Te Whakamātautau CBC (Tau Toto Katoa) / Hemogram: Ngā Mea e Whakaatuhia ana, Ngā Mea e Ngaro Ana, me Me Pēhea te Pānui i tō Pūrongo

Take take

• He aha te ine: te hemoglobin, te tatau me ngā tātaitai o ngā pūtau whero (MCV, MCH, MCHC, RDW), te tatau katoa me te tatau rerekē o ngā pūtau ma, me te tatau o ngā pereti toto.
• Ko tāna e kī ana, ehara i te mea e whakamātau ana: e tohu ana te CBC ki tētahi tauira, he onge noa iho te whakahua i tētahi take ko ia anake.
• Ngā mea kāore e taea e ia: Kāore e taea e te CBC te whakaū i te korenga o te rino, te āhuatanga thalassemia, te korenga o te huaora B12, ngā mate toto toto tiketike, te wāhi rānei o te mate.
• He mea whakamarie te tikanga noa, ehara i te mea whakatau: Me arotake tonu ngā tohu e mau tonu ana me te CBC noa.
• Paparanga o Īnia: Nā te mea he mea noa te thalassemia trait me te rino-kore toto i Īnia, me whai whakaaro anō ki te MCV iti i runga i te CBC, kaua ki te tango i ngā papa rino aunoa.

I te titiro

E mohiotia ano ko

• Hemogram / hemogram
• CBC me te rerekētanga; CBC me ESR (ina whakaritea ngātahi, he whakamātautau motuhake ēnei)
• Whakamātautau toto, "whakamātautau toto mō te Hb"
• "Khoon ki janch" / "whakamatautau HB" i roto i te whakamahi Inia ia ra
• TLC me DLC (te tapeke me te rerekētanga o te tatau leukocyte), ngā tawhā i ripoatatia i roto i te CBC
• Ko te tatau pereti, i ripoatatia i roto i te CBC, i te nuinga o te wā ka tonoa motuhake i te wā o te dengue

He aha te hemogram CBC

Ko te hemogram CBC he tātaritanga aunoa o tētahi tauira toto iti e ine ana i ngā aho pūtau e toru i hangaia e te hinu wheua.

• Ngā pūtau whero: te haemoglobin (Hb), te rahinga pūtau kua tākaihia, te hematocrit rānei, te maha o ngā pūtau whero, MCV (te rahi toharite o ngā pūtau whero), MCH me MCHC (te nui me te kukū o te haemoglobin), me te RDW (te rerekētanga o te rahi o ngā pūtau whero).
• Ngā pūtau mā: te tapeke o ngā pūtau me te rerekētanga, ngā neutrophils, ngā lymphocytes, ngā monocyte, ngā eosinophils me ngā basophils.
• Platelet: te maha o ngā pereti toto, i ētahi wā me te rahinga toharite o ngā pereti toto.

He maha ngā taiwhanga e tāpiri ana i tētahi kōrero ina tohu te kaitātari i ngā pūtau rerekē, ā, ka tirohia pea e te tohunga toto, e te tohunga mate rānei tētahi paninga toto ā-taha kua pania ki te karuārai i raro i te karuārai. He whakamātautau motuhake te paninga e tukuna tahitia ana me te CBC, ehara i te wāhanga o te tatau aunoa.

He aha i mahia ai te hemogram CBC

• Aromatawai tohu: ngenge, kore manawa i te wā e mahi ana, te tere o te manawa, te kiri mā, te whanoke, te kirika tonu, te marō, te toto rānei kāore e whakamāramatia, ngā mate pāwera maha.
• Aromatawai mō te anemia: hei whakaū i te iti o te hemoglobin me te whakaahua i te tauira rahi o ngā pūtau whero, hei ārahi i te whakamātautau e whai ake nei.
• Te mate urutā me te mumura: Ko te maha o ngā pūtau ma me ngā tauira rerekētanga e tautoko ana, engari kāore e whakaū ana, i tētahi take kitakita, huaketo, pirinoa rānei.
• Te aroturuki i te pereti toto: i roto i te dengue, te thrombocytopenia ārai mate, te mate ate me mua i ētahi tikanga.
• Te aroturuki i ngā rongoā: Ka pā pea te chemotherapy, ngā rongoā ārai mate, ngā rongoā ārai tairoi, ētahi paturopi me ngā rongoā ārai mate haurangi ki ngā tatauranga toto.
• Te whakangungu i mua i te pokanga me te whakangungu i mua i te whakamoe.
• Te tiaki i te haputanga: te aroturukitanga o te hemoglobin me te pereti toto i ngā wā kua whakaritea e te tākuta whānau e rongoā ana.
• Ngā mate pukupuku toto e whakapaetia ana: Ka taea e te CBC te whakaara ake i te whakapae mō te mate pukupuku toto, te mate pukupuku lymphoma rānei; me arotake te whakamātautau toto, me whai i te rangahau pūtau wheua, me te rangahau hinu wheua rānei hei whakaū.

Ko wai me whiwhi i tēnei whakamātautau

• Mēnā he tohu kei a koe ngā tohu kua whakarārangihia i runga ake nei, ina tohua koe e te tākuta.
• Te hunga e pāngia ana e te paheketanga nui, roa rānei, me te hunga e mōhiotia ana he toto i roto i te puku, he puranga rānei o te toto i roto i te puku.
• Ngā wāhine hapu, hei wāhanga o te tiaki i mua i te whānautanga.
• Ngā pēpi, ngā tamariki me ngā taiohi e ngoikore ana te tipu, e kiri mā, e kore e hiahia kai, e pāngia ana rānei e ngā mate urutā, ina tohua.
• Ko te hunga e tango ana i ngā rongoā e mōhiotia ana ka pā ki te tokomaha o ngā toto, i te wā e whakaritea ana e tā rātou kaitohutohu.
• Ngā tāngata e pāngia ana e te mate tākihi mau tonu, te mate ate mau tonu, te mate pukupuku, te mate pūnaha ārai mate, te mate thalassemia, te mate pūtau maripi rānei e mōhiotia ana.
• Ngā kaituku toto me ngā tūroro i mua i te pokanga, hei wāhanga o te tirotiro.
• Ko te hunga he hītori whānau nō te thalassemia, nō te haemoglobinopathy rānei, e whakamahere ana kia hāpu, me ētahi atu whakamātautau motuhake.

He mea whakaurua hoki te CBC ki roto i ngā kete hauora o ia rā. He whakamātautau tirotiro whaitake tēnei, engari mēnā he hua noa te hua mō te tangata kāore he tohu, ehara i te mea kāore he tirotiro hauora e hiahiatia ana, ā, he maha ngā wā ka hiahiatia he tirotiro anō mō ​​te uara tata motuhake mō te tangata hauora.

Ngā mea kāore e taea te kite, te ārai rānei e te hemogram CBC

Koinei te wāhanga o te whakamātautau e tino hē ana te mārama. Ka tatau te CBC i ngā pūtau; kāore e whakamārama i a rātou.

• Kāore e taea te whakaū i te pūtake o te toto totoka. Ka taea e te korenga o te rino, te āhuatanga o te thalassemia, te anemia o te mate mau tonu me te pānga ki te mata te whakaputa i ngā toto toto iti. Me whakaū i te mate, me te ferritin, te hiko o te hemoglobin, te HPLC rānei, me te aromatawai haumanu.
• Kāore e taea te whakakore pono i te korenga o te rino. Ka pau pea ngā putunga rino i te toto, engari kei roto tonu te hemoglobin me te MCV i te awhe kua pūrongohia.
• Kāore e taea te whakakore i te korenga o te huaora B12, te waikawa folic rānei. Ka pā mai te korenga o te B12 i roto i te roro me ngā tohu toto whero noa, ā, ka taea e te korenga o te rino e noho tahi ana te huna i ngā toto whero nunui.
• Kāore e taea te whakakore i te āhuatanga thalassemia, te āhuatanga pūtau maripi rānei. E hiahiatia ana he rangahau hemoglobin motuhake; ehara te CBC noa i te tirotiro mō te āhua o te kaikawe.
• Kāore e taea te ārai i te mate urutā. He maha ngā mate kino, tae atu ki te mate kohi, te dengue, te typhoid me te sepsis tōmua, ka puta pea me te maha o ngā pūtau ma i roto i te toto. Kāore te CBC e tautuhi i te rauropi, i te wāhi rānei; me whai ahurea, whakamātautau serology, whakamātautau antigen rānei, me te whakaahua.
• Ehara i te whakamātautau toto totoka. Ahakoa he noa te tatau pereti toto, kāore e taea te whakakore i te hemophilia, te mate von Willebrand, ngā mate mahi pereti toto, ngā pānga rānei o ngā rongoā whakangawari toto. He whakamātautau motuhake te PT/INR, te APTT me ngā whakamātautau tauwehe motuhake, te whakamātautau mahi pereti toto rānei.
• Kāore e taea te whakakore i te mate pukupuku. He maha ngā wā ka kitea he CBC noa iho i ngā pukupuku totoka me te maha o ngā lymphoma. I tetahi atu taha, kāore e taea e te CBC te tautuhi i te mate toto totoka i a ia anō.
• Kāore e aromatawaihia te nui rawa o te rino, te mahi a te whatukuhu, te mahi ate, te mahi tairoi, te huka toto rānei.
• Kāore e tino wehewehea te mate kitakita mai i te mate huaketo.

Ki te haere tonu ō tohu ahakoa he CBC noa, me hoki atu ki tō tākuta. Mēnā he hua kino, he hua noa rānei, ka whakaahuahia te tauira i tātarihia i taua rā; kāore e whakakore i te mate.

Ngā whakamātautau e pā ana engari he rerekē

Ko te whakamātautau e puta tuatahi mai ana, kei runga i te raruraru haumanu. Mō te ngenge kāore i te mārama, ko te CBC te tīmatanga pai. Mō te āhua toto me te tatau pereti toto noa, ka ārahi te whakamātautau toto toto. Mō te tūnga kawe toto e whakapaetia ana i mua i te marena, i te haputanga rānei, ko ngā rangahau hemoglobin te whakamātautau e tika ana, ehara i te CBC anake. Mō te kirika me te ponana i te wā e noho tahi ana, he mea nui ngā whakamātautau motuhake ki te rauropi, pērā i te tatau.

Me pehea te whakarite

Ko ngā whakaritenga whakarite ka whakaritea e ia taiwhanga me ia pokapū kohikohi. Ko ngā tohutohu tuhituhi a tō wāhanga te mea nui ake i ngā aratohu whānui katoa i konei.

• nohopuku: kāore i te hiahiatia mō te CBC anake. Tērā pea ka tonoa te nohopuku mēnā kei roto te CBC me te hukahuka nohopuku, ngā ngako rānei.
• Nga rongoa me nga taapiri: Kōrero atu ki te tākuta e tono ana me te tohunga toto mō ngā rongoā katoa kua tohua, ngā tāpiringa rino, ngā tāpiringa huaora rānei, ngā hua AYUSH, ngā hua otaota rānei, me ngā tāpiringa whare takaro tinana. Kaua e mutu, e whakarerekē rānei i tētahi rongoā kua tohua kia "whiwhi hua pai ake", me kōrero tuatahi ki te kaiwhakatakoto rongoā.
• Te whakawhiti toto tata nei, te werohanga rino, te werohanga B12 rānei: whakahuatia, nā te mea ka whakarerekētia te āhua.
• Wai: Mā te inu wai noa ka māmā ake te kimi i ngā uaua. Ka taea e te matewai nui te whakanui ake i te maha o ngā tatau, ā, mā te nui rawa o te wai ka memeha ai.
• wā: Ka rerekē te tatau o ngā pūtau ma me ētahi atu i te roanga o te rā, ā, i muri hoki i te whakakori tinana taumaha, i te ahotea nui rānei; he pai ake te mahi i ngā whakamātautau raupapa i te wā kotahi.
• Clothing: mauria he ringaringa e ngāwari ana te pōkai.

Mena he mate huka tōu kei te rongoā whakaheke huka

Kaua e nohopuku mō ngā wā roa me te insulin, me te sulfonylurea rānei, me te kore he tohutohu mai i tō tākuta e rongoā ana, nā te mea kei te tūpono te hypoglycemia. Kāore e hiahiatia te nohopuku mō te CBC tonu. Kawea he puna huka.

Mena kei te pāngia koe e te ngoikore o te ngākau, te CKD matatau, te herenga wai rānei

Kaua e whakanuia te nui o te wai e inuhia ana hei "whakangāwari ake i te tangohanga". Kia mau ki te nui o te wai kua whakaritea e tō tākuta, e tō wāhanga dialysis rānei. Mena kei te dialysis koe, pātai atu mēnā me tango te tauira i mua, i muri rānei i te wā, nā te mea ka pā te wā ki ngā hua.

I te hapūtanga

Kāore e hiahiatia he nohopuku mō te CBC. He pai ake te karo i ngā tatari roa me te kore kai, me te kore wai. Mēnā kua hemo koe i te wā o te whakamātautau toto o mua, kōrero atu ki ngā kaimahi kia taea ai e koe te noho, te takoto rānei.

I roto i nga tamariki me nga kohungahunga

Kāore e tika ana te nohopuku roa mō ngā tamariki nohinohi. Me whakamahi he ngongo iti te rahinga. Kōrerotia ki ngā kaimahi mō te āhua o te toto, te uaua rānei o te tango i ngā toto o mua. Tērā pea ka rerekē ngā uara o ngā tauira wero rekereke o ngā pēpi hou i ngā tauira uaua.

Mena kei te tango koe i ngā rongoā whakaheke toto, kei te pāngia rānei koe e te mate toto

Me whakamōhio atu ki te tākuta phlebotomist kia roa ake te pēhanga i muri i te tangohanga o te ngira. Kaua e whakamutua te rongoā.

He aha ngā mea ka tupu i te wā o te whakamātautau, me te roa o te wā e pau ana

• Te takiuru me te tautuhi: kua manatokohia ō taipitopito me te puka tono.
• Whakatūnga: e noho ana koe, e takoto ana rānei; ka tāpirihia he tourniquet ki te ringa o runga.
• Te horoi me te poka: Ka horoia te kiri, ā, ka werohia he ngira parakore ki roto i te uaua, i te nuinga o te wā kei te tuke o roto. Mō ngā pēpi, ka taea te whakamahi i te wero rekereke, i te wero matihao rānei.
• Kohinga: Ka kohia he iti noa te toto ki roto i te ngongo EDTA, ā, ka ata whakaranua kia kore ai e totoka.
• Muri iho: Ka tangohia te ngira, ka pēhia ki te miro, ki te kākahu rānei mō te meneti, e rua rānei, ā, ka roa ake mēnā ka ngāwari te toto.

Te Roanga: kei roto te ngira i te uaua mō te iti iho i te meneti, ā, e 2-5 meneti te roa o te kohikohinga katoa. Me tumanako kia 15-30 meneti pea i te pokapū katoa, i runga i te rarangi. Ka oti te tatau i roto i ngā meneti o te taenga atu o te tauira ki te taiwhanga e ngā mīhini tātari hou; ki te hiahiatia he arotake ā-ringa, he mahi anō rānei, ka roa ake te pūrongo. Pātai atu ki tō pokapū kohikohi me pēhea te mahi a ā rātou pūrongo.

Kāore he wā whakaora e hiahiatia ana. Ka taea e koe te kai, te taraiwa me te hoki ki ngā mahi o ia rā tonu. Kaua e hiki taumaha ki taua ringa mō ētahi haora, ā, kia ma tonu te wāhi e whara ana.

Te mārama ki tō pūrongo CBC

Pānuihia tō pūrongo ki te wā tohutoro kua tāia ki taua pūrongo. He rerekē ngā wā tohutoro i waenga i ngā taiwhanga, i waenga i ngā kaitātari, me te tau, te ira tangata, te āhua o te hāputanga me te teitei. Kaua ngā uara i roto i tētahi tuhinga ipurangi e whakamahia hei aromatawai i tō ake pūrongo. Ko te tākuta anake i tono i te whakamātautau ka taea te whakamārama i roto i tō horopaki haumanu.

Ngā tawhā pūtau whero

• Te toto toto me te toto toto tiketike: Ko ngā uara iti e tohu ana i te toto toto iti. Ka inehia e te CBC; kāore e whakamāramahia. Ko ngā uara teitei ake ka whakaatu pea i te matewai, te momi hikareti, te mate pūkahukahu, te mate ngākau mau tonu, te noho ki ngā teitei, te mate pūkahukahu tuatahi rānei.
• MCV: Ko te MCV iti (microcytic) e tohu ana i te korenga o te rino, te āhuatanga thalassemia, te anemia rānei o te mate mau tonu. Ko te MCV teitei (macrocytic) e tohu ana i te korenga o te B12, te folate rānei, te whakamahi waipiro, te mate tairoi, ētahi mate hinu rānei. Kāore te MCV noa e whakakore i tētahi o ngā raruraru, ā, ka taea e ngā ngoikoretanga whakauru te whakaputa i te toharite āhua noa.
• RDW: he ine i te rerekētanga o te rahi o te pūtau. Ahakoa kāore i te pono, he tohu nui ake te pikinga o te RDW mō te korenga o te kai, kaua ki te āhuatanga o te thalassemia. He tohu noa iho tēnei, ehara i te tautuhi mate.

Ngā tawhā pūtau mā

• Te tapeke kua piki ake: tērā pea he tohu i te mate kitakita, te mumura, te whara o te kiko, te rongoā corticosteroid, te momi hikareti, te whakakori tinana uaua tata nei, te haputanga, te ahotea rānei. Me tere te aromatawai i te toto ina nui rawa ngā pūtau rerekē me te nui o ngā pūtau.
• Te tapeke iti: tērā pea ka whai i te mate huaketo, ētahi rongoā, mate pūnaha ārai mate, mate hinu wheua, mate pūkahukahu rānei. He iti ake te maha o ngā neutrophil i roto i ētahi tāngata hauora.
• Ngā tauira rerekētanga: He maha ngā wā ka haere tahi te nui o ngā neutrophils me te mate huakita; he maha ngā wā ka haere tahi te nui o ngā lymphocyte me te mate huaketo; ko te pikinga o ngā eosinophils he hononga pea ki te mate pāwera, te mate huango, te mate pirinoa rānei, e kitea tonutia ana i ētahi wāhi o Īnia. He hononga ēnei, ehara i te taunakitanga.

Tatauranga peera

• Raina: Ko ētahi o ngā take ko te dengue me ētahi atu mate huaketo, te thrombocytopenia ārai mate, ngā pānga o te rongoā, te mate ate mau tonu me te whēkau nui, me ngā mate hinu wheua. He mea nui, ko te puranga o ngā pereti toto i roto i te ngongo EDTA ka puta he tatau iti teka.
• Teitei: he urupare tauhohe ki te mate urutā, te mumura, te korenga o te rino, te toto, te tango rānei i te ate; he iti ake te maha he mate tuatahi o te hinu wheua.

Ka rerekē ngā hua i runga i ngā āhuatanga haumanu takitahi. He maha ngā wā ka puta he uara kotahi kāore i te tino rerekē i roto i te tangata hauora i mua i te mahi i tētahi atu mea.

Ina he te āhua o ngā hua o te CBC

Ngā uara ka taea te whakaara ake i runga i te hē

• Te toto toto me te toto toto tiketike: te matewai, te roa o te wā e whakamahia ana te toriniketi, te kume i te ringa i te wā e tangohia ai te wai, te kohi tauira rānei i roto i te tūroro matewai.
• Te maha o ngā pereti: ngā pūtau whero pakarukaru, ngā matūriki rānei i tatau hētia e te kaitātari.
• Te maha o ngā pūtau mā: te whakakori tinana kaha o nā tata nei, te ahotea nui, ngā corticosteroids, te haputanga, te momi hikareti, ngā pūtau whero kua whai pūtake rānei e tatauhia ana he pūtau ma e ngā taputapu tātari tawhito.
• MCV: ngā agglutinins matao, te pupū rānei o ngā pūtau whero; te whakaroa i mua i te tātaritanga, ka pupuhi ai ngā pūtau.

Ngā uara ka taea te whakaheke hē

• Te maha o ngā pereti: Ko te pupūtanga o ngā pereti toto i puta mai i te EDTA (pseudothrombocytopenia), he tauira kua totoka te wāhanga, he ngongo rānei kāore i te tino kī. He take noa tēnei mō te pūrongo pereti toto whakamataku i roto i te tangata hauora, ā, ko te tauira tuarua i roto i te ngongo citrate me te arotakenga paninga ka whakatau i te nuinga o te wā.
• Hemoglobin: he tauira i tino whakaranua, he tauira i tangohia mai i tētahi peka me te werohanga ā-uaua, he nui rawa rānei te wai i hoatu.
• Ngā tatauranga katoa: he tauira kua totoka, he ngongo hē, he roa rānei te whakaroa o te kawe.

Ngā hua he tika te hangarau engari he ngāwari te pānui hē

• Te whakawhiti toto tata nei ka huri i te ahua o ngā pūtau whero, ā, ka taea te huna i te tauira kei raro.
• I tīmatahia ngā tāpiringa rino, B12 rānei i mua i te whakamātautau ka taea te whakarite i ngā taupū i te mea e mau tonu ana te ngoikoretanga me tōna pūtake.
• Te noho tahi o te korenga o te rino me te korenga o te B12 ka taea te homai he MCV noa iho.
• Te wa hapu i te nuinga o te wā ka whakaiti i te hemoglobin mā te whakananutanga, ā, ka whakapiki mārire i ngā toto toto mā; ka whai mana ngā awhe motuhake mō te hapūtanga.
• Mate pāwera, mumura rānei ka taea te pehi i te hemoglobin ahakoa te kai.
• Whare noho teitei ka whakapiki i ngā uara hemoglobin noa.

Ki te kore te hua e rite ki ō kare ā-roto, me kōrero ki tō tākuta. Ko te whakahoki anō i te whakamātautau te mahi tika i muri mai.

Ngā mōrearea me te haumaru

Te whakaheke toto i roto i ngā uaua i roto i ngā pakeke

He onge ngā raruraru, ā, he iti noa iho: he mamae poto, he maru iti, he ngawari rānei ki te wāhi i werohia. Ka pā pea te ngoikore, te pōuri rānei, he maha ake ngā wā i roto i ngā pakeke taitamariki, te hunga e manukanuka ana, me te hunga kāore anō kia kai. Kōrero atu ki ngā kaimahi i mua mēnā kua hemo koe i te wā o te whakamātautau toto i mua. He onge te mate pāwera ā-rohe me te riri o ngā io. He nui ake te tūponotanga o te maru i runga i ngā rongoā anticoagulant, antiplatelets, me te mate toto rānei.

Te werohanga o te rekereke, te maihao rānei i roto i ngā pēpi me ngā tamariki nohinohi

He poto noa te mamae. Ka puta pea he marō, ā, he onge noa iho, ka pāngia te tinana e te mate. Ka mamae pea te tinana mēnā ka werohia te rekereke o ngā pēpi hou. Ka iti noa te rahinga o ngā tauira mō ngā pēpi hou me ngā pēpi.

Ka kumea mai i tētahi rārangi pokapū, i tētahi tauranga rānei

Mā ngā kaimahi whakangungu anake ēnei e mahi, ā, he iti noa te mōrearea o te pangia o te raina, o te aukati rānei. Tērā pea ka memeha haere ngā tauira i tangohia mai i te wai e rere ana i te raina, ā, kāore e pono.

He iti te nui o te toto e tangohia ana mō te whakamātautau toto iti (CBC), ā, kāore e puta te toto ngoikore i roto i te tangata hauora, ahakoa he mea āta whakawhāiti te whakamātautau auau i roto i ngā tūroro noho me ngā pēpi nohinohi.

Nga ahuatanga motuhake

Te wa hapu

I te nuinga o te wā ka heke te haemoglobin i te wā e hapu ana nā te mea ka nui haere te rahinga o te plasma; ka whakamahia ngā wā tohutoro motuhake mō te haputanga. Ka whakamahia te CBC hei kite i te anemia, hei aroturuki i ngā platelets i roto i ngā āhuatanga pēnei i te pre-eclampsia, hei ārahi i te whakahaere rino me te folate, ko ngā mea katoa i whakatauhia e te tīma whānau. Ehara te CBC i te whakamātautau ira i mua i te whānautanga, ā, kāore he mahi ultrasound, he mahi whakatau ira rānei i mua i te whānautanga e whai wāhi ana.

tamariki

Ka rerekē haere ngā uara noa o te hemoglobin, te toto mā, me ngā pūtau toto totohu mai i te whānautanga tae noa ki te taiohitanga, nō reira me whakamahi i ngā awhe tamariki. He mea noa te rerekētanga nui o ngā pūtau toto totohu i te wā kōhungahunga. He mea noa te korenga o te rino i roto i ngā pēpi me ngā tamariki nohinohi Inia; ko te aromatawai kai me ngā whakamātautau atu ka ārahihia e te tākuta tamariki.

Nga pakeke

Kaua te koroheketanga e kīia ai he toto toto iti te toto i roto i te kaumātua. He tohu tēnei i te ngaronga o te toto, te mate tākihi, te mate hinu wheua, te korenga rānei o te kai, ā, me tirotirohia.

Ngā tāngata e mate huka ana i runga i te rongoā

Kāore e hiahiatia he nohopuku mō te CBC; karohia ngā nohopuku roa kāore e tika ana. Ka taea e te mate tākihi e pā ana ki te mate huka te whakaheke i te hemoglobin, ā, ka taea te aroturuki i te CBC me ngā whakamātautau tākihi.

Nga mate pukupuku

He mea noa te mate toto iti i te mea ka heke te mahi a te whatukuhu, ko te nuinga nā te hekenga o te erythropoietin. Ka whakamahia te CBC mō te aroturuki, he maha ngā wā me ngā rangahau rino, me te wā e pā ana ki ngā take dialysis.

Ko te ngoikore o te ngakau

He mea noa te kore toto me te kore rino, ā, ka kino ake ngā tohu. Ka taea e ngā panonitanga e pā ana ki te waikura te neke ake, te heke rānei i ngā pānui hemoglobin me te hematocrit, koia te take he mea nui ake ngā au i ngā uara takitahi. Kaua e whakarerekē i te inu wai, i ngā horopeta waikura rānei hei whakarite mō te whakamātautau.

Te rongoā mate pukupuku me te pehi i te pūnaha ārai mate

Ka tirohia ngā tatau i runga i tētahi wātaka kua whakaritea e te tīma rongoā hei ārahi i te wā chemotherapy me te kite i te iti o te maha o ngā neutrophil, o ngā pereti toto rānei. He āhuatanga ohorere te kirika me te iti o te maha o ngā neutrophil.

Te mate thalassemia, te mate pūtau maripi rānei e mōhiotia ana

He rerekē ngā tatau turanga i ngā wā tohutoro whānui. Me whakamahi te whakamaoritanga i ō ake uara o mua, ā, me te whakamāramatanga e te tākuta e mōhio ana ki te mate.

Ko te hemogram CBC i roto i te horopaki Inia

• He whānui te mate toto iti. I roto i te Rangahau Hauora Whānau ā-Motu-5 (2019-21) o Īnia, i kitea he nui te horapa o te mate toto iti i roto i ngā wāhine o te tau whānau, ngā tamariki me ngā kōtiro taiohi, koia te take he mea noa te whakamātautau hemoglobin i roto i ngā mahi haumanu o Īnia.
• Me āta tiaki te microcytosis, kaua te rino whakaata. He mea noa te mate beta-thalassemia me ētahi atu haemoglobinopathies i roto i ētahi hapori Inia. Ko te MCV iti me te maha o ngā toto whero he mea noa, he nui rānei, ka tohu pea i te mate, ehara i te korenga o te rino. He mea nui te whakaū i te take i mua i te tāpiringa rino mō te wā roa, ā, ko tō tākuta te whakatau.
• Te Dengue me ngā pereti toto. I ngā marama ua me ngā marama i muri i te ua, ka whakaritea whānuitia te tatau i ngā pereti toto. Kāore te tatau i ngā pereti toto anake e whakatau i te mea nui ake o te maimoatanga, te ia o te hematocrit, ngā tohu whakatūpato me te āhua haumanu, ā, kāore e hiahiatia te whakawhiti pereti toto nā te mea he iti noa te tatau.
• Te malaria me ētahi atu mate pirinoa. Me whai whakaaro koe ki te iti o ngā pereti toto me te kirika; kāore e taea e te CBC te kite i ngā pirinoa, nō reira me whai whakamātautau parāoa, whakamātautau tere rānei mō te antigen.
• Te rongoā ārai-kohi me ētahi atu rongoā. I ētahi wā ka aroturukitia ngā tatau toto i te wā e rongoatia ana mō te mate kohi me ētahi atu rongoā roa, me ngā whakamātautau ate e ai ki ngā tohutohu.
• Ngā tāpiringa me ngā hua otaota. Ka pāngia te toto me te ate e ngā rongoā AYUSH, ngā tāpiringa whakapakari tinana me ngā rongoā whakapakari tinana ka hokona kore-tohu. Whakapuakina ngā mea katoa e tangohia ana e koe.
• Te korenga o te kai B12 e kitea pinepine ana i roto i ngā kai huawhenua, ā, ka noho tahi pea me te korenga o te rino.
• Te tūmataitinga o ngā raraunga. He raraunga hauora whaiaro ngā pūrongo taiwhanga; ko te whakahaere a ngā hōhipera me ngā taiwhanga i Inia kei raro i te Ture Tiaki Raraunga Whaiaro Mamati, 2023. Pātai atu me pēhea te tiritiri me te penapena i tō pūrongo.

Te utu me te inihua i Inia

Ko te ine toto toto CBC tētahi o ngā whakamātautau taiwhanga iti rawa te utu e wātea ana i Inia. Ko ngā utu he rau rau rūpī i ngā pokapū kohikohi takitahi, ā, he rerekē rawa i waenga i ngā tāone, ngā taiwhanga me ngā wāhanga hōhipera. Ko ngā tatauranga tohu anake, me whakaū tika i te utu o nāianei ki te taiwhanga i mua i te whakamātautau.

He aha te mea e whakarerekē ana i te utu

• Momo whare: he taiwhanga motuhake, he pokapū tātaritanga mekameka, he hōhipera tuatoru rānei.
• Whakatairite: He iti ake te utu mō te whakamātautau CBC i roto i te kete tirotiro hauora i te mea ka tonoa takitahi.
• Tāpiri-ake: ka utua motuhaketia te arotake paninga ā-ringa, te tatau reticulocyte, te ESR, te CRP rānei.
• Kohinga kāinga: he maha ngā wā ka puta he utu tāpiri.
• Tere: tērā pea ka nui ake te utu mō ngā tukatuka matua, ngā tukatuka rānei i muri i ngā hāora mahi.
• Whaimana: Tērā pea he rerekē te utu mō ngā taiwhanga kua whakamanahia e te NABL.

Insurance

• Ko ngā whakamātautau tātaritanga tūroro o waho kāore e hipokina e te inihua hauora paerewa mēnā kāore i roto i te kaupapa here he painga OPD, he painga tirotiro hauora rānei.
• Ina whakaurua koe ki te hōhipera, ko te whakamātautau CBC e mahia ana hei wāhanga o te tiaki tūroro ka hipokina i roto i te kereme whakauru, i raro anō i ngā tikanga o te kaupapa here.
• He maha ngā wā ka whakaurua he CBC ki ngā tirotiro hauora i mua i te whakaurunga o ngā kaupapa here me ngā kaupapa oranga o te kaituku mahi.
• I roto i ngā horopaki maha, ka whakaratohia e ngā kaupapa kāwanatanga me ngā hōhipera tūmatanui te whakamātautau mō te utu tautoko, te kore utu rānei.

Ngā pūrākau me ngā meka

Pātai auau

He aha ngā āhuatanga ka taea e te ine toto CBC te āwhina ki te tautuhi?

Mā te CBC ka āwhina i te tautuhi i te anemia, te pikinga, te hekenga rānei o te maha o ngā pūtau ma, me te maha o ngā pereti toto rerekē. Ka tautokohia e ēnei kitenga te aromatawai i ngā mate pāwera, te mumura, te korenga o te kai, te hiahia ki te toto me ētahi mate pukupuku toto. E tohu ana te CBC i tētahi tauira, kaua i tētahi tātaritanga, nō reira me whai whakamātautau anō hei whakatau i te take.

Me nohopuku ahau i mua i te whakamātautau toto toto CBC?

Kāore te nohopuku e hiahiatia ana mō te CBC anake. Ka puta ngā tohutohu nohopuku ina whakahaua te CBC me ngā whakamātautau huka nohopuku, te insulin, te lipid rānei. Whāia ngā tohutohu tuhituhi mai i tō taiwhanga. Mena kei te tango koe i te insulin, i te sulfonylurea rānei, me whakapā atu ki tō tākuta i mua i te nohopuku mō tētahi whakamātautau.

Kia pēhea te roa o te whakamātautau CBC?

E rua ki te rima meneti te roa o te kohikohinga toto, ā, ko te werohanga o te ngira ki roto i te uaua mō raro iho i te meneti. Tukua kia 15 ki te 30 meneti te roa ki te pokapū tae atu ki te rēhitatanga. Ka puta ngā hua i roto i ngā meneti o te taenga mai o te tauira, ahakoa he rerekē ngā wātaka pūrongo i waenga i ngā taiwhanga.

Ka taea e ngā rongoā te whakarerekē i aku hua CBC?

Āe. Ka pāngia pea te tataunga e ngā corticosteroids, te chemotherapy, ētahi paturopi, ngā rongoā ārai-haurangi, ngā rongoā ārai-tairoiro me ngā rongoā ārai-pūnaha. Ka taea e te rino, te huaora B12 me ngā tāpiringa folate te whakarerekē i ngā tohu toto whero. Kōrerotia ki te tākuta tono ngā mea katoa e tangohia ana e koe, tae atu ki te AYUSH me ngā tāpiringa whare takaro, ā, kaua rawa e mutu te rongoā kua tohua me te kore e pātai atu ki te kaiwhakatakoto tohu.

He aha te tikanga o te iti o te maha o ngā pūtau toto ma?

Tērā pea ka iti te tatau i muri i tētahi mate huaketo tata nei, ētahi rongoā, mate pūnaha ārai mate, he whēkau nui, he mate wheua wheua rānei. He iti iho te tatau o ngā neutrophil i ētahi tāngata hauora. He maha ngā wā ka whakahokia te tatau iti kotahi i mua i te whakamātautau anō. Me aromatawai ohorere te kirika me te tatau iti i te wā o te chemotherapy.

I tino iti te maha o ngā pereti toto i roto i taku toto, engari kei te pai ahau. He aha te mahi inaianei?

Ko te piri o ngā pereti toto i roto i te ngongo kohi he tino take e mōhiotia whānuitia ana mō te iti o te tatau. He maha ngā wā ka whakaūhia e ngā taiwhanga te hua i runga i te paninga ā-taha, i te tauira tuarua rānei i roto i tētahi atu ngongo. Whakapā atu ki tō tākuta i taua rā anō kia taea ai te manatoko i te hua me te aromatawai i ngā tino take.

Kia pēhea te auau o te mahi i te CBC?

Kāore he wā ā-ao. Mō te pakeke ora, ka taea te whakauru i te CBC ki roto i tētahi tirotiro hauora ā-wā. I te wā e rongoatia ana ki te chemotherapy, ki ētahi rongoā roa rānei, ka taea te whakamātautau ia wiki, ia marama rānei. Mō te haputanga, te mate tākihi mau tonu, te mate toto toto tiketike rānei, ka whakatakotohia e te tākuta e rongoā ana te kaupapa.

He haumaru te CBC mō ngā tamariki me te wā e hapu ana?

He mea noa te tango toto i ngā rōpū e rua, ā, he onge ngā raruraru, he mamae poto noa iho, he maru iti rānei. Ka whakamahia ngā ngongo iti mō ngā pēpi, ā, me whakamahi ngā wā tohutoro motuhake mō ngā tamariki, mō ngā hapūtanga rānei hei whakamārama.