Mayeso oyesa maselo okwera mpweya m'magazi
Nambala yofiira ya magazi (RBC) imagwiritsidwa ntchito poyeza kuchuluka kwa maselo a m'magazi a oksijeni m'magazi a magazi. Ndi imodzi mwazofunikira zomwe timagwiritsa ntchito kuti tipeze kuchuluka kwa mpweya womwe ukutumizidwa ku maselo a thupi.
Chiwerengero chosawerengeka cha RBC kawirikawiri ndi chizindikiro choyamba cha matenda omwe angakhale osadziwika kapena opanda zizindikiro. Nthawi zina, mayeserowa amatha kumuuza dokotala kuti adziwe ngati pali zizindikiro, monga kupuma pang'ono kapena kutopa, zomwe sizikhoza kufotokozedwa mosavuta.
Kumvetsa Kumaliza kwa Magazi Onse
Kawirikawiri kulankhula, kuwerengera kwa RBC sikungathandize kwenikweni kuti apeze matenda. M'malo mwake, kawirikawiri imachitidwa ngati gawo la mayeso ambiri omwe amatchedwa selo lonse la magazi (CBC) lomwe limayesa maselo omwe amapangidwa m'magazi a magazi. Zikuphatikizapo:
- Maselo ofiira a m'magazi (RBC) omwe amatengera mpweya ku maselo a thupi
- Maselo oyera a m'magazi (WBC), omwe ali m'maselo athu ambiri a chitetezo
- Hemoglobin (Hb), mapuloteni omwe amanyamula nthunzi za mpweya ndi carbon dioxide
- Platelets (PLT), maselo omwe amayambitsa magazi
- Hematocrit (Hct), chiĊµerengero cha RBC ndi kuchuluka kwa magazi
Malinga ndi mawonekedwe a maselo a magazi, madokotala akhoza kudziwa bwino komwe angayang'anire kufufuza kwawo ndi malo omwe angapewe.
Mitundu Yowiririka Yotsata RBC
Chiwerengero cha RBC ndi chiwerengero cha selo lofiira m'magazi pamtundu winawake wa magazi. Zitha kuwonetsedwa mu mamiliyoni a maselo pa microliter (mcL) ya magazi kapena mamiliyoni a maselo pa lita (L) mwazi.
Zomwe "zachilendo" nthawi zina zimasiyana mosiyanasiyana. Mitundu yambiri ya malingaliro idzakhala yapamwamba kwambiri m'midzi yapamwamba-yakumtunda ngati Denver ndi m'munsi akutsika kwambiri ngati Gulf Coast. Momwemonso, mndandanda sungathe kuonedwa kuti ndi yovuta komanso yowonongeka koma m'malo mwake, monga dzina limatanthawuzira, tsamba lofotokozera.
Mndandanda wa "RBC" wokhazikika kwa amayi ndi 4.2 mpaka 5.4 miliyoni / mcL; kwa amuna, 4.7 mpaka 6.1 miliyoni / mcL; kwa ana, 4.1 mpaka 5.5 miliyoni / mcL.
Zimayambitsa Zokwera ndi Zapansi Zomwe Zilipo
A high RBC count amatiuza kuti pakhala kuwonjezeka kwa maselo okwera oksijeni m'magazi. Izi kawirikawiri zimasonyeza kuti thupi likulipira vuto linalake limene likuchotsa thupi la oxygen, kuphatikizapo:
- Matenda a mtima wamba
- Kulephera kwa mtima
- Matenda osokoneza bongo (COPD)
- Mafupa amachititsa kuti asuta fodya
- Polycythemia vera , matenda a mafupa a mafupa
- Kupititsa patsogolo mankhwala osokoneza bongo, zomwe zimalimbikitsa kupanga RBC
- Renal cell carcinoma , mtundu wa khansa ya impso
- Kutaya madzi m'thupi
Chiwerengero chochepa cha RBC chimasonyeza kuchepa kwa maselo okwera mpweya m'magazi. Zomwe zimayambitsa zikhoza kukhala zambiri, kuyambira ku matenda ndi zofooka za kusowa kwa zakudya m'thupi, kuphatikizapo:
- Anemia
- Kulephera kwa impso
- Matenda a chithokomiro
- Kusuta, mkati kapena kunja
- Khansa ya m'magazi , mtundu wa khansa ya magazi
- Zotsatira za mankhwala, kuphatikizapo chemotherapy
- Myelomas zambiri , mtundu wa khansa yokhudza maselo a plasma
- Kulephera kwa Erythropoietin, hormone ya impso yomwe imalimbikitsa kukula kwa RBC
- Zofooka mu chitsulo , folate, vitamini B12, kapena vitamini B6
- Hemolysis , kuwonongeka kwachibadwa kwa maselo ofiira ofiira
- Mimba
Popeza kuchuluka kwa RBC kungathandize kuthandizira matenda, imagwiritsidwanso ntchito poyang'anira chithandizo. Ngati mwapezeka kuti muli ndi matenda a magazi kapena mukugwiritsa ntchito mankhwala omwe amakhudza RBC yanu, dokotala wanu adzafuna kuwona izi ngati nkhani.
Izi ndizofunika makamaka pa khansa ndi khansa ya mankhwala a khansa, zonsezi zomwe zingakhale ndi zotsatira zowononga-ndi- zotsatira zokhudzana ndi chiwerengero cha magazi.
Zinthu Zimene Mungachite Kuti Mukhale ndi Bwino Kwambiri Yanu
Kuchiza kwa chiwerengero cha RBC chosadziwika kwenikweni chimayang'ana pa kuchiza vutoli, kaya ndi matenda, kuvulala, khansa, kapena matenda a chibadwa.
Ngati, chifukwa chake, chifukwa chake chikugwirizana ndi kusowa kwa zakudya, kugwiritsa ntchito mankhwala, kapena matenda aakulu, pakhoza kukhala zinthu zomwe mungachite kuti musangowonjezera kuchuluka kwa magazi anu komanso thanzi lanu lonse.
Ngati muli ndi mkulu wa RBC count:
- Yesetsani kusintha mtima ndi mapapo.
- Idyani nyama zochepa zofiira ndi zakudya zowonjezera.
- Pewani zowonjezera zitsulo.
- Sungani nokha hydrated bwino.
- Pewani ma diuretic, kuphatikizapo khofi ndi zakumwa za khofi.
- Lekani kusuta, makamaka ngati muli ndi COPD kapena pulmonary fibrosis.
- Pewani kugwiritsa ntchito steroids ndi mankhwala ena opititsa patsogolo.
Ngati muli ndi chiwerengero chochepa cha RBC (kuphatikizapo kuchepa kwa magazi):
- Pitirizani kudya zakudya zathanzi.
- Tengani mavitamini ndi zitsulo tsiku ndi tsiku, ngati kuli kofunikira.
- Yesetsani kuchita nthawi zonse kuti musinthe mtima ndi mapapo.
- Lekani kusuta.
- Pewani aspirin yomwe imatha kuchepetsa magazi,
- Tengani mankhwala anu a chithokomiro monga momwe mwauzidwa ngati muli ndi vuto la chithokomiro.
> Zotsatira:
> Bunn, H. "Chaputala 158: Njira ya anemias." Mu: Goldman L, Schafer AI, Eds. Goldman's Cecil Medicine (edition 25). Philadelphia: Elsevier Saunders; 2015.
> Goljan EF. "Chaputala 12: Matenda a maselo ofiira a magazi: Mu: Goljan E, ed. Rapid Review Pathology (Baibulo lachinayi). Philadelphia: Elsevier Saunders; 2014 .