Yintoni i-MCH kwaye zithetha ntoni iiNqobo eziPhezulu neziPhantsi?

Umxholo

• Inqanaba leMCH limiselwe njani?
• Uluhlu oluqhelekileyo
• I-MCH ephantsi ibangela kunye neempawu
• Oonobangela
• Iimpawu
• I-MCH ephezulu ibangela kunye neempawu
• Oonobangela
• Iimpawu
• Unyango lwe-MCH ephantsi okanye ephezulu
• MCH esezantsi
• MCH ephezulu
• Yintoni imbonakalo?

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Yintoni iMCH?

I-MCH imele “hemoglobin engathethekiyo.” Ixabiso le-MCH libhekisa kubungakanani be-hemoglobin ekhoyo kwiseli ebomvu enye. IHemoglobin yiprotein ekwiiseli ezibomvu zegazi ezihambisa ioksijini kwizicwili zomzimba wakho.

Ixabiso lakho le-MCH lihambelana namanye amaxabiso amabini, kuthetha ukuba umthamo we-corpuscular (MCV) kunye ne-corpuscular hemoglobin concentration (MCHC). Ngokudibeneyo, i-MCH, i-MCV, kunye ne-MCHC ngamanye amaxesha kubhekiswa kuzo njenge-indices zeeseli ezibomvu zegazi.

I-MCV ngumlinganiso wobungakanani obuqhelekileyo beeseli zakho ezibomvu zegazi. Iziphumo ze-MCH zihlala zibonise iziphumo ze-MCV. Kungenxa yokuba iiseli ezibomvu zegazi ngokubanzi ngokubanzi ziqukethe i-hemoglobin eninzi ngelixa iiseli ezibomvu zegazi zihlala zingenanto.

I-MCHC ibala inani le-hemoglobin ngeyunithi yevolumu kwiseli enye ebomvu yegazi. Umahluko phakathi kwe-MCH kunye ne-MCHC kukuba umlinganiso we-MCHC uthatha ivolumu okanye ubungakanani beseli yegazi ebomvu kwiakhawunti ngelixa i-MCH ingenjalo.

Inqanaba leMCH limiselwe njani?

Inqanaba lakho le-MCH limiselwe ngenani elipheleleyo legazi (CBC). Ugqirha wakho uya kuyalela ipaneli yeCBC ukuba ikhusele uluhlu olukhulu lweemeko, kubandakanya i-anemia kunye nosulelo. Iimvavanyo ze-CBC zibomvu neeseli zegazi, kunye neeplatelets. I-MCH ibalwa kusetyenziswa uhlalutyo lweeseli ezibomvu zegazi.

I-MCH ibalwa ngokwahlula isixa se-hemoglobin kumthamo wegazi onikezelweyo ngenani leeseli ezibomvu zegazi ezikhoyo.

Uluhlu oluqhelekileyo

Uluhlu oluqhelekileyo lwe-MCH luphakathi kwe-27.5 kunye ne-33.2 yeepikogram (ipg).

I-MCH ephantsi ibangela kunye neempawu

Ixabiso le-MCH elibalwe ngezantsi kwe-27.5 pg ithathwa njenge-MCH ephantsi. Oku kuthetha ukuba kukho inani eliphantsi le-hemoglobin ekhoyo kwiseli ebomvu yegazi.

Oonobangela

Ixabiso eliphantsi le-MCH libonisa ubukho bentsilelo ye-anemia. Intsimbi ibalulekile kwimveliso yehemoglobin. Umzimba wakho uthatha isixa esincinci sentsimbi osityayo ukuze uvelise ihemoglobin. Ezinye zezinto ezibangela ukunqongophala kwe-iron zibandakanya ukutya ukutya okune-iron encinci, utyando olukhulu okanye umothuko, okanye ukopha.

Kwiimeko ezinqabileyo ngakumbi, i-MCH ephantsi inokubangelwa yimeko yemfuza ebizwa ngokuba yi-thalassemia. Kule meko, ukuveliswa kwehemoglobin kulinganiselwe. Oku kuthetha ukuba azikho kangako iiseli ezibomvu zegazi ezijikeleza kwigazi lakho.

Iimpawu

Ukuba unexabiso eliphantsi leMCH, unokufumana ezi mpawu zilandelayo:

• ukuqhawukelwa ngumphefumlo
• iintlungu zesifuba
• ukubetha kwentliziyo ngokukhawuleza
• ukudinwa okanye ubuthathaka
• ulusu olumhlophe kakhulu okanye olutyheli
• intloko ebuhlungu

I-MCH ephezulu ibangela kunye neempawu

Ixabiso le-MCH elibalwe ngaphezulu kwe-33.2 pg ithathwa njenge-MCH ephezulu. Oku kuthetha ukuba kukho inani elikhulu le-hemoglobin ekhoyo kwiseli ebomvu yegazi.

Oonobangela

Ixabiso eliphakamileyo le-MCH lisenokubangelwa kukuphazamiseka kwegazi ngenxa yokusilela kweevithamini ze-B, ngakumbi i-B-12 kunye nefolate. Zombini ezi vithamini ziyafuneka emzimbeni wakho ukuze zenze iiseli ezibomvu zegazi. Ezi ntlobo ze-anemia zinokuphuhla ukuba ukutya kwakho kuncinci kwiivithamini ze-B okanye ukuba umzimba wakho awuthathi i-B-12 okanye ifolat ngokufanelekileyo. Kubalulekile ukuba uqaphele iimpawu zokusilela kwe-B-12.

Iimpawu

Ukuba unexabiso eliphezulu le-MCH, unokufumana ezi mpawu zilandelayo:

• ukuqhawukelwa ngumphefumlo
• iintlungu zesifuba
• ukubetha kwentliziyo ngokukhawuleza
• ukudinwa okanye ubuthathaka
• ulusu olumhlophe kakhulu okanye olutyheli
• intloko ebuhlungu

Ukuba une-anemia ngenxa yokunqongophala kwe-B-12, unokufumana:

• ukurhawuzelela okanye “izikhonkwane neenaliti” ezandleni nasezinyaweni
• isicaphucaphu okanye ukugabha
• Ukuqunjelwa kunye negesi
• iimpawu zengqondo, ezinje ngoxinzelelo okanye ukudideka

Ukuba une-anemia ngenxa yokusilela komntu, unokufumana ezi mpawu zilandelayo:

• urhudo
• ukunciphisa ukutya
• ukucaphuka
• ulwimi olugudileyo okanye olubuthathaka

Unyango lwe-MCH ephantsi okanye ephezulu

MCH esezantsi

Unyango lwe-MCH ephantsi ebangelwa kukusilela kwentsimbi kunokubandakanya ukongeza ukutya okune-iron ekutyeni okutyayo (kukho ukhetho lwezityalo) kunye nokuthatha izongezo zentsimbi. Kwiimeko ezinqabileyo, njengaxa iimpawu zibukhali okanye ukulahleka kwegazi kwenzeke, unokufuna utofelo-gazi.

Abantu abane-thalassemia emnene abanakufuna unyango. Nangona kunjalo, utofelo-gazi lunokufuneka ukuba iimpawu zakho zinzima.

MCH ephezulu

Unyango lwe-anemias ebangelwe yi-B-12 okanye ukusilela kwefolate kuqhelekile ukunyangwa ngokutshintsha indlela ophila ngayo, njengokufaka ukutya okunotyebi ku-vitamin B-12 kunye nokutya okutyayo. Ugqirha wakho unokuphinda akucebise ukuthatha izongezo zezi vithamini ukuqhubela phambili ukonyusa i-B-12 kunye namanqanaba obungqina okanye, ukuba ukufunxeka kuyingxaki, ukumisela inaliti ye-B-12.

Yintoni imbonakalo?

Imbonakalo yabantu abanexabiso elingaqhelekanga leMCH lixhomekeke kwimeko ebangela oko.

Amaxabiso asezantsi e-MCH ahlala ebangelwa kukusilela kwe-anemia. Ngokwesiqhelo, le meko inokunyangwa ngeenguqu kwindlela yokuphila kubandakanya ukutya ukutya okunothe ngentsimbi kunye nokuthatha izongezo zentsimbi. Kwimeko enqabileyo yokuba ixabiso lakho eliphantsi le-MCH libangelwa yi-thalassemia, unokufuna ukutofelwa igazi ukuba iimpawu zakho zinzima.

Amaxabiso aphezulu e-MCH abangelwa kukusilela kweevithamini B-12 okanye ifomathi inokuhlala inyangwa ngenguqu kwindlela ophila ngayo ebandakanya ukuguqulwa kokutya kunye nezongezo, okanye inaliti ye-B-12.

Ukuba unomdla malunga neziphumo zakho ze-MCH, qiniseka ukuba uthethe nogqirha wakho ngazo. Ngokudibeneyo, ninokuthatha isigqibo ngeyona ndlela yokuya phambili.