CBC kuongorora ropa

Kuongororwa kwakazara kweropa (CBC) kuyera zvinotevera:

• Kuwanda kwemasero matsvuku eropa (RBC kuverenga)
• Huwandu hweropa chena masero (WBC kuverenga)
• Huwandu hwehemoglobin muropa
• Chikamu cheropa chinoumbwa nemasero matsvuku eropa (hematocrit)

Iyo CBC bvunzo inopawo ruzivo nezve zvinotevera zviyero:

• Avhareji tsvuku yesero reropa (MCV)
• Hemoglobin huwandu pasero tsvuku reropa (MCH)
• Huwandu hwehemoglobin inoenderana nehukuru hwesero (hemoglobin concentration) pasero tsvuku reropa (MCHC)

Iyo platelet kuverenga inowanzo kuverengerwa muCBC.

Muenzaniso weropa unodiwa.

Iko hakuna gadziriro yakakosha inodiwa.

Kana tsono ikaiswa kuti utore ropa, unogona kunzwa kurwadziwa kwepakati nepakati. Vamwe vanhu vanongonzwa kubaya kana kubaya. Mushure meizvozvo panogona kuve nekurohwa kana kupwanya zvishoma. Izvi zvinokurumidza kuenda.

Iyo CBC inowanzoitwa bvunzo bvunzo. Inogona kushandiswa kuona kana kuongorora akawanda akasiyana mamiriro ehutano. Anopa hutano hwako anogona kuraira iyi bvunzo:

• Sechikamu chenguva dzose yekutarisa
• Kana iwe uine zviratidzo, sekuneta, kuonda, kupisa muviri kana zvimwe zviratidzo zvehutachiona, kushaya simba, kupwanya, kubuda ropa, kana chero zviratidzo zvekenza.
• Paunenge uchigamuchira kurapwa (mishonga kana radiation) izvo zvinogona kuchinja ako kuwanda kweropa mhedzisiro
• Kuongorora kwenguva refu (chisingaperi) dambudziko rehutano iro rinogona kuchinja ako kuwanda kweropa mhedzisiro, senge chisingaperi cheitsvo chirwere

Kuverenga kweropa kunogona kusiyana nekukwirira. Muzhinji, zvakajairika mhedzisiro ndeiyi:

RBC kuverenga:

• Murume: 4.7 kusvika 6.1 mamirioni masero / mcL
• Mukadzi: 4.2 kusvika 5.4 mamirioni masero / mcL

WBC kuverenga:

• 4,500 kusvika zviuru gumi zvemasero / mcL

Hematocrit:

• Murume: 40.7% kusvika 50.3%
• Mukadzi: 36.1% kusvika 44.3%

Hemoglobin:

• Murume: 13.8 kusvika 17.2 gm / dL
• Mukadzi: 12.1 kusvika 15.1 gm / dL

Tsvuku dzeropa masero indices:

• MCV: 80 kusvika 95 femtoliter
• MCH: 27 kusvika 31 pg / cell
• MCHC: 32 kusvika 36 gm / dL

Platelet kuverenga:

• 150,000 kusvika ku450,000 / dL

Iyi mienzaniso iripamusoro zviyero zvakajairika zvemhedzisiro yeiyi bvunzo. Zvakajairika kukosha masenduru anogona kusiyana zvishoma pakati pemarabhoritari akasiyana. Mamwe marabhu anoshandisa zviyero zvakasiyana kana kuyedza akasiyana sampuli. Taura nachiremba wako nezve zvinorehwa nemimwe miedzo yako.

Yakakwirira RBC, hemoglobin, kana hematocrit inogona kunge iri nekuda kwe:

• Kushayikwa kwemvura yakakwana uye zvinwiwa, zvakaita sekurwara kukuru, kubuda ziya zvakanyanya, kana mapiritsi emvura anoshandiswa kurapa BP.
• Hosha yeitsvo ine yakakwira erythropoietin kugadzirwa
• Low oxygen level muropa kwenguva yakareba, kazhinji nekuda kwechirwere chemwoyo kana chemapapu
• Polycythemia vera
• Kusvuta

Yakadzika RBC, hemoglobin, kana hematocrit chiratidzo cheanemia, icho chinogona kukonzerwa ne:

• Kurasikirwa kweropa (kungaerekana kwaitika, kana kubva kumatambudziko akadai sekuremerwa kuenda kumwedzi kwenguva yakareba)
• Bone marora kutadza (semuenzaniso, kubva pamwaranzi, hutachiona, kana bundu)
• Kuputsika kwemasero matsvuku eropa (hemolysis)
• Gomarara uye gomarara kurapwa
• Zvimwe zverefu-zvenguva refu (zvisingaperi) zvehutano mamiriro, senge chisingaperi cheitsvo chirwere, ulcerative colitis, kana rheumatoid arthritis
• Leukemia
• Nguva refu-hutachiona hwakadai sehepatitis
• Kudya kwakashata uye kudya kunovaka muviri, zvichikonzera mashoma iron, folate, vhitamini B12, kana vhitamini B6
• Akawanda myeloma

Yakaderera pane yakajairwa chena masero eropa inonzi leukopenia. Iyo yakadzikira WBC kuverenga inogona kunge iri nekuda kwe:

• Kunwa doro zvisina kufanira uye kukuvara kwechiropa
• Zvirwere zvekuzvimiririra (senge systemic lupus erythematosus)
• Bone marora kutadza (semuenzaniso, nekuda kwehutachiona, bundu, radiation, kana fibrosis)
• Chemotherapy mishonga inoshandiswa kurapa cancer
• Chirwere chechiropa kana spleen
• Yakawedzera spleen
• Hutachiona hunokonzerwa nemavhairasi, senge mono kana AIDS
• Mishonga

Yakakwira WBC kuverenga inonzi leukocytosis. Inogona kukonzeresa kubva:

• Mimwe mishonga, yakadai secorticosteroids
• Zvirwere
• Zvirwere zvakadai se lupus, rheumatoid arthritis, kana allergy
• Leukemia
• Kunetseka zvakanyanya mupfungwa kana mumuviri
• Kukuvara kwetishu (senge kubva mukutsva kana chirwere chemwoyo)

Kuwanda kweplatelet kuverenga kunogona kuve nekuda kwe:

• Kubuda ropa
• Zvirwere zvakaita segomarara
• Kushomeka kwesimbi
• Matambudziko nefupa remongo

Iyo yakaderera platelet kuverenga inogona kuve nekuda kwe:

• Kukanganiswa uko maplatelet anoparadzwa
• Kubata pamuviri
• Yakawedzera spleen
• Bone marora kutadza (semuenzaniso, nekuda kwehutachiona, bundu, radiation, kana fibrosis)
• Chemotherapy mishonga inoshandiswa kurapa cancer

Pane njodzi shoma inosanganisirwa nekutorwa kweropa rako. Tsinga uye tsinga zvinosiyana muhukuru kubva kumunhu kuenda kune mumwe, uye kubva kune rimwe divi remuviri kuenda kune rimwe. Kutora ropa kubva kune vamwe vanhu kunogona kunge kwakaoma kupfuura kubva kune vamwe.

Dzimwe njodzi dzinosangana nekutorwa kweropa idiki, asi dzinogona kusanganisira:

• Kuwedzera kubuda ropa
• Kufenda kana kunzwa kushaya musoro
• Hematoma (ropa rinoungana pasi peganda)
• Utachiona (hushoma njodzi chero nguva ganda parinovhunika)

MaRBC anotakura hemoglobin iyo, zvakare, inotakura oxygen. Huwandu hweokisijeni inogamuchirwa nemiviri yemuviri inoenderana nehuwandu uye mashandiro eRBCs uye hemoglobin.

WBCs ndivo vamiririri vekuputika uye mhinduro yemumuviri. Kune mhando dzakasiyana dzeWBCs dzinowanzoonekwa muropa:

• Neutrophils (polymorphonuclear leukocytes)
• Masero emabhanhire (zvishoma zvishoma neutrophils)
• T-mhando lymphocyte (T masero)
• B-mhando lymphocytes (B masero)
• Monocytes
• Eosinophils
• Basophils

Yakazara kuverenga kweropa; Anemia - CBC

• Masero matsvuku eropa, jeko masero
• Megaloblastic anemia - maonero emasero matsvuku eropa
• Masero matsvuku eropa, misodzi-inodonha chimiro
• Masero matsvuku eropa - akajairwa
• Masero matsvuku eropa - elliptocytosis
• Masero matsvuku eropa - spherocytosis
• Masero matsvuku eropa - akawanda masero masero
• Basophil (pedyo-up)
• Malaria, kutaridzika kwema microscope kwema cell parasites
• Malaria, photomicrograph yemaseru zvipukanana
• Masero matsvuku eropa - masero masero
• Masero matsvuku eropa - jeko uye Pappenheimer
• Masero matsvuku eropa
• Akaumba zvinhu zveropa
• Yakazara kuverenga kweropa - akateedzana

Bunn HF. Kusvika kune anemias. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsiko 158.

Costa K. Hematology. Mune: The Johns Hopkins Hospital; Hughes HK, Kahl LK, eds. Chipatara cheJohn Hopkins: Iyo Harriet Lane Handbook. 21st ed. Philadelphia, PA: Elsevier; 2018: chitsiko 14.

Vajpayee N, Graham SS, Bem S. Yekutanga kuongorora kweropa nemongo wemapfupa. Mune: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis uye Management nemaLabhoritari Maitiro. 22nd ed. St Louis, MO: Elsevier; 2017: chits.