Muganga wawe ashobora kuba yaragutegetse gupimwa amaraso, maze ukaba waribajije uti "Iki ni iki?" ubwo wabonaga ikintu cyitwa "Reticulocyte Count" kuri raporo. Iki kizamini gishobora kuba cyarakozwe kugira ngo hamenyekane icyateye amaraso yawe. Ni ibisanzwe kumva ufite ubwoba iyo ubonye amagambo nk'aya. Ariko ntugahangayike, uyu munsi turaganira kuri ibi mu buryo bworoshye, mu buryo ushobora kumva.
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Mu magambo make, iyi Count ya Reticulocyte ni iyihe?
Tekereza ko umwotsi w'amagufwa yawe ari uruganda rukora uturemangingo dutukura tw'amaraso. Uru ruganda ruhora rukora uturemangingo dushya dutukura tw'amaraso kandi rukatwongera mu maraso yawe. Ibi biterwa nuko uturemangingo dushya dutukura tw'amaraso dukenewe kugira ngo dusimbuze uturemangingo dutukura dushaje, dupfa.
Mu by’ukuri, reticulocytes ni "incuke" cyangwa "itarakura" y’amaraso iva muri uru ruganda. Izi zirekurwa mu maraso zigahinduka uturemangingo tw’amaraso dutukura twuzuye mu gihe cy’umunsi umwe cyangwa ibiri.
Rero, muri iki kizamini cya Reticulocyte Count , turimo kureba uburyo uruganda rwawe rw’umusemburo w’amagufwa rukora neza ndetse niba rurimo gukora uturemangingo dushya dutukura duhagije ku mubiri.
Kuki muganga yagira inama yo gupima iki gipimo?
Hari impamvu nyinshi zishobora gutuma muganga asaba iki kizamini.
- Shaka impamvu itera amaraso make: Niba ufite amaraso make, iki kizamini gifasha kumenya niba impamvu ari ukugabanuka k'umusaruro w'uturemangingo dutukura tw'amaraso dukozwe n'umusemburo w'amagufwa, cyangwa niba uturemangingo dutukura tw'amaraso tuba turimo gusenyuka vuba cyane.
- Genzura imikorere y'umusemburo w'amagufwa: Ibi ni ingenzi kugira ngo urebe neza ko umusemburo w'amagufwa yawe utanga uturemangingo dushya dutukura dukenewe.
- Pima uko ubuvuzi bwagenze: Niba warahawe imiti igabanya ubukana bw'indwara nka kanseri, cyangwa niba waratewe umwongo w'amagufwa , iki kizamini gikorwa kugira ngo urebe neza ko umwongo w'amagufwa wongeye gukora neza nyuma y'ubwo buvuzi.
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Umubare wa reticulocyte ubusanzwe upimwa nk'ijanisha ry'umubare wose w'uturemangingo dutukura tw'amaraso yawe.
- Ku muntu mukuru , iki gipimo muri rusange kigomba kuba kiri hagati ya 0.5% na 2.5% .
- Ku mwana uvutse, ibi bishobora kuba biri hejuru gato, hagati ya 2% na 6% .
Iki kizamini cyoroshye cyane gukora. Ingero nto y'amaraso ifatwa mu mutsi uri mu kuboko kwawe. Hanyuma yoherezwa muri laboratwari, aho igikoresho cyihariye gikoreshwa mu kubara umubare w'utu turemangingo dutukura tw’amaraso tutarakura mu maraso yawe.
Bigenda bite iyo umubare wa reticulocyte ugabanutse cyangwa wiyongera?
Uyu mubare waba uri hasi cyangwa hejuru y’ibisanzwe, bigaragaza ko hashobora kuba hari ikibazo mu maraso.
Ariko iki ni ikizamini kimwe gusa. Ntushobora gufata umwanzuro ku ndwara urebye iyi raporo gusa. Kubwibyo, ni ngombwa kuvugana na muganga wawe kuri ibi. Azagusobanurira ibi bijyanye n'imimerere yawe.
Impamvu zishobora gutuma umubare muto wa reticulocyte ugabanuka
Umubare muto bivuze ko umwotsi w'amagufwa yawe udakora uturemangingo dushya dutukura tw'amaraso. Dore zimwe mu mpamvu zishobora gutera ibi.
| Imiterere/Impamvu | Ibisobanuro byoroshye |
|---|---|
| Kubura amaraso mu ndwara zidakira | Imikorere y'umusemburo w'amagufwa ishobora kugabanuka mu gihe cy'indwara z'igihe kirekire nka diyabete, indwara z'umutima, indwara z'impyiko, na kanseri. |
| Kubura amaraso mu mirire | Iyo umubiri utabonye icyuma gihagije, vitamine B12, cyangwa folate, ntushobora gukora uturemangingo dutukura tw’amaraso. Urugero ni ukubura icyuma mu mubiri. |
| Kubura amaraso mu mubiri (Aplastic anemia) | Iyi ni indwara idasanzwe. Muri iyi ndwara, umubare w'uturemangingo fatizo dukora uturemangingo tw'amaraso mu musemburo w'amagufwa uragabanuka, bigatuma umusaruro w'uturemangingo dutukura tw'amaraso ugabanuka, ndetse n'uturemangingo tw'amaraso twera n'udupira tw'amaraso. |
| Indwara ya Myelodysplastic | Iyi ni indwara ya kanseri ifata umwongo w'amagufwa. Muri iki gihe, ikorwa ry'uturemangingo dutukura tw'amaraso tuzima duturuka ku turemangingo fatizo rirahagarara. |
Impamvu zishobora gutuma umubare wa reticulocyte wiyongera
Kwiyongera kw'iki gipimo bivuze ko ku mpamvu runaka, umuvuduko w'uturemangingo dutukura mu mubiri wiyongereye, kandi uruganda rw'umusemburo w'amagufwa ruri gukora amasaha y'ikirenga (overdrive) kugira ngo rusubize ikibazo cy'ibura ry'uturemangingo.
| Imiterere/Impamvu | Ibisobanuro byoroshye |
|---|---|
| Kubura amaraso mu maraso | Ubusanzwe, uturemangingo dutukura tw’amaraso tubaho iminsi igera kuri 120. Ariko muri iki gihe, uturemangingo dutukura tw’amaraso turangirika mbere y’icyo gihe. Kugira ngo habeho ibura, umworera w’amagufwa ukora vuba reticulocytes nshya. |
| Gutakaza amaraso | Iyo amaraso menshi atakaye mu buryo butunguranye, nko mu mpanuka, cyangwa iyo amaraso adashira, nko mu gisebe cyo mu nda, umwotsi w'amagufwa ukora amasaha y'inyongera kugira ngo asimbuze amaraso yatakaye. |
Ibintu ugomba kubaza muganga wawe
Ni ibisanzwe kugira ibibazo ku bijyanye na raporo yawe, bityo ntugatinye kubaza ibi bibazo igihe ugiye kwa muganga.
- "Kuki muganga yambwiye gukora iki kizamini?"
- "Amahame ari muri iyi raporo avuga iki ku ndwara yanjye?"
- "Ese nkeneye kongera gupimwa amaraso?"
- "Ni iki twakora kuri iki kibazo?"
Ufite uburenganzira bwo kumenya ibijyanye n'ubuzima bwawe. Bityo rero, gira ubwoba bwo kubaza ikintu cyose kikuje mu mutwe.
Ubutumwa bwo kujyana mu rugo
- Umubare wa reticulocyte ni ikizamini cyoroshye cy'amaraso gipima uburyo umwotsi w'amagufwa yawe ukora uturemangingo dushya tw'amaraso atukura.
- Agaciro kari munsi cyangwa hejuru y’ibisanzwe gashobora kuba ikimenyetso cy’indwara ifitanye isano n’amaraso.
- Ariko, iki ni ikizamini kimwe gusa. Nta gipimo gishobora gukorwa hashingiwe kuri iyi raporo gusa.
- Niba ufite impungenge cyangwa gushidikanya ku ndangagaciro ziri muri raporo yawe, umuntu mwiza wo kubisobanura ni muganga wawe.Muganire nawe ku mugaragaro.
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