Red Ropa Cell Kuverenga (RBC)

Zvemukati

• Zviratidzo zvekusajairika kuverenga
• Nei ndichida RBC kuverenga?
• RBC count inoitwa sei?
• Ini ndinofanira kugadzirira sei iyo RBC kuverenga?
• Ndeipi njodzi dzekuwana RBC kuverenga?
• Ndeipi yakajairwa renji yeiyo RBC kuverenga?
• Zvinorevei kupfuura zvakajairwa kuverenga?
• Zvinorevei kudzikira pane zvakajairwa kuverenga?
• Masero matsvuku eropa uye kanzura yeropa
• Ko kana ini ndikave nemhedzisiro mhedzisiro?
• Mararamiro anochinja
• Kuchinja kwekudya

Chii chinonzi red blood cell count?

Tsvuku tsvuku yemasero eropa kuongororwa kweropa uko chiremba wako anoshandisa kuti uone kuti mangani masero matsvuku eropa (RBCs) aunayo. Iyo inozivikanwawo sey erythrocyte kuverenga.

Muedzo wakakosha nekuti maRBC ane hemoglobin, inotakura okisijeni kumatumbu emuviri wako. Huwandu hweRBCs hwauinadzo hunogona kukanganisa huwandu hwakawanda hweoksijeni matupi ako anogamuchira. Nyama dzako dzinoda okisijeni kuti ishande.

Zviratidzo zvekusajairika kuverenga

Kana yako RBC kuverenga yakanyanya kukwirira kana kuderera zvakanyanya, unogona kuona zviratidzo uye kunetseka.

Kana iwe uine yakaderera RBC kuverenga, zviratidzo zvinogona kusanganisira:

• kuneta
• mweya wekufema
• dzungu, kushaya simba, kana huma husina musoro, kunyanya kana iwe uchichinja chinzvimbo nekukurumidza
• yakawedzera kurova kwemoyo
• kutemwa nemusoro
• ganda rakachenuruka

Kana iwe uine yakakwira RBC kuverenga, iwe unogona kuona zviratidzo zvakadai se:

• kuneta
• mweya wekufema
• kurwadza kwemajoini
• unyoro muzvanza zvemaoko kana pasi petsoka
• kuchenesa ganda, kunyanya mushure mekugeza kana kugeza
• kukanganiswa kwekurara

Kana iwe ukaona izvi zviratidzo chiremba wako anogona kuraira iyo RBC kuverenga.

Nei ndichida RBC kuverenga?

Sekureva kweAmerican Association for Clinical Chemistry (AACC), bvunzo yacho inowanzo kuve chikamu cheyero yakazara yeropa (CBC) bvunzo. Chiyero cheCBC chinoyera huwandu hwezvinhu zvese muropa, zvinosanganisira:

• masero matsvuku eropa
• masero machena eropa
• hemoglobin
• hematocrit
• maplatelet

Hematocrit yako ivhu remasero matsvuku eropa mumuviri wako. Chiyero chehematocrit chinoyera chiyero cheRBCs muropa rako.

Maplatelet masero madiki anotenderera muropa uye oita mavhavha eropa ayo anotendera maronda kupora uye kudzivirira kubuda kweropa kwakanyanya.

Chiremba wako anogona kuraira bvunzo kana vachifungidzira kuti une mamiriro anokanganisa maRBC ako, kana kana iwe ukaratidza zviratidzo zveakaderera eropa oxygen. Izvi zvinogona kusanganisira:

• bhuruu kushanduka kweganda
• kuvhiringidzika
• kusagadzikana uye kusagadzikana
• kufema zvisina kufanira

Iyo CBC bvunzo inowanzo kuve chikamu cheyakajairwa bvunzo yemuviri. Iyo inogona kuve chiratidzo chehutano hwako hwese. Inogona zvakare kuitwa pamberi pekuvhiyiwa.

Kana iwe uine chirwere cheropa chakaonekwa chinogona kukanganisa RBC kuverenga, kana iwe uri kutora chero mishonga inokanganisa maRBC ako, chiremba wako anogona kuraira iyo bvunzo yekutarisa mamiriro ako kana kurapwa. Vanachiremba vanogona kushandisa CBC bvunzo kuongorora mamiriro akaita seleukemia uye hutachiona hweropa.

RBC count inoitwa sei?

RBC kuverenga ndeye nyore kuongororwa kweropa kunoitwa kuhofisi yechiremba wako. Iwe chiremba unotora ropa kubva mutsinga yako, kazhinji iri mukati megokora rako. Matanho anobatanidzwa mukutorwa kweropa ndeaya:

• Anopa hutano achachenesa nzvimbo yekubaya neantiseptic.
• Vanozoputira bhanhire rakamonereka kutenderedza ruoko rwako rwekumusoro kuti tsinga yako izate neropa.
• Vanozopinza zvinyoro nyoro mutsinga yako votora ropa racho mune yakasungirwa vial kana chubhu.
• Vanozobva vabvisa tsono uye elastic band kubva paruoko rwako.
• Anopa hutano anotumira yako yeropa sampuro kurabhoritari kuti iongororwe.

Ini ndinofanira kugadzirira sei iyo RBC kuverenga?

Iko hakuna kazhinji kugadzirira kwakakosha kunodiwa bvunzo iyi. Asi iwe unofanirwa kutaurira chiremba wako kana uri kutora mishonga. Izvi zvinosanganisira chero anopfuura-the-counter (OTC) zvinodhaka kana zvinowedzera.

Chiremba wako anozokwanisa kukuudza nezve chero imwe nzira dzekudzivirira dzinodiwa.

Ndeipi njodzi dzekuwana RBC kuverenga?

Sezvakaita chero bvunzo yeropa, pane njodzi yekubuda ropa, kupwanya, kana hutachiona panzvimbo yekubaya. Iwe unogona kunzwa kurwadziwa kwepakati nepakati kana kupinza kwakapinza apo tsono inopinda paruoko rwako.

Ndeipi yakajairwa renji yeiyo RBC kuverenga?

Zvinoenderana neLeukemia & Lymphoma Society:

• Iyo yakajairwa RBC renji yevarume ndeye 4.7 kusvika 6.1 mamirioni masero pa microliter (mcL).
• Iyo yakajairwa RBC renji yevakadzi vasina nhumbu ndeye 4.2 kusvika 5.4 mamirioni mcL.
• Iyo yakajairwa RBC renji yevana ndeye 4.0 kusvika 5.5 mamirioni mcL.

Aya matanho anogona kusiyana zvichienderana nerabhoritari kana chiremba.

Zvinorevei kupfuura zvakajairwa kuverenga?

Iwe une erythrocytosis kana yako RBC kuverenga yakakwira kupfuura zvakajairwa. Izvi zvinogona kukonzerwa ne:

• kusvuta fodya
• kuberekwa chirwere chemoyo
• kupera mvura mumuviri
• renal cell carcinoma, rudzi rwegomarara reitsvo
• pulmonary fibrosis
• polycythemia vera, chirwere chemongo wemapfupa chinokonzera kuwanda kweRBCs uye chinosanganisirwa neinjini yekuchinja.

Paunofamba kuenda kumusoro kwakakwirira, yako RBC kuverenga inogona kuwedzera kwemavhiki akati wandei nekuti kune oxygen shoma mumhepo.

Mimwe mishonga senge gentamicin uye methyldopa inogona kuwedzera yako RBC kuverenga. Gentamicin mushonga unorapa utachiona muropa.

Methyldopa inowanzo shandiswa kurapa BP. Inoshanda nekuzorodza tsinga dzeropa kubvumira ropa kuyerera zviri nyore kuburikidza nemuviri. Ive neshuwa yekuudza chiremba wako nezve chero mishonga yaunotora.

Iyo yakakwira RBC kuverenga inogona kuve yekukonzeresa kurara kufema, pulmonary fibrosis, uye zvimwe zvinhu zvinokonzeresa yakadzika oxygen mazinga muropa.

Performance-inosimudzira mishonga senge mapuroteni majekiseni uye anabolic steroid inogona zvakare kuwedzera maRBC. Hosha yeitsvo uye kenza yeitsvo inogona kutungamira kune yakakwira RBC kuverenga zvakare.

Zvinorevei kudzikira pane zvakajairwa kuverenga?

Kana iyo nhamba yeRBCs yakadzikira pane zvakajairwa, inogona kukonzerwa ne:

• kupererwa neropa
• kutadza kwemongo
• erythropoietin kushomeka, chinova chikonzero chikuru chekushaya ropa muvarwere vane chirwere chetsvo chisingaperi
• hemolysis, kana RBC kuparadzwa kunokonzerwa nekuwedzerwa uye kukuvara kweropa
• kubuda mukati kana kunze
• leukemia
• kushaya zvokudya zvinovaka muviri
• multiple myeloma, kenza yemasero eplasma mumongo wemapfupa
• kushomeka kwehutano, kusanganisira kushomeka kwesimbi, mhangura, folate, uye mavitamini B-6 uye B-12
• nhumbu
• chirwere chetachiona

Mimwe mishonga inogona zvakare kudzikisa yako RBC kuverenga, kunyanya:

• chemotherapy zvinodhaka
• chloramphenicol, iyo inobata hutachiona hutachiona
• quinidine, iyo inogona kubata zvisina kujairika kurova kwemoyo
• hydantoins, ayo anowanzo shandiswa kurapa pfari uye mhasuru mhasuru

Masero matsvuku eropa uye kanzura yeropa

Gomarara reropa rinogona kukanganisa kugadzirwa uye mashandiro emasero matsvuku eropa. Izvo zvinogona zvakare kukonzera zvisina kujairika RBC mazinga.

Mhando yega yega yekenza yeropa ine yakasarudzika maitiro paRBC kuverenga. Aya matatu makuru marudzi ekenza yeropa ndeaya:

• leukemia, iyo inokanganisa kugona kwemongo wemapfupa kugadzira maplatelet nemasero matsvuku eropa
• lymphoma, iyo inobata machena maseru ezvirwere zvemuviri
• myeloma, iyo inodzivirira zvakajairika kugadzirwa kwemasoja ekudzivirira chirwere

Ko kana ini ndikave nemhedzisiro mhedzisiro?

Chiremba wako achakurukura chero zviwanikwa zvisina kujairika newe. Zvichienderana nezvakabuda, vangangoda kuodha mimwe bvunzo.

Izvi zvinogona kusanganisira smears yeropa, uko firimu reropa rako rinoongororwa pasi pe microscope. Ropa smears rinogona kubatsira kuona kusagadzikana mumasero eropa (senge sickle cell anemia), chena maseru eropa maseru senge leukemia, uye utachiona hweropa hwakafanana nemarariya.

Anemia mamiriro ezvinhu asina kukwana zvakakwana masero matsvuku eropa kutakura okisijeni mumuviri wese. Mhando dzekushaya ropa dzinosanganisira:

• iron kushomeka anemia, iyo inowanzo kurapwa nyore
• sickle cell anemia, iyo inoguma nemasero matsvuku akaita serin'i anofa nekukurumidza
• vhitamini kushomeka kupererwa neropa, uko kunowanzobva kumazinga akaderera evitamini B-12

Mhando dzese dzeanemia dzinoda kurapwa. Vanhu vane anemia vanowanzo kunzwa vaneta uye vasina simba. Ivo vanogona zvakare kurwadziwa nemusoro, kutonhora maoko nemakumbo, dzungu, uye zvisina kujairika kurova kwemoyo.

Bhonzo remongo wemapfupa rinogona kuratidza kuti maseru akasiyana eropa rako anogadzirwa sei mukati memafupa ako. Kuongorora kwekuongorora, kwakadai seyakacherechedzwa kana maelectrocardiograms, kunogona kutsvaga mamiriro anokanganisa itsvo kana moyo.

Mararamiro anochinja

Mararamiro ehupenyu anogona kukanganisa yako RBC kuverenga. Zvimwe zvekuchinja uku zvinosanganisira:

• kuchengetedza chikafu chine hutano uye kudzivirira kushomeka kwevhitamini
• kurovedza muviri nguva dzose, izvo zvinoda kuti muviri ushandise yakanyanya oxygen
• kudzivisa aspirin
• kudzivisa kusvuta

Iwe unogona kukwanisa kudzikisa yako RBC neinotevera mararamiro maratidziro:

• kuderedza huwandu hwesimbi uye nyama tsvuku yaunodya
• kunwa mvura yakawanda
• kudzivisa diuretics, senge zvinwiwa zvine caffeine kana doro
• kurega kusvuta

Kuchinja kwekudya

Shanduko yekudya inogona kutora chikamu chakakura pakurapwa kwemumba nekuwedzera kana kudzikisa yako RBC kuverenga.

Iwe unogona kukwanisa kuwedzera yako RBC neinotevera dhayeti shanduko:

• kuwedzera chikafu chine iron (senge nyama, hove, huku), pamwe nebhinzi dzakaomeswa, pizi, uye miriwo yakasvibira yemashizha (senge sipinashi) kuchikafu chako
• kuwedzera mhangura mukudya kwako nezvikafu senge hove, huku, uye nzungu
• kuwana vhitamini B-12 yakawanda nezvikafu semazai, nyama, uye zviyo zvakasimbiswa