Ukuhlolwa kwe-TIBC - Ake sixoxe ngalokhu!

Wake wazibuza ukuthi i-iron yezakhamzimba ibaluleke kangakanani emizimbeni yethu, ukuthi ihamba kanjani emzimbeni wonke, nokuthi ngabe kukhona yini ukuhlolwa okungayilinganisa? Yilapho-ke lapho kufanele sixoxe ngalolu hlolo lwegazi olukhethekile olubizwa ngokuthi i-TIBC (Total Iron-Binding Capacity). Nakuba leli igama lezokwelapha, lilula kakhulu. Namuhla, sizokhuluma ngalokhu ngesiSinhala ongakuqonda.

Iyini i-TIBC (Umthamo Ophelele Wokubopha Insimbi)? Kalula nje...

Kalula nje, i-TIBC (Total Iron-Binding Capacity) ukuhlolwa kwegazi okulinganisa ikhono legazi lakho lokubopha ku-iron yamaminerali bese uyithwala emzimbeni wakho wonke. Kufana nesikhala ebhasini abantu abangahlala kuso. Kulinganisa ukuthi i-iron engakanani igazi lethu elingayithwala.

Odokotela basebenzisa lolu vivinyo ukuthola izimo ezifana ne -anemia yokuntuleka kwensimbi noma ezinye izinkinga ezihlobene nensimbi emzimbeni.

Ukuze sijule kancane, ukuhlolwa kwe-TIBC empeleni kulinganisa inani leprotheyini ebizwa ngokuthi i-transferrin egazini lakho. Le transferrin iyiprotheyini ekhethekile eyenziwe yisibindi sethu. Yile phrotheyini elawula, okungukuthi, elawula, ukumuncwa kwensimbi egazini lethu.

Cabanga nge-transferrin njengemoto ethwala insimbi. I-TIBC ilinganisa ukuthi le moto ingathwala insimbi engakanani.

Imizimba yethu idinga insimbi ukuze yenze amangqamuzana egazi abomvu aphilile. Lawa mangqamuzana egazi abomvu athwala umoya-mpilo ovela emaphashini ethu uye nawo wonke umzimba wethu. Insimbi ibalulekile futhi emisipheni enempilo, umnkantsha wamathambo, kanye neminye imisebenzi yezitho zomzimba.

Ingabe i-TIBC ne-Ferritin ziyinto efanayo?

Cha, i-TIBC ne -ferritin ziyizivivinyo ezimbili ezihlukene, yize zihlobene.

Ukuhlolwa kwe-ferritin kulinganisa izinga leprotheni ebizwa ngokuthi i-ferritin. I-Ferritin iyiprotheni egcina insimbi ngaphakathi kwamaseli ethu. Kalula nje, kuyilapho i-TIBC ilinganisa ukuthi insimbi engakanani ethuthwa emzimbeni wonke (nge-transferrin), ukuhlolwa kwe-ferritin kulinganisa ukuthi insimbi engakanani egcinwe emzimbeni. I-Ferritin iyinkomba engcono yokuhlola ngokunembile ukuthi kukhona yini ukuntuleka kwensimbi.

Udinga nini ukuhlolwa kwe-TIBC?

Odokotela bavame uku-oda ukuhlolwa kwe-TIBC ukuze kutholakale izinkinga ezihlobene ne-iron. Okusho ukuthi, ungase ube namazinga aphansi e-iron (okubizwa ngokuthi i-anemia yokuntuleka kwe-iron) noma amazinga aphezulu e-iron (okubizwa ngokuthi i-hemochromatosis ).

Ukuhlolwa kwe-TIBC kuvame ukwenziwa njengengxenye "yephaneli yensimbi." Leli phaneli yensimbi lingafaka ezinye izivivinyo eziningana:

• Ukuhlolwa kwegazi lensimbi yokuzila ukudla.
• Iphesenti lokugcwala kwe-transferrin noma ukugcwala kwensimbi.
• Ukuhlolwa kwegazi le-Ferritin.

Odokotela basebenzisa nokuhlolwa kwe-TIBC ukuqapha izimo ezihlobene nensimbi.

Ubani owenza lolu vivinyo lwe-TIBC? Ululungiselela kanjani?

Amasampula egazi avame ukuthathwa ngumsizi wezokwelapha obizwa ngokuthi i-phlebotomist . Ngezinye izikhathi umhlengikazi noma udokotela angakwenza lokhu. Isampula yegazi ithunyelwa elabhorethri, lapho usosayensi welabhorethri yezokwelapha ehlola khona isampula esebenzisa imishini ekhethekile (ebizwa ngokuthi "ama-analyzers" ).

Ingabe udinga ukulungiselela ngaphambi kokuhlolwa?

Yebo, ngezinye izikhathi udokotela wakho uzokutshela ukuthi uzile ukudla (okungukuthi, ungadli noma uphuze noma yini ngaphandle kwamanzi) amahora ayi-12 ngaphambi kokuhlolwa. Ungase futhi ucelwe ukuthi uyeke ukuthatha izithasiselo zensimbi phakathi nalesi sikhathi. Uma unemibuzo mayelana nokuthi ungalungiselela kanjani, qiniseka ukuthi ukhuluma nodokotela wakho.

Kwenzekani ngesikhathi sokuhlolwa?

Yilokhu okufanele ukulindele ngokuvamile lapho ukhishwa igazi:

• Uzohlaliswa esihlalweni. Ngemuva kwalokho isisebenzi sezokwelapha sizokhetha umthambo olula engalweni yakho ukuze sikhiphe igazi. Lokhu kuvame ukwenziwa ngaphakathi kwendololwane yakho.
• Uma umthambo usutholakele, indawo iyahlanzwa kahle futhi ihlanzwe ngamagciwane.
• Ngemuva kwalokho, kuzofakwa inaliti encane emthanjeni bese kuthathwa isampula yegazi. Ungase uzizwe umuzwa omncane wokucasuka ngalesi sikhathi.
• Ngemva kokufakwa kwenaliti, igazi elincane liqoqwa epayipini lokuhlola.
• Ngemva kokuba isampula yegazi isiqoqiwe, inaliti iyasuswa bese kubekwa ucezu lwekotini noma i-gauze endaweni ukuze kumiswe ukopha bese lugcinwa endaweni yalo isikhashana.
• Ekugcineni, kufakwa iplasta endaweni bese umsebenzi usuqediwe.

Yonke inqubo ivame ukuthatha imizuzu engaphansi kwemihlanu, ngakho-ke asikho isizathu sokukhathazeka.

Yini ongayilindela ngemva kokuhlolwa?

Ngemva kokuthathwa kwesampula yegazi lakho, lizothunyelwa elabhorethri ukuze lihlolwe. Uma imiphumela yokuhlolwa isifikile, udokotela wakho uzokwazisa imiphumela.

Ingabe zikhona izingozi ezihlobene nokuhlolwa kwe-TIBC?

Ukuhlolwa kwegazi kuyingxenye evamile kakhulu futhi edingekayo yokuhlolwa kwezokwelapha kanye nokuxilongwa. Izingozi zokuhlolwa kwegazi ziphansi kakhulu. Ungase uzwe imihuzuko noma ubuhlungu lapho igazi likhishwa khona, kodwa lokhu kuzophola ngokushesha.

Kuthatha isikhathi esingakanani ukuthola imiphumela yokuhlolwa kwe-TIBC?

Esikhathini esiningi, imiphumela yokuhlolwa kwe-TIBC kufanele itholakale zingakapheli usuku olulodwa noma ezimbili. Kodwa-ke, ngezinye izikhathi kungathatha isikhathi eside. Kuncike ezintweni ezifana nomthwalo womsebenzi welebhu.

Yiziphi izindinganiso ezijwayelekile zokuhlolwa kwe-TIBC?

Amalabhorethri ahlukene angaba nezinhlobo ezahlukene zokubhekisela zamanani ajwayelekile e-TIBC. Lokhu kusho ukuthi inani elijwayelekile lelabhorethri elilodwa lingase lihluke kancane kwelebhu enye. Uma uthola umbiko wakho wokuhlolwa kwegazi, uzophinde usho ukuthi yiliphi izinga elijwayelekile laleyo labhorethri.

Ngokuvamile, inani le-TIBC kufanele libe phakathi kwama-microgram angu-240 kuya kwangu-450 nge-deciliter ngayinye (240 mcg/dL kuya ku-450 mcg/dL).

Kodwa kubalulekile ukukhumbula ukuthi lapho odokotela bethola isifo, abacabangi nje kuphela ngenani le-TIBC, kodwa futhi nemiphumela yezinye izivivinyo, njengamazinga ensimbi egazini kanye ne-ferritin.

Uma inani lakho le-TIBC liphansi, kusho ukuthini lokho?

Uma i-TIBC yakho iphansi futhi amazinga akho ensimbi egazini ephezulu, kungase kube ngenxa yesimo esibizwa ngokuthi i-hemochromatosis (okusho ukuthi insimbi eningi emzimbeni). Uma i-TIBC yakho iphansi futhi amazinga akho ensimbi ephansi, kungase kube ngenxa yezimo ezifana nalezi:

• I-Cirrhosis ( isifo sesibindi)
• Ukuvuvukala okungapheli
• Ukutheleleka
• Ukungondleki kahle
• Isifo sezinso (i -Nephrotic syndrome )

Kwenzekani uma i-Ferritin iphansi kanti i-TIBC iphezulu?

Amazinga aphansi e-ferritin kanye namazinga aphezulu e-TIBC ngokuvamile asho ukuthi une -anemia yokuntuleka kwe-iron . Lolu uhlobo oluvame kakhulu lwe-anemia. Lesi simo senzeka lapho umzimba wakho ungenayo i-iron eyanele yokwenza i-hemoglobin . I-Hemoglobin iyinto etholakala kumaseli abomvu egazi esiza ukuthwala umoya-mpilo emzimbeni.

Ingabe kufanele ngikhathazeke uma imiphumela yami ye-TIBC ingajwayelekile?

Imiphumela engavamile ekuhlolweni kwakho kwe-TIBC akusho ukuthi unesifo esithile ngaso sonke isikhathi. Izici ezilandelayo zingathinta nemiphumela yakho:

• Ukumpontshelwa igazi kwakamuva.
• Ukusetshenziswa kwe -fluoride .
• Izindlela zokuvimbela inzalo ngomlomo ( amaphilisi okuhlela umndeni).
• I-Chloramphenicol (umuthi wokwelapha izifo zamehlo ezingacacile).
• Noma yiliphi iphutha elenzeke ngesikhathi sokuqoqwa, ukuthuthwa, noma ukucutshungulwa kwegazi ukuze lihlolwe.

Uma uthola umphumela ongajwayelekile, udokotela wakho uzokhuluma nawe ngakho. Udokotela uzocabangela ezinye izici eziningana ngaphambi kokuthola isifo. Angase futhi acele ukuhlolwa okwengeziwe.

Kuvamile ukuzizwa wesaba uma ubona umphumela wokuhlolwa ongajwayelekile. Kodwa khumbula, umphumela we-TIBC ongajwayelekile akusho ukuthi unesifo. Cishe umuntu oyedwa kwabangu-20 abaphilile unemiphumela engaphandle kwesilinganiso esijwayelekile. Udokotela wakho uzoxoxa nawe ngale miphumela bese enquma ukuthi yini okufanele ayenze ngokulandelayo. Izindaba ezinhle ukuthi izimo eziningi ezibangela amazinga aphansi noma aphezulu ensimbi emzimbeni zingelashwa.

Okokugcina, izinto okudingeka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuhlolwa kwe-TIBC kuwukuhlolwa okunikeza ulwazi olubalulekile mayelana nokusetshenziswa kwensimbi emzimbeni wakho.

• Lokhu kulinganisa ikhono legazi lakho lokubopha nokuthutha insimbi.
• Lokhu kusiza ekuxilongeni izimo ezifana ne -anemia yokuntuleka kwensimbi noma i-hemochromatosis .
• Kungadingeka ulandele imiyalelo ekhethekile, njengokuzila ukudla, ngaphambi kokuhlolwa.
• Ngisho noma imiphumela ingavamile, kungaba nezizathu eziningana zalokho. Ngakho-ke kubalulekile ukukhuluma nodokotela wakho bese uthola iseluleko esifanele.
• Izinkinga eziningi ezihlobene nensimbi zingelashwa ngempumelelo, ngakho-ke ungesabi futhi ulandele iseluleko sikadokotela wakho.

Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukubuza udokotela wakho. Hlala uphilile!

I - Iron, i-TIBC, ukuhlolwa kwegazi, i-anemia, i-ferritin, i-transferrin, impilo