Wake wathatha umbiko wakho wokuhlolwa kwegazi, okungukuthi, umbiko 'we-Full Blood Count' (FBC) ovame ukubhalwa udokotela, wabe usudideka ngezinhlamvu nezinombolo ezikuwo? Kunamagama afana ne-MCV, MCH, PLT, RDW, elinye ngemva kwelinye. Ungase ungakwazi ukuthola ukuthi lawa asho ukuthini. Ungakhathazeki, abantu abaningi bazizwa ngaleyo ndlela. Namuhla, ake siqonde ngendlela elula kakhulu nengxoxo ukuthi iyini inani elilodwa elibalulekile kulo mbiko, okungukuthi, iyini i-RDW .
Kusho ukuthini nje i-RDW?
Kalula nje, i-RDW imele ububanzi bokusabalalisa amaseli egazi abomvu . NgesiSinhala, isho ukuthi 'ubude bokusabalalisa amaseli egazi abomvu'. Kodwa ungadideki yilelo gama. Masiqonde lokhu kalula.
Cabanga nje ukuthi amangqamuzana abomvu egazi emzimbeni wakho angamabhola amancane abomvu. Lawa mabhola athwala umoya-mpilo ovela emaphashini ethu uye kuwo wonke amalungu omzimba, kuzo zonke izitho. Njengama-cylinder egesi. Ngakho-ke, lo moya-mpilo ubalulekile kuwo wonke amaseli emzimbeni ukuze asebenze futhi akhiqize amandla.
Kumuntu ophilile, la maseli abomvu egazi alingana ngobukhulu nesimo . Njengeqembu lamalamula esitolo. Kungase kube nomehluko omncane, kodwa hhayi umehluko omkhulu.
Ukuhlolwa kwe-RDW kulinganisa ukuthi amangqamuzana akho abomvu egazi ahluka kangakanani ngobukhulu. Okusho ukuthi, kuhlola ukuthi wonke amangqamuzana akho abomvu egazi acishe afane ngobukhulu, noma ukuthi amanye mancane, amanye makhulu, noma ukuthi anobukhulu obuhlukene.
Naphezu kwegama elithi 'Ububanzi', lokhu akulinganisi ububanzi beseli legazi. Kunalokho, kulinganisa inani lokwehluka ngobukhulu beseli legazi.
Inani eliphezulu le-RDW lisho ukuthi kunokwehluka okukhulu ngobukhulu bamaseli abomvu egazi. Amanye mancane kakhulu, amanye makhulu kakhulu. Inani elijwayelekile le-RDW lisho ukuthi iningi lamangqamuzana abomvu egazi linobukhulu obufanayo.
Buyini ubudlelwano phakathi kokuhlolwa kwe-RDW kanye nokubalwa kwegazi okuphelele (i-CBC)?
Udokotela wakho ngeke akucele ukuhlolwa kokuhlola i-RDW kuphela. Lokhu kuvame ukwenziwa njengengxenye yokubalwa kwegazi okuphelele (i-CBC) . Lokhu sikubiza nangokuthi i-FBC (Isibalo Segazi Esigcwele).
Umbiko we-FBC unikeza ulwazi mayelana nezingxenye ezintathu eziyinhloko zegazi lakho:
- Amaseli Egazi Abomvu
- Amaseli Egazi Amhlophe
- Ama-platelet
Lo mbiko we-FBC unesigaba esikhethekile esichaza amangqamuzana abomvu egazi kuphela. Sibizwa ngokuthi ama-RBC Indices.I-RDW ingenye yalezo zindikimba ze-RBC. Ake sibheke amanani ayinhloko kulesi sigaba.
| Igama lokuhlolwa (i-RBC Index) | Yini elinganiswa kalula? |
|---|---|
| I-RDW (Ububanzi Bokusabalalisa Amaseli Abomvu) | Ilinganisa ukuhlukahluka kosayizi wamaseli abomvu egazi. |
| I-MCV (Umthamo Ophakathi We-Corpuscular) | Usayizi ojwayelekile weseli elibomvu legazi uyalinganiswa. |
| I-MCH (Mean Corpuscular Hemoglobin) | Ilinganisa inani le-hemoglobin elivame ukutholakala kuseli elilodwa elibomvu legazi. |
| I-MCHC (Ukugxila Okumaphakathi Kwe-Hemoglobin Ye-Corpuscular) | Kulinganiswa kanjani ukuhlushwa kwe-hemoglobin ngaphakathi kweseli elibomvu legazi? |
Uma udokotela ehlola isimo sakho sezokwelapha, ikakhulukazi isimo esifana ne -anemia, babheka zonke lezi zindinganiso ndawonye. Abenzi isinqumo ngokusekelwe enanini elilodwa kuphela.
Kudingeka nini ukuhlolwa kwe-RDW?
Uma unezimpawu ezibonisa ukuthi une-anemia, udokotela wakho angase akucele ukuthi uhlolwe i-FBC. Lokhu kuzohlola nenani lakho le-RDW. I-anemia yilapho ungenawo amangqamuzana egazi abomvu anempilo anele ukuthwala umoya-mpilo emzimbeni wakho.
Izimpawu ezingase zibonise i-anemia
Uma unezimpawu ezinjengalezi, kubalulekile ukufuna iseluleko sezokwelapha:
- Ukuzizwa njalo kokukhathala okukhulu
- Ukuphelelwa umoya ngisho noma uhamba kancane
- Ukuzizwa ubanda ngaso sonke isikhathi
- Isiyezi noma ikhanda elibuthakathaka
- Isikhumba esikhanyayo noma esomile
- OkuvamileIkhanda elibuhlungu
Izimo zezokwelapha ezingabangela inani eliphakeme le-RDW
Ukuhlolwa kwe-RDW, kanye nezinye izinkomba ze-RBC, kungasiza ekutholeni imbangela ye-anemia. Kunezimbangela eziningi ezahlukene ze-anemia.
- Ukuntuleka kwamavithamini namaminerali: I-anemia, ikakhulukazi ebangelwa insimbi, i-vitamin B12, kanye nokuntuleka kwe-folate , ingabangela inani eliphakeme le-RDW.
- I-Thalassemia: Lesi yisimo sofuzo.
- Izifo Ezingamahlalakhona: Izimo zesikhathi eside ezifana nesifo sikashukela, isifo sikaCrohn, kanye ne-HIV.
- Isifo sezinso noma sesibindi
- Umdlavuza
- Isifo senhliziyo
- Ukopha okukhulu ngenxa yengozi noma ukuhlinzwa.
Kwenziwa kanjani lokhu kuhlolwa kwe-RDW? Ingabe kuyinto okufanele uyesabe?
Lutho neze. Lokhu ukuhlolwa kwegazi okulula kakhulu, okuvamile. Kuthatha imizuzu embalwa nje.
Akukho okukhethekile okudingeka ukulungiselele ngaphambi kokukhipha igazi lakho. Kodwa-ke, uma udokotela wakho ecele olunye ukuhlolwa, njengokuhlolwa koshukela egazini okuzila ukudla, kanye ne-FBC, kuzodingeka uzile ukudla amahora athile. Udokotela wakho uzokweluleka ngalokhu.
Yilokhu okwenzekayo lapho kudonswa igazi:
1. Umhlengikazi noma udokotela uzothola umthambo omuhle eduze kwendololwane yakho noma ngemuva kwesandla sakho.
2. Hlanza indawo yokufaka inaliti kahle nge-alcohol swab.
3. Ibhande lerabha (njenge-tourniquet) liqiniswa kancane ngaphezu kwendawo yokufaka inaliti ukuze kusizwe umthambo uphume kangcono.
4. Inaliti ibe isifakwa emthanjeni bese inani legazi elidingekayo liqoqwa ebhodleleni elincane. Ungase uzizwe umuzwa omncane wokuhlaba njengoba inaliti ifakwa.
5. Uma igazi selikhishiwe, inaliti iyasuswa, ucezu lwekotini lubekwe endaweni, bese kufakwa iplasta encane.
Ngokuvamile ungahamba ngokushesha ngemva kokukhipha igazi. Ngezinye izikhathi ungase uzizwe unesiyezi kancane, kodwa uzocelwa ukuba uhlale imizuzu embalwa. Indawo lapho inaliti ifakwe khona ingaba luhlaza okwesibhakabhaka kancane, kodwa lokhu kuzophela ngokwako ezinsukwini ezimbili kuya kwezintathu. Lokhu ukuhlolwa okuphephile kakhulu.
Ungayiqonda kanjani imiphumela ye-RDW?
Inani lakho le-RDW liboniswa njengephesenti (%). Ake sibone ukuthi lelo nani lijwayelekile, liphezulu, noma liphansi.
| Umphumela | Incazelo |
|---|---|
| I-RDW evamile | Lokhu kusho ukuthi amangqamuzana akho abomvu egazi avame ukuba nosayizi ofanayo. Inani le-RDW livame ukuba phakathi kuka -12% no-15% . Kodwa-ke, la manani angahluka kancane kuye ngelebhu eyenza ukuhlolwa. Ububanzi obujwayelekile balelo lebhu buyashiwo embikweni wakho. Okubalulekile: Uma i-RDW ijwayelekile, kodwa elinye inani (njenge-MCV) lingajwayelekile, lingabonisa nesimo sezokwelapha. |
| I-RDW ephezulu | Lokhu kusho ukuthi kunokwehluka okukhulu ngobukhulu bamaseli abomvu egazi. Amanye mancane, amanye makhulu. Lokhu kungaba uphawu lwe-anemia noma esinye isimo esihlobene. Inani le-RDW liphezulu kakhulu ku-anemia ebangelwa ukuntuleka kwensimbi. Udokotela uzoqhathanisa inani le-RDW nenani le-MCV ukuze afinyelele esiphethweni. |
| I-RDW ephansi | Inani le-RDW elingaphansi kwebanga elijwayelekile ngokuvamile aliyona into okufanele ukhathazeke ngayo. Alihlotshaniswa nanoma yisiphi isimo sezokwelapha esithile. |
Kubaluleke kakhulu: Ungacabangi ukuthi unesifo ngokusekelwe ekutheni i-RDW yakho iphezulu noma ijwayelekile. I-RDW iyingxenye eyodwa nje yephazili enkulu. Udokotela wakho uzosebenzisa amanye amanani embikweni we-FBC, izimpawu zakho, kanye nezinye izivivinyo, uma kudingeka, ukuze enze ukuxilongwa okunembile.
Uma usuthole umbiko wegazi, liyise kudokotela wakho okwelaphayo bese nixoxa ngawo ngokucacile. Mbuze noma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
Umlayezo Wokuya Nawe Ekhaya
- I-RDW (Ububanzi Bokusabalalisa Amaseli Egazi Abomvu) ukuhlolwa okulinganisa ukwehluka kosayizi wamaseli akho abomvu egazi.
- Lokhu kuvame ukwenziwa njengengxenye yokubalwa kwegazi okuphelele (i-FBC/CBC).
- Inani eliphakeme le-RDW lingaba uphawu lwe-anemia, kodwa lona lodwa alanele ukuxilongwa.
- Ukwehla kwenani le-RDW ngokuvamile akuyona imbangela yokukhathazeka.
- Uma usuthole umbiko wakho wokuhlolwa kwegazi, xoxa njalo ngemiphumela nodokotela wakho, kunokuba usheshe ufinyelele eziphethweni ngokwakho.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Kuyini 'ukuhlolwa kwegazi kwe-MCH' embikweni wegazi (FBC/CBC)? Kuhlobene kanjani ne-RDW?
I-'MCH (Mean Corpuscular Hemoglobin)' ku-Full Blood Count yakho (FBC) 'inani le-Hemoglobin' (iphrotheni yensimbi enikeza igazi umbala walo obomvu futhi ethwala umoya-mpilo) ngaphakathi kwelinye lamaseli akho abomvu egazi (RBC). I-'RDW' esihlokweni sakho 'ukuguquguquka kosayizi/ubukhulu' bamaseli egazi. Kungokuthatha la manani amabili (i-MCH ne-RDW) ndawonye lapho odokotela banganquma khona ukuthi hlobo luni lwe-anemia onayo!
💬 Kungani inani lami le-MCH liphansi ngendlela engavamile (i-MCH ephansi) embikweni wami? Ingabe kuyingozi?
Inani 'eliphansi le-MCH' (ngokuvamile lingaphansi kwama-picogram angu-27) lisho ukuthi amangqamuzana akho egazi aswele i-iron (amangqamuzana egazi aphuzi). Imbangela eyinhloko neyinombolo 1 yalokhu 'i-Iron Deficiency Anemia' - i-iron enganele emzimbeni ukukhiqiza igazi kahle! Ngaphezu kwalokho, izifo zegazi ezibangelwa ufuzo njenge-Thalassemia nazo zingabonisa inani eliphansi kakhulu le-MCH.
💬 Uma i-MCH/Hemoglobin embikweni wegazi iphansi, yiziphi izimo ezibulalayo ezidinga ukulaliswa esibhedlela/ukumpontshelwa igazi ngokushesha?
Lokhu kungalungiswa ezinyangeni ezimbalwa ngokuthatha amaphilisi ensimbi. Kodwa ingozi enkulu kunazo zonke! 1) Uma lokhu kulahlekelwa yigazi kubangela ukuthi ube 'nobuhlungu besifuba / i-Angina', 2) Uma uhlala uzizwa unesizungu futhi ulahlekelwa ingqondo, 3) Uma ukushaya kwenhliziyo yakho kushesha ngendlela engavamile, inhliziyo yakho ingase ingatholi umoya-mpilo owanele futhi inhliziyo yakho ingase ime (ukwehluleka kwenhliziyo)! Udinga ukulaliswa esibhedlela ngokushesha!
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