Ekuhlalutyeni RDW igazi waphakamisa okanye kwehliswe - yintoni ntoni oko?

Xa ukwenza uvavanyo yegazi ijongisisa kuphela inani zaso, kodwa umgangatho wabo. Iimpawu ezifana umbala, imilo, ubukhulu nazo ixabiso kwi lokufunyaniswa sifo yaye kuphela ngamaxesha athile iimpawu pathognomonic. Ngoko ke, zegazi bacelwa ukuba ukhankanye zePCR zelebhu nayo RDW, nelimi ukwabiwa iiseli ezibomvu zegazi ubukhulu.

Yintoni na?

Isiseko igazi lethu, ukongeza kulwelo, iiseli eziveliswa umongo wethambo. Baya kuza iindidi ezintathu: ezibomvu, ezimhlophe neeplatelets. Kulo mzekelo, onomdla iiseli ezibomvu okanye iiseli ezibomvu thina. Le imilo biconcave idiskhi encinane, nto leyo enika igazi umbala walo, kwakunye njengoko abathwali oksijini evela nemiphunga ancedisana amalungu. Kubantu abasempilweni, bonke benayo imilo enye, umbala kunye nomthamo. Ivela nani lokugqibela luxhomekeke ekusebenzeni eyiyo ezi seli. Wabiza i MCV kwaye eqhelekileyo nga zisenokwahluka kancinane, ibizwa ngokuba ububanzi lonikezelo umthamo.

Ukuba ugqirha kwangaphambili ukuba isigulane ukutshintsha umthamo iiseli, ithumela kwi ICBC. RDW kunye nomncedisi akukukhuseli ngokwakhe. Oku kuyinyaniso ngakumbi xa Anisocytosis waphawula egazini.

Kuthetha ukuthini RDW kuvavanyo igazi? Oku kanye ukunyhashwa ukuhanjiswa iiseli ezibomvu zegazi ubukhulu.

Anisocytosis - utshintsho zophendlo lwezifo kwi ubungakanani iiseli ezibomvu zegazi. Ngokuqhelekileyo oku kuyahluka ezisixhenxe ukuya micrometers esixhenxe enesiqingatha. Microcytes babe ubungakanani ukuya micrometers 6.9, yaye macrocytes ngokulandelelana micrometers ezisibhozo ukuya kwezilishumi elinesibini. iiseli ezinkulu ayikwazi kugqitha ubukhulu capillary, njengoko zisetyenziswa kule udakada. Xa umntu inempilo umlinganiselo iiseli eqhelekileyo etshintshiweyo ebomvu isusela ku-5: 1. Anisocytosis anaemia ngokwezonyango ebonakalisiwe, ukusilela intliziyo, ukuphelelwa umoya, cyanosis. Izinto ezibangela le meko ibe kukungabikho kweevithamini, ingakumbi B 12 Ukunqongophala yentsimbi, ukuphazamiseka kwendlela wamathambo, ezifana syndrome myelodysplastic okanye ubukho Ukudlulela kwi nomhlaza wegazi. Unyango ixhomekeke unobangela kwaye wayicola emzimbeni wayo.

Ngeenjongo zokwenza uhlalutyo

Ngokuqhelekileyo RDW ekuhlalutyeni igazi kumiselwa kubanjiswene namanye metric e lokuqala kokuxilongwa. Olu phando ingonyulwa njenge ezicwangcisiweyo, ngexesha isigulane esibhedlele kunye likaxakeka, phambi kokuba uqhaqho. Ukongeza, ezinye amaqela izigulane definition RDW ukwenza rhoqo ukulandelela Dynamics unyango lwezifo igazi.

Ngenxa yoko HIV, ugqirha kufuneka ukuba amisele uphando-up, ngenxa yokuba phantsi kwempembelelo yeemeko yangaphandle ukuba unesifo minor uvavanyo lobuxoki-HIV ngenxa RDW.

Pat and RDW

Njengoko umthetho, igazi ixhomekeke uhlalutyo RDW kwakhona bana MCV. Oku kunceda ukuba ubone ngokupheleleyo umfanekiso sifo kwaye uwahlule okanye olunye uhlobo anemia microcytic. Ukuba index ngezantsi kwe MCV ngenxa, ngomlinganiselo RDW, kusenokuba luphawu ezimbi ezibukhali ezifana thalassemia, ukutofelwa igazi, legazi, kunye nabanye abaninzi. Ukongezelela, maxa wambi iinkqubo neoplastic aninike umfanekiso igazi, ingakumbi xa isigulane khomiwa hi ichemotherapy.

Mhlawumbi imeko esahlukileyo, xa MCV ephezulu amanqaku isikhundla kunye RDW zibuyele esiqhelweni. Olu dibaniso kuqatshelwe ukuba izifo zesibindi. Kodwa ke yokugqibela iphawulwa uhlobo umfanekiso igazi hormone coagulation, ukuze uxilongo umahluko we ugqirha ayikho nzima.

Iindlela zokufunda

Isigulane unika igazi ukusuka apho iphuma khona ungatyanga, kodwa kubantwana abancinane kunye neentsana negazi ngokwaneleyo ukusuka umnwe. Emva kokuba Ilebhu sele egqibile ukwamkelwa, ubeka isampuli a icentrifuge ukohlula isahlulo ulwelo igazi evela iiseli. Ke ubeka okubangela amasalela owomileyo analyzer kunye nesixhobo ngokwalo ubala inani iintlobo ezahlukeneyo iiseli, iyazivavanya, aze enze ingxelo. Iziphumo zezi imveliso umshicileli njengoko ngumbala osetyenziselwa ukuzoba.

Ukuba analysis HIV, i-protocol ithembele umyalelo wayo phinda ukunqanda result okungamanga. Lo mgaqo usebenza kuzo phantse zonke iinkcukacha ezinxulumene lokufunyaniswa kwegazi, njengoko nokushukumisa ugqirha picture igazi unika sizathu ngokuthandabuza ukuchaneka qhinga unyango oyikhethileyo yaye ukuba uqwalasele iindlela ukwenzela ukulungiswa kwale meko yezifo.

amazinga eqhelekileyo

Ekuhlalutyeni RDW igazi banikwa threshold 11,5-14,5 ekhulwini zotshintsho eqhelekileyo erythrocytes ngokobungakanani abadala. Xa abantwana, eli parameter ziyohluka kuluhlu ukususela 11.6 ukuya 18.7 ekhulwini. Ngapha koko, abanako bonke zifane.

Eziphawula RDW index, kufuneka kukhunjulwe ukuba olu khetho komntu akuxhomekekanga ekuzithandeleni ubukhulu cell. Oku kunoku kunika iziphumo zobuxoki ezimbi, kwaye edibene into yokuba kukho inani elikhulu kancincane iiseli ezibomvu ezikhoyo egazini. Ezi seli abomvu igazi ngokuba macrocytes. Ngamanye amaxesha, ukuze aye kuthatha iziphumo zohlalutyo njengoko mmiselo, kuyimfuneko nje kuphela ukuthobela RDW, kodwa ukuhlanganisa zayo MCV.

ukusebenza ukwanda

RDW kuvavanyo igazi ukuba iphuculwe ezimweni ezimbalwa. Ngokuqhelekileyo, oko luphawu kwegazi, ngokuqhelekileyo yentsimbi. Kodwa kukho ithuba zokuphuhlisa vitamin B12 imibala anemia, intswelo folate okanye isifo sesibindi. Ngoko ke, qiniseka ukuba ukwenza isifo umahluko, ukuba ndikumise ube uviwo ezongezelelweyo kunye nendlela ingqiqo rezultam zabo. Ukumisela uhlobo kwegazi - a ezichitha ixesha-task for nonoklinikhi.

ayoni anemia

Ekubeni ayoni anemia yeyona ixhaphakileyo ikhweyitha yethu, soba niwaxubushe iinkcukacha ngakumbi.

Inxaxheba kwinqanaba lokuqala lesi sifo inani izinto kwakheka kukuba ngaphakathi kuluhlu yesiqhelo, kodwa inqanaba mpilo egqitha kumda esicuthiweyo okanye tsakisi kabukhali. Oku kunika isizathu ukuxilonga anemia. Kodwa ekuhlalutyeni igazi RDW eziqhelekileyo, ekubeni kusekho anisocytosis, kwaye umongo isebenza kakuhle.

Inqanaba elilandelayo luphawulwa ukwehla engakumbi ngehemoglobin kunye ebomvu igazi cell count, kodwa ngoku litshintsha kunye nezinye izinto. RDW anda yegazi, kukho umahluko iiseli, umxholo mpilo kunye ingqalelo yayo. Lo ngumbala osetyenziselwa ukuzoba uya kuba kude kakhulu ukuya ekhohlo.

Emva kokuba unyango, phantsi kolawulo ukwakheka igazi, inani, ubukhulu kunye nokumila iiseli ezibomvu zibuyele esiqhelweni. Oku kuphunyezwa ngokufumana kufakelelwa yentsimbi.

ukwehla

Asinto engaqhelekanga, kodwa ukuba RDW ekuhlalutyeni igazi uvikivwa, oku kwakhona kubonisa anemia. Ngoko ke, nikelani ingqalelo kwakhona le MCV. Ekubeni banako ukunciphisa ngaxeshanye abonisa isifo sesibindi. Ngokuqhelekileyo ifuna uhlalutyo ngaphezu kwesinye ukuqonda unobangela tshintsho kulo mfanekiso igazi xa iyonke.

Enoba kunjalo, musa ulifefe uthuthu entloko ngaphambi kwexesha. Ekuhlalutyeni igazi (RDW) makavunyelwe inaccuracy, ekubeni lenza umatshini kwaye kufuneka recalculation ngesandla. Ukongeza, ukutenxa kwisiqhelo kuba emva kokuba igazi okanye uqhaqho. Emva koko kufuneka ukuphinda uvavanyo kamva.

Apha ufumana uvavanyo lwegazi. RDW - ziphuculwe. Kuthetha ukuthini? Kungenzeka, ngoko, ukuba ilabhoratri nto uyenze isixhobo, okanye ukuba usandul ukulimala kunye neenkqubo minor utyando, okanye ube ukunikela.

picture igazi utshintsha ngokukhawuleza ngokwaneleyo, ngoko musa ukuya yokothuka. Uhlalutyo kufuneka sibonise ugqirha wakho uze umamele amacebiso akhe ngenyameko. Oku kuya kukunceda ukuba uphephe ukungaqondani kwixesha elizayo. Ukongeza, Ilabhoratri nganye izalathi-nkqubela zalo ekuhlalutyeni igazi - RDW, ngokuxhomekeke kuhlobo izixhobo abalusebenzisayo. Ugqirha ukuze ujonge ukuba i-Diagnostic Centre, iziphumo abathembayo. Kwakhona kubalulekile kakhulu moshilongo.