Mayeso a TIBC - Tiyeni tikambirane za izi!

Kodi munayamba mwadzifunsapo kufunika kwa chitsulo m'thupi lathu, momwe chimayendera m'thupi lonse, komanso ngati pali mayeso omwe angachiyese? Pamenepo ndi pomwe tiyenera kulankhula za mayeso apadera a magazi otchedwa TIBC (Total Iron-Binding Capacity). Ngakhale ili ndi dzina lachipatala, ndi losavuta kwambiri. Lero, tikambirana izi mu Chisinhala zomwe mungamvetse.

Kodi TIBC (Total Iron-Binding Capacity) ndi chiyani? Mwachidule...

Mwachidule, TIBC (Total Iron-Binding Capacity) ndi mayeso a magazi omwe amayesa mphamvu ya magazi anu yomangirira ku chitsulo cha mchere ndikuchinyamula m'thupi lanu lonse. Zili ngati kuchuluka kwa malo m'basi kuti anthu akhalepo. Zimayesa kuchuluka kwa chitsulo chomwe magazi athu "angathe kunyamula."

Madokotala amagwiritsa ntchito mayesowa kuti adziwe matenda monga kuchepa kwa magazi m'thupi chifukwa cha kusowa kwa iron kapena mavuto ena okhudzana ndi iron m'thupi.

Kuti tipite mozama pang'ono, mayeso a TIBC amayesa kuchuluka kwa puloteni yotchedwa transferrin m'magazi mwanu. Transferrin iyi ndi puloteni yapadera yopangidwa ndi chiwindi chathu. Ndi puloteni iyi yomwe imayang'anira, kutanthauza, kuyamwa kwa chitsulo m'magazi mwathu.

Ganizirani za transferrin ngati galimoto yomwe imanyamula chitsulo. TIBC imayesa kuchuluka kwa chitsulo chomwe galimoto iyi inganyamule.

Matupi athu amafunika chitsulo kuti apange maselo ofiira athanzi. Maselo ofiira awa amanyamula mpweya kuchokera m'mapapo athu kupita ku matupi athu ena. Chichitsulo ndi chofunikira kwambiri pa minofu yathanzi, mafuta a m'mafupa, ndi ziwalo zina.

Kodi TIBC ndi Ferritin ndi chinthu chimodzi?

Ayi, TIBC ndi ferritin ndi mayeso awiri osiyana, ngakhale kuti ndi ofanana.

Kuyesa kwa ferritin kumayesa kuchuluka kwa puloteni yotchedwa ferritin. Ferritin ndi puloteni yomwe imasunga chitsulo mkati mwa maselo athu. Mwachidule, pomwe TIBC imayesa kuchuluka kwa chitsulo chomwe chimanyamulidwa m'thupi lonse (kudzera mu transferrin), kuyesa kwa ferritin kumayesa kuchuluka kwa chitsulo chomwe chimasungidwa m'thupi. Ferritin ndi chizindikiro chabwino chowunikira molondola ngati pali kusowa kwa chitsulo.

Kodi ndi liti pamene mukufunika mayeso a TIBC?

Madokotala nthawi zambiri amalamula mayeso a TIBC kuti adziwe mavuto okhudzana ndi chitsulo. Izi zikutanthauza kuti, mungakhale ndi chitsulo chochepa (chomwe chimatchedwa kuchepa kwa chitsulo m'thupi) kapena chitsulo chochuluka (chomwe chimatchedwa hemochromatosis ).

Mayeso a TIBC nthawi zambiri amachitidwa ngati gawo la "chitsulo." Chitsulo ichi chingaphatikizepo mayeso ena angapo:

• Kuyesa magazi achitsulo chosala kudya.
• Kuchuluka kwa transferrin kapena kuchulukira kwa chitsulo.
• Kuyezetsa magazi kwa Ferritin.

Madokotala amagwiritsanso ntchito mayeso a TIBC kuti ayang'anire matenda okhudzana ndi chitsulo.

Ndani amachita mayeso a TIBC awa? Kodi mumakonzekera bwanji?

Zitsanzo za magazi nthawi zambiri zimatengedwa ndi wothandizira zachipatala wotchedwa phlebotomist . Nthawi zina namwino kapena dokotala angachite izi. Chitsanzo cha magazi chimatumizidwa ku labu, komwe wasayansi wa labotale yachipatala amayesa chitsanzocho pogwiritsa ntchito makina apadera (otchedwa "analyzers" ).

Kodi muyenera kukonzekera mayeso asanayambe?

Inde, nthawi zina dokotala wanu amakuuzani kuti musale kudya (kutanthauza kuti, musadye kapena kumwa chilichonse kupatula madzi) kwa maola 12 mayeso asanachitike. Mungapemphedwenso kuti musiye kumwa mankhwala owonjezera achitsulo panthawiyi. Ngati muli ndi mafunso okhudza momwe mungakonzekerere, onetsetsani kuti mwalankhula ndi dokotala wanu.

Kodi chimachitika ndi chiyani panthawi ya mayeso?

Izi ndi zomwe muyenera kuyembekezera mukatenga magazi:

• Mudzakhala pampando. Kenako dokotala adzasankha mtsempha wosavuta m'dzanja lanu kuti atenge magazi. Izi nthawi zambiri zimachitika mkati mwa chigongono chanu.
• Mtsempha ukapezeka, malowo amatsukidwa bwino ndikutsukidwa ndi mankhwala ophera tizilombo.
• Kenako, singano yaying'ono idzalowetsedwa mumtsempha ndipo magazi adzatengedwa. Mutha kumva kuyabwa pang'ono panthawiyi.
• Singano ikalowetsedwa, magazi pang'ono amasonkhanitsidwa mu chubu choyesera.
• Magazi akatengedwa, singano imachotsedwa ndipo chidutswa cha thonje kapena gauze chimayikidwa pamalopo kuti magazi asiye kutuluka ndipo chimasungidwa pamalopo kwa kanthawi.
• Pomaliza, pulasitala imayikidwa pamalopo ndipo ntchitoyo imamalizidwa.

Njira yonseyi nthawi zambiri imatenga mphindi zosakwana zisanu, kotero palibe chifukwa chodera nkhawa.

Kodi mungayembekezere chiyani pambuyo pa mayeso?

Magazi anu akatengedwa, adzatumizidwa ku labotale kuti akayesedwe. Zotsatira za mayeso zikapezeka, dokotala wanu adzakuuzani zotsatira zake.

Kodi pali zoopsa zilizonse zokhudzana ndi mayeso a TIBC?

Kuyezetsa magazi ndi gawo lofala kwambiri komanso lofunikira poyezetsa ndi kupeza matenda a zachipatala. Kuopsa kwa kuyezetsa magazi ndi kochepa kwambiri. Mutha kumva mabala kapena kupweteka pamene magazi akutengedwa, koma izi zidzachira msanga.

Kodi zimatenga nthawi yayitali bwanji kuti mupeze zotsatira za mayeso a TIBC?

Nthawi zambiri, zotsatira za mayeso a TIBC ziyenera kupezeka mkati mwa tsiku limodzi kapena awiri. Komabe, nthawi zina zimatenga nthawi yayitali. Zimatengera zinthu monga ntchito ya labu.

Kodi mayeso a TIBC ndi otani?

Ma laboratories osiyanasiyana akhoza kukhala ndi mitundu yosiyanasiyana ya ma reference values ​​a TIBC abwinobwino. Izi zikutanthauza kuti mtengo wabwinobwino wa labu imodzi ukhoza kusiyana pang'ono ndi wa labu ina. Mukalandira lipoti lanu la magazi, lidzanenanso kuchuluka kwa mlingo woyenera wa labu imeneyo.

Kawirikawiri, mtengo wa TIBC uyenera kukhala pakati pa 240 mpaka 450 micrograms pa deciliter (240 mcg/dL mpaka 450 mcg/dL).

Koma ndikofunikira kukumbukira kuti madokotala akamapeza matenda, saganizira za TIBC yokha, komanso zotsatira za mayeso ena, monga kuchuluka kwa chitsulo m'magazi ndi ferritin.

Ngati mtengo wanu wa TIBC ndi wotsika, kodi zimenezo zikutanthauza chiyani?

Ngati TIBC yanu ili yotsika ndipo milingo ya chitsulo m'magazi mwanu ili yokwera, mwina chifukwa cha vuto lotchedwa hemochromatosis (kutanthauza kuti chitsulo chambiri m'thupi). Ngati TIBC yanu ili yotsika ndipo milingo ya chitsulo chanu ili yotsika, mwina chifukwa cha matenda monga:

• Cirrhosis ( matenda a chiwindi)
• Kutupa kosatha
• Matenda
• Kusowa zakudya m'thupi
• Matenda a impso ( Nephrotic syndrome )

Kodi chimachitika ndi chiyani ngati Ferritin ili yochepa ndipo TIBC ili yokwera?

Kuchepa kwa ferritin ndi kuchuluka kwa TIBC nthawi zambiri kumatanthauza kuti muli ndi vuto la kuchepa kwa magazi chifukwa cha kusowa kwa iron . Imeneyi ndiyo njira yofala kwambiri ya kuchepa kwa magazi. Vutoli limachitika pamene thupi lanu lilibe iron yokwanira yopanga hemoglobin . Hemoglobin ndi chinthu chomwe chimapezeka m'maselo ofiira a magazi chomwe chimathandiza kunyamula mpweya m'thupi lonse.

Kodi ndiyenera kuda nkhawa ngati zotsatira zanga za TIBC sizili bwino?

Zotsatira zosazolowereka pa mayeso anu a TIBC sizitanthauza kuti nthawi zonse muli ndi vuto lachipatala. Zinthu zotsatirazi zingakhudzenso zotsatira zanu:

• Kuikidwa magazi posachedwapa.
• Kugwiritsa ntchito fluoride .
• Mankhwala oletsa kubereka ( mapiritsi olerera banja).
• Chloramphenicol (mankhwala ochizira matenda a maso).
• Cholakwika chilichonse chomwe chinachitika panthawi yosonkhanitsa, kunyamula, kapena kukonza magazi kuti akayesedwe.

Ngati mwapeza zotsatira zachilendo, dokotala wanu adzakambirana nanu za vutoli. Dokotalayo adzaganizira zinthu zina zingapo asanafike pozindikira matendawa. Akhozanso kuyitanitsa mayeso ena.

Ndizachilendo kuchita mantha mukaona zotsatira za mayeso osazolowereka. Koma kumbukirani, zotsatira za TIBC zosazolowereka sizitanthauza kuti muli ndi matenda. Pafupifupi munthu m'modzi mwa anthu 20 athanzi amakhala ndi zotsatira zosazolowereka. Dokotala wanu adzakambirana nanu zotsatirazi ndikusankha choti achite kenako. Nkhani yabwino ndi yakuti matenda ambiri omwe amayambitsa kuchepa kwa chitsulo m'thupi amatha kuchiritsidwa.

Pomaliza, zinthu zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Mayeso a TIBC ndi mayeso omwe amapereka chidziwitso chofunikira chokhudza kagayidwe ka chitsulo m'thupi lanu.

• Izi zimayesa mphamvu ya magazi anu yomangirira ndi kunyamula chitsulo.
• Izi zimathandiza kuzindikira matenda monga kuchepa kwa magazi m'thupi chifukwa cha kusowa kwa iron kapena hemochromatosis .
• Mungafunike kutsatira malangizo apadera, monga kusala kudya, musanayesedwe.
• Ngakhale zotsatira zake zitakhala zachilendo, pakhoza kukhala zifukwa zingapo. Choncho ndikofunikira kulankhula ndi dokotala wanu kuti mupeze upangiri woyenera.
• Mavuto ambiri okhudzana ndi chitsulo amatha kuchiritsidwa bwino, choncho musachite mantha ndipo tsatirani malangizo a dokotala wanu.

Ngati muli ndi mafunso ena okhudza izi, musazengereze kufunsa dokotala wanu. Khalani ndi thanzi labwino!

Iron , TIBC, kuyezetsa magazi, kuchepa kwa magazi m'thupi, ferritin, transferrin, thanzi