Xa ubusandula ukubona ingxelo yovavanyo lwegazi, ngaba ithe inani leeseli zakho ezibomvu zegazi liphezulu? Kuqhelekile ukuba uzive unexhala kwaye usoyika xa ubona into efana naleyo. Usenokucinga, "Yintoni le? Ngaba ndinesifo esibi?" Kodwa ungakhathazeki. Namhlanje, siza kuthetha ngale nto ngokulula, njengokuba ubuya kuxelela umhlobo.
Kuthetha ukuthini oku kwanda kweeseli ezibomvu zegazi?
Ngamafutshane, oku kuthetha ukuba inani leeseli ezibomvu zegazi (ii-RBC) egazini lakho liphezulu kunesiqhelo. Igazi lethu lenziwe ikakhulu ngamacandelo amathathu: iiseli ezibomvu, iiseli ezimhlophe, kunye neeplatelets. Umsebenzi ophambili weeseli ezibomvu kukuthwala ioksijini ukusuka emiphungeni ukuya emzimbeni wonke.
Cinga nje ngeemoto ezisendleleni. Xa kukho iimoto ezaneleyo, izithuthi zihamba kakuhle ngaphandle kokuxinana. Ngokufanayo, xa kukho iiseli ezibomvu zegazi ezaneleyo, ioksijini ihamba emzimbeni wonke. Kodwa xa inani leeseli ezibomvu zegazi lisanda kakhulu, njengaxa indlela izele ziimoto, ukuxinana kwezithuthi, igazi lethu liyaqina. Oku kubizwa ngokuba yi-"Erythrocytosis" ngokwezonyango. Xa igazi liqina, umngcipheko wokuqhekeka kwegazi unokwanda. Kunokuba luphawu lwengxaki yempilo engaphantsi.
Zingaphi iiseli ezibomvu zegazi ezithathwa njenge 'eziphezulu'?
Oogqirha balinganisa inani leeseli zakho ezibomvu zegazi ukuze baqonde impilo yakho baze baxilonge izifo. Ngokwesiqhelo, la maxabiso anokwahluka kancinci ngokuxhomekeke kwilabhoratri eyenza uvavanyo. Kodwa ngokubanzi, amaxabiso aqhelekileyo ngala alandelayo.
| Umntu | Ubungakanani obuqhelekileyo beeseli ezibomvu (nge-microliter nganye yegazi) |
|---|---|
| Amadoda | Izigidi ezi-4.7 ukuya kwezi-6.1 |
| Abafazi | Izigidi ezi-4.2 ukuya kwezi-5.4 |
| Abantwana | Izigidi ezi-4.0 ukuya kwezi-5.5 |
Amaxesha amaninzi, inani eliphezulu leeseli ezibomvu zegazi lifunyanwa xa kusenziwa uvavanyo lwegazi lwenye ingxaki yempilo. Ukuba oku kuyenzeka, ugqirha wakho uya kucebisa ukuba kwenziwe olunye uvavanyo ukuze kufunyanwe unobangela.
Zithini iimpawu zokwanda kweeseli ezibomvu zegazi?
Abanye abantu basenokungabi nazo naziphi na iimpawu nangona inani labo leeseli ezibomvu zegazi liphezulu. Nangona kunjalo, abanye abantu banokuba nazo ezi mpawu zilandelayo:
| Uphawu | Inkcazo |
|---|---|
| Ukudinwa/ukudinwa | Ukudinwa kakhulu ngaphandle kwesizathu. |
| Ubunzima bokuphefumla | Ukuziva uphelelwa ngumphefumlo nokuba uchitha ixesha elininzi. |
| Intloko ebuhlungu kunye nokungaboni kakuhle | Intloko ebuhlungu rhoqo kunye nokungaboni kakuhle. |
| Intlungu yamalungu | Intlungu yamalungu. |
| Ulusu olurhawuzelelayo | Ulusu olurhawuzelelayo, ingakumbi emva kokuhlamba ngamanzi ashushu. |
| Iingxaki zokulala | Ukungalali okanye ukurhona okwandileyo. |
Kutheni inani leeseli ezibomvu zegazi linyuka? Zithini izizathu?
Kukho izizathu ezininzi zokuba inani eliphezulu leeseli ezibomvu zegazi linokwenzeka. Oku akusoloko kuyimpawu yesifo esinzulu. Kunokubangelwa zizinto ezithile kwindlela esiphila ngayo. Makhe sijonge izizathu eziphambili.
Ngenxa yeemeko zempilo
- Ukusilela kwentliziyo: Xa intliziyo iba buthathaka, ayikwazi ukupompa ioksijini eyaneleyo emzimbeni. Ukuze ibuyisele oku, umzimba uqala ukwenza iiseli ezibomvu zegazi ezingaphezulu.
- Isifo sentliziyo esizalwa naso: Ngenxa yeziphene ezithile entliziyweni ezibakho ekuzalweni.
- I-Polycythemia Vera: Olu luhlobo olungaqhelekanga lomhlaza wegazi apho umongo wethambo uvelisa iiseli ezibomvu zegazi ngokungalawulekiyo.
- Iintsholongwane Zezintso: Ngenxa yokuveliswa kakhulu kwehomoni (i-Erythropoietin) ekhuthaza ukuveliswa kweeseli ezibomvu zegazi zizintso.
- Izifo zemiphunga: Izifo ezifana ne-'COPD' kunye ne-'Emphysema' zinciphisa ubungakanani beoksijini efunyanwa ngumzimba. Ukulungisa oku, umzimba uvelisa iiseli ezibomvu zegazi ezingaphezulu.
- I-Hypoxia: Nayiphi na imeko apho inqanaba leoksijini egazini liphantsi.
- I-Sleep Apnea: Imeko apho ukuphefumla kuyeka rhoqo ngexesha lokulala. Oku kunciphisa amanqanaba eoksijini emzimbeni kwaye kwandisa ukuveliswa kweeseli ezibomvu zegazi.
Impembelelo yendlela yethu yokuphila
- Ukutshaya: I-carbon monoxide emsini wecuba ibopha i-hemoglobin, iproteni ethwala i-oksijini egazini. Oku kunciphisa amandla egazi okubopha i-oksijini. Umzimba uhlawulela ngokuvelisa iiseli ezibomvu zegazi ezingaphezulu.
- Ukuhlala kwiindawo eziphakamileyo: Khawuthelekelele usuka eColombo usiya eNuwara Eliya. Uxinzelelo lweoksijini emoyeni kwiindawo eziphakamileyo luphantsi. Ukuze uziqhelanise noku, umzimba wakho ngokwemvelo uyandisa imveliso yawo yeeseli ezibomvu zegazi.
- Ukusetyenziswa kweziyobisi eziphucula ukusebenza: Abanye abadlali basebenzisa ii-anabolic steroids okanye i-erythropoietin, enokunyusa ngokwenziwa imveliso yeeseli ezibomvu zegazi.
Ngaba uxinzelelo lunokubangela ukwanda kweeseli ezibomvu zegazi?
Ewe. Uphando lufumanise unxibelelwano phakathi koxinzelelo kunye neeseli zegazi. Uxinzelelo oluphezulu lunokunyusa inani leeseli ezibomvu zegazi, ii-neutrophils, uhlobo lweseli emhlophe yegazi, kunye neeplatelets.
Ukwanda kweeseli ezibomvu zegazi kunyangwa njani?
Eyona nto ibalulekileyo kukuba unyango luxhomekeke kwisizathu esibangela ukuba kubekho inani eliphezulu leeseli ezibomvu zegazi. Kubaluleke ngakumbi ukufumana unobangela nokuwunyanga kunokunciphisa inani leeseli ezibomvu zegazi.
Umzekelo, ukuba unemeko ebizwa ngokuba yi-`Polycythemia Vera`, ugqirha wakho angakunika amayeza afana ne-`(Hydroxyurea)` ukulawula ukuveliswa kweeseli ezibomvu zegazi. Kwakhona, ngamanye amaxesha kusetyenziswa unyango olubizwa ngokuba yi-`Therapeutic Phlebotomy`. Oku kubandakanya ukususa igazi elincinci emzimbeni wakho ngamaxesha athile, afana nokunikela ngegazi, ukulawula inani leeseli ezibomvu zegazi lakho.
Ngoko ke, ukuba inani leeseli zakho ezibomvu zegazi liphezulu, ngokuqinisekileyo kuya kufuneka ubone ugqirha wakho nize nixoxe ngaloo nto. Nguye oza kufumana unobangela wokwenyani aze agqibe ukuba loluphi unyango olufunayo.
Yintoni esinokuyenza ukuthintela ukwanda kweeseli ezibomvu zegazi?
Nangona oku kungenakuthintelwa rhoqo, kukho izinto ezininzi esinokuzenza ukunciphisa umngcipheko:
- Sela amanzi amaninzi: Ukusela ubuncinane iiglasi ezisi-8-10 zamanzi ngosuku kunokunceda ekunciphiseni ukujiya kwegazi.
- Nciphisa izinto ezifana nekofu kunye neziselo ezineswekile: Ezi zi-diuretics ezibangela ukulahleka kwamanzi emzimbeni kwaye zinokubangela ukuba igazi lijiye.
- Kuphephe ukutshaya ngokupheleleyo: Le yenye yezona zinto zibalaseleyo onokuzenza.
- Ukuzilolonga: Ukuzilolonga rhoqo kulungele kakhulu intliziyo kunye nokujikeleza kwegazi.
- Musa ukuthatha iipilisi zesinyithi ngaphandle kokuba kufuneka: Musa ukuthatha iipilisi zesinyithi ngaphandle kokuba ugqirha wakho ekucebisa ukuba uzithathe, kuba isinyithi sisondlo esibalulekileyo ekwenzeni iiseli ezibomvu zegazi.
- Ukuba une-Sleep Apnea: Sebenzisa izixhobo ezifana ne-'CPAP' ngokuchanekileyo njengoko ugqirha wakho ekuyalele.
- Ukuba unesifo sentliziyo: Landela isicwangciso sonyango olunikwe ngugqirha wakho ngokuchanekileyo.
Umyalezo Wokuya Ekhaya
- Musa ukoyika ukuba ubona inani leeseli ezibomvu zegazi (RBC) eziphezulu kwingxelo yakho yegazi. Kodwa ungaze uyityeshele loo nto.
- Ukwanda kweeseli ezibomvu zegazi kuthetha ukuba igazi liyaqina kwaye umngcipheko wokuqhekeka kwegazi uyanda.
- Oku kunokubangelwa zizinto ezibangela indlela yokuphila ezifana nokutshaya nokuhlala kwiindawo eziphakamileyo, kunye nesifo sentliziyo, isifo semiphunga, okanye ezinye iintlobo zomhlaza.
- Eyona nto ibalulekileyo kukubona ugqirha ngokukhawuleza uze ufumane unobangela wokwenene.
- Unyango luxhomekeke kwisizathu esiyintloko. Ukugcina indlela yokuphila esempilweni kunokunciphisa umngcipheko.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Yintoni 'iHigh Red Blood Cells Count / Polycythemia'?
Ngokwesiqhelo, igazi lethu kufuneka libe neeseli ezibomvu zegazi ezithwala ioksijini. Kodwa kwesi sifo, ngenxa yengxaki ethile emzimbeni/kumongo wethambo, inani leeseli ezibomvu zegazi liyanda ngamashumi amawaka (i-RBC/Hematocrit ephakanyisiweyo), imeko ebulalayo apho igazi liba 'lingqindilili/lijiyile njengobusi' (i-Hyperviscosity) endaweni yamanzi. Oku kubangela amahlwili egazi kwaye isigulana sinokuba nesifo sentliziyo/istroke nangaliphi na ixesha size sife!
💬 Zithini izizathu eziphambili zokwanda kwegazi kunye nokwanda kweeseli ezibomvu zegazi (iPolycythemia)?
Kukho izizathu ezibini eziphambili zoku: 1) I-Secondary Polycythemia - Oku kwenzeka kuba utshaya kakhulu, unesifo sentliziyo/isifo semiphunga (COPD), okanye unesifo sokuphefumula xa ulele! Emva koko ingqondo iyoyika kuba umzimba ulambile ioksijini kwaye ixelela izintso ukuba zenze iiseli ezintsha (ukukhululwa kwe-EPO). 2) I-Polycythemia Vera (PV) - Esi 'sisifo somhlaza wegazi / isifo somongo wamathambo'! Ngaphandle kwesizathu, umongo wamathambo ukhupha amashumi amawaka eeseli ezibomvu zegazi egazini.
💬 Ziziphi iimpawu eziyingozi ze-RBC ephezulu? Ufanele uye nini kugqirha?
Iimpawu ezinkulu ziintloko ezibuhlungu ezinganyamezelekiyo (ngenxa yoxinzelelo lwegazi oluphezulu), ukubona okufipheleyo, kunye nokurhawuzelela umzimba wonke emva kokuhlamba/ukuhlamba ngamanzi ashushu! Kwakhona, ubuso buhlala bubomvu kakhulu (iPlethora). Nangona kunjalo, ukuba 1) isifuba siyaphakama/siyaxineka, 2) ngequbuliso awukwazi ukuphefumla, 3) ingalo okanye umlenze uyaphelelwa ngamandla kwaye ulahlekelwa zingqondo (iimpawu zeStroke), kufuneka uye esibhedlele ngoko nangoko kuba ihlwili legazi (ihlwili legazi/iThrombosis) linokunamathela!
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