Ukuhlolwa kweshukela-amanzi hemolysis

Ukuhlolwa kwe-hemolysis kashukela namanzi ukuhlolwa kwegazi ukuthola amangqamuzana abomvu entekenteke egazi. Lokhu ikwenza ngokuhlola ukuthi bamelana kahle kanjani nokuvuvukala kwesisombululo sikashukela (i-sucrose).

Kudingeka isampula yegazi.

Akukho lungiselelo olukhethekile oludingekayo kulolu vivinyo.

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 wokunakekelwa kwezempilo angancoma lokhu kuhlolwa uma unezimpawu noma izimpawu ze-paroxysmal nocturnal hemoglobinuria (PNH) noma i-hemolytic anemia yesizathu esingaziwa. I-hemolytic anemia yisimo lapho kufa khona amangqamuzana abomvu egazi ngaphambi kokufanele. Amangqamuzana egazi abomvu e-PNH kungenzeka kakhulu ukuthi alinyazwe uhlelo lokugcwalisa lomzimba. Uhlelo lokugcwalisa amaprotheni ahamba egazini. Lawa maprotheni asebenza namasosha omzimba.

Umphumela wokuhlolwa ojwayelekile ubizwa ngokuthi yi-negative. Umphumela ojwayelekile ukhombisa ukuthi angaphansi kuka-5% amangqamuzana abomvu egazi ayawohloka uma ehlolwa. Lokhu kuphazamiseka kubizwa ngokuthi yi-hemolysis.

Isivivinyo esibi asiyikhiphi i-PNH. Imiphumela engeyamanga ingase yenzeke uma ingxenye engamanzi yegazi (i-serum) iswele ukuhambisana.

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.

Umphumela wokuhlolwa okusho ukuthi imiphumela ayijwayelekile. Ekuhlolweni okuhle, ngaphezu kwamaphesenti ayi-10 amangqamuzana abomvu egazi ayahla. Kungakhombisa ukuthi umuntu une-PNH.

Izimo ezithile zingenza imiphumela yokuhlolwa ibonakale inokuthile (okubizwa nge- "false positive") Lezi zimo zi-autoimmune hemolytic anemias kanye ne-leukemia.

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)

Ukuhlolwa kwe-Sucrose hemolysis; Ukuhlolwa kwe-hemolytic anemia kashukela wamanzi we-hemolysis; I-paroxysmal nocturnal hemoglobinuria test water hemolysis test; Ukuhlolwa kwe-PNH ushukela wamanzi we-hemolysis

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IChernecky CC, iBerger BJ. Ukuhlolwa kwe-Sucrose hemolysis - ukuxilonga. Ku: IChernecky CC, iBerger BJ, ama-eds. Ukuhlolwa Kwelebhu kanye Nezinqubo Zokuxilonga. Umhlaka 6. ISt Louis, MO: Elsevier Saunders; 2013: 1050.

IGallagher PG. Ama-anemia we-hemolytic: ulwelwesi lwegazi elibomvu nokukhubazeka komzimba. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko152.