Ingqikithi Yokuhlolwa Komthamo Wokubopha i-Iron (TIBC)

-Delile

• Ukubuka konke
• Izincomo zensimbi zansuku zonke
• Izinsana nezingane
• Abesilisa (intsha kanye nabantu abadala)
• Abesifazane (intsha kanye nabantu abadala)
• Kungani kwenziwa inani eliphelele lokuhlolwa kwamandla wensimbi
• Izimbangela zamazinga aphansi ensimbi
• Izimbangela zamazinga aphezulu wensimbi
• Ungakulungiselela kanjani ukuhlolwa kwenani eliphelele le-iron binding
• Kwenziwa kanjani ukuhlolwa kwenani eliphelele lokubopha insimbi
• Imikhiqizo ukuzama
• Izingozi zokuhlolwa kwamandla okuphelele kwensimbi
• Ukuthi imiphumela yokuhlolwa isho ukuthini
• Ukudla okudlela endlini

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

Ukubuka konke

Insimbi itholakala kuwo wonke amaseli omzimba. Ukuhlolwa okuphelele kwe-iron binding capacity (TIBC) uhlobo lokuhlolwa kwegazi okulinganisa ukuthi ngabe amaminerali amaningi kakhulu noma amancane kakhulu egazini lakho.

Uthola insimbi oyidingayo ekudleni kwakho. I-Iron ikhona ekudleni okuningi, kufaka phakathi:

• imifino eluhlaza okotshani, enamaqabunga, njengesipinashi
• ubhontshisi
• amaqanda
• izinkukhu
• ukudla kwasolwandle
• okusanhlamvu okuphelele

Lapho insimbi isingene emzimbeni, ithwalwa kulo lonke igazi lakho ngeprotheyini ebizwa nge-transferrin, ekhiqizwa isibindi sakho. Ukuhlolwa kwe-TIBC kuhlola ukuthi i-transferrin iyithwala kanjani insimbi egazini lakho.

Uma isisegazini lakho, i-ayoni isiza ukwakha i-hemoglobin. IHemoglobin yiprotheni ebalulekile kumaseli abomvu egazi (RBCs) asiza ukuthwala umoya-mpilo emzimbeni wonke ukuze usebenze ngokujwayelekile. I-Iron ibhekwa njenge-mineral ebalulekile ngoba i-hemoglobin ayikwazi ukwenziwa ngaphandle kwayo.

Izincomo zensimbi zansuku zonke

I-National Institutes of Health (NIH) incoma ukuthi abantu abaphilile bathole amanani alandelayo ensimbi ngokudla kwabo:

Izinsana nezingane

• Izinyanga eziyi-6 ubudala noma ngaphansi: 0.27 milligrams ngosuku (mg / ngosuku)
• Izinyanga eziyi-7 ubudala kuya onyakeni owodwa: 11 mg / ngosuku
• Iminyaka eyi-1 kuya kwengu-3 ubudala: 7 mg / ngosuku
• Iminyaka engu-4 kuya kwengu-8 ubudala: 10 mg / ngosuku
• Iminyaka eyi-9 kuye kwengu-12 ubudala: 8 mg / ngosuku

Abesilisa (intsha kanye nabantu abadala)

• iminyaka yobudala eyi-13: 8 mg / ngosuku
• abaneminyaka engu-14 kuya kwengu-18 ubudala: 11 mg / ngosuku
• abaneminyaka engu-19 ubudala noma ngaphezulu: 8 mg / ngosuku

Abesifazane (intsha kanye nabantu abadala)

• iminyaka yobudala eyi-13: 8 mg / ngosuku
• abaneminyaka engu-14 kuya kwengu-18 ubudala: 15 mg / ngosuku
• abaneminyaka engu-19 kuya kwengu-50 ubudala: 18 mg / ngosuku
• iminyaka yobudala engama-51 noma ngaphezulu: 8 mg / ngosuku
• ngesikhathi sokukhulelwa: 27 mg / ngosuku
• uneminyaka eyi-14 kuya kwengu-18 ubudala, uma ngabe encelisa: 10 mg / ngosuku
• uneminyaka engu-19 kuya kwengu-50 ubudala, uma ngabe encelisa: 9 mg / ngosuku

Abantu abathile, njengalabo abatholakala benenkinga yensimbi, bangadinga amanani e-iron ahlukile kunalawo anconywe ngenhla. Buza nodokotela wakho ukuthola ukuthi udinga malini ngosuku.

Kungani kwenziwa inani eliphelele lokuhlolwa kwamandla wensimbi

Odokotela bajwayele uku-oda ukuhlolwa kwe-TIBC ukubheka izimo zezokwelapha ezibanga amazinga ezensimbi angajwayelekile.

Izimbangela zamazinga aphansi ensimbi

Udokotela wakho angenza ukuhlolwa kwe-TIBC uma uhlangabezana nezimpawu ze-anemia. I-anemia ibonakala nge-RBC ephansi noma isibalo se-hemoglobin.

Ukushoda kwe-Iron, uhlobo oluvame kakhulu lokushoda kokudla okunempilo emhlabeni, imvamisa kuyimbangela yokushoda kwegazi. Kodwa-ke, ukuntuleka kwensimbi nakho kungadalwa yizimo ezinjengokukhulelwa.

Izimpawu zamazinga aphansi ensimbi afaka:

• ngizizwe ngikhathele futhi ngibuthakathaka
• ukuphaphatheka
• ukwanda kwezifo
• njalo uzizwa ubanda
• ulimi oluvuvukele
• ubunzima bokugxila esikoleni noma emsebenzini
• ukubambezeleka kokukhula kwengqondo ezinganeni

Izimbangela zamazinga aphezulu wensimbi

Ukuhlolwa kwe-TIBC kungalawulwa uma udokotela wakho esola ukuthi unensimbi eningi egazini lakho.

Izinga eliphakeme lensimbi livame ukukhombisa isimo sezempilo esingaphansi. Ezimweni ezingavamile, amazinga aphezulu ensimbi angabangelwa ukweqisa kwamavithamini noma izithako zensimbi.

Izimpawu zamazinga aphezulu ensimbi afaka:

• ngizizwe ngikhathele futhi ngibuthakathaka
• amalunga abuhlungu
• ushintsho kumbala wesikhumba lube ngethusi noma mpunga
• ubuhlungu besisu
• ukuncipha okungazelelwe kwesisindo
• idrayivu yocansi ephansi
• ukulahleka kwezinwele
• isigqi senhliziyo esingajwayelekile

Ungakulungiselela kanjani ukuhlolwa kwenani eliphelele le-iron binding

Ukuzila ukudla kuyadingeka ukuqinisekisa imiphumela enembile kunazo zonke. Lokhu kusho ukuthi akufanele udle noma uphuze noma yini okungenani amahora ayi-8 ngaphambi kokuhlolwa kwe-TIBC.

Eminye imishanguzo ingathinta nemiphumela yokuhlolwa kwe-TIBC, ngakho-ke kubalulekile ukutshela udokotela wakho nganoma imuphi umuthi owunikwayo noma owuthengisayo.

Udokotela wakho angakutshela ukuthi uyeke ukuthatha imishanguzo ethile ngaphambi kokuhlolwa. Kodwa-ke, akufanele uyeke ukuthatha noma yimiphi imithi ngaphandle kokukhuluma nodokotela wakho kuqala.

Eminye imithi engathinta imiphumela yokuhlolwa ifaka:

• i-hormone ye-adrenocorticotropic (ACTH)
• amaphilisi okuvimbela inzalo
• i-chloramphenicol, i-antibiotic
• ama-fluorides

Kwenziwa kanjani ukuhlolwa kwenani eliphelele lokubopha insimbi

Ukuhlolwa kwe-TIBC kunga-odwa kanye ne-serum iron test, elinganisa inani lensimbi egazini lakho. Ngokubambisana lezi zivivinyo zingasiza umhlinzeki wakho wezokunakekelwa kwezempilo ukuthi anqume ukuthi kunenani elingavamile lensimbi egazini lakho.

Ukuhlolwa kuhilela ukuthatha isampula encane yegazi. Igazi livame ukukhishwa emthanjeni osesandleni noma ekugoqeni kwendololwane. Izinyathelo ezilandelayo zizokwenzeka:

1. Umhlinzeki wezokunakekelwa kwempilo uzoqala ngokuhlanza indawo ngesibulali magciwane bese ebopha ibhande lokunwebeka engalweni yakho. Lokhu kuzokwenza imithambo yakho ivuvukele igazi.
2. Uma sebethole umthambo, bazofaka inaliti. Ungalindela ukuzwa ukubhoboza okuncane noma ukuzwa okuhlabayo lapho inaliti ingena. Kodwa-ke, isivivinyo ngokwaso asibuhlungu.
3. Bazoqoqa kuphela igazi elanele elidingekayo ukwenza ukuhlolwa nokunye ukuhlolwa kwegazi udokotela wakho angaku-oda.
4. Ngemuva kokukhishwa kwegazi elanele, bazosusa inaliti bese bebeka ibhandishi endaweni yokubhoboza. Bazokutshela ukuthi usebenzise ingcindezi endaweni ngesandla sakho imizuzu embalwa.
5. Isampula legazi lizobe selithunyelwa elabhorethri ukuze liyohlaziywa.
6. Udokotela wakho uzokulandela ukuze axoxe ngemiphumela.

Ukuhlolwa kwe-TIBC kungenziwa nangekhithi yokuhlola ekhaya evela enkampanini iLetsGetChecked. Leli thuluzi lisebenzisa igazi elivela eminweni yomunwe. Uma ukhetha lokhu kuhlolwa kwasekhaya, kuzodingeka futhi nokuthi uthumele isampuli yegazi lakho elabhorethri. Imiphumela yakho yokuhlolwa kufanele itholakale ku-inthanethi zingakapheli izinsuku eziyi-5 zebhizinisi.

Izinkampani ezinjengeLife Extension nePixel yiLabCorp nazo zinamakhithi okuhlola angathengwa ku-inthanethi, futhi udokotela wakho akudingeki akucelele ukuhlolwa kwelebhu. Kodwa-ke, kusazodingeka uvakashele ilabhoratri mathupha ukuhlinzeka ngesampula segazi lakho.

Imikhiqizo ukuzama

Ukuhlolwa kwephaneli lensimbi kusebenzisa izilinganiso eziningi, kufaka phakathi umthamo ophelele wokubopha insimbi, ukuthola ukuthi unenkinga yensimbi yini. Bathengele ku-inthanethi:

• Ukuhlolwa kwe-LetsGetChecked Iron
• Ukuhlolwa Kwegazi Le-Life Extension Anemia
• I-Pixel nguLabCorp Anemia Blood Test

Izingozi zokuhlolwa kwamandla okuphelele kwensimbi

Ukuhlolwa kwegazi kubeka izingozi ezimbalwa. Abanye abantu banomhuzuko omncane noma babhekana nobuhlungu bezungeze indawo lapho kufakwe khona inaliti. Kodwa-ke, lokhu kuvame ukuphela ezinsukwini ezimbalwa.

Izinkinga ezivela ekuhlolweni kwegazi azivamile, kepha zingenzeka. Izinkinga ezinjalo zifaka:

• ukopha ngokweqile
• ukuquleka noma isiyezi
• i-hematoma, noma igazi elinqwabelana ngaphansi kwesikhumba
• ukutheleleka endaweni yokubhoboza

Ukuthi imiphumela yokuhlolwa isho ukuthini

Amanani ajwayelekile esivivinyo se-TIBC angahluka phakathi kwamalabhorethri. Kodwa-ke, amalabhorethri amaningi achaza uhla olujwayelekile lwabantu abadala njengama-micrograms angama-250 kuye kwangama-450 nge-deciliter (mcg / dL) ngayinye.

Inani le-TIBC elingaphezu kwama-450 mcg / dL imvamisa lisho ukuthi kunezinga eliphansi lensimbi egazini lakho. Lokhu kungabangelwa:

• ukuntuleka kwensimbi ekudleni
• ukwanda kokulahleka kwegazi ngesikhathi sokuya esikhathini
• ukukhulelwa

Inani le-TIBC elingaphansi kwama-250 mcg / dL ngokuvamile lisho ukuthi kunezinga eliphakeme lensimbi egazini lakho. Lokhu kungabangelwa:

• i-hemolytic anemia, isimo esidala ukuthi ama-RBC afe ngaphambi kwesikhathi
• i-sickle cell anemia, isimo esizuzwe njengefa esenza ama-RBC ashintshe isimo
• i-hemochromatosis, isimo sofuzo esidala ukwakheka kwensimbi emzimbeni
• insimbi noma ubuthi bomthofu
• ukumpontshelwa igazi njalo
• ukulimala kwesibindi

Ukudla okudlela endlini

Udokotela wakho uzokuchazela ukuthi imiphumela yakho ngayinye isho ukuthini ngempilo yakho nokuthi yiziphi izinyathelo ezilandelayo okufanele zibe.

Uma kuvela ukuthi unesimo esingaphansi, kubalulekile ukuthi ufune ukwelashwa. Uma noma yiziphi izimo ezicashile zingalashwa, ukhuliswe ngezinkinga ezinkulu, njenge:

• isifo sesibindi
• isifo senhliziyo
• ukuhluleka kwenhliziyo
• isifo sikashukela
• izinkinga zamathambo
• izingqinamba ze-metabolic
• ukuphazamiseka kwamahomoni