Ithini ixabiso le-MCH kwingxelo yakho yegazi? (I-Mean Corpuscular Hemoglobin) Masifunde ngale nto ngokulula!

Xa uvavanywa igazi, kufuneka ukuba ubonile ukuba ingxelo inezinto ezahlukeneyo ezibhalwe phantsi ngonobumba ngamnye kunye nenombolo. Ngamanye amaxesha xa sibona ezi zinto, asikwazi nokucinga ukuba ziyintoni na, kwaye sinokukhathazeka kancinci. Ngokufanayo, ixabiso elinye elibalulekileyo oza kulibona kwingxelo yakho yokubala igazi elipheleleyo (i-CBC) yi -MCH . Namhlanje, masithethe malunga nokuba le MCH okanye ``Mean Corpuscular Hemoglobin'' iyintoni, ithini ngempilo yethu, kwaye kwenzeka ntoni ukuba elo xabiso liyanyuka okanye lincipha ngokulula.

Yintoni kanye kanye i-MCH?

Ngamafutshane, i-MCH lixabiso elilinganisa ubungakanani obuphakathi be-hemoglobin kwiseli yakho ebomvu yegazi (RBC) . Ngoku cinga ngento eyi-hemoglobin. I-Hemoglobin yiproteni ebaluleke kakhulu ngaphakathi kweeseli zethu ezibomvu zegazi. Yile protein ethatha i-oksijini emiphungeni yethu ize iyithumele kwiiseli emzimbeni wonke. Ifana nomntu 'ohambisa' ukutya ozisa ukutya ekhaya. Le oksijini yiyo enika amandla kwiseli nganye emzimbeni wethu, kwaye yonke into emzimbeni wethu isebenza kakuhle. Ngoko ke, sinokufumana umbono malunga nale hemoglobin kwixabiso le-MCH.

I-MCH lixabiso elinye kuphela kwicandelo le-``RBC indices`` lovavanyo lwe-``CBC`` oluchaza iiseli ezibomvu zegazi. Kukho amanye amaxabiso aliqela afana nala:

• I-MCV `(Umlinganiselo weCorpuscular Volume)` : Oku kukuxelela ubungakanani obuqhelekileyo beeseli zakho ezibomvu zegazi, oko kukuthi, nokuba zinkulu okanye zincinci.
• I-MCHC `(Umlinganiselo we-Corpuscular Hemoglobin Concentration)` : Oku kukwabhekisa kuxinzelelo lwe-hemoglobin kwiseli ebomvu yegazi. Nangona kunjalo, ngokungafaniyo ne-MCH, i-MCHC ikwaqwalasela nobukhulu beeseli ezibomvu zegazi.
• I-RDW `(Ububanzi boSasazo lweeSeli zeGazi eziBomvu)` : Oku kulinganisa indlela iiseli zakho ezibomvu zegazi ezahluke ngayo ngobukhulu. Oko kukuthi, ngaba kukho naziphi na izinto ezingangqinelaniyo, njengokuba ezinye iiseli zincinci kwaye ezinye zinkulu.

Oogqirha basebenzisa zonke ezi nkcukacha ukuze bafumanise impilo yeeseli zakho ezibomvu zegazi. Ezi xabiso zibaluleke kakhulu ekuxilongeni iimeko ezifana ne -anemia .

Lufuneka nini uvavanyo lwe-MCH?

I-MCH yinxalenye eqhelekileyo yovavanyo lwe-CBC. Olu vavanyo lwe-CBC alulinganisi nje kuphela iiseli zakho ezibomvu zegazi, kodwa lukwalinganisa neeseli zakho ezimhlophe zegazi (iiseli ezisikhusela kwizifo) kunye neeplatelets (iiseli ezinceda ukujiya kwegazi). Ngoko ke, xa zidityaniswe nezinye ixabiso le-CBC, oogqirha banokubona iimpawu zokuqala zesifo.

Ugqirha wakho uza kuxhalaba ngakumbi ngexabiso lakho le-MCH ukuba uneempawu ze-anemia, ezinje ngokudinwa, iintloko ezibuhlungu rhoqo, ukuphaphatheka, kunye nokuphefumla kancinci . Ukuba ixabiso lakho le-MCH aliqhelekanga xa lithelekiswa nezinye izalathisi ze-RBC, oko kunokunceda ugqirha wakho ukuba afumanise ukuba unayo na i-anemia kwaye, ukuba kunjalo, yintoni unobangela.

Lwenziwa njani olu vavanyo?

Uvavanyo lwe-MCH luvavanyo lwegazi olulula kakhulu. Ngokwesiqhelo, umongikazi okanye ingcali ye-phlebotomist ithatha igazi elincinci kuwe. Emva koko isampuli yegazi ihlaziywa yi-automatic blood counter. Lo matshini unika ulwazi malunga neeseli egazini lakho.

Ixabiso le-MCH libalwa xa kuhlaziywa iiseli zakho ezibomvu zegazi.

Ngaba kufuneka uzilungiselele ngaphambi kovavanyo?

Kwiimeko ezininzi, akukho mfuneko yokulungiselela uvavanyo lwe-MCH. Nangona kunjalo, ukuba ugqirha wakho uceba ukwenza ezinye iimvavanyo ezininzi kwisampulu yegazi efanayo, kunokufuneka uzile ukutya (ungatyi okanye usele nantoni na) kangangeeyure ezimbalwa . Ngoko ke, landela imiyalelo kagqirha wakho ngononophelo. Emva koko ungalungiselela uvavanyo ngokufanelekileyo.

Kwenzeka ntoni ngexesha lovavanyo?

Baza kukwenza uhlale esitulweni baze bakuxelele ukuba wolule isandla sakho. Emva koko:

• Indawo yokuqokelelwa kwegazi icocwa ngesisombululo se-antiseptic (i-alcohol wipe).
• Ibhendi yerabha (i-tourniquet) ibotshelelwe kancinci ngaphezulu kwendawo yokuqokelelwa kwegazi engalweni. Oku kunceda ekudibaneni kwegazi kwaye kwenza kube lula ukuqokelela igazi.
• Inaliti encinci kakhulu ifakwa kancinci kancinci emthanjeni.
• Inani elincinci legazi liqokelelwa kwibhotile encinci okanye kwityhubhu.
• Emva koko inaliti iyasuswa kwaye kubekwa iqhekeza lekotoni ukunqanda ukopha.

Konke oku kuthatha ngaphantsi kwemizuzu emihlanu . Xa inaliti ifakiwe, ungaziva urhawuzelelwa kancinci, njengokurhawuzelelwa ziimbovane. Ngaphandle koko, akukho ntlungu ingako.

Kwenzeka ntoni emva kovavanyo?

Emva kokunikela ngegazi, ukuba awuziva unesizungu, ungagoduka ngoko nangoko. Abanye abantu banokuziva benesizungu xa bebona igazi, okanye ukuba bayoyika iinaliti. Oku kuqhelekile, kwaye awuwedwa. Ukuba oku kuyenzeka, abasebenzi bezonyango baza kukunyamekela ude uzive ungcono.

Ngaba kukho naziphi na iingozi kolu vavanyo?

Uvavanyo lwe-CBC lokujonga i-MCH alulovavanyo olunobungozi obukhulu. Emva kokunikela ngegazi, ungabona ukukrweleka okuncinci apho inaliti ifakwe khona. Ungaziva neentlungu ezingalweni zakho. Nangona kunjalo, ezi mpawu zihlala ziphela ngosuku olunye nolo lokunikela ngegazi.

Zithini iziphumo? Zisixelela ntoni?

Iziphumo ze-MCH zibonisa ukuba zingaphi ii-picogram (pg/cell) ze-hemoglobin oqhele ukuba nazo kwiseli enye ebomvu yegazi. I-picogram sisixa esincinci kakhulu, malunga ne-trillionth enye (oko kukuthi i-zero enye kunye ne-zero ezilishumi elinesibini) yegram.

Nangona kukho umahluko omncinci phakathi kweelabhoratri, ixabiso eliqhelekileyo le-MCH kumntu omdala (oyindoda nowesifazane) liqhele ukuba phakathi kwe-27 kunye ne-33 pg/iseli . Nantoni na engaphantsi kweli xabiso ithathwa njenge -MCH ephantsi , kwaye nantoni na engaphaya kweli xabiso ithathwa njenge -MCH ephezulu .

Kodwa khumbula, akufuneki woyike ngoko nangoko ukuba ixabiso lakho le-MCH liphantsi okanye liphezulu. Ugqirha wakho uza kuthelekisa ixabiso lakho le-MCH nezinye izalathisi ze-RBC kunye nempilo yakho iyonke ukuze enze isigqibo. Usenokucebisa novavanyo olongezelelweyo.

Ukuba ixabiso le-MCH liphantsi (i-MCH ephantsi)

Ixabiso eliphantsi le-MCH lithetha ukuba usenokuba ne -hypochromic anemia (apho iiseli ezibomvu zegazi zingaphantsi kwesiqhelo kwaye zibonakala zimhlophe) kunye/okanye i-microcytic anemia (apho iiseli ezibomvu zegazi zincinci ngokungaqhelekanga). Kuzo zombini ezi meko, iiseli zakho ezibomvu zegazi azina-hemoglobin eyaneleyo.

Zininzi izizathu ezinokubangela amanqanaba aphantsi e-MCH:

• Ukunqongophala kwe-iron : Xa umzimba ungafumani i-iron eyaneleyo, awukwazi ukwenza i-hemoglobin. Eyona nto ibangela i-anemia ebangelwa kukungabikho kwe-iron kukopha . Oku kunokubangelwa zizinto ezifana nokopha kakhulu exesheni, ukopha ngaphakathi (umz., izilonda zamathumbu), okanye ukopha kakhulu emva kotyando.
• I-Hemoglobinopathy : Ezinye iingxaki zegazi ezizuzwe njengelifa zinokubangela iingxaki kwindlela umzimba ovelisa ngayo i-hemoglobin. Imizekelo ibandakanya i-thalassemia kunye ne-sickle cell anemia .
• Ukudumba okubangelwa zizifo ezingapheliyo : Ukudumba emzimbeni okubangelwa zizifo ezifana nosulelo oluthile olungapheliyo, isifo sezintso, isifo sesibindi, kunye nomhlaza kunokubangela ukwehla kwamanqanaba e-MCH.

Ukuba ixabiso le-MCH liphezulu (i-MCH ephezulu)

Inqanaba eliphezulu le-MCH lithetha ukuba usenokuba ne -macrocytic anemia . Kule meko, umzimba wakho uvelisa iiseli ezibomvu zegazi ezinkulu ngokungaqhelekanga, kwaye ezo seli zinezinga eliphezulu le-hemoglobin. Oku kudla ngokubangelwa kukungafumani i-folate eyaneleyo (i-vitamin B9) kunye ne-vitamin B12, izondlo ezimbini ezibalulekileyo ezifunekayo ukwenza iiseli ezibomvu zegazi ezisempilweni. Okanye, unokuba nesifo esithintela umzimba wakho ekufumaneni ezi zondlo ngokufanelekileyo.

Ezinye izizathu zokunyuka kwexabiso le-MCH:

• Ingxaki yokusebenzisa utywala ixesha elide .
• Iingxaki ze-thyroid gland .
• Iziphumo ebezingalindelekanga zamayeza athile okanye unyango . Umzekelo, i-chemotherapy yomhlaza inokubangela ukwanda kwe-MCV (kwaye ngaloo ndlela i-MCH) njengeziphumo ebezingalindelekanga.

Ukuba iziphumo aziqhelekanga, yintoni oyenzayo emva koko?

Ukuba i-MCH yakho ayiqhelekanga, amanyathelo alandelayo oza kuwathatha aya kuxhomekeka kwisizathu. Umzekelo, ukuba ugqirha wakho ukrokrela ukuba i-MCH yakho iphantsi ngenxa yokungabikho kwe-iron, unokuyalela uvavanyo olongezelelweyo ukujonga amanqanaba e-iron yakho. Ngaphandle koko, ukuba bakrokrela esinye isifo, banokufuna ukwenza uvavanyo lwaloo meko.

Ugqirha wakho uza kukunika ingcebiso echanekileyo malunga nento omawuyenze ngokusekelwe kwiziphumo zakho.

Kuqhelekile ukuba novalo okanye uloyiko xa naluphi na uvavanyo lungaqhelekanga (nokuba luphantsi okanye luphezulu). Kodwa xa kufikwa kwi-MCH, iziphumo ezingaqhelekanga zithetha ukuba ugqirha wakho ufunde okungakumbi ngempilo yakho. Ngamanye amaxesha, iziphumo ze-MCH ezingaqhelekanga zinokuba yinto ekufuneka ijongwe kwaye inyangwe, njengesifo segazi esizuzwe njengelifa. Kodwa ngamanye amaxesha, inokuba yinto yexesha elifutshane kwaye akukho nto ibalulekileyo ukuyikhathaza. Ukuba ukhathazekile okanye ukhathazekile ngeziphumo zakho ze-MCH, thetha nogqirha wakho ngayo kwaye uyithelekise nezinye iziphumo ze-CBC ukuze ubone ukuba ivakala njani.

Umyalezo Wokuya Ekhaya

I-MCH linani elibalulekileyo kwingxelo yakho yovavanyo lwegazi. Ikuxelela umyinge we-hemoglobin kwenye yeeseli zakho ezibomvu zegazi.

• I-Hemoglobin yiproteni ethwala ioksijini emzimbeni wonke.
• Ixabiso eliphantsi le-MCH linokuba luphawu lwe-anemia. Oku kunokubangelwa kukunqongophala kwe-iron, izifo ezithile zegazi, kunye neemeko zokudumba ezihlala ixesha elide.
• Ixabiso eliphezulu le-MCH likwaluphawu lolunye uhlobo lwe-anemia. Oku kunokubangelwa zizinto ezifana nokunqongophala kwe-folate okanye i-vitamin B12, ukusetyenziswa kotywala, okanye iingxaki ze-thyroid.
• Musa ukoyika ukuba ixabiso lakho le-MCH aliqhelekanga. Ugqirha wakho uza kulithelekisa nezinye iimpawu zovavanyo, enze ezinye iimvavanyo ukuba kuyimfuneko, aze akunike iingcebiso kunye nonyango olufanelekileyo.

Ukuba unemibuzo malunga nokuba yintoni ekwingxelo yakho yegazi, kungcono ubuze ugqirha wakho.

I- MCH, i-hemoglobin, iiseli ezibomvu zegazi, i-anemia, uvavanyo lwegazi, i-CBC, impilo