Litekanyetso tsa RBC

Li-indices tsa lisele tse khubelu tsa mali (RBC) ke karolo ea tlhahlobo e felletseng ea palo ea mali (CBC). Li sebelisetsoa ho thusa ho fumana sesosa sa phokolo ea mali, boemo boo ho nang le lisele tse khubelu tsa mali tse fokolang haholo.

Li-indices li kenyelletsa:

• Karolelano ea boholo ba lisele tse khubelu tsa mali (MCV)
• Palo ea haemoglobin ka sele e khubelu ea mali (MCH)
• Palo ea hemoglobin e amanang le boholo ba sele (hemoglobin concentration) ka sele e khubelu ea mali (MCHC)

Ho hlokahala sampole ea mali.

Ha ho litokisetso tse khethehileng tse hlokahalang.

Ha nale e kentsoe ho hula mali, batho ba bang ba utloa bohloko bo itekanetseng. Ba bang ba ikutloa feela ho hlaba kapa ho hlaba. Kamora moo, ho ka ba le ho phatloha kapa ho longoa hanyane. Haufinyane sena sea fela.

Hemoglobin e tsamaisa oksijene. Li-RBC li tsamaisa hemoglobin le oksijene liseleng tsa 'mele ea rona. RBC indices test e lekanya hore na li-RBC li etsa sena hantle hakae. Liphetho li sebelisetsoa ho fumana mefuta e fapaneng ea phokolo ea mali.

Liphetho tsena tsa liteko li maemong a tloaelehileng:

• MCV: li-femtoliter tse 80 ho isa ho tse 100
• MCH: li-picograms tse 27 ho isa ho tse 31 / sele
• MCHC: 32 ho isa ho 36 grams / deciliter (g / dL) kapa 320 ho isa ho 360 grams ka litha e le nngwe (g / L)

Mehlala e kaholimo ke litekanyo tse tloaelehileng bakeng sa liphetho tsa liteko tsena. Mekhahlelo e tloaelehileng ea boleng e ka fapana hanyane hara lilaboratori tse fapaneng. Labs tse ling li sebelisa litekanyo tse fapaneng kapa li kanna tsa leka mehlala e fapaneng. Bua le mofani oa tlhokomelo ea bophelo mabapi le moelelo oa sephetho sa hau sa liteko.

Liphetho tsena tsa liteko li bontša mofuta oa phokolo ea mali:

• MCV ka tlase ho tloaelehileng. Phokolo ea mali ea Microcytic (e kanna ea ba ka lebaka la maemo a tlase a tšepe, chefo ea lead, kapa thalassemia).
• MCV e tloaelehileng. Phokolo ea mali ea Normocytic (e kanna ea ba ka lebaka la tahlehelo ea mali ka tšohanyetso, mafu a nako e telele, ho hloleha ha liphio, khaello ea mali ea mali, kapa li-valve tsa pelo tse entsoeng ke motho).
• MCV kaholimo ho tloaelehileng. Phokolo ea mali ea Macrocytic (e kanna ea ba ka lebaka la maemo a tlase a folate kapa B12, kapa chemotherapy).
• MCH ka tlase ho tloaelehileng. Phokolo ea mali ea Hypochromic (hangata ka lebaka la maemo a tlase a tšepe).
• MCH e tloaelehileng. Phokolo ea mali ea Normochromic (e kanna ea ba ka lebaka la tahlehelo ea mali ka tšohanyetso, mafu a nako e telele, ho hloleha ha liphio, khaello ea mali ea mali, kapa li-valve tsa pelo tse entsoeng ke motho).
• MCH kaholimo ho tloaelehileng. Hyperchromic anemia (e kanna ea ba ka lebaka la maemo a tlase a folate kapa a B12, kapa chemotherapy).

Ho na le kotsi e nyane e amehang ka ho nkuoa mali a hau Mothapo le methapo li fapana ka boholo ho tloha ho motho e mong ho ea ho o mong, le ho tloha lehlakoreng le leng la 'mele ho ea ho le leng. Ho fumana sampole ea mali ho batho ba bang ho ka ba thata ho feta ho ba bang.

Likotsi tse ling tse amanang le ho huloa mali li nyane, empa li ka kenyelletsa:

• Ho tsoa mali a mangata
• Ho akheha kapa ho ikutloa o le hlooho e boima
• Li-punctures tse ngata ho fumana methapo
• Hematoma (mali a hahiloeng ka tlas'a letlalo)
• Tšoaetso (kotsi e nyane neng kapa neng ha letlalo le robehile)

Litekanyetso tsa Erythrocyte; Litekanyetso tsa mali; Boemo ba hemoglobin e kopaneng (MCH); Boemo ba hemoglobin (MCHC) bo kopaneng; Bophahamo ba modumo ea li-corpuscular (MCV); Li-indices tsa lisele tse khubelu tsa mali

CC ea Chernecky, Berger BJ. Li-indices tsa mali - mali. Ka: Chernecky CC, Berger BJ, bahlophisi. Liteko tsa Laboraro le Mekhoa ea Tlhatlhobo. La 6th. Philadelphia, PA: Elsevier; 2013: 217-219.

Elghetany MT, Schexneider KI, mathata a Banki K. Erythrocytic. Ka: McPherson RA, Pincus MR, bahlophisi. Henry's Clinical Diagnosis le Tsamaiso ka Mekhoa ea Laboraro. La bo23 la ed. St Louis, MO: Elsevier; 2017: khaolo ea 32.

E bolela RT. Atamela li-anemias. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 149.

Vajpayee N, Graham SS, Bem S. Tlhahlobo ea mantlha ea mali le moko oa masapo. Ka: McPherson RA, Pincus MR, bahlophisi. Henry's Clinical Diagnosis le Tsamaiso ka Mekhoa ea Laboraro. La bo23 la ed. St Louis, MO: Elsevier; 2017: khaolo ea 30.