Gye buvuddeko wakeberebwa omusaayi? Waaliwo CBC ku lipoota eyo, nedda? Kirina omuwendo oguyitibwa RBC Count. Abantu bangi bwe balaba kino bafuna okweraliikirira katono, nga balowooza nti, ‘Oo, kino kya wansi? Kiri waggulu? Ddala bulwadde bwa ngeri emu?’. Mazima ddala si kizibu nnyo okukitegeera. Kale leero, ka twogere mu ngeri ennyangu ennyo, nga bwe twogera ne mukwano gwaffe, ku butoffaali buno obumyufu , oba RBC Count, kye buli, n’ekireetera empisa zaabyo okukyuka.
Omuwendo guno gwennyini ogw’obutoffaali obumyufu (RBC) guli gutya?
Mu ngeri ennyangu, obutoffaali obumyufu kika kya butoffaali bwa njawulo mu musaayi gwaffe. Era ziyitibwa ‘erythrocytes’. Obutoffaali buno bubaamu puloteyina ey'enjawulo eyitibwa hemoglobin . Okufaananako loole etambuza ebyamaguzi, hemoglobin eno y’esitula omukka gwa oxygen oguyingira mu mawuggwe nga tussa n’agugabira obutoffaali obulala bwonna mu mubiri gwonna.
Kale, obungi bwa oxygen atuuka butereevu mu bitundu by’omubiri gwo byonna businziira ku muwendo gw’obutoffaali obumyufu mu musaayi gwo. Ekigezo kya RBC Count kipima obukadde bw’obutoffaali obumyufu obuli mu buli mililita y’omusaayi. Kino tekitera kukeberebwa kya njawulo, wabula kikolebwa ng’ekimu ku bitundu by’okukebera omusaayi mu bujjuvu (CBC) .
Lwaki omusawo akusaba okukola okukebera kuno okwa RBC?
Oba ogenda kwekebejjebwa bulijjo oba okufuna eddagala eriwonya obulwadde, omusawo ayinza okulagira okukeberebwa CBC. Waliwo ensonga enkulu eziwerako eziviirako kino:
- Okukebera embeera y’obulamu bwo okutwalira awamu: Okukebera kuno kukuyamba okumanya okutwalira awamu engeri omubiri gwo gye gukola, awatali nsonga nnene.
- Okuzuula ekivaako obubonero bwo: Bw’oba buli kiseera owulira ng’okooye, ng’okooye, ng’oziyira, oba ng’omutwe gukutte , okukebera kuno kuyinza okukuyamba okuzuula ekivaako. Kiyinza okuba nga kiva ku butabeera na butoffaali bumyufu ( anemia ).
- Okulondoola embeera y’obujjanjabi: Bw’oba olina edda embeera ng’obulwadde bw’ekibumba , obulwadde bw’omusaayi oba kookolo, omusawo ayinza okulagira buli kiseera okukeberebwa kuno okulaba oba embeera eyo efugibwa n’obujjanjabi era oba waliwo enkyukakyuka yonna.
Ekikulu, tomala gatunuulira muwendo gw’ofuna n’osalawo ku bubwo. Kikuwa ekiraga kyokka. Omusawo wo yekka y’asobola okukinnyonnyola mu butuufu n’akubuulira ekiddako.
Emiwendo gya RBC egya bulijjo girina kuba gitya?
Emiwendo gino giyinza okwawukana katono okuva ku laabu emu okudda ku ndala, kale kikulu okugigeraageranya ku kasanduuko "Normal Range" ku lipoota yo. Naye okutwaliza awamu, emiwendo egya bulijjo giri bwe giti:
| Omuntu | Omuwendo gwa RBC ogwa bulijjo (obukadde n’obukadde bw’obutoffaali buli microliter y’omusaayi) . |
|---|---|
| Omusajja (omuntu omukulu) . | 4.7 – obukadde 6.1 |
| Abakyala (abantu abakulu) . | 4.2 – obukadde 5.4 |
| Abaana | 4.0 – obukadde 5.5 |
Emiwendo gino giyinza okukendeera katono n’emyaka. Enkyukakyuka mu mpisa zino nazo ziyinza okulabibwa ng'oli lubuto .
Singa omuwendo gwa RBC guba waggulu okusinga ogwa bulijjo (High RBC Count) .
Oluusi omuwendo gwa RBC ogw’amaanyi guyinza obutaba na bubonero, naye abantu abamu bayinza okufuna obubonero obumu.
Obubonero obuyinza okubaawo mu kiseera ky’okweyongera
| Obubonero obutera okulabika obw’okweyongera kw’omuwendo gwa RBC | |
|---|---|
| – Okukoowa ennyo | – Obuzibu mu kussa (dyspnea) . |
| - Okulumizibwa omutwe | – Okulaba okutali kwa maanyi |
| - Ebbula ly'otulo | – Obulumi mu binywa |
| – Olususu olusiiwa | – Okuvaamu omusaayi mu nnyindo |
Ebivaako omuwendo gwa RBC okweyongera
- Okunywa sigala: Abanywa sigala bakola obutoffaali obumyufu bungi okusobola okusasula omukka gwa oxygen ogukendedde.
- Okubulwa amazzi mu mubiri: Amazzi mu mubiri bwe gakendeera, amazzi g’omusaayi gakendeera ate obutoffaali ne bweyongera bw’ogeraageranya n’amazzi agali mu musaayi.
- Okubeera ku buwanvu: Olw’okuba empewo mu bitundu by’ensozi erina omukka gwa oxygen mutono, omubiri gwongera okukola RBC okusobola okukyusa embeera.
- Endwadde z’omutima: Endwadde z’omutima ezimu (naddala ezizaalibwa) ziyinza okukosa omukka gwa oxygen mu mubiri. Okukola RBC kweyongera okusobola okuliyirira.
- Endwadde ezeekuusa ku mawuggwe: Embeera nga asima ne emphysema.
- Polycythemia vera: Buno bulwadde bwa magumba nga mu busimu bw’amagumba bukola obutoffaali obumyufu obutafugibwa.
- Kookolo w’ekibumba: Ebika bya kookolo by’ekibumba ebimu bikola obusimu obuyamba okukola RBC.
- Eddagala erimu: Eddagala erimu, gamba nga steroids.
Singa omuwendo gwa RBC guba wansi okusinga ogwa bulijjo (Low RBC Count / Anemia) .
Tutera okuyita okukendeera kw'omuwendo gwa RBC anemia . Kino era kiyinza okuva ku nsonga ezitali zimu.
Obubonero obuyinza okulabibwa mu kiseera ky’okukendeera
| Obubonero obutera okulabika ng’omuwendo gwa RBC omutono (anemia) . | |
|---|---|
| – Obukoowu obuyitiridde n’obunafu | – Olususu olumyufu (oluusi terulabika olw’embala y’olususu) . |
| – Okukaluubirirwa okussa | – Obulumi mu kifuba |
| – Omutima okukuba mu ngeri etaali ya bulijjo oba ey’amangu | – Okuwulira ng’oziyira |
| – Emikono n’ebigere ebinyogovu | - Okulumizibwa omutwe |
Ebivaako omuwendo gwa RBC okutono
- Ebbula ly’emmere: Obutaba na biriisa naddala ekyuma, vitamiini B12 ne folate bikosa butereevu okukola obutoffaali obumyufu.
- Okuvaamu omusaayi: Okufiirwa omusaayi okuva mu mubiri, oba nga kiyita mu kabenje oba olw’embeera ng’amabwa mu lubuto oba endwadde z’enkwaso.
- Endwadde ezitawona: Endwadde ng’endwadde z’ekibumba ez’amaanyi, okuzimba ekibumba, lupus, n’endwadde z’enkizi.
- Endwadde z’amagumba: Embeera za kookolo nga leukemia ne multiple myeloma zikendeeza ku busobozi bw’obusigo bw’amagumba okukola RBCs.
- Okukendeera kw’enkola ya thyroid (Hypothyroidism).
- Eddagala erimu: Ebintu ng’eddagala eriweweeza ku kookolo.
Nkola ntya ekigezo kino? Nneetaaga okwetegeka?
Kino kyangu nnyo. Omala kuggyamu musaayi mutono okuva mu musuwa oguli mu mukono gwo. Tekyetaagisa kwetegekera nnyo kino. Wabula okulabirira ebintu bino olunaku olumu ng’okukeberebwa tekunnabaawo kijja kuyamba okulaba ng’ebyava mu kukeberebwa bituufu.
- Weewale okukola dduyiro ow’amaanyi ng’ebula olunaku lumu okukeberebwa.
- Sigala ng’owummudde era nga tolina situleesi nga bwe kisoboka.
- Nywa amazzi mangi.
- Kakasa nti otegeeza omusawo wo ku ddagala lyonna ly’omira (nga mw’otwalidde ne vitamiini). Oyinza okusabibwa okulekera awo okumira eddagala erimu okumala akaseera nga tonnakeberebwa.
Bw’oba otya amaggwa, ekyo kimanye nga bukyali. Wadde nga kiyinza okuwulira ng’akawuka akatono akaluma, mu bbanga ttono kajja kugenda.
Obubaka Obutwala Awaka
- Okubala RBC kwe kukebera okupima omuwendo gw’obutoffaali obumyufu obutambuza omukka gwa oxygen mu mubiri gwo gwonna.
- Tolowooza nti omuwendo oguli ebweru wa bulijjo kabonero ka bulwadde bwa maanyi. Kiba kifaananyi kyokka.
- Waliwo ensonga nnyingi lwaki omuwendo gwa RBC gwo guyinza okweyongera oba okukendeera. Ebimu byangu nnyo (nga obutanywa mazzi gamala), ate ebirala biyinza okwetaaga okujjanjabibwa.
- Bw’ofuna lipoota yo ey’okukeberebwa omusaayi, miwendo ki egirimu?Kakasa nti oyogera n’omusawo wo okumanya ebikwata ku nsonga entuufu.
- Tosattirangako ng’otunuulira lipoota yokka. Omusawo yekka y’asobola okukuwa amagezi amatuufu.
Obutoffaali obumyufu, okubala RBC, okukebera omusaayi, okukendeera kw’omusaayi, lipoota y’omusaayi, okukebera CBC, obubonero
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