I-Chemotherapy inganciphisa inani lakho legazi. Inani eliphelele legazi (i-CBC) luhlolo lokuhlola igazi olwenziwa njalo njalo ngesikhathi ukwelashwa umdlavuza wesifuba. Cela futhi ugcine ikhophi ye-CBC yakho ngayinye.
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Ukuqonda Ukuphelele Kwakho Kwegazi (CBC)Isampula segazi lakho lizodonswa futhi lihlolwe ukuze lihlolwe izakhi ezahlukene egazini lakho (elichazwe ngokuningiliziwe kamuva). Imiphumela yalolu vavanyo izobonisa ukuthi izitho zakho ezibalulekile ziyasebenza kanjani, futhi ukuthi ukwelashwa kwakho kubulala kanjani umdlavuza wakho. I-CBC izoveza izimo zegazi ezinjenge- neutropenia, i- anemia, noma i- thrombocytopenia. Zonke lezi zimo zingaphathwa.
Izinyathelo Ezinhlanu
Ama-Red Blood Cell (RBC) - Amangqamuzana egazi elibomvu aqukethe i-hemoglobin, futhi ithwala oksijeni kuwo wonke umzimba wakho. Lawa maseli nawo asusa imikhiqizo yamfucuza emathisini akho. Ama-RBC ayalwa ngezigidi ngamamitha ayi-cubic millimeter (mil / mm 3 ) wegazi.
Ama-White Blood Cell (WBC) - Amangqamuzana egazi ezimhlophe yingxenye ebalulekile yesistimu yakho yomzimba. Kunezinhlobo eziningi zamaseli amhlophe egazi, njenge- neutrophils. Ama-WBC alinganiswa ngezinkulungwane zamakhilogremu angu-cubic (K / mm 3 ) wegazi.
Ama-Platelets (PLT) - Ama- platelets , abuye abizwa ngokuthi ama-thrombocytes, amancane amancane amancane amaseli cishe eyodwa-kweshumi ubukhulu beselu elibomvu legazi. Umsebenzi wabo oyinhloko ukwakha i-clot ukuvimbela ukuphuma kwegazi isikhathi eside. I-PLTs zilinganiselwa ezinkulungwaneni zamamitha ayizigidi zamakhilogremu (K / mm3) wegazi.
I-Hemoglobin (HGB) - I- Hemoglobin ithwala i-oksijeni futhi inikeza amangqamuzana abomvu egazi. Uma uphuma, i-hemoglobin ithwala i-oxygen emapapheni akho kuya ezicukheni zakho, futhi uma uphumelela, i-hemoglobin idlulisa i-carbon dioxide emzimbeni wakho. I-HGB ilinganiswa ngegremu ngayinye ye-deciliter (g / dL) yegazi.
I-Hematocrit (i-HCT) - Izindlela ze- Hematocrit iphesenti yamaseli abomvu abomvu ngokuphathelene nomthamo wegazi lakho lonke.
Ranges ezijwayelekile zalezi zilinganiso:
I-RBC: 3.58-4.99 mil / mm 3
I-WBC: 3.4-9.6 K / mm 3
PLT: 162-380 K / mm 3
I-HGB: 11.1-15.0 g / dL
I-HCT: 31.8-43.2%
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I-CBC yakho - Izinga lamagciwane e-White White ne-NeutropeniaIzinhlobo ze-White Blood Cell
Amangqamuzana egazi amhlophe abalulekile empilweni yakho ngoba alwa nezifo. Ngokungafani namaseli abomvu abomvu, kunezinhlobo ezihlukahlukene zamaseli amhlophe egazi.
Izinhlobo Ezinhlanu Zamaseli Egazi Amhlophe
- Ama-neutrophils (ama-polys namaqembu) (NE)
- I-Lymphocytes (LY)
- I-monocytes (MO)
- I-Eosinophils (EO)
- I-Basophils (BA)
Ngayinye yalezi zinhlobo zamangqamuzana egazi ezimhlophe izokala futhi zibikwe kwi-CBC yakho njengephesenti futhi njengenombolo.
Ukubala kwakho kwe-Neutrophil Absolute (ANC)
I-neutrophils, ebizwa nangokuthi i-granulocytes, yenza okungaphezu kwehafu yesamba sakho somhlophe wegazi eliphelele. Kunezinhlobo ezimbili zama-neutrophils: ama-polys nama-bands, okumele abalwa ngokwahlukana. Umbiko wakho we-CBC uzoba ne-ANC noma i-AGC (i-Absolute Granulocyte Count). Lena inombolo ebalulekile ngoba ibonisa ukuthi umzimba wakho ungakwazi kanjani ukulwa nesifo. Inani elivamile le-neutrophil liyi-2 500 kuya ku-6,000. I-ANC yakho ibalwa ngale ndlela:
Ukubala kwegazi elimhlophe x (inombolo yama-polys + inombolo yamabhande) = Ukubala okungapheli kwe-Neutrophil
I-Neutropenia
Uma inani lakho le-neutrophil lingaphansi kuka-1 000, unengozi eyengeziwe yokutheleleka. Uma inani lakho le-neutrophil eliphelele (i-ANC) liwela ngaphansi kwezingu-1000, ungathola kalula ukutheleleka okukhulu. Lesi simo sibizwa ngokuthi i-neutropenia futhi singelashwa ngezijovo ze- Neulasta noma Neupogen (filgrastim). Ama-Labs ahlukahluka emigqeni yazo, kepha i-neutropeniya emnene ingaba i-ANC ka-1 000 kuya ku-1,500, elinganiselayo ibe yi-ANC engama-500 kuya ku-1 000, futhi i-ANC enamandla engaphansi kuka-500. Uma uthola isifo, kufanele uphathwe ngama-antibiotics. Ezimweni ezimbi kakhulu, ukuguqulwa komnkantsha wamathambo kunganikezwa.
Qaphela ukuthi ama-Afrika aseMelika nama-Asiya aseNingizimu-mpumalanga anama-ANC ajwayelekile ezindaweni eziphansi nokuthi ukuxilongwa kwe-neutropenia kuzophinde kwenzeke ngenani eliphansi.
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I-CBC yakho - Amaseli Egazi Ebomvu Ne-Anemia, Platelets ne-ThrombocytopeniaAma-Red Blood cells, i-Hemoglobin, i-Hematocrit ne-Anemia
Uma isibalo sakho somzimba wegazi obomvu singaphansi kokujwayelekile, une- anemic. Nge- anemia , izinga lakho le- hematocrit ne- hemoglobin lizobe liphansi, ngakho-ke amazinga e-oksijeni egazi ayoba phansi, okusho ukuthi uzoba ne-carbon dioxide kakhulu emzimbeni wakho. I-anemia iholela ekukhatheni, ubuthakathaka, isizungu, ukukhathazeka ukuthola ukuphefumula okugcwele, ukukhanda ikhanda nokukhala ezindlebeni. Lesi simo singaphathwa ngezijovo zoHlelo noma i- darbepoetin. Amazinga aphansi we-hematocrit ne-hemoglobin angadinga ukumpontshelwa igazi.
Platelets Count and Thrombocytopenia
Uma inani lakho leplatelet liphansi, igazi lakho lingase lingakwazi ukuvala. Lesi simo sibizwa ngokuthi i- thrombocytopenia. Uma unqunywe noma uma isitsha segazi siphukile, amapullethe akho akakwazanga ukumisa ikhefu, futhi ungase uhlaselwe isisu. I-Thrombocytopenia ingaholela emakhaleni, imivimbo ephulukisa kancane, izinsini eziphuzayo, umchamo obomvu noma obomvu, isitofu esinamanzi, nokugaya igazi (hhayi kokuya esikhathini). Lesi simo singaphathwa ngezidakamizwa ezikhuthaza ukukhiqizwa kweplatelet, noma ukudluliselwa kweplatelet kungadingeka.
> Umthombo:
> Izikhungo Zikazwelonke Zempilo. I-NIH Clinical Center. Ulwazi Lweziguli Ulwazi. Gcwalisa i-Blood Count. Ifayela le-PDF, elishicilelwe ngo-April 2000.