Ni akahe gaciro ka MCH mu maraso yawe? (Isesengura rya Hemoglobini yo mu maraso) Reka twige kuri ibi mu buryo bworoshye!

Iyo upimye amaraso, ugomba kuba warabonye ko raporo irimo ibintu bitandukanye byanditswe kuri buri nyuguti n'umubare. Hari igihe iyo tubibonye, ​​ntidushobora no kwiyumvisha ibyo ari byo, kandi dushobora kugira impungenge nke. Mu buryo nk'ubwo, agaciro kamwe k'ingenzi uzabona muri raporo yawe y'umubare wuzuye w'amaraso (CBC) ni MCH . Uyu munsi, reka tuvuge ku cyo iyi MCH cyangwa "Hemoglobin y'amaraso isanzwe" ari cyo, icyo ivuga ku buzima bwacu, n'uko bigenda iyo iyo gaciro yiyongereye cyangwa ikagabanuka mu buryo bworoshye.

Mu by'ukuri MCH ni iki?

Mu magambo make, MCH ni agaciro gapima ingano mpuzandengo ya hemoglobin mu selile yawe itukura (RBC) . Noneho tekereza icyo hemoglobin ari cyo. Hemoglobine ni poroteyine y'ingenzi cyane iri mu selile zacu zitukura. Iyi poroteyine ni yo ikura ogisijeni mu bihaha byacu ikayigeza mu turemangingo twose tw'umubiri. Ni nk'umuntu "utanga" ibiryo azana ibiryo mu rugo. Iyi ogisijeni ni yo itanga ingufu kuri buri selile mu mubiri wacu, kandi ikintu cyose kiri mu mubiri wacu gikora neza. Rero, dushobora kubona igitekerezo kuri iyi hemoglobin dukurikije agaciro ka MCH.

MCH ni kimwe mu gaciro kari mu gice cya ``RBC indices``` cy'ikizamini cya ``CBC``` gisobanura uturemangingo dutukura tw'amaraso. Hariho izindi ndangagaciro nyinshi nk'izi:

• MCV `(Ubwinshi bw'ingirabuzimafatizo)` : Ibi bikubwira ingano mpuzandengo y'uturemangingo dutukura tw'amaraso yawe, ni ukuvuga niba ari tunini cyangwa duto.
• MCHC `(Ubunini bw'amaraso ya Hemoglobini isanzwe)` : Ibi kandi bivuga ubwinshi bwa hemoglobin mu karemangingo gatukura k'amaraso. Ariko, bitandukanye na MCH, MCHC inazirikana ingano y'uturemangingo dutukura tw'amaraso.
• RDW `(Ubugari bw'ikwirakwizwa ry'uturemangingo tw'amaraso dutukura)` : Ibi bipima uburyo uturemangingo tw'amaraso dutukura dutandukanye mu bunini. Ni ukuvuga, hari itandukaniro, nko kuba uturemangingo tumwe na tumwe ari duto kandi uturemangingo tumwe na tumwe tukaba tunini.

Abaganga bakoresha ibi byose kugira ngo bamenye ubuzima bw'uturemangingo tw'amaraso dutukura. Ibi birakenewe cyane cyane mu gusuzuma indwara nka anemia .

Ni ryari ikizamini cya MCH gikenewe?

MCH ni igice gisanzwe cy'ikizamini cya CBC. Iki kizamini cya CBC ntigipima gusa uturemangingo dutukura tw'amaraso yawe, ahubwo gipima n'uturemangingo tw'amaraso twera (uturemangingo tuturinda indwara) na plaquettes (uturemangingo dufasha kubumba amaraso). Rero, iyo bihujwe n'utundi duciro twa CBC, abaganga bashobora kubona ibimenyetso by'indwara hakiri kare.

Muganga wawe azahangayikishwa cyane n'agaciro kawe ka MCH niba ufite ibimenyetso bya anemia, nko kunanirwa, kuribwa umutwe kenshi, kubura umwuka, no kubura umwuka . Niba agaciro kawe ka MCH katari kameze neza ugereranije n'ibindi bimenyetso bya RBC, bishobora gufasha muganga wawe kumenya niba ufite anemia, kandi niba ari uko bimeze, impamvu ishobora kuba ari yo.

Iki kizamini gikorwa gite?

Ikizamini cya MCH ni ikizamini cyoroheje cyane cy'amaraso. Ubusanzwe, umuforomo cyangwa inzobere mu by'amaraso agufata amaraso make. Hanyuma ikizamini cy'amaraso gisuzumwa hakoreshejwe icyuma gipima amaraso cyikora. Iyi mashini itanga amakuru yerekeye uturemangingo tw'amaraso yawe.

Agaciro ka MCH kabarwa iyo uturemangingo tw'amaraso dutukura dusesenguwe.

Ese ugomba kwitegura mbere yo gukora ikizamini?

Kenshi na kenshi, nta myiteguro yihariye isabwa kugira ngo upime MCH. Ariko, niba muganga wawe ateganya gukora ibindi bizamini byinshi ku gipimo kimwe cy'amaraso, ushobora gukenera kwiyiriza ubusa (nturye cyangwa ngo unywe ikintu icyo ari cyo cyose) mu gihe cy'amasaha make . Kubwibyo, kurikiza amabwiriza ya muganga wawe witonze. Hanyuma ushobora kwitegura neza ikizamini.

Ni iki kibaho mu gihe cy'ikizamini?

Bazagutegeka kwicara ku ntebe bakakubwira kurambura ukuboko kwawe. Hanyuma:

• Aho amaraso yakusanyirijwe hasukurwa n'umuti wica udukoko (alcool wipe).
• Umushumi w'ikirahure (tourniquet) uhambiriwe gato hejuru y'aho amaraso afatirwa ku kuboko. Ibi bifasha amaraso guhurira kandi bikorohereza gukusanya amaraso.
• Urushinge rwiza cyane rushyirwa buhoro buhoro mu mutsi.
• Amaraso make akusanywa mu kabari gato cyangwa mu muyoboro.
• Hanyuma urushinge rurakurwaho hanyuma hagashyirwaho agace k'ipamba kugira ngo amaraso ahagarike.

Ibi byose bifata iminota itarenze itanu . Iyo urushinge rushyizwemo, ushobora kumva urimo gushyuha gato, nk'aho inyo irumira. Uretse ibyo, nta bubabare bukomeye buhari.

Bigenda bite nyuma y'ikizamini?

Nyuma yo gutanga amaraso, niba utumvise umeze nk'ufite isereri gato, ushobora guhita utaha. Hari abantu bashobora kumva bameze nk'ufite isereri gato iyo babonye amaraso, cyangwa niba bafite ubwoba bw'inshinge. Ibi ni ibisanzwe, kandi ntabwo uri wenyine. Ibi nibibaho, abakozi b'abaganga bazakwitaho kugeza igihe wumvise umeze neza.

Ese hari ingaruka zishobora guterwa n'iki kizamini?

Ikizamini cya CBC cyo gusuzuma MCH si ikizamini cy’ibyago bikomeye. Nyuma yo gutanga amaraso, ushobora kubona agasebe gato aho urushinge rwashyizwe. Ushobora kandi kumva ububabare mu kuboko kwawe. Ariko, ibi bimenyetso bikunze gushira umunsi umwe n’uwo gutanga amaraso.

Ibisubizo ni ibihe? Bitubwira iki?

Ibisubizo bya MCH bigaragaza umubare wa picogram (pg/cell) za hemoglobin usanzwe ufite mu ingirabuzimafatizo imwe itukura y'amaraso. Picogram ni ingano nto cyane, hafi triliyoni imwe (ni ukuvuga zeru imwe na zeru cumi na ebyiri) za garama.

Nubwo hari itandukaniro rito hagati ya laboratwari, agaciro gasanzwe ka MCH ku muntu mukuru (umugabo n'umugore) muri rusange kari hagati ya 27 na 33 pg/uturemangingo . Ikintu cyose kiri munsi y'iki gipimo gifatwa nk'aho ari gito MCH , naho ikintu cyose kiri hejuru y'iki gipimo gifatwa nk'aho ari kinini MCH .

Ariko ibuka ko udakwiye guhita utinya niba agaciro kawe ka MCH kari hasi cyangwa hejuru. Muganga wawe azagereranya agaciro kawe ka MCH n'ibindi bipimo bya RBC ndetse n'ubuzima bwawe muri rusange kugira ngo afate icyemezo. Ashobora kandi kukugira inama yo gukorerwa ibindi bipimo.

Iyo agaciro ka MCH kari hasi (MCH yo hasi)

Igipimo cya MCH kiri hasi bivuze ko ushobora kuba ufite ikibazo cyo kudatunga amaraso mu mubiri (aho uturemangingo dutukura tuba tutari dusanzwe kandi tugaragara nk'aho turi umweru) cyangwa indwara yo kudatunga amaraso mu mubiri (aho uturemangingo dutukura tuba duto cyane). Muri ibi bibazo byombi, uturemangingo dutukura tuba tudafite hemoglobin ihagije.

Impamvu nyinshi zishobora gutera urugero rwa MCH ruri hasi:

• Kubura icyuma : Iyo umubiri utabonye icyuma gihagije, ntushobora gukora hemoglobine. Impamvu nyamukuru itera kubura amaraso bitewe no kubura icyuma ni ukuva amaraso . Ibi bishobora guterwa n'ibintu nko kuva amaraso menshi mu gihe cy'imihango, kuva amaraso imbere mu nda (urugero: ibisebe byo mu mara), cyangwa kuva amaraso menshi nyuma yo kubagwa.
• Hemoglobinopathies : Hari indwara zimwe na zimwe mu maraso umuntu avukana zishobora gutera ibibazo ku buryo umubiri ukora hemoglobine. Urugero, harimo thalassemia na sickle cell anemia .
• Kubyimba biterwa n'indwara zidakira : Kubyimba mu mubiri guterwa n'indwara nk'izindi ndwara zidakira, indwara z'impyiko, indwara z'umwijima, na kanseri bishobora gutuma urugero rwa MCH rugabanuka.

Iyo agaciro ka MCH kari hejuru (High MCH)

Kugabanuka kwa MCH bivuze ko ushobora kuba ufite ikibazo cyo kubura amaraso mu maraso . Muri iki kibazo, umubiri wawe ukora uturemangingo dutukura tudasanzwe, kandi utwo turemangingo dufite urugero rwo hejuru rwa hemoglobine. Ibi akenshi biterwa no kutabona folate ihagije (vitamine B9) na vitamine B12, intungamubiri ebyiri z'ingenzi zikenewe kugira ngo habeho uturemangingo dutukura dufite ubuzima bwiza. Cyangwa, ushobora kuba ufite ikibazo cy'uburwayi kibuza umubiri wawe kwinjiza izi ntungamubiri neza.

Izindi mpamvu zituma agaciro ka MCH kazamuka:

• Indwara yo kunywa inzoga igihe kirekire .
• Ibibazo by'imitsi ya tiroyide .
• Ingaruka mbi z'imiti cyangwa uburyo bumwe na bumwe bwo kuvura . Urugero, imiti ivura kanseri ishobora gutera kwiyongera kwa MCV (bityo MCH) nk'ingaruka mbi.

Niba ibisubizo bidasanzwe, ni iki ukurikizaho?

Niba MCH yawe idafite ubuzima busanzwe, intambwe zikurikiraho zizaterwa n'impamvu. Urugero, niba muganga wawe akeka ko MCH yawe iri hasi bitewe n'ibura ry'icyuma, ashobora gusaba ibindi bipimo kugira ngo arebe urugero rw'icyuma cyawe. Bitabaye ibyo, niba bakeka indi ndwara, bashobora gukenera gukora ibizamini by'iyo ndwara.

Muganga wawe azakugira inama nyayo y'icyo wakora hashingiwe ku bisubizo byawe.

Ni ibisanzwe kumva ufite ubwoba cyangwa ubwoba iyo ibisubizo by'ikizamini bitameze neza (byaba biri hasi cyangwa hejuru). Ariko iyo bigeze kuri MCH, ibisubizo bitameze neza bivuze ko muganga wawe yamenye byinshi ku buzima bwawe. Hari igihe ibisubizo bitameze neza bya MCH bishobora kuba ikintu gikwiye gukurikiranwa no kuvurwa, nk'indwara y'amaraso yo mu maraso. Ariko rimwe na rimwe, bishobora kuba ikintu cy'igihe gito kandi nta mpungenge ufite. Niba uhangayikishijwe cyangwa uhangayikishijwe n'ibisubizo byawe bya MCH, vugana na muganga wawe ubigereranye n'ibindi bisubizo bya CBC kugira ngo urebe uburyo bifite ishingiro.

Ubutumwa bwo kujyana mu rugo

MCH ni umubare w'ingenzi kuri raporo y'isuzuma ry'amaraso yawe. Ikubwira ikigereranyo cya hemoglobine iri muri imwe mu turemangingo dutukura tw'amaraso yawe.

• Hemoglobini ni poroteyine itwara ogisijeni mu mubiri wose.
• Kubura MCH mu mubiri bishobora kuba ikimenyetso cy'amaraso make. Ibi bishobora guterwa no kubura icyuma, indwara zimwe na zimwe z'amaraso, ndetse n'indwara z'ububyimbirwe bw'igihe kirekire.
• Kugabanuka kwa MCH nabyo ni ikimenyetso cy'ubundi bwoko bw'amaraso adahagije. Ibi bishobora guterwa n'ibintu nko kubura folate cyangwa vitamine B12, kunywa inzoga, cyangwa ibibazo bya tiroyide.
• Ntugatinye niba agaciro ka MCH kawe katari kameze neza. Muganga wawe azagereranya n'ibindi bipimo, akore ibindi bipimo nibiba ngombwa, kandi aguhe inama n'ubuvuzi bikwiye.

Niba ufite ikibazo icyo ari cyo cyose ku bijyanye n'ibiri kuri raporo y'amaraso yawe, ni byiza kubaza muganga wawe.

MCH , hemoglobin, uturemangingo dutukura tw'amaraso, kubura amaraso, isuzuma ry'amaraso, CBC, ubuzima