Iimvavanyo zenza iiseli ezithwala oksijini egazini
Inani elibomvu seli-RBC (RBC) lisetyenziselwa ukulinganisa inani lamaseli egazi ephethe i-oksijini egazini legazi. Ngenye yeendlela eziphambili esisebenzisayo ukuqinisekisa ukuba ingakanani i-oksijini ithunyelwa kwiiseli zomzimba.
Isibalo seRBC esingaqhelekanga sihlala sisisigxina sokuqala esingagqithwanga okanye singenayo impawu. Ngamanye amaxesha, uvavanyo lunokutsalathisa ugqirha kwi-diagnostic ukuba kukho iimpawu, ezifana nokuphefumula okanye ukukhathala, ezingenakuchazwa ngokulula.
Ukuqonda i-Complete Count Count
Ukuthetha ngokuqhelekileyo, inani le-RBC alincedo kancinci ngokwabo ukuxilonga imeko yonyango. Esikhundleni saloo nto, idlalwa rhoqo njengenxalenye yolu vavanyo olunzulu olubizwa ngokuba liqela elipheleleyo legazi (CBC) elilinganisa iiseli zobungakanani kwisampula yegazi. Ziquka:
- Iilom zegazi ezibomvu (RBC) ezithutha oksijini kwiiseli zomzimba
- Amaseli egazi ezimhlophe (i-WBC), eninzi yamaseli ethu omzimba
- I-Hemoglobin (Hb), iprotheni ephethe i-oxygen ne-carbon dioxide molecules
- Iiplatelets (PLT), iiseli ezinoxanduva lokumisa igazi
- I-Hematocrit (Hct), umlinganiselo we-RBC kwindleko epheleleyo yegazi
Ngokusekelwe ekubunjweni kweeseli zegazi, oogqirha banokukwazi ngakumbi ukuba bajolise phi uphando lwabo kwaye ziziphi iinkalo abanokuziphepha.
Ranges eziqhelekileyo zeRBC Counts
Inani leRBC liyinombolo yeselom ebomvu ngegazi elithile. Kungabikwa kwizigidi zeeseli nge-microliter (mcL) yegazi okanye kwizigidi zeeseli nganye ngeLitha (L) yegazi.
Uluhlu "oluqhelekileyo" lunokuthi luhluke ngezinye iinkalo ngabantu. Uninzi lweempawu zengxelo ziya kuba ziphakamileyo kakhulu kwiidolophu eziphakamileyo eziphakamileyo ezifana neDenver kunye nendawo ephantsi kwimimandla ephantsi njengeGulf Coast. Ngaloo ndlela, amacandelo akakwazi ukuqwalaselwa njengamaxabiso angqongqo-kodwa-kunoko, njengoko igama libonisa, inqaku lokubhekisela.
Uluhlu "oluqhelekileyo" lwe-RBC lwabasetyhini ngu-4.2 ukuya ku-5.4 yezigidi / mcL; kumadoda, 4.7 ukuya kwi-6.1 yezigidi / mcL; kubantwana, 4.1 ukuya ku-5.5 yezigidi / mcL.
Iimbangela zeeRBC eziPhakamileyo kunye eziphantsi
Inani eliphezulu leRBC lisitshela ukuba kukho ukwanda kweseli ephethe i-oksijini egazini. Oku ngokuqhelekileyo kubonisa ukuba umzimba uhlawulela imeko ethile elahla umzimba we-oksijini, kuquka:
- Izifo zesifo senhliziyo
- Ukumelwa yintliziyo
- Isifo sokuphefumula esingapheliyo (COPD)
- I-pulmonary fibrosis , ngokuqhelekileyo ngenxa yokutshaya
- I-Polycythemia vera , isifo sesifo somongo
- Ukusetyenziswa kwamachiza okuphucula ukusebenza, okukhuthaza ukuveliswa kweRBC
- I-Renal cell carcinoma , uhlobo lomhlaza wengqondo
- Ukuditywa kwamanzi
Inani eliphantsi le-RBC lubonisa ukwehla kweeseli ezithwala oksijini egazini. Izimbangela zingabaninzi, ukusuka kwizifo kunye nokungaphumeleli kokungondleki kwintlondi, kuquka:
- IAnemia
- Ukuhluleka kweengso
- Iingxaki zeTyroid
- Ukuhlamba, ngaphakathi okanye kwangaphandle
- I-leukemia , uhlobo lomhlaza wegazi
- Imiphumo emibi yeziyobisi, kuquka i-chemotherapy
- Ii-myelomas ezininzi , uhlobo lomhlaza oluthinta iiseli ze-plasma
- Ukulahleka kwe-Erythropoietin, i-hormone yeengso ekhuthaza ukukhula kweRBC
- Ukungaphumeleli kwintsimbi , ukulandelelana, i-vitamin B12, okanye i-vitamin B6
- I-Hemolysis , ukuphazamiseka okungavamile kwamaseli obomvu
- Ukukhulelwa
Njengoko i-RBC count inokukunceda ukufumanisa imeko yonyango, isetyenziselwa ukubeka iliso unyango. Ukuba uye wafumanisa ukuba unesifo segazi okanye uthatha nayiphina imishanguzo echaphazela i-RBC yakho, ugqirha wakho uya kufuna ukubeka iliso nje ngolu hlobo.
Oku kunjalo ngokukodwa kumhlaza nomhlaza wekhemotherapy, ezo zombini zinokuba nefuthe elibangele imbangela yegazi.
Izinto onokuzenza ukuphucula i-RBC yakho
Ukunyangwa kwe-RBC count engavamile ngokuqhelekileyo kugxininise ekuphatheni imeko ephantsi, nokuba isifo, ukulimala, umhlaza okanye isifo somzimba.
Ukuba, ngakolunye uhlangothi, imbangela ihambelana nokunqongophala kwesondlo, ukusetyenziswa kweziyeza, okanye imeko engapheliyo, kunokukho izinto onokuzenza ukuze ungaphucula kuphela inani lakho legazi kodwa impilo yakho yonke.
Ukuba unenani eliphezulu leRBC:
- Ukuzivocavoca ukuphucula umsebenzi wenhliziyo kunye nemiphunga.
- Yidla inyama encinane ebomvu kunye nokutya okunotye.
- Gwema i-iron supplements.
- Zigcine uhlaziye kakuhle.
- Gwema i-diuretics, kubandakanywa ikhofi kunye neziphuzo ze-caffeinated.
- Yeka ukutshaya, ngakumbi ukuba unayo i-COPD okanye i-fibrosis ye-pulmonary.
- Gwema ukusebenzisa i-steroids nezinye iziyobisi eziphucula ukusebenza.
Ukuba unomlinganiselo ophantsi weRBC (kubandakanya i-anemia):
- Gcina ukutya okunempilo, okunokulinganisela.
- Thatha i-vitamin yenkxaso ye-vitamin kunye neyinyithi, xa kuyimfuneko.
- Ukuzivocavoca rhoqo ukuphucula intliziyo kunye nomphunga.
- Yeka ukutshaya.
- Gwema i-aspirin enokuthi igxile igazi,
- Thatha imishanguzo yakho ye- thyroid njengoko kuchazwe ukuba unengxaki ye-thyroid.
> Imithombo:
> Bunn, H. "Isahluko 158: Indlela yokufikelela kwi-anemias." Ku: Goldman L, Schafer AI, Eds. Goldman's Cecil Medicine (i-25 edition). Philadelphia: Elsevier Saunders; 2015.
> Goljan EF. "Isahluko 12: Izibilini zegazi ezibomvu: Kwi: Goljan E, ed. Ukuhlaziywa kwePathology ( Rapt 4). Philadelphia: Elsevier Saunders; 2014 .