Ngaba wakha wathatha ingxelo yakho yovavanyo lwegazi, oko kukuthi, ingxelo ethi 'Full Blood Count' (FBC) edla ngokubhalwa ngugqirha, waza wadideka ngoonobumba namanani akuyo? Kukho amagama anjenge-MCV, MCH, PLT, RDW, elinye emva kwelinye. Usenokungakwazi ukuqonda ukuba la magama athetha ukuthini. Ungakhathazeki, abantu abaninzi bavakalelwa ngaloo ndlela. Namhlanje, masiqonde ngendlela elula neyokuncokola ukuba yintoni ixabiso elinye elibalulekileyo kule ngxelo, oko kukuthi, yintoni i-RDW .
Ithetha ukuthini i-RDW nje?
Ngamafutshane, i-RDW imele iRed Blood Cell Distribution Width . NgesiSinhala, ithetha 'Red Blood Cell Distribution Width'. Kodwa musa ukudideka yilo gama. Masiyiqonde lula le nto.
Khawuthelekelele ukuba iiseli ezibomvu zegazi emzimbeni wakho ziibhola ezincinci ezibomvu. Ezi bhola zithwala ioksijini esuka emiphungeni yethu ukuya kuyo yonke indawo yomzimba, kuwo onke amalungu omzimba. Njengeesilinda zegesi. Ngoko ke, le oksijini ibalulekile kwiseli nganye emzimbeni ukuze isebenze kwaye ivelise amandla.
Kumntu ophilileyo, ezi seli zibomvu zegazi zilingana ngobukhulu nangobume . Njengeqela leelamuni ezivela evenkileni. Kusenokubakho umahluko omncinci, kodwa akukho mahluko mkhulu.
Uvavanyo lwe-RDW lulinganisa ukuba iiseli zakho ezibomvu zegazi zahlukile kangakanani ngobukhulu. Oko kukuthi, lujonga ukuba zonke iiseli zakho ezibomvu zegazi zilingana ngobukhulu, okanye nokuba ezinye zincinci, ezinye zinkulu, okanye nokuba zobukhulu obahlukeneyo.
Nangona igama elithi 'Ububanzi', eli alilinganisi ububanzi beseli yegazi. Endaweni yoko, lilinganisa ubungakanani bomahluko kubungakanani beeseli zegazi.
Ixabiso eliphezulu le-RDW lithetha ukuba kukho umahluko omkhulu kubukhulu beeseli ezibomvu zegazi. Ezinye zincinci kakhulu, ezinye zinkulu kakhulu. Ixabiso eliqhelekileyo le-RDW lithetha ukuba uninzi lweeseli ezibomvu zegazi zilingana ngobukhulu.
Yintoni ubudlelwane phakathi kovavanyo lwe-RDW kunye nenani elipheleleyo legazi (i-CBC)?
Ugqirha wakho akayi kuyalela uvavanyo lokujonga i-RDW kuphela. Oku kudla ngokwenziwa njengenxalenye yokubalwa kwegazi okupheleleyo (CBC) . Sikwabiza oku ngokuba yi-FBC (Full Blood Count).
Ingxelo ye-FBC inika ulwazi malunga neenxalenye ezintathu eziphambili zegazi lakho:
- Iiseli zegazi ezibomvu
- Iiseli zegazi ezimhlophe
- Iiplatelets
Le ngxelo ye-FBC inecandelo elikhethekileyo elichaza iiseli ezibomvu zegazi kuphela. Libizwa ngokuba zii-RBC Indices.I-RDW yenye yezo RBC Indices. Makhe sijonge amaxabiso aphambili kweli candelo.
| Igama lovavanyo (i-RBC Index) | Yintoni elinganiswa nje? |
|---|---|
| I-RDW (Ububanzi boSasazo lweeSeli eziBomvu) | Ilinganisa ubungakanani beeseli ezibomvu zegazi. |
| I-MCV (Umthamo oPhakathi weCorpuscular) | Ubungakanani obuqhelekileyo beseli ebomvu yegazi buyalinganiswa. |
| MCH (Mean Corpuscular Hemoglobin) | Ilinganisa ubungakanani be-hemoglobin ehlala ifumaneka kwiseli enye ebomvu yegazi. |
| I-MCHC (Umlinganiselo we-Hemoglobin yeCorpuscular) | Ilinganiswa njani i-hemoglobin ngaphakathi kwiseli ebomvu yegazi? |
Xa ugqirha ehlola imeko yakho yempilo, ingakumbi imeko efana ne -anemia, bajonga zonke ezi xabiso kunye. Abenzi sigqibo ngokusekelwe kwixabiso elinye kuphela.
Lufuneka nini uvavanyo lwe-RDW?
Ukuba uneempawu ezibonisa ukuba une-anemia, ugqirha wakho unokuyalela uvavanyo lwe-FBC. Oku kuya kujonga nexabiso lakho le-RDW. I-anemia ixa ungenazo iiseli zegazi ezibomvu ezisempilweni ezaneleyo zokuthwala ioksijini emzimbeni wakho.
Iimpawu ezinokuthi zibonise ukuba une-anemia
Ukuba uneempawu ezinjalo, kubalulekile ukufuna iingcebiso zonyango:
- Ukuziva udiniwe kakhulu rhoqo
- Ukuphefumla kancinci nokuba uhamba kancinci
- Ndiziva ndibanda ngalo lonke ixesha
- Isiyezi okanye ukuba nentloko ebuhlungu
- Ulusu olukhanyayo okanye olomileyo
- Ihlala ihleliIntloko ebuhlungu
Iimeko zonyango ezinokubangela ixabiso eliphezulu le-RDW
Uvavanyo lwe-RDW, kunye nezinye izalathisi ze-RBC, zinokunceda ekufumaneni unobangela we-anemia. Zininzi izizathu ezahlukeneyo ze-anemia.
- Ukunqongophala kweevithamini kunye neeminerali: I-anemia, ingakumbi ebangelwa yi -iron, i-vitamin B12, kunye nokunqongophala kwe-folate , inokubangela ixabiso eliphezulu le-RDW.
- I-Thalassemia: Le yimeko yemfuza.
- Izifo ezingapheliyo: Izigulo ezihlala ixesha elide ezifana nesifo seswekile, isifo sikaCrohn, kunye ne-HIV.
- Isifo sezintso okanye sesibindi
- Umhlaza
- Isifo sentliziyo
- Ukopha kakhulu ngenxa yengozi okanye utyando.
Olu vavanyo lwe-RDW lwenziwa njani? Ngaba yinto yokoyika?
Akunjalo konke konke. Olu luvavanyo lwegazi oluqhelekileyo nolulula kakhulu. Luthatha imizuzu embalwa nje.
Akukho nto ikhethekileyo ekufuneka uyilungiselele ngaphambi kokuba utsale igazi lakho. Nangona kunjalo, ukuba ugqirha wakho umisele olunye uvavanyo, olufana novavanyo lweswekile yegazi lokuzila ukutya, kunye ne-FBC, kuya kufuneka uzile ukutya kangangeeyure ezithile. Ugqirha wakho uya kukucebisa ngale nto.
Nantsi into eyenzekayo xa kutsalwa igazi:
1. Umongikazi okanye ugqirha uza kufumana umthambo olungileyo kufutshane nengqiniba yakho okanye ngasemva kwesandla sakho.
2. Coca indawo yokufaka inaliti kakuhle nge-alcohol swab.
3. Ibhendi yerabha (njenge-tourniquet) iqiniswa kancinci ngaphezulu kwendawo yokufaka inaliti ukunceda umthambo uphume ngcono.
4. Emva koko inaliti ifakwa emthanjeni ize iqokelelwe igazi elifunekayo kwibhotile encinci. Usenokuziva urhawuzelelwa kancinci xa inaliti ifakwa.
5. Nje ukuba igazi litsalwe, inaliti iyasuswa, kubekwe iqhekeza lekotoni kwindawo leyo, kufakwe iplasta encinci.
Ngokwesiqhelo ungahamba kwangoko emva kokunika igazi. Ngamanye amaxesha ungaziva unesizungu, kodwa uya kucelwa ukuba uhlale imizuzu embalwa. Indawo apho inaliti ifakwe khona isenokuba luhlaza okwesibhakabhaka, kodwa oku kuya kuphela ngokwako kwiintsuku ezimbini ukuya kwezintathu. Olu luvavanyo olukhuselekileyo kakhulu.
Ungaziqonda njani iziphumo ze-RDW?
Ixabiso lakho le-RDW liboniswa njengepesenti (%). Makhe sibone ukuba elo xabiso liqhelekile, liphezulu, okanye liphantsi.
| Isiphumo | Intsingiselo |
|---|---|
| I-RDW eqhelekileyo | Oku kuthetha ukuba iiseli zakho ezibomvu zegazi zilingana ubukhulu becala. Ixabiso le-RDW lidla ngokuba phakathi kwe -12% kunye ne-15% . Nangona kunjalo, la maxabiso anokwahluka kancinci ngokuxhomekeke kwilebhu eyenza uvavanyo. Uluhlu oluqhelekileyo lwale lebhu lukhankanyiwe kwingxelo yakho. Kubalulekile: Ukuba i-RDW iqhelekile, kodwa elinye ixabiso (elifana ne-MCV) lingaqhelekanga, linokubonisa imeko yempilo. |
| I-RDW ephezulu | Oku kuthetha ukuba kukho umahluko omkhulu kubungakanani beeseli ezibomvu zegazi. Ezinye zincinci, ezinye zinkulu. Oku kungaba luphawu lwe-anemia okanye enye imeko enxulumene noko. Ixabiso le-RDW liphezulu kakhulu kwi-anemia ebangelwa kukungabikho kwe-iron. Ugqirha uza kuthelekisa ixabiso le-RDW nexabiso le-MCV ukuze afikelele kwisigqibo. |
| I-RDW ephantsi | Ixabiso le-RDW elingaphantsi komlinganiselo oqhelekileyo alisoloko liyinto yokuxhalaba. Alinxulunyaniswa nayo nayiphi na imeko ethile yempilo. |
Kubaluleke kakhulu: Musa ukucinga ukuba unesifo ngokusekelwe ekubeni i-RDW yakho iphezulu okanye iqhelekile. I-RDW yinxalenye enye nje yephazili enkulu. Ugqirha wakho uza kusebenzisa amanye amaxabiso kwingxelo ye-FBC, iimpawu zakho, kunye nezinye iimvavanyo, ukuba kuyimfuneko, ukwenza uxilongo oluchanekileyo.
Wakuba ufumene ingxelo yegazi, yiyise kugqirha wakho onyangayo uze uxoxe ngayo ngokucacileyo. Mbuze nayiphi na imibuzo okanye iinkxalabo onokuba nazo.
Umyalezo Wokuya Ekhaya
- I-RDW (Ububanzi boSasazo lweeSeli zeGazi eziBomvu) luvavanyo olulinganisa umahluko kubukhulu beeseli zakho ezibomvu zegazi.
- Oku kudla ngokwenziwa njengenxalenye yokubala igazi ngokupheleleyo (FBC/CBC).
- Ixabiso eliphezulu le-RDW linokuba luphawu lwe-anemia, kodwa lodwa alanele ukuxilonga.
- Ukwehla kwexabiso le-RDW akusoloko kuyingxaki.
- Wakuba ufumene ingxelo yakho yovavanyo lwegazi, soloko uxoxa ngeziphumo nogqirha wakho, endaweni yokutsiba ufikelele kwizigqibo ngokwakho.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Yintoni 'uVavanyo lweGazi lwe-MCH' kwingxelo yegazi (FBC/CBC)? Inxulumene njani ne-RDW?
I-'MCH (Mean Corpuscular Hemoglobin)' kwiFull Blood Count yakho (FBC) 'sisixa seHemoglobin' (iproteni yesinyithi enika igazi umbala walo obomvu kwaye ithwala ioksijini) ngaphakathi kwenye yeeseli zakho ezibomvu zegazi (RBC). I-'RDW' kwinqaku lakho 'kukuguquguquka kobukhulu/ubukhulu' beeseli zegazi. Kukuthatha la maxabiso mabini (i-MCH kunye ne-RDW) kunye apho oogqirha banokumisela ukuba loluphi uhlobo lwe-anemia onayo!
💬 Kutheni ixabiso lam le-MCH liphantsi ngokungaqhelekanga (i-MCH ephantsi) kwingxelo yam? Ingaba liyingozi?
Ixabiso 'eliphantsi le-MCH' (lidla ngokuba ngaphantsi kwee-picogram ezingama-27) lithetha ukuba iiseli zakho zegazi azinayo i-iron (iiseli zegazi ziphaphathekile). Isizathu esiphambili nesingunombolo 1 soku yi-'Iron Deficiency Anemia' - i-iron enganeleyo emzimbeni ukuvelisa igazi ngokufanelekileyo! Ukongeza, izifo zegazi ezibangelwa yimfuza ezifana neThalassemia nazo zinokubonisa ixabiso eliphantsi kakhulu le-MCH.
💬 Ukuba i-MCH/Hemoglobin egazini iphantsi, zeziphi iimeko ezibulalayo ezifuna ukulaliswa esibhedlele/utofelo-gazi ngokukhawuleza?
Oku kungalungiswa kwiinyanga ezimbalwa ngokuthatha iipilisi zesinyithi. Kodwa eyona ngozi inkulu! 1) Ukuba oku kulahlekelwa ligazi kukubangela ukuba ube 'neentlungu zesifuba / i-Angina', 2) Ukuba uhlala unesizungu kwaye ulahlekelwa zingqondo, 3) Ukuba isantya sentliziyo yakho sikhawuleza ngendlela engaqhelekanga, intliziyo yakho isenokungafumani ioksijini eyaneleyo kwaye intliziyo yakho inokuma (ukusilela kwentliziyo)! Kufuneka ulaliswe esibhedlele ngoko nangoko!
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