Agaciro ka MCH kuri raporo y'amaraso yawe bivuze iki? (Igereranya rya Hemoglobini yo mu maraso)

Ese wigeze ubona raporo y'isuzuma ry'amaraso, ukareba inyuguti n'imibare biriho, maze ukibaza uti "Iki ni iki?" Ni ibisanzwe kugira ubwoba gato iyo ubonye amazina menshi nka CBC, MCV, RDW, na MCH. Imwe muri ayo mazina ni MCH. Uyu munsi, turimo kuvuga kuri iyi gaciro ka MCH, kakubwira amakuru menshi y'ingenzi yerekeye uturemangingo tw'amaraso yawe.

Mu magambo make, MCH ni iki?

MCH ni ijambo rihinnye rya 'Mean Corpuscular Hemoglobin'. Iri ni rimwe mu gaciro k'umubare wuzuye w'amaraso (CBC) dusanzwe dukora. Muri make ripima ingano ya hemoglobine isanzwe iri muri imwe mu turemangingo dutukura tw'amaraso yawe .

Noneho ushobora kwibaza uti "Iyi hemoglobin ni iki?" Tekereza ku tunyangingo tw'amaraso dutukura nk'amakamyo mato atwara ogisijeni mu mubiri wawe wose. Kandi hemoglobin ni udusanduku twuzuye ogisijeni turi muri ayo makamyo . Utu dusanduku ni two dufata ogisijeni mu by'ukuri, tukayigeza kuri buri tunyangingo two mu mubiri wawe, kandi tugafasha guha utwo tunyangingo imbaraga dukeneye. Bityo urashobora kubona akamaro ka hemoglobin nk'poroteyine.

Rero agaciro ka MCH katwereka ishusho y'ingano y'ibigega bya ogisijeni bisanzwe biri mu modoka yawe y'uturemangingo dutukura tw'amaraso.

Ibindi bimenyetso by'ingenzi by'uturemangingo dutukura tw'amaraso (RBC Indices) nka MCH

Raporo y'amaraso yawe ntabwo irimo gusa MCH, ahubwo irimo n'izindi ndangagaciro nyinshi. Buri kimwe muri ibi kikubwira amakuru atandukanye ku buzima bw'uturemangingo dutukura tw'amaraso yawe. Ibi tubyita indices z'uturemangingo dutukura tw'amaraso (RBC indices). Muganga azareba izi ndangagaciro zose mu gihe asuzuma indwara yawe, cyane cyane indwara nka anemia.

Mu gusuzuma izi ndangagaciro zose hamwe, ni bwo gusa umuganga ashobora gusobanukirwa neza ikibazo kiri mu maraso yawe.

Ni ryari ugomba kugenzura agaciro ka MCH yawe?

MCH ni igice gisanzwe cy'umubare wuzuye w'amaraso (CBC). Muganga ashobora gutegeka CBC kugira ngo arebe ubuzima bwawe muri rusange.

Ariko agaciro ka MCH ni ingenzi cyane, cyane cyane iyo ufite ibimenyetso bya anemia .

• Kumva unaniwe cyane buri gihe
• Kuribwa umutwe kenshi
• Uruhu rwerurutse
• Kumva ufite isereri
• Guhumeka bigoranye

Mu gusuzuma agaciro ka MCH n'ibindi bimenyetso bya RBC by'umuntu ufite ibi bimenyetso, muganga ashobora kumenya niba ufite amaraso make, niba ari byo, ubwoko bw'amaraso, n'impamvu ishobora kuba yarabiteye.

Iki kizamini ugikora ute? Ese ni ikibazo gikomeye?

Iki ni ikizamini cyoroheje cyane cy’amaraso, bityo nta mpamvu yo gutinya.

Ese ugomba kwitegura mbere yo gukora ikizamini?

Ubusanzwe ntukenera gukora ikintu kidasanzwe kugira ngo witegure ikizamini cya CBC. Ariko, niba muganga wawe yategetse ko hakorwa ibindi bipimo ku gipimo kimwe cy'amaraso (urugero, kugira ngo urebe isukari yawe mu maraso), ushobora gusabwa kwiyiriza ubusa amasaha make. Bityo rero, buri gihe kurikiza amabwiriza ya muganga wawe neza.

Ni iki kibaho mu gihe cy'ikizamini?

Iki ni ikintu cyoroshye gitwara iminota iri munsi y'itanu.

1. Usabwa kwicara ku ntebe ugasabwa kurambura ukuboko kwawe.

2. Umuforomo cyangwa umuhanga mu bya laboratwari azasukura aho urushinge rushyirwa n'inzoga.

3. Hanyuma, umukandara wa rubber uhambirwa ku kuboko ko hejuru kugira ngo imitsi igaragare neza.

4. Urushinge rwinjizwa mu mitsi buhoro buhoro, maze amaraso akenewe agashyirwa mu gacupa gato.

5. Hanyuma, urushinge rurakurwaho hanyuma agace k'ipamba gashyirwa aho hantu hanyuma kagakanda kugira ngo amaraso ahagarike.

Nubwo byumvikanaga nk'aho byakubiswe n'amashanyarazi gato ubwo bashyiragamo urushinge, ntabwo byari bibabaza cyane.

Nyuma y'ikizamini?

Nyuma yo gutanga amaraso, niba utumvise umeze nk'ufite isereri, ushobora gutaha. Hari abantu bumva batameze neza iyo babonye amaraso. Ibi ni ibisanzwe. Iyo bibaye, bazakwitaho kugeza igihe uzumva umeze neza.

Nsobanukirwa nte agaciro ka MCH kari muri raporo?

MCH ipimwa muri picograms (pg), uburemere buke cyane, hafi kimwe cya tiriyari imwe ya garama.

Igipimo gisanzwe cy’urugero rwa MCH ku muntu mukuru (umugabo n’umugore) ni hagati ya 27 na 33. Ariko, ibuka ko izi ndangagaciro zishobora gutandukana gato hagati ya laboratwari zitandukanye. Kubwibyo, ni ngombwa kugereranya ibyavuye mu bushakashatsi bwawe n'"igipimo gisanzwe" kiri kuri raporo yawe.

Agaciro kari munsi y'uru rugero kitwa "Low MCH" naho agaciro kari hejuru y'uru rugero kitwa "High MCH".

Ariko ibuka ibi: Ntugatinye niba agaciro ka MCH kawe kari hasi cyangwa kari hejuru. Ibyo byonyine ntibivuze ko ufite indwara ikomeye. Muganga wawe azabisesengura hamwe n'ibindi bimenyetso by'amaraso yawe, ibimenyetso, n'ubuzima bwawe muri rusange.

MCH iri hasi bivuze iki?

Iyo agaciro ka MCH kawe kari hasi ugereranije n’ibisanzwe, bigaragaza ko uturemangingo tw’amaraso dutukura tudafite hemoglobin ihagije. Ibi bishobora gutuma uturemangingo tw’amaraso dutukura tuba dufite ibara ryoroheje ugereranyije n’ibisanzwe (hypochromic anemia) cyangwa tukaba duto ugereranyije n’ibisanzwe (microcytic anemia).

Impamvu nyamukuru zituma MCH igabanuka ni izi zikurikira:

• Kubura icyuma: Iyi ni yo mpamvu ikunze gutera amaraso make mu gihugu cyacu. Icyuma ni ingenzi mu gukora hemoglobine. Iyo icyuma kidafite icyuma gihagije, hemoglobine iragabanuka. Iyi ndwara ishobora kugaragara ku bagore bava amaraso menshi mu gihe cy'imihango, bitewe no kuva amaraso imbere mu nda (urugero: ibisebe byo mu mara), cyangwa nyuma yo kubagwa.
• Ibibazo bya genetiki ku ikorwa rya hemoglobine (Hemoglobinopathy): Hari abantu bavukana imiterere ya genetiki ituma umubiri wabo udakora hemoglobine neza. Ingero zabyo ni Thalassemia na sickle cell anemia.
• Indwara zidakira: Kubyimba mu mubiri bitewe n'indwara nk'indwara z'igihe kirekire, indwara z'impyiko, indwara z'umwijima, na kanseri bishobora kubangamira ikorwa rya hemoglobine.

Kurwara indwara ya MCH nyinshi bisobanura iki?

Niba MCH yawe iri hejuru y’ibisanzwe, bivuze ko umubiri wawe ukora uturemangingo dutukura tunini kurusha utusanzwe (Macrocytic anemia). Utwo turemangingo tunini tuba dufite hemoglobine nyinshi, ariko ntabwo dukora neza.

Impamvu nyamukuru zituma MCH iba nyinshi ni izi zikurikira:

• Kubura Vitamine B12 cyangwa Folate: Izi ntungamubiri ebyiri ni ingenzi kugira ngo umubiri wacu ukore uturemangingo dutukura dufite ubuzima bwiza. Kuturya bihagije cyangwa kutabinywa neza bishobora gutuma uturemangingo dutukura tuba tunini cyane.
• Kunywa inzoga nyinshi mu gihe kirekire.
• Ibibazo bya tiroyide: Ibi bishobora guterwa na hypothyroidism, cyane cyane.
• Ingaruka mbi z'imiti imwe n'imwe: Urugero, imiti ivura kanseri ishobora gutera iyi ndwara.

Ni iki wakora nyuma niba ufite agaciro ka MCH kadasanzwe?

Iki ni cyo kintu cy'ingenzi kurusha ibindi. Ntukigere ufata umwanzuro ubwawe ku bijyanye no kumenya niba raporo yawe ari nziza cyangwa nke, cyangwa ngo wisuzumire indwara ukoresheje interineti.

Muganga wawe ni we uzagena icyo gukora nyuma.

• Niba MCH yawe ari nke kandi ukaba ukeka ko ufite ikibazo cy’ubutare bucye, ushobora gusabwa gukora ibindi bipimo kugira ngo urebe urugero rw’ubutare mu mubiri wawe.
• Niba agaciro ka MCH kari hejuru, ushobora gusabwa kugenzura urugero rwa Vitamine B12 na folate.

Ikintu cyiza wakora ni ukuganira na muganga wawe ku kibazo cyangwa impungenge ufite ku bijyanye na raporo yawe . Azasuzuma izi ndangagaciro ajyanye n'ubuzima bwawe muri rusange, azigusobanurire, kandi aguhe imiti nibiba ngombwa.