Uma ubulokhu uzizwa ukhathele, uphelelwa umoya , noma uphethwe yikhanda isikhathi esithile, udokotela wakho kungenzeka ukuthi u-ode uchungechunge lokuhlolwa kwegazi . Ukubona igama elithi “Reticulocyte Count” kulowo mbiko kungenzeka ukuthi kukwenze wazizwa ungakhululekile. Ingabe uyazibuza, “Luhlobo luni lokuhlolwa okungajwayelekile lolu?” Ungakhathazeki. Lokhu ukuhlolwa kwegazi okuvamile kakhulu, okulula, futhi okufundisa kakhulu. Ake sixoxe ngakho konke okudingeka ukwazi, ngokucacile nangokulula.
Okokuqala, ake sibheke ukuthi ayini ama-'Reticulocytes'
Cishe uyazi ukuthi igazi lethu liqukethe izinhlobo eziningi zamaseli, njengamaseli abomvu egazi, amaseli amhlophe egazi , nama-platelet. Phakathi kwalawa, amaningi kakhulu amaseli abomvu egazi . Cabanga ngawo njengenkonzo yokulethwa ethwala izimpahla kuwo wonke amadolobha emzimbeni wakho; lawa maseli abomvu egazi athatha umoya-mpilo emaphashini akho bese ewuhambisa kuwo wonke umzimba wakho. Ngenxa yokuthi aqukethe i-hemoglobin ecebile ngensimbi , anika igazi lakho umbala walo obomvu.
Kodwa-ke, iseli elilodwa elibomvu legazi liphila cishe izinyanga ezine kuphela. Ngakho-ke, sidinga ukukhiqiza njalo amaseli amasha ukuze sithathe indawo yamadala. Ifektri eyakha la maseli amasha yizicubu ezithambile ezitholakala ngaphakathi kwamathambo akho, ezaziwa ngokuthi iBone Marrow .
Kalula nje, ama-Reticulocyte angamaseli abomvu egazi “abantwana” asanda kukhiqizwa yifektri yomnkantsha wamathambo futhi akhishwa egazini ngaphambi kokuba akhule ngokugcwele.
Lawa maseli amancane makhulu kancane kunamaseli abomvu egazi avuthiwe. Phakathi nosuku olulodwa noma ezimbili, avuthwa ngokugcwele futhi athathe umsebenzi wokuthwala umoya-mpilo. Kumuntu ophilile, ama-reticulocyte kufanele akhe phakathi kuka-0.5% no-2.5% wenani lamaseli abomvu egazi eliphelele.
Ngakho-ke, yini ngempela eyenziwa yilolu vivinyo?
Uma udokotela wakho efuna ukwazi ukuthi imboni yakho yomnkantsha wamathambo isebenza kahle futhi ikhiqiza amangqamuzana abomvu egazi anele, uzoyala ukuhlolwa kwe-Reticulocyte Count.
Le nqubo ilula. Isampula yegazi ithathwa emthanjeni osengalweni yakho, njengokuhlolwa kwegazi okuvamile. Esikhathini esidlule, lawa maseli ayebalwa ngesandla kusetshenziswa imakroskopu. Namuhla, imishini ezenzakalelayo ethuthukisiwe yenza lokhu kubalwa ngokunemba okuphezulu. Ukuhlolwa kwegazi okulula okuvame ukubangela ukungakhululeki okuncane.
Udokotela uvame uku-oda nini lokhu kuhlolwa?
Isizathu esiyinhloko nesivame kakhulu salokhu kuhlolwa yicala elisolwayo le- anemia . I-anemia yisimo lapho umzimba wakho untula khona amangqamuzana abomvu egazi anempilo eyanele. Kungabangela izimpawu ezifana nokukhathala okuqhubekayo, ubuthakathaka, ukuphefumula kanzima ngemva kokusebenza okuncane, ikhanda elibuhlungu njalo, kanye nobuhlungu besifuba ngezinye izikhathi .
Ngokuvamile, uma i-standard Full Blood Count (FBC) isikisela ukuthi une-anemia, i-Reticulocyte Count ingenye yezivivinyo zokulandelela ezibaluleke kakhulu ukuze kutholakale uhlobo oluthile lwe-anemia ongase ube nalo.
Kunezinhlobo eziningana ze-anemia. Ngokusekelwe emiphumeleni yalolu vivinyo, udokotela wakho angathola isithombe esicacile sokuthi ubhekene nohlobo luni.
| Uhlobo lwe-Anemia | Umphumela ku-Reticulocyte Count | Ngamagama Alula... |
|---|---|---|
| I-Hemolytic Anemia | Phezulu | Amaseli abomvu egazi ayabhujiswa emzimbeni ngaphambi kwesikhathi sawo sokuphila esilindelekile. Ukuze kulungiswe lokhu kulahlekelwa, umnkantsha usebenza ngamandla aphezulu ukukhiqiza amaseli amasha engeziwe. |
| I-Aplastic Anemia | Phansi | Imboni yomnkantsha ngokwayo yonakele. Ngenxa yalokho, ayikwazi ukukhiqiza inani elidingekayo lamaseli abomvu egazi amasha. |
| I-Anemia Yokuntuleka Kwensimbi | Phansi | Akukho insimbi eyanele, into eluhlaza ebalulekile, emzimbeni wakho yokwakha amangqamuzana abomvu egazi. Ngaphandle kwezinto zokusetshenziswa, ifektri ayikwazi ukuwakhiqiza. |
| I-Anemia Eyingozi | Phansi | Umzimba wakho awunayo i-vitamin B12, enye into ebalulekile ekwakheni amangqamuzana abomvu egazi. Lokhu futhi kubangela ukwehla kokukhiqizwa. |
Ingabe zikhona ezinye izizathu ngaphandle kwe-anemia?
Yebo, lolu vivinyo luwusizo kakhulu nakwezinye izimo.
Isifo Se-Sickle Cell
Lesi yisifo sofuzo lapho amangqamuzana abomvu egazi eba nesimo se-sickle (crescent) esikhundleni sesimo esijwayelekile esiyindilinga. Lawa maseli abhujiswa ngokushesha futhi angavimba imithambo yegazi emincane , okungenzeka avimbele ukugeleza kwegazi . Kulaba ziguli, inani eliphakeme lama-Reticulocyte lingabonisa "inkinga yamaseli esickle" lapho amangqamuzana abomvu ebhujiswa khona ngokushesha.
Ukuqapha Impendulo Yokwelashwa
- Ngemva kokwelashwa ngamakhemikhali noma ngemisebe yokwelapha umdlavuza.
- Ngemva kokufakelwa umongo .
Ukwelashwa okufana nalokhu kungathinta umongo wamathambo. Ngakho-ke, ngemva kokwelashwa, i-Reticulocyte Count isiza ekuqapheni ukuthi umongo usuqalile yini ukululama nokukhiqiza amaseli amasha. Ukwanda kancane kancane kwesibalo kuyisibonakaliso esihle sokululama.
Umlayezo Wokuya Nawe Ekhaya
- I-Reticulocyte Count iwukuhlolwa kwegazi okulula okuhlola ukuthi "imboni yakho yamangqamuzana egazi abomvu" (umnkantsha) isebenza kahle kangakanani.
- Isetshenziswa ngokuyinhloko ukuhlonza uhlobo oluthile lwe-anemia ongase ube nalo.
- Ukubala okuphezulu ngokuvamile kusho ukuthi umongo wakho wamathambo usebenza isikhathi esengeziwe ukuze ukhokhele ukubhujiswa kwamangqamuzana abomvu egazi. Ukubala okuphansi kubonisa ukuthi umongo wamathambo awukhiqizi amangqamuzana anele.
- Awukwazi ukuthola ukuxilongwa ngokusekelwe kulo mphumela wokuhlolwa kuphela. Udokotela wakho uzochaza lokhu kanye nezimpawu zakho zomtholampilo kanye neminye imibiko yokuhlolwa.
- Ngakho-ke, ungakhathazeki ngezinombolo ezisembikweni wakho. Uma unemibuzo noma ukukhathazeka, zizwe ukhululekile ukuxoxa ngakho ngokukhululekile nodokotela wakho.
Ukuhlolwa Kokubalwa Kwe-Reticulocyte, i-Reticulocyte, amaseli abomvu egazi, i-anemia, umnkantsha, ukuhlolwa kwegazi, i-FBC, i-Hemolytic Anemia, i-Aplastic Anemia
