IHemoglobin Electrophoresis
-Delile
- Amazinga ajwayelekile ezinhlobo ze-hemoglobin
- Ezinsaneni
- Kubantu abadala
- Kungani kwenziwa i-hemoglobin electrophoresis
- Kuphathwa kuphi futhi kanjani ukuhlolwa kwe-hemoglobin electrophoresis
- Izingozi ze-hemoglobin electrophoresis
- Yini ongayilindela ngemuva kokuhlolwa
Kuyini ukuhlolwa kwe-hemoglobin electrophoresis?
Ukuhlolwa kwe-hemoglobin electrophoresis ukuhlolwa kwegazi okusetshenziselwa ukukala nokuhlonza izinhlobo ezahlukene ze-hemoglobin egazini lakho. IHemoglobin yiprotheni ngaphakathi kwamaseli abomvu egazi elibhekele ukuhambisa umoya-mpilo kuzicubu nezitho zakho.
Ukuguqulwa kwezakhi zofuzo kungadala ukuthi umzimba wakho ukhiqize i-hemoglobin eyakhiwe ngokungalungile. Le hemoglobin engajwayelekile ingadala umoya-mpilo omncane kakhulu ukufinyelela izicubu zakho nezitho zakho.
Kunamakhulu ezinhlobo ezahlukene ze-hemoglobin. Kubandakanya:
- IHemoglobin F: Lokhu kwaziwa nangokuthi i-hemoglobin ye-fetus. Luhlobo olutholakala emibungu ekhulayo nezinsana ezisanda kuzalwa. Kufakwa i-hemoglobin A ngemuva nje kokuzalwa.
- IHemoglobin A: Lokhu kwaziwa nangokuthi i-hemoglobin yabantu abadala. Uhlobo oluvame kakhulu lwe-hemoglobin. Kutholakala ezinganeni nakubantu abadala abanempilo.
- IHemoglobin C, D, E, M, no-S: Lezi yizinhlobo ezingavamile ze-hemoglobin engavamile ebangelwa ukuguquka kwezakhi zofuzo.
Amazinga ajwayelekile ezinhlobo ze-hemoglobin
Ukuhlolwa kwe-hemoglobin electrophoresis akukutsheli ngenani le-hemoglobin egazini lakho - lokho kwenziwa ngokubala okuphelele kwegazi. Amazinga ukuhlolwa kwe-hemoglobin electrophoresis okubhekiswe kuwo angamaphesenti ezinhlobo ezahlukahlukene ze-hemoglobin ezingatholakala egazini lakho. Lokhu kwehlukile ezinganeni nakubantu abadala:
Ezinsaneni
I-hemoglobin iningi lakhiwa yi-hemoglobin F emibungu. IHemoglobin F isakha iningi le-hemoglobin ezinganeni ezisanda kuzalwa. Iyancipha ngokushesha ngesikhathi ingane yakho inonyaka ubudala:
Ubudala | Amaphesenti we-Hemoglobin F |
osanda kuzalwa | 60 kuya ku-80% |
1+ unyaka | 1 kuya ku-2% |
Kubantu abadala
Amazinga ajwayelekile ezinhlobo ze-hemoglobin kubantu abadala yilawa:
Uhlobo lwe-hemoglobin | Amaphesenti |
i-hemoglobin A | 95% kuya ku-98% |
i-hemoglobin A2 | 2% kuya ku-3% |
i-hemoglobin F | 1% kuya ku-2% |
i-hemoglobin S | 0% |
i-hemoglobin C | 0% |
Kungani kwenziwa i-hemoglobin electrophoresis
Uthola izinhlobo ezahlukahlukene ezingejwayelekile ze-hemoglobin ngokuzuza izakhi zofuzo kuzakhi zofuzo ezibhekele ukukhiqiza i-hemoglobin. Udokotela wakho angancoma ukuhlolwa kwe-hemoglobin electrophoresis ukuthola ukuthi unenkinga yini edala ukukhiqizwa kwe-hemoglobin engajwayelekile. Izizathu udokotela wakho angafuna ukuthi wenze ukuhlolwa kwe-hemoglobin electrophoresis zifaka:
1. Njengengxenye yokuhlolwa okujwayelekile: Udokotela wakho angahlolwa i-hemoglobin yakho ukuze kulandelwe ukuhlolwa kwegazi okuphelele ngesikhathi somzimba ojwayelekile.
2. Ukuxilonga ukuphazamiseka kwegazi: Udokotela wakho kungenzeka akwenze ukuhlolwa kwe-hemoglobin electrophoresis uma ukhombisa izimpawu ze-anemia. Ukuhlolwa kuzobasiza bathole noma yiziphi izinhlobo ze-hemoglobin egazini lakho. Lokhu kungaba uphawu lokuphazamiseka kubandakanya:
- i-sickle cell anemia
- thalassemia
- polycythemia vera
3. Ukuqapha ukwelashwa: Uma welashelwa isimo esidala izinhlobo ezingajwayelekile ze-hemoglobin, udokotela wakho uzoqapha amazinga akho ezinhlobo ezahlukahlukene ze-hemoglobin ene-hemoglobin electrophoresis.
4. Ukuhlola izimo zofuzo: Abantu abanomlando womndeni wama-anemias azuze njengefa njenge-thalassemia noma i-sickle cell anemia bangakhetha ukuhlola lezi zifo ngaphambi kokuthola izingane. I-hemoglobin electrophoresis izokhombisa ukuthi ngabe kukhona yini izinhlobo ezingajwayelekile ze-hemoglobin ezibangelwa ukuphazamiseka kofuzo. Izingane ezisanda kuzalwa nazo zihlolwa njalo ngalezi zinkinga zofuzo ze-hemoglobin. Udokotela wakho angafuna nokuhlola ingane yakho uma unomlando womndeni we-hemoglobin engavamile noma une-anemia engabangelwa ukuntuleka kwensimbi.
Kuphathwa kuphi futhi kanjani ukuhlolwa kwe-hemoglobin electrophoresis
Awudingi ukwenza noma yini ekhethekile ukulungiselela i-hemoglobin electrophoresis.
Imvamisa udinga ukuya ebhodini ukuze udonse igazi lakho. Elebhu, umhlinzeki wezokunakekelwa kwempilo uthatha isampula yegazi engalweni noma esandleni sakho: Baqala ngokuhlanza isiza nge-swab yokugcoba utshwala. Bese befaka inaliti encane eneshubhu enamathiselwe ukuqoqa igazi. Lapho sekukhishwe igazi elanele, bayasusa inaliti bese bemboza isiza ngophahla lwe-gauze. Bese bethumela isampula segazi lakho elabhorethri ukuze liyohlaziywa.
Elabhorethri, inqubo ebizwa nge-electrophoresis idlulisa amandla kagesi nge-hemoglobin esampulini sakho segazi. Lokhu kubangela ukuthi izinhlobo ezahlukene ze-hemoglobin zehlukaniswe ngamaqembu ahlukene. Isampula yakho yegazi bese iqhathaniswa nesampula enempilo ukuthola ukuthi yiziphi izinhlobo ze-hemoglobin ezikhona.
Izingozi ze-hemoglobin electrophoresis
Njenganoma yikuphi ukuhlolwa kwegazi, kunezingozi ezincane. Lokhu kufaka phakathi:
- ukulinyazwa
- ukopha
- ukutheleleka endaweni yokubhoboza
Ezimweni ezingavamile, umthambo ungakhukhumala ngemuva kokudonswa kwegazi. Lesi simo, esaziwa nge-phlebitis, singelashwa nge-compress efudumele izikhathi eziningana ngosuku. Ukopha okuqhubekayo kungaba yinkinga uma unenkinga yokopha noma uthatha imishanguzo yokuncipha igazi, njenge-warfarin (Coumadin) noma i-aspirin (iBufferin).
Yini ongayilindela ngemuva kokuhlolwa
Uma imiphumela yakho ibonisa amazinga e-hemoglobin angavamile, angabangelwa:
- isifo se-hemoglobin C, isifo sofuzo esiholela ekushoneni kwegazi okunzima
- hemoglobinopathy engajwayelekile, iqembu lokuphazamiseka kofuzo okubangela ukukhiqizwa okungavamile noma ukwakheka kwamaseli abomvu egazi
- i-sickle cell anemia
- thalassemia
Udokotela wakho uzokwenza izivivinyo zokulandelela uma ukuhlolwa kwe-hemoglobin electrophoresis kukhombisa ukuthi unezinhlobo ezingavamile ze-hemoglobin.