Izalathiso zeRBC

Izalathiso zeeseli ezibomvu zegazi (i-RBC) ziyinxalenye yovavanyo olupheleleyo lwegazi (CBC). Zisetyenziselwa ukunceda ekuchongeni unobangela we-anemia, imeko apho zimbalwa kakhulu iiseli ezibomvu zegazi.

Izalathiso zibandakanya:

• Ubungakanani besayizi ebomvu yeeseli yegazi (MCV)
• Isixa sehemoglobin ngeeseli ebomvu yegazi (MCH)
• Ubungakanani behemoglobin ehambelana nobungakanani beseli (uxinzelelo lwehemoglobin) kwiseli ebomvu yegazi (MCHC)

Isampulu yegazi iyafuneka.

Akukho lungiselelo lukhethekileyo luyimfuneko.

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.

IHemoglobin ithutha ioksijini. Ii-RBCs zithwala i-hemoglobin kunye neoksijini kwiiseli zomzimba wethu. I-RBC indices zovavanyo zokulinganisa ukuba iRBCs zikwenza njani oku. Iziphumo zisetyenziselwa ukufumanisa iintlobo ezahlukeneyo ze-anemia.

Ezi ziphumo zovavanyo zikuluhlu oluqhelekileyo:

• I-MCV: i-80 ukuya kwi-100 ye-femtoliter
• I-MCH: i-27 ukuya kwi-31 yeepiksogramu / iseli
• I-MCHC: i-32 ukuya kwi-36 yeegram / i-deciliter (g / dL) okanye i-320 ukuya kwi-360 yeegramu ilitha nganye (g / L)

Imizekelo engentla yimilinganiselo eqhelekileyo yeziphumo zolu vavanyo. Amaxabiso esiqhelo ahluka kancinci phakathi kweelebhu ezahlukeneyo. Ezinye iilebhu zisebenzisa imilinganiselo eyahlukeneyo okanye zinokuvavanya iisampulu ezahlukeneyo. Thetha nomboneleli wakho wezempilo malunga nentsingiselo yeziphumo zakho zovavanyo.

Ezi ziphumo zovavanyo zibonisa uhlobo lwe-anemia:

• I-MCV ingezantsi kwesiqhelo. I-Microcytic anemia (inokuba ngenxa yamanqanaba asezantsi e-iron, ukukhokelela kwityhefu, okanye i-thalassemia).
• I-MCV iqhelekile. I-anemia ye-Normocytic (inokuba ngenxa yokulahleka kwegazi ngesiquphe, izifo zexesha elide, ukungaphumeleli kwezintso, i-aplastic anemia, okanye iivevu zentliziyo ezenziwe ngumntu).
• I-MCV ngaphezulu kwesiqhelo. I-Macrocytic anemia (inokubangelwa ngamanqanaba asezantsi okanye amanqanaba e-B12, okanye ichemotherapy).
• MCH ngezantsi kwesiqhelo. I-Hypochromic anemia (ihlala ngenxa yamanqanaba asezantsi e-iron).
• MCH eqhelekileyo. I-anemia ye-Normochromic (inokuba ngenxa yokulahleka kwegazi ngesiquphe, izifo zexesha elide, ukusilela kwezintso, i-aplastic anemia, okanye iivevu zentliziyo ezenziwe ngumntu).
• MCH ngaphezulu kwesiqhelo. I-Hyperchromic anemia (inokubangelwa ngamanqanaba asezantsi okanye amanqanaba e-B12, okanye ichemotherapy).

Kukho umngcipheko omncinci ochaphazelekayo ekuthatheni igazi lakho: imithambo yegazi kunye nemithambo iyahluka ngobukhulu ukusuka komnye umntu ukuya komnye, nakwelinye icala lomzimba ukuya kwelinye. Ukufumana isampulu yegazi 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)

Iimpawu ze-Erythrocyte; Iimpawu zegazi; Ithetha i-hemoglobin ye-corpuscular (MCH); Kuthetha uxinzelelo lwehemoglobin ye-corpuscular (MCHC); Ithetha umthamo we-corpuscular (MCV); Iimpawu zeeseli ezibomvu zegazi

IChernecky CC, iBerger BJ. Iimpawu zegazi-igazi. Ku: IChernecky CC, iBerger BJ, ii-eds. Iimvavanyo zaselebhu kunye neenkqubo zokuqonda isifo. Umhla wesi-6. IPhiladelphia, PA: Elsevier; Ngo-2013: 217-219.

I-Elghetany MT, i-Schexneider KI, i-Banki K.Ukuphazamiseka kwe-Erythrocytic. Ku: McPherson RA, Pincus MR, ii-eds. Ukuchongwa kweKlinikhi kaHenry kunye noLawulo ngeendlela zeLebhu. Umhla we-23. ISt Louis, MO: Elsevier; Ngo-2017: isahluko 32.

Kuthetha i-RT. Indlela eya kwii-anemias. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 149.

I-Vajpayee N, Graham SS, Bem S. Uvavanyo olusisiseko lwegazi kunye nomongo wethambo. Ku: McPherson RA, Pincus MR, ii-eds. Ukuchongwa kweKlinikhi kaHenry kunye noLawulo ngeendlela zeLebhu. Umhla we-23. ISt Louis, MO: Elsevier; I-2017: isahluko 30.