Munyori: Charles Brown
Zuva Rekusika: 1 Kukadzi 2021
Gadziridza Zuva: 23 Mbudzi 2024
Anonim
CBC: ndeyei uye kuti unganzwisisa sei mhedzisiro - Utano
CBC: ndeyei uye kuti unganzwisisa sei mhedzisiro - Utano

Zvemukati

Kuwanda kweropa kwakazara ndiko kuongorora kweropa kunoongorora maseru anoumba ropa, senge leukocyte, anozivikanwa semasero machena eropa, masero matsvuku eropa, anonziwo masero matsvuku eropa kana erythrocyte, uye maplatelet.

Chikamu chehuwandu hweropa chinoenderana nekuongororwa kwemasero matsvuku eropa chinonzi erythrogram iyo, mukuwedzera pakuratidza kuwanda kwemasero eropa, inozivisa nezve mhando yemasero matsvuku eropa, zvichiratidza kana iwo ari ehukuru hwakakodzera kana nemari yakakurudzirwa yehemoglobin mavari, iyo inobatsira kujekesa zvikonzero zveanemia, semuenzaniso. Ruzivo urwu rwunopihwa nehematimetric indices, ayo ari HCM, VCM, CHCM uye RDW.

Kutsanya hakuna kukodzera kuunganidzwa kwayo, zvisinei, zvinokurudzirwa kuti usaite zvekuita muviri maawa makumi maviri nemaviri bvunzo isati yaitwa uye kugara maawa makumi mana nemasere usina kunwa chero rudzi rwezvinwiwa zvinodhaka, sezvo ivo vangachinja mhedzisiro

Mimwe mamiriro ezvinhu anogona kuonekwa mukuverengwa kweropa ndeaya:

1. Masero matsvuku eropa, erythrocyte kana erythrocyte

Erythrogram ndiyo chikamu chekuverenga kweropa umo hunhu hwesero tsvuku dzeropa, erythrocytes, inozivikanwawo seerythrocytes, inoongororwa.


HT kana HCT - HematocritInomiririra huwandu hwehuwandu hunogarwa nemasero matsvuku eropa muhuwandu hweropa

Kumusoro: Kushaya mvura mumuviri, polycythemia uye kuvhunduka;

Pasi: Kupererwa neropa, kurasikirwa kweropa kwakanyanya, hosha yeitsvo, iron uye mapuroteni kushomeka uye sepsis.

Hb - HemoglobiniIcho chimwe chezvinhu zvinoumbwa nemasero matsvuku eropa uye zvine basa rekutakura okisijeni

Kumusoro: Polycythemia, kutadza kwemoyo, chirwere chemapapu uye pakukwirira kwakakwirira;

Pasi: Kubata pamuviri, kushomeka kwesimbi anemia, megaloblastic anemia, thalassemia, gomarara, kushaya zvinovaka muviri, chirwere chechiropa uye lupus.

Pamusoro pehuwandu hwamasero matsvuku eropa, huwandu hweropa hunofanira kuongorora maitiro avo morphological, sezvo vachigona zvakare kuratidza zvirwere. Uku kuongorora kunoitwa uchishandisa anotevera hematimetric indices:

  • MCV kana Avhareji Corpuscular Vhoriyamu:inoyera kukura kwemasero matsvuku eropa, ayo anogona kuwedzerwa mune mamwe marudzi eanemia, senge vhitamini B12 kana kushomeka kwe folic acid, kudhakwa kana shanduko yemongo. Kana ikadzikiswa, inogona kuratidza kupererwa neropa nekuda kwekushomeka kwesimbi kana maberekero, senge Thalassemia, semuenzaniso. Dzidza zvakawanda nezve VCM;
  • HCM kana Avhareji Corpuscular Hemoglobin:inoratidza huwandu hwehemoglobin nekuongorora saizi neruvara rweropa dzvuku. Ona kuti zvinorevei uye zvakaderera HCM zvinoreva;
  • CHCM (avhareji yemagetsi hemoglobin yevasungwa): inoratidza hemoglobin yevasungwa pamasero matsvuku eropa, ichiwanzo deredzwa muanemias, uye mamiriro aya anonzi hypochromia;
  • RDW (Range rekuparadzirwa kwemasero matsvuku eropa): iyo indekisi inoratidza iyo chikamu chekusiyana kwehukuru pakati pemasero matsvuku eropa muyero yeropa, nekudaro, kana paine masero matsvuku eropa ehukuru hwakasiyana musampuli, bvunzo rinogona inoshandurwa, iyo inogona kuve mucherechedzo kutanga kwesimbi kana vhitamini kushomeka anemias, semuenzaniso, uye yavo mareferenzi kukosha ari pakati pe10 kusvika 15%. Dzidza zvakawanda nezve RDW.

Tsvaga rumwe ruzivo nezve iyo yeropa kuverenga mareferensi kukosha.


2. Masero machena eropa (leukocyte)

Iyo leukogram muyedzo wakakosha kubatsira kuongorora hutachiona hwemunhu uye kuti muviri ungaita sei kumamiriro akasiyana, senge hutachiona uye kuzvimba, semuenzaniso. Kana iyo leukocyte yekumanikidza yakakwira, mamiriro acho anonzi leukocytosis, uye the reverse, leukopenia. Ona maitiro ekunzwisisa iyo chena ropa maseru mhedzisiro.

Neutrophils

Kumusoro:Zvirwere, kuzvimba, gomarara, kushungurudzika, kushushikana, chirwere cheshuga kana gout.

Pasi: Kushaya vhitamini B12, sickle cell anemia, kushandiswa kwesteroids, mushure mekuvhiyiwa kana thrombocytopenic purpura.

Eosinophils

Kumusoro: Allergy, makonye, ​​anemia yakaipa, ulcerative colitis kana chirwere cheHodgkin.

Pasi: Kushandiswa kwe beta-blockers, corticosteroids, kushushikana, hutachiona kana hutachiona hutachiona.


Basophils

Kumusoro: Mushure mekubviswa kwepleen, chisingaperi myeloid leukemia, polycythemia, pox kana chirwere cheHodgkin.

Yakadzika: Hyperthyroidism, hutachiona hwakanyanya, kubata kana kushamisika kweanaphylactic.

MaLymphocyte

Kumusoro: Inotapukira mononucleosis, mamota, gwirikwiti uye hutachiona hwakanyanya.

Yakadzika: Utachiona kana kushaya chikafu zvinovaka muviri.

Monocytes

Kumusoro: Monocytic leukemia, lipid kuchengetedza chirwere, protozoal hutachiona kana chisingaperi ulcerative colitis.

Yakadzika: Aplastic kupererwa neropa.

3. Maplatelet

Maplatelet ndiwo zvidimbu zvemasero akakosha nekuti iwo ane basa rekutanga kuita gadziriro. Iyo yakajairika plateletamu kukosha inofanira kunge iri pakati pezviuru zana nemakumi mashanu nezviuru mazana mana / mazana emazana eropa.

Akakwidziridzwa maplatelet ane chekuita nekuti anogona kukonzeresa kugwamba kweropa uye thrombi, ine njodzi yetrombosis uye pulmonary embolism, semuenzaniso. Kana zvadzikira, vanogona kuwedzera njodzi yekubuda ropa. Tsvaga kuti ndezvipi zvinokonzeresa uye zvekuita kana pasi maplatelet.

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