Izinkomba ze-RBC

Ama-indices egazi elibomvu (RBC) ayingxenye yokuhlolwa okuphelele kokubalwa kwegazi (CBC). Zisetshenziselwa ukusiza ukuxilonga imbangela yokushoda kwegazi, isimo lapho kunamangqamuzana abomvu egazi ambalwa kakhulu.

Ama-indices afaka:

• Isilinganiso sesayizi ebomvu yamangqamuzana egazi (MCV)
• Inani le-hemoglobin ngeseli elibomvu legazi (MCH)
• Inani le-hemoglobin elihlobene nosayizi weseli (ukuhlushwa kwe-hemoglobin) ngeseli elibomvu legazi (MCHC)

Kudingeka isampula yegazi.

Akukho ukulungiselela okukhethekile okudingekayo.

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.

IHemoglobin ithutha umoya-mpilo. Ama-RBC athwala i-hemoglobin ne-oxygen kumaseli omzimba wethu. I-RBC indices test ilinganisa ukuthi ama-RBC akwenze kahle kanjani lokhu. Imiphumela isetshenziselwa ukuxilonga izinhlobo ezahlukene ze-anemia.

Le miphumela yokuhlola ikububanzi obujwayelekile:

• I-MCV: 80 kuya ku-100 femtoliter
• I-MCH: ama-picograms ayi-27 kuye kwangama-31
• I-MCHC: 32 kuye ku-36 amagremu / i-deciliter (g / dL) noma ama-320 kuya ku-360 amagremu ilitha ngalinye (g / L)

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

Le miphumela yokuhlolwa ikhombisa uhlobo lwe-anemia:

• I-MCV ingaphansi kwesijwayelekile. I-Microcytic anemia (kungahle kube ngenxa yamazinga aphansi ensimbi, ubuthi bomthofu, noma i-thalassemia).
• I-MCV ejwayelekile. I-anemia yeNormocytic (ingahle ibangelwe ukulahleka kwegazi okungazelelwe, izifo zesikhathi eside, ukwehluleka kwezinso, i-aplastic anemia, noma ama-valve enhliziyo enziwe ngabantu).
• I-MCV ngaphezu kokujwayelekile. I-Macrocytic anemia (kungahle kube ngenxa yamazinga aphansi we-folate noma ama-B12, noma i-chemotherapy).
• I-MCH engezansi kokujwayelekile. I-Hypochromic anemia (imvamisa ngenxa yamazinga wensimbi aphansi).
• I-MCH ejwayelekile. I-anemia yeNormochromic (ingahle ibangelwe ukulahleka kwegazi okungazelelwe, izifo zesikhathi eside, ukwehluleka kwezinso, i-aplastic anemia, noma ama-valve enhliziyo enziwe ngabantu).
• MCH ngaphezulu kokujwayelekile. I-Hyperchromic anemia (kungahle kube ngenxa yamazinga aphansi we-folate noma ama-B12, noma i-chemotherapy).

Kunobungozi obuncane obubandakanyekile ekuthatheni igazi lakho: Imithambo yegazi nemithambo yegazi iyehluka ngosayizi komunye umuntu iye komunye, futhi kusukela kolunye uhlangothi lomzimba kuye kolunye. Ukuthola isampula yegazi 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)

Izinkomba ze-erythrocyte; Izinkomba zegazi; Okushiwo i-hemoglobin ye-corpuscular (MCH); Ukuhlushwa kwe-hemoglobin (corpuscular Mean) (MCHC); Umthamo we-corpuscular mean (MCV); Izinkomba zamaseli abomvu

IChernecky CC, iBerger BJ. Izinkomba zegazi - igazi. Ku: IChernecky CC, iBerger BJ, ama-eds. Ukuhlolwa Kwelabhoratri Nezinqubo Zokuxilonga. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2013: 217-219.

I-Elghetany MT, iSchexneider KI, ukuphazamiseka kwe-Banki K. Erythrocytic. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. ISt Louis, MO: Elsevier; I-2017: isahluko 32.

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.

I-Vajpayee N, Graham SS, Bem S. Ukuhlolwa okuyisisekelo kwegazi nomnkantsha. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. ISt Louis, MO: Elsevier; 2017: isahluko 30.