Ngaba wakha wafumana ingxelo yegazi, ingakumbi inani elipheleleyo legazi, waza wazibuza, "Yintoni le?" Ukuba ixabiso le-RDW kuloo ngxelo liphezulu kunesiqhelo, ugqirha wakho angasebenzisa igama elithi "Anisocytosis." Eli gama linokuba loyikeka kancinci ukuliva, kodwa ungakhathazeki. Makhe sithethe ngalo ngokulula nangokucacileyo namhlanje.
Ngamafutshane, yintoni i-Anisocytosis?
I-Anisocytosis ayisosifo. Ligama elisetyenziswa ngoogqirha. Ngamafutshane, lithetha ukuba iiseli zakho ezibomvu zegazi (ii-RBC) azilingani ngobukhulu, kodwa zinobukhulu obahlukeneyo. Ezinye iiseli zinokuba nkulu kunesiqhelo, ezinye zinokuba ncinci, okanye zidibene zombini.
Ngokwesiqhelo, iiseli ezibomvu zegazi zomntu ophilileyo zilingana ngobukhulu. Ngoko ke lo mahluko ngobukhulu sisibonakaliso nje kuthi malunga nento eyenzekayo ngaphakathi emzimbeni wethu. Ke ngoko, oku asikuthathi njengesifo, kodwa njengophawu lwesifo esifihlakeleyo.
Kutheni iiseli ezibomvu zegazi zibaluleke kangaka emizimbeni yethu?
Cinga ngayo njengenkonzo yokuhambisa ioksijini ethwala ioksijini emizimbeni yethu. Yiloo nto eyenziwa ziiseli ezibomvu zegazi. Zenziwa kumongo wethu wethambo kwaye zivuthwe kwiintsuku ezimalunga nesi-7.
- Umsebenzi oyintloko: Ukuthwala ioksijini, engena emiphungeni xa siphefumla, iye kwiseli nganye emzimbeni.
- Omnye umsebenzi: ukubuyisela ikharbon diokside eveliswa kwezo seli emiphungeni.
Benza oku ngokusebenzisa iproteni ebizwa ngokuba yi-hemoglobin . Iiseli ezibomvu zegazi nazo zinobume obukhethekileyo. Zifana nedonathi engenamngxuma embindini, kwaye zincinci embindini. Le milo ibenza bakwazi ukugoba nokushukuma ngokulula nakweyona mithambo yegazi mincinci emzimbeni.
Utshintsho kubungakanani, imo, okanye inani lezi seli zibomvu zegazi lunokuchaphazela ngqo impilo yethu, njengoko umbane weoksijini emzimbeni unokuba buthathaka.
Uyazi njani ukuba une-anisocytosis?
Ugqirha wakho angasebenzisa iimvavanyo ezimbini eziphambili ukufumanisa oku.
1. Ubalo lweGazi olupheleleyo (CBC): Olu lolona vavanyo lwenziwa rhoqo. Le ngxelo ibandakanya ixabiso elibizwa ngokuba yi -RDW (Ububanzi boSasazo lweeSeli zeGazi eziBomvu) . Oku kulinganisa ukuba kukho umahluko okanye umahluko ongakanani kubungakanani beeseli zakho ezibomvu zegazi.
- Ixabiso eliphezulu le-RDW lithetha ukuba kukho umahluko omkhulu kubukhulu beeseli ezibomvu zegazi.
- Ixabiso eliqhelekileyo le-RDW liphakathi kwe-12% kunye ne-15%.Ifanele ukuba phakathi.
- Kodwa khumbula, ayilo lonke ixesha ixabiso lakho le-RDW liphezulu, oko kuthetha ukuba unesifo. Eli xabiso linokunyuka kancinci ngokweminyaka, ngexesha lokukhulelwa, nasemva kokuzilolonga kakhulu.
2. I-Peripheral Blood Smear (PBS): Oku kuquka ukuthatha ithontsi lesampulu yegazi lakho uze ulijonge phantsi kwe-microscope. Oku kuvumela ugqirha ukuba abone ubungakanani kunye nokuma kweeseli ezibomvu zegazi ngamehlo omabini.
Umahluko phakathi kwe-Anisocytosis kunye nePoikilocytosis
Omabini la magama asetyenziswa ukuchaza izinto ezingaqhelekanga kwiiseli ezibomvu zegazi. Ukuze uwuqonde lula umahluko phakathi kwezi zimbini, jonga itheyibhile engezantsi.
| Imeko | Inkcazo |
|---|---|
| I-Anisocytosis | Utshintsho kubungakanani beeseli ezibomvu zegazi (iiseli ziba nkulu okanye zincinci) |
| I-Poikilocytosis | Utshintsho kwimo yeeseli ezibomvu zegazi (umz., ezimile okwesikele, ezimile okweqanda) |
Ngamanye amaxesha zombini ezi meko zinokwenzeka kunye. Oku kuthetha ukuba ubukhulu kunye nokuma kweeseli ezibomvu zegazi kuyatshintsha. Oku kudla ngokubonwa kwiimeko ezifana ne -anemia .
Ziziphi izizathu eziphambili ze-Anisocytosis?
Eyona nto ixhaphakileyo nebangela i-anisocytosis yi-anemia , into esiyibiza ngokuba "kukungabikho kwegazi." I-anemia kukungabikho kweeseli ezibomvu zegazi eziphilileyo ezithwala ioksijini eyaneleyo kwizicwili zomzimba wakho.
Iimpawu eziqhelekileyo ze-anemia
- Ukudinwa rhoqo kunye nokulala kakhulu
- Ubuthathaka
- Ulusu oluphaphathekileyo (olumnyama)
- Ubunzima bokuphefumla, okanye ukuphefumla kancinci, nokuba ungazibhokoxa kancinci
Iintlobo ze-Anisocytosis ezinokubangela i-Anemia
| Uhlobo lwe-anemia | Ingcaciso elula |
|---|---|
| I-anemia yokungabikho kwesinyithi | Oku kubangelwa kukungabikho kwe-iron emzimbeni. Kwimeko enjalo, iiseli ezibomvu zegazi zihlala zincinci (i-microcytosis). |
| I-anemia yokungabikho kweevithamini | Ngenxa yokunqongophala kwevithamini B12 okanye i-folate, iiseli ezibomvu zegazi ziba nkulu ngokungaqhelekanga (iMacrocytosis). |
| I-anemia yeseli yesickle | Imeko yelifa apho iiseli ezibomvu zegazi zimila njengesikele kwaye zitshatyalaliswa ngokukhawuleza. |
| I-autoimmune hemolytic anemia | Ukutshatyalaliswa kweeseli ezibomvu zegazi zomzimba yinkqubo yomzimba yokuzikhusela. |
Ezinye iimeko ezinxulumene ne-Anisocytosis ngaphandle kwe-anemia
Abaphandi bafumanise ukuba ukongeza kwi-anemia, ixabiso le-RDW liyanyuka kwezinye izifo ezininzi. Oko kukuthi, imeko ye-Anisocytosis iyabonakala. Ke ngoko, ixabiso le-RDW likwathathwa njengesalathisi esibonisa imeko yempilo iyonke.
Ezinye iimeko ezinokudibaniswa ne-anisocytosis ziquka:
- Isifo sentliziyo: Abantu abaninzi abaneengxaki ezifana nesifo sentliziyo kunye nesifo semithambo yegazi emithanjeni yentliziyo banemilinganiselo ephezulu ye-RDW.
- Isifo sesibindi
- Isifo sezintso
- Umhlaza othile: Umhlaza ofana ne-leukemia kunye ne-lymphoma, ingakumbi lowo uchaphazela umongo wethambo.
- I-COVID-19: Amaxabiso aphezulu e-RDW abonwe kwezinye izigulana ze-COVID-19, ingakumbi ezo zinesifo esibi kakhulu.
- Le meko inokwenzeka okwethutyana emva kotofelo-gazi okanye ngenxa yamayeza athile.
Eyona nto ibalulekileyo:Ukuxelelwa nje ngezi meko akuthethi ukuba kufuneka woyike. Ixabiso eliphezulu le-RDW akuthethi ukuba unesinye sezi zifo. Luphawu nje lokuba kufuneka ufune olunye uvavanyo.
Umyalezo Wokuya Ekhaya
- I-Anisocytosis ayisosifo. Yimeko yezonyango ebonisa ukuba iiseli zakho ezibomvu zegazi zinobukhulu obahlukeneyo. Oku kunokubonwa ngexabiso eliphezulu le-RDW kwingxelo yegazi.
- Eyona nto ixhaphakileyo yile yi-anemia ebangelwa yi-iron, i-vitamin B12, okanye ukunqongophala kwe-folate.
- Ukongeza kwi-anemia, oku kunokubonwa nakwezinye iimeko zonyango ezifana nezifo zentliziyo, zesibindi, nezezintso.
- Musa ukothuka xa ixabiso le-RDW liphezulu. Akusoloko kubonisa imeko yempilo enzulu.
- Icebiso elibalulekileyo nelikuphela kwalo kukuba ukuba kukho naluphi na utshintsho kwingxelo yakho yegazi, ingakumbi ixabiso le-RDW elonyukileyo, ngokuqinisekileyo kufuneka uthethe nogqirha wakho ngalo mba kwaye ucele icebiso lakhe. Kuphephe ukuzixilonga kunye nokuzinyanga ngokupheleleyo.
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