I-RDW: yintoni kwaye kutheni inokuba phezulu okanye iphantsi

Umxholo

• Lithini ixabiso lesalathiso
• Iziphumo eziphezulu ze-RDW
• Iziphumo ezisezantsi ze-RDW
• Uviwo lunokucelwa nini
• Ungazilungiselela njani iimviwo

I-RDW sisichazi segama elithi Ububanzi boSasazo oluBomvu, okuthi ngesiPhuthukezi kuthetha ukuba uLwabiwo loSasazo lweeSeli eziBomvu zegazi, kwaye elivavanya umahluko kubukhulu phakathi kweeseli ezibomvu zegazi, lo mahluko ubizwa ngokuba yi-anisocytosis.

Ke, xa ixabiso liphezulu kubalo lwegazi oko kuthetha ukuba iiseli ezibomvu zegazi zinkulu kunesiqhelo, kwaye iiseli ezibomvu kakhulu kwaye zincinci kakhulu zibonakala kwi-smear yegazi. Xa ixabiso lingaphantsi kwexabiso lesalathiso, ihlala ingenakubaluleka kweklinikhi, kuphela xa ukongeza kwi-RDW ezinye ii-indices zikwangaphantsi kwexabiso eliqhelekileyo, njenge-VCM, umzekelo. Qonda ukuba yintoni VCM.

I-RDW yenye yeeparameter ezenza ukubalwa kwegazi kwaye, kunye nolunye ulwazi olunikezwe luvavanyo, kunokwenzeka ukukhangela ukuba iiseli zegazi zivelisa njani kunye nemeko yomntu ngokubanzi. Xa iziphumo ze-RDW zitshintshiwe, kunokwenzeka ukuba ukrokrele kwezinye iimeko, ezinje nge-anemia, isifo seswekile okanye iingxaki zesibindi, ekufuneka kufunyaniswe isifo kuxhomekeke kuhlalutyo lobalo olupheleleyo lwegazi kunye novavanyo lwebhayoloji. Jonga indlela yokufunda amanye amaxabiso egazi.

Lithini ixabiso lesalathiso

Ixabiso lesalathiso se-RDW kubalo lwegazi li-11 ukuya kwi-14%, nangona kunjalo, esi siphumo singahluka ngokwelabhoratri. Ke, ukuba ixabiso lingaphezulu okanye lingaphantsi kwipesenti, linokuba neentsingiselo ezahlukeneyo kwaye, ke, kuhlala kubalulekile ukuba ixabiso livavanywe ngugqirha oyalele uvavanyo.

Iziphumo eziphezulu ze-RDW

I-Anisocytosis ligama elenzeka xa i-RDW inyuswa, kwaye umahluko omkhulu kubukhulu phakathi kweeseli ezibomvu zegazi unokubonakala kwigazi smear. I-RDW inokunyuswa kwezinye iimeko, ezinje:

• Ukunqongophala kwe-anemia;
• I-Megaloblastic anemia;
• Thalassemia;
• Izifo zesibindi.

Ukongeza, abantu abafumana i-chemotherapy okanye unyango lwe-antiviral banokuthi bonyuse i-RDW.

Iziphumo ezisezantsi ze-RDW

I-RDW esezantsi ihlala ingenakubaluleka kweklinikhi xa itolikwa yodwa, nangona kunjalo, ukuba ezinye iinguqu zibonakala kubalo lwegazi, inokubonisa i-anemia ebangelwa zizifo ezinganyangekiyo, ezinjengesifo sesibindi, iingxaki zezintso, i-HIV, umhlaza okanye isifo seswekile, umzekelo.

Uviwo lunokucelwa nini

Olu vavanyo luyacelwa kaninzi xa kukrokrelwa i-anemia, njengoko iimpawu ezinje ngokuba nesiyezi, ukudinwa okanye ulusu olumhlophe, umzekelo. Jonga ezona mpawu ziphambili zeanemia.

Nangona kunjalo, ugqirha unokuyalela uvavanyo xa unayo okanye unayo:

• Imbali yosapho yokuphazamiseka kwegazi;
• Ukopha ngexesha lotyando okanye emva kokubetha;
• Ukuchongwa kwesifo esinokubangela utshintsho kwiiseli zegazi;
• Izifo ezingapheliyo, ezifana ne-HIV.

Ngamanye amaxesha, olu vavanyo lunokuyalelwa kuvavanyo lwegazi oluqhelekileyo, ngaphandle kwesizathu esithile.

Ungazilungiselela njani iimviwo

Ukuze ubalo lwegazi lwenziwe kwaye, ngenxa yoko, i-RDW ayimfuneko ukuzila ukutya. Nangona kunjalo, inani elipheleleyo legazi liyacelwa kunye nezinye iimvavanyo zegazi ezifuna ukuzila ukutya ubuncinci iiyure ezi-8.

Ukuqokelelwa kwegazi kuhlala kuthabatha ngaphantsi kwemizuzu emi-5 kwaye kwenziwa ngokulula esibhedlele okanye nakweyiphi na iklinikhi yovavanyo ngokususa isampulu yegazi encinci emthanjeni.