Xa ubona oonobumba namanani kwingxelo oyifumanayo xa uvavanywa igazi , ngamanye amaxesha kuvela umbuzo omncinci engqondweni, akunjalo? 'Zithetha ukuthini ezi CBC , RDW, kunye ne MCV?' Abantu abaninzi babuza ngeli xabiso, ingakumbi ixabiso le RDW. Ngoko ke namhlanje, masithethe ngento ethethwa yile RDW kunye nento ethethwa yile mpilo ngendlela elula kakhulu.
Masiqale sibone, yintoni le RDW?
Ngamafutshane, i-RDW, okanye i-Red Blood Cell Distribution Width , ilinganisa umahluko kubungakanani beeseli ezibomvu zegazi egazini lakho. Nangona isithi "ububanzi," oku akulinganisi ububanzi beseli, kulinganisa uluhlu lobukhulu beseli.
Cinga ngale ndlela: iiseli ezibomvu zegazi emizimbeni yethu zifana neelori ezincinci ezihambisa ioksijini. Zithatha ioksijini emiphungeni zize ziyithwale ziye kuzo zonke ezinye iindawo zomzimba. Iproteni enceda kulo msebenzi ibizwa ngokuba yihemoglobin . Ngokwesiqhelo, iiseli ezibomvu zegazi zomntu ophilileyo kufuneka zonke zibe nobukhulu obufanayo. Ukuba kukho umahluko omkhulu phakathi kobukhulu bazo, oko kuthetha ukuba kunokubakho ingxaki.
Xa usiya kugqirha, badla ngokukunika ingxelo ebizwa ngokuba yi-complete blood count (CBC), akunjalo? I-RDW yinxalenye yengxelo ye-CBC.
Ingaba i-RDW ijonga yodwa? Yintoni enye ebalulekileyo kwingxelo ye-CBC?
Ugqirha akasoze enze uxilongo ngokusekelwe kwixabiso le-RDW kuphela. Kufana neqhekeza elinye lephazili. Udinga ezinye iziqwenga ukuze ubone umfanekiso wonke. Kukho ezinye iindlela ezibalulekileyo zokulinganisa iiseli ezibomvu zegazi kwingxelo ye-CBC. Sizibiza ngokuba zii-Red Blood Cell Indices. I-RDW yenye yezo mpawu.
| Isalathiso | Kuthetha ukuthini ngokulula? |
|---|---|
| I-MCV (Umthamo oPhakathi weCorpuscular) | Ilinganisa ubungakanani obuqhelekileyo beeseli zakho ezibomvu zegazi. |
| MCH (Mean Corpuscular Hemoglobin) | Ilinganisa ubungakanani be-hemoglobin ehlala ifumaneka kwiseli ebomvu yegazi. |
| I-MCHC (Umlinganiselo we-Hemoglobin yeCorpuscular) | Ubungakanani be-hemoglobin kwiseli ebomvu yegazi buyalinganiswa. |
Ugqirha wakho uza kuhlanganisa zonke ezi mpawu ukuze afumane umbono ochanekileyo ngemeko yakho yempilo.
Ngubani omele akhathazeke ngokukodwa ngale RDW value?
Ixabiso le-RDW lidla ngokulinganiswa kuye wonke umntu ovavanyiweyo nge-CBC, kodwa ugqirha uya kunika ingqalelo ekhethekileyo kweli xabiso ukuba ukrokrela ukuba une -anemia .
I-anemia yimeko apho umzimba ungavelisi iiseli ezibomvu zegazi ezaneleyo. Jonga ukuba unayo na kwezi mpawu:
- Ukudinwa rhoqo
- Ubunzima bokuphefumla nokuba uhamba umgama omfutshane
- Ndiziva ndibanda kakhulu
- Isiyezi
- Umzimba ongenabomi
- Ulusu olukhanyayo okanye olomileyo
- Intloko ebuhlungu rhoqo
- Ukubetha kwentliziyo
Ukuba unale mpawu, ugqirha wakho uza kujonga ixabiso le-RDW ukuze azame ukufumana unobangela we-anemia yakho. Ukongeza, ixabiso le-RDW libalulekile nakwiimeko ezilandelayo:
- Ukuba kukho nabani na kusapho onezifo zegazi ezizuzwe njenge- thalassemia okanye i-sickle cell anemia.
- Ukuba unezifo ezingapheliyo ezifana nesifo seswekile okanye isifo sikaCrohn.
- Ukuba ukutya kwakho kuncinci kwi-iron kunye nezinye iiminerali.
- Ukuba unesifo sosulelo ixesha elide.
- Ukuba igazi elininzi lisusiwe emzimbeni ngenxa yengozi okanye utyando.
Athetha ukuthini amanani kwingxelo ye-RDW?
Kulungile, ngoku masibone ukuba kuthetha ukuthini ukuba nexabiso le-RDW liphezulu, liphantsi, okanye liqhelekile.
Ixabiso eliphezulu le-RDW
Ixabiso eliphezulu le-RDW lithetha ukuba kukho umahluko omkhulu kubungakanani beeseli zakho ezibomvu zegazi. Oku kuthetha ukuba ezinye iiseli zincinci kwaye ezinye zinkulu. Oku kunokuba luphawu lwe-anemia. I-anemia yokunqongophala kwe-iron, ngakumbi, inyusa ixabiso le-RDW. Ingabangelwa kukunqongophala kwezondlo ezifana ne-vitamin B12 okanye i-folate.
Ixabiso eliphantsi le-RDW
Ixabiso eliphantsi le-RDW lithetha ukuba zonke iiseli zakho ezibomvu zegazi zilingana ngobukhulu. Le yimeko entle kakhulu. Akukho nto inokubangela uxhalabe ngayo konke konke.
Ixabiso le-RDW liqhelekile
Ixabiso le-RDW 'eliqhelekileyo' (ngesiqhelo phakathi kwe-12% - 15%) lithetha ukuba akukho mahluko ubalulekileyo kubungakanani beeseli ezibomvu zegazi. Nangona kunjalo, oku akuthethi ukuba yonke into ilungile. Ngamanye amaxesha, nokuba i-RDW iqhelekile, iiseli ezibomvu zegazi zinokuba zincinci zonke (ixabiso le-MCV liphantsi). Oku kunokuba luphawu lwesifo esizuzwe njenge -thalassemia .
Eyona nto ibalulekileyo kukuba awunakukwazi ukwenza uxilongo ngokusekelwe kwixabiso le-RDW kuphela. Ugqirha uya kuthelekisa eli xabiso nexabiso le-MCV kunye nezinye iziphumo zovavanyo ukuze afumane uxilongo oluchanekileyo.
Oku kungachazwa ngakumbi kwitheyibhile engezantsi.
| Ixabiso le-RDW | Ixabiso le-MCV (ubungakanani beseli obuqhelekileyo) | Imeko ethandabuzekayo rhoqo |
|---|---|---|
| I-RDW ephezulu | I-MCV ephantsi | I-anemia yokungabikho kwesinyithi |
| I-RDW eqhelekileyo | I-MCV ephantsi | I-anemia ngenxa yeThalassemia okanye isifo esingapheliyo |
| I-RDW ephezulu | I-MCV ephezulu | Ukunqongophala kweVithamini B12 okanye i-folate |
| I-RDW ephezulu | I-MCV eqhelekileyo | Isenokuba yimeko yokuqala ye-anemia okanye isifo sesibindi. |
Ngaba kukho inqanaba 'eliyingozi' lexabiso le-RDW?
Ukubeka ngokucacileyo, akukho nto ibizwa ngokuba 'lixabiso le-RDW eliyingozi.' Oku kufana nentsimbi yesilumkiso. Kuthetha nje ukuba kukho into ekufuneka ihlolwe ngaphakathi emzimbeni. Ngoko ke ungoyiki ngokungeyomfuneko ixabiso le-RDW eliphakamileyo.
Eyona nto ingcono onokuyenza kukuthatha ingxelo yakho uze uthethe nogqirha wakho ngayo. Uza kwenza olunye uvavanyo ukuba kuyimfuneko, afumane unobangela wesifo, aze akunike unyango olufunayo.
Umyalezo Wokuya Ekhaya
- I-RDW yinxalenye nje enye ye-complete blood count yakho (CBC).
- Oku kulinganisa umahluko kubungakanani beeseli zakho ezibomvu zegazi.
- Ixabiso eliphezulu le-RDW lidla ngokuba luphawu lwe-anemia, njengokungabikho kwe-iron.
- Ixabiso eliphantsi le-RDW likwimeko entle kakhulu. Akukho sizathu sokukhathazeka ngalo.
- Awunakuyifumanisa nasiphi na isifo ngokujonga ixabiso le-RDW kuphela. Ugqirha ulithelekisa namanye amaxabiso afana ne-MCV.
- Ukuba unemibuzo okanye amathandabuzo malunga nexabiso elikwingxelo yakho, eyona nto ilungileyo nekhuselekileyo onokuyenza kukuthetha nogqirha wakho ngayo.
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