Izindlela zokuhlola amaseli aphethe oksijini egazini
Inombolo ebomvu yegazi (RBC) isetshenziselwa ukulinganisa inani lamaseli egazi okhethwe oksijini egameni legazi. Ngenye yezinyathelo ezibalulekile esisebenzisayo ukunquma ukuthi ingakanani i-oksijeni ithunyelwa emaqenjini omzimba.
Ukubalwa okungavamile kwe-RBC ngokuvamile kuyisibonakaliso sokugula okungase kungabonwa noma ngaphandle kwempawu. Ngezinye izikhathi, ukuhlolwa kungakhombisa udokotela ngokuqondisa ukuxilongwa uma kunezibonakaliso, njengokuphefumula noma ukukhathala, okungeke kuchazwe kalula.
Ukuqonda i-Complete Count Count
Ngokuvamile, ukubalwa kwe-RBC akusizi ngalutho ngokwengeziwe ukuhlolisisa isimo sezokwelapha. Esikhundleni salokho, kuvame ukuqhutshwa njengengxenye yocwaningo olunzulu olubizwa ngokuthi inani eliphelele legazi le-CBC (i-CBC) elilinganisa amangqamuzana okwakhiwa kwisampuli segazi. Zihlanganisa:
- Amangqamuzana egazi abomvu (RBC) athatha oksijini emaseli omzimba
- Amangqamuzana egazi elimhlophe (i-WBC), elingaphakathi kwamaseli ethu amaningi omzimba omzimba
- I-Hemoglobin (Hb), iphrotheni ephethe ama-molecule e-oxygen ne-carbon dioxide
- Ama-Platelets (PLT), amangqamuzana anesibopho segazi
- I-Hematocrit (i-Hct), isilinganiso se-RBC kumthamo wegazi ophelele
Ngokusekelwe ekubunjisweni kwamangqamuzana egazi, odokotela bangakwazi kangcono ukugxila uphenyo lwabo nokuthi yiziphi izindawo abangazigwema.
Amabanga avamile we-RBC Counts
Ukubalwa kwe-RBC yinombolo yeseli elibomvu legazi ngevolumu ethile yegazi. Kungabikwa ngezigidi zamaseli nge-microliter (mcL) yegazi noma kuzigidi zamaseli ngetitha (L) yegazi.
Uhlu "olujwayelekile" ngezinye izikhathi luyahlukahluka ngesilinganiso sabantu. Izindinganiso eziningi zokubhekisela kuzoba ngaphezulu kakhulu emadolobheni aphakeme kakhulu aphezulu njengeDenver nasezindaweni eziphansi kakhulu ezindaweni eziphansi kakhulu njengeGulf Coast. Ngakho-ke, amarethini awakwazi ukubhekwa njengama-hard-and-fast values kodwa kunalokho, njengoba igama libonisa, iphuzu lokubhekisela.
Uhla lwe-RBC olujwayelekile "lokujwayelekile" lwabesifazane lungu-4.2 ukuya ku-5.4 million / mcL; kubantu, 4.7 kuya ku-6.1 million / mcL; izingane, 4.1 kuya ku-5,5 million / mcL.
Izimbangela ze-RBC Counts High and Low
Ukubalwa kwe-RBC ephezulu kusitshela ukuthi kube nokwanda kwamaseli athatha oksijini egazini. Lokhu ngokuvamile kubonisa ukuthi umzimba uhlawulela isimo esithile esilahla umzimba we-oxygen, kuhlanganise:
- Isifo senhliziyo esiphumele
- Ukuhluleka kwenhliziyo
- Isifo se-Chronic obstructive pulmonary (COPD)
- I-fibrosis ye-pulmonary , ngokuvamile ngenxa yokubhema
- I-Polycythemia vera , isifo somnyo we-bone
- Izidakamizwa ezithuthukisa ukusebenza, ezikhuthaza ukukhiqizwa kwe-RBC
- Renal cell carcinoma , uhlobo lomdlavuza wezinso
- Ukwehla kwamanzi
Inani eliphansi le-RBC libonisa ukwehla kwamangqamuzana athatha umoya-mpilo egazini. Izimbangela zingabaningi, kusukela ekungeneni kwezifo nokuhluleka kokungondleki kwezidakamizwa, kufaka phakathi:
- I-anemia
- Ukuhluleka kwezinso
- Izinkinga ze-thyroid
- Ukweqa, ngaphakathi noma kwangaphandle
- I-leukemia , uhlobo lomdlavuza wegazi
- Imiphumela emibi yezokwelapha, kuhlanganise ne-chemotherapy
- I-myelomas eminingi , uhlobo lomdlavuza oluthinta amangqamuzana e-plasma
- Ukuntuleka kwe-Erythropoietin, i-hormone yezinso ekhuthaza ukukhula kwe-RBC
- Ukuntuleka kwe- iron , folate, i-vitamin B12, noma i-vitamin B6
- I-Hemolysis , ukuphazamiseka okungavamile kwamaseli abomvu obomvu
- Ukukhulelwa
Njengoba isibalo se-RBC singasiza ukuhlonza isimo sezokwelapha, sisetshenziselwa ukuqapha ukwelashwa. Uma uthola ukuthi unesifo segazi noma uthatha noma yimiphi imithi ethinta i-RBC yakho, udokotela wakho uzofuna ukuqapha lokhu njengendaba.
Lokhu kuyiqiniso ikakhulukazi emdlalweni we-cancer kanye nomdlavuza we-cancer, okubili okungabangela umthelela omubi -futhi- umthelela ekubalweni kwegazi.
Izinto Ongayenza Ukuze Uthuthukise I-RBC Yakho
Ukwelashwa kwe-RBC count okungavamile ngokuvamile kugxile ekwelapheni isimo esibucayi, kungaba ukutheleleka, ukulimala, umdlavuza, noma isifo somzimba.
Uma, ngakolunye uhlangothi, imbangela ihlobene nokuntuleka kokudla okunomsoco, ukusetshenziswa kwezidakamizwa, noma isimo esingapheli, kungase kube nezinto ongazenza ukuze nje uthuthukise inani lakho legazi kodwa impilo yakho yonke.
Uma unenani eliphezulu le-RBC:
- Ukuzivocavoca ukuthuthukisa umsebenzi wenhliziyo nephuzi.
- Yidla inyama encane ebomvu nokudla okunezinsimbi.
- Gwema izithako zensimbi.
- Gcina uzihle kahle.
- Gwema ama-diuretics, kufaka phakathi ikhofi kanye neziphuzo ze-caffeinated.
- Yeka ukubhema, ikakhulukazi uma une-COPD noma i-fibrosis ye-pulmonary.
- Gwema ukusetshenziswa kwe-steroids nezinye izidakamizwa ezisebenzayo.
Uma une-RBC count ephansi (kubandakanya i-anemia):
- Gcina ukudla okunempilo nokulinganisela.
- Thatha isithako sevithamini nesimbi nsuku zonke, uma kudingeka.
- Ukuzivocavoca njalo ukuthuthukisa umsebenzi wenhliziyo nephuzi.
- Yeka ukubhema.
- Gwema i-aspirin engenza igazi elincane,
- Thatha imithi yakho ye- thyroid njengoba ishiwo uma unenkinga ye -roid.
> Imithombo:
> Bunn, H. "Isahluko 158: Indlela ye-anemias." Ku: i-Goldman L, i-Schafer AI, i-Ed. I-Goldman's Cecil Medicine (edition lama-25). I-Philadelphia: Elsevier Saunders; 2015.
> Goljan EF. "Isahluko 12: Izinkinga ezibomvu zamangqamuzana egazi: Ku: I-Goljan E, ed. I-Rapid Review Pathology (umagazini we-4). I-Philadelphia: Elsevier Saunders; 2014 .