Red Cell Distribution Hupamhi (RDW) Bvunzo

Zvemukati

• Nei bvunzo yeRWW ichiitwa?
• Unogadzirira sei bvunzo?
• Mhedzisiro yeRWW inodudzirwa sei?
• High zvabuda
• Zvakajairika mhedzisiro
• Mhedzisiro yakaderera
• Outlook

Chii chinonzi kuongororwa kweropa kweRWW?

Iyo tsvuku yekuparadzira masero upamhi (RDW) bvunzo yeropa inoyera huwandu hwesero tsvuku reropa kusiyanisa muhukuru uye saizi.

Unoda masero matsvuku eropa kutakura okisijeni kubva mumapapu ako kuenda kune ese nhengo yemuviri wako. Chero chipi zvacho chiri kunze kweyakajairika renji muhupamhi hweropa maseru upamhi kana vhoriyamu inoratidza chinogoneka chinetso nemuviri basa iro rinogona kukanganisa okisijeni kusvika kunzvimbo dzakasiyana dzemuviri wako.

Nekudaro, nezvimwe zvirwere, unogona kunge uine yakajairwa RDW.

Masero matsvuku eropa anochengetedza saizi yakaenzana ye6 kusvika ku8 micrometer ()m) dhayamita. Yako RDW yakakwidziridzwa kana huwandu hwehukuru hwakakura.

Izvi zvinoreva kuti kana paavhareji maRBC ako ari madiki, asi iwe zvakare uine akawanda mashoma maseru, ako RDW anokwidziridzwa. Saizvozvo, kana paavhareji maRBC ako ari makuru, asi iwe zvakare uine akawanda kwazvo maseru makuru, yako RDW ichakwidziridzwa.

Neichi chikonzero, RDW haina kushandiswa senge paramende yakasarudzika kana uchidudzira huwandu hweropa hwakazara (CBC). Pane kudaro, inopa mimvuri yezvinoreva mumamiriro ehemoglobin (hgb) uye zvinoreva kukosha kwemuviri (MCV).

Yakakwira RDW kukosha kunogona kureva kuti une kushomeka kwehutano, kupererwa neropa, kana imwe mamiriro ezvinhu.

Nei bvunzo yeRWW ichiitwa?

Iyo RDW bvunzo inoshandiswa kubatsira kuongorora mhando dzeanemia uye mamwe mamiriro ekurapa anosanganisira:

• thalassemias, ayo akagarwa nhaka kusagadzikana kweropa kunogona kukonzera kushomeka kwakanyanya
• chirwere cheshuga mellitus
• chirwere chemoyo
• chirwere chechiropa
• gomarara

Muedzo uyu unowanzoitwa sechikamu chehuwandu hweropa huwandu (CBC).

Iyo CBC inosarudza mhando uye nhamba yemasero eropa uye zvimwe zvakasiyana maitiro eropa rako, senge zviyero zvemaplatelet, masero matsvuku eropa, uye machena masero eropa.

Aya maedzo anobatsira kuona hutano hwako hwese uye, mune zvimwe zviitiko, kuongorora hutachiona kana zvimwe zvirwere.

Vanachiremba vanogona zvakare kutarisa iyo RDW bvunzo sechikamu cheCBC kana iwe uine:

• anemia zviratidzo, senge dzungu, rakachenuruka ganda, uye chiveve
• iron kana vhitamini kushomeka
• nhoroondo yemhuri yechirwere cheropa, senge sickle cell anemia
• kurasikirwa neropa kwakakosha kubva pakuvhiyiwa kana kushungurudzika
• akaonekwa aine chirwere chinokanganisa masero matsvuku eropa
• chirwere chisingaperi, chakadai seHIV kana AIDS

Unogadzirira sei bvunzo?

Usati waongororwa ropa reRWW, unogona kukumbirwa kutsanya, zvinoenderana nekuti ndeapi mamwe miedzo yeropa yakarairwa nachiremba wako. Chiremba wako achakupa chero mirayiridzo yakakosha usati waedzwa.

Muedzo pachawo hautore anopfuura maminetsi mashanu. Anopa hutano anotora muyenzaniso weropa rako kubva mutsinga ndokurichengeta mutubhu.

Kana iyo chubhu yangozadza muyero weropa, tsono inobviswa, uye kumanikidzwa uye bhandeji diki rinoiswa pamusoro penzvimbo yekupinda kubatsira kumisa kubuda kweropa. Chubhu yako yeropa inozotumirwa kunzvimbo yekuongororwa.

Kana nzvimbo yesero ichibuda ropa inopfuurira kwemaawa akati wandei, shanyira chiremba nekukasika.

Mhedzisiro yeRWW inodudzirwa sei?

Iyo yakajairwa renji yeiyo tsvuku maseru ekuparadzira upamhi ndeye 12.2 kusvika 16.1 muzana mune vakuru vakadzi uye 11.8 kusvika 14.5 muzana mune vakuru varume. Kana iwe ukakora kunze kweiyi renji, unogona kuve nekushomeka kwehutano, hutachiona, kana chimwe chirwere.

Nekudaro, kunyangwe pamatanho akajairwa eRWW, unogona kunge uchiri nechirwere.

Kuti ugamuchire kuongororwa kwakakodzera, chiremba wako anofanira kutarisa kumwe kuongororwa kweropa - senge inoreva bvunzo yecopuscular vhoriyamu (MCV), inovawo chikamu cheCBC - yekubatanidza mhedzisiro uye nekupa kurapa kwakakodzera kurapa.

Kunze kwekubatsira kusimbisa kuongororwa kana kusanganiswa nemamwe mabvunzo, mhedzisiro yeRWW inogona kubatsira kuona mhando yeanemia iwe yaungave unayo.

High zvabuda

Kana RDW yako yakanyanya kukwirira, inogona kunge iri chiratidzo chekushomeka kwehutano, sekushomeka kwesimbi, folate, kana vhitamini B-12.

Mhedzisiro iyi inogona zvakare kuratidza macrocytic anemia, kana muviri wako usinga gadzi masero matsvuku eropa akaenzana, uye maseru aanogadzira akakura kupfuura zvakajairwa. Izvi zvinogona kukonzerwa nekushomeka kwe folate kana vhitamini B-12.

Pamusoro pezvo, unogona kunge uine microcytic anemia, iko kushomeka kwemasero matsvuku eropa, uye masero ako matsvuku eropa anozove madiki pane zvakajairwa. Iron kushomeka anemia ndicho chikonzero chinowanzoitika che microcytic anemia.

Kuti ubatsire kunyatsoongorora aya mamiriro, wako wekuchengetwa kwehutano achaita CBC bvunzo uye enzanisa iyo RDW uye MCV bvunzo zvikamu zvekuyera yako tsvuku reropa masero vhoriyamu.

Yakakwira MCV ine yakakwira RDW inoitika mune mamwe macrocytic anemias. Yakadzika MCV ine yakakwira RDW inowanikwa mune microcytic anemias.

Zvakajairika mhedzisiro

Kana iwe ukatambira yakajairwa RDW ine yakaderera MCV, unogona kunge uine anemia inokonzerwa nechirwere chisingaperi, senge icho chinokonzerwa nechirwere chisingaperi cheitsvo.

Kana yako RDW mhedzisiro yakajairika asi iwe uine yakakwira MCV, unogona kunge uine aplastic anemia. Ichi chirwere cheropa umo mapfupa ako haaburitse masero eropa akakwana, kusanganisira masero matsvuku eropa.

Mhedzisiro yakaderera

Kana yako RDW islow, hapana hematologic kusagadzikana kwakabatana neyepasi RDW mhedzisiro.

Outlook

Anemia chirwere chinorapika, asi chinogona kukonzeresa kutyisidzira hupenyu kana chisina kuongororwa zvakanaka uye kurapwa.

Kuongororwa kweropa kweRWW kunogona kubatsira kusimbisa mhedzisiro yekuongororwa kweropa uye mamwe mamiriro kana ichibatanidzwa nemamwe mabvunzo. Chiremba wako anofanirwa kusvika pakuongororwa asati akuratidza sarudzo dzokurapa, zvakadaro.

Zvichienderana nekuoma kwemamiriro ako, chiremba wako anogona kukurudzira mavitamini ekuwedzera, mishonga, kana shanduko yekudya.

Kana iwe ukatanga kuona chero zvisina kujairika zviratidzo mushure mekuvhenekwa kweropa rako reRWW kana kutanga kurapwa, fonera chiremba wako ipapo ipapo.