Wake wathatha umbiko wokuhlolwa kwegazi, wabheka izinhlamvu nezinombolo ezikuwo, wabe usucabanga, "Kuyini lokhu?"? Cishe uke wabona izinhlamvu ezintathu: i-WBC, i-RBC, i-HGB, i-PLT, kanye ne-MCV. Kuvamile ukuzizwa ukhathazekile kancane uma ubona lezi. Ngakho-ke namuhla, ake sixoxe ngokuthi yini ebaluleke kakhulu kulezi, i-MCV, nokuthi ithini ngempilo yethu.
Kalula nje, iyini i-MCV?
I-MCV imele i-Mean Corpuscular Volume . Ilinganisa ubukhulu obujwayelekile bamaseli abomvu egazini lakho.
Cabanga ngale ndlela. Imizimba yethu ithuthwa yizimoto, njengamaloli. Lezi zimoto zingamangqamuzana egazi abomvu. Ngakho-ke lezi zimoto zigcwele "izinto" ezibizwa ngokuthi i-oxygen futhi ziwaletha kuwo wonke amaseli emzimbeni. Lo moya ubalulekile ukuze amaseli ethu asebenze futhi aphile.
Ngakho-ke inani le-MCV elikwenzayo ukukala usayizi ojwayelekile walezi "maloli" agijima emzimbeni wakho. Ingabe afana namaloli amancane anamasondo amathathu? Ingabe afana namaloli avamile? Noma afana nezitsha ezinkulu? Lokhu kusinika umbono. Usayizi ojwayelekile wala maseli abomvu egazi ubaluleke kakhulu kuwo ukuze athuthe umoya-mpilo kahle.
Uma amangqamuzana abomvu egazi emancane kakhulu (microcytic) noma amakhulu kakhulu (macrocytic), kungaba uphawu lwenkinga yempilo. Kodwa-ke, ngezinye izikhathi uma isampula yegazi lakho linamaseli amaningi abomvu egazi anobukhulu obuhlukene, inani le-MCV lingase libe elijwayelekile uma uthatha inani elimaphakathi lawo wonke. Yingakho odokotela bengabheki nje inani le-MCV.
I-MCV imane nje ingxenye eyodwa yokuhlolwa okukhulu.
I-MCV akuyona ukuhlolwa okuzimele. Leli nani le-MCV lilinganiswa ngesikhathi sokuhlolwa ovame ukukwenza okubizwa ngokuthi i-Complete Blood Count (CBC) . Ingxenye yalo mbiko we-CBC echaza amangqamuzana abomvu egazi ibizwa ngokuthi ama-RBC indices . I-MCV ingenye yalezi zinkomba ze-RBC.
Kunezinye izilinganiso eziningana ezibalulekile kuma-RBC indices. Udokotela uzokwenza isinqumo mayelana nenani lamaseli akho abomvu egazi ngokubheka konke lokhu ndawonye.
| Inkomba | Incazelo elula |
|---|---|
| I-MCV (Umthamo Ophakathi We-Corpuscular) | Usayizi ojwayelekile wamaseli abomvu egazi. |
| I-MCH (Mean Corpuscular Hemoglobin) | Inani le- hemoglobin elivame ukutholakala engqamuzaneni elilodwa elibomvu legazi. I-hemoglobin yiprotheni ethwala umoya-mpilo. |
| I-MCHC (Ukugxila Okumaphakathi Kwe-Hemoglobin Ye-Corpuscular) | Ukuhlushwa kwe-hemoglobin ngaphakathi kweseli elibomvu legazi (inani le-hemoglobin elikumthamo ofanayo). |
| I-RDW (Ububanzi Bokusabalalisa Amaseli Abomvu) | Yeka ukuthi amangqamuzana akho abomvu egazi ahlukene kangakanani ngobukhulu. Okusho ukuthi, ingabe wonke anobukhulu obufanayo, noma kukhona amangqamuzana amaningi amakhulu namancane axubene ndawonye ? |
Khumbula, asikho isifo esingahlolwa ngokunembile ngokubheka inani le-MCV kuphela. Udokotela uzobheka zonke lezi zindinganiso bese eziqhathanisa nezimpawu zakho ukuze afinyelele esiphethweni.
Kufanele ngenze nini ukuhlolwa kwe-MCV?
I-MCV iyingxenye yokuhlolwa kwe-CBC okujwayelekile, ngakho-ke uzothola ukufundwa cishe njalo uma uthola ukuhlolwa kwegazi.
Kodwa-ke, udokotela angase akhathazeke kakhulu ngaleli nani:
- Uma uhlala uzizwa ukhathele futhi ungenampilo.
- Uma isikhumba sakho sibukeka simhlophe.
- Uma unenkinga yokuphefumula.
- Uma unezimpawu ezifana nekhanda elibuhlungu kanye nesiyezi.
Lezi zimpawu zingabonakala ezimweni ezifana ne -anemia . Ngakho-ke, inani le-MCV liba libaluleke kakhulu ezimweni ezinjalo. Isibonelo, ku -anemia yokuntuleka kwensimbi, inani le-MCV liyancipha. Ku-vitamin B12 noma ukuntuleka kwe -folate , inani le-MCV lingakhuphuka. Futhi, ezimweni ezifana nesifo sesibindi, inani le-MCV lingashintsha.
Ungalungiselela kanjani ukuhlolwa? Ungabhala kanjani ukuhlolwa
Lokhu ukuhlolwa okulula kakhulu. Akukho ukulungiselela okukhethekile okudingekayo kokuhlolwa kwe-MCV, njengoba kuyingxenye yokuhlolwa okuvamile kwe-CBC. Kodwa-ke, uma udokotela wakho eyale ezinye izivivinyo (njengamazinga kashukela egazini) ngesikhathi esifanayo, angakucela ukuthi uzile ukudla amahora ambalwa. Udokotela wakho uzokweluleka ngalokhu.
Ukuhlolwa kwenziwa kanje:
1. Udokotela noma umhlengikazi uzokhetha indawo engalweni yakho lapho umthambo ungabonakala khona kahle.
2. Hlanza indawo nge-alcohol swab.
3. Bese usebenzisa ibhande lerabha ukuze uqinise ingalo engenhla kancane. Lokhu kuzokwenza imithambo ivele ngokucacile.
4. Kusetshenziswa inalithi encane kakhulu, inani legazi elidingekayo lithathwa emthanjeni liyiswe epayipini elincane. Uzozwa ukugwazwa okuncane kuphela.
5. Ngemva kokukhishwa kwegazi, inaliti iyasuswa, kufakwa ucezu lwekotini endaweni, bese kufakwa iplasta.
Yonke inqubo akufanele ithathe imizuzu engaphezu kwemihlanu. Ngemva kwalokho, ungaya ekhaya njengokujwayelekile. Abanye abantu bangase bazizwe benesiyezi kancane, kodwa kufanele ulinde kuze kuphele lokho. Ungase uzizwe ubuhlungu kancane futhi mhlawumbe ube luhlaza okwesibhakabhaka lapho igazi likhishwe khona. Lokhu kuzophela ngokuphelele ngosuku olulodwa noma ezimbili. Akuyona into okufanele ukhathazeke ngayo.
Ake siqonde umbiko we-MCV: Zisho ukuthini lezi zinombolo?
Inani le-MCV embikweni wakho liboniswa njengenombolo. Lilinganiswa ngama-femtoliters (ama-femtoliters - fl) . Akudingeki ucabange kakhulu ngalelo gama. Okubalulekile yinombolo.
Inani elijwayelekile le-MCV lomuntu omdala onempilo kufanele libe phakathi kuka-80 fl no-100 fl.
Kodwa khumbula, lolu hlu lungahluka kancane kusuka elabhorethri kuya kwelebhu, ngakho-ke luqhathanise "nohlu olujwayelekile" olubhalwe embikweni wakho.
Kwenzekani uma inani le-MCV liphansi? (I-MCV ephansi)
Uma i-MCV yakho ingaphansi kwama-fl angu-80 , kusho ukuthi amangqamuzana akho abomvu egazi mancane kunokujwayelekile. Lesi simo saziwa ngokwezokwelapha ngokuthi i-microcytosis . Igama elithi "Micro" lisho okuncane.
Izinto ezingabangela lokhu yilezi:
- I-anemia yokuntuleka kwensimbi: Lena yimbangela eyinhloko nevame kakhulu ye-MCV ephansi. Insimbi ibalulekile ekukhiqizweni kwamangqamuzana abomvu egazi. Uma insimbi ingekho eyanele, amangqamuzana akhiqizwayo aba mancane ngobukhulu.
- I-Thalassemia: Lesi yisimo esizuzwa njengefa. Sibangelwa ukukhubazeka ekukhiqizweni kwe-hemoglobin.
- Ezinye izimo ezihlobene ne-hemoglobin.
Kwenzekani uma inani le-MCV liphezulu? (I-MCV Ephezulu)
Uma i-MCV yakho ingaphezu kuka-100 fl , kusho ukuthi amaseli akho abomvu egazi makhulu kunokuvamile. Lesi simo sibizwa ngokuthi i-macrocytosis . Igama elithi "Macro" lisho okukhulu.
Izinto ezingabangela lokhu yilezi:
- Ukuntuleka kwe-Vitamin B12: I-Vitamin B12 ibalulekile ekuhlukaniseni nasekubunjweni kwamaseli abomvu egazi ngendlela efanele. Uma inganele, amaseli awahlukani kahle futhi abe makhulu.
- Ukuntuleka kwe-folate: Njenge-vitamin B12, lokhu kubalulekile ekukhiqizweni kwamaseli abomvu egazi.
- Isifo sesibindi: Ukungasebenzi kahle kwesibindi nakho kuyimbangela yokwanda kwe-MCV.
- Ukungasebenzi kahle komnkantsha wamathambo: Isibonelo, izimo ezifana ne -myelodysplastic syndrome .
- Ezinye izindlela zokwelapha ngamakhemikhali zomdlavuza nazo zingakhuphula okwesikhashana amanani e-MCV.
Into ebaluleke kakhulu ukuthi, ungakhathazeki uma inani lakho le-MCV lingaphandle kwesilinganiso esijwayelekile. Kusho ukuthi udokotela wakho udinga ukuphenya ngalokhu kabanzi. Akuyona inkinga yokuxilonga, kodwa kumane nje kuyindlela engakusiza ukuthola isifo.
Udokotela wakho uzosebenzisa inani le-MCV, kanye nezinye izindinganiso ezifana ne-MCH, i-MCHC, i-RDW, izimpawu zakho, kanye nezinye izivivinyo uma kudingeka, ukuze afinyelele esiphethweni esinembile ngesimo sakho. Ngakho-ke, bonisa njalo umbiko wakho kudokotela futhi uxoxe ngawo.
Umlayezo Wokuya Nawe Ekhaya
- I-MCV (i-Mean Corpuscular Volume) isilinganiso sobukhulu obujwayelekile bamaseli akho abomvu egazi.
- Lokhu kuyingxenye yokubalwa kwegazi okuphelele okuvamile (i-CBC). Akukho ukulungiselela okukhethekile okudingekayo.
- Inani elijwayelekile le-MCV kumuntu omdala onempilo liphakathi kuka-80-100 fl.
- Inani eliphansi le-MCV (ngaphansi kuka-80) lingabonisa izimo ezifana nokuntuleka kwensimbi.
- Inani eliphakeme le-MCV (ngaphezu kwe-100) lingabonisa izimo ezifana ne-vitamin B12 noma ukuntuleka kwe-folate.
- I-MCV iyodwa ayikwazi ukuxilonga noma yisiphi isifo. Yinto eyodwa kuphela esiza udokotela ukuthi axilonge.
- Uma unemibuzo mayelana nanoma yiliphi inani embikweni wakho wegazi, khuluma nodokotela wakho ngaso sonke isikhathi ngakho.
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