Hemoglobin

Hemoglobin ipuroteni mumasero matsvuku eropa anotakura oxygen. Iyo hemoglobin bvunzo inoyera kuti yakawanda sei hemoglobin iri muropa rako.

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.

Iko hemoglobin bvunzo muyedzo wakajairika uye unowanzoitwa nguva dzose sechikamu cheropa rakazara (CBC). Zvikonzero kana mamiriro ekuraira iyo hemoglobin bvunzo inosanganisira:

• Zviratidzo zvakadai sekuneta, hutano husina kutsarukana, kana kusanzwisisika kuonda
• Zviratidzo zvekubuda ropa
• Pamberi uye shure kwekuvhiyiwa kukuru
• Panguva yekuzvitakura
• Chirwere chetsvo chisingaperi kana mamwe matambudziko mazhinji ehutano
• Kuongorora kweanemia uye chikonzero chayo
• Kuongorora panguva yekurapa kenza
• Kuongorora mishonga inogona kukonzera kupererwa neropa kana kushomeka kuverenga kweropa

Mhedzisiro mhedzisiro yevakuru inosiyana, asi kazhinji ndeiyi:

• Murume: 13.8 kusvika 17.2 gramu pa deciliter (g / dL) kana 138 kusvika 172 gramu pa litita (g / L)
• Mukadzi: 12.1 kusvika 15.1 g / dL kana 121 kusvika 151 g / L.

Mhedzisiro mhedzisiro yevana inosiyana, asi kazhinji ndeiyi:

• Achangozvarwa: 14 kusvika 24 g / dL kana 140 kusvika 240 g / L.
• Mucheche: 9.5 kusvika 13 g / dL kana 95 kusvika 130 g / L.

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.

PASI PASI PEMAHARA HEMOGLOBIN

Low hemoglobin level inogona kunge iri nekuda kwe:

• Anemia inokonzerwa nemasero matsvuku eropa kufa kare pane zvakajairwa (hemolytic anemia)
• Anemia (dzakasiyana mhando)
• Kubuda ropa kubva mudumbu kana dundira, inorema kuenda kumwedzi
• Chirwere chetsvo chisingaperi
• Bone marora ari kutadza kuburitsa matsva matsvuku eropa. Izvi zvinogona kunge zvichikonzerwa neleukemia, mamwe kanzira, huturu hwezvinodhaka, kurapwa nemwaranzi, hutachiona, kana kusagadzikana kwemongo
• Chikafu chisina kunaka (kusanganisira yakaderera mwero yesimbi, folate, vhitamini B12, kana vhitamini B6)
• Chikamu chakaderera chesimbi, folate, vhitamini B12, kana vhitamini B6
• Zvimwe chirwere chisingaperi, senge rheumatoid arthritis

YAKAKOSHA Kupfuura zvakajairika HEMOGLOBIN

High hemoglobin level inowanzo kukonzerwa neakaderera oxygen mazinga muropa (hypoxia), iripo kwenguva yakareba yenguva. Zvikonzero zvakajairwa zvinosanganisira:

• Humwe urema hwekuzvarwa kwemoyo uripo pakuzvarwa (congenital moyo chirwere)
• Kukundikana kwerutivi rwerudyi rwemoyo (cor pulmonale)
• Yakanyanya isingagumi obstructive pulmonary chirwere (COPD)
• Kuora kana kuomesa kwemapapu (pulmonary fibrosis) uye zvimwe zvinetso zvakakomba zvemapapu

Zvimwe zvikonzero zvehuremu hwehemoglobin hunosanganisira:

• Chirwere chisingawanzo chemafupa chinotungamira mukuwedzera kusingaenzanisike kwenhamba yemasero eropa (polycythemia vera)
• Muviri uine mvura shoma uye mvura (kupera mvura mumuviri)

Pane njodzi shoma inobatanidzwa nekutorwa kweropa rako. Tsinga uye tsinga zvinosiyana pakukura kubva pamunhu kuenda kune mumwe uye kubva kune rumwe rutivi rwemuviri kuenda kune rumwe. Kuwana muyero weropa kubva kune vamwe vanhu kunogona kunetsa kupfuura 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)

Hgb; Hb; Kupererwa neropa - Hb; Polycythemia - Hb

• Hemoglobin

Chernecky CC, Berger BJ. Hemoglobin (HB, Hgb). Mune: Chernecky CC, Berger BJ, eds. Rabhoritari Kuyedza uye Maitiro Ekuongorora. 6th ed. Philadelphia, PA: Elsevier; 2013: 621-623.

Marcdante KJ, Kliegman RM. Hematology kuongorora. Mune: Marcdante KJ, Kliegman RM, eds. Nelson Zvakakosha zvePediatrics. 8th ed. Elsevier; 2019: chitsiko 149.

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