Ithetha ukuthini ixabiso le-MCH kwingxelo yakho yegazi? (I-Mean Corpuscular Hemoglobin)

Ngaba wakha wafumana ingxelo yovavanyo lwegazi, wajonga oonobumba namanani akulo, waza wacinga, "Yintoni le?" Kuqhelekile ukuba nexhala xa ubona amagama amaninzi afana ne-CBC, i-MCV, i-RDW, kunye ne-MCH. Elinye lala maxabiso yi-MCH. Namhlanje, sithetha ngeli xabiso le-MCH, elikuxelela ulwazi oluninzi olubalulekileyo malunga neeseli zakho zegazi.

Kalula nje, yintoni i-MCH?

I-MCH sisishunqulelo segama elithi 'Mean Corpuscular Hemoglobin'. Eli lelinye lamaxabiso esiwasebenzisayo xa sibala igazi ngokupheleleyo (i-CBC). Ngokusisiseko ilinganisa ukuba ingakanani i-hemoglobin ekwiseli enye yegazi elibomvu .

Ngoku usenokuba uzibuza, "Yintoni le hemoglobin?" Cinga ngeeseli zakho ezibomvu zegazi njengeelori ezincinci ezithwala ioksijini emzimbeni wakho wonke. Kwaye ioksijini ziibhokisi ezigcwele ioksijini ngaphakathi kwezo lori . Ezi bhokisi zezona zibamba ioksijini, ziyihambise kuyo yonke iseli emzimbeni wakho, kwaye zincede ekunikeni ezo seli amandla eziwadingayo. Ngoko ungabona indlela ebaluleke ngayo ioksijini njengeproteni.

Ngoko ke ixabiso le-MCH lisixelela umbono wokuba zingaphi iitanki zeoksijini ezihlala zikho ngaphakathi kwilori yakho yeeseli ezibomvu zegazi.

Ezinye izalathisi ezibalulekileyo zeeseli ezibomvu zegazi (iiRBC Indices) ezifana ne-MCH

Ingxelo yakho yegazi ayibandakanyi nje kuphela i-MCH, kodwa ikwaquka nezinye izinto ezininzi. Nganye kwezi ikuxelela ulwazi olwahlukileyo malunga nempilo yeeseli zakho ezibomvu zegazi. Ezi sizibiza ngokuba zii-red blood cell indices (RBC indices). Ugqirha uza kujonga zonke ezi zinto xa ephanda imeko yakho yempilo, ingakumbi imeko efana ne-anemia.

Kuphela kukujonga zonke ezi xabiso kunye apho ugqirha angayiqonda ngokuchanekileyo ingxaki egazini lakho.

Ufanele ulijonge nini ixabiso lakho le-MCH?

I-MCH yinxalenye eqhelekileyo yokubalwa kwegazi okupheleleyo (CBC). Ugqirha unokuyalela i-CBC ukuba ihlole impilo yakho ngokubanzi.

Kodwa ixabiso le-MCH libaluleke kakhulu, ingakumbi ukuba uneempawu ze-anemia .

• Ukuziva udiniwe kakhulu rhoqo
• Intloko ebuhlungu rhoqo
• Ulusu olukhanyayo
• Ukuziva unesizungu
• Ubunzima bokuphefumla

Ngokujonga ixabiso le-MCH kunye nezinye izalathisi ze-RBC zomntu onezi mpawu, ugqirha unokufumanisa ukuba unayo na i-anemia, ukuba kunjalo, loluphi uhlobo lwayo, kwaye yintoni enokubangela loo nto.

Uyenza njani le vavanyo? Ingaba yinto enkulu?

Olu luvavanyo lwegazi oluqhelekileyo nolulula kakhulu, ngoko ke akukho sizathu sokoyika.

Ngaba kufuneka uzilungiselele ngaphambi kovavanyo?

Akufuneki wenze nantoni na ekhethekileyo ukulungiselela uvavanyo lwe-CBC. Nangona kunjalo, ukuba ugqirha wakho umisele ezinye iimvavanyo kwisampulu yegazi efanayo (umzekelo, ukujonga iswekile yakho egazini), ungacelwa ukuba uzile ukutya iiyure ezimbalwa. Ngoko ke soloko ulandela imiyalelo kagqirha wakho ngokuchanekileyo.

Kwenzeka ntoni ngexesha lovavanyo?

Le yinto elula ethatha ngaphantsi kwemizuzu emihlanu.

1. Uhlaliswa esitulweni uze ucelwe ukuba wolule isandla sakho.

2. Umongikazi okanye ingcali yelabhoratri yezonyango iza kucoca indawo yokufaka inaliti ngotywala.

3. Emva koko, ibhande lerabha libotshelelwa kwingalo engasentla ukuze imithambo ibonakale ngakumbi.

4. Inaliti ifakwa kancinci emthanjeni kwaye inani elifunekayo legazi liqokelelwa kwibhotile encinci.

5. Emva koko, inaliti iyasuswa kwaye iqhekeza lekotoni libekwe kuloo ndawo kwaye licinezelwe ukunqanda ukopha.

Nangona kwakungathi kukho umbane omncinci xa kufakwa inaliti, kodwa yayingebuhlungu kangako.

Emva kovavanyo?

Emva kokunikela ngegazi, ukuba awuziva unesizungu, ungagoduka. Abanye abantu baziva bengakhululekanga xa bebona igazi. Oku kuqhelekile. Ukuba oko kuyenzeka, baza kukunyamekela ude uzive ungcono.

Ndiyiqonda njani ixabiso le-MCH kwingxelo?

I-MCH ilinganiswa ngee-picograms (pg), ubunzima obuncinci kakhulu, malunga ne-trillionth enye yegram.

Uluhlu oluqhelekileyo lwenqanaba le-MCH elisempilweni kumntu omdala (oyindoda nowasetyhini) liphakathi kwama-27 pg ukuya kuma-33 pg . Nangona kunjalo, khumbula ukuba la maxabiso anokwahluka kancinci phakathi kweelabhoratri ezahlukeneyo. Ke ngoko, kubalulekile ukuthelekisa iziphumo zakho "noluhlu oluqhelekileyo" kwingxelo yakho.

Ixabiso elingaphantsi kolu luhlu libizwa ngokuba yi-"Low MCH" kwaye ixabiso elingaphezulu kolu luhlu libizwa ngokuba yi-"High MCH".

Kodwa khumbula oku: Musa ukoyika ukuba ixabiso lakho le-MCH liphantsi okanye liphezulu. Oko kuphela akuthethi ukuba unesifo esinzulu. Ugqirha wakho uza kuhlalutya oku kunye nezinye iimpawu zegazi lakho, iimpawu kunye nempilo yakho iyonke.

Kuthetha ukuthini ukuba ne-MCH ephantsi?

Ukuba ixabiso lakho le-MCH liphantsi kunesiqhelo, oko kuthetha ukuba iiseli zakho ezibomvu zegazi azinayo i-hemoglobin eyaneleyo. Oku kunokubangela ukuba iiseli zakho ezibomvu zegazi zibe nombala okhanyayo kunesiqhelo (i-hypochromic anemia) okanye zibe ncinci kunesiqhelo (i-microcytic anemia).

Izizathu eziphambili ze-MCH ephantsi zezi:

• Ukunqongophala kwe-iron: Le yeyona nto ixhaphakileyo ebangela i-anemia kwilizwe lethu. I-iron ibalulekile ekuvelisweni kwe-hemoglobin. Xa i-iron ingekho ngokwaneleyo, ukuveliswa kwe-hemoglobin kuyehla. Le meko inokwenzeka kubafazi abopha kakhulu ukuya exesheni, ngenxa yokopha ngaphakathi (umz. izilonda zamathumbu), okanye emva kotyando.
• Iingxaki zemfuza ngokuveliswa kwe-hemoglobin (Hemoglobinopathy): Abanye abantu bazalwa beneemeko zemfuza ezithintela imizimba yabo ekuveliseni i-hemoglobin ngokufanelekileyo. I-Thalassemia kunye ne-sickle cell anemia yimizekelo yezi.
• Izifo ezingapheliyo: Ukudumba emzimbeni okubangelwa zizifo ezifana nosulelo oluhlala ixesha elide, isifo sezintso, isifo sesibindi, kunye nomhlaza kunokuphazamisa ukuveliswa kwe-hemoglobin.

Kuthetha ukuthini ukuba ne-MCH ephezulu?

Ukuba i-MCH yakho iphezulu kunesiqhelo, oko kuthetha ukuba umzimba wakho uvelisa iiseli ezibomvu zegazi ezinkulu kunesiqhelo (i-Macrocytic anemia). Ezi seli zinkulu ziqulethe i-hemoglobin engaphezulu, kodwa azisebenzi kakuhle.

Izizathu eziphambili ze-MCH ephezulu zezi:

• Ukunqongophala kweVithamini B12 okanye iFolate: Ezi zondlo zimbini zibalulekile emizimbeni yethu ukuze senze iiseli ezibomvu zegazi ezisempilweni. Ukungazifumani ngokwaneleyo ekutyeni kwethu okanye ukungazifunxi kakuhle kunokubangela ukuba iiseli ezibomvu zegazi zibe nkulu ngendlela engaqhelekanga.
• Ukusela utywala kakhulu ixesha elide.
• Iingxaki ze-thyroid: Oku kunokubangelwa yi-hypothyroidism, ngakumbi.
• Iziphumo ebezingalindelekanga zamanye amayeza: Umzekelo, i-chemotherapy yomhlaza inokubangela esi sifo.

Yintoni omawuyenze emva koko ukuba unexabiso elingaqhelekanga le-MCH?

Le yeyona nto ibalulekileyo. Ungaze ufikelele kwizigqibo ngokwakho malunga nokuba ingxelo yakho iphezulu okanye iphantsi, okanye uzifumanise unesifo kwi-intanethi.

Ugqirha wakho uza kugqiba ukuba uza kwenza ntoni emva koko.

• Ukuba i-MCH yakho iphantsi kwaye ukrokrela ukuba ayinayo i-iron eyaneleyo, unokucelwa ukuba wenze olunye uvavanyo ukujonga amanqanaba e-iron emzimbeni wakho.
• Ukuba ixabiso le-MCH liphezulu, unokucelwa ukuba ujonge amanqanaba akho e-vitamin B12 kunye ne-folate.

Eyona nto ingcono onokuyenza kukuxoxa ngayo nayiphi na imibuzo okanye iinkxalabo onazo malunga nengxelo yakho nogqirha wakho . Uza kuhlaziya la maxabiso kunye nempilo yakho iyonke, akuchazele wona, aze akunike unyango ukuba kuyimfuneko.