Ukuhlolwa kwensimbi yeSerum

Ukuhlolwa kwensimbi yeserum kukala ukuthi ingakanani insimbi esegazini lakho.

Kudingeka isampula yegazi.

Izinga le-Iron lingashintsha, kuye ngokuthi ungene kanjani insimbi muva nje. Umhlinzeki wakho wezokunakekelwa kwempilo cishe uzokwenza lokhu kuhlolwa ekuseni noma ngemuva kokuzila ukudla.

Imithi ethile ingathinta imiphumela yalokhu kuhlolwa. Umhlinzeki wakho uzokutshela uma udinga ukuyeka ukuthatha noma yimiphi imithi. Ungayeki noma imuphi umuthi ngaphambi kokukhuluma nomhlinzeki wakho.

Imithi engathinta imiphumela yokuhlolwa ifaka phakathi:

• Imithi elwa namagciwane
• Amaphilisi okulawula inzalo nama-estrogens
• Izidakamizwa zomfutho wegazi
• Izidakamizwa ze-cholesterol
• I-Deferoxamine (isusa i-iron eyeqile emzimbeni)
• Izidakamizwa ze-gout
• I-testosterone

Lapho inaliti ifakwa ukudonsa igazi, abanye abantu bezwa ubuhlungu obulinganiselayo. Abanye bazizwa beshaywa noma betinyelwa kuphela. Ngemuva kwalokho, kungahle kube nokushaywa okuthile noma ukulimazeka okuncane. Lokhu maduzane kuyaphela.

Umhlinzeki wakho angancoma lokhu kuhlolwa uma une:

• Izimpawu zensimbi ephansi (ukuntuleka kwensimbi)
• Izimpawu zensimbi eningi kakhulu
• I-anemia ebangelwa yisifo esingelapheki

Ibanga lenani elijwayelekile lithi:

• I-ayoni: ama-micrograms angama-60 kuye kwangama-170 nge-desilitha ngayinye (mcg / dL), noma ama-micromoles ayi-10.74 kuye kwangama-30.43 ngelitha ngalinye (micromol / L)
• Ingqikithi yomthamo wokubopha insimbi (TIBC): 240 kuya ku-450 mcg / dL, noma i-42.96 kuya ku-80.55 micromol / L
• Ukugcwaliswa kwe-Transferrin: 20% kuye ku-50%

Izinombolo ezingenhla yizilinganiso ezijwayelekile zemiphumela yalezi zivivinyo. Ububanzi bamanani ajwayelekile bungahluka kancane phakathi kwamalabhorethri ahlukene. Amanye amalebhu asebenzisa izilinganiso ezahlukahlukene noma avivinye amasampula ahlukile. Khuluma nomhlinzeki wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Izinga lensimbi eliphakeme kunokujwayelekile lingahle libe uphawu lokuthi:

• Insimbi eningi kakhulu emzimbeni (hemochromatosis)
• I-anemia ngenxa yokuthi amaseli abomvu abhujiswa ngokushesha okukhulu (i-hemolytic anemia)
• Ukufa kwezicubu zesibindi
• Ukuvuvukala kwesibindi (hepatitis)
• Ubuthi bensimbi
• Ukumpontshelwa igazi njalo

Izinga eliphansi kunokujwayelekile lingahle libe uphawu lwe:

• Ukuphuma kwegazi lesikhathi eside
• Ukopha okukhulu kokuya esikhathini
• Izimo zamathumbu ezibangela ukumuncwa okungafanele kwe-ayoni
• Ayanele insimbi ekudleni
• Ukukhulelwa

Kunengozi encane ethintekayo ekuthatheni igazi lakho. Imithambo nemithambo yegazi kuyahluka ngosayizi komunye umuntu kuya kolunye uhlangothi lomzimba kuya kolunye. Ukuthatha igazi kwabanye abantu kungaba nzima kakhulu ukwedlula kwabanye.

Ezinye izingozi ezihambisana nokudonswa igazi zincane, kepha zingafaka:

• Ukopha ngokweqile
• Ukuquleka noma uzizwe unekhanda elincane
• Ukubhoboza okuningi ukuthola imithambo
• I-hematoma (i-blood buildup ngaphansi kwesikhumba)
• Ukutheleleka (ingozi encane noma kunini lapho isikhumba siphukile)

Fe + 2; I-Ferric ion; I-Fe ++; Iderron ion; Insimbi - i-serum; Ukushoda kwegazi - insimbi ye-serum; I-Hemochromatosis - insimbi ye-serum

• Ukuhlolwa kwegazi

I-Brittenham GM. Ukuphazamiseka kwe-iron homeostasis: ukuntuleka kwensimbi nokugcwala ngokweqile. Ku: Hoffman R, Benz EJ, Silberstein LE, et al, ama-eds. I-Hematology: Izimiso Eziyisisekelo Nokuzijwayeza. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 36.

IChernecky CC, iBerger BJ. Insimbi (Fe) serum. Ku: IChernecky CC, iBerger BJ, ama-eds. Ukuhlolwa Kwelabhoratri Nezinqubo Zokuxilonga. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2013: 690-691.

Kusho i-RT. Sondela kuma-anemias. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 149.