Wakambotora mushumo wako wekuongororwa ropa, kureva mushumo we'Full Blood Count' (FBC) unowanzo nyorwa nachiremba, wobva wavhiringidzika nemabhii nenhamba dziri pairi here? Kune mazita akaita seMCV, MCH, PLT, RDW, rimwe nerimwe. Ungasakwanisa kunzwisisa kuti aya anorevei. Usazvidya moyo, vanhu vazhinji vanonzwa saizvozvo. Nhasi, ngatinzwisisei nenzira iri nyore uye yekukurukurirana kuti chii chimwe chinhu chakakosha mumushumo uyu, kureva kuti, chii chinonzi RDW .
Zvinorevei kuti RDW?
Muchidimbu, RDW inomiririra Red Blood Cell Distribution Width . MuchiSinhala, zvinoreva 'Red Blood Cell Distribution Width'. Asi musavhiringidzwa nezita iroro. Ngatizvinzwisise zviri nyore.
Fungidzira kuti masero matsvuku eropa ari mumuviri wako mabhora madiki matsvuku. Mabhora aya anotakura okisijeni kubva kumapapu edu kuenda kunhengo dzese dzemuviri, nhengo dzese. Kungofanana nemasilinda egasi. Saka, okisijeni iyi inokosha kuti sero rega rega mumuviri rishande uye rigadzire simba.
Mumunhu ane hutano hwakanaka, masero matsvuku aya anowanzova nehukuru nechimiro chakafanana . Sezvakaita maremoni akawanda anobva muchitoro. Panogona kunge paine misiyano midiki, asi hapana mutsauko mukuru.
Kuongororwa kweRDW kunoyera kuti masero matsvuku eropa ako akasiyana zvakadini muhukuru. Kureva kuti, kunoongorora kana masero matsvuku eropa ako ese akafanana, kana kuti mamwe madiki, mamwe makuru, kana kuti ane saizi dzakasiyana.
Pasinei nezita rekuti 'Upamhi', izvi hazvipime upamhi hwesero reropa. Asi, zvinopima huwandu hwekuchinja kwehukuru hwesero reropa.
Kukosha kweRDW kwakakwira zvinoreva kuti pane musiyano mukuru muhukuru hwemasero matsvuku eropa. Mamwe madiki kwazvo, mamwe akakura zvikuru. Kukosha kweRDW kwakajairika zvinoreva kuti mazhinji emasero matsvuku eropa ane saizi yakaenzana.
Chii chiri hukama huripo pakati pekuongororwa kweRDW nekuverengwa kweropa rose (CBC)?
Chiremba wako haazokurayira kuti uongorore RDW chete. Izvi zvinowanzoitwa sechikamu chekuverengwa kweropa kwakazara (CBC) . Isu tinodanawo izvi kuti FBC (Full Blood Count).
Mushumo weFBC unopa ruzivo nezvezvikamu zvitatu zvikuru zveropa rako:
- Masero Matsvuku Eropa
- Masero Machena Eropa
- Maplatelet
Mushumo uyu weFBC une chikamu chakakosha chinotsanangura masero matsvuku eropa chete. Chinonzi RBC Indices.RDW ndeimwe yeRBC Indices. Ngatitarisei kukosha kukuru muchikamu chino.
| Zita rekuyedza (RBC Index) | Chii chinongoyerwa chete? |
|---|---|
| RDW (Upamhi hwekupararira kwemasero matsvuku) | Inoyera kusiyana kwehukuru hwemasero matsvuku eropa. |
| MCV (Avhareji Yehuwandu hweCorpuscular) | Avhareji yehukuru hwesero dzvuku reropa inoyerwa. |
| MCH (Mean Corpuscular Hemoglobin) | Inoyera huwandu hwehemoglobin hunowanzo kuwanikwa musero rimwe chete dzvuku reropa. |
| MCHC (Kuwanda kweHemoglobin yeCorpuscular) | Kuwanda kwe hemoglobin mumasero matsvuku eropa kunoyerwa sei? |
Kana chiremba achiongorora mamiriro ako ehutano, kunyanya chirwere chakadai seanemia, vanoongorora zvese izvi pamwe chete. Havaite sarudzo zvichibva pane chimwe chete.
Bvunzo yeRDW inodiwa rini?
Kana uine zviratidzo zvinoratidza kuti une anemia, chiremba wako anogona kukuraira kuti uongororwe FBC test. Izvi zvichaongororawo RDW yako. Anemia inyaya yekuti hauna masero matsvuku eropa akakwana ekutakura okisijeni mumuviri wako.
Zviratidzo zvinogona kuratidza anemia
Kana uine zviratidzo zvakaita seizvi, zvakakosha kutsvaga rubatsiro rwechiremba:
- Kunzwa kuneta kwakanyanya nguva dzose
- Kushaya mweya wekufema kunyangwe uchifamba zvishoma
- Kunzwa kutonhora nguva dzese
- Dzungu kana kuti musoro wakapfava
- Ganda rakachenuruka kana rakaoma
- KazhinjiMusoro
Mamiriro ehutano anogona kukonzera RDW yakakwira
Kuongororwa kweRDW, pamwe chete nedzimwe RBC indices, zvinogona kubatsira kuona chikonzero chekushaya ropa. Kune zvikonzero zvakawanda zvakasiyana-siyana zvekushaya ropa.
- Kushaikwa kwevhitamini nemaminerari: Kushaya simba mumuviri, kunyanya kunokonzerwa nesimbi, vhitamini B12, uye folate , kunogona kukonzera RDW yakakwira.
- Thalassemia: Ichi chirwere chemajini.
- Zvirwere zvisingaperi: Zvirwere zvinogara kwenguva refu zvakaita sechirwere cheshuga, chirwere cheCrohn, uye HIV.
- Chirwere cheitsvo kana Chiropa
- Kenza
- Chirwere chemwoyo
- Kubuda ropa zvakanyanya kubva mutsaona kana kuvhiyiwa.
Kuongororwa uku kweRDW kunoitwa sei? Chinhu chekutya here?
Kwete zvachose. Uku kungori kuongororwa kweropa kuri nyore, kwakajairika. Zvinotora maminetsi mashoma chete.
Hapana chinhu chakakosha chaunofanira kugadzirira usati watora ropa rako. Zvisinei, kana chiremba wako akaraira imwe bvunzo, yakaita sekuongororwa kweshuga yeropa nekutsanya, pamwe chete neFBC, uchafanira kutsanya kwemaawa akati wandei. Chiremba wako achakupa mazano pane izvi.
Izvi ndizvo zvinoitika kana ropa ratorwa:
1. Mukoti kana chiremba achawana tsinga yakanaka pedyo negokora rako kana kumashure kweruoko rwako.
2. Chenesa nzvimbo inopinzwa tsono zvakanaka nekushandisa mushonga wealcohol.
3. Bhandi rerabha (senge tourniquet) rinosungirirwa pamusoro penzvimbo inopinzwa tsono kuti tsinga ibude zviri nani.
4. Tsono inopinzwa mutsinga uye ropa rinodiwa rinounganidzwa mubhodhoro diki. Unganzwa kurwadza zvishoma painopinzwa tsono.
5. Kana ropa ratorwa, tsono inobviswa, donje rinoiswa panzvimbo yacho, uye plaster diki inoiswa.
Unogona kubva ipapo mushure mekupa ropa. Dzimwe nguva unganzwa dzungu, asi uchakumbirwa kugara kwemaminitsi mashoma. Nzvimbo yakapinzwa tsono inogona kunge iri yebhuruu zvishoma, asi izvi zvinopera zvega mumazuva maviri kusvika matatu. Iyi bvunzo yakachengeteka zvikuru.
Nzira yekunzwisisa sei mhedzisiro yeRDW?
Kukosha kwako kweRDW kunoratidzwa sechikamu (%). Ngationei kana kukosha ikoko kuri kwakajairika, kwakakwirira, kana kuti kwakaderera.
| Mhedzisiro | Zvinoreva |
|---|---|
| RDW yakajairika | Izvi zvinoreva kuti masero matsvuku eropa rako anowanzova nehukuru hwakafanana. RDW value inowanzova pakati pe12% ne15% . Zvisinei, hunhu uhwu hunogona kusiyana zvishoma zvichienderana nerabhoritari inoita bvunzo. Huwandu hwakajairika hwerabhoritari iyoyo hunotaurwa pamushumo wako. Zvakakosha: Kana RDW iri yakajairika, asi imwe hunhu (senge MCV) isiri yakajairika, zvinogonawo kuratidza chirwere. |
| RDW Yakakwirira | Izvi zvinoreva kuti pane musiyano mukuru muhukuru hwemasero matsvuku eropa. Mamwe madiki, mamwe makuru. Izvi zvinogona kuva chiratidzo chekushaya ropa kana chimwe chirwere chakafanana. Kukosha kweRDW kwakanyanya zvikuru mukushaya ropa kunokonzerwa nekushomeka kwesimbi. Chiremba achaenzanisa kukosha kweRDW neMCV kuti asvike pamhedziso. |
| RDW yakaderera | Kukosha kweRDW kuri pasi pehuwandu hwakajairika hakuwanzovi chinhu chekufunganya nezvako. Hazvina chekuita nechero chirwere chipi zvacho. |
Zvakakosha: Usafungidzira kuti une chirwere zvichibva pakuti chirwere chako cheRDW chakakwira here kana kuti chakajairika. RDW ingori imwe yepuzzle hombe. Chiremba wako achashandisa zvimwe zvinhu zviri muFBC report, zviratidzo zvako, uye mimwe miedzo, kana zvichidikanwa, kuti aongorore chirwere chako nemazvo.
Kana wangogamuchira gwaro reropa, endesa kuna chiremba wako ari kukurapa wokurukura zvakajeka. Mubvunze chero mibvunzo kana zvinokunetsa zvaungave nazvo.
Mharidzo Yekuenda Nayo Kumba
- RDW (Red Blood Cell Distribution Width) inzira yekuyera musiyano uripo muhukuru hwemasero matsvuku eropa.
- Izvi zvinowanzoitwa sechikamu chekuverengwa kweropa rose (FBC/CBC).
- Kuwanda kweRDW kunogona kuva chiratidzo chekushaya ropa, asi izvo chete hazvina kukwana kuti munhu aonekwe nechirwere ichi.
- Kudzikira kwehuwandu hweRDW kazhinji hakusi chikonzero chekunetseka.
- Kana wangogamuchira gwaro rekuongororwa ropa rako, gara uchikurukura zvabuda nachiremba wako, pane kungomhanyira kuita mhedziso wega.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Chii chinonzi 'MCH Blood Test' mumushumo weropa (FBC/CBC)? Chine hukama hwakadii neRDW?
'MCH (Mean Corpuscular Hemoglobin)' muFull Blood Count yako (FBC) ndiyo 'huwandu hweHemoglobin' (puroteni yesimbi inopa ropa ruvara rwayo rutsvuku uye inotakura okisijeni) mukati meimwe yemasero ako matsvuku eropa (RBC). 'RDW' muchinyorwa chako ndiyo 'kushanduka kwehukuru/hukuru' hwemasero eropa. Nekutora izvi zviviri (MCH neRDW) pamwe chete, vanachiremba vanogona kuona kuti une rudzii rweanemia!
💬 Sei kukosha kwangu kweMCH kwakaderera zvisingawanzoitiki (MCH yakaderera) mumushumo wangu? Zvine njodzi here?
Kukosha kwe 'low MCH' (kazhinji kacho pasi pemapikiogram makumi maviri nemanomwe) zvinoreva kuti masero ako eropa haana iron (masero eropa akachenuruka). Chikonzero chikuru uye chiri nhamba 1 cheizvi i'Iron Deficiency Anemia' - simbi isina kukwana mumuviri kuti igadzire ropa nemazvo! Pamusoro pezvo, zvirwere zveropa zvakaita seThalassemia zvinogonawo kuratidza kukosha kweMCH kwakaderera.
💬 Kana MCH/Hemoglobin muropa iri shoma, ndeapi mamiriro ezvinhu anouraya anoda kuendeswa kuchipatara/kuwedzerwa ropa nekukasika?
Izvi zvinogona kugadziriswa mumwedzi mishomanana nekutora mapiritsi esimbi. Asi njodzi huru! 1) Kana kurasikirwa neropa uku kukakonzera kuti uve ne 'kurwadziwa kwechipfuva / Angina', 2) Kana uchigara uchinzwa dzungu uye uchirasikirwa nepfungwa, 3) Kana kurova kwemoyo wako kuchikurumidza zvisina kujairika, moyo wako ungasawana oxygen yakakwana uye moyo wako ungamira (Heart failure)! Unofanira kuendeswa kuchipatara nekukasika!
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