Iyini iMCH futhi Kusho Ukuthini Amanani Aphakeme Naphansi?

-Delile

• Izinga le-MCH linqunywa kanjani?
• Ububanzi obujwayelekile
• Izimbangela nezimpawu eziphansi ze-MCH
• Izimbangela
• Izimpawu
• Izimbangela nezimpawu ze-MCH ephezulu
• Izimbangela
• Izimpawu
• Ukwelashwa kwe-MCH ephansi noma ephezulu
• I-MCH ephansi
• I-MCH ephezulu
• Uyini umbono?

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Yini iMCH?

I-MCH imelela “i-hemoglobin yesisindo engasho lutho.” Inani le-MCH lisho inani elilinganiselwe le-hemoglobin elikhona esitokisini esisodwa segazi elibomvu. IHemoglobin yiprotheni esemangqamuzaneni egazi abomvu ethutha umoya-mpilo aye ezicutshini zomzimba wakho.

Inani lakho le-MCH lihlobene namanye amanani amabili, lisho ivolumu ye-corpuscular (MCV) futhi lisho ukuhlushwa kwe-hemoglobin corpuscular (MCHC). Ngokubambisana, i-MCH, i-MCV, ne-MCHC kwesinye isikhathi kubhekiswa njengama-indices egazi elibomvu.

I-MCV yisilinganiso sobukhulu obujwayelekile bamaseli akho abomvu egazi. Imiphumela ye-MCH ijwayele ukulingisa imiphumela ye-MCV. Lokhu kungenxa yokuthi amangqamuzana amakhulu abomvu egazi ngokuvamile aqukethe i-hemoglobin eningi kuyilapho amangqamuzana abomvu egazi amancane ethambekele ekubeni nokuncane.

I-MCHC ibalwa inani le-hemoglobin ngeyunithi yevolumu ngayinye esitokisini esisodwa segazi elibomvu. Umehluko phakathi kwe-MCH ne-MCHC ukuthi isilinganiso se-MCHC sithatha ivolumu noma usayizi weseli elibomvu le-akhawunti ngenkathi i-MCH ingenjalo.

Izinga le-MCH linqunywa kanjani?

Izinga lakho le-MCH linqunywa ngephaneli ephelele yokubalwa kwegazi (CBC). Udokotela wakho uzo-oda iphaneli le-CBC ukuthi lihlolwe izimo eziningi, kufaka phakathi i-anemia kanye nokutheleleka. I-CBC ihlola amaseli abomvu namhlophe egazi, kanye nama-platelets. I-MCH ibalwa kusetshenziswa ukuhlaziywa kwamaseli abomvu egazi.

I-MCH ibalwa ngokuhlukanisa inani le-hemoglobin ngevolumu enikeziwe yegazi ngenombolo yamaseli abomvu egazi akhona.

Ububanzi obujwayelekile

Ububanzi obujwayelekile be-MCH buphakathi kuka-27.5 no-33.2 picograms (pg).

Izimbangela nezimpawu eziphansi ze-MCH

Inani le-MCH elibalwe ngaphansi kwe-27.5 pg libhekwa njenge-MCH ephansi. Lokhu kusho ukuthi kunenani eliphansi le-hemoglobin elikhona ngeseli elibomvu legazi.

Izimbangela

Inani eliphansi le-MCH likhombisa ubukhona bokushoda kwe-iron anemia. I-iron ibalulekile ekukhiqizeni i-hemoglobin. Umzimba wakho umunca insimbi encane oyidlayo ukuze ukhiqize i-hemoglobin. Ezinye zezimbangela zokushoda nge-ayoni zifaka phakathi ukudla ukudla okungenayo i-iron eningi, ukuhlinzwa okukhulu noma ukuhlukumezeka, noma ukulahleka kwegazi.

Ezimweni ezingavamile kakhulu, i-MCH ephansi ingabangelwa isimo sofuzo esibizwa nge-thalassemia. Kulesi simo, ukukhiqizwa kwe-hemoglobin kunqunyelwe. Lokhu kusho ukuthi awekho amangqamuzana abomvu egazi amaningi ajikeleza egazini lakho.

Izimpawu

Uma unenani eliphansi le-MCH, ungahlangabezana nalezi zimpawu ezilandelayo:

• ukuphelelwa umoya
• ubuhlungu besifuba
• ukushaya kwenhliziyo okusheshayo
• ukukhathala noma ubuthakathaka
• isikhumba esiphaphathekile noma esiphuzi kakhulu
• ikhanda

Izimbangela nezimpawu ze-MCH ephezulu

Inani le-MCH elibalwe ngaphezu kwe-33.2 pg libhekwa njenge-MCH ephezulu. Lokhu kusho ukuthi kunenani elikhulu le-hemoglobin elikhona ngeseli elibomvu legazi.

Izimbangela

Inani eliphakeme le-MCH livame ukubangelwa i-anemia ngenxa yokushoda kwamavithamini e-B, ikakhulukazi i-B-12 ne-folate. Womabili la mavithamini adingeka emzimbeni wakho ukuze enze amangqamuzana abomvu egazi. Lezi zinhlobo ze-anemia zingakhula uma indlela odla ngayo iphansi kumavithamini e-B noma uma umzimba wakho ungamunci i-B-12 noma ifolthe kahle. Kubalulekile ukuqaphela izimpawu zokushoda kwe-B-12.

Izimpawu

Uma unenani eliphakeme le-MCH, ungahlangabezana nalezi zimpawu ezilandelayo:

• ukuphelelwa umoya
• ubuhlungu besifuba
• ukushaya kwenhliziyo okusheshayo
• ukukhathala noma ubuthakathaka
• isikhumba esiphaphathekile noma esiphuzi kakhulu
• ikhanda

Uma une-anemia lokho kungenxa yokushoda kwe-B-12, ungahle uzwe:

• ukudonsa noma "izikhonkwane nezinaliti" ezandleni zakho noma ezinyaweni
• isicanucanu noma ukuhlanza
• ukuqunjelwa kanye negesi
• izimpawu ezingokwengqondo, njengokucindezeleka noma ukudideka

Uma une-anemia ngenxa yokuntuleka komuntu, ungathola lezi zimpawu ezingeziwe ezilandelayo:

• isifo sohudo
• ukuncipha kokudla
• ukucasuka
• ulimi olubushelelezi noma olubucayi

Ukwelashwa kwe-MCH ephansi noma ephezulu

I-MCH ephansi

Ukwelashwa kwe-MCH ephansi okubangelwa ukuntuleka kwensimbi kungafaka ukufaka ukudla okune-iron ekudleni kwakho (kukhona nezinketho zemifino kuphela) nokuthatha izithasiselo zensimbi. Ezimweni ezingavamile, njengalapho izimpawu zinzima noma ukulahleka kwegazi kwenzeke, ungadinga ukumpontshelwa igazi.

Abantu abane-thalassemia emnene bangahle bangadingi ukwelashwa. Kodwa-ke, ukumpontshelwa igazi kungadingeka uma izimpawu zakho zinzima.

I-MCH ephezulu

Ukwelashwa kwama-anemias okubangelwa i-B-12 noma ukushiyeka kwe-folate kuvame ukuphathwa ngokushintsha kwendlela yokuphila, njengokungeza ukudla okunothe ku-vitamin B-12 kanye nefolate ekudleni kwakho. Udokotela wakho futhi angancoma ukuthatha izithasiselo zalawa mavithamini ukuze uthuthukise ama-B-12 akho namazinga we-folate noma, uma ukumunca kuyinkinga, nika imijovo ye-B-12.

Uyini umbono?

Umbono wabantu abanamanani we-MCH angajwayelekile kuncike esimeni esibangela lokho.

Amanani aphansi we-MCH avame ukubangelwa ukuntuleka kwe-iron anemia. Imvamisa, lesi simo singelashwa ngokushintsha kwendlela yokuphila kubandakanya nokudla ukudla okunothe kwensimbi kanye nokuthatha izithasiselo zensimbi. Esimweni esingajwayelekile ukuthi inani lakho eliphansi le-MCH libangelwa yi-thalassemia, ungadinga ukumpontshelwa igazi uma izimpawu zakho zinzima.

Izindinganiso eziphakeme ze-MCH ezibangelwa ukuntuleka kwamavithamini B-12 noma i-folate nayo ingahle iphathwe ngezinguquko endleleni yakho yokuphila ezibandakanya ukuguqulwa kokudla nezithako, noma i-injectable B-12.

Uma ukhathazekile ngemiphumela yakho ye-MCH, qiniseka ukuthi ukhuluma nodokotela wakho ngayo. Ngokubambisana, ninganquma ukuthi iyiphi indlela engcono yokuqhubekela phambili.