Wali ofunye lipoota y'omusaayi naddala okubala omusaayi mu bujjuvu, n'okwebuuza nti, "Kino kiki?" Singa omuwendo gwa RDW ku lipoota eyo guba waggulu okusinga ogwa bulijjo, omusawo wo ayinza okukozesa ekigambo "Anisocytosis." Ekigambo kino kiyinza okutiisa katono okuwulira, naye teweeraliikiriranga. Ka twogere ku nsonga eno mu ngeri ennyangu era mu ngeri entegeerekeka leero.
Mu ngeri ennyangu, Anisocytosis kye ki?
Anisocytosis si bulwadde. Kigambo abasawo kye bakozesa. Mu ngeri ennyangu, kitegeeza nti obutoffaali bwo obumyufu (RBCs) bwonna si bwa sayizi y’emu, wabula bwa sayizi za njawulo. Obutoffaali obumu buyinza okuba obunene okusinga obwa bulijjo, obumu buyinza okuba obutono oba byombi nga bigattiddwa wamu.
Mu budde obwabulijjo, obutoffaali obumyufu obw’omuntu omulamu obulungi bwonna buba bwa sayizi y’emu. Kale enjawulo eno mu sayizi kabonero kokka gye tuli ku kintu ekirala ekigenda mu maaso munda mu mubiri gwaffe. N’olwekyo, kino tetukitwala ng’obulwadde, wabula ng’akabonero k’embeera eyaliwo.
Lwaki obutoffaali obumyufu bukulu nnyo eri emibiri gyaffe?
Kilowoozeeko ng’empeereza y’okutuusa ebintu etambuza omukka gwa oxygen mu mibiri gyaffe gyonna. Ekyo obutoffaali obumyufu bwe bukola. Zikolebwa mu magumba gaffe ne zikula mu nnaku nga 7.
- Omulimu omukulu: Okutambuza omukka gwa oxygen oguyingira mu mawuggwe nga tussa, mu buli katoffaali mu mubiri.
- Omulimu omulala: okuzza kaboni dayokisayidi akolebwa mu butoffaali obwo mu mawuggwe.
Kino bakikola nga bakozesa puloteyina eyitibwa hemoglobin . Obutoffaali obumyufu nabwo bwa njawulo nnyo mu nkula. Ziringa donut nga tezirina kinnya wakati, ate wakati zigonvu. Enkula eno ezisobozesa okufukamira n’okutambula amangu nga ziyita mu misuwa emitono ennyo mu mubiri.
Enkyukakyuka mu bunene, enkula oba omuwendo gw’obutoffaali buno obumyufu esobola okukosa butereevu obulamu bwaffe, kubanga omukka gwa oxygen guyinza okukosebwa.
Omanya otya oba olina obulwadde bwa anisocytosis?
Omusawo wo asobola okukozesa ebigezo ebikulu bibiri okuzuula kino.
1. Complete Blood Count (CBC): Kino kye kigezo ekisinga okukolebwa. Lipoota eno erimu omuwendo oguyitibwa RDW (Red Blood Cell Distribution Width) . Kino kipima enjawulo oba enjawulo mmeka mu bunene bw’obutoffaali bwo obumyufu.
- Omuwendo gwa RDW ogw’amaanyi kitegeeza nti waliwo enjawulo nnene mu bunene bw’obutoffaali obumyufu.
- Omuwendo gwa RDW ogwa bulijjo guli wakati wa 12% ne 15%.Kibeere wakati.
- Naye jjukira nti si buli omuwendo gwo ogwa RDW lwe gulinnya, kitegeeza nti olina obulwadde. Omuwendo guno gusobola okweyongera katono n’emyaka, ng’oli lubuto, n’oluvannyuma lw’okukola dduyiro ennyo.
2. Peripheral Blood Smear (PBS): Kino kizingiramu okuggya ettondo ly’omusaayi gwo n’ogutunuulira mu microscope. Kino kisobozesa omusawo okulaba obunene n’enkula y’obutoffaali obumyufu n’amaaso gombi.
Enjawulo Wakati Wa Anisocytosis ne Poikilocytosis
Ebigambo bino byombi bikozesebwa okutegeeza ebitali bya bulijjo mu butoffaali obumyufu. Okusobola okwanguyirwa okutegeera enjawulo eriwo wakati w’ebintu bino byombi, laba ekipande wansi.
| Ennyimirira | Okunnyonnyola |
|---|---|
| Obulwadde bwa Anisocytosis | Enkyukakyuka mu bunene bw’obutoffaali obumyufu (obutoffaali okufuuka obunene oba obutono) . |
| Obulwadde bwa Poikilocytosis | Enkyukakyuka mu nkula y’obutoffaali obumyufu (e.g. sickle-shaped, oval) . |
Oluusi embeera zino zombi zisobola okubaawo awamu. Kino kitegeeza nti obunene n’enkula y’obutoffaali obumyufu byombi bikyuka. Kino kitera okulabibwa mu mbeera nga okukendeera kw'omusaayi .
Biki ebikulu ebivaako Anisocytosis?
Ekisinga okuvaako era ekisinga okuvaako anisocytosis ye anemia , nga kino kye tuyita "obutaba na musaayi." Okukendeera kw’omusaayi kwe kubulwa obutoffaali obumyufu obulungi obutambuza omukka gwa oxygen ogumala mu bitundu by’omubiri gwo.
Obubonero obutera okulabika obw’okukendeeza ku musaayi
- Okukoowa buli kiseera n’okwebaka ekisusse
- Obunafu
- Olususu olumyufu (olumyufu) .
- Okukaluubirirwa okussa, oba okuwunya, ne bw’oba ofuba nnyo
Ebika bya Anisocytosis Ebiyinza Okuleeta Okukendeera mu Musaayi
| Ekika ky’okubulwa omusaayi | Ennyinyonnyola ennyangu |
|---|---|
| Okukendeera kw’omusaayi olw’obutaba na kyuma | Kiva ku butabeera na kyuma mu mubiri. Mu mbeera eno, obutoffaali obumyufu butera okuba obutono (microcytosis). |
| Okukendeera kw’omusaayi olw’obutaba na vitamiini | Ekiva ku bbula lya vitamiini B12 oba folate, obutoffaali obumyufu buba bunene mu ngeri etaali ya bulijjo (Macrocytosis). |
| Okukendeera kw’omusaayi mu sickle cell | Embeera ey’obuzaale ng’obutoffaali obumyufu bufuuka obw’ekika kya sickle ne busaanawo mangu. |
| Okukendeera kw’omusaayi mu mubiri (autoimmune hemolytic anemia). | Okusaanyaawo obutoffaali obumyufu obw’omubiri gwennyini olw’abaserikale b’omubiri. |
Embeera endala ezikwatagana ne Anisocytosis ng’oggyeeko okukendeera kw’omusaayi
Abanoonyereza bakizudde nti ng’oggyeeko okukendeera kw’omusaayi, omuwendo gwa RDW gweyongera mu ndwadde endala eziwerako. Kwe kugamba, embeera ya Anisocytosis erabibwa. N’olwekyo, omuwendo gwa RDW nagwo gutwalibwa ng’ekiraga ekiwa ebimu ebiraga embeera y’obulamu okutwalira awamu.
Embeera endala eziyinza okuba nga zikwatagana ne anisocytosis mulimu:
- Obulwadde bw’emisuwa: Abantu bangi abalina embeera ng’obulwadde bw’omutima n’emisuwa gy’omutima balina emiwendo gya RDW egy’amaanyi.
- Obulwadde bw’ekibumba
- Obulwadde bw’ekibumba
- Kookolo ezimu: Kookolo nga leukemia ne lymphoma naddala ezo ezikwata obusigo bw’amagumba.
- COVID-19: Emiwendo gya RDW egy’okulinnya gitunuuliddwa mu balwadde ba COVID-19 abamu naddala abalina obulwadde obw’amaanyi.
- Embeera eno era esobola okubaawo okumala akaseera oluvannyuma lw’okuteekebwamu omusaayi oba olw’eddagala erimu.
Ekisinga obukulu:Olw’okuba bakutegeezeddwa ku mbeera zino tekitegeeza nti olina okusattira. Omuwendo gwa RDW ogw’amaanyi tekitegeeza nti olina emu ku ndwadde zino. It’s simply an indication nti olina okunoonya okwongera okukeberebwa.
Obubaka Obutwala Awaka
- Anisocytosis si bulwadde. Embeera ya bujjanjabi eraga nti obutoffaali bwo obumyufu bwa sayizi za njawulo. Kino kiyinza okuzuulibwa omuwendo gwa RDW ogw’oku ntikko ku lipoota y’omusaayi.
- Ekisinga okuvaako kino kwe kukendeera kw’omusaayi olw’obutaba na kyuma, vitamiini B12 oba folate.
- Ng’oggyeeko okukendeera kw’omusaayi, kino osobola n’okukiraba mu mbeera endala ez’obujjanjabi ng’endwadde z’omutima, ekibumba n’ensigo.
- Totya olw’omuwendo gwa RDW ogw’ekika ekya waggulu. Bulijjo tekiraga mbeera ya bujjanjabi ya maanyi.
- Amagezi agasinga obukulu era gokka ge gali nti bwe wabaawo enkyukakyuka yonna mu lipoota yo ey’omusaayi naddala omuwendo gwa RDW ogweyongedde, mazima ddala olina okwogera n’omusawo wo ku nsonga eyo n’okunoonya amagezi ge. Weewale okwezuula n’okwejjanjaba ddala.
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