Chemotherapy ikhoza kuchepetsa kuchuluka kwa magazi. Chiwerengero cha magazi chokwanira (CBC) ndi kachitidwe ka magazi kamodzi kawirikawiri panthawi ya chithandizo cha khansa ya m'mawere. Funsani ndikusunga buku la CBC yanu iliyonse.
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Kumvetsetsa Kwanu Yanu Yonse ya Magazi (CBC)Chitsanzo cha mwazi wanu chidzakokedwa ndi kuyesedwa kuti muwone zinthu zosiyanasiyana m'magazi anu (zofotokozedwa mwatsatanetsatane). Zotsatira za mayesowa ziwonetsa momwe ziwalo zanu zofunikira zimagwirira ntchito bwino, komanso momwe mankhwalawa akupha khansa yanu. Bungwe la CBC lidzawonetsa magazi ngati matenda a neutropenia, anemia, kapena thrombocytopenia. Zonsezi zikhoza kuchiritsidwa.
Miyeso Isanu
Maselo ofiira a Red (RBC) - Maselo ofiira ofiira ali ndi hemoglobin, ndipo amanyamula oksijeni m'thupi lanu lonse. Maselo amenewa amachotsanso zowononga m'matumba anu. Ma CD amayesedwa mu mamiliyoni pa mamitamita (milli / mm 3 ) a magazi.
Maselo Ayera Oyera (WBC) - Maselo oyera a magazi ndi mbali yofunikira ya chitetezo chanu cha mthupi. Pali mitundu yambiri ya maselo oyera a magazi, monga neutrophils. Ma WBC amayesedwa mu zikwi zikwi mililita (K / mm 3 ) mwazi.
Platelets (PLT) - Mipateti , yomwe imatchedwanso thrombocytes, ndi tizigawo ting'onoting'ono ta maselo pafupifupi gawo limodzi la khumi kukula kwa maselo ofiira a magazi. Ntchito yawo yaikulu ndi kupanga chovala kuti asatenge magazi ambiri. PLTs amayesedwa mu zikwi masentimita m'limita imodzi (K / mm3) mwazi.
Hemoglobin (HGB) - Hemoglobini imanyamula mpweya ndipo imapereka maselo ofiira a mtundu wawo. Mukayambitsa, hemoglobini imanyamula mpweya kuchokera m'mapapu anu kupita kumatenda anu, ndipo pamene mumatuluka, hemoglobin imatulutsa mpweya wa carbon dioxide m'thupi lanu. HGB imayesedwa mu magalamu pa deciliter (g / dL) ya magazi.
Hematocrit (HCT) - Hematocrityo kuchuluka kwa maselo ofiira ofiira poyerekezera ndi kuchuluka kwa magazi anu.
Mapangidwe Achikhalidwe Othandiza Awa:
RBC: 3.58-4.99 mil / mm 3
WBC: 3.4-9.6 K / mm 3
PLT: 162-380 K / mm 3
HGB: 11.1-15.0 g / dL
HCT: 31.8-43.2%
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CBC yanu - Maselo a Maselo Oyera Achizungu ndi NeutropeniaMaselo Oyera a Magazi
Maselo oyera ndi ofunikira thanzi lanu chifukwa amamenyana ndi matenda. Mosiyana ndi maselo ofiira a magazi, pali mitundu yosiyanasiyana ya maselo oyera.
Mitundu Isanu ya Maselo Oyera
- Neutrophils (polys ndi magulu) (NE)
- Lymphocytes (LY)
- Monocytes (MO)
- Eosinophils (EO)
- Basophils (BA)
Mmodzi mwa mitundu iyi ya maselo oyera a magazi adzayesedwa ndi kuwonetsedwa pa CBC yanu peresenti ndi nambala.
Nambala Yanu Yopanda Ntherophile (ANC)
Mankhwala otchedwa neutrophils, omwe amatchedwanso granulocytes, amapanga kuposa theka la chiwerengero chanu cha maselo oyera. Pali mitundu iŵiri ya neutrophils: mapiritsi ndi magulu, omwe ayenera kuwerengedwa mosiyana. Lipoti lanu la CBC lidzakhala ndi nambala ya ANC kapena AGC (Absolute Granulocyte Count). Ichi ndi nambala yofunikira chifukwa imasonyeza mmene thupi lanu limatha kuthana ndi matenda. Kuwerengeka kwabwino kwa neutrophil ndi 2,500 mpaka 6,000. ANC yanu ikuwerengedwera motere:
Selo loyera la magazi x (chiwerengero cha polys + chiwerengero cha mabungwe) = Yopanda Ntherophil Chiwerengero
Neutropenia
Ngati chiwerengero chanu cha neutrophil chili ndi zosakwana 1,000, muli ndi chiopsezo chowonjezeka cha matenda. Ngati chiwerengero chanu cha neutrophil (ANC) chikutsika pansi pa 1,000, mutha kupeza kachilombo koopsa. Matendawa amatchedwa neutropenia ndipo angathe kuchiritsidwa ndi jekeseni wa Neulasta kapena Neupogen (filgrastim). Mapulogalamu amasiyana m'magulu awo, koma neutropenia yofatsa idzakhala ANC ya 1,000 mpaka 1,500, yochepa idzakhala ANC ya 500 mpaka 1,000, ndipo ANC yayikulu yosakwana 500. Ngati mukudwala matendawa, muyenera kuchiritsidwa ndi mankhwala opha tizilombo. Nthawi zambiri, kuperekera kwa mafupa kungaperekedwe.
Dziwani kuti African American ndi kum'mwera chakum'mawa kwa Asiya ali ndi ma CRC omwe ali m'mizere yochepa komanso kuti matenda a neutropenia amapezeka ndi chiwerengero chochepa.
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CBC yanu - Magazi Akumagazi Amagazi ndi Anemia, Platelets ndi ThrombocytopeniaMaselo ofiira a Red, Hemoglobin, Hematocrit ndi Anemia
Ngati kachilombo ka maselo ofiira a m'magazi sali oyenera, muli ndi magazi. Pakati pa kuchepa kwa magazi , mavitamini a hematocrit ndi hemoglobin adzakhalanso otsika, kotero kuti magazi anu okosijeni adzakhala otsika, kutanthauza kuti mudzakhala ndi carbon dioxide wochuluka m'thupi lanu. Kuchepa kwa magazi kumabweretsa kutopa, kufooka, chizungulire, kuvutika kupeza mpweya wathunthu, kupweteka mutu, ndi kumalira m'makutu. Matendawa amatha kuchiritsidwa ndi jekeseni ya Malembedwe kapena darbepoetin. Mankhwala otsika a hematocrit ndi hemoglobin angafune kuikidwa magazi.
Platelets Count ndi Thrombocytopenia
Ngati nambala yanu ya platelet ili yochepa, magazi anu sangathe kutseka. Matendawa amatchedwa thrombocytopenia. Ngati mwadula kapena ngati mwazi umasweka, mapuloleteni anu sangathe kusindikiza, ndipo mungadwale. Thrombocytopenia ikhoza kumayambitsa nosebleeds, mikwingwirima yomwe imachiza pang'onopang'ono, kumatuluka magazi, mitsempha yofiira kapena yofiira, chifuwa chamagazi, ndi magazi a m'mimba (osakhala m'mimba). Matendawa amatha kuchiritsidwa ndi mankhwala omwe amachititsa kuti apulaneti apangidwe, kapena kuikidwa magazi a platelet kungafunike.
> Chitsime:
> Ma Institutes of Health. NIH Clinical Center. Information Patient Information. Malipiro Okwanira Onse. Fayilo ya PDF, yofalitsidwa mu April 2000.