Ingqikithi yomthamo wokubopha insimbi

Umthamo ophelele wokubopha i-iron (TIBC) ukuhlolwa kwegazi ukubona ukuthi unensimbi eningi kakhulu noma encane kakhulu egazini lakho. I-ayoni ihamba ngegazi elixhunywe kuphrotheni okuthiwa i-transferrin. Lokhu kuhlolwa kusiza umhlinzeki wakho wokunakekelwa kwezempilo ukuthi azi ukuthi iprotheni ingayiphatha kanjani insimbi egazini lakho.

Kudingeka isampula yegazi.

Akufanele udle noma uphuze amahora ayisishiyagalombili ngaphambi kokuhlolwa.

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:

• Ihomoni ye-Adrenocorticotropic (ACTH)
• Amaphilisi okuvimbela inzalo
• I-chloramphenicol
• Ama-fluorides

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:

• Unezimpawu noma izimpawu zokushoda kwegazi ngenxa yensimbi ephansi
• Ezinye izivivinyo zelebhu zikhombisa ukuthi une-anemia ngenxa yamazinga aphansi ensimbi

Ibanga lenani elijwayelekile lithi:

• I-ayoni: ama-micrograms angama-60 kuye kwangama-170 nge-desilitha ngayinye (mcg / dL) noma ku-10.74 kuye ku-30.43 ama-micromoles ngelitha ngalinye (micromol / L)
• I-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.

I-TIBC imvamisa iphakeme kunokujwayelekile lapho izimpahla zensimbi zomzimba ziphansi. Lokhu kungenzeka nge:

• Ukushoda kwe-iron anemia
• Ukukhulelwa (sekwephuzile)

I-TIBC engaphansi kokujwayelekile ingasho ukuthi:

• I-anemia ngenxa yokuthi amaseli abomvu abhujiswa ngokushesha okukhulu (i-hemolytic anemia)
• Izinga eliphansi kunokujwayelekile le-protein egazini (hypoproteinemia)
• Ukuvuvukala
• Isifo sesibindi, njenge-cirrhosis
• Ukungondleki
• Nciphisa amaseli abomvu egazini avela emathunjini angamunci kahle uvithamini B12 (i-anemia eyingozi)
• I-sickle cell anemia

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)

I-TIBC; Ukushoda kwegazi -TIBC

• 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. I-Iron (Fe) nomthamo ophelele wokubopha i-iron (TIBC) / transferrin - serum. Ku: IChernecky CC, iBerger BJ, ama-eds. Ukuhlolwa Kwelabhoratri Nezinqubo Zokuxilonga. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2013: 691-692.