I-MCHC (ukuhlolwa kwegazi): ukutolika, okuqhelekileyo

Ngamnye wethu wadibana nelokuba ngamanye amaxesha, nangona sisiphi isifo okanye nje ukuhlolwa kwesiganeko, ugqirha wanikela umyalelo wokuhlolwa kwegazi jikelele. Phakathi kwazo zonke izikhombisi zidibanise enye, ingenakuqondakala - iMCHC. Yintoni esi sibonakaliso, kutheni kuqinisekiswe kwaye yatshintsha njani ngokuxhomekeke kwimeko yomzimba?

Yintoni i-MCHC?

I-MCHC yinkcazo ye-erythrocyte ebonisa isimo se-erythrocytes zethu- iiseli zegazi eziphambili . Olu lathisi lubonisa ukuba ubuninzi be-hemoglobin equlethwe kuzo zonke iiseli zegazi ezibomvu.

I-Hemoglobin - iprotheni ephambili yegazi, inoxanduva lokuthutha i- carbon dioxide kunye ne-oksijini egazini. Ngaloo ndlela, i-MCHC ibonisa ukuba ingakanani i-oksijini inokuxhunywa kunye nokuthuthwa yizo zonke iiseli zegazi ezibomvu.

Indlela ebalulekileyo yokumisela i-MCHC kukuhlolwa kwegazi. Ukucacisa oko kubonisa inani elinciphile okanye elongeziweyo le-hemoglobin kwaye lichaza izibonakaliso zonyango (ukuba kuyimfuneko).

Olu lathiso lugqityiweyo kunye nabanye, umzekelo, njengowomyinge we-erythrocyte, ubungakanani be-hemoglobin e-erythrocyte. Ezi zikhombisi zibonisa umsebenzi kunye nokusebenza okusebenzayo kweeseli ezibomvu zegazi.

Ezi parameters kufuneka zichongwe ukuba isigulane sinesifo se-anemia ye-genesis eyahlukeneyo (ukunciphisa iiseli ezibomvu zegazi okanye i-hemoglobin), izifo ezizalwe zizifa ezihambelana nokubunjwa kwama-erthrocyte aphumelekileyo, kwaye (ngokungaqondanga) ngokungafihliyo.

Izinga leli lathisi

Yintoni eqhelekileyo ye-MCHC ekuhlolweni kwegazi? Eli nqununu lilinganiselwa kwigrama nganye ilitha.

Ngokuxhomekeka kwisini kunye nobudala, ukuhlukahluka kweendlela eziqhelekileyo ziyaziwa:

• Kubantwana abangaphantsi kweeveki ezi-2 umgangatho wesi sikhombisi uhlala kwi-280 ukuya ku-350 g / l.
• Ukufikelela kwiinyanga ezi-4 izalathisi zanda kancinci - ukuya kwi-370 g / l, kwaye i-12 ukuya kwi-12 iminyaka ayitshintshe.
• Ukususela kwiminyaka engama-12, kukho umlinganiselo omncinane kule khombisi: amantombazana anesisindo esingama-360 g / l, kunye namakhwenkwe-afikelela kuma-380. Oku kubangelwa ukuqala komsebenzi wesini, ukulahleka kwegazi kunye nokutshintsha kwe-hormone.
• Ukufikelela kwiminyaka eyi-18, lo mmahluko uhlala; Ukususela kwiminyaka eyi-18 ukuya kwe-45, izikhombisi zilingana - 320-360 g / l.
• Ukususela kwiminyaka engama-45 ukuya kwi-age ubudala, ubuncinane bexabiso loluphawu luyancishiswa - i-MCHC ekuhlalutyweni kwegazi labasetyhini ngu-300 g / l, kwaye kuba amadoda ahlala engatshintshi (ukwehla kuya kugcinwa emva kweminyaka engama-75). Konke oku kungenxa yokuguga komzimba kunye nokunciphisa ekwakheni iiseli ezintsha.

Njengoko uyakubona, isibonakaliso sichaphazelekayo kwaye sisitshintshi ngexesha lobomi. Ziziphi ezinye izinto ezinokuchaphazela utshintsho kwizinga leMCHC?

Uvavanyo lwegazi - umbhalo

Isiqhelo salo mqondiso, njengoko sathethiwe, sihlala kwi-320 ukuya kwi-380 g / l. Ngokubambisana nayo, umthamo othethiweyo we-erythrocyte (MCV) kunye nokuxinwa kwe-hemoglobin kwelinye i-erythrocyte (MCH) kufuneka lichongwe. Ezi zikhombisi zixhomekeka ngokuthe ngqo komnye nomnye (ukuba umntu utshintsha, abanye batshintsha). Oku kwenziwa ukuxilongwa ngokungafaniyo kweemvelaphi ezivela komnye nomnye, kunye nokuqulunqa uluncedo lweeseli ezibomvu zegazi kunye nezibonakaliso zokumpontshelwa igazi.

Ukongezelela, inani le-hemoglobin kufuneka limiswe. Ukuba inani labo eliqhelekileyo liyabonwa kunye ne-MCHC kwimida eqhelekileyo, i-MCH kufuneka iqwalaselwe. Ngenxa yokunciphisa, kunokwenzeka ukugweba ubukho be-polycyth polycythemia (ininzi ye-saturation enegazi kunye ne-erythrocyte engabalulekanga). Idatha engenanto (ukunciphisa iMCHC kunye ne-hemoglobin kwi-MCV evamile kunye neMCH) ibonisa ukuphazamiseka kwindlela yokwenziwa kweprotheni yokuthutha.

Izifo ezikhokelela kutshintsho kule nqondiso

Yintoni enokubangela ukuba utshintsho kule nkcazo ye-erythrocyte?

Isifo esiphezulu apho esi sibonakaliso sichaphazelekayo yi-anemia.

Baya kuba bezohlukeneyo zendalo. Ukwabela i-anemia ehambelana nokuphulwa kobambiso lweeseli ezibomvu zegazi, ngokuchithwa kwamanani, kunye nokulahleka kwabo.

Iqela lokuqala le-anemia yi-pathology ye-erythrocyte sprout. Ingabonwa ngexesha lokuxiliswa, kunye nezifo ezithile (i-gastritis, i-COPD).

I-anemia yeqela lesibini ibonakaliswe njengesiphumo somsebenzi ogqithiseleyo wepeni-indawo ephezulu yokubola kwama-erythrocytes. Oku kubonakaliswe, ngokuqhelekileyo, kwi-syndrome ye-hypersplenism, xa umsebenzi we-pathological of cells cell

I-anemia ehambelana nokulahlekelwa igazi iyabonwa kwabasetyhini abanesisindo sokuya esikhathini, kunye nezigulane ezinezilonda eziphaphayo zesisu kunye ne-duodenum.

Kule ndawo ithi utshintsho kwi-MCHC luvame ukugcinwa. Ukuhlolwa kwegazi (ukuyihlaziya) kukuvumela ukuba unqume uhlobo lobomi begazi.

Ukunciphisa kwinqanaba lesalathisi

Isalathisi sokuzalisa i-erythrocytes nge-hemoglobin ngokuqhelekileyo. Isetyenziselwa ukucacisa iimpazamo zabahlalutyi.

Indlela ephezulu yokumisela i-MCHC kukuhlolwa kwegazi. Esi sibonakaliso sinyuka, ngokuqhelekileyo, ngenxa yephutha le-hardware (ezi zikhokelela ekunyuseni kwayo zinqabile kakhulu). Ngokuqhelekileyo kukho ukwehla kwindleko ye-hemoglobin.

Kwakhona kwenzeka ukuba ngecebo eliqhelekileyo, esebenzayo, inqanaba eliphantsi le nkcazo ye-erythrocyte ichongiwe. Ukunciphisa ukuxinwa kudla ngokugqithisekayo nge-anemia, ekhankanywe ngasentla. Umzimba awunawo ixesha lokuvelisa izitsha zegazi ezibomvu ezitsha, kunye nokungahambi kweeseli kufuneka zizaliswe. Kungenxa yoko oku kusetyenziswa iiseli ezine-hemoglobin ezingaphantsi. Ezi iiseli azikwazi ukwenza ngokugcwele umsebenzi wazo, ezikhokelela ekuphuhliseni i-hypoxia yamathambo.

Kwezinye iimeko, kunokuba kukho impazamo ekubaleni (izimo zokutyiwa kwegazi ezingalunganga, ukungcola kwetyhubhu), okukhokelela ekunciphiseni kwesazisi. Kule meko, inani le-MCHC limele liqinisekiswe kwakhona. Ukuhlaziywa kwegazi (ukulungiswa kwayo kwexesha kufuneka kusetyenziswe ngumncedisi webhoratri, ukuphepha iimpazamo kubalo) kuyimfuneko ukunikela ngokuphindaphindiweyo.

Ukwandisa

Kunqabile kakhulu, kodwa kwenzeka ukuba isibonakaliso se-hemoglobin ingadluli kwisiqhelo. Oku kubangelwa ukuphuhliswa kwezifo ezifa - i-anemia ye-hyperchromicic, ngenxa yoluhlobo lwe-erythrocyte oluphazamiseka (kwinto eqhelekileyo yi-discoid, kunye ne-pathology-oval, spherical). Ukongezelela, ngeengxaki ze-hyperosmolar (ezihambelana nokubunjwa kwegazi) , isixa esinxulumene ne-hemoglobin sinokunyuka, esibonisa ukuhlolwa kwegazi lesibini ukuzimisela kwe-MCHC. Inganyuswa kwimeko yokwenziwa kweeseli ezibomvu zegazi, kodwa ngokunyuka kwindleko ye-hemoglobin (ngokungaqinisekiyo ikhokelela ekunyuseni kwikhowudi yombala).

Imiqathango ayinqabile, kwaye ngokuqhelekileyo ukubonakaliswa kwayo kubhalwe njengokunganaki ekuqhubeni isifundo (ngaphandle kwe-spherocytosis - ichazwe ngokucacileyo nakwi-microscope elula).

Kungenxa yoko, ngokuphindaphindiweyo, kuphando oluphindaphindiweyo lufunekayo, oluvumela ukuchongwa kwe-MCHC kwenye idivayisi.

Iimpazamo kuphando

Ngamanye amaxesha unako ukugcina umfanekiso olandelayo kwinkcazo ye-MCHC. Uvavanyo lwegazi (ukucacisa - ukwanda) lwenziwa kunye nokuphulwa kweqela. Ekuzimiseni kokuqala kwefom yeeseli ezibomvu zegazi kunye nobukho beeseli eziqhelekileyo, kufuneka zikhankanywe ngokukhawuleza ukuba isifundo senziwe ngokungalunganga. Oku kungenziwa lula ngethubhu yokuhlola engahlambulukanga kunye neengxowankulu zegazi lomnye umntu, ukuphelelwa kwimihla yobomi beesalathisi, ukulungiswa okungafanelekanga kwe-analyzer. Xa uphinde uhlolisise kwenye idivaysi okanye ukubala okubhaliweyo, inqanaba leMCHC liqhelekile kwimida eqhelekileyo (ukuba i-anemia ayizange ifumaneke ngaphambili).

Ngamanye amaxesha igazi liyasuswa kunye nesirinji. Ngenxa yoko, ukulimala kwi-erythrocytes kwenzeka ngokukhutshwa kwe-hemoglobin kwi-plasma, ngenxa yokuba i-MCHC iphakanyiswa ngamanye amaxesha. Ukuhlolwa kwegazi (ukulungiswa kwegazi - ukunciphisa) kubonisa ukuba kukho ukungena kwe-anemia (ukuba zonke iimeko zolu cwaningo zidibene) okanye isilonda esibalulekileyo seeseli ezibomvu zegazi, ezenza umfanekiso wokuhla kwezinga le-erythrocyte index.

Yintoni endiyenze ukuba ndiyenze ukuba isalathisi sinciphisa?

Njengoko kuthethwe, ukwehla kwi-MCHC kubangelwa ukwehla kwinqanaba le-hemoglobin egazini. Ukuphucula oko, amanyathelo amiselweyo athatyathwa.

Okokuqala, i-ration food ration ishintshiwe. Xa izinga le-hemoglobin eplasma linciphisa, isigulane siboniswa ukumkelwa kweemveliso ezifana nee-apula, inyama yenkomo kunye nenyama yengulube, ierharnate kunye nejomegranate ijusi, inyama. Bonke babenegalelo ekuphuculeni i-hemoglobin synthesis kunye nokwandisa ukuxinwa kwayo (kunye nezinga le-MCHC) egazini. Emva kohlobo oluthile lwe "dietotherapy" kubalulekile ukuqhuba ukuhlolwa kwegazi jikelele. Ukunquma i-MCHC kuya kugqiba ukuphumelela kokwamkelwa kwezi mveliso, ukuphumelela kwaloo "unyango" kunye nokuzimisela kweendlela zokuthatha amachiza.

Ukuba iimveliso azincedi, kuyimfuneko ukujongana nokulawulwa kwama- vitamins kunye nokulungiselela isinyithi ukulungelelanisa umzimba.

Uphi uphando olwenziwa?

Ukuba ukhathazekile ixesha elide ngenxa yobuthathaka, ukukhathala, ubuthathaka, ke konke oku kunokuthetha ngokuphuhliswa kwegazi. Ngako oko, inqaku leMCHC (ukuhlolwa kwegazi) kufuneka lenziwe. Ukucacisa kuya kwenza ukuba ukwazi ukuqonda into eyenzekayo kuwe.

Olu hlalutyo lunokwenziwa nasiphi na isibonelelo sempilo, apho kukho i-laboratory engaphezulu okanye engekho ngaphantsi. Kwiiklinikhi eziphululelekileyo, ngokuqhelekileyo akukho zixhobo ezinjalo, ngoko isigulane sinyanzeliswa ukuba siye kwisibhedlele okanye kwisibhedlele sezithili (polyclinic).

Inkqubo ihamba ngokukhawuleza. Kwiiyure ezimbalwa kamva unokufumana uvavanyo lwegazi olulungeleyo. I-MCHC (okuqhelekileyo ekhankanywe ngasentla), ngokuchanekileyo, iqondo layo, liya kuvumela ukuba iimeko zisesifo se-anemia okanye nokuba kukho ukukhathala okuqhelekileyo kunye nokuziphatha okuphezulu.

Uhlalutyo luvame ukwenza ngokutsho komgulane, nangona ingahlawulwa. Ixabiso layo liphantsi, elenza lifumaneke kunoma yimuphi umntu.

Kutheni kubalulekile ukucacisa esi sibonakaliso?

I-anemia yi-harbinger ephawulekayo yeziphazamiso ezahlukahlukeneyo emzimbeni. Ukuba awuyikuxilonga ngexesha, unokuqala isizwe kangangokuthi isigulane siya kuyimfuneko ukuba asiyikutshintshwa kwegazi, ngoko-ke ukumpontshelwa okukhulu kwezinto zegazi (ngokukodwa, ubunzima be-erythrocyte). Kungenxa yoko, phambi kweempawu zokuqala ze-anemia, kuyimfuneko ukuqhuba uvavanyo lwegazi kwaye ufunde ngenyameko iindices. Kodwa ke, ungazama ukuziphilisa; Kungcono ukubonisa iziphumo zezilingo kumgqirha, ukwenzela ukuba anqume amayeza athatywayo kwaye akwazi ukuchonga ngokukhawuleza nokukhusela amaninzi amaninzi emzimbeni. Ukuzivocavoca, kule ngxaki, kunokulimaza nokunyanya konke.

Ukuba unyango luqalisiwe ngexesha elifanelekileyo, kunokwenzeka ukuzisa zonke izibalo zegazi kwizinga eliqhelekileyo kwaye ubuyisele isiguli kwimicimbi yakhe yemihla ngemihla.