Ese wigeze ufata raporo y'isuzuma ry'amaraso, ukareba inyuguti n'imibare biriho, maze ukibaza uti "Iki ni iki?"? Birashoboka ko wabonye inyuguti eshatu: WBC, RBC, HGB, PLT, na MCV. Ni ibisanzwe kumva ufite ubwoba gato iyo ubonye izi nyuguti. None rero uyu munsi, reka tuganire ku kintu cy'ingenzi muri izi nyuguti, MCV, n'icyo ivuga ku buzima bwacu.
Mu magambo make, MCV ni iki?
MCV isobanura ingano mpuzandengo y'uturemangingo dutukura tw'amaraso mu maraso yawe.
Tekereza muri ubu buryo. Imibiri yacu itwarwa n'ibinyabiziga, nk'amakamyo. Ibi binyabiziga ni uturemangingo tw'amaraso dutukura. Bityo ibi binyabiziga byuzuyemo "ibintu" byitwa ogisijeni kandi bikayigeza kuri buri turemangingo two mu mubiri. Uyu mwuka ni ingenzi kugira ngo uturemangingo dukore kandi tubeho.
Icyo agaciro ka MCV gakora ni ugupima ingano mpuzandengo y'izi "kamyo" zizenguruka umubiri wawe. Ese zimeze nk'imodoka ntoya zifite amapine atatu? Ese zimeze nk'ikamyo zisanzwe? Cyangwa se zimeze nk'amakontineri manini? Ibi biduha igitekerezo. Ingano isanzwe y'izi selile zitukura ni ingenzi cyane kuri zo kugira ngo zitware ogisijeni neza.
Niba uturemangingo dutukura tw’amaraso ari duto cyane (microcytic) cyangwa tunini cyane (macrocytic), bishobora kuba ikimenyetso cy’ikibazo cy’ubuzima. Ariko, rimwe na rimwe iyo ingero z’amaraso yawe zirimo uturemangingo twinshi dutukura tw’ingano zitandukanye, agaciro ka MCV gashobora kuba gasanzwe iyo ufashe agaciro mpuzandengo kazo zose. Niyo mpamvu abaganga batareba gusa agaciro ka MCV.
MCV ni kimwe mu bice by'ikizamini kinini.
MCV si ikizamini cyihariye. Iki gipimo cya MCV gipimwa mu gihe cy'ikizamini usanzwe ukora witwa Complete Blood Count (CBC) . Igice cy'iyi raporo ya CBC kivuga ku turemangingo dutukura tw'amaraso cyitwa RBC indices . MCV ni kimwe mu bigize ibi bipimo bya RBC.
Hari ibindi bipimo byinshi by'ingenzi mu bipimo bya RBC. Muganga azafata icyemezo ku mibare y'uturemangingo dutukura tw'amaraso yawe abirebera hamwe ibi byose.
| Urutonde | Ibisobanuro byoroshye |
|---|---|
| MCV (Ingano y'umuvuduko wa korupusi) | Ingano mpuzandengo y'uturemangingo dutukura tw'amaraso. |
| MCH (Bisobanura Corpuscular Hemoglobin) | Ingano ya hemoglobine isanzwe iboneka mu ingirabuzimafatizo imwe itukura y'amaraso. Hemoglobine ni poroteyine itwara ogisijeni. |
| MCHC (Ubunini bw'amaraso ya Hemoglobini mu maraso) | Igipimo cya hemoglobine mu karemangingo gatukura k'amaraso (ingano ya hemoglobine iri mu gipimo kimwe). |
| RDW (Ubugari bw'ikwirakwizwa ry'uturemangingo dutukura) | Uturemangingo tw’amaraso dutukura dufite ingano zitandukanye. Ni ukuvuga ko twose ingano imwe, cyangwa hari uturemangingo twinshi tunini n’utundi duto twivanze ? |
Wibuke ko nta ndwara ishobora gupimwa neza urebye agaciro ka MCV gusa. Muganga azareba izi ndangagaciro zose maze azigereranye n'ibimenyetso byawe kugira ngo agere ku mwanzuro.
Ni ryari nkwiye gukora ikizamini cya MCV?
MCV ni kimwe mu bipimo bisanzwe bya CBC, bityo uzabona igipimo hafi ya buri gihe upimwe amaraso.
Ariko, umuganga ashobora kuba ahangayikishijwe cyane n'aka gaciro:
- Niba uhora wumva unaniwe kandi nta buzima ufite.
- Niba uruhu rwawe rusa n'ururabyo.
- Niba ufite ikibazo cyo guhumeka.
- Niba ufite ibimenyetso nko kubabara umutwe no kuzerera.
Ibi bimenyetso bishobora kugaragara mu ndwara nka anemia . Bityo, agaciro ka MCV kaba ingenzi cyane muri bene ibyo bihe. Urugero, mu ndwara ya anemia ibura icyuma, agaciro ka MCV karagabanuka. Mu ndwara ya Vitamine B12 cyangwa folate , agaciro ka MCV gashobora kwiyongera. Nanone, mu ndwara nk'iz'umwijima , agaciro ka MCV gashobora guhinduka.
Ni gute wakwitegura ikizamini? Ni gute wakora ikizamini
Iki ni ikizamini cyoroshye cyane. Nta kwitegura kwihariye gukenewe ku ikizamini cya MCV, kuko ari kimwe mu bipimo bisanzwe bya CBC. Ariko, niba muganga wawe yagutegetse ibindi bipimo (nk'urugero rw'isukari mu maraso) icyarimwe, ashobora kugusaba kwiyiriza ubusa amasaha make. Muganga wawe azakugira inama kuri ibi.
Ikizamini gikorwa gutya:
1. Muganga cyangwa umuforomo azahitamo ahantu ku kuboko kwawe aho umutsi ushobora kugaragara neza.
2. Sukura aho hantu ukoresheje agapfundikizo k'ubunyobwa.
3. Hanyuma, koresha umukandara wa rubber kugira ngo ukaze ukuboko ko hejuru gato. Ibi bizatuma imitsi igaragara neza.
4. Ukoresheje urushinge ruto cyane, amaraso akenewe ava mu mitsi ajyanwa mu muyoboro muto. Uzumva gusa utobowe gato.
5. Nyuma yo gukurura amaraso, urushinge rurakurwaho, agace k'ipamba gashyirwa aho hantu, hanyuma hagashyirwa plaster.
Igikorwa cyose ntikigomba kurenza iminota itanu. Nyuma y'ibyo, ushobora gutaha nk'uko bisanzwe. Hari abantu bashobora kumva bafite isereri, ariko ugomba gutegereza kugeza igihe ibyo birangiye. Ushobora kumva ubabara gato ndetse wenda n'ubururu gato aho amaraso yakuwe. Ibi bizashira burundu mu munsi umwe cyangwa ibiri. Nta mpungenge ufite.
Reka dusobanukirwe raporo ya MCV: Iyi mibare isobanura iki?
Agaciro ka MCV kuri raporo yawe kagaragazwa nk'umubare. Upimirwa muri femtoliters (femtoliters - fl) . Ntugomba gutekereza cyane kuri iryo jambo. Icy'ingenzi ni umubare.
Igipimo mpuzandengo cya MCV ku muntu mukuru muzima kigomba kuba hagati ya 80 fl na 100 fl.
Ariko ibuka ko uru rugero rushobora gutandukana gato bitewe na laboratwari, bityo rugereranye n' "urutonde rusanzwe" ruri kuri raporo yawe.
Bigenda bite iyo agaciro ka MCV kari hasi? (MCV iri hasi)
Niba MCV yawe iri munsi ya 80 fl , bivuze ko uturemangingo tw'amaraso dutukura tuba duto kurusha uko bisanzwe. Iyi ndwara izwi mu buvuzi nka microcytosis . "Micro" bivuze nto.
Ibintu bishobora gutera ibi ni ibi bikurikira:
- Kubura icyuma gitera kubura amaraso: Iyi ni yo mpamvu nyamukuru kandi ikunze gutera MCV nke. Ubutare ni ingenzi mu gukora uturemangingo dutukura tw’amaraso. Iyo ubutare budafite, uturemangingo tuba duto.
- Thalassemia: Iyi ni indwara umuntu avukana. Iterwa n'ikosa mu ikorwa rya hemoglobine.
- Izindi ndwara ziterwa na hemoglobine.
Bigenda bite iyo agaciro ka MCV kari hejuru? (MCV iri hejuru)
Niba MCV yawe irenga 100 fl , bivuze ko uturemangingo tw'amaraso dutukura ari tunini kurusha uko bisanzwe. Iyi ndwara yitwa macrocytosis . "Macro" bivuze nini.
Ibintu bishobora gutera ibi ni ibi bikurikira:
- Kubura Vitamine B12: Vitamine B12 ni ingenzi cyane kugira ngo uturemangingo dutukura twigabanye kandi tureme neza. Iyo tudahagije, uturemangingo ntitwigabanyamo kabiri kandi tuba tunini.
- Kubura folate: Kimwe na vitamine B12, iyi ni ingenzi mu gukora uturemangingo dutukura tw’amaraso.
- Indwara y'umwijima: Kudakora neza kw'umwijima nabyo ni impamvu y'ubwiyongere bwa MCV.
- Ubushobozi bwo gukora neza kw'umusemburo w'amagufwa: Urugero, indwara nka myelodysplastic syndrome .
- Uburyo bumwe na bumwe bwo kuvura kanseri bushobora kongera agaciro ka MCV by'agateganyo.
Igikuru ni uko, ntugahangayike niba agaciro ka MCV yawe karenze urugero rusanzwe. Bivuze gusa ko muganga wawe agomba kubisuzuma cyane. Si indwara, ahubwo ni ikimenyetso cyagufasha kubona indwara.
Muganga wawe azakoresha agaciro ka MCV, hamwe n'ibindi bipimo nka MCH, MCHC, RDW, ibimenyetso byawe, n'ibindi bipimo bibaye ngombwa, kugira ngo agere ku mwanzuro nyawo ku bijyanye n'uburwayi bwawe. Kubwibyo, buri gihe yereka muganga raporo yawe kandi uyiganireho.
Ubutumwa bwo kujyana mu rugo
- MCV (Ubwinshi bw'ingano y'uturemangingo tw'amaraso) ni igipimo cy'ingano mpuzandengo y'uturemangingo tw'amaraso dutukura.
- Ibi ni bimwe mu bigize isuzuma ry’amaraso yuzuye (CBC). Nta myiteguro yihariye ikenewe.
- Igipimo gisanzwe cya MCV ku muntu mukuru muzima kiri hagati ya 80-100 fl.
- Agaciro ka MCV gake (munsi ya 80) gashobora kugaragaza indwara nko kubura icyuma gikozwe mu bwonko.
- Igipimo cya MCV kiri hejuru (kirenga 100) gishobora kugaragaza indwara nka vitamine B12 cyangwa ibura rya folate.
- MCV yonyine ntishobora gusuzuma indwara iyo ari yo yose. Ni ikintu kimwe gusa gifasha umuganga gusuzuma indwara.
- Niba ufite ikibazo kijyanye n'agaciro k'amaraso yawe, buri gihe vugana na muganga wawe kuri cyo.
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