RBC kuverenga

RBC kuverenga kuongororwa kweropa kunoyera kuti mangani masero matsvuku eropa (RBCs) aunayo.

MaRBC ane hemoglobin, inotakura oxygen. Yakawanda sei okisijeni muviri wako matissue unowana zvinoenderana nekuti mangani maRBCs aunawo uye kuti anoshanda zvakadii.

Muenzaniso weropa unodiwa.

Hapana gadziriro yakakosha inodikanwa.

Kana tsono ikaiswa kukweva ropa, vamwe vanhu vanonzwa kurwadziwa zvine mwero. Vamwe vanongonzwa kubaya kana kubaya. Mushure meizvozvo, panogona kuve nekurohwa kana kupwanya zvishoma. Izvi zvinokurumidza kuenda.

Iyo RBC kuverenga inenge ingango gara iri chikamu che yakazara ropa kuverenga (CBC) bvunzo.

Muedzo unogona kubatsira kuongorora mhando dzakasiyana dzeanemia (yakaderera nhamba yeRBCs) uye mamwe mamiriro anokanganisa masero matsvuku eropa.

Mimwe mamiriro angade kuverenga RBC kuverenga ndeaya:

• Chirwere chinokuvadza itsvo tsinga dzeropa (Alport syndrome)
• Kenza yeropa chena yeropa (Waldenström macroglobulinemia)
• Kuvhiringidzika uko masero matsvuku eropa anodonha pamberi pechinyakare (paroxysmal nocturnal hemoglobinuria)
• Bone marrow kusagadzikana umo mongo unotsiviwa nekavara tema (myelofibrosis)

Kazhinji RBC mitsara ndeiyi:

• Murume: 4.7 kusvika 6.1 mamirioni masero pa microliter (masero / mcL)
• Mukadzi: 4.2 kusvika 5.4 mamirioni masero / mcL

Iyo mitsara iri pamusoro ndiyo yakajairwa zviyero zvemhedzisiro yeiyi bvunzo. Zvakajairika kukosha masenduru anogona kusiyana zvishoma pakati pemarabhoritari akasiyana. Mamwe marabhu anoshandisa zviyero zvakasiyana kana kuyedza akasiyana sampuli. Taura nemupi wako wezvehutano nezve zvinorehwa nemimwe miedzo yako.

Yakakwirira kupfuura yakajairwa manhamba eRBCs inogona kunge iri nekuda kwe:

• Kusvuta fodya
• Dambudziko nehurongwa hwemoyo uye basa iro riripo pakuzvarwa (congenital moyo chirwere)
• Kukundikana kwerutivi rwerudyi rwemoyo (cor pulmonale)
• Kupererwa nemvura mumuviri (semuenzaniso, kubva pamanyoka akanyanya)
• Itsvo bundu (renal cell carcinoma)
• Ropa reokisijeni yakaderera (hypoxia)
• Kuora kana kuomesa kwemapapu (pulmonary fibrosis)
• Bone marora chirwere chinokonzera kuwedzera kusingawanzo muRBCs (polycythemia vera)

Yako RBC kuverenga ichawedzera kwemavhiki akati wandei kana iwe uri munzvimbo yakakwirira.

Zvinodhaka zvinogona kuwedzera RBC kuverenga zvinosanganisira:

• Anabolic steroids
• Erythropoietin
• Gentamicin

Yakaderera-kupfuura-yakajairwa nhamba yeRBCs inogona kuve nekuda kwe:

• Anemia
• Kubuda ropa
• Bone marora kutadza (semuenzaniso, kubva pamwaranzi, chepfu, kana bundu)
• Kushaikwa kwehomoni inonzi erythropoietin (inokonzerwa nechirwere cheitsvo)
• RBC kuparadzwa (hemolysis) nekuda kwekuisirwa ropa, kukuvara kweropa, kana chimwe chikonzero
• Leukemia
• Kushaya zvokudya zvinovaka muviri
• Kenza yemongo wemapfupa inonzi multiple myeloma
• Isimbi shoma, mhangura, folic acid, vhitamini B6, kana vhitamini B12 mukudya
• Yakawandisa mvura mumuviri (kuwedzeredza mvura)
• Kubata pamuviri

Zvinodhaka zvinogona kudzikisa iyo RBC kuverenga zvinosanganisira:

• Chemotherapy zvinodhaka
• Chloramphenicol uye mamwe maantibhakitiriya
• Hydantoins
• Methyldopa
• Nonsteroidal anti-anogumbura zvinodhaka (NSAIDs)
• Quinidine

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
• Akawanda punctures ekutsvaga mutsinga
• Hematoma (kuwanda kweropa pasi peganda)
• Utachiona (hushoma njodzi chero nguva ganda parinovhunika)

Erythrocyte kuverenga; Masero matsvuku eropa; Anemia - RBC kuverenga

• Kuongorora ropa
• Akaumba zvinhu zveropa
• Kuwedzera kweropa bvunzo

Chernecky CC, Berger BJ. Tsvuku reropa (RBC) - ropa. Mune: Chernecky CC, Berger BJ, eds. Rabhoritari Kuyedza uye Maitiro Ekuongorora. 6th ed. Philadelphia, PA: Elsevier; 2013: 961-962.

Gallagher PG. Hemolytic anemias: red sero membrane membrane uye metabolic kukanganisa. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 152.

Mudiki M. Anemia. Muna: Cameron P, Little M, Mitra B, Deasy C, eds. Chinyorwa cheVakuru Emergency Medicine. 5 ed. Philadelphia, PA: Elsevier; 2020: chits. 13.

Zvinoreva RT. Kusvika kune anemias. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 149.