Ukuhlolwa kwama-hemoglobin wamahhala weSerum

Ama-hemoglobin amahhala weSerum ukuhlolwa kwegazi okulinganisa izinga le-hemoglobin yamahhala engxenyeni engamanzi yegazi (i-serum). I-hemoglobin yamahhala yi-hemoglobin engaphandle kwamaseli abomvu egazi. Iningi le-hemoglobin litholakala ngaphakathi kwamangqamuzana abomvu egazi, hhayi ku-serum. IHemoglobin ithwala umoya-mpilo egazini.

Kudingeka isampula yegazi.

Akukho ukulungiselela 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 (Hb) yingxenye eyinhloko yamaseli abomvu egazi. Yiprotheni ethwala umoya-mpilo. Lokhu kuhlolwa kwenziwa ukuthola noma ukuqapha ukuthi i-hemolytic anemia inamandla kangakanani. Lesi yisifo lapho isibalo samangqamuzana egazi abomvu siphansi sibangelwa ukuwohloka okungajwayelekile kwamaseli abomvu egazi.

I-Plasma noma i-serum kumuntu ongenayo i-hemolytic anemia ingaqukatha afike kumamiligremu ama-5 nge-deciliter (mg / dL) noma ama-0.05 amagremu ngelitha ngalinye (g / L) hemoglobin.

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.

Izinga eliphakeme kunokujwayelekile lingaveza:

• I-hemolytic anemia (ngenxa yanoma yisiphi isizathu, kufaka phakathi izimbangela zokuzivikela komzimba kanye nezingezona izivikeli mzimba, njenge thalassemia)
• Isimo lapho amangqamuzana abomvu egazi ehla khona lapho umzimba uvezwa yimithi ethile noma ingcindezi yokutheleleka (ukushoda kwe-G6PD)
• Isibalo samangqamuzana egazi abomvu asezingeni eliphansi ngenxa yamangqamuzana abomvu egazi ehla ngokushesha kunokujwayelekile
• Ukuphazamiseka kwegazi lapho kubhujiswa khona amaseli abomvu egazi lapho esuka emakhazeni aye emazingeni okushisa afudumele (paroxysmal cold hemoglobinuria)
• Isifo se-Sickle cell
• Ukusabela kokumpontshelwa

Kunengozi encane ethintekayo ekuthatheni igazi lakho. Imithambo nemithambo yegazi kuyahluka ngosayizi komunye umuntu kuya kolunye uhlangothi lomzimba kuya 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)

I-hemoglobin yegazi; I-hemoglobin yeseramu; I-hemolytic anemia - i-hemoglobin yamahhala

• IHemoglobin

UMarcogliese AN, Yee DL. Izinsizakusebenza ze-hematologist: ukuphawula okuhunyushiwe kanye namanani ayizethenjwa akhethiwe wezingane ezisanda kuzalwa, ezingane kanye nabantu abadala. Ku: Hoffman R, Benz EJ, Silberstein LE, et al, ama-eds. I-Hematology: Izimiso Eziyisisekelo Nokuzijwayeza. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 162.

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.