Uke wahlolwa igazi muva nje? Bekukhona i -CBC kulowo mbiko, akunjalo? Inenani elibizwa ngokuthi i-RBC Count. Abantu abaningi bayakhathazeka kancane uma bebona lokhu, becabanga, 'O, ingabe lokhu kuphansi? Ingabe kuphezulu? Ingabe uhlobo oluthile lwesifo?' Akunzima ngempela ukukuqonda. Ngakho-ke namuhla, ake sixoxe kalula, njengokungathi sikhuluma nomngane, ngokuthi lawa maseli abomvu egazi , noma i-RBC Count, ayini, nokuthi yini ebangela ukuba amanani awo ashintshe.
Iyini ngempela le nombolo yamaseli abomvu egazi (ama-RBC)?
Kalula nje, amangqamuzana abomvu egazi awuhlobo olukhethekile lweseli egazini lethu. Abizwa nangokuthi 'ama-erythrocyte'. Lawa maseli aqukethe iphrotheni ekhethekile ebizwa ngokuthi i-hemoglobin . Njengeloli ethwala izimpahla, le hemoglobin yiyo ethatha umoya-mpilo oza emaphashini lapho siphefumula bese iwusabalalisa kuwo wonke amanye amangqamuzana emzimbeni wonke.
Ngakho-ke, inani lomoya-mpilo elifinyelela kuzo zonke izingxenye zomzimba wakho lincike ngqo enanini lamaseli abomvu egazini lakho. Ukuhlolwa kwe-RBC Count kulinganisa ukuthi zingaki izigidi zamaseli abomvu egazini nge-milliliter ngayinye yegazi. Lokhu akuvamile ukuba ukuhlolwa okuhlukile, kodwa kwenziwa njengengxenye yokuhlolwa kwe -complete blood count (CBC) .
Kungani udokotela ekucela ukuthi wenze lolu hlolo lwe-RBC?
Kungakhathaliseki ukuthi uya kohlolwa njalo noma uthola imithi yokugula, udokotela wakho angase akucele ukuhlolwa kwe-CBC. Kunezizathu eziningana eziyinhloko zalokhu:
- Ukuhlola isimo sakho sempilo jikelele: Lokhu kuhlolwa kukusiza ukuthi wazi ngokujwayelekile ukuthi umzimba wakho usebenza kanjani, ngaphandle kwesizathu esikhulu.
- Ukuthola imbangela yezimpawu zakho: Uma uhlala uzizwa ukhathele, ukhathele, unesiyezi, noma unekhanda elibuhlungu , lokhu kuhlolwa kungakusiza ukuthola imbangela. Kungaba ukuntuleka kwamaseli abomvu egazi ( i-anemia ).
- Ukuqapha isimo sezokwelapha: Uma usuvele unesifo esifana nesifo sezinso , isifo segazi, noma umdlavuza, udokotela wakho angase ahlele lokhu kuhlolwa njalo ukuze abone ukuthi isimo siyalawulwa yini ngokwelashwa nokuthi kukhona yini ushintsho.
Into ebalulekile ukuthi, ungabheki nje inani olitholayo bese wenza izinqumo ngokwakho. Kukunikeza inkomba kuphela. Udokotela wakho kuphela ongakuchaza kahle futhi akutshele ukuthi yini okufanele uyenze ngokulandelayo.
Kufanele zibe njani izilinganiso ze-RBC ezijwayelekile?
Lawa manani angahluka kancane kusuka kwelebhu eyodwa kuya kwenye, ngakho-ke kubalulekile ukuwaqhathanisa nebhokisi elithi "Ububanzi Obujwayelekile" embikweni wakho. Kodwa ngokuvamile, amanani ajwayelekile alandelayo:
| Umuntu | Inani elijwayelekile le-RBC (izigidi zamaseli nge-microliter ngayinye yegazi) |
|---|---|
| Owesilisa (omdala) | 4.7 – 6.1 million |
| Abesifazane (abadala) | 4.2 – 5.4 million |
| Izingane | Izigidi ezingu-4.0 – 5.5 |
Lezi zindinganiso zingase zehle kancane ngokukhula. Izinguquko kulezi zindinganiso zingase zibonakale ngesikhathi sokukhulelwa .
Uma inani lama-RBC liphakeme kunejwayelekile (Inani lama-RBC Eliphezulu)
Ngezinye izikhathi inani eliphezulu lama-RBC lingaba nezimpawu, kodwa abanye abantu bangase babe nezimpawu ezithile.
Izimpawu ezingase zivele ngesikhathi sokwanda
| Izimpawu ezivamile zokwanda kwenani lama-RBC | |
|---|---|
| – Ukukhathala okuvamile | – Ubunzima bokuphefumula (ukuphelelwa umoya) |
| - Ikhanda elibuhlungu | – Umbono ofiphele |
| – Ukungalali | - Ubuhlungu bamalunga |
| – Isikhumba esilumayo | – Ukopha ekhaleni |
Izimbangela zokwanda kwenani lama-RBC
- Ukubhema: Ababhemayo bakhiqiza amangqamuzana egazi abomvu engeziwe ukuze babuyisele ukungenisa umoya-mpilo okuncishisiwe.
- Ukuphelelwa amanzi emzimbeni: Uma inani lamanzi emzimbeni lehla, uketshezi lwegazi luyancipha futhi inani lamaseli liyakhula uma kuqhathaniswa nenani lamanzi egazini.
- Ukuhlala ezindaweni eziphakeme: Njengoba umoya ezindaweni ezinezintaba unomoya-mpilo omncane, umzimba wandisa ukukhiqizwa kwama-RBC ukuze uzivumelanise nezimo.
- Isifo senhliziyo: Ezinye izifo zenhliziyo (ikakhulukazi ezizalwa nazo) zingaphazamisa ukuhlinzekwa komoya-mpilo emzimbeni. Ukukhiqizwa kwama-RBC kuyanda ukuze kulungiswe.
- Izifo ezihlobene namaphaphu: Izimo ezifana ne-asthma kanye ne-emphysema.
- I-Polycythemia vera: Lesi yisifo somnkantsha lapho umnkantsha ukhiqiza khona amaseli abomvu egazi ngaphandle kokulawulwa.
- Umdlavuza wezinso: Ezinye izinhlobo zomdlavuza wezinso zikhiqiza ama-hormone akhuthaza ukukhiqizwa kwama-RBC.
- Eminye imithi: Eminye imithi, njenge-steroids.
Uma inani lama-RBC liphansi kunejwayelekile (Inani lama-RBC Eliphansi / I-Anemia)
Ngokuvamile sikubiza ngokuthi ukwehla kwenani lama-RBC anemia . Lokhu kungabangelwa nezizathu ezahlukahlukene.
Izimpawu ezingabonakala ngesikhathi sokuncipha
| Izimpawu ezivamile zokubalwa kwama-RBC aphansi (i-anemia) | |
|---|---|
| - Ukukhathala ngokweqile kanye nobuthakathaka | – Isikhumba esiphaphathekile (ngezinye izikhathi asibonakali ngenxa yombala wesikhumba) |
| - Ubunzima bokuphefumula | - Ubuhlungu besifuba |
| – Ukushaya kwenhliziyo okungajwayelekile noma okusheshayo | - Ukuzizwa unesiyezi |
| – Izandla nezinyawo ezibandayo | - Ikhanda elibuhlungu |
Izimbangela zenani eliphansi lama-RBC
- Ukuntuleka kokudla okunempilo: Ukuntuleka kwezakhamzimba, ikakhulukazi i-iron, i-vitamin B12, kanye ne-folate, kuthinta ngqo ukukhiqizwa kwamangqamuzana abomvu egazi.
- Ukopha: Ukulahlekelwa igazi emzimbeni, kungaba ngengozi noma ngenxa yezimo ezifana nezilonda zesisu noma ama-hemorrhoids.
- Izifo Ezingamahlalakhona: Izifo ezifana nesifo sezinso esibi kakhulu, isifo sokuqina kwesibindi, i-lupus, kanye ne-rheumatoid arthritis.
- Izifo zomnkantsha: Izimo zomdlavuza ezifana ne-leukemia kanye ne-multiple myeloma zinciphisa ikhono lomnkantsha lokukhiqiza ama-RBC.
- Ukungasebenzi kahle kwe-thyroid (i-Hypothyroidism).
- Eminye imithi: Izinto ezifana nemithi yokwelapha umdlavuza nge-chemotherapy.
Ngingaluthatha kanjani lolu vivinyo? Ingabe kudingeka ngilungiselele?
Lokhu kulula kakhulu. Udinga nje ukuthatha isampula yegazi elincane emthanjeni osesandleni sakho. Asikho isidingo sokulungiselela okuningi ngalokhu. Kodwa-ke, ukunakekela lezi zinto ngosuku olwandulela ukuhlolwa kuzosiza ukuqinisekisa ukunemba kwemiphumela.
- Gwema ukuvivinya umzimba okunzima ngosuku olungaphambi kokuhlolwa.
- Hlala uphumule futhi ungenaso ingcindezi ngangokunokwenzeka.
- Phuza amanzi amaningi.
- Qiniseka ukuthi utshela udokotela wakho nganoma yimiphi imithi oyithathayo (kufaka phakathi amavithamini). Ungase ucelwe ukuthi uyeke ukuthatha imithi ethile isikhashana ngaphambi kokuhlolwa.
Uma wesaba ameva, qaphela lokho kusenesikhathi. Nakuba kungase kuzwakale sengathi intuthwane encane iyahlaba, izophela maduze.
Umlayezo Wokuya Nawe Ekhaya
- Isibalo sama-RBC siwukuhlolwa okulinganisa inani lamaseli abomvu egazi athwala umoya-mpilo emzimbeni wakho wonke.
- Ungacabangi ukuthi inani elingaphandle kwebanga elijwayelekile liwuphawu lokugula okukhulu. Kumane nje kuyinkomba.
- Kunezizathu eziningi ezenza ukuthi inani lama-RBC akho likhuphuke noma lehle. Ezinye zilula kakhulu (njengokungaphuzi amanzi anele), kanti ezinye zingadinga usizo lwezokwelapha.
- Uma uthola umbiko wakho wokuhlolwa kwegazi, yiziphi izindinganiso ezikuwo?Qiniseka ukuthi ukhuluma nodokotela wakho ukuze uthole imininingwane eqondile.
- Ungalokothi wethuke ngemva kokubona umbiko. Udokotela kuphela onganikeza iseluleko esinembile kakhulu.
Amaseli abomvu egazi, inani lama-RBC, ukuhlolwa kwegazi, i-anemia, umbiko wegazi, ukuhlolwa kwe-CBC, izimpawu
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