Kua whiwhi koe i tētahi pūrongo toto, inā koa he tatau toto katoa, ā, ka whakaaro koe, "He aha tēnei?" Mena he teitei ake te uara RDW o taua pūrongo i te tikanga, ka whakamahia pea e tō tākuta te kupu "Anisocytosis." He kupu whakamataku pea tēnei ki te whakarongo, engari kaua e manukanuka. Me kōrero māmā noa iho, me mārama hoki i tēnei rā.
He aha te Anisocytosis?
Ehara te Anisocytosis i te mate. He kupu e whakamahia ana e ngā tākuta. Ki te whakarāpopototanga, ko tōna tikanga kāore ō toto whero (RBC) i te rite te rahi katoa, engari he rerekē te rahi. Tērā pea he nui ake ētahi pūtau i te tikanga, ko ētahi he iti ake, he whakakotahitanga rānei o ngā mea e rua.
I te nuinga o te wā, he rite tonu te rahi o ngā toto whero o te tangata hauora. Nō reira, he tohu noa iho tēnei rerekētanga o te rahi ki a tātou mō tētahi atu mea e pā ana ki roto i tō tātou tinana. Nō reira, ehara tēnei i te mate, engari he tohu nō tētahi mate kei roto.
He aha te hiranga o ngā pūtau toto whero ki ō tātou tinana?
Whakaarohia he ratonga tuku hāora e kawe ana i te hāora puta noa i ō tātou tinana. Koinei te mahi a ngā pūtau toto whero. Ka hangaia ēnei i roto i tō tātou hinu wheua, ā, ka pakari i roto i te whitu rā pea.
- Te mahi matua: Hei kawe i te hāora, e uru ana ki ngā pukahukahu ina manawa tātou, ki ngā pūtau katoa o te tinana.
- Ko tētahi atu mahi: te whakahoki i te hauhā waro i hangaia i roto i aua pūtau ki ngā pukahukahu.
Mā te whakamahi i tētahi pūmua e kiia nei ko te hemoglobin ka taea tēnei mahi. He tino motuhake hoki te āhua o ngā toto whero. He rite rātou ki te tōnati, kāore he kōhao i waenganui, ā, he angiangi hoki i waenganui. Mā tēnei āhua ka taea e rātou te piko me te neke ngāwari i roto i ngā uaua toto iti rawa o te tinana.
Ka pā tika pea ngā panonitanga o te rahi, te āhua, te maha rānei o ēnei pūtau toto whero ki tō tātou hauora, nā te mea ka ngoikore pea te tuku hāora o te tinana.
Me pēhea koe e mōhio ai mēnā he anisocytosis tōu?
E rua ngā whakamātautau matua ka taea e tō tākuta te whakamahi hei rapu i tēnei.
1. Te Tatau Toto Katoa (CBC): Koinei te whakamātautau e tino mahia ana. Kei roto i tēnei pūrongo he uara e kiia nei ko te RDW (Whole Blood Cell Distribution Width) . Ka ine tēnei i te nui o te rerekētanga, te rerekētanga rānei, o te rahi o ō toto whero.
- Ko te tikanga o te uara RDW teitei he nui ngā rerekētanga o te rahi o ngā toto toto whero.
- Ko te uara RDW noa kei waenga i te 12% me te 15%.Me noho ki waenganui.
- Engari kia maumahara, ehara i te mea i ngā wā katoa ka piki ake tō uara RDW, he tohu kei a koe he mate. Ka piki ake pea tēnei uara i te pakeketanga, i te wā e hapu ana, me muri i te nui o te whakakori tinana.
2. Te Whakamātautau Toto Āpiti (PBS): Ko te tikanga o tēnei ko te tango i tētahi pata o tō tauira toto ka tirohia i raro i te karuārai. Mā tēnei ka taea e te tākuta te kite i te rahi me te āhua o ngā toto whero me ngā kanohi e rua.
Te Rerekētanga i waenga i te Anisocytosis me te Poikilocytosis
E whakamahia ana ēnei kupu e rua hei whakaahua i ngā āhuatanga rerekē o ngā toto toto whero. Kia māmā ake ai te mārama ki te rerekētanga i waenganui i ngā mea e rua, tirohia te ripanga i raro nei.
| Tūnga | Whakaahuatanga |
|---|---|
| Anisotositō | Ngā panonitanga o te rahi o ngā pūtau toto whero (ka nui haere, ka iti haere rānei ngā pūtau) |
| Te Poikilocytosis | Ngā panonitanga o te āhua o ngā toto toto whero (hei tauira, he āhua maripi, he porowhita) |
I ētahi wā ka puta ngātahi ēnei āhuatanga e rua. Ko te tikanga o tēnei ka rerekē te rahi me te āhua o ngā toto whero. Ka kitea tēnei i roto i ngā āhuatanga pēnei i te anemia .
He aha ngā tino take o te anisocytosis?
Ko te tino take o te anisocytosis ko te anemia , e kiia nei e tātou ko te "kore toto." Ko te anemia te kore o ngā toto whero hauora e kawe ana i te hāora ki ngā kiko o tō tinana.
Ngā tohu noa o te anemia
- Te ngenge tonu me te hiamoe nui
- ngoikore
- Kiri mā (kiri kōwhai)
- He uaua ki te manawa, he wheezing rānei, ahakoa he iti te kaha o te mahi
Ngā momo Anisocytosis ka taea te whakaputa i te anemia
| Momo mate toto iti | He whakamārama māmā |
|---|---|
| Te mate toto ngoikore o te rino | Nā te kore o te rino i roto i te tinana i puta ai. I tēnei wā, he iti noa iho ngā toto whero (microcytosis). |
| Te mate toto kore huaora | Nā te korenga o te huaora B12, te folate rānei, ka nui rawa atu ngā pūtau toto whero (Macrocytosis). |
| Te mate toto pūtau hāripiri | He āhuatanga tuku iho e rite ai te āhua o ngā toto toto whero ki te toronaihi, ā, ka tere te whakangaro. |
| Te anemia hemolytic aunoa | Ko te whakangaromanga o ngā toto whero o te tinana e te pūnaha ārai mate o te tinana ake. |
Ētahi atu āhuatanga e pā ana ki te Anisocytosis i tua atu i te anemia
Kua kitea e ngā kairangahau, haunga te anemia, ka piki ake te uara RDW i roto i ētahi atu mate. Arā, ka kitea te āhua o te Anisocytosis. Nō reira, e kiia ana hoki te uara RDW he tohu e whakaatu ana i te āhua hauora whānui.
Ko ētahi atu āhuatanga e pā ana ki te anisocytosis ko:
- Mate ngākau: He nui ngā uara RDW o te nuinga o te hunga whai mate pēnei i te mate ngākau me te mate uaua coronary.
- Mate ate
- mate whatukuhu
- Ētahi mate pukupuku: Ngā mate pukupuku pērā i te leukemia me te lymphoma, inā koa ko ērā e pā ana ki te hinu wheua.
- COVID-19: Kua kitea ngā uara RDW teitei i roto i ētahi tūroro COVID-19, inā koa ko te hunga he mate kino.
- Ka puta pea tēnei āhuatanga mō te wā poto i muri i te whakawhiti toto , i te tango rānei i ētahi rongoā.
Ko te mea tino nui:Ahakoa kua kōrerotia atu ēnei āhuatanga ki a koe, ehara i te mea me mataku koe. Ehara i te mea kei a koe tētahi o ēnei mate mēnā he nui ake te RDW. He tohu noa iho tēnei me rapu whakamātautau anō koe.
Karere Tangohia ki te Kāinga
- Ehara te Anisocytosis i te mate. He āhuatanga hauora e whakaatu ana he rerekē te rahi o ō toto whero. Ka taea tēnei te tautuhi mā te uara RDW teitei i runga i te pūrongo toto.
- Ko te tino take o tēnei ko te anemia i puta mai i te rino, te huaora B12, te korenga rānei o te folate.
- Haunga te anemia, ka kitea anō hoki tēnei i roto i ētahi atu āhuatanga hauora pērā i te mate o te ngākau, te ate, me ngā mate tākihi.
- Kaua e mataku i te pikinga o te uara RDW. Ehara i te mea he tohu tonu tēnei i tētahi mate hauora nui.
- Ko te tohutohu tino nui, ko te tohutohu anake, mēnā he huringa kei roto i tō pūrongo toto, inā koa he pikinga o te uara RDW, me kōrero koe ki tō tākuta mō tēnei mea, me rapu tohutohu hoki. Kaua rawa e tātaritanga whaiaro me te rongoā whaiaro.
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