Lisho ukuthini inani le-MCH embikweni wakho wegazi? (I-Mean Corpuscular Hemoglobin)

Wake wathola umbiko wokuhlolwa kwegazi, wabheka izinhlamvu nezinombolo ezikuwo, wabe usucabanga, "Kuyini lokhu?" Kuvamile ukuba novalo kancane uma ubona amagama amaningi afana ne-CBC, i-MCV, i-RDW, ne-MCH. Elinye lalawo manani yi-MCH. Namuhla, sikhuluma ngaleli nani le-MCH, elikutshela ulwazi oluningi olubalulekile mayelana namaseli akho egazi.

Kalula nje, iyini i-MCH?

I-MCH isifinyezo esithi 'Mean Corpuscular Hemoglobin'. Lesi ngesinye sezilinganiso esivame ukuzenza ekubalweni kwegazi okuphelele (i-CBC). Ngokuyisisekelo ilinganisa ukuthi ingakanani i-hemoglobin evame ukuba ngaphakathi kwelinye lamaseli akho abomvu egazi .

Manje ungase uzibuze, "Iyini le hemoglobin?" Cabanga ngamaseli akho abomvu egazi njengamaloli amancane athwala umoya-mpilo emzimbeni wakho wonke. Futhi i-hemoglobin yibhokisi eligcwele umoya-mpilo ngaphakathi kwalawo maloli . Lawa mabhokisi yiwo empeleni athatha umoya-mpilo, awulethe kuwo wonke amaseli emzimbeni wakho, futhi asize ekunikezeni lawo maseli amandla awadingayo. Ngakho ungabona ukuthi i-hemoglobin ibaluleke kangakanani njengeprotheni.

Ngakho-ke inani le-MCH lisitshela umbono wokuthi mangaki amathangi e-oxygen ngokuvamile angaphakathi kweloli yakho yamaseli abomvu egazi.

Ezinye izinkomba ezibalulekile zamaseli abomvu egazi (ama-RBC Indices) njenge-MCH

Umbiko wakho wegazi awuhlanganisi nje kuphela i-MCH, kodwa futhi nezinye izindinganiso eziningana. Ngayinye yalezi ikutshela ulwazi oluhlukile mayelana nempilo yamaseli akho abomvu egazi. Lezi sizibiza ngokuthi izinkomba zamaseli abomvu egazi (ama-RBC indices). Udokotela uzobheka zonke lezi zindinganiso lapho ehlola isimo sakho sezokwelapha, ikakhulukazi isimo esifana ne-anemia.

Udokotela angaqonda ngokunembile inkinga yegazi lakho kuphela ngokubheka zonke lezi zindinganiso ndawonye.

Kufanele uhlole nini inani lakho le-MCH?

I-MCH iyingxenye evamile yokubalwa kwegazi okuphelele (i-CBC). Udokotela angayala i-CBC ukuthi ihlole impilo yakho jikelele.

Kodwa inani le-MCH libaluleke kakhulu, ikakhulukazi uma unezimpawu ze-anemia .

• Ukuzizwa njalo kokukhathala okukhulu
• Ubuhlungu bekhanda obuvamile
• Isikhumba esikhanyayo
• Ukuzizwa unesiyezi
• Ubunzima bokuphefumula

Ngokubheka inani le-MCH kanye nezinye izinkomba ze-RBC zomuntu onalezi zimpawu, udokotela angakwazi ukuthola ukuthi une-anemia, uma kunjalo, uhlobo luni, nokuthi yini imbangela engaba khona.

Ulwenza kanjani lolu vivinyo? Ingabe luyinto enkulu?

Lokhu ukuhlolwa kwegazi okulula kakhulu, okuvamile, ngakho-ke asikho isizathu sokwesaba.

Ingabe udinga ukulungiselela ngaphambi kokuhlolwa?

Ngokuvamile awudingi ukwenza lutho olukhethekile ukuze ulungiselele ukuhlolwa kwe-CBC. Kodwa-ke, uma udokotela wakho eyale ukuthi kwenziwe ezinye izivivinyo kusampula yegazi efanayo (isibonelo, ukuhlola ushukela wegazi lakho), ungase ucelwe ukuba uzile ukudla amahora ambalwa. Ngakho-ke landela njalo imiyalelo kadokotela wakho ngqo.

Kwenzekani ngesikhathi sokuhlolwa?

Lokhu kuyinto elula ethatha imizuzu engaphansi kwemihlanu.

1. Uhlaliswa esihlalweni bese ucelwa ukuthi welule isandla sakho.

2. Umhlengikazi noma uchwepheshe welabhorethri yezokwelapha uzohlanza indawo yokufaka inaliti ngotshwala.

3. Bese, kuboshwa ibhande lerabha engalweni engenhla ukuze imithambo ibonakale kakhudlwana.

4. Inaliti ifakwa kancane emthanjeni bese inani legazi elidingekayo liqoqwa lifakwe ebhodleleni elincane.

5. Ngemuva kwalokho, inaliti iyasuswa bese kubekwa ucezu lwekotini endaweni bese lucindezelwa ukuze kumiswe ukopha.

Nakuba kwakuzwakala sengathi kushaqeke kancane ngogesi lapho kufakwa inaliti, kwakungebuhlungu kakhulu.

Ngemva kokuhlolwa?

Ngemva kokunikela ngegazi, uma ungazizwa unesiyezi, ungaya ekhaya. Abanye abantu bazizwa bengakhululekile uma bebona igazi. Lokhu kuyinto evamile. Uma lokho kwenzeka, bazokunakekela uze uzizwe ungcono.

Ngiziqonda kanjani izindinganiso ze-MCH embikweni?

I-MCH ilinganiswa ngama-picogram (pg), isisindo esincane kakhulu, cishe ingxenye eyodwa yesigidigidi segremu.

Izinga elijwayelekile lezinga le-MCH elinempilo kumuntu omdala (kokubili owesilisa nowesifazane) liphakathi kwamaphesenti angu-27 kuya kwangu-33 . Kodwa-ke, khumbula ukuthi la manani angahluka kancane phakathi kwama-laboratory ahlukene. Ngakho-ke, kubalulekile ukuqhathanisa imiphumela yakho "nezinga elijwayelekile" embikweni wakho.

Inani elingaphansi kwaleli banga libizwa ngokuthi "i-Low MCH" kanti inani eliphakeme kunaleli banga libizwa ngokuthi "i-High MCH".

Kodwa khumbula lokhu: Ungesabi uma inani lakho le-MCH liphansi noma liphezulu. Lokho kuphela akusho ukuthi unesifo esingathi sína. Udokotela wakho uzokuhlaziya lokhu kanye nezinye izilinganiso zakho zegazi, izimpawu, kanye nempilo yakho iyonke.

Kusho ukuthini ukuthi i-MCH ephansi isho ukuthini?

Uma inani lakho le-MCH liphansi kunejwayelekile, kusho ukuthi amangqamuzana akho abomvu egazi awanawo i-hemoglobin eyanele. Lokhu kungabangela ukuthi amangqamuzana akho abomvu egazi abe nombala okhanyayo kunejwayelekile (i-hypochromic anemia) noma abe mancane kunejwayelekile (i-microcytic anemia).

Izizathu eziyinhloko ze-MCH ephansi yilezi:

• Ukuntuleka kwensimbi: Lena yimbangela evame kakhulu ye-anemia ezweni lethu. Insimbi ibalulekile ekukhiqizweni kwe-hemoglobin. Uma insimbi ingekho eyanele, ukukhiqizwa kwe-hemoglobin kuyancipha. Lesi simo singavela kwabesifazane abaphuma igazi eliningi ngesikhathi sokuya esikhathini, ngenxa yokopha kwangaphakathi (isib. izilonda zamathumbu), noma ngemva kokuhlinzwa.
• Izinkinga zofuzo ngokukhiqizwa kwe-hemoglobin (i-Hemoglobinopathy): Abanye abantu bazalwa benezimo zofuzo ezivimbela imizimba yabo ukuthi ikhiqize i-hemoglobin ngendlela efanele. I-Thalassemia kanye ne-sickle cell anemia yizibonelo zalokhu.
• Izifo Ezingapheli: Ukuvuvukala emzimbeni ngenxa yezimo ezifana nokutheleleka kwesikhathi eside, isifo sezinso, isifo sesibindi, kanye nomdlavuza kungaphazamisa ukukhiqizwa kwe-hemoglobin.

Kusho ukuthini ukuthi i-MCH ephezulu isho ukuthini?

Uma i-MCH yakho iphakeme kunokujwayelekile, kusho ukuthi umzimba wakho ukhiqiza amangqamuzana abomvu egazi amakhulu kunejwayelekile (i-Macrocytic anemia). Lawa maseli amakhulu aqukethe i-hemoglobin eningi, kodwa awasebenzi kahle.

Izizathu eziyinhloko ze-MCH ephezulu yilezi:

• Ukuntuleka kwe-Vitamin B12 noma i-Folate: Lezi zakhi ezimbili zibalulekile emizimbeni yethu ukuze sakhe amangqamuzana abomvu egazi anempilo. Ukungawatholi ngokwanele ekudleni kwethu noma ukungawamunci kahle kungabangela amangqamuzana abomvu egazi ukuba abe makhulu ngendlela engavamile.
• Ukuphuza utshwala ngokweqile isikhathi eside.
• Izinkinga ze-thyroid: Lokhu kungabangelwa yi-hypothyroidism, ikakhulukazi.
• Imiphumela emibi yemithi ethile: Isibonelo, ukwelashwa ngamakhemikhali komdlavuza kungabangela lesi simo.

Yini okufanele uyenze ngokulandelayo uma unenani elingavamile le-MCH?

Lena into ebaluleke kakhulu. Ungalokothi ufinyelele iziphetho ngokwakho mayelana nokuthi umbiko wakho uphezulu noma uphansi, noma ukuthi uzixilonge ngesifo esisekelwe ku-inthanethi.

Udokotela wakho uzonquma ukuthi yini okufanele ayenze ngokulandelayo.

• Uma i-MCH yakho iphansi futhi usola ukuthi ayinayo insimbi, ungase ucelwe ukuthi wenze ezinye izivivinyo ukuze uhlole amazinga ensimbi emzimbeni wakho.
• Uma inani le-MCH liphezulu, ungase ucelwe ukuthi uhlole amazinga akho e-vitamin B12 kanye ne-folate.

Into engcono kakhulu ongayenza ukuxoxa nganoma yimiphi imibuzo noma ukukhathazeka onakho mayelana nombiko wakho nodokotela wakho . Uzobuyekeza lezi zindinganiso kanye nempilo yakho iyonke, akuchazele zona, futhi akunikeze ukwelashwa uma kudingeka.