Ngaba wakha wathabatha ingxelo yegazi, wajonga oonobumba namanani akuyo, waza wacinga, 'Yintoni le?' CBC, WBC, RBC, MCH... Uninzi lwala magama asiqhelekanga kuthi, akunjalo? Ngamanye amaxesha sivele soyike xa siwabona. Ngoko ke namhlanje siza kuthetha ngexabiso elinye elinjalo, oko kukuthi, ixabiso le-MCH. Makhe sibone ukuba lithetha ukuthini, kwaye lithini ngomzimba wethu xa unyuka okanye uncipha.
Masiqale sibone, yintoni i-MCH?
I-MCH sisifinyezo samagama esiNgesi athi 'Mean Corpuscular Hemoglobin'. Ngamazwi alula, oku kulinganisa
ukuba ingakanani i-hemoglobin ekwiseli yakho ebomvu yegazi . Ngoku usenokuba uzibuza, 'Yintoni le hemoglobin?' I-Hemoglobin yiproteni ekhethekileyo efumaneka kwiiseli zethu ezibomvu zegazi ezithwala ioksijini emzimbeni wonke. Ngokuchanekileyo, le hemoglobin 'yinkonzo yokuhambisa' ehambisa ioksijini esiyithathayo emiphungeni yethu ukuya kwiseli nganye emzimbeni. Ngoko ke ixabiso le-MCH lixabiso eliqhelekileyo lokuba ingakanani imithwalo (i-hemoglobin ethwala ioksijini) ekwizithuthi (iiseli zegazi ezibomvu) zale nkonzo yokuhambisa. Ngokwesiqhelo, uya kufumanisa ngeli xabiso le-MCH xa wenza uvavanyo lwegazi olubizwa ngokuba
yi-CBC (Complete Blood Count) . Olu luvavanyo oluqhelekileyo kakhulu. Ugqirha usebenzisa eli xabiso ukunceda ekuqinisekiseni ukuba unesifo sokungatyi kakuhle, ingxaki yesibindi, okanye enye imeko yezonyango.
Intshayelelo emfutshane kuvavanyo lwe-CBC (Complete Blood Count)
Olu vavanyo lubaluleke kakhulu kuba lunokubonelela ngolwazi malunga neenxalenye eziphambili zegazi lakho. Ngokuyintloko:
- Iiseli zegazi ezibomvu : Ezi ziiseli ezithwala ioksijini esisandula ukuthetha ngazo.
- Iiseli zegazi ezimhlophe : Njengomkhosi wemizimba yethu olwa neentsholongwane.
- I-Hemoglobin : Umthwali weoksijini kwiiseli ezibomvu zegazi.
- Iiplatelets: Iiseli ezinceda ukujiya kwegazi xa kukho ukwenzakala.
Ugqirha wakho unokuyalela olu vavanyo njengenxalenye yokuhlolwa kwakho konyaka, okanye ukuba ukrokrela ukuba kukho imeko yempilo esekwe kwiimpawu zakho (umz., ukudinwa, ukuba mhlophe). Oku kuquka ukuthatha isampuli encinci yegazi emthanjeni osengalweni yakho. Lithunyelwa kwilebhu ukuze livavanywe kwaye linikwe ingxelo.
Ixabiso le-MCH lifanele libe lingakanani ngokwesiqhelo?
Iyunithi yokulinganisa ye-MCH yi
Iipigram (iipigram okanye iipg). Ngokwesiqhelo, eli xabiso kumntu omdala osempilweni nomntwana liphakathi kwe -27 pg kunye ne-31 pg . Kumntwana osandul' ukuzalwa, eli xabiso liphezulu kancinci, oko kukuthi, linokuba ukusuka kwi-32 pg ukuya kwi-34 pg . Kodwa khumbula, la maxabiso anokwahluka kancinci kwilabhoratri nganye, ngoko ke kungcono ukuwathelekisa 'noLuhlu oluQhelekileyo' kwingxelo yakho.
Kuthekani ukuba ixabiso le-MCH liphantsi?
Ixabiso eliphantsi le-MCH lithetha ukuba iiseli zakho ezibomvu zegazi zine-hemoglobin engaphantsi kuneqhelekileyo. Oku kunokubangela ukuba iiseli zakho ezibomvu zegazi zibonakale 'ziphaphathekile' okanye 'zingathandeki'. Kukho izizathu ezininzi eziphambili zoku. Makhe sijonge ukuba ziyintoni kwaye zithini iimpawu. | Isizathu sexabiso eliphantsi le-MCH | Iimpawu ezinokubonwa |
|---|
| I-anemia yeyona nto ixhaphakileyo. Ibangelwa kukungabikho kweeseli ezibomvu zegazi ezisempilweni zokuhambisa ioksijini emzimbeni. Oku kunokubangelwa kukunqongophala kwe-iron, i-vitamin B12, okanye i-folate. | |
| I-Hemoglobinopathy zizifo ezizuzwe njengelifa ezibangelwa ziziphene kwimo yemolekyuli ye-hemoglobin okanye kwinkqubo yokuveliswa kwayo. Imizekelo: I-Thalassemia kunye neSickle Cell Disease. | Kwi-thalassemia: iimpawu ze-anemia, ukudumba kwesisu, umchamo omnyama. Kwisifo se-sickle cell: iimpawu ze-anemia, umchamo omnyama, ukutyheli kwamehlo, iintlungu kunye nokudumba ezandleni nasezinyaweni, kunye nentlungu enzima emzimbeni ngamanye amaxesha. |
Ngaba ixabiso le-MCH linganyuka?
Ewe, ngamanye amaxesha ixabiso le-MCH linokuba phezulu kunesiqhelo. Oku kuthetha ukuba iiseli zakho ezibomvu zegazi zikhulu kunesiqhelo. Le meko ngokwezonyango ibizwa ngokuba yiMacrocytosis . Uninzi lwexesha, oku akuyonto ibalulekileyo. Kodwa ngamanye amaxesha, kunokuba luphawu lwesifo esithile. Izizathu zokunyuka kwexabiso le-MCH:
- Ukunqongophala kweVithamini B12 okanye iFolate: Musa ukumangaliswa, xa ezi zondlo ziphantsi, i-anemia (i-MCH enciphileyo) inokwenzeka, kunye nokwanda kweeseli ezibomvu zegazi (i-MCH eyandayo). Oku kubizwa ngokuba yiMacrocytic Anemia.
- Ezinye izifo zesibindi: Iingxaki ezithile ngokusebenza kwesibindi zinokubangela ukuba amanqanaba e-MCH anyuke.
- Ukusela utywala kakhulu: Ukusela utywala kakhulu ixesha elide nako kuyimbangela yoku.
- I-Hypothyroidism: Oku kwenzeka xa umzimba uvelisa iihomoni ze-thyroid ezimbalwa.
- Lo mahluko ungabangelwa nangamayeza athile: amayeza afana ne-chemotherapy, amanye amayeza okubulala iintsholongwane, kunye namayeza okubulala iintsholongwane.
- Ezinye iintlobo zomhlaza ezinxulumene negazi.
Into ebalulekileyo kukuba amanqanaba aphezulu e-MCH awabangeli zimpawu ezithile. Nangona kunjalo, isifo esibangela loo nto sinokubangela iimpawu. Umzekelo, ukuba une-Hypothyroidism, unokufumana iimpawu ezinje ngokudinwa, ukunyuka kobunzima, ukungaziva kakuhle ezandleni zakho nakwiminwe, kunye nentlungu yemisipha. Ukuba unesifo sesibindi, unokufumana iintlungu zesisu esingentla, ukuphelelwa ngumdla wokutya, kunye nokutyheli kwamehlo. Umyalezo Wokuya Ekhaya
- I-MCH lixabiso elinye kuphela kwingxelo yegazi lakho. Inika umbono ngokubanzi wobungakanani be-hemoglobin kwiiseli zakho ezibomvu zegazi.
- Ixabiso eliphantsi okanye eliphezulu le-MCH linokubangelwa yimeko eqhelekileyo efana ne-anemia, okanye ngamanye amaxesha linokuba luphawu lwemeko embi kakhulu efuna ingqalelo engakumbi.
- Ungaze uzixilonge ngokusekwe kuvavanyo lwegazi okanye ukhangele ulwazi kwi-intanethi. Oku kuya kubangela uxinezeleko olungeyomfuneko.
- Ukuba kukho utshintsho kwixabiso lakho le-MCH okanye naliphi na elinye ixabiso, ngugqirha wakho kuphela onokukunika icebiso elilungileyo nelichanekileyo. Uza kwenza olunye uvavanyo, ukuba kuyimfuneko, ukuze afumane unobangela ochanekileyo, aze anike unyango olufunekayo.
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