Itotali yokubopha amandla esinyithi

Umthamo opheleleyo wokubopha i-iron (TIBC) luvavanyo lwegazi ukubona ukuba unentsimbi eninzi okanye encinci kakhulu egazini lakho. Intsimbi ihamba kwigazi eliqhotyoshelwe kwiprotein ebizwa ngokuba yi-transferrin. Olu vavanyo lunceda umboneleli wakho wokhathalelo lwempilo ukuba azi ukuba iprotein ingayiphatha njani i-iron egazini lakho.

Isampulu yegazi iyafuneka.

Akufuneki utye okanye usele iiyure ezisibhozo phambi kovavanyo.

Amayeza athile anokuchaphazela iziphumo zolu vavanyo. Umboneleli wakho uya kukuxelela ukuba ufuna ukuyeka ukuthatha nawaphi na amayeza. Sukuyeka nawaphi na amayeza ngaphambi kokuba uthethe nomboneleli wakho.

Amayeza anokuchaphazela iziphumo zovavanyo aquka:

• Ihomoni yeadrenocorticotropic (ACTH)
• Iipilisi zokulawula inzala
• I-chloramphenicol
• Ifluorides

Xa kufakwa inaliti ukutsala igazi, abanye abantu baziva iintlungu eziphakathi. Abanye baziva behlaba okanye behlaba kuphela. Emva koko, kunokubakho ukubetha okanye ukukrala kancinci. Oku kuya kuhamba kungekudala.

Umboneleli wakho unokucebisa olu vavanyo ukuba:

• Unemiqondiso okanye iimpawu ze-anemia ngenxa yentsimbi ephantsi
• Olunye uvavanyo lwelebhu lubonisa ukuba une-anemia ngenxa yamanqanaba asezantsi e-iron

Uluhlu lwamaxabiso aqhelekileyo:

• Isinyithi: I-60 ukuya kwi-170 yeekhilogram ngedesilitha nganye (mcg / dL) okanye kwi-10.74 ukuya kwi-30.43 micromoles kwilitha nganye (micromol / L)
• I-TIBC: 240 ukuya kwi-450 mcg / dL okanye i-42.96 ukuya kwi-80.55 micromol / L
• Ukuhanjiswa kweTransferrin: 20% ukuya kwi-50%

Amanani angentla yimilinganiselo eqhelekileyo yeziphumo zolu vavanyo. Amaxabiso esiqhelo ahluka kancinci phakathi kweelebhu ezahlukeneyo. Ezinye iilebhu zisebenzisa imilinganiselo eyahlukeneyo okanye ukuvavanya iisampulu ezahlukeneyo. Thetha nomboneleli wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

I-TIBC ihlala iphakame kunesiqhelo xa ubonelelo ngentsimbi lomzimba luphantsi. Oku kunokwenzeka nge:

• Ukunqongophala kwe-anemia
• Ukukhulelwa (emva kwexesha)

I-TIBC engezantsi kunesiqhelo isenokuthetha:

• I-anemia ngenxa yokuba iiseli ezibomvu zegazi zitshatyalaliswa ngokukhawuleza (i-hemolytic anemia)
• Inqanaba elingaphantsi kuneliqhelekileyo leprotheni egazini (hypoproteinemia)
• Ukudumba
• Isifo sesibindi, njenge-cirrhosis
• Ukungondleki
• Ukuncipha kweeseli ezibomvu zegazi ezisuka emathunjini kungathathi ngokufanelekileyo i-vitamin B12 (i-anemia eyingozi)
• Isifo seanemia

Akukho mngcipheko ubandakanyekileyo ekuthatheni igazi lakho. Imithambo kunye nemithambo iyahluka ngobukhulu ukusuka komnye umntu ukuya komnye nakwelinye icala lomzimba liye kwelinye. Ukuthatha igazi kwabanye abantu kunokuba nzima ngakumbi kunabanye.

Eminye imingcipheko enxulumene nokutsalwa kwegazi incinci, kodwa inokubandakanya:

• Ukopha kakhulu
• Ukufa isiqaqa okanye ukuziva ungenantloko
• Ukugqobhoza okuninzi ukufumana imithambo
• I-Hematoma (igazi elakhiweyo phantsi kolusu)
• Usulelo (umngcipheko omncinci nangaliphi na ixesha ulusu lwaphukile)

I-TIBC; I-anemia -TIBC

• Uvavanyo lwegazi

IBrittenham GM. Ukuphazamiseka kwentsimbi ye-homeostasis: ukunqongophala kwesinyithi kunye nokugcwala kakhulu. Ku: Hoffman R, Benz EJ, Silberstein LE, et al, ii-eds. I-Hematology: Imigaqo esisiseko kunye nokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2018: isahluko 36.

IChernecky CC, iBerger BJ. Intsimbi (Fe) kunye nomthamo opheleleyo wokubopha i-iron (TIBC) / transferrin-serum. Ku: IChernecky CC, iBerger BJ, ii-eds. Iimvavanyo zaselebhu kunye neenkqubo zokuqonda isifo. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; Ngo-2013: 691-692.