Uma ubona izinhlamvu nezinombolo embikweni ozitholayo uma uthola ukuhlolwa kwegazi , ngezinye izikhathi kufika umbuzo omncane engqondweni, akunjalo? 'Zisho ukuthini lezi CBC , RDW, kanye ne-MCV?' Abantu abaningi babuza ngaleli nani, ikakhulukazi inani le-RDW. Ngakho-ke namuhla, ake sixoxe ngokuthi lisho ukuthini leli RDW nokuthi lithini ngempilo yethu ngendlela elula kakhulu.
Ake siqale sibone, iyini le RDW?
Kalula nje, i-RDW, noma i-Red Blood Cell Distribution Width , ilinganisa ukwehluka kosayizi wamaseli abomvu egazini lakho. Nakuba ithi "ububanzi," lokhu akulinganisi ububanzi beseli, kulinganisa ububanzi bosayizi bamaseli.
Cabanga ngale ndlela: amangqamuzana abomvu egazi emizimbeni yethu afana namaloli amancane aletha umoya-mpilo. Athatha umoya-mpilo emaphashini awuyise kuzo zonke izingxenye zomzimba. Iphrotheni esiza ngalo msebenzi ibizwa ngokuthi i-hemoglobin . Ngokuvamile, amangqamuzana abomvu egazi omuntu ophilile kufanele abe cishe ngobukhulu obufanayo. Uma kunomehluko omkhulu phakathi kobukhulu bawo, kusho ukuthi kungaba nenkinga.
Uma uya kudokotela, bavame ukukunikeza umbiko obizwa ngokuthi ukubalwa kwegazi okuphelele (i-CBC), akunjalo? I-RDW ingenye yezingxenye zalowo mbiko we-CBC.
Ingabe i-RDW ibheka lokhu yodwa? Yini enye ebalulekile embikweni we-CBC?
Udokotela akasoze ahlole ngokusekelwe enanini le-RDW kuphela. Kufana nengxenye eyodwa yephazili. Udinga ezinye izingcezu ukuze ubone isithombe sonke. Kunezinye izilinganiso ezibalulekile eziningana zamaseli abomvu egazi embikweni we-CBC. Sizibiza ngokuthi ama-Red Blood Cell Indices. I-RDW ingenye yalezo zinkhomba.
| Inkomba | Kusho ukuthini kalula? |
|---|---|
| I-MCV (Umthamo Ophakathi We-Corpuscular) | Ilinganisa ubukhulu obujwayelekile bamaseli akho abomvu egazi. |
| I-MCH (Mean Corpuscular Hemoglobin) | Ilinganisa inani le-hemoglobin elivame ukutholakala kuseli elibomvu legazi. |
| I-MCHC (Ukugxila Okumaphakathi Kwe-Hemoglobin Ye-Corpuscular) | Kukalwa ukuhlushwa kwe-hemoglobin kuseli elibomvu legazi. |
Udokotela wakho uzohlanganisa zonke lezi zindinganiso ukuze athole umbono onembile ngesimo sakho sempilo.
Ubani okufanele akhathazeke kakhulu ngaleli nani le-RDW?
Inani le-RDW livame ukulinganiswa kuwo wonke umuntu ohlolwa i-CBC, kodwa udokotela uzonaka kakhulu leli nani uma esola ukuthi une -anemia .
I-anemia yisimo lapho umzimba ungakhiqizi khona amangqamuzana abomvu egazi anele anempilo. Hlola ukuthi unanoma yiziphi zalezi zimpawu:
- Ukukhathala okuqhubekayo
- Ubunzima bokuphefumula ngisho noma uhamba ibanga elifushane
- Ukuzizwa ubanda ngendlela engavamile
- Isiyezi
- Umzimba ongenampilo
- Isikhumba esikhanyayo noma esomile
- Ubuhlungu bekhanda obuvamile
- Ukushaya kwenhliziyo
Uma unalezi zimpawu, udokotela wakho uzobheka inani le-RDW ukuze azame ukuthola imbangela ye-anemia yakho. Ngaphezu kwalokho, inani le-RDW libalulekile nasezimweni ezilandelayo:
- Uma othile emndenini enezifo zegazi ezizuzwe njenge- thalassemia noma i-sickle cell anemia.
- Uma unezifo ezingamahlalakhona njengesifo sikashukela noma isifo sikaCrohn.
- Uma ukudla kwakho kungenayo i-iron kanye namanye amaminerali aphansi.
- Uma uhlushwa ukutheleleka isikhathi eside.
- Uma igazi eliningi lisusiwe emzimbeni ngenxa yengozi noma ukuhlinzwa.
Zisho ukuthini izinombolo embikweni we-RDW?
Kulungile, manje ake sibone ukuthi kusho ukuthini ukuba naleli nani le-RDW liphezulu, liphansi, noma lijwayelekile.
Inani eliphezulu le-RDW
Inani eliphezulu le-RDW lisho ukuthi kunokwehluka okukhulu ngobukhulu bamaseli akho abomvu egazi. Lokhu kusho ukuthi amanye amaseli mancane kanti amanye makhulu. Lokhu kungaba uphawu lwe-anemia. I-anemia yokuntuleka kwensimbi, ikakhulukazi, ikhulisa inani le-RDW. Kungabangelwa futhi ukuntuleka kwezakhamzimba ezifana ne-vitamin B12 noma i-folate.
Inani eliphansi le-RDW
Inani eliphansi le-RDW lisho ukuthi wonke amangqamuzana akho abomvu egazi acishe afane ngobukhulu. Lesi yisimo esihle kakhulu. Akukho lutho okufanele ukhathazeke ngalo nhlobo.
Inani le-RDW livamile
Inani 'elijwayelekile' le-RDW (ngokuvamile phakathi kuka-12% - 15%) lisho ukuthi akukho mehluko obalulekile ngobukhulu bamaseli abomvu egazi. Kodwa-ke, lokhu akusho ukuthi konke kuhamba kahle. Ngezinye izikhathi, noma ngabe i-RDW ijwayelekile, amaseli abomvu egazi angaba mancane (inani le-MCV liphansi). Lokhu kungaba uphawu lwesifo esizuzwe njengefa njenge -thalassemia .
Into ebaluleke kakhulu ukuthi awukwazi ukwenza ukuxilongwa ngokusekelwe enanini le-RDW kuphela. Udokotela uzoqhathanisa leli nani nenani le-MCV kanye neminye imiphumela yokuhlolwa ukuze athole ukuxilongwa okunembile.
Lokhu kungachazwa kabanzi kuthebula elingezansi.
| Inani le-RDW | Inani le-MCV (usayizi weseli omaphakathi) | Isimo esivame ukusolisa |
|---|---|---|
| I-RDW ephezulu | I-MCV ephansi | I-anemia yokuntuleka kwensimbi |
| I-RDW evamile | I-MCV ephansi | I-anemia ebangelwa yi-Thalassemia noma isifo esingamahlalakhona |
| I-RDW ephezulu | I-MCV ephezulu | Ukuntuleka kwe-Vitamin B12 noma i-folic acid |
| I-RDW ephezulu | I-MCV evamile | Kungaba yicala lokuqala lokuntuleka kwegazi noma isifo sesibindi. |
Ingabe kukhona izinga 'eliyingozi' lenani le-RDW?
Ukukubeka ngokusobala, ayikho into ebizwa ngokuthi 'inani le-RDW eliyingozi.' Lokhu kufana nensimbi yokuxwayisa. Kusho ukuthi kukhona okudingeka kuhlolwe ngaphakathi emzimbeni. Ngakho-ke ungesabi ngokungadingekile inani le-RDW eliphakeme.
Into engcono kakhulu ongayenza ukuthatha umbiko wakho bese ukhuluma nodokotela wakho ngakho. Uzokwenza ezinye izivivinyo uma kudingeka, athole imbangela eqondile yesifo, bese ekunikeza ukwelashwa okudingayo.
Umlayezo Wokuya Nawe Ekhaya
- I-RDW iyingxenye eyodwa nje yesibalo sakho segazi esiphelele (i-CBC).
- Lokhu kulinganisa ukwehluka kosayizi wamaseli akho abomvu egazi.
- Inani eliphakeme le-RDW livame ukuba uphawu lwe-anemia, njengokuntuleka kwensimbi.
- Inani eliphansi le-RDW liyisimo esihle kakhulu. Akukho sizathu sokukhathazeka ngakho.
- Awukwazi ukuthola noma yisiphi isifo ngokubheka inani le-RDW kuphela. Udokotela usiqhathanisa nezinye izindinganiso ezifana ne-MCV.
- Uma unemibuzo noma ukungabaza ngezindinganiso ezisembikweni wakho, into engcono kakhulu nephephile ongayenza ukukhuluma nodokotela wakho ngakho.
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