Wali olonzeeko lipoota y’omusaayi, n’otunuulira ennukuta n’ennamba eziriko, n’olowooza nti, ‘Kino kye ki?’. CBC, WBC, RBC, MCH... Ebigambo bino bingi tetumanyi, si bwe kiri? Oluusi bwe tubalaba tumala kutya. Kale leero tugenda kwogera ku muwendo gumu ogw’engeri eyo, kwe kugamba, omuwendo gwa MCH. Ka tulabe kye kitegeeza kyokka, ne kye kyogera ku mubiri gwaffe nga gweyongedde oba bwe gukendedde.
Ka tusooke tulabe, MCH kye ki?
MCH kifupi ky’ebigambo by’Olungereza ‘Mean Corpuscular Hemoglobin’. Mu ngeri ennyangu, kino kipima
obungi bwa hemoglobin bw’eri mu butoffaali bwo obumyufu . Kati oyinza okuba nga weebuuza nti, ‘Hemoglobin eno kye ki?’ Hemoglobin puloteyina ya njawulo esangibwa mu butoffaali bwaffe obumyufu ng’etambuza omukka gwa oxygen mu mubiri gwonna. Okubeera omutuufu, hemoglobin eno ye ‘delivery service’ etuusa oxygen gwe tuggya mu mawuggwe gaffe okutuuka mu buli katoffaali mu mubiri. Kale omuwendo gwa MCH gwe muwendo gwa wakati ogw’emigugu (oxygen-carrying hemoglobin) gye buli mu mmotoka (obutoffaali obumyufu) obw’empeereza eno ey’okutuusa ebintu. Ebiseera ebisinga, ojja kumanya ku muwendo guno ogwa MCH ng’okola okukebera omusaayi okuyitibwa
CBC (Complete Blood Count) . Kino kigezo kya bulijjo nnyo. Omusawo akozesa omuwendo guno okuyamba okuzuula oba olina obuzibu mu mmere, ekibumba oba embeera endala ey’obujjanjabi.
Enyanjula ennyimpimpi ku kukebera kwa CBC (Complete Blood Count).
Okukebera kuno kukulu nnyo kubanga kuyinza okukuwa amawulire agakwata ku bitundu ebikulu ebiwerako eby’omusaayi gwo. Okusinga:
Omusawo wo ayinza okulagira okukeberebwa kuno ng’ekimu ku bitundu by’okukeberebwa kwo okwa buli mwaka, oba bw’oba oteebereza embeera y’obujjanjabi okusinziira ku bubonero bwo (e.g., obukoowu, okufuuka omumyufu). Kino kizingiramu okuggya akatundu akatono ak’omusaayi mu musuwa oguli mu mukono gwo. Kisindikibwa mu laabu okukeberebwa n’okukola lipoota.
Omuwendo gwa MCH gulina okuba gutya mu butonde?
Yuniti y’okupima kwa MCH eri
Ebifaananyi ebiraga ebifaananyi (picograms oba pg). Mu budde obwabulijjo, omuwendo guno eri omuntu omukulu n’omwana omulamu guli wakati wa 27 pg ne 31 pg . Ku mwana eyaakazaalibwa, kino kisingako katono, kwe kugamba, kiyinza okuva ku 32 pg okutuuka ku 34 pg . Naye jjukira, emiwendo gino giyinza okwawukana katono okuva ku laabu okudda ku ndala, kale kirungi okugigeraageranya ku ‘Normal Range’ ku lipoota yo.
Watya singa omuwendo gwa MCH guba mutono?
Omuwendo gwa MCH omutono kitegeeza nti obutoffaali bwo obumyufu bulina omuwendo gwa hemoglobin omutono okusinga ogwa bulijjo. Kino kiyinza okuvaako obutoffaali bwo obumyufu okulabika ng’obutono ‘obuddugavu’ oba ‘obuzibu’. Waliwo ensonga enkulu eziwerako eziviirako kino. Ka tulabe kiki kye bali n’obubonero bwe buli. | Ensonga lwaki omuwendo gwa MCH omutono | Obubonero obuyinza okulabibwa |
|---|
| Okukendeera kw’omusaayi kye kisinga okuvaako. Kiva ku butabeera na butoffaali bumyufu obulungi obutambuza omukka gwa oxygen mu mubiri. Kino kiyinza okuva ku bbula ly’ekyuma, vitamiini B12 oba folate. | |
| Endwadde z’omusaayi (hemoglobinopathies) ndwadde ezisikira ezireetebwa obulema mu nkula ya molekyu ya hemoglobin oba mu nkola yaayo ey’okukola. Eby’okulabirako: Obulwadde bwa Thalassemia ne Sickle Cell. | Mu thalassemia: obubonero bw’okukendeeza ku musaayi, okuzimba olubuto, omusulo omuddugavu. Mu bulwadde bwa sickle cell: obubonero bw’okukendeeza ku musaayi, omusulo enzirugavu, amaaso okufuuka kyenvu, obulumi n’okuzimba mu ngalo n’ebigere, n’oluusi n’oluusi okulumwa ennyo mu mubiri. |
Omuwendo gwa MCH gusobola okweyongera?
Yee, oluusi omuwendo gwa MCH guyinza okuba waggulu okusinga ogwa bulijjo. Kino kitegeeza nti obutoffaali bwo obumyufu bunene okusinga ku bwa bulijjo. Embeera eno mu by'obujjanjabi eyitibwa Macrocytosis . Ebiseera ebisinga kino tekiba kya kweraliikirira. Naye oluusi, kiyinza okuba akabonero k’embeera y’obujjanjabi. Ensonga eziviirako omuwendo gwa MCH okweyongera:
- Obutabeera na Vitamin B12 oba Folate: Tokyewuunya, ebiriisa bino bwe biba bitono, okukendeera kw’omusaayi (okukendeera kwa MCH) kuyinza okubaawo, awamu n’obutoffaali obumyufu okugaziwa (okweyongera kwa MCH). Kino kiyitibwa Macrocytic Anemia.
- Endwadde z’ekibumba ezimu: Ebizibu ebimu ebikwata ku nkola y’ekibumba bisobola okuvaako emiwendo gya MCH okweyongera.
- Okunywa omwenge ekisusse: Okunywa omwenge ekisusse okumala ebbanga eddene nakyo kivaako kino.
- Hypothyroidism: Kino omubiri bwe gukola obusimu bwa thyroid obutono.
- Enjawulo eno era eyinza okuva ku ddagala erimu: eddagala nga eddagala eritta obuwuka, eddagala erimu eritta obuwuka, n’eddagala eritta akawuka.
- Ebimu ku kookolo eyeekuusa ku musaayi.
Ekikulu kiri nti emiwendo gya MCH egy’okulinnya tegireeta bubonero bwonna obw’enjawulo. Kyokka obulwadde obusibukako obuzireeta buyinza okuleeta obubonero. Okugeza bw’oba olina obulwadde bwa Hypothyroidism, oyinza okufuna obubonero ng’okukoowa, okugejja, okuzimba emikono n’engalo, n’okulumwa ebinywa. Bw’oba olina obulwadde bw’ekibumba, oyinza okulumwa olubuto olw’okungulu, obutayagala mmere n’amaaso okufuuka ebya kyenvu. Obubaka Obutwala Awaka
- MCH muwendo gumu gwokka ku lipoota yo ey’omusaayi. Kiwa endowooza ey’awamu ku bungi bwa hemoglobin mu butoffaali bwo obumyufu.
- Omuwendo gwa MCH omutono oba omunene guyinza okuva ku mbeera eya bulijjo nga okukendeera kw’omusaayi, oba oluusi kiyinza okuba akabonero k’embeera ey’amaanyi ennyo eyeetaaga okufaayo ennyo.
- Tokeberangako ng’osinziira ku musaayi oba okunoonya ku yintaneeti amawulire. Kino kijja kuleeta situleesi yokka eteetaagisa.
- Singa wabaawo enkyukakyuka mu muwendo gwo ogwa MCH oba omuwendo omulala gwonna, omusawo wo yekka y’asobola okukuwa amagezi agasinga obulungi era amatuufu. Ajja kukola okukebera okulala, bwe kiba kyetaagisa, okuzuula ekituufu ekivaako, n’okumuwa obujjanjabi obwetaagisa.
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