Wakambowana here gwaro rekuongororwa ropa, ukatarisa mavara nenhamba dziri pariri, ukati, "Chii ichi?" Zvakajairika kuti utye zvishoma paunoona mazita akawanda akadai seCBC, MCV, RDW, uye MCH. Imwe yenhamba dzakadaro iMCH. Nhasi, tiri kutaura nezveMCH iyi, iyo inokuudza ruzivo rwakakosha nezvemasero ako eropa.
Zvichitaurwa zviri nyore, chii chinonzi MCH?
MCH ishoko rinotsanangura 'Mean Corpuscular Hemoglobin'. Iri ndiro rimwe remazita atinowanzoita mukuverenga ropa rose (CBC). Rinoyera huwandu hwehemoglobin huri mukati memasero matsvuku eropa .
Zvino ungave uchishamisika kuti, "Chii chinonzi hemoglobin iyi?" Funga nezvemasero matsvuku eropa rako semarori madiki anotakura okisijeni mumuviri wako wese. Uye hemoglobin ndiyo mabhokisi akazara okisijeni ari mumarori iwayo . Mabhokisi aya ndiwo anobata okisijeni, oiendesa kumasero ese mumuviri wako, uye anobatsira kupa masero iwayo simba raanoda. Saka unogona kuona kukosha kwehemoglobin sepuroteni.
Saka kukosha kweMCH kunotiudza pfungwa yekuti matangi eokisijeni mangani anowanzo kuve mukati memotokari yako yemasero matsvuku eropa.
Zvimwe zviratidzo zvakakosha zvemasero matsvuku eropa (RBC Indices) zvakaita seMCH
Ropa rako harisi reMCH chete, asiwo mamwe maitiro akati wandei. Chimwe nechimwe cheizvi chinokuudza ruzivo rwakasiyana nezvehutano hwemasero matsvuku eropa rako. Tinodaidza aya madhiragi emasero matsvuku eropa (RBC indices). Chiremba achatarisa maitiro ese aya pavanenge vachiongorora mamiriro ako ehutano, kunyanya chirwere chakadai seanemia.
| Index | Chii chinongoyerwa |
|---|---|
| Avhareji yeVhoriyamu yeCorpuscular (MCV) | Izvi zvinoyera avhareji yehukuru hwemasero matsvuku eropa rako. Kureva kuti, masero acho akakura here, madiki here, kana kuti ane nhamba yakafanana neyemazuva ese? |
| Avhareji yeHemoglobin yeCorpuscular (MCHC) | Izvi zvakafanana neMCH, asi zvine musiyano mudiki. Inoyera huwandu hwehemoglobin mumasero matsvuku eropa zvichienzaniswa nehukuru hwemasero iwayo. Ndiko kuti, kuti hemoglobin yacho yakaputirwa zvakasimba sei. |
| Upamhi hwekugoverwa kwemasero matsvuku eropa (RDW) | Izvi zvinoyera kuti masero matsvuku eropa rako akasiyana zvakadini muhukuru . Mamasero matsvuku eropa emunhu ane hutano anowanzova nehukuru hwakaenzana. Kukosha kukuru kunoreva kuti masero acho ane hukuru hwakasiyana. |
Chiremba anogona kunzwisisa dambudziko reropa rako nemazvo chete kana akaongorora zvese izvi pamwe chete.
Unofanira kutarisa kukosha kweMCH yako riini?
MCH inyaya inowanzoonekwa pakuverengwa kweropa rakazara (CBC). Chiremba anogona kuraira CBC kuti iongorore hutano hwako hwese.
Asi kukosha kweMCH kwakakosha zvikuru, kunyanya kana uine zviratidzo zveanemia .
- Kunzwa kuneta kwakanyanya nguva dzose
- Musoro unowanzo rwadza
- Ganda rakachenuruka
- Kunzwa dzungu
- Kuoma kufema
Nekutarisa kukosha kweMCH nezvimwe zviratidzo zveRBC zvemunhu ane zviratidzo izvi, chiremba anogona kuona kana une anemia, kana zvakadaro, rudzii rwechirwere ichi, uye kuti chii chingangove chikonzero chacho.
Unoita sei bvunzo iyi? Inyaya huru here?
Iyi iongororo yeropa iri nyore kwazvo, yenguva dzose, saka hapana chikonzero chekutya.
Unofanira kugadzirira bvunzo usati waitwa here?
Kazhinji haufanirwe kuita chero chinhu chakakosha kuti ugadzirire kuongororwa kweCBC. Zvisinei, kana chiremba wako akarayira kuti mimwe miedzo iitwe paropa rimwe chete (semuenzaniso, kuti utarise shuga yeropa rako), unogona kukumbirwa kutsanya kwemaawa mashoma. Saka gara uchitevedzera mirairo yachiremba wako nemazvo.
Chii chinoitika panguva yebvunzo?
Ichi chinhu chiri nyore chinotora maminetsi asingasviki mashanu.
1. Unogara pachigaro wobva wakumbirwa kutambanudza ruoko rwako.
2. Mukoti kana nyanzvi yezvekurapa achachenesa nzvimbo inopinzwa tsono nedoro.
3. Zvadaro, bhandi rerabha rinosungirirwa paruoko rwepamusoro kuti tsinga dzionekwe zviri nani.
4. Tsono inopinzwa zvinyoro nyoro mutsinga uye huwandu hweropa hunodiwa hunounganidzwa mubhodhoro diki.
5. Zvadaro, tsono inobviswa uye chidimbu chedonje chinoiswa panzvimbo yacho chodzvanywa kuti ropa risabude.
Kunyangwe zvainzwa sekunge zvakabatwa nemagetsi zvishoma pakapinzwa tsono, hazvina kurwadza zvakanyanya.
Mushure mebvunzo?
Mushure mekupa ropa, kana usinganzwe dzungu, unogona kudzokera kumba. Vamwe vanhu vanonzwa kusagadzikana kana vakaona ropa. Izvi zvakajairika. Kana izvozvo zvikaitika, vachakutarisira kusvika wava kunzwa zviri nani.
Iyi bvunzo yakachengeteka uye yakajairika. Unogona kunzwa maronda kana kurwadziwa kudiki pakaiswa tsono, asi izvi zvinowanzopera mukati mezuva rimwe chete.
Ndinonzwisisa sei kukosha kweMCH mumushumo?
MCH inoyerwa mu picograms (pg), huremu hushoma kwazvo, hunenge trillion imwe chete yegiramu.
Huwandu hwakajairika hweMCH level ine hutano kumunhu mukuru (vese varume nevakadzi) hunobva pa27 pg kusvika 33 pg . Zvisinei, yeuka kuti hunhu uhwu hunogona kusiyana zvishoma pakati pemarabhoritari akasiyana. Saka, zvakakosha kuenzanisa zvawakawana ne "normal range" iri pamushumo wako.
Kukosha kuri pasi pehuwandu uhwu kunonzi "Low MCH" uye kukosha kuri pamusoro pehuwandu uhwu kunonzi "High MCH".
Asi yeuka izvi: Usavhunduke kana MCH yako iri pasi kana kuti yakakwira. Izvi chete hazvirevi kuti une chirwere chakakomba. Chiremba wako achaongorora izvi pamwe chete nezvimwe zviratidzo zveropa rako, zviratidzo, uye hutano hwako hwese.
Zvinorevei kuti MCH yakaderera?
Kana kukosha kwako kweMCH kwakaderera pane zvakajairwa, zvinoreva kuti masero ako matsvuku eropa haana hemoglobin yakakwana. Izvi zvinogona kukonzera kuti masero ako matsvuku eropa ave neruvara rwakajeka kupfuura zvakajairwa (hypochromic anemia) kana kuti ave madiki pane zvakajairwa (microcytic anemia).
Zvikonzero zvikuru zvekuderera kweMCH ndeizvi:
- Kushaikwa kwesimbi: Ichi ndicho chikonzero chinowanzo kukonzera anemia munyika medu. Iron inokosha pakugadzirwa kwehemoglobin. Kana pasina iron yakakwana, kugadzirwa kwehemoglobin kunoderera. Dambudziko iri rinogona kuitika kuvakadzi vanobuda ropa rakawanda panguva yekuenda kumwedzi, nekuda kwekubuda ropa mukati memuviri (semuenzaniso maronda emudumbu), kana mushure mekuvhiyiwa.
- Matambudziko emajini nekugadzirwa kwehemoglobin (Hemoglobinopathy): Vamwe vanhu vanoberekwa vaine zvirwere zvemajini zvinotadzisa miviri yavo kugadzira hemoglobin nemazvo. Thalassemia uye sickle cell anemia mienzaniso yeizvi.
- Zvirwere Zvisingaperi: Kuzvimba mumuviri kunokonzerwa nemamiriro ezvinhu akadai sehutachiona hwenguva refu, chirwere cheitsvo, chirwere chechiropa, uye kenza zvinogona kukanganisa kugadzirwa kwehemoglobin.
Zvinorevei kuti high MCH?
Kana MCH yako yakakwira kupfuura yakajairika, zvinoreva kuti muviri wako uri kugadzira masero matsvuku eropa akakura kupfuura akajairwa (Macrocytic anemia). Masero aya makuru ane hemoglobin yakawanda, asi haashande zvakanaka.
Zvikonzero zvikuru zvekukwira kweMCH ndeizvi:
- Kushaikwa kweVitamin B12 kana Folate: Izvi zvinovaka muviri zviviri zvakakosha kuti miviri yedu igadzire masero matsvuku eropa ane hutano. Kusawana akakwana mukudya kwedu kana kusaatora zvakanaka kunogona kukonzera masero matsvuku eropa kukura zvisina kujairika.
- Kunwa doro zvakanyanya kwenguva yakareba.
- Matambudziko ethyroid: Izvi zvinogona kukonzerwa ne hypothyroidism, kunyanya.
- Migumisiro yemimwe mishonga: Semuenzaniso, chemotherapy yekenza inogona kukonzera chirwere ichi.
Chii chaunofanira kuita kana uine MCH value isina kujairika?
Ichi ndicho chinhu chakakosha. Usambofa wakangoerekana wafunga kuti mushumo wako wakakwira here kana kuti wakaderera, kana kuti uzviongorore uine chirwere chakavakirwa paindaneti.
Chiremba wako ndiye achasarudza zvekuita zvinotevera.
- Kana MCH yako iri shoma uye uchifungidzira kuti hauna iron yakakwana, ungakumbirwa kuti uite zvimwe zviedzo kuti utarise huwandu hweiron mumuviri wako.
- Kana kukosha kweMCH kwakakwira, ungakumbirwa kuti utarise huwandu hwevhitamini B12 nefolate mumuviri wako.
Chinhu chakanakisa chaunofanira kuita ndechekukurukura mibvunzo kana zvinokunetsa nezvenyaya yako nachiremba wako . Iye achaongorora tsika idzi pamwe chete nehutano hwako hwese, otsanangura kwauri, uye okupa mushonga kana zvichidikanwa.
Mharidzo Yekuenda Nayo Kumba
- MCH inhamba yakajairika inowanikwa mukuverengwa kweropa kwakazara (CBC). Inoyera avhareji yehuwandu hwehemoglobin musero rimwe chete dzvuku reropa.
- Kukosha uku kunobatsira vanachiremba kuongorora zvirwere zvakaita seanemia.
- Kushomeka kweMCH kunowanzobatanidzwa nekushomeka kwesimbi mumuviri. Zvirwere zvemajini zvakaita sethalassemia zvinogonawo kuva chikonzero.
- MCH yakawanda inowanzobatanidzwa nekushomeka kwevhitamini B12 kana folate.
- Usavhunduke kana kuverenga kwako kweMCH kwakaderera kana kwakakwira. Hazvisi chirwere chega.
- Chinonyanya kukosha: Gara uchiratidza chiremba wako gwaro rekuongororwa kweropa kuti atsanangurirwe uye kuti awane mamwe mazano.
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