwa omusaayi: Kino kijja kukuyamba okumanya oba omusaayi gwe guvaako ebintu ng’okukoowa n’okufuuka omumyufu.
- Bw’oba oteebereza embeera endala ey’obujjanjabi: Funa ekivaako okulumwa omubiri gwo, omusujja n’okunyiga ebiwundu by’otonnyonnyolwa.
- Londoola embeera eyaliwo edda: Bw’oba olina embeera eyeekuusa ku musaayi, kebera engeri gy’egenda mu maaso.
- Kebera ebiva mu ddagala: Manya engeri ezimu ku ddagala ly’omira naddala eryo erikozesebwa mu kujjanjaba kookolo (chemotherapy) gye likwata ku musaayi gwo.
Teebereza, omubiri gwaffe bwe guba nga mmotoka, okugezesebwa kwa CBC kulinga okukebera ebintu ebikulu eby’emmotoka eyo nga woyiro wa yingini n’amazzi. Kituwa akabonero ku bintu bingi ebigenda mu maaso munda mu mubiri.
Okugezesebwa kuno okwa CBC kukolebwa kutya?
Kino kyangu nnyo era osobola okukikola mu ddakiika ntono. Tolina kukola nnyo.
Nurse oba lab tech ajja kukozesa empiso entono okuggya akatundu akatono ak’omusaayi okuva mu musuwa oguli mu mukono gwo. Ekyo kye kiri. Olwo osobola okudda eka. Bagenda kusindika omusaayi mu laabu okukeberebwa.
Emirundi egisinga bw’oba okola okukebera kwa CBC kwokka, tekikwetaagisa kusiiba. Osobola okulya n’okunywa mu ngeri eya bulijjo. Kyokka omusawo bw’aba alagidde okukeberebwa okulala, gamba ng’okukeberebwa ssukaali mu musaayi (FBS), awamu ne CBC, jjukira okugoberera ddala ebiragiro bye .
Ebintu bino mu Alipoota ya CBC byogera ki?
Okay, kati ka tulabe ebitundu eby'enjawulo eby'okugezesebwa kuno bye byogera. Kino kiyinza okuwulikika ng’eky’ekikugu, naye mu butuufu kyangu nnyo. Nkitadde mu kipande wansi musobole okukitegeera.
| Ebigezesebwa (Component) . | Kitegeeza ki? (Kye Kitegeeza) |
|---|---|
| Obutoffaali bw’omusaayi obweru (WBCs) . | Bino bifaananako enkola y’omubiri gwaffe ey’okwekuuma. Obutoffaali buno bulwanyisa obuwuka. Singa zibeera nnyingi nnyo , kiyinza okuvaako okukwatibwa yinfekisoni oba okuzimba. Singa ziba ntono nnyo , obulabe bw’okukwatibwa obulwadde bweyongera. |
| Obutoffaali Obumyufu (RBCs) . | Eno y’empeereza y’okutuusa ebintu etambuza omukka gwa oxygen mu mubiri gwonna. Singa emiwendo gino giba mitono , oyinza okuba n’okubulwa omusaayi. |
| Hemoglobin (Omusuwa gw’omusaayi - Hb oba Hgb) . | Eno ye puloteyina ‘ekwata’ omukka gwa oxygen okuva munda mu butoffaali obumyufu. Era y’ensonga lwaki omusaayi gubeera gwa langi emmyufu. Omuwendo guno mukulu nnyo ng’otunuulira okukendeeza ku musaayi. |
| Ekirungo kya Hematocrit (Hct) . | Kino kikutegeeza ebitundu ki ku buli kikumi eby’omusaayi gwo ebikolebwa obutoffaali obumyufu. Omuwendo omutono guyinza okulaga nti omuntu alina ebbula ly’ekyuma. Omuwendo omungi guyinza okuba akabonero k’okubulwa amazzi mu mubiri. |
| Obunene bw’omubiri (MCV) . | Kino kipima obunene bw’obutoffaali bwo obumyufu obwa wakati. If they are too large , kiyinza okuba nga kiva ku butabeera na vitamiini B12 oba folate. If they are too small , kiyinza okuba nga kikendeeza ku musaayi olw’ebbula ly’ekyuma. |
| Ebiwuka ebiyitibwa platelets | Zino ze ziyamba okulekera awo okuvaamu omusaayi n’okukola ebizimba by’omusaayi ng’ofunye ekisala. Singa omuwendo gwazo gukendeera, wabaawo akabi k’okuvaamu omusaayi. Singa omuwendo gwazo gweyongera, wabaawo akabi k’omusaayi okuzimba mu ngeri eteetaagisa. |
Ntegedde ntya ebyava mu lipoota?
Bw’ofuna lipoota yo eya CBC, ojja kulaba ennyiriri eyitibwa ‘Reference Range’ n’ennyiriri eyitibwa ‘Your Results’ n’emiwendo gyo. Singa ebyavaamu byo biba mu ‘Reference Range’, kitwalibwa nga ekya bulijjo. Bwe kiba wansi oba waggulu w’ekigero ekyo, kiba kya bulijjo.
Naye wuuno ekintu ekikulu ennyo : ‘Reference Range’ eno esobola okwawukana katono okuva ku laabu emu okudda ku ndala, okusinziira ku bintu ng’emyaka gyo, ekikula kyo, n’obugulumivu bw’ekitundu ky’obeera.
Kale tofaayo nti lipoota evudde ku mulembe olw’okuba omuwendo gukyukakyuka. Kakasa nti ogiraga omusawo wo n’okugikebera.
Amawulire gano wammanga gajja kukuyamba okufuna ekirowoozo ku ranges ezitera okukozesebwa.
- Obutoffaali obweru (WBC): 4,500 - 11,000 obutoffaali/mcL
- Obutoffaali obumyufu (RBC): Obutoffaali obukadde 4.5 - 5.9/mcL eri abasajja; 4.1 - Obutoffaali obukadde 5.1/mcL eri abakyala
- Hemoglobin: 14 - 17.5 gm/dL eri abasajja; 12.3 - 15.3 gm/dL eri abakyala
- Hematocrit: Ebitundu 41.5% - 50.4% ku basajja; 35.9% - 44.6% ku bakyala
- Ensigo z’obutoffaali: 150,000 - 450,000/mcL
Ebisingawo mu Alipoota ya CBC
Oluusi omusawo wo ajja kutunuulira ebintu bino asobole okubitegeera obulungi. Bino bitera okuteekebwa mu lipoota ya CBC.
- Mean Corpuscular Hemoglobin (MCH): Omuwendo gwa hemoglobin oguli mu katoffaali akamyufu aka bulijjo.
- Mean Corpuscular Hemoglobin Concentration (MCHC): Epima obungi bwa hemoglobin mu musaayi oguwereddwa.
- Obugazi bw’okusaasaana kw’obutoffaali obumyufu (RDW): Bulaga obunene bw’obutoffaali obumyufu bwe bwawukana ku bulala.
- Enjawulo y’obutoffaali obweru: Waliwo ebika by’obutoffaali obweru 5 (Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils). Okugezesebwa kuno kulaga obungi bwa buli kika obuliwo. Kino kikulu nnyo mu kuzuula ekika ky’obulwadde.
Empisa zino zonna ziyamba omusawo wo okufuna ekifaananyi ekijjuvu ku bulamu bwo, n’olwekyo tosobola kusalawo ng’osinziira ku muwendo gumu gwokka.
Obubaka Obutwala Awaka
- CBC (Complete Blood Count) kwe kukebera omusaayi okwa bulijjo ennyo era okukulu okutunuulira obutoffaali obukulu mu musaayi gwo.
- Okukebera kuno kuwa obubonero obukulu ku mbeera nnyingi ez’obujjanjabi, gamba ng’okukendeeza ku musaayi n’okukwatibwa yinfekisoni.
- Totya singa emiwendo mu lipoota giri bweru wa reference range. Kino kiyinza okubaawo ensonga nnyingi.
- Ekisinga obukulu kwe kulaga omusawo lipoota yo eya CBC n’onoonya amagezi okuva gy’ali yekka. Tosalawo nga osinziira ku by’osoma ku yintaneeti oba abalala bye boogera.
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