Umbhali: Charles Brown
Umhla Wokudalwa: 1 Eyomdumba 2021
Hlaziya Umhla: 20 Eyenkanga 2024
Anonim
I-CBC: yeyantoni kwaye ungasiqonda njani iziphumo - Zempilo
I-CBC: yeyantoni kwaye ungasiqonda njani iziphumo - Zempilo

Umxholo

Inani elipheleleyo lwegazi luvavanyo lwegazi oluvavanya iiseli ezenza igazi, ezinje ngeeukocyte, ezaziwa njengeeseli ezimhlophe zegazi, iiseli ezibomvu zegazi, ekwabizwa ngokuba ziiseli ezibomvu zegazi okanye ii-erythrocytes, kunye neeplatelets.

Inxalenye yokubala kwegazi ehambelana nohlalutyo lweeseli ezibomvu zegazi ibizwa ngokuba yi-erythrogram, ukongeza ekubonakaliseni ubungakanani beeseli zegazi, eyazisa malunga nomgangatho weeseli ezibomvu zegazi, ebonisa ukuba zikubungakanani obufanelekileyo okanye ngezixa ezinconyelwayo zehemoglobin kuzo, ezinceda ukucacisa oonobangela begazi, umzekelo. Olu lwazi lubonelelwa ngee-indices ze-hematimetric indices, eziyi-HCM, i-VCM, i-CHCM kunye ne-RDW.

Ukuzila ukutya akuyimfuneko kuqokelelo lwayo, nangona kunjalo, kuyacetyiswa ukuba ungenzi imisebenzi yomzimba iiyure ezingama-24 ngaphambi koviwo kwaye uhlale iiyure ezingama-48 ngaphandle kokusela naluphi na uhlobo lotywala, njengoko zinokutshintsha iziphumo.

Ezinye iimeko ezinokubonwa kubalo lwegazi zezi:

1. Iiseli ezibomvu zegazi, ii-erythrocytes okanye ii-erythrocytes

I-erythrogram yinxalenye yokubala kwegazi apho kuhlaziywa khona iimpawu zeeseli ezibomvu zegazi, ii-erythrocytes, ezikwabizwa ngokuba zii-erythrocytes.


I-HT okanye i-HCT-HematocritImele ipesenti yevolumu ekuhlala kuyo iiseli ezibomvu zegazi kwigazi elipheleleyo

Phezulu: Ukuphelelwa ngamanzi emzimbeni, i-polycythemia kunye nokutshatyalaliswa;

Phantsi: I-anemia, ukulahleka kwegazi ngokweqile, isifo sezintso, i-iron kunye neprotein kunye ne-sepsis.

Hb - IHemoglobinLelinye lamacandelo egazi abomvu kwaye linoxanduva lokuhambisa ioksijini

Phezulu: Polycythemia, ukusilela kwentliziyo, isifo semiphunga kunye nokuphakama okuphezulu;

Phantsi: Ukukhulelwa, i-anemia yokunqongophala kwe-iron, i-megaloblastic anemia, i-thalassemia, umhlaza, ukungondleki, isifo sesibindi kunye ne-lupus.

Ukongeza kwinani leeseli ezibomvu zegazi, ubalo lwegazi kufuneka luhlalutye neempawu zazo zokuziphatha, njengoko zinokubonisa nezifo. Olu vavanyo lwenziwa kusetyenziswa ii-indices zehematimetric zilandelayo:

  • I-MCV okanye Umndilili weVolumu yeKhompyuter:amanyathelo obungakanani beeseli ezibomvu zegazi, ezinokuthi zonyuswe kwezinye iintlobo ze-anemia, ezinje nge-vitamin B12 okanye i-folic acid, ukunxila okanye utshintsho lomongo wethambo. Ukuba incitshisiwe, inokubonisa i-anemia ngenxa yokusilela kwentsimbi okanye imvelaphi yemfuza, enje ngeThalassemia, umzekelo. Funda nzulu malunga neVCM;
  • I-HCM okanye umndilili weHemoglobin yeCorpuscular:ibonisa ingqokelela yehemoglobin iyonke ngokuhlalutya ubungakanani nombala weseli ebomvu yegazi. Jonga ukuba kuthetha ntoni ukuphakama kunye nokuhla kwe-HCM;
  • I-CHCM (i-avareji ye-hemoglobin ye-corpuscular concentration): ibonisa uxinzelelo lwe-hemoglobin kwiseli ebomvu yegazi, isiqhelo ukunciphisa kwi-anemias, kwaye le meko ibizwa ngokuba yi-hypochromia;
  • RDW (Uluhlu lokusasazwa kweeseli ezibomvu zegazi): sisalathiso esibonisa ipesenti yokwahluka ngokobungakanani phakathi kweeseli ezibomvu zeesampulu yegazi, ke, ukuba kukho iiseli ezibomvu zegazi ezinobungakanani obahlukeneyo kwisampulu, uvavanyo lunokuthi Utshintshwe, onokuba sisalathiso sokuqala kwentsimbi okanye i-vitamin anemia ye-anemias, umzekelo, kunye nexabiso labo lesalathiso liphakathi kwe-10 ukuya kwi-15%. Funda ngakumbi nge-RDW.

Fumana iinkcukacha ezithe kratya malunga nokubala kokubala kwegazi.


2. Iiseli ezimhlophe zegazi (iiseli ezimhlophe zegazi)

I-leukogram luvavanyo olubalulekileyo lokunceda ukuqinisekisa ukungakhuseleki komntu kunye nendlela umzimba onokuthi usabele ngayo kwiimeko ezahlukeneyo, ezinje ngezifo kunye nokudumba, umzekelo. Xa uxinzelelo lwe-leukocyte luphezulu, imeko ibizwa ngokuba yi-leukocytosis, kunye ne-reverse, i-leukopenia. Jonga indlela yokuqonda iziphumo zeseli emhlophe.

Neutrophils

Phezulu:Usulelo, ukudumba, umhlaza, ukwenzakala, uxinzelelo, isifo seswekile okanye igawuthi.

Phantsi: Ukungabikho kwe-vitamin B12, i-sickle cell anemia, ukusetyenziswa kwe-steroids, emva kokuhlinzwa okanye i-thrombocytopenic purpura.

Iifososophil

Phezulu: Ukaliwa komzimba, ziintshulube, i-anemia eyingozi, ukudumba okwenziwa sisilonda sikabhobhosi okanye isifo sikaHodgkin.

Phantsi: Ukusetyenziswa kwe-beta-blockers, i-corticosteroids, uxinzelelo, usulelo lwebhakteria okanye intsholongwane.


Iibhasophils

Phezulu: Emva kokususwa udakada, leukemia ezingapheliyo myeloid, polycythemia, irhashalala okanye isifo sikaHodgkin.

Phantsi: Hyperthyroidism, usulelo olunamandla, ukukhulelwa okanye ukothuka kwe-anaphylactic.

IiLymphocyte

Phezulu: Mononucleosis ezosulelayo, uqwilikana, imasisi kunye nosulelo olunzima.

PhantsiUsulelo okanye ukungondleki.

Monocytes

PhezuluI-leukemia ye-Monocytic, isifo sokugcina i-lipid, usulelo lweprotozoal okanye isifo sokudumba okwenziwa sisilonda sikabhobhosi esinganyangekiyo.

Phantsi: Iaplastic anemia.

3. Iiplatelets

Iiplatelets ngenene ngamaqhekeza eeseli abaluleke kakhulu kuba anoxanduva lokuqala inkqubo yokujiya. Ixabiso leplatelet eliqhelekileyo kufuneka libe phakathi kwe-150,000 ukuya kwi-450,000 / mm³ yegazi.

Iiplatelet eziphakanyisiweyo zinenkxalabo kuba zinokubangela amahlwili egazi kunye ne-thrombi, ngomngcipheko we-thrombosis kunye ne-pulmonary embolism, umzekelo. Xa bencitshisiwe, banokunyusa umngcipheko wokopha. Fumanisa ukuba zeziphi izizathu kunye nento onokuyenza xa usenza iiplatelets ezisezantsi.

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