Ingaba ingxelo yakho yegazi ithi yi-RDW? Masibone ukuba yintoni na! (Uvavanyo lwegazi lwe-RDW)

Ngamanye amaxesha xa usenza uvavanyo lwegazi, ungabona ixabiso elibizwa ngokuba yi-RDW kwingxelo. Emva koko unokucinga, 'Owu, yintoni le RDW?' Ungakhathazeki, kulula kakhulu. Namhlanje, siza kuthetha ngolu vavanyo lwegazi olubizwa ngokuba yi-RDW (Ububanzi boSasazo lweeSeli zeGazi eziBomvu), kulula njengokuthetha nomhlobo.

Yintoni i-RDW (Ububanzi boSasazo lweeSeli eziBomvu)?

Ngamafutshane, olu vavanyo lwegazi olubizwa ngokuba yi-RDW lujonga ukuba zingaphi iiseli ezibomvu zegazi onazo, kunye nokuba zingaphi ubungakanani kunye nobukhulu obahlukeneyo bezo seli. Uyazi, zezi seli ezibomvu zegazi ezithwala ioksijini esuka emiphungeni kuyo yonke imizimba yethu. Le oksijini yiyo enceda iiseli zomzimba wethu ukuba zenze amandla kwaye zisebenze.

Ngoku, ubukhulu bezi seli zibomvu zegazi bubaluleke kakhulu. Iiseli ezibomvu zegazi ezisempilweni zihlala zilingana ngobukhulu, obuphakathi kwe-6.2 kunye ne-8.2 micrometers. Nangona kunjalo, ukuba ezi seli zibomvu zegazi zinobukhulu obahlukeneyo kakhulu (oko kukuthi, ukuguquguquka okuphezulu), kunokuba luphawu lwemeko ebizwa ngokuba yi-anemia . I-anemia, ngokulula, kukungabi nazo iiseli ezibomvu zegazi ezisempilweni ezaneleyo zokubonelela ngeoksijini efunekayo emzimbeni wakho. Oku ngamanye amaxesha sikubiza ngokuba yi-'anemia.'

Uvavanyo lwegazi lwe-RDW lolunye uvavanyo olusetyenziswa ngugqirha wakho ukufumanisa i-anemia okanye ezinye iimeko zonyango. Ugqirha usebenzisa ulwazi oluvela kulo ukufikelela kwisigqibo ngokuludibanisa nolwazi oluvela kwezinye iimvavanyo.

Yintoni umahluko phakathi kovavanyo lwe-RDW kunye ne-CBC (ubalo lwegazi olupheleleyo)?

Ugqirha wakho unokuyalela uvavanyo lwe-RDW njengenxalenye yovavanyo lwegazi oluneenkcukacha ezithe vetshe olubizwa ngokuba yi-Complete Blood Count (CBC) . I-CBC luvavanyo lwegazi olubonelela ngolwazi malunga neenxalenye ezininzi zegazi lakho, kuquka iiseli ezibomvu zegazi, iiseli ezimhlophe zegazi, kunye neeplatelets. I-CBC ifana 'nesatifikethi sempilo' segazi elisemzimbeni wakho.

Elinye icandelo le-CBC liqela leemvavanyo ezibizwa ngokuba yi -RBC (ii-Red Blood Cell Indices) . Ezi mpawu ze-RBC zibonelela ngolwazi ngokukodwa malunga neeseli zakho ezibomvu zegazi. Uvavanyo lwegazi lwe-RDW lolunye lwezo mvavanyo.

Izalathi ze-RBC ziquka:

• Ububanzi boSasazo lweeSeli eziBomvu (RDW): Oku kulinganisa ubungakanani bokwahluka kweeseli zakho ezibomvu zegazi. Oko kukuthi, ubukhulu nobukhulu beeseli ezibomvu.
• Umlinganiselo weCorpuscular Volume (MCV): Oku kulinganisa ubungakanani obuqhelekileyo beeseli zakho ezibomvu zegazi. Oko kukuthi, ubungakanani beseli ebomvu ngokomyinge.
• I-Mean Corpuscular Hemoglobin (MCH): Oku kulinganisa umyinge we-hemoglobin kwiiseli zakho ezibomvu zegazi. I-Hemoglobin yiproteni enceda iiseli zakho ezibomvu zegazi zithwale ioksijini emzimbeni wakho wonke kwaye zinike umbala wazo obomvu.
• Umlinganiselo we-Corpuscular Hemoglobin Concentration (MCHC): Oku kulinganisa umyinge we-hemoglobin exineneyo (ehlanganiswe ndawonye, ​​​​ehlanganiswe ngokuqinileyo) kwiiseli zakho ezibomvu zegazi.

Zonke ezi mvavanyo xa zidibene ziluncedo kakhulu ekuchongeni iimeko ezahlukeneyo zempilo ezinokunxulunyaniswa neengxaki zeeseli zakho ezibomvu zegazi.

Yintoni kanye kanye i-RDW eyilinganisayo?

Igama elithi 'Ububanzi boSasazo lweeSeli eziBomvu' linokudida kancinci kuba lithetha 'ububanzi'. Usenokucinga ukuba lilinganisa ububanzi beeseli zakho ezibomvu zegazi, kodwa alilingani. Uvavanyo lwegazi lwe-RDW lulinganisa umahluko kubukhulu beeseli kwisampulu yeeseli zakho ezibomvu zegazi. Kufana nokubona ukuba abantwana eklasini balingana ubude, okanye ukuba kukho abantwana abaninzi abade nabafutshane kumxube.

'Ububanzi bokusasazwa kweeseli' ngumgama ophakathi kobukhulu beeseli xa zidwetshwe kwi- histogram . I-histogram luhlobo olukhethekileyo lwegrafu olubonisa uluhlu lwamanani okanye amaxabiso, njengoluhlu lobukhulu beeseli ezibomvu zegazi.

Khawucinge nje, ukuba zonke iiseli zakho ezibomvu zegazi zilingana ngobukhulu, oko kuthetha ukuba ziphilile, ezo xabiso ziya kuhlanganiswa ndawonye kwindawo encinci kwi-histogram. Emva koko ixabiso le-RDW liphantsi. Oko kuthetha ukuba akukho mahluko mancinci.

Nangona kunjalo, ukuba ubungakanani beeseli ezibomvu zegazi bahlukile kakhulu (ezinye zincinci, ezinye zinkulu), ezo xabiso ziya kusasazeka ngokubanzi kwi-histogram. Kulapho sithi kukho ukusasazwa okubanzi kwamaxabiso. Kwimeko enjalo, ixabiso le-RDW liphezulu. Oko kuthetha ukuba kukho ulwahluko oluninzi.

Lufuneka nini uvavanyo lwe-RDW?

Ukuba uneempawu ezifana ne-anemia, okanye ukuba unesifo esinxulumene ne-anemia, olu vavanyo lwe-RDW luya kunceda ugqirha wakho azi kakuhle ukuba yintoni na.

Zithini iimpawu zakho?

Ugqirha wakho unokucebisa uvavanyo lwe-RDW ukuze kubonwe ukuba ngaba i-anemia yimbangela yeempawu zakho. Ezi zilandelayo zezinye zezona mpawu ziqhelekileyo ze-anemia:

• Ukuziva udiniwe ngalo lonke ixesha (Ukudinwa). Njengokungathi umzimba ubuthathaka kangangokuba awukwazi kwenza nto.
• Ukuphefumla kancinci, ukuziva ngathi uza kufa isiqaqa nokuba sele uhambe umgama omfutshane.
• Uziva ubanda ngalo lonke ixesha, nokuba abanye banobushushu obuqhelekileyo, uziva ubanda.
• Ukuziva unesizungu okanye ubuthathaka.
• Ulusu luba mhlophe kwaye lome. Ngamanye amaxesha, lunokuba mhlophe nangaphantsi kwamehlo.
• Intloko ebuhlungu.

Uvavanyo lwegazi lwe-RDW lunokubonelela ngolwazi malunga nohlobo oluthile lwe-anemia onayo, njengoko ixabiso le-RDW linokwahluka kwiintlobo ezahlukeneyo ze-anemia.

Izifo ezinokubangela i-anemia

Uvavanyo lwegazi lwe-RDW, kunye nezinye izalathisi ze-RBC, lunokunceda ekuchongeni unobangela we-anemia. Ezinye zeemeko ezinokunxulunyaniswa ne-anemia ziquka:

• Umhlaza.
• Isifo sentliziyo.
• Isifo sezintso.
• Isifo sesibindi.
• I-Thalassemia - Esi sisifo esibangelwa lufuzo.
• Izifo ezingapheliyo - imizekelo ibandakanya isifo sikaCrohn (isifo sendlela yokugaya ukutya), iDiabetes Mellitus , kunye neHIV .
• Ukunqongophala kweevithamini kunye neeminerali - Umzekelo, ukunqongophala kwezinto ezifana ne-iron , i-vitamin B12 , kunye ne-folate . Ezi zezona zinto zixhaphakileyo ezibangela i-anemia.

Kwakhona, i-anemia inokwenzeka xa kuphuma igazi elininzi emzimbeni, nokuba kungenxa yosulelo oluhlala ixesha elide, ingozi, okanye utyando.

Uvavanyo lwe-RDW lwenziwa njani?

Uvavanyo lwegazi lwe-RDW luvavanyo lwegazi olulula kakhulu. Isampuli yegazi oyithathayo ithunyelwa kwilebhu. Apho, ingcali (edla ngokuba yingcali yezonyango kwilebhu) ijonga iiseli zakho ezibomvu zegazi phantsi kwemakroskopu ize ijonge umahluko kubungakanani bazo. Isampuli yegazi ehlalutywe ngale ndlela isetyenziswa njengesampuli ukuze kufunyanwe umbono ongcono womahluko kubungakanani beeseli zakho ezibomvu zegazi emzimbeni wakho wonke.

Ngaba kufuneka ulungiselele uvavanyo lwe-RDW?

Kwiimeko ezininzi, akufuneki wenze nantoni na ekhethekileyo ukuze ulungiselele uvavanyo lwe-RDW wedwa. Nangona kunjalo, ukuba ugqirha wakho u-odole ezinye iimvavanyo zegazi ezininzi kunye novavanyo lwe-RDW, ezinye zezo vavanyo zinokufuna ukulungiswa okukhethekileyo. Umzekelo, ezinye iimvavanyo zinokufuna ukuba uzile ukutya iiyure ezimbalwa, oko kuthetha ukuba awuyi kutya okanye usele nantoni na. Kwiimeko ezinjalo, kubalulekile ukulandela imiyalelo kagqirha wakho ngokuchanekileyo, ukuze ukwazi ukulungiselela zonke iimvavanyo zokuxilonga ozifunayo.

Yintoni onokuyilindela xa usenza uvavanyo lwe-RDW?

Kulungile, ngoku makhe sibone ukuba kwenzeka ntoni xa usenza olu vavanyo lwe-RDW, into omele uyilindele. Enyanisweni yinto encinci kakhulu, kwaye yenziwa ngemizuzu embalwa. Kufana nje nokutsalwa igazi rhoqo.

• Okokuqala, ugqirha wakho okanye umongikazi uza kufumana indawo efanelekileyo yokutsala igazi. Ngokuqhelekileyo, oku kuya kuba ngumthambo ongaphantsi kwengqiniba yakho, okanye ngasemva kwesandla sakho.
• Emva koko, indawo apho inaliti ifakwe khona icocekile kakuhle ize isulwe ngesisombululo sokubulala iintsholongwane. Oku kubaluleke kakhulu, kuba ke ngoko akukho ntsholongwane iya kungena emzimbeni.
• Okulandelayo, ugqirha wakho uza kubopha i-elastic band (ekwabizwa ngokuba yi-tourniquet) ngaphezulu nje kwendawo yokufaka inaliti engalweni yakho. Oku kwenzelwa ukulawula ukuhamba kwegazi engalweni yakho, ukwenza umthambo ubonakale ngakumbi, kwaye kube lula ukutsala igazi.
• Ngoku kuthathwa isampuli yegazi. Xa inaliti ingena, ungaziva urhawuzelelwa kancinci, njengokulunywa yimbovane. Ihlala imizuzwana embalwa kuphela. Inani elincinci legazi liqokelelwa kwibhotile encinci (ibhotile) eqhagamshelwe kwinaliti.
• Emva kokuba kuthathwe igazi elifunekayo, inaliti iyasuswa kwaye kubekwa iplasta encinci okanye iqhekeza lekotoni phezu kwendawo yokopha, kwaye kufakwa uxinzelelo ukuze kumiswe ukopha.

Yiyo leyo! Uvavanyo luphelile.

Emva kovavanyo lwe-RDW? Ngaba kukho naziphi na iingozi?

Ungahamba emva nje kokuba kugqityiwe ukutsalwa igazi. Ngamanye amaxesha ugqirha uya kukuxelela ukuba ulinde imizuzu embalwa ukuqinisekisa ukuba awunazo naziphi na iziphumo ebezingalindelekanga.

Uvavanyo lwegazi lwe-RDW luvavanyo olukhuselekileyo kakhulu , oluneziphumo ezimbalwa ebezingalindelekanga. Indawo apho inaliti ifakwe khona isenokuba luhlaza okwesibhakabhaka okanye ibe namanxeba. Oku kuya kuphela ngokwako kwiintsuku ezimbalwa. Abanye abantu banokuziva benesiyezi emva kokuba igazi litsaliwe, kodwa olu luvo aluhlali ixesha elide.

Nangona kunjalo, ukuba ukopha kwindawo ohlatywe kuyo inaliti akuyeki, okanye ukuba uqala ukuziva unesicaphucaphu okanye ubuthathaka, xelela ugqirha wakho. Ezi ziphumo zinokwenzeka, kodwa azixhaphakanga kakhulu.

Zivela njani iziphumo ze-RDW? Zithetha ukuthini?

Iziphumo zovavanyo zinikwa njengepesenti. Oku kuya kukunceda wazi ukuba iziphumo zakho zingaphakathi koluhlu oluqhelekileyo, okanye ukuba ixabiso lakho le-RDW liphezulu okanye liphantsi.

Yintoni ixabiso eliqhelekileyo le-RDW?

Ixabiso lakho le-RDW liqhelekile, oko kuthetha ukuba iiseli zakho ezibomvu zegazi zilingana ngobukhulu. Oko kuthetha ukuba akukho mahluko mkhulu kubungakanani bazo. Ixabiso eliqhelekileyo le-RDW liphakathi kwe-12% kunye ne-15% . Nangona kunjalo, khumbula ukuba olu luhlu lunokwahluka kancinci ngokuxhomekeke kwilebhu eyenza uvavanyo. Ingxelo oyifumanayo iya kuchaza ngokucacileyo ukuba loluphi uluhlu oluqhelekileyo. Emva koko ungathelekisa ixabiso lakho nalo.

Nangona kunjalo, ixabiso eliqhelekileyo le-RDW alithethi ukuba awunaso esinye isifo esifuna unyango. Kwezinye iintlobo ze-anemia, nokuba ixabiso le-RDW liqhelekile, ixabiso lesinye sezinye izalathisi ze-RBC linokuba phezulu okanye liphantsi. Yiyo loo nto ugqirha esenza isigqibo kuphela emva kokujonga yonke ingxelo.

Kuthetha ukuthini ukuba ne-RDW ephezulu?

Ixabiso eliphezulu le-RDW lithetha ukuba ubungakanani beeseli zakho ezibomvu zegazi bungaphezulu kunesiqhelo. Oku kuthetha ukuba ezinye iiseli ezibomvu zegazi zincinci kakhulu, ngelixa ezinye zinkulu kakhulu. Ixabiso eliphezulu le-RDW linokuba luphawu lwe-anemia okanye imeko enxulumene nayo. Nangona kunjalo, ugqirha wakho kuya kufuneka ajonge ezinye iingxelo zovavanyo ukuqinisekisa. Rhoqo, ixabiso le-RDW (ukuguquguquka kobukhulu beeseli zegazi ezibomvu) kunye nexabiso le-MCV (umthamo weeseli zegazi ezibomvu) zisetyenziswa kunye ukuvavanya impilo yeeseli zakho ezibomvu zegazi.

Kuthetha ukuthini ukuba ne-RDW ephantsi?

Ixabiso eliphantsi le-RDW alisoloko liyinto yokuxhalaba, kwaye alinxulunyaniswa naluphi na uhlobo oluthile lwe-anemia.

Ndiza kuyazi nini ingxelo yovavanyo?

Ngokwesiqhelo ungafumana iziphumo zakho kwiintsuku ezimbalwa emva kokuba isampuli yegazi lakho ifikile kwilebhu. Ukuba ufuna uncedo lokuqonda iziphumo zakho, thetha nogqirha wakho. Thetha naye malunga nento omawuyenze ukuze ufumanise imeko yakho.

Nokuba iziphumo zovavanyo lwegazi lwe-RDW ziphezulu, ziphantsi, okanye ziqhelekile, ugqirha akanakukwazi ukwenza uxilongo ngokusekelwe kuloo nto yodwa. Nangona kunjalo, uvavanyo lwegazi lwe-RDW yinxalenye ebalulekileyo yephazili esinceda siqonde indlela iiseli zakho ezibomvu zegazi ezithwala ngayo ioksijini emzimbeni wakho. Ke ngoko, kungcono ukubuza ugqirha wakho ukuba iziphumo zovavanyo lwakho lwegazi lwe-RDW zithetha ukuthini, kunye nezinye iziphumo zovavanyo lwakho lwe-CBC.

Eyona nto ibalulekileyo ekufuneka uyikhumbule

Kulungile, ngoko ke sithethe kakhulu ngovavanyo lwegazi lwe-RDW. Nazi izinto ezimbalwa ekufuneka uzikhumbule:

• Uvavanyo lwe-RDW lulinganisa umahluko kubungakanani beeseli zakho ezibomvu zegazi.
• Oku kunceda ekuxilongeni izifo ezifana ne -anemia .
• Oku kudla ngokwenziwa njengenxalenye yovavanyo olubizwa ngokuba yi-CBC (ubalo lwegazi olupheleleyo) .
• Iziphumo ze-RDW zodwa azinantsingiselo. Kufuneka zihlolwe ngugqirha kunye nezinye iziphumo zovavanyo lwegazi kunye neempawu zakho .

Ukuba unemibuzo malunga nexabiso le-RDW yakho, ungathandabuzi ukubuza ugqirha wakho. Emva koko ungafumana ukuqonda okucacileyo.

` I-RDW, Iiseli zeGazi eziBomvu, Uvavanyo lweGazi, i-Anemia, i-CBC, i-MCV, i-Hemoglobin, i-Anemia, Uvavanyo lweGazi, Iiseli zeGazi eziBomvu, Ubalo lweGazi olupheleleyo, i-Hemoglobin, Ixabiso le-RDW