MCHC (ukuhlolwa igazi): ngokulotshiweyo kuyinsakavukela

Ngamunye wethu wahlangana yokuthi ngezinye izikhathi, lapho yisiphi isifo noma nje ukuze uyohlolwa, udokotela wamnika isiqondiso kuya CBC. Phakathi kwazo zonke izinkomba ngahlangana kunalokho ongaziwa - MCHC. Hlobo luni sibalo ukuthi kuchazwa nokuthi iyahlukahluka kuye ngokuthi isimo komzimba?

Uyini MCHC?

MCHC - erythrocyte Inkomba, okuyinto ephawula isimo amangqamuzana amehlo ethu okuthiwa abomvu - main egazi. Kulolu hlu libonisa kangakanani kuqukethwe elithwala umoya-mpilo kuzo zonke amangqamuzana abomvu egazi.

I-hemoglobin - main igazi amaprotheni obangela ezokuthutha -carbon dioxide futhi umoya-mpilo egazini. Ngakho, MCHC ikhombisa umoyampilo kungenziwa athuthwe futhi ixhunywe wonke abomvu egazi.

Indlela eyisisekelo sokunquma MCHC - ukuhlolwa igazi. Sokuqonda kubonisa ukwehla noma ukwenyuka inani elithwala umoya-mpilo futhi ukunquma izinkomba ukuze bayothola ukwelashwa (uma kunesidingo).

Kulolu hlu kuchazwa, kanye nabanye, isibonelo, njenge kusho ivolumu corpuscular, kusho elithwala umoya-mpilo i-erythrocyte. Lezi zinombolo zibonisa umsebenzi futhi ukusebenza ngokugcwele kwamangqamuzana egazi abomvu.

Lezi zinkomba ziyadingeka zimisele uma anemias nesineke of genesis ezahlukene (ukulahlekelwa abomvu egazi athwala umoya-mpilo noma egazini), izifo lezinceku elihlobene ne kumiswa erythrocyte onesici, kanye (ngokungaqondile) nge esingamahlalakhona zokuphefumula.

Yinto evamile ukukhuluma le nkomba

Kuyini izinga MCHC e ukuhlolwa igazi? Le yunithi ulinganiswa amagremu ilitha.

Kuye ngobudala nobulili kwezinkambiso ukuhlonza ongakhetha eziningana:

• Ezinganeni amaviki angu-2, izinga le nkomba itholakala basukela 280 kuya 350 g / l.
• izibalo kancane anda izinyanga 4 - kuze kufinyelele 370 g / l, futhi injalo ingashintshile iminyaka engu-12.
• Nge engu-12 kunomehluko omncane le nkomba: amantombazane ezingeqi kwezingu-360 g / l, kanti abafana - kuze kufinyelele 380. Lona ekuqaleni umsebenzi wokuya esikhathini, ukulahlekelwa igazi ukushintsha kwama-hormone.
• Up iminyaka engu-18, lo mehluko inakekelwa; 18 no-45 iminyaka ukusebenza kuqondaniswe - 320-360g / l.
• Kusukela eminyakeni engu-45 ubudala futhi phambi encishisiwe inani eliphansi index - MCHC ekucubunguleni wegazi yabesifazane 300 g / l, futhi uhlala ezingaguquliwe amadoda (ukwehla kungabonakala nasemkhakheni emva kweminyaka 75). Konke lokhu kungenxa ukuguga umzimba bese wehlise ukwakheka kwamaseli amasha.

Njengoba singabona, izinga kuyahluka kuqhathaniswa njalo futhi azizange zishintshe impilo yonke. Yiziphi ezinye izinto kungathinta ushintsho MCHC ezingeni?

Igazi test - okulotshiweyo

Yinto evamile ukukhuluma inkomba, njengoba kuye kwashiwo, ungaphakathi uhla kusuka 320 kuya 380 g / l. Bekanye kuyadingeka zimisele kusho ivolumu corpuscular (MCV) futhi kusho i-hemoglobin lokuhlushwa kwelinye erythrocyte (MCH). Lezi nemingcele encike ngqo kusuka komunye nomunye (uma umuntu washintsha, ukushintshwa, njll). Lokhu kwenziwe ukuze kuhlonzwe umehluko igazi komunye nomunye, futhi ukunquma iwusizo erythrocyte nokubonakaliswa ngoba igazi.

Ngaphandle kwalezi, kuba isiqiniseko azimisele kanye nenani-hemoglobin. Uma kukhona imali evamile zawo MCHC ku uhla evamile, kufanele sinake MCH. Nakuba ukwehla kungenzeka ukuba wahlulele khona polycythemia microcytic (ukugcwaliswa ngokweqile egazini amancane, kancane omzimba asebenzayo abomvu). idatha emuva (kwehle MCHC futhi athwala umoya-mpilo ngaphansi MCV evamile futhi MCH) ukukhuluma mayelana kuphula umthetho we zamagama yamaprotheni ezokuthutha.

Izifo eziholela ushintsho kule inkomba

Yini engaholela ushintsho index erythrocyte?

Lesi sifo main lapho kushintsha lesi sibalo igazi.

Zingaba zasezindaweni ezihlukahlukene. Ukwabela anaemia elihlobene ne erythrocyte zamagama disorder lenyuka kwamazinyo abo, nokushonelwa.

Iqembu lokuqala anaemia ezihlobene zokugula erythrocyte lwegciwane. Kungenzeka ngesikhathi ngemisebe, kanye nezifo ezithile (kolwelwesi, COPD).

Isifo sokulahlekelwa yigazi iqembu lesibili avele ngenxa yomsebenzi ngokweqile ubende - eyinhloko erythrocyte kwamazinyo. Lokhu kubonakala kaningi lesi sifo ka hypersplenism, uma kukhona umsebenzi okungavamile amaseli ubende.

Isifo sokulahlekelwa yigazi ezihambisana ngegazi ukulahlekelwa kubonakala abesifazane nge esindayo esikhathini, kanye in iziguli ukopha izilonda isisu kanye duodenum.

Kwaba ngaphansi kwalezi zimo ngokuvamile baphawula MCHC ushintsho. Igazi ukuhlaziywa (kulungiswa ke) asivumela ukucacisa uhlobo igazi.

Ukuncipha kule Inkomba

Inkomba erythrocyte elithwala umoya-mpilo saturation kuyinto kakhulu njalo. Isetshenziselwa ukucacisa iphutha amadivaysi analyzers.

Indlela eyisisekelo sokunquma MCHC - ukuhlolwa igazi. Ukwandiswa lesi sibalo, avame ngenxa ukuhluleka kwehadi (izimo okuholela ukwanda yayo, ezingajwayelekile kakhulu). Ngokuvamile wathola i-hemoglobin ukunciphisa ivolumu.

Kwenzeka kanjalo ukuthi evamile, yokusebenza iyunithi kunqunywa ezingeni eliphansi Inkomba erythrocytic. okuhlushwa kwehle uvame ebonwe kwegazi, okuyinto oshiwo ngenhla. Umzimba akanayo isikhathi synthesize entsha, amangqamuzana egazi abomvu agcwele, kanye nokuntuleka amaseli Udinga ukugcwalisa. Kuyinto ngenxa ukwakheka kwamaseli angaphansi okudingayo, inani elithwala umoya-mpilo. La mangqamuzana abakwazi ukwenza ngokugcwele umsebenzi wawo, okuholela ukuthuthukiswa kwezicubu hypoxia.

Kwezinye izimo, ungase wamukele iphutha izibalo (izimo ongaphilile wegazi izibonelo zalokho, ukungcoliswa amashubhu), okuholela ukwehla inkomba. Kulokhu, kubalulekile ukuthi kuphinde kubhekisiswe inani MCHC. Igazi ukuhlaziywa (kulungiswa kufanele kakade olwenziwa laboratory ukuze ugweme amaphutha ukubala) sidlule futhi.

anda

Kuyinto evamile, kodwa kuyenzeka ukuthi lokuhlushwa ingxenye-hemoglobin kungenzeka kwedlule kuyinsakavukela. Lokhu kungenxa ukuthuthukiswa izifo lezinceku - anaemia hyperchromic, okuholela iphazamiseke ifomu erythrocyte (ngokujwayelekile kuba discoid, kanye zokugula - okusaqanda, eyindilinga). Ngaphezu kwalokho, Ukuhlukumeza uma hyperosmolar (ezihlobene electrolyte yokwakheka igazi) kungandisa inani eyisihlobo-hemoglobin ohilela okuphindaphindiwe ukunquma MCHC, ukuhlaziywa igazi. Kungaba bayovuswa esimweni kumiswa amangqamuzana avamile abomvu by volume, kodwa nokwanda lemali yabo-hemoglobin (okuyinto nakanjani kuyoholela ukwanda index umbala).

Isimo ezingajwayelekile, futhi ngokuvamile kwakuwuphawu kusolwa ukunganaki ku ukuziphatha isifundo (ngaphandle spherocytosis - ukuthi achazwe kahle ngisho microscope ukukhanya).

Yingakho, ngokuvamile, futhi kudingeka eyalandela cwaningo elikhombisa kwenye iyunithi MCHC okuhlushwa.

Amaphutha isifundo

Ngezinye izikhathi ungase ubone esithombeni esilandelayo ekutholweni MCHC. Ukuhlolwa kwegazi (okulotshiweyo - kakhudlwana) Kwenziwa eziningi iziyaluyalu. Lapho isimo kusengaphambili amangqamuzana abomvu khona amangqamuzana avamile discoid, ilandelwe ngokushesha usola ukuthi isifundo sasiqhutshwa ngendlela engafanele. Lokhu kungase kube nomthelela abampofu test tube sihlanzwe izinsalela igazi yomunye, aphelelwe yisikhathi eshalofini yokuphila ka reagents, kulungiselelwa engalungile analyzer. Lapho kabusha luhlolo kwenye umshini noma ukubala manual, lizinga MCHC ngokoqobo uhla evamile (uma ngaphambi ukuthi anaemia awuzange ezitholakele).

Ngezinye izikhathi igazi uyasuswa isipetu. Umphumela umonakalo erythrocyte e isivuno elithwala umoya-mpilo-plasma, kanjalo ngezinye izikhathi kuchazwa ezingeni elincane MCHC. Igazi ukuhlaziywa (emagama - behliselwe phansi) kusikisela noma khona anemiya (uma izimo zocwaningo) noma ukunqotshwa okukhulu kwamangqamuzana egazi abomvu, okwadala isithombe ekunciphiseni erythrocyte Inkomba.

Okufanele ukwenze nge ukwehla inkomba?

Njengoba kushiwo, MCHC ukwehla kubangelwa emazingeni aphansi e-hemoglobin egazini. Ukuze uthuthukise imisebenzi yayo abazenzi ezinye wokweshumi.

Okokuqala ukudla kushintshwe Ukudla lesiguli. Ngokunciphisa ezingeni elithwala umoya-mpilo-plasma isiguli kuboniswa ethola ukudla njengama-apula, yenkomo kanye ingulube kwesibindi, namahalananda futhi emhlophe juice, inyama. Bonke iqhaza ekwenzeni ngcono ukuhlanganiswa kwezici elithwala umoya-mpilo kanye okuhlushwa yayo luyanda (futhi ezingeni MCHC) egazini. Ngemva inkambo "dietetics" qiniseka ekhaya azokuqhubela ephelele segazi. Incazelo eyonquma MCHC reception ukusebenza mikhiqizo, ukuphumelela "elapheke" enjalo futhi ekunqumeni izinkomba ukuthola imithi.

Uma imikhiqizo musa asize, kubalulekile iphendukele ekuphathweni parenteral amavithamini yensimbi Izithako kulesetayelekile nesimo umzimba.

Lapho ucwaningo?

Uma ukhathazekile ngalobu buthakathaka eside, ukukhathala, ubuthakathaka, kungaba zonke ukukhuluma mayelana nokuthuthukiswa igazi. Ngakho-ke, qiniseka ukuthi ubambe kwencazelo MCHC (ukuhlolwa igazi). Kulungiswa kuzokusiza ukuthi kwenzekani kuwe.

Lokhu kuhlaziya zingafundwa yisiphi isikhungo sezempilo lapho kuthiwa ucishe ifakwe laboratory. Imitholampilo ngokuvamile akudingeki imishini enjalo, ngakho isiguli ukuya edolobheni noma isifunda esibhedlela (clinic).

Inqubo wenziwa ngokushesha ngokwanele. Ngamahora ambalwa, ungakwazi ulungele ukuhlolwa igazi. MCHC (izinga eshiwo ngenhla), noma ngaphezulu ngokunembile, injalo ziyonquma ndaba itholakala anaemia noma ube ukukhathala evamile kanye uhlobo engqondo.

Uhlaziyo ngokuvamile eyenziwa udokotela, nakuba ungakwenza ngemali ethile. intengo yaso ongaphakeme, okwenza kube kufinyeleleke kunoma ubani.

Kungani kubaluleke kangaka ukuba incazelo yalesi inkomba?

Isifo sokulahlekelwa yigazi kuzalwa ezinkulu zika kwempilo emzimbeni. Uma kutholakala ukuthi uphethwe yini ngesikhathi, ngakho ungagijima isimo, okwabangela ukuba isiguli ayidingekile uma ukufakelwa kwezicubu hematopoietic, le ukumpontshelwa okukhulu kwezakhi zegazi (isib, abomvu yengqamuzana). Yingakho, ebukhoneni izimpawu zokuqala igazi, kubalulekile ukuba afeze ukuhlolwa igazi futhi ucubungule nokwenza kwayo. Akubalulekile Nokho, lapho bezama ukwelapha uqobo; khombisa kangcono imiphumela ihlaziya udokotela ukuthi likhombe amacebo okwengeziwe yokwelashwa futhi wakwazi ngesikhathi esifanele ukuthola ukuvimbela ukwehluleka amaningi emzimbeni. Self, kulesi simo, ungakwazi kuphela ubuhlungu futhi konke yimbi nakakhulu.

Uma impatho ithoma ngendlela esifike ngesikhathi, kungenzeka ukwandisa igazi bewubale ngokuthembeka amazinga evamile bese ubuyela isiguli imisebenzi yakhe yansuku zonke.