Ingabe nawe uzizwa ukhathele futhi ungenampilo ngaso sonke isikhathi? Ingabe ngezinye izikhathi uzizwa unesizungu noma izitho zakho zomzimba ziyabanda? Esinye sezizathu zalezi zinto kungaba ukwehla kwenani le-hemoglobin egazini lakho. Ngakho-ke namuhla, ake sixoxe kalula nangobungane ngokuthi iyini le-hemoglobin, ukuthi iyini i-test eyilinganisayo, nokuthi yiziphi izifo engazithola.
Kalula nje, iyini i-hemoglobin?
Cabanga ngakho, amangqamuzana egazi abomvu 'ayimaloli' amancane athwala umoya-mpilo emizimbeni yethu yonke. Bese kuthi eliyinhloko elifaka umoya-mpilo kulawo maloli bese liwusabalalisa kuzo zonke izingxenye zomzimba libizwa ngokuthi i-hemoglobin . Lena iphrotheni ekhethekile etholakala kumaseli abomvu egazi. I-hemoglobin iqukethe insimbi. Yile nsimbi ebopha umoya-mpilo futhi isize ukuwuthwala isuka emaphashini iye kuzo zonke ezinye izitho nezicubu emzimbeni.
Kalula nje, inani le-hemoglobin egazini lakho likunikeza umbono omuhle wokuthi amangqamuzana akho abomvu egazi aphilile kangakanani. Ukwazi leli zinga kungasiza udokotela wakho ukuthi ahlole izifo ezihlobene negazi nezinye izimo, njenge-anemia.
Kungani kwenziwa lokhu kuhlolwa kwe-hemoglobin?
Uma uya kohlolwa njalo, udokotela wakho cishe uzoyala ukuhlolwa kwe-hemoglobin njengengxenye yokubalwa kwegazi okuphelele (i-CBC). I-CBC ilinganisa inani lamaseli abomvu egazi, amaseli amhlophe egazi, nama-platelet egazini lakho. Lolu lwazi lungakunikeza isithombe esihle sempilo yakho iyonke.
Ngaphezu kwalokho, uma unezimpawu zamazinga aphansi noma aphezulu e-hemoglobin, udokotela wakho uzokutusa nakanjani lokhu kuhlolwa.
| Izimpawu zamazinga aphansi e-hemoglobin | Izimpawu zokwanda kwamazinga e-hemoglobin |
|---|---|
| Ukuzizwa njalo kokukhathala okukhulu | Ikhanda elibuhlungu |
| Isikhumba esimpunga (ikakhulukazi ubuso, izindebe, kanye nezandla) | Umbono ofiphele noma umbono ophindwe kabili |
| Ubuthakathaka/ubuthakathaka | Isiyezi |
| Isiyezi | Isikhumba esilumayo |
| Ubunzima bokuphefumula (ukuphelelwa umoya ngisho noma uhamba kancane) | Ingozi yokuqhekeka kwegazi |
| Izandla nezinyawo ezibandayo | - |
Ingabe udinga ukulungiselela ngaphambi kokuhlolwa?
Ukuhlolwa okuhlola amazinga e-hemoglobin akudingi noma yiluphi uhlobo lokulungiselela okukhethekile. Kungenziwa ngemizuzu embalwa nje.
Kodwa-ke, ngezinye izikhathi udokotela wakho uzo-oda ukuhlolwa kwegazi okwengeziwe kanye nalokhu kuhlolwa. Uma kunjalo, uzocelwa ukuthi uzile ukudla (ngaphandle kokudla noma ukuphuza) amahora ambalwa ngaphambi kokuhlolwa. Ngakho -ke kungcono ukucela udokotela wakho imiyalelo eqondile.
Ulwenza kanjani lolu vivinyo?
Lokhu kulula kakhulu. Udokotela noma umhlengikazi uzothatha isampula encane yegazi emthanjeni ongalweni yakho (eduze kwendololwane) noma ngemuva kwesandla sakho. Kumntwana omncane, ithonsi legazi lingathathwa esithendeni noma esihlokweni somunwe.
Okokuqala, indawo ihlanzwa ngotshwala, bese kubekwa ibhande elinwebekayo elizungeze ingalo engenhla ukuze kuvezwe umthambo. Ngemuva kwalokho, kufakwa inaliti encane emthanjeni. Uzozwa umuzwa omncane wokuhlaba lapho inaliti ifakwa, kodwa ihlala isikhathi esifushane. Ngemuva kwalokho, igazi liqoqwa ebhodleleni elincane bese lithunyelwa elabhorethri ukuze lihlolwe.
Uthini umbiko wokuhlolwa?
Lokhu kuhlolwa kuzokukhombisa kahle ukuthi izinga lakho le-hemoglobin lijwayelekile, liphansi, noma liphezulu. Kungakunikeza nombono wokuthi lesi simo sibi kangakanani.
Kodwa lokhu akusitsheli kahle ukuthi yini eyabangela izinga le-hemoglobin elingajwayelekile.
Lokhu kufana nokuhlola ukuthi amanzi asethangini lamanzi lendlu aphansi noma aphezulu. Uma amanzi ephansi, udinga ukubheka ngokwehlukana ukuze uthole ukuthi imbangela iyimpompi evulekile, imbobo ethangini, noma inkinga ngenjini. Ngokufanayo, ukuthola imbangela ye-hemoglobin ephansi/ephezulu, udokotela uzobheka izimpawu zakho kanye nayo yonke eminye imibiko yokuhlolwa ukuze afinyelele esinqumweni.
Yiziphi izindinganiso ze-hemoglobin ezijwayelekile?
Izinga le-hemoglobin elijwayelekile lomuntu omdala liphakathi kwamagremu angu-12 no-17.4 nge-deciliter ngayinye yegazi (`12 g/dL - 17.4 g/dL`). Kodwa-ke, leli nani lingahluka kancane kuye ngobudala bakho, ubulili, kanye nohlanga. Futhi, izinto ezihlobene nendlela yakho yokuphila zingathinta izinga le-hemoglobin yakho, njenge:
- Ukuphakama kwendawo ohlala kuyo
- Ukudla kwakho
- Inani lokuzivocavoca
- Eminye imithi oyithathayo
Kusho ukuthini ukuthi i-hemoglobin ephansi isho ukuthini?
I-anemia yisimo lapho izinga le-hemoglobin liphansi kunokuvamile. Lokhu kungasho ukuthi umzimba wakho awukhiqizi amangqamuzana abomvu egazi anele, noma ukuthi amangqamuzana abomvu egazi awakhiqizayo abhujiswa ngokushesha okukhulu. Futhi, ukopha isikhathi eside (isib., ukuya esikhathini okukhulu, izilonda zesisu) kuyimbangela enkulu ye-hemoglobin ephansi.
Ezinye izizathu ezingabangela i-hemoglobin ephansi:
- Ukuntuleka kwensimbi
- Ukuntuleka kokudla okunempilo, njenge-vitamin B12 noma i-folic acid
- Umdlavuza othinta igazi noma umongo wamathambo
- I-Thalassemia
- Isifo sezinso
- Isifo sesibindi
- Isifo se-sickle cell
- Ukopha ngenxa yokuhlinzwa, ingozi, noma esinye isizathu
Kusho ukuthini ukwanda kwe-hemoglobin?
Ezinye izimo zezokwelapha zingabangela ukwanda kwenani lamaseli akho abomvu egazi, okubangela ukuba izinga le-hemoglobin yakho likhuphuke. Lokhu kwenza igazi lakho libe likhulu futhi kwehlise ukuhamba kwegazi. Lokhu kunganciphisa inani lomoya-mpilo elitholwa yizitho zakho. Ukuphelelwa amanzi emzimbeni nakho kungandisa okwesikhashana izinga le-hemoglobin yakho.
Kunezizathu eziningana ezingabangela ukwanda kwe-hemoglobin egazini:
- Isimo esibizwa ngokuthi 'i-Polycythemia vera'
- Isifo senhliziyo esizalwa naso
- Ezinye izifo zezinso, okuhlanganisa nomdlavuza wezinso
- Isifo samaphaphu esingamahlalakhona (i-COPD, i-pulmonary fibrosis)
Ingabe lokhu kufana nokuhlolwa kwe-hemoglobin A1c (HbA1c)?
Yilapho abantu abaningi bedideka khona. Ukuhlolwa kwe-hemoglobin okujwayelekile kanye ne-hemoglobin A1c (`HbA1c`) kuyizivivinyo ezimbili ezihluke ngokuphelele.
- Ukuhlolwa kwe-hemoglobin okuvamile: Lokhu kulinganisa inani le-hemoglobin egazini lakho. Kusetshenziswa kakhulu ukuxilonga izimo ezifana ne-anemia.
- Ukuhlolwa kwe-Hemoglobin A1c (`HbA1c`): Lokhu kwenzelwa ukuxilonga isifo sikashukela (`Diabetes Mellitus`) noma ukubona ukuthi umuntu onesifo sikashukela ulawule amazinga kashukela egazini lakhe ezinyangeni ezi-2-3 ezedlule. Ushukela (i-glucose) egazini lakho unamathela ku-hemoglobin. I-`HbA1c` ilinganisa iphesenti le-hemoglobin enalo shukela.
Into ebaluleke kakhulu ukuthi uqonde ukuthi lezi zivivinyo ezimbili zenziwa ngezinhloso ezimbili ezihluke ngokuphelele.
Uma umbiko wakho ubonisa amanani angajwayelekile, udokotela wakho uzokuchazela lokhu. Angase futhi acele ukuhlolwa okwengeziwe ukuthola imbangela. Ukwelashwa kuncike embangela eyisisekelo yokushintsha kwezinga le-hemoglobin yakho. Ngakho-ke xoxa ngalokhu njalo nodokotela wakho futhi ulandele iseluleko sakhe.
Umlayezo Wokuya Nawe Ekhaya
- I-Hemoglobin yiprotheni ebaluleke kakhulu emangqamuzaneni abomvu egazi ethwala umoya-mpilo emzimbeni wakho wonke.
- Izimpawu ezinjengokukhathala njalo, ukuphaphatheka, kanye nesiyezi kungaba izimpawu ze-hemoglobin ephansi.
- Ukuhlolwa kwe-hemoglobin kuyindlela elula kakhulu, cishe engenazo izingozi zokuhlola igazi engenziwa ngemizuzu embalwa nje.
- Uma umphumela wokuhlolwa ungajwayelekile, kufanele nakanjani ubone udokotela ukuze uthole imbangela. Ungazami ukuzixilonga ngokubheka ku-inthanethi.
- Ukuhlolwa kwe-hemoglobin okuvamile kanye nokuhlolwa kwe-hemoglobin A1c (HbA1c) kwesifo sikashukela kuyizivivinyo ezimbili ezihluke ngokuphelele.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment