Mu kusanthula RDW magazi anakweza kapena adatchithisira - zikutanthauza chiyani?

Pochita atayezetsa kuti amayankha osati nambala ya maselo ake, koma khalidwe lawo. Makhalidwe monga mtundu, maonekedwe, kukula komanso ofunika matenda a matenda ndi apo ndi zizindikiro pathognomonic. Choncho, hematologists akufunsidwa kuti mwachindunji kwa zasayansi kafukufuku komanso RDW, womwenso uli ngati kufalitsidwa kwa maselo a magazi kukula.

Ndi chiyani icho?

Chifukwa cha mwazi wathu, kuwonjezera pa madzimadzi, ndi maselo opangidwa ndi m'mafupa. Iwo anabwera zitatu: wofiira, woyera ndi maselo othandiza magazi kuundana. Pankhaniyi, timasamala ndi maselo ofiira kapena maselo ofiira. Izi ang'onoang'ono biconcave chimbale mawonekedwe, amene amapereka magazi mtundu wake, komanso ali ndi mpweya ku mapapo kwa zimakhala ndi ziwalo. Mu anthu athanzi, iwo onse ali ofanana mawonekedwe, mtundu ndi buku. Ilo lachokera chithunzi yamasika zimadalira ntchito olondola a maselo amenewa. Iye adayitana MCV ndi zimaikidwa zimasiyana pang'ono, umatchedwa m'lifupi yogawa voliyumu.

Ngati dotolo anganeneretu kuti wodwala kusintha voliyumu ya maselo, izo akutumiza kuti malamulowa. RDW ndi wothandizira ndi angatenge. Izi ndi zoona makamaka ngati Anisocytosis anati m'magazi.

Kodi zikutanthauza RDW mu magazi? Ndiye kuphwanya kugawa maselo a magazi kukula.

Anisocytosis - kusintha pathological mu kukula kwa maselo ofiira a magazi. Bwinobwino izo zimasiyanasiyana asanu ndi asanu ndi theka micrometers. Microcytes ndi kukula kwa micrometers 6,9, ndi macrocytes ankalemekeza eyiti kwa khumi micrometers. maselo okulirapo akhoza kudutsa m'mimba mwake capillary, monga ntchito mu ndulu ya. Munthu akakhala wathanzi chiŵerengero maselo zachilendo ndipo asintha ofiira ranges kuchokera 5: 1. Anisocytosis kukomoka owonetseredwa magazi m'thupi, mtima kulephera, kufupika kwa mpweya, cyanosis. The zimayambitsa matenda zingakhale chosowa mavitamini, makamaka B 12 A kusowa kwa ayironi, zipolowe za m'mafupa, monga matenda myelodysplastic kapena pamaso pa metastasis pa khansa magazi. Chithandizo kumatengera chifukwa ndi yafupika Kupha ake.

Cholinga cha kusanthula

Childs RDW pomaliza magazi anatsimikiza molumikizana ndi zokhazikitsidwa ena pa siteji koyamba matenda. kafukufuku akhoza kukhala anakonza, pa nthawi ya m'chipatala ndipo mwadzidzidzi, isanafike opaleshoni. Komanso, magulu odwala tanthauzo RDW kuchita zonse younikira mphamvu ya mankhwala a matenda magazi.

Ndi zabwino, dokotala chofunika kuika kuphunzira malangizo, chifukwa mchikakamizo cha zinthu zina apezeke zazing'ono onyenga HIV chiyeso RDW.

KLA ndi RDW

Monga ulamuliro, magazi anatsimikiza ndi kuwunika kwa RDW komanso kuzilingalira MCV. Izi zimathandiza kwambiri kuona chithunzi cha matenda ndi kusiyanitsa munthu kapena mtundu wina wa magazi m'thupi microcytic. Ngati index m'munsimu MCV chifukwa, pa mlingo wa RDW, kungakhale chizindikiro cha pathologies aakulu monga thalassemia, magazi, kukha mwazi ndi ena ambiri. Komanso, nthawi zina njira neoplastic awapatse chithunzi cha magazi, makamaka ngati wodwala ndi woyesedwa ndi mankhwala amphamvu.

Mwina zinthu zosiyana, pamene MCV apamwamba chilemba malo ndi RDW kubwerera mwakale. kuphatikiza umadziwika matenda chiwindi. Koma cha mtsogolo amakhala ndi mtundu wa amuzolengedwa chithunzi magazi ndi coagulation, kotero kuti masiyanidwe matenda a dokotala wodziwa bwino sikovuta.

Njira kuphunzira

Wodwala amapereka magazi mtsempha pa chopanda kanthu m'mimba, koma ana ndi makanda magazi mokwanira kuchokera chala. Pambuyo labu wamaliza phwando, ayika zitsanzo mu centrifuge kuti nadzawasankhula gawo madzi a magazi kwa maselo. Kena ayika chifukwa zotsalira youma chowunikira ndi chipangizo palokha linaŵerengera chiwerengero cha mitundu yosiyanasiyana ya maselo, amayankha iwo, ndi kuvumbitsira lipoti. Zotsatira ndi linanena bungwe kwa chosindikizira monga histogram lapansi.

Ngati kusanthula ndi zabwino, protocol wa amadalira dongosolo lake kubwereza kupewa wabodza zabwino. lamulo limeneli likukhudza lonse la nkhani zokhudza matenda a magazi m'thupi, monga kuyenda kwa dokotala magazi chithunzi akupereka chifukwa kukayikira kulondola kwa osankhidwa njira mankhwala ndi kubwerezanso njira malangizo a chikhalidwe ichi pathological.

mfundo yachibadwa

Mu kusanthula RDW magazi anapatsidwa pakhomo peresenti 11,5-14,5 chifukwa chimakhala cha erythrocytes zazikulu wamkulu. Ana, chizindikiro ichi zimasiyanasiyana mu osiyanasiyana kuchokera 11,6 peresenti 18,7. Ndipotu, iwo onse sangathe kukhala chimodzimodzi.

Amakhala RDW index, ayenera kukumbukira kuti njirayi sikudalira kukula selo. Izi zikhoza zotsatira zoipa wabodza, ndipo chikugwirizana ndi chakuti ambiri kusinthidwa maselo ofiira pano m'magazi. Izi maselo ofiira akutchedwa macrocytes. Nthawi zina, pofuna kutenga zotsatira za kuwunika monga mwakale, m'pofunika osati kuti litsatidwe RDW, koma malumikizanidwe ake ndi MCV.

kuchuluka ntchito

RDW mu magazi akhoza akweza mu zina. Kawirikawiri, ndi chizindikiro cha magazi m'thupi, kawirikawiri chitsulo. Koma pali mwayi kukhala vitamini B12 akusowa magazi m'thupi, akusowa folate kapena matenda chiwindi. Choncho, onetsetsani kuti achite matenda masiyanidwe, n'kuika kuunikidwa zina ndi njira ovuta rezultam awo. Kudziwa mtundu wa magazi m'thupi - nthawi yambiri ntchito kwa clinician lapansi.

chitsulo akusowa magazi m'thupi

Popeza akusowa chitsulo magazi m'thupi ndi ambiri mu Chigawo wathu, ndiye tikambirana mwatsatanetsatane kwambiri.

Mu gawo loyamba la matenda chiwerengero cha zinthu anapanga uli mkati osiyanasiyana wabwinobwino, koma mlingo wa hemoglobin umalandira malire m'munsi kapena madontho yokhudza ufiti. Ichi chimapereka chifukwa matenda magazi m'thupi. Koma mu kusanthula magazi RDW yachibadwa, popeza pali anisocytosis, ndi mafupa ikugwira bwino.

Siteji yotsatira amakhala ndi dontho kwambiri hemoglobin ndi wofiira magazi selo, koma tsopano chimasintha ndi zinthu zina. RDW kuchuluka kusanthula magazi, pali chakuti kuchuluka kwa maselo, zili hemoglobin ndi ndende zake. The histogram adzakhala kutali kwambiri kumanzere.

Pambuyo mankhwala, pansi pa ulamuliro wa zikuchokera magazi, nambala, kukula ndi mawonekedwe a maselo ofiira kubwerera mwakale. Izi zimatheka ndi kulandira supplementation chitsulo.

kuchepa

Si zachilendo, koma ngati RDW mu kusanthula magazi ndi adatchithisira, zikhoza akusonyeza magazi m'thupi. Choncho, kulabadira kwa MCV. Popeza mukhoza ndichepe imodzi amasonyeza chiwindi matenda. Kawirikawiri inu mukusowa kusanthula kuposa kumvetsa chifukwa cha kusintha kumeneku mu chithunzi magazi wonse.

Mulimonsemo, musati kuwaza phulusa kumutu wake pasadafike. Mu kusanthula magazi (RDW) akhoza kuloledwa inaccuracy, chifukwa zimapangitsa makina ndi chofunika recalculation pamanja. Komanso zolakwika mwakale kungakhale pambuyo magazi kapena opaleshoni. Ndiye muyenera kubwereza mayeso ina.

Apa inu kutenga magazi. RDW - akweza. Kodi zikutanthauza chiyani? Motero, n'zosakayikitsa kuti zasayansi si azigwirizana chida, kapena ngati inu posachedwapa anavulala ndi njira zazing'ono opaleshoni, kapena munali mwiniwake.

magazi chithunzi amasintha mofulumira zokwanira, kotero musati kupita mantha. Analysis ayenera kusonyeza dokotala anu ndi kumvera malangizo ake mosamala. Izi zingathandize kupewa kusamvetsetsana m'tsogolo. Komanso, aliyense zasayansi ali zizindikiro zake mu kusanthula magazi - RDW kutengera mtundu zida ntchito. dokotala angatanthauze inu ku matenda Center, zotsatira amene iye amawakhulupirira. M'pofunikanso kwambiri kuti matenda.