Mhlawumbe ubulokhu uzizwa ukhathele, ukhathele , noma uphethwe yikhanda izinsuku ezimbalwa, futhi udokotela wakho ucele ukuhlolwa kwegazi . Kungenzeka ukuthi ukhathazeke kancane lapho ubona igama elithi "Reticulocyte Count" embikweni. "Luhlobo luni lokuhlolwa okungajwayelekile lolu?" Kungenzeka ukuthi uzicabangele. Lokhu ukuhlolwa kwegazi okulula kakhulu okwenziwa njalo, kodwa kunikeza ulwazi olubaluleke kakhulu. Namuhla, sizokhuluma ngalokhu ngokucacile nangokulula.
Okokuqala, ake sibone ukuthi iyini le 'reticulocyte'.
Uyazi ukuthi igazi lethu liqukethe izinhlobo eziningi zamaseli, njengamaseli abomvu egazi, amaseli amhlophe egazi , nama-platelet. Amaningi kakhulu kulawa ngamaseli abomvu egazi . Njengenkonzo yamaloli eletha izimpahla emadolobheni kuyo yonke imizimba yethu, lawa maseli abomvu egazi athatha umoya-mpilo emaphashini bese ewusabalalisa kuzo zonke ezinye izingxenye zomzimba. Igazi lethu libukeka libomvu ngenxa yeprotheni equkethe i-hemoglobin esiza kulo msebenzi.
Kodwa iseli elilodwa elibomvu legazi lingaphila cishe izinyanga ezine kuphela. Ngakho-ke, sidinga ukuqhubeka senza amaseli amasha ukuze sithathe indawo yalawa amadala. Ifektri eyenza lawa maseli amasha yingxenye efana nesiponji engaphakathi kwamathambo ethu, ebizwa ngokuthi umnkantsha wamathambo .
Kalula nje, sibiza ama-reticulocyte ngokuthi amaseli abomvu egazi "abantwana" asanda kukhiqizwa yifektri ebizwa ngokuthi umnkantsha wamathambo bese ekhishwa egazini, futhi angakavuthwa ngokugcwele.
Lawa maseli amancane makhulu kancane kunamaseli abomvu egazi avamile. Phakathi nosuku olulodwa noma ezimbili, avuthwa ngokugcwele futhi athathe umsebenzi wokuthwala umoya-mpilo. Kumuntu ophilile, ama-reticulocyte akha phakathi kuka-0.5% no-2.5% wenani eliphelele lamaseli abomvu egazi egazini.
Ngakho-ke lokhu kuhlolwa kwenzani ngempela?
Uma udokotela efuna ukwazi ukuthi imboni yakho yomnkantsha wamathambo isebenza kahle futhi ikhiqiza inani elidingekayo lamaseli abomvu egazi, uzoyala lolu vivinyo lwe-Reticulocyte Count.
Lokhu ukuhlolwa okulula kakhulu. Isampula yegazi ithathwa emthanjeni osengalweni yakho. Esikhathini esidlule, lawa maseli ayebalwa ngesandla kusetshenziswa imakroskopu. Kodwa manje imishini ezenzakalelayo yenza lokhu kubala ngokunembe kakhulu. Ngakho lokhu ukuhlolwa kwegazi okuvamile nje okungeke kukubangele izinkinga ezikhethekile.
Kukuziphi izimo udokotela angancoma lolu vivinyo?
Isizathu esiyinhloko nesivame kakhulu salokhu kuhlolwa yilapho kukhona ukusolakala kwesimo esibizwa ngokuthi i-anemia . I-anemia yilapho umzimba ungenawo amangqamuzana abomvu egazi anempilo anele. Khona-ke ungase ube nezimpawu ezifana nokukhathala okuqhubekayo, umuzwa wobuthakathaka, ukuphelelwa umoya ngisho nalapho uhamba ibanga elifushane, ikhanda elibuhlungu njalo, kanye nobuhlungu besifuba ngezinye izikhathi .
Uma usola ukuthi une-anemia ngenxa yokubalwa kwegazi okuphelele (i-FBC), okuvame ukuba ukuhlolwa kokuqala okwenziwayo, ukuhlolwa okubaluleke kakhulu ukuthola ukuthi hlobo luni ngempela yi-Reticulocyte Count.
Kunezinhlobo eziningana ze-anemia. Imiphumela yalolu vivinyo izonikeza udokotela umbono omuhle wohlobo lwalesi sifo.
| Uhlobo lwe-Anemia | Kwenzekani ku-Reticulocyte Count? | Kalula nje... |
|---|---|---|
| I-Hemolytic Anemia | Inani liphezulu . | Amangqamuzana abomvu egazi abhujiswa ngaphambi kwesikhathi emzimbeni. Ukuze kulungiswe ukulahlekelwa, ifektri yomnkantsha wamathambo isebenza kahle kakhulu, ikhiqiza amangqamuzana amaningi amasha. |
| I-Aplastic Anemia | Inombolo iyancipha (Ephansi) | Umnkantsha ngokwawo wonakele, okwenza ungakhiqizi inani elidingekayo lamaseli amasha egazi abomvu. |
| I-Anemia Yokuntuleka Kwensimbi | Inombolo iyancipha (Ephansi) | Umzimba awunayo i-iron, into eluhlaza edingekayo ukuze kwenziwe amangqamuzana abomvu egazi. Ifektri ayikwazi ukuyikhiqiza ngoba ayikho into eluhlaza. |
| I-Anemia Eyingozi | Inombolo iyancipha (Ephansi) | I-Vitamin B12, esinye isithako esidingekayo ekwakheni amangqamuzana abomvu egazi, ayitholakali kahle emzimbeni. Lokhu kunciphisa nokukhiqizwa kwayo. |
Ingabe zikhona ezinye izimbangela ngaphandle kwe-anemia?
Yebo, lolu vivinyo luwusizo kakhulu kwezinye izimo eziningana.
Isifo Se-Sickle Cell
Lesi yisifo esibangelwa izakhi zofuzo. Amaseli abomvu egazi akheka lapha athatha isimo sesikela esikhundleni sesimo sawo esijwayelekile esiyindilinga. Lokhu kubangela ukuthi abhujiswe ngokushesha futhi angabhajwa emithanjeni yegazi emincane, kuvimbele ukugeleza kwegazi . Inani eliphakeme lama-reticulocyte kula ma-patient lingabonisa inkinga yamaseli esikela, lapho amaseli abomvu egazi ebhujiswa khona ngokweqile.
Bheka impendulo yokwelashwa
- Uma uthola ukwelashwa ngamakhemikhali noma ngemisebe yomdlavuza.
- Ngemva kokufakelwa umongo .
Lezi zinhlobo zokwelapha zingalimaza umongo wamathambo. Ngakho-ke ngemva kokwelashwa, leli nani le-Reticulocyte lingasetshenziswa ukuhlola ukuthi umongo wamathambo usuphinde walulama futhi waqala ukwenza amaseli amasha. Ukwanda kancane kancane kwenani kuyisibonakaliso sokululama okuhle.
Umlayezo Wokuya Nawe Ekhaya
- Inani lama-reticulocyte ukuhlolwa kwegazi okulula okukala ukuthi "ifektri yamangqamuzana egazi abomvu" (umnkantsha wamathambo) womzimba wakho isebenza kahle kangakanani.
- Lokhu kusetshenziselwa kakhulu ukuthola ukuthi hlobo luni lwe-anemia onayo.
- Ukubala okuphezulu kuvame ukusho ukuthi umzimba ubhubhisa amangqamuzana abomvu egazi kanti umongo usebenza kanzima ukuze uwathathele indawo. Ukubala okuphansi kusho ukuthi umongo awenzi amangqamuzana anele.
- Ukuxilongwa akukwazi ukwenziwa ngokusekelwe emiphumeleni yalolu vivinyo kuphela. Udokotela wakho uzoqhathanisa lokhu nezimpawu zakho kanye neminye imiphumela yokuhlolwa ukuze afinyelele esiphethweni.
- Ngakho-ke, ungakhathazeki ngezinombolo ezisembikweni wakho. Uma unemibuzo noma ukungabaza, khuluma nodokotela wakho ngazo ngokukhululekile.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho