Oboolyawo obadde owulira ng’okooye, ng’okooye , oba ng’omutwe gukuluma okumala ennaku ntono, era omusawo n’alagira okukeberebwa omusaayi . Oyinza okuba nga weeraliikirira katono bwe walabye erinnya "Reticulocyte Count" ku lipoota. "Kino kigezo kya ngeri ki ekyewuunyisa?" Oyinza okuba nga wali olowooza mu mutima gwo. Kino kigezo kyangu nnyo eky’omusaayi ekitera okukolebwa, naye nga kiwa amawulire amakulu ennyo. Leero, tugenda kwogera ku nsonga eno mu ngeri entegeerekeka era ennyangu.
Okusooka, ka tulabe ‘reticulocyte’ eno kye ki.
Okimanyi nti omusaayi gwaffe gulimu ebika by’obutoffaali bingi, gamba ng’obutoffaali obumyufu, obutoffaali obweru , n’obutoffaali obuyitibwa platelets. Ku zino ezisinga obungi ze butoffaali obumyufu . Okufaananako empeereza ya loole etuusa ebyamaguzi mu bibuga mu mibiri gyaffe gyonna, obutoffaali buno obumyufu busitula omukka gwa oxygen okuva mu mawuggwe ne gugugabira ebitundu by’omubiri ebirala byonna. Omusaayi gwaffe gulabika nga gumyufu olw’ekirungo kya protein ekiyitibwa hemoglobin ekirimu ekyuma ekiyamba mu mulimu guno.
Naye akatoffaali akamyufu kamu kasobola okuwangaala emyezi nga 4 gyokka. Kale, twetaaga okusigala nga tukola obutoffaali obupya okudda mu kifo ky’obutoffaali buno obukadde. Ekkolero erikola obutoffaali buno obupya kye kitundu ekiringa sipongi munda mu magumba gaffe, ekiyitibwa obusigo bw’amagumba .
Mu ngeri ennyangu, tuyita reticulocytes obutoffaali obumyufu "baby" obupya obukolebwa ekkolero eriyitibwa obusigo bw'amagumba ne bufulumizibwa mu musaayi, era nga tebunnakula mu bujjuvu.
Obutoffaali buno obw’abaana bunene katono okusinga obutoffaali obumyufu obwa bulijjo. Mu lunaku lumu oba bbiri, zikula mu bujjuvu ne zitwala omulimu gw’okutambuza omukka gwa oxygen. Mu muntu omulamu obulungi, reticulocytes zikola wakati wa 0.5% ne 2.5% ku muwendo gwonna ogw’obutoffaali obumyufu mu musaayi.
Kale kiki ddala ekigezo kino kikola?
Omusawo bw’aba ayagala okumanya oba ekkolero lyo ery’obusimu bw’amagumba likola bulungi era nga lifulumya obutoffaali obumyufu obwetaagisa, ajja kulagira okukeberebwa kuno okwa Reticulocyte Count.
Kino kigezo kyangu nnyo. Omusaayi guggyibwa mu musuwa oguli mu mukono gwo. Edda obutoffaali buno bwabalibwanga mu ngalo nga bakozesa microscope. Naye kati ebyuma ebikola mu ngeri ey’obwengula (automated machines) bikola kino nga bibala mu butuufu nnyo. Kale kino kwekebeza musaayi kwa bulijjo kwokka okutajja kukuleetera buzibu bwa njawulo.
Mu mbeera ki omusawo yandiwadde amagezi okukebera kuno?
Ensonga enkulu era esinga okuvaako okukeberebwa kuno bwe wabaawo okuteebereza nti waliwo embeera eyitibwa anemia . Okukendeera kw’omusaayi kwe kuba nti omubiri tegulina butoffaali bumyufu bumala. Olwo oyinza okufuna obubonero gamba ng’okukoowa obutasalako, okuwulira ng’olina obunafu, okussa obubi ne bw’oba otambudde akabanga katono, okulumwa omutwe emirundi mingi, n’oluusi okulumwa mu kifuba .
Bw’oba oteebereza nti olina okukendeeza ku musaayi okuva mu kubala omusaayi mu bujjuvu (FBC), ekitera okuba nga kwe kusooka okukeberebwa, okukebera okusinga obukulu okuzuula ekika ky’ekyo kyennyini kwe kubala omusaayi (Reticulocyte Count).
Waliwo ebika by’obulwadde bw’okubulwa omusaayi ebiwerako. Ebinaava mu kukeberebwa kuno bijja kuwa omusawo endowooza ennungi ku kika kino.
| Ekika ky’Obulwadde bw’okukendeera kw’omusaayi | Kiki ekituuka ku Reticulocyte Count? | Mu ngeri ennyangu... |
|---|---|---|
| Okukendeera kw’omusaayi mu musaayi | Omuwendo guli waggulu . | Obutoffaali obumyufu busaanawo nga tebunnatuuka munda mu mubiri. Okusobola okusasula okufiirwa, ekkolero ly’obusimu bw’amagumba likola mu ngeri esinga obulungi, ne likola obutoffaali bungi obupya. |
| Okukendeera kw’omusaayi mu bitundu by’omubiri (Aplastic Anemia). | Omuwendo gukendeera (Low) . | Obusigo bw’amagumba bwennyini bwonoonese, ne bulemesa okukola obutoffaali obupya obwetaagisa. |
| Okukendeera kw’omusaayi olw’obutaba na kyuma | Omuwendo gukendeera (Low) . | Omubiri tegulina kyuma, ekintu ekisookerwako ekyetaagisa okukola obutoffaali obumyufu. Ekkolero teriyinza kugifulumya kubanga tewali bikozesebwa. |
| Okukendeera kw’omusaayi mu mubiri mu ngeri ey’obulabe | Omuwendo gukendeera (Low) . | Vitamiini B12, ekirungo ekirala ekyetaagisa okukola obutoffaali obumyufu, kibula mu mubiri. Kino nakyo kikendeeza ku bikolebwa. |
Waliwo n’ebirala ebivaako ng’oggyeeko okukendeera kw’omusaayi?
Yee, okugezesebwa kuno kwa mugaso nnyo mu mbeera endala eziwerako.
Obulwadde bwa Sickle Cell
Buno bulwadde bwa buzaale. Obutoffaali obumyufu obukola wano bufuna ekifaananyi kya sickle mu kifo ky’enkula yaago eya bulijjo eyeetooloovu. Kino kizireetera okusaanawo amangu era zisobola okusibira mu misuwa emitono ne ziziyiza omusaayi okutambula . Omuwendo gwa reticulocyte ogw’amaanyi mu balwadde bano guyinza okulaga obuzibu bw’obutoffaali obuyitibwa sickle cell, ng’obutoffaali obumyufu busaanawo ekisusse.
Laba engeri gye baddamu obujjanjabi
- Bw’oba ofuna obujjanjabi bw’eddagala oba obujjanjabi obw’amasannyalaze (radiation treatment) ku kookolo.
- Oluvannyuma lw'okusimbuliza obusigo bw'amagumba .
Obujjanjabi obw’ekika kino busobola okwonoona obusigo bw’amagumba. Kale oluvannyuma lw’okujjanjabwa, Reticulocyte Count eno esobola okukozesebwa okukebera oba obusigo bw’amagumba buteredde ne butandika okukola obutoffaali obupya. Omuwendo ogweyongera mpolampola kabonero akalaga nti guzzeemu okuwona obulungi.
Obubaka Obutwala Awaka
- Okubala obutoffaali obuyitibwa reticulocyte count kwe kukebera omusaayi okwangu okupima engeri "ekkolero ly'obutoffaali obumyufu" (obusigo bw'amagumba) ly'omubiri gwo gye likola obulungi.
- Kino okusinga kikozesebwa okuzuula ddala ekika ky’obulwadde bw’okukendeera kw’omusaayi.
- Okubala ennyo ebiseera ebisinga kitegeeza nti omubiri gusaanyaawo obutoffaali obumyufu era obusigo bw’amagumba bukola nnyo okubuzza mu kifo kyabwe. Okubala okutono kitegeeza nti obusigo bw’amagumba tebukola butoffaali bumala.
- Okuzuula obulwadde tekuyinza kukolebwa okusinziira ku bivudde mu kukeberebwa kuno kwokka. Kino omusawo ajja kukigeraageranya n’obubonero bwo n’ebyava mu kukeberebwa ebirala okusobola okutuuka ku nkomerero.
- Kale, tofaayo ku nnamba eziri ku lipoota yo. Bw’oba olina ekibuuzo kyonna oba ky’obuusabuusa, yogerako n’omusawo wo mu lwatu.
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