Ingabe umbiko wakho wegazi uthi i-RDW? Ake sibone ukuthi iyini! (Ukuhlolwa Kwegazi kwe-RDW)

Ngezinye izikhathi uma wenza ukuhlolwa kwegazi, ungase ubone inani elibizwa ngokuthi i-RDW embikweni. Bese ungase ucabange, 'O, iyini le-RDW?' Ungakhathazeki, kulula kakhulu. Namuhla, sizoxoxa ngalokhu kuhlolwa kwegazi okubizwa ngokuthi i-RDW (Ububanzi Bokusabalalisa Amaseli Egazi Abomvu), okulula njengokukhuluma nomngane.

Kuyini i-RDW (Ububanzi Bokusabalalisa Amaseli Abomvu)?

Kalula nje, lokhu kuhlolwa kwegazi okubizwa ngokuthi i-RDW kubheka ukuthi unamangqamuzana abomvu amangaki, nokuthi lawo maseli anamasayizi namavolumu amangaki ahlukene. Uyazi, yilawa maseli abomvu egazi athwala umoya-mpilo ovela emaphashini kuyo yonke imizimba yethu. Lo moya-mpilo yiwona osiza amangqamuzana emizimba yethu ukuthi enze amandla futhi asebenze.

Manje, ubukhulu bala maseli abomvu egazi bubaluleke kakhulu. Amaseli abomvu egazi anempilo ngokuvamile anobukhulu obufanayo, obuphakathi kwama-micrometer angu-6.2 no-8.2. Kodwa-ke, uma la maseli abomvu engobukhulu obuhlukene kakhulu (okungukuthi, ukuguquguquka okuphezulu), kungaba uphawu lwesimo esibizwa ngokuthi i-anemia . I-anemia, kafushane nje, iwukungabi namangqamuzana abomvu egazi anempilo anele ukuhlinzeka ngomoya-mpilo odingwa umzimba wakho. Yilokhu ngezinye izikhathi esikubiza ngokuthi 'i-anemia.'

Ukuhlolwa kwegazi kwe-RDW kumane nje kuyindlela eyodwa yokuhlolwa udokotela wakho ayisebenzisayo ukuthola i-anemia noma ezinye izimo zezokwelapha. Udokotela usebenzisa ulwazi oluvela kukho ukuze afinyelele esiphethweni ngokuluhlanganisa nolwazi oluvela kwezinye izivivinyo.

Uyini umehluko phakathi kokuhlolwa kwe-RDW kanye ne-CBC (inani legazi eliphelele)?

Udokotela wakho angase a-ode ukuhlolwa kwe-RDW njengengxenye yokuhlolwa kwegazi okuningiliziwe okubizwa ngokuthi i-Complete Blood Count (CBC) . I-CBC ukuhlolwa kwegazi okunikeza ulwazi mayelana nezingxenye eziningi zegazi lakho, okuhlanganisa amangqamuzana abomvu egazi, amangqamuzana amhlophe egazi, nama-platelet. I-CBC ifana 'nesitifiketi sempilo' segazi emzimbeni wakho.

Ingxenye eyodwa ye-CBC yiqembu lokuhlolwa elibizwa ngokuthi i-RBC (Red Blood Cell Indices) . Lezi zinkomba ze-RBC zinikeza ulwazi ngqo mayelana namaseli akho abomvu egazi. Ukuhlolwa kwegazi kwe-RDW kungenye yalezo zivivinyo.

Izinkomba ze-RBC zifaka:

• Ububanzi Bokusabalalisa Amaseli Abomvu (RDW): Lokhu kulinganisa ukuguquguquka kosayizi wamaseli akho abomvu egazi. Okusho ukuthi, makhulu futhi mancane kangakanani amaseli abomvu.
• I-Mean Corpuscular Volume (MCV): Lokhu kulinganisa ubukhulu obujwayelekile bamaseli akho abomvu egazi. Okusho ukuthi, isilinganiso seseli elibomvu likhulu kangakanani.
• I-Mean Corpuscular Hemoglobin (MCH): Lokhu kulinganisa isilinganiso se-hemoglobin emaseli akho abomvu egazi. I-Hemoglobin iyiprotheni esiza amangqamuzana akho abomvu egazi ukuthi athwale umoya-mpilo kuwo wonke umzimba wakho futhi awanike umbala wawo obomvu.
• Ukuhlushwa kwe-Hemoglobin ye-Corpuscular (MCHC): Lokhu kulinganisa inani elimaphakathi le-hemoglobin eliqongelelwe (elihlanganiswe ndawonye, ​​​​elihlanganiswe ngokuqinile) emangqamuzaneni akho abomvu egazi.

Zonke lezi zivivinyo zihlangene ziwusizo kakhulu ekuxilongeni izimo zezokwelapha ezahlukahlukene ezingase zihlotshaniswe nezinkinga ngamaseli akho abomvu egazi.

Yini ngempela i-RDW elinganisayo?

Igama elithi 'Ububanzi Bokusabalalisa Amaseli Abomvu' lingadida kancane ngoba lisho 'ububanzi'. Ungase ucabange ukuthi lilinganisa ububanzi bamaseli akho abomvu egazi, kodwa alilingani. Ukuhlolwa kwegazi kwe-RDW kulinganisa ukwehluka kosayizi wamaseli kusampula yamaseli akho abomvu egazi. Kufana nokubona ukuthi izingane ekilasini zinobude obufanayo, noma ukuthi kunezingane eziningi ezinde nezimfushane kule nhlanganisela.

'Ububanzi bokusatshalaliswa kwamaseli' ibanga eliphakathi kosayizi bamaseli lapho kudwetshwa ku- histogram . I-histogram uhlobo olukhethekile lwegrafu olukhombisa uhla lwezinombolo noma amanani, njengohla lobukhulu bamaseli abomvu egazi.

Cabanga nje, uma wonke amangqamuzana akho abomvu ecishe abe nobukhulu obufanayo, okusho ukuthi aphilile, lawo manani azohlanganiswa ndawonye endaweni encane ku-histogram. Khona-ke inani le-RDW liphansi. Lokho kusho ukuthi kukhona ukuhlukahluka okuncane.

Kodwa-ke, uma ubukhulu bamaseli abomvu egazi buhlukile kakhulu (amanye mancane, amanye makhulu), lawo manani azosabalala kabanzi ku-histogram. Yilapho sithi khona kukhona ukusatshalaliswa okubanzi kwamanani. Esimweni esinjalo, inani le-RDW liphezulu. Lokho kusho ukuthi kunokwehlukahlukana okuningi.

Kudingeka nini ukuhlolwa kwe-RDW?

Uma unezimpawu ezifana ne-anemia, noma uma unesifo esihlobene ne-anemia, lokhu kuhlolwa kwe-RDW kuzosiza udokotela wakho ukuthi azi kahle ukuthi kuyini.

Ziyini izimpawu zakho?

Udokotela wakho angase akuncome ukuthi uhlolwe i-RDW ukuze kutholakale ukuthi i-anemia iyimbangela yezimpawu zakho. Lokhu okulandelayo ngezinye zezimpawu ezivame kakhulu ze-anemia:

• Ukuzizwa ukhathele ngaso sonke isikhathi (Ukukhathala). Njengokungathi awunawo amandla okwenza noma yini.
• Ukuphelelwa umoya, uzizwe sengathi uzoquleka ngisho nangemva kokuhamba ibanga elifushane.
• Ukuzizwa ubanda ngaso sonke isikhathi, noma ngabe abanye banokushisa okuvamile, uzizwa ubanda.
• Ukuzizwa unesizungu noma ubuthakathaka.
• Isikhumba siba mhlophe futhi somile. Ngezinye izikhathi, singaba mhlophe ngisho nangaphansi kwamehlo.
• Ikhanda elibuhlungu.

Ukuhlolwa kwegazi le-RDW kungakunikeza nolwazi mayelana nohlobo oluthile lwe-anemia onayo, njengoba inani le-RDW lingahluka ngezinhlobo ezahlukene ze-anemia.

Izifo ezingabangela i-anemia

Ukuhlolwa kwegazi le-RDW, kuhlanganiswe nezinye izinkomba ze-RBC, kungasiza ekuboneni imbangela ye-anemia. Ezinye zezimo ezingahlotshaniswa ne-anemia zifaka:

• Umdlavuza.
• Isifo senhliziyo.
• Isifo sezinso.
• Isifo sesibindi.
• I-Thalassemia - Lesi yisifo esibangelwa izakhi zofuzo.
• Izifo ezingamahlalakhona - izibonelo zifaka phakathi isifo sikaCrohn (isifo somgudu wokugaya ukudla), isifo sikashukela i-Diabetes Mellitus , kanye ne-HIV .
• Ukuntuleka kwamavithamini namaminerali - Isibonelo, ukuntuleka kwezinto ezifana ne-iron , i-vitamin B12 , kanye ne-folate . Lezi yizimbangela ezivame kakhulu ze-anemia.

Futhi, i-anemia ingenzeka uma kulahleka igazi eliningi emzimbeni, kungaba ngenxa yokutheleleka isikhathi eside, ingozi, noma ukuhlinzwa.

Ukuhlolwa kwe-RDW kwenziwa kanjani?

Ukuhlolwa kwegazi kwe-RDW kuyindlela elula kakhulu yokuhlola igazi. Isampula yegazi olithathayo lithunyelwa elabhorethri. Lapho, uchwepheshe (ngokuvamile usosayensi welabhorethri yezokwelapha) ubheka amangqamuzana akho abomvu egazi ngaphansi kwe-microscope bese ehlola ukushintshashintsha kosayizi wawo. Isampula yegazi elihlaziywe ngale ndlela lisetshenziswa njengesampula ukuthola umbono ongcono wokushintshashintsha kosayizi wamangqamuzana akho abomvu egazi emzimbeni wakho wonke.

Ingabe udinga ukulungiselela ukuhlolwa kwe-RDW?

Ezimweni eziningi, awudingi ukwenza lutho olukhethekile ukuze ulungiselele ukuhlolwa kwe-RDW kuphela. Kodwa-ke, uma udokotela wakho ecele ukuhlolwa kwegazi okuningana kanye nokuhlolwa kwe-RDW, okunye kwalokhu kuhlolwa kungadinga ukulungiswa okukhethekile. Isibonelo, okunye ukuhlolwa kungadinga ukuthi uzile ukudla amahora ambalwa, okusho ukuthi ngeke udle noma uphuze lutho. Ezimweni ezinjalo, kubalulekile ukulandela imiyalelo kadokotela wakho ngqo, ukuze ukwazi ukulungela zonke izivivinyo zokuxilonga ozidingayo.

Yini ongayilindela lapho wenza ukuhlolwa kwe-RDW?

Kulungile, manje ake sibone ukuthi kwenzekani uma wenza lokhu kuhlolwa kwe-RDW, okufanele ukulindele. Empeleni kuyinto encane kakhulu, futhi kwenziwa ngemizuzu embalwa. Kufana nje nokukhishwa kwegazi njalo.

• Okokuqala, udokotela wakho noma umhlengikazi uzothola indawo engcono kakhulu yokukha igazi. Ngokuvamile, lokhu kuzoba umthambo ongaphansi kwendololwane yakho, noma ngemuva kwesandla sakho.
• Ngemuva kwalokho, indawo lapho inaliti ifakwe khona ihlanzwa kahle bese isulwa ngesisombululo se-antiseptic. Lokhu kubaluleke kakhulu, ngoba lapho-ke akukho magciwane azongena emzimbeni.
• Okulandelayo, udokotela wakho uzobopha ibhande elinwebekayo (elibizwa nangokuthi i-tourniquet) ngaphezu nje kwendawo yokufaka inaliti engalweni yakho. Lokhu kwenzelwa ukulawula ukuhamba kwegazi engalweni yakho, ukwenza umthambo ubonakale kakhudlwana, futhi kube lula ukudonsa igazi.
• Manje isampula yegazi isithathiwe. Uma inaliti ingena, ungase uzizwe umuzwa wokucasuka okuncane, njengokucasuka kwentuthwane. Kuthatha imizuzwana embalwa kuphela. Inani elincane legazi liqoqwa ebhodleleni elincane (i-vial) elixhunywe enalitini.
• Ngemva kokuthathwa kwegazi elifunekayo, inaliti iyasuswa bese kufakwa iplasta encane noma ucezu lukakotini phezu kwendawo yokopha, bese kufakwa ingcindezi ukuze kumiswe ukopha.

Yilokho kuphela! Ukuhlolwa sekuphelile.

Ngemva kokuhlolwa kwe-RDW? Ingabe zikhona izingozi?

Ungahamba ngokushesha ngemva kokukhipha igazi. Ngezinye izikhathi udokotela uzokutshela ukuthi ulinde imizuzu embalwa ukuze aqinisekise ukuthi awunazo imiphumela emibi.

Ukuhlolwa kwegazi kwe-RDW kuyindlela ephephile kakhulu , enemiphumela emibi embalwa kakhulu. Indawo lapho inaliti ifakwe khona ingaba luhlaza okwesibhakabhaka noma ibe nemivimbo. Lokhu kuzophela ngokwako ezinsukwini ezimbalwa. Abanye abantu bangase bazizwe benesiyezi kancane ngemva kokukhishwa kwegazi, kodwa lo muzwa awuhlali isikhathi eside.

Kodwa-ke, uma ukuphuma kwegazi endaweni yomjovo kungayeki, noma uma uqala ukuzizwa unesicanucanu noma uphelelwa amandla, tshela udokotela wakho. Le miphumela emibi ingenzeka, kodwa ayivamile kakhulu.

Imiphumela ye-RDW ifika kanjani? Isho ukuthini?

Imiphumela yokuhlolwa inikezwa njengephesenti. Lokhu kuzokusiza wazi ukuthi imiphumela yakho ingaphakathi kwebanga elijwayelekile, noma ukuthi inani lakho le-RDW liphezulu noma liphansi.

Iyini inani elijwayelekile le-RDW?

Inani lakho le-RDW lijwayelekile, okusho ukuthi amangqamuzana akho abomvu egazi anobukhulu obufanayo. Lokho kusho ukuthi akukho ukuhlukahluka okukhulu ngobukhulu bawo. Inani elijwayelekile le-RDW liphakathi kuka-12% no-15% . Kodwa-ke, khumbula ukuthi leli banga lingahluka kancane kuye ngelebhu eyenza ukuhlolwa. Umbiko owutholayo uzosho ngokucacile ukuthi liyini izinga elijwayelekile. Ungabe usuqhathanisa inani lakho nalo.

Kodwa-ke, inani elijwayelekile le-RDW akusho ukuthi awunaso esinye isifo esidinga ukwelashwa. Kwezinye izinhlobo ze-anemia, noma ngabe inani le-RDW lijwayelekile, inani lesinye sezinkomba ze-RBC lingaba phezulu noma liphansi. Yingakho udokotela enza isinqumo kuphela ngemva kokubukeza wonke umbiko.

Kusho ukuthini ukuthi i-RDW ephezulu isho ukuthini?

Inani eliphezulu le-RDW lisho ukuthi usayizi wamaseli akho abomvu egazi ungaphezu kokuvamile. Lokhu kusho ukuthi amanye amaseli abomvu egazi mancane kakhulu, kanti amanye makhulu kakhulu. Inani eliphezulu le-RDW lingaba uphawu lwe-anemia noma isimo esihlobene. Kodwa-ke, udokotela wakho kuzodingeka abheke eminye imibiko yokuhlolwa ukuze enze ukuxilongwa okuqondile. Ngokuvamile, inani le-RDW (ukuguquguquka kosayizi wamaseli abomvu egazi) kanye nenani le-MCV (inani eliphakathi kwevolumu yamaseli abomvu egazi) kusetshenziswa ndawonye ukuhlola impilo yamaseli akho abomvu egazi.

Kusho ukuthini ukuthi i-RDW ephansi isho ukuthini?

Inani eliphansi le-RDW ngokuvamile alikho okufanele likhathazeke ngalo, futhi alihlotshaniswa nanoma yiluphi uhlobo oluthile lwe-anemia.

Ngizowazi nini umbiko wokuhlolwa?

Ngokuvamile ungathola imiphumela yakho zingakapheli izinsuku ezimbalwa ngemuva kokuba isampula yegazi lakho lifike elebhu. Uma udinga usizo lokuqonda imiphumela yakho, khuluma nodokotela wakho. Khuluma naye ngalokho okufanele ukwenze ukuze uhlole isimo sakho.

Kungakhathaliseki ukuthi imiphumela yokuhlolwa kwegazi le-RDW iphezulu, iphansi, noma ijwayelekile, udokotela akanakukwazi ukuthola isifo ngokusekelwe kulokho kuphela. Kodwa-ke, ukuhlolwa kwegazi le-RDW kuyingxenye ebalulekile yephazili esisiza siqonde ukuthi amaseli akho abomvu egazi athwala kanjani umoya-mpilo emzimbeni wakho wonke ngempumelelo. Ngakho-ke, kungcono ukubuza udokotela wakho ukuthi imiphumela yokuhlolwa kwegazi lakho le-RDW isho ukuthini, kanye neminye imiphumela yokuhlolwa kwakho kwe-CBC.

Into ebaluleke kakhulu okufanele uyikhumbule

Kulungile, ngakho-ke sesikhulume kakhulu ngokuhlolwa kwegazi kwe-RDW. Nazi izinto ezimbalwa okufanele uzikhumbule:

• Ukuhlolwa kwe-RDW kulinganisa ukuguquguquka kosayizi wamaseli akho abomvu egazi.
• Lokhu kusiza ekuxilongeni izimo ezifana ne -anemia .
• Lokhu kuvame ukwenziwa njengengxenye yokuhlolwa okubizwa ngokuthi i-CBC (inani legazi eliphelele) .
• Umphumela we-RDW wodwa awunamsebenzi. Kufanele uhlolwe udokotela kanye neminye imiphumela yokuhlolwa kwegazi kanye nezimpawu zakho .

Uma unemibuzo mayelana nenani le-RDW yakho, ungangabazi ukubuza udokotela wakho. Khona-ke ungathola ukuqonda okucacile.

` I-RDW, Amaseli Egazi Abomvu, Ukuhlolwa Kwegazi, I-Anemia, i-CBC, i-MCV, i-Hemoglobin, i-Anemia, Ukuhlolwa Kwegazi, Amaseli Egazi Abomvu, Inani Eliphelele Legazi, i-Hemoglobin, Inani le-RDW