I-RDW: iyini nokuthi kungani ingaba phezulu noma iphansi

-Delile

• Yini inani lesethenjwa
• Imiphumela ephezulu ye-RDW
• Umphumela we-RDW ophansi
• Singacelwa nini isivivinyo
• Ungasilungiselela kanjani isivivinyo

I-RDW isichazamazwi se- Ububanzi Bokusabalalisa Kwamaseli Obomvu, okusho ukuthi ngesiPutukezi kusho Ububanzi Bokusatshalaliswa Kwamaseli Obomvu, futhi okuhlola ukwehluka ngosayizi phakathi kwamangqamuzana egazi abomvu, lokhu kwehlukahluka kubizwa nge-anisocytosis.

Ngakho-ke, uma inani liphezulu esibalweni segazi kusho ukuthi amangqamuzana abomvu egazi makhulu kunokujwayelekile, futhi amaseli abomvu amakhulu kakhulu futhi amancane kakhulu angabonakala ku-smear yegazi. Uma inani lingaphansi kwenani lesethenjwa, imvamisa alinakubaluleka komtholampilo, kuphela uma ngaphezu kwe-RDW ezinye izinkomba nazo zingaphansi kwenani elijwayelekile, njenge-VCM, ngokwesibonelo. Qonda ukuthi yini i-VCM.

I-RDW ingelinye lamapharamitha akha ukubalwa kwegazi futhi, kanye neminye imininingwane enikezwe ukuhlolwa, kungenzeka ukubheka ukuthi amangqamuzana egazi akhiqiza kanjani nesimo somuntu jikelele. Lapho imiphumela ye-RDW iguqulwa, kuyenzeka kusolwe ezinye zezimo, ezinjenge-anemia, isifo sikashukela noma izinkinga zesibindi, ukuxilongwa okufanele kwenziwe kususelwa ekuhlaziyweni kwesibalo segazi esiphelele kanye nokuhlolwa kwamakhemikhali. Bona ukuthi uwafunda kanjani amanye amanani wokubalwa kwegazi.

Yini inani lesethenjwa

Inani lesethenjwa le-RDW ekubalweni kwegazi lingu-11 kuye ku-14%, noma kunjalo, lo mphumela ungahluka ngokuya nge-laboratory. Ngakho-ke, uma inani lingaphezulu noma ngaphansi kwalelo phesenti, lingaba nezincazelo ezihlukile futhi, ngakho-ke, kubalulekile njalo ukuthi inani lihlolwe ngudokotela owayalele ukuhlolwa.

Imiphumela ephezulu ye-RDW

I-Anisocytosis yigama elenzeka lapho i-RDW yanda, futhi umehluko omkhulu ngosayizi phakathi kwamaseli abomvu wegazi ungabonakala ku-smear yegazi. I-RDW ingakhuphuka kwezinye izimo, njenge:

• Ukushoda kwe-iron anemia;
• I-megaloblastic anemia;
• Thalassemia;
• Izifo zesibindi.

Ngaphezu kwalokho, abantu abelashwa ngamakhemikhali noma eminye imishanguzo yokulwa namagciwane kungenzeka futhi ukuthi bandise i-RDW.

Umphumela we-RDW ophansi

I-RDW ephansi imvamisa ayinakho ukubaluleka komtholampilo lapho ihunyushwa yodwa, kepha-ke, uma ezinye izinguquko zibonakala esibalweni segazi, kungakhombisa ukungabi khona kwegazi okubangelwa yisifo esingelapheki, njengesifo sesibindi, izinkinga zezinso, i-HIV, umdlavuza noma isifo sikashukela, isibonelo.

Singacelwa nini isivivinyo

Lokhu kuhlolwa kuvame ukucelwa lapho kusolwa i-anemia, njengoba kuvela izimpawu ezifana nesiyezi, ukukhathala noma isikhumba esiphaphathekile. Bheka izimpawu eziyinhloko zokushoda kwegazi.

Kodwa-ke, udokotela futhi angayalela isivivinyo lapho une:

• Umlando womndeni wokuphazamiseka kwegazi;
• Ukopha ngesikhathi sokuhlinzwa noma ngemuva kokushaywa unhlangothi;
• Ukuxilongwa kwesifo esingadala ushintsho kumaseli egazi;
• Izifo ezingalapheki, njenge-HIV.

Kwesinye isikhathi, lokhu kuhlolwa kungaze ku-odolwe ekuhlolweni okujwayelekile kwegazi, ngaphandle kwesizathu esithile.

Ungasilungiselela kanjani isivivinyo

Ukuze kwenziwe ukubalwa kwegazi futhi, ngenxa yalokho, i-RDW ayidingi ukuzila. Kodwa-ke, ukubalwa kwegazi okuphelele kuvame ukucelwa kanye nokunye ukuhlolwa kwegazi okudinga ukuzila ukudla okungenani amahora ayi-8.

Ukuqoqwa kwegazi kuvame ukuthatha imizuzu engaphansi kwemihlanu futhi kwenziwa kalula esibhedlela noma kunoma imuphi umtholampilo wokuhlola ngokususwa kwesampula segazi elincane ngomthambo.