Kuongororwa kweCBC (Kuwanda Kweropa Kwakakwana) / Hemogram: Zvainoratidza, Zvaisingakwanise, uye Maitiro Ekuverenga Mushumo Wako

Key tora kutora

• Zvainoyera: hemoglobin, huwandu hwemasero matsvuku uye maindices (MCV, MCH, MCHC, RDW), huwandu hwemasero machena ese uye akasiyana, uye huwandu hwemaplatelet.
• Zvarinoreva, kwete zvinoratidza: CBC inoratidza maitiro, haiwanzo taura chikonzero chega.
• Zvaisingakwanise kuita: CBC haigone kusimbisa kushomeka kwesimbi, hunhu hwethalassemia, kushomeka kwevhitamini B12, matambudziko ekuvhara ropa kana nzvimbo yehutachiona.
• Zvakajairika zvinonyaradza, hazvigumisi pachena: Zviratidzo zvinoramba zvichiitika neCBC yakajairika zvichiri kuda kuongororwa.
• Rutivi rweIndia: Nekuti thalassemia trait uye iron-deficiency anemia zvese zvakajairika muIndia, MCV yakaderera paCBC inoda danho rinotevera rekufungidzirwa pane mapiritsi esimbi otomatiki.

Pakuona

Uyewo anozivikanwa se

• Hemogram / haemogram
• CBC ine musiyano; CBC neESR (kana zvikarairwa pamwe chete, izvi zviedzo zvakasiyana)
• Kuongororwa kweropa, "kuongororwa kweropa reHb"
• "Khoon ki jaanch" / "HB bvunzo" mukushandiswa kwezuva nezuva kweIndia
• TLC neDLC (huwandu hwese uye hwakasiyana hwema leukocyte), ma parameter akashumwa mukati meCBC
• Kuwanda kwemaplatelet, kwakataurwa mukati meCBC, kunowanzo bvunzwa zvakasiyana panguva yedengue

Chii chinonzi CBC hemogram

CBC hemogram iongororo yeropa diki inoongorora otomatiki inoyera masero matatu anogadzirwa nemongo wemapfupa.

• Masero matsvuku: hemoglobin (Hb), huwandu hwemasero akazara kana kuti haematocrit, huwandu hwemasero matsvuku, MCV (avhareji yehukuru hwemasero matsvuku), MCH neMCHC (huwandu hwehemoglobin uye huwandu), uye RDW (kuchinja kwehukuru hwemasero matsvuku).
• Masero machena: huwandu hwese pamwe chete nehukuru hwakasiyana, ma neutrophils, ma lymphocytes, ma monocytes, eosinophils uye basophils.
• Maplatelet: huwandu hwemaplatelet, dzimwe nguva neavhareji yehuwandu hwemaplatelet.

Marabhoritari mazhinji anowedzera mashoko kana muchina wekuongorora ropa ukaona masero asina kujairika, uye chiremba weropa kana chiremba wezvirwere anogona kuongorora ropa rakacheneswa pasi pemaikorosikopu. Smear iyi iongororo yakasiyana inoshumwa pamwe chete neCBC, kwete chikamu chekuverengwa kwemasero.

Nei CBC hemogram yaitwa

• Kuongororwa kwezviratidzo: kuneta, kushaya mweya panguva yekushanda nesimba, kurova kwemoyo zvakanyanya, kucheneruka, dzungu, fivha inoramba ichidzoka, mavanga kana kubuda ropa zvisina tsarukano, hutachiona hunowanzoitika.
• Kuongororwa kweanemia: kusimbisa hemoglobin yakaderera uye kutsanangura maitiro ehukuru hwemasero matsvuku, izvo zvinotungamira bvunzo inotevera.
• Utachiona uye kuzvimba: Kuwanda kwemasero machena uye mapatani akasiyana anotsigira, asi hazvitsigire, chikonzero chebhakitiriya, hutachiona kana tupukanana.
• Kuongororwa kwemaplatelet: mu dengue, immune thrombocytopenia, chirwere chechiropa uye usati watanga mamwe maitiro.
• Kuongororwa kwemishonga: mishonga yekurapa, mishonga inodzvinyirira immune system, mishonga inorwisa thyroid, mimwe mishonga inorwisa mabhakitiriya uye mishonga inorwisa epileptics zvinogona kukanganisa huwandu hweropa.
• Kugadziriswa kwemuviri usati wavhiyiwa uye usati wanzwa marwadzo.
• Kutarisirwa kwepamuviri: Kuongororwa kwe hemoglobin uye maplatelet panguva nenguva kunosarudzwa nachiremba wezvekubereka ari kurapa.
• Zvinofungidzirwa kuti kenza yeropa: CBC inogona kukonzera fungidziro yekuti pane leukaemia kana lymphoma; kusimbiswa kunoda kuongororwa kwesmear, flow cytometry, kudzidza bone marrow kana biopsy.

Ndiani anofanira kuongororwa uku?

• Munhu wese ane zviratidzo zvakanyorwa pamusoro apa, kana akaudzwa nachiremba.
• Vanhu vane kuenda kumwedzi kwakanyanya kana kwenguva yakareba, uye vanhu vane ropa rinozivikanwa rekubuda mudumbu kana kuti vane matumbu akawanda.
• Vakadzi vane pamuviri, sechikamu chekutarisirwa kwevana vasati vaberekwa.
• Vacheche, vana nevechiri kuyaruka vane kukura kusina kunaka, kucheneruka, kusada kudya kana hutachiona hunodzokororwa, kana vakapihwa zano.
• Vanhu vari kutora mishonga inozivikanwa kuti inokanganisa huwandu hweropa, panguva imwe chete vachitora mishonga yavo yekurapa.
• Vanhu vane chirwere cheitsvo chisingaperi, chirwere chechiropa chisingaperi, kenza, chirwere che autoimmune, kana chirwere chinozivikanwa chethalassemia kana sickle cell disorder.
• Vanopa ropa nevarwere vasati vavhiyiwa, sechikamu chekuongororwa.
• Vanhu vane nhoroondo yemhuri ye thalassemia kana imwe hemoglobinopathy vari kuronga kubata pamuviri, kazhinji vanopihwa mimwe miedzo chaiyo.

Kuongororwa kweCBC kunowanzo verengerwawo mumapakeji ehutano akajairika. Iyi bvunzo inonzwisisika, asi mhedzisiro yakajairika pamunhu asina zviratidzo hazvirevi kuti hapana kumwe kuongororwa kwehutano kunodiwa, uye kukosha kwega kwega mumunhu akagwinya kazhinji hakudi chimwe chinhu kunze kwekudzokorora.

Izvo CBC hemogram isingakwanise kuona kana kubvisa

Ichi ndicho chikamu chisina kunyatsonzwisiswa chebvunzo. CBC inoverenga masero; haitsananguri iwo.

• Hazvigone kusimbisa chikonzero chekushaya ropa. Kushaikwa kwesimbi, hunhu hwethalassemia, kushayiwa kwesimbi kwechirwere chisingaperi uye kubatwa ne lead zvinogona kugadzira masero matsvuku madiki. Kusimbiswa kunoda zvidzidzo zveferritin nesimbi, hemoglobin electrophoresis kana HPLC, uye kuongororwa kwekiriniki.
• Hazvigone kubvisa kushomeka kwesimbi nenzira yakavimbika. Matura esimbi anogona kupera nepo hemoglobin neMCV zvichiri mukati mehuwandu hwakataurwa.
• Hazvigone kubvisa kushomeka kwevhitamini B12 kana folate. Kushaikwa kweB12 mutsinga kunogona kuitika kana paine zviratidzo zvemasero matsvuku zvakajairika, uye kushomeka kwesimbi panguva imwe chete kunogona kuvharira masero matsvuku makuru.
• Hazvigone kubvisa hunhu hwethalassemia kana hunhu hwesickle cell. Zvidzidzo zvakananga zve hemoglobin zvinodiwa; CBC yakajairika haisi bvunzo yemamiriro ehutachiona.
• Hazvigone kubvisa hutachiona. Zvirwere zvakawanda zvakakomba, zvinosanganisira TB, Dengue, Typhoid uye Early Sepsis, zvinogona kuitika kana paine masero machena akawanda. CBC haizive kuti ndeapi kana kuti ndeapi; inoda cultures, serology chaiyo kana kuti antigen tests, uye mifananidzo.
• Haisi bvunzo yekugwamba kweropa. Kuwanda kwemaplatelet mumuviri hakubvisi ropa rakawanda, chirwere chevon Willebrand, kusashanda zvakanaka kwemaplatelet kana mhedzisiro yezvinoderedza ropa. PT/INR, APTT uye bvunzo dze specific factor kana platelet-function bvunzo dzakasiyana.
• Hazvigone kubvisa kenza. Mabundu akaomarara uye akawanda elymphomas anowanzo ratidza CBC yakajairika. Kusiyana neizvi, CBC haigone kuona leukaemia yoga.
• Haiongorore huwandu hwesimbi, mashandiro eitsvo, mashandiro echiropa, mashandiro ethyroid kana shuga yeropa.
• Hazvinyatso kusiyanisa chirwere chebhakitiriya nehutachiona.

Kana zviratidzo zvako zvikaramba zvichienderera mberi pasinei neCBC yakajairika, dzokera kuna chiremba wako. Mhedzisiro isina kunaka kana yakajairika inotsanangura sampuli yakaongororwa pazuva iroro; hazvibvisi chirwere.

Bvunzo dzakabatana asi dzakasiyana

Kuongororwa kupi kunotanga zvichienderana nedambudziko rekiriniki. Kune kuneta kusingatsananguriki, CBC inowanzova pokutangira zvine musoro. Kune munhu anobuda ropa nenhamba yeplatelet yakajairika, kuyedzwa kwekuonda kunotungamira. Kune munhu anofungidzirwa kuti ane chirwere ichi asati aroora kana kuti ane pamuviri, zvidzidzo zve hemoglobin ndizvo bvunzo dzakakodzera, kwete CBC chete. Kune fivha ine mapundu mumwaka wechirwere, bvunzo dzemuviri dzakakosha sekuverenga.

Maitiro ekugadzirira

Zvinodiwa pakugadzirira zvinogadzwa nerabhoritari yega yega nenzvimbo dzekutora zvinhu. Mirayiridzo yakanyorwa yeyuniti yako ndiyo inonyanya kukosha pane chero gwara ripi zvaro pano.

• Kutsanya: Kazhinji hazvidikanwi paCBC chete. Kutsanya kunogona kukumbirwa kana CBC yakasanganiswa neglucose yekutsanya kana mafuta.
• Mishonga uye zvinowedzera: Udza chiremba ari kukumbira mushonga uyu nenyanzvi yezvirwere zvepfungwa nezvemishonga yese yakanyorerwa nachiremba, mishonga yesimbi kana mavhitamini, mishonga yeAYUSH kana yemishonga yemishonga, uye mishonga yekurovedza muviri. Usamira kana kuchinja chero mishonga yakanyorerwa nachiremba kuti "uwane mhinduro yakachena", tanga wataura nenyanzvi yekurapa.
• Kuwedzerwa ropa munguva pfupi yapfuura, kubaiwa simbi kana kubaiwa B12: taura nezvazvo, sezvo izvi zvichichinja mufananidzo.
• Mvura: Kunwa mvura yakawanda kunoita kuti tsinga iwanikwe zviri nyore. Kushaya mvura yakakwana mumuviri kunogona kuita kuti huwandu hweropa huonekwe hwakakwira uye kunwa mvura yakawanda mumuviri kunogona kudzikisa.
• nguva: Kuwanda kwemasero machena nezvimwe zvinhu zvinosiyana mukati mezuva uye mushure mekurovedza muviri zvakanyanya kana kushushikana kwakanyanya; bvunzo dzakatevedzana dzinoitwa zvakanaka panguva imwe chete.
• Nguo: pfeka jira rinomonereka zviri nyore.

Kana uine chirwere cheshuga uri pakurapwa kuderedza shuga yeropa

Usatsanye kwenguva yakareba uchinwa insulin kana sulfonylureas usina kurayirwa nachiremba wako, nekuda kwenjodzi yekuderera kweglucose mumuviri. CBC pachayo haidi kutsanya. Iine glucose inobva mumuviri.

Kana uine chirwere chemwoyo, CKD yakanyanya kana kuti une dambudziko remvura mumuviri

Usawedzera mvura yaunonwa kuti "ita kuti kudhonza kuve nyore". Ramba uri mukati menguva yakatarwa nachiremba wako kana kuti nechikamu che dialysis. Kana uri pa dialysis, bvunza kana sampuli yacho inofanira kutorwa usati watanga kana kuti mushure menguva, sezvo nguva ichikanganisa mhedzisiro.

Mune pamuviri

Hapana kutsanya kunodiwa kune CBC. Kumirira kwenguva refu usina chikafu kana mvura ndiko kwakanakisisa kudzivirirwa. Udza vashandi kana wakambofenda panguva yekuongororwa ropa kare kuitira kuti ugone kugara pasi kana kurara pasi.

Muvana nevacheche

Kutsanya kwenguva refu hakuna kukodzera vana vadiki. Chubhu diki inofanira kushandiswa. Udza vashandi nezvedambudziko rekubuda ropa kana kudhonzwa kwakaoma kare. Sampuli dzekubaya chitsitsinho muvana vacheche dzinogona kupa hunhu hwakasiyana zvishoma nesampuli dzetsinga.

Kana ukatora mishonga inobvisa ropa rakawanda kana kuti uine chirwere chekubuda ropa

Udza chiremba wephlebotomist kuitira kuti akwanise kumanikidzwa kwenguva yakareba mushure mekunge tsono yabviswa. Usarega mushonga iwe pachako.

Chii chinoitika panguva yebvunzo uye kuti zvinotora nguva yakareba sei

• Kunyoresa uye kuzivikanwa: Ruzivo rwako nefomu rekukumbira zvasimbiswa.
• Positioning: ukagara kana kurara pasi; tambo inoiswa paruoko rwepamusoro.
• Kuchenesa uye kuboorwa: ganda rinocheneswa uye tsono isina utachiona inopinzwa mutsinga, kazhinji pagokora remukati. Muvana vacheche, kubaiwa chitsitsinho kana kuti chigunwe kunogona kushandiswa.
• Kuunganidza: Ropa diki rinodhonzwa muchubhu yeEDTA rosanganiswa zvinyoro nyoro kuitira kuti risagwambe.
• Pashure: tsono yacho inobviswa uye kudzvanywa kwayo kunoiswa nedonje kana gauze kwemaminitsi maviri, zvichireva kuti inodarika kana uchibuda ropa zviri nyore.

Nguva: tsono inowanzova mutsinga kweinenge miniti, uye muunganidzwa wese unotora maminetsi angangoita 2-5. Tarisira maminetsi angangoita 15-30 pakati pese, zvichienderana nemitsara. Vaongorori vemazuva ano vanopedzisa kuverenga mukati memaminitsi ekuti sampuli isvike murabhoritari; kana zvichidikanwa kuti uongorore kana kuti udzokorore, mushumo unotora nguva yakareba. Bvunza nzvimbo yako yekuunganidza kuti mishumo yavo inoshanda sei.

Hapana nguva yekupora inodiwa. Unogona kudya, kutyaira mota wodzokera kumabasa ako enguva dzose ipapo ipapo. Dzivisa kusimudza zvinhu zvinorema neruoko irworwo kwemaawa mashoma uye chengeta nzvimbo yacho yakachena.

Kunzwisisa mushumo wako weCBC

Verenga mushumo wako uchienzanisa nenguva yekutarisa yakadhindwa pamushumo iwoyo chaiwo. Nguva dzekutarisa dzinosiyana pakati pemarabhoritari, pakati pevanatsiri, uye nezera, murume kana mukadzi, mamiriro epamuviri uye kureba. Hunhu huri munyaya yepamhepo hahufanirwe kushandiswa kutonga mushumo wako wega. Chiremba akakumbira bvunzo chete ndiye anogona kuitsanangura zvichienderana nemamiriro ako ekurapa.

Maparamita emasero matsvuku

• Hemoglobin uye hemoglobin: Nhamba dzakaderera dzinoratidza kupererwa neropa. CBC inoiyera; haitsananguri. Nhamba dzakakwira dzinogona kuratidza kupera mvura mumuviri, kusvuta, chirwere chemapapu chisingaperi kana chemwoyo, kugara munzvimbo dzakakwirira, kana chirwere cheganda.
• MCV: MCV yakaderera (microcytic) inoratidza kushomeka kwesimbi, hunhu hwethalassemia kana kupererwa neropa kwechirwere chisingaperi. MCV yakakwira (macrocytic) inoratidza kushomeka kweB12 kana folate, kushandisa doro, chirwere chethyroid kana mamwe mamiriro emongo. MCV yakajairika haibvisi chero dambudziko, uye kushomeka kwakasiyana kunogona kukonzera avhareji inotaridzika zvakanaka.
• RDW: chiyero chekusiyana kwehukuru hwemasero. RDW yakakwira inowanzoratidza, kunyange zvazvo isingavimbiswi, kushomeka kwekudya kunovaka muviri kupfuura hunhu hwethalassemia. Ipfungwa, kwete kuongororwa kwechirwere.

Maparamita emasero machena

• Huwandu hwese hwakakwira: zvinogona kuratidza hutachiona hwebhakitiriya, kuzvimba, kukuvara kwenyama, kurapwa ne corticosteroids, kusvuta, kurovedza muviri kwakaoma munguva pfupi yapfuura, pamuviri kana kushushikana. Kuwanda kwemasero asina kujairika kunoda kuongororwa nekukurumidza kweropa.
• Huwandu hwese hwakaderera: zvinogona kuitika mushure mehutachiona hwehutachiona, mimwe mishonga, chirwere che autoimmune, marrow disorders kana hypersplenism. Vamwe vanhu vane hutano hwakanaka vane huwandu hwakaderera hwema neutrophils maererano nebumbiro remitemo.
• Mapatani akasiyana: Kuwanda kwemasero eropa (neutrophil) kunowanzo perekedzwa nehutachiona hwebhakitiriya; kuwanda kwemasero eropa (lymphocyte) kunowanzo perekedzwa nechirwere chehutachiona; kuwanda kwemaeosinophils kunogona kunge kune chekuita neallergy, asthma kana hutachiona hwezvipembenene, izvo zvichiri kuitika mune dzimwe nzvimbo dzeIndia. Izvi zvinosanganisirwa, kwete humbowo.

Platelet kuverenga

• Low: Zvikonzero zvinosanganisira dengue nezvimwe zvirwere zvinotapukira, immune thrombocytopenia, migumisiro yemishonga, chirwere chechiropa chisingaperi chine spleen yakakura, uye zvirwere zvemarrow. Zvakakosha kuti, kuungana kwemaplatelet mu EDTA tube kunogona kukonzera huwandu hushoma hwemasero.
• High: kazhinji kacho kunoitika kana paine utachiona, kuzvimba, kushomeka kwesimbi mumuviri, kubuda ropa, kana kubviswa kwepleen; kazhinji kacho chirwere chemumaro.

Mhedzisiro yacho inosiyana zvichienderana nemamiriro ezvinhu ekurapa emunhu mumwe nemumwe. Kukosha kumwe chete kusingawanzoitiki mumunhu ane hutano kunowanzo dzokororwa zvisati zvaitwa chimwe chinhu.

Kana zvabuda muCBC zvichigona kutsausa

Hunhu hunogona kusimudzirwa zvisirizvo

• Hemoglobin uye hemoglobin: kupera mvura mumuviri, nguva yakareba yekuvhiyiwa, nzira yekubatisa chibhakera panguva yekudhonza, kana kutora sampuli mumurwere asina mvura mumuviri.
• Kuwanda kwemaplatelet: Masero matsvuku akapatsanurwa kana zvimwe zvikamu zvakaderedzwa neanoryler.
• Kuwanda kwemasero machena: kurovedza muviri kwakasimba munguva pfupi yapfuura, kushushikana kwakanyanya, corticosteroids, pamuviri, kusvuta, kana masero matsvuku ane nucleotide ari kuverengwa semasero machena nevaongorori vekare.
• MCV: agglutinins inotonhora kana kuungana kwemasero matsvuku; kunonoka kuongororwa kusati kwaitwa, izvo zvinokonzera kuzvimba kwemasero.

Hunhu hunogona kudzikiswa zvisiri izvo

• Kuwanda kwemaplatelet: Kuungana kwemaplatelet kunokonzerwa neEDTA (pseudothrombocytopenia), sampuro yakagwamba zvishoma, kana chubhu isina kuzadzwa zvakakwana. Ichi ndicho chikonzero chinowanzoita kuti pave nemushumo weplatelet unotyisa mumunhu akagwinya, uye sampuro inodzokororwa muchubhu yecitrate ine smear review inowanzo gadzirisa dambudziko racho.
• Hemoglobin: sampuro yakasanganiswa zvakanyanya, ichitorwa kubva panhengo ine donhwe rinoyerera netsinga, kana kupiwa mvura yakawanda.
• Zvose zvinoverengwa: chifananidzo chakagwamba, chubhu isiriyo, kana kunonoka kutakurwa kwenguva refu.

Mhedzisiro dzakarurama zvehunyanzvi asi dziri nyore kuverenga zvisirizvo

• Kuwedzerwa ropa munguva pfupi yapfuura inochinja mufananidzo wemasero matsvuku uye inogona kuvharira patani iri pasi.
• Mishonga yesimbi kana B12 yakatanga kuongororwa isati yatanga. inogona kugadzirisa zviratidzo zviri nyore asi kushomeka kwacho nechikonzero chacho zvichiripo.
• Kushomeka kwesimbi pamwe chete uye kushomeka kweB12 inogona kupa MCV yakajairika.
• Kuberekwa kazhinji inoderedza hemoglobin kuburikidza nekuderedzwa kweropa uye inosimudza masero machena zvishoma; huwandu hwemasero epamuviri hunoshanda.
• Utachiona husingaperi kana kuzvimba inogona kudzvinyirira hemoglobin pasina kudya kunovaka muviri.
• Dzimba dzekugara dziri munzvimbo dzakakwirira inowedzera huwandu hwe hemoglobin hwakajairika.

Kana mhinduro yacho isingaenderane nemanzwiro ako, bvunza chiremba wako. Kudzokorora bvunzo kazhinji ndiyo nhanho inotevera yakakodzera.

Njodzi nekuchengetedzeka

Kubviswa kweropa mutsinga muvanhu vakuru

Matambudziko haawanzoitika uye anowanzova madiki: kurwadziwa kwenguva pfupi, kukuvara kudiki, kana kurwadza panzvimbo yakaboorwa. Kufenda kana kupepuka musoro kunogona kuitika, kazhinji muvechidiki, avo vanonetseka uye avo vasina kudya. Udza vashandi nguva isati yasvika kana wakambofenda panguva yekuongororwa ropa kare. Utachiona hwepanzvimbo uye kutsamwiswa kwetsinga hazviwanzoitiki. Kukuvara kunowanzoitika pamishonga inorwisa ropa, mishonga inorwisa maplatelet kana chirwere chekubuda ropa.

Kubaya chitsitsinho kana minwe muvacheche nevana vadiki

Kusagadzikana kunoitika kwenguva pfupi. Kukuvara uye, kashoma, hutachiona hwemunzvimbo hunogona kuitika. Kubaya zvitsitsinho kakawanda muvana vachangoberekwa kunogona kukonzera kurwadziwa kwemunzvimbo. Mazhinji emuenzaniso anochengetwa madiki muvana vacheche nevacheche.

Inodhonza kubva pamutsetse wepakati kana pachiteshi

Izvi zvinoitwa chete nevashandi vakadzidziswa, uye zvine njodzi diki yekutapukirwa nemutsara kana kuvharika. Mienzaniso inotorwa kubva mumvura inoyerera mumutsara inogona kuderedzwa uye isingavimbike.

Huwandu hweropa hunotorwa kuti uwane CBC hudiki uye hahukonzeri anemia mumunhu ane hutano hwakanaka, kunyange hazvo kuongororwa kakawanda muvarwere vari muchipatara nevacheche vadiki kuchiitwa nemaune.

Mamiriro ezvinhu anokosha

Kuberekwa

Hemoglobin inowanzo derera zvishoma panguva yekuzvitakura nekuti huwandu hweplasma hunowanda; nguva dzekutarisa pamuviri dzinoshanda. CBC inoshandiswa kuona anemia, kutarisa maplatelet mumamiriro ezvinhu akadai se pre-eclampsia, uye gwara rekutarisira iron nefolate, zvese zvinosarudzwa nechikwata chevana vanozvara. CBC haisi bvunzo yemajini emwana asati azvarwa, uye hapana ultrasound kana chiitiko chekusarudza bonde remwana asati azvarwa chinobatanidzwa.

Children

Kuwanda kwe hemoglobin, masero machena uye lymphocyte zvinochinja zvakanyanya kubva pakuzvarwa kusvika pakuyaruka, saka huwandu hwevana hunofanira kushandiswa. Kusiyana kukuru kwe lymphocyte kwakajairika muhudiki. Kushomeka kwesimbi kwakajairika muvana vacheche nevadiki vekuIndia; kuongororwa kwezvekudya uye mimwe miedzo inotungamirirwa nachiremba wevana.

Vakuru vakuru

Kushaya ropa mumuviri kumunhu mukuru hakufanirwe kukonzerwa nezera. Kazhinji izvi zvinoratidza kurasikirwa neropa, chirwere cheitsvo, matambudziko emumaro kana kushomeka kwekudya, uye zvinoda kuongororwa.

Vanhu vane chirwere cheshuga vari pamishonga

CBC haidi kutsanya; dzivisa kutsanya kwenguva refu zvisina kufanira. Chirwere cheitsvo chine chekuita nechirwere cheshuga chinogona kuderedza hemoglobin, uye CBC inogona kuongororwa pamwe chete nekuongororwa kweitsvo.

Chirwere chisingaperi chepfungwa

Kushaya ropa kunowanzoitika kana mashandiro eitsvo achidzikira, kunyanya nekuda kwekushomeka kwe erythropoietin. CBC inoshandiswa pakuongorora, kazhinji nekuongorora iron, uye nguva yekuongorora dialysis.

Heart failure

Kushaya ropa mumuviri (anemia) uye kushomeka kwesimbi (iron) zvinhu zvakajairika uye zvinogona kuwedzera zviratidzo. Kuchinja kwemvura mumuviri kunokonzerwa ne diuretic kunogona kuchinja huwandu hwe hemoglobin ne haematocrit, ndosaka maitiro acho achikosha kupfuura huwandu humwe chete. Usachinje huwandu hwemvura inonwiwa mumuviri kana kuti diuretic doses kuti ugadzirire bvunzo.

Kurapa kenza uye kudzvinyirirwa kwemuviri

Kuverengwa kwevarwere kunoongororwa pachirongwa chakatarwa nechikwata chinorapa varwere kuti chitungamirire nguva yekurapa chemotherapy uye kuona huwandu hwema neutrophil kana maplatelet hwakaderera. Fivha ine huwandu hwema neutrophil hwakaderera idambudziko.

Chirwere chinozivikanwa che thalassemia kana sickle cell disorder

Kuverengwa kwenhamba dzekutanga kwakasiyana nedzenguva dzekutarisa. Dudziro inofanira kunge ichipesana nezvawakaita kare uye nachiremba anoziva nezvechirwere ichi.

Hemogram yeCBC muIndia

• Kushaya ropa kwapararira. Ongororo yeNational Family Health Survey-5 yeIndia (2019-21) yakaratidza kuwanda kweanemia pakati pevakadzi vari pazera rekubereka, vana nevasikana vari kuyaruka, ndosaka kuongororwa kwehemoglobin kuchiwanzoitwa muzvipatara zveIndia.
• Microcytosis inoda kutarisirwa, kwete reflex iron. Zviratidzo zveBeta-thalassemia nezvimwe zvirwere zveropa zvinoonekwa munzvimbo dzakasiyana siyana dzeIndia. Kurwara neMCV shoma ine huwandu hwemasero matsvuku akajairika kana akakwira kunogona kuratidza hunhu pane kushomeka kwesimbi. Kusimbisa chikonzero usati washandisa iron kwenguva refu kunokosha, uye sarudzo ndeyachiremba wako.
• Dengue nemaplatelet. Munguva yemwedzi yemvura inonaya uye mushure memwedzi yemvura inonaya, huwandu hwemaplatelet hunowanzo rongwa zvakanyanya. Kuwanda kwemaplatelet chete hakusarudze kurapwa, mafambiro eropa, zviratidzo zvekunyevera uye mamiriro ekurapa zvinonyanya kukosha, uye kuwedzerwa maplatelet hakudiwi nekuti huwandu hwacho hwakaderera.
• Malaria nezvimwe zvirwere zvezvipembenene. Maplatelet akaderera ane fivha anofanira kukurudzira kufunga nezvemalaria; CBC haigone kuona tupukanana, saka bvunzo ye smear kana yekukurumidza ye antigen inodiwa.
• Kurapa TB nemimwe mishonga. Kuwanda kweropa kunoongororwa panguva yekurapwa kwechirwere cherurindi uye nemimwe mishonga yenguva refu, pamwe chete nekuongororwa kwechiropa sezvinorayirwa.
• Mishonga yekuwedzera uye zvigadzirwa zvemiti. Mishonga yeAYUSH, mishonga yekurovedza muviri uye mishonga inotorwa nevatengi inogona kukanganisa ropa nechiropa. Taura zvese zvaunotora.
• Kushaikwa kweB12 muhutano inowanzoonekwa mukudya kwevasingadyi nyama zvakanyanya uye inogona kuenderana nekushomeka kwesimbi.
• Kuvanzika kwedata. Mishumo yerabhoritari idata rehutano hwemunhu; kubatwa nezvipatara nemarabhoritari muIndia kunotongwa neMutemo weDhijitari weDziviriro yeData reMunhu, 2023. Bvunza kuti mushumo wako uchagoverwa uye uchachengetwa sei.

Mutengo neinishuwarenzi muIndia

Hemogram yeCBC ndeimwe yemiedzo yerabhoritari isingadhuri zvakanyanya inowanikwa muIndia. Mitengo inowanzo kuve mumazana erupees akaderera munzvimbo dzekutora zvinhu dzakazvimiririra, uye inosiyana zvakanyanya pakati pemaguta, marabhoritari nezvikamu zvezvipatara. Nhamba dzinoratidza chete, dzinosimbisa mutengo wepari zvino zvakananga nerabhoritari usati waongororwa.

Chii chinochinja mutengo

• Rudzi rwenzvimbo: rabhoritari yakazvimiririra, nzvimbo yekuongorora chirwere, kana chipatara chepamusoro.
• Kusunga: CBC iri mupakeji yekuongorora hutano inowanzodhura zvishoma pabvunzo imwe neimwe pane kana yakarairwa yega.
• Wedzera-ons: Kuongorora smear nemaoko, huwandu hwe reticulocyte, ESR kana CRP zvinobhadhariswa zvakasiyana.
• Muunganidzwa wepamba: kazhinji ine mari yekuwedzera.
• Kukurumidzira: Kugadziriswa kwezvinhu kana kuti kugadziriswa kwemabasa mushure menguva dzebasa kunogona kukwira.
• Kubvumirwa: Marabhoritari ane mvumo yeNABL anogona kutenga zvakasiyana.

inishuwarenzi

• Kuongororwa kwevarwere vasingarapike kazhinji hakufukidzwi neinishuwarenzi yehutano inotsiva kunze kwekunge mutemo wacho uine OPD kana rubatsiro rwehutano.
• Kana wagamuchirwa, CBC inoitwa sechikamu chekuchengetedzwa kwevarwere vari muchipatara inowanzo vharwa mukati mekukumbira mvumo yekubvumidzwa, zvichienderana nemitemo yepolisi.
• Zvirongwa zvekuongororwa kwechiremba zvisati zvaitwa mutemo uye zvirongwa zvehutano hwevashandirwi zvinowanzo sanganisira CBC.
• Zvirongwa zvehurumende nezvipatara zvehurumende zvinopa bvunzo iyi nerubatsiro rwemari kana pasina muripo munzvimbo dzakawanda.

Ngano nezvokwadi

Mibvunzo inowanzobvunzwa

Ndezvipi zvirwere zvinogona kubatsirwa neCBC hemogram kuziva?

CBC inobatsira kuona anemia, kuwedzera kana kuderera kwehuwandu hwemasero machena, uye huwandu husina kujairika hwemaplatelet. Izvi zvinotsigira kuongororwa kwehutachiona, kuzvimba, kushomeka kwekudya, kubuda ropa uye mamwe makenza eropa. CBC inoratidza maitiro kwete kuongororwa, saka mimwe miedzo inowanzo dikanwa kuti pave nechikonzero.

Ndinofanira kutsanya ndisati ndaongororwa ropa here?

Kutsanya hakudiwi neCBC chete. Mirayiridzo yekutsanya inomuka kana CBC ikarairwa pamwe chete nekuongororwa kweglucose yekutsanya, insulin kana lipid. Tevedzera mirairo yakanyorwa kubva murabhoritari yako. Kana ukatora insulin kana sulfonylureas, bvunza chiremba wako usati watsanya kuti uwane chero bvunzo.

Kuongororwa kweCBC kunotora nguva yakareba sei?

Kuunganidzwa kweropa pachako kunotora maminetsi maviri kusvika mashanu, tsono iri mutsinga kweinenge miniti. Bvumira maminetsi angangoita gumi nemashanu kusvika makumi matatu pakati pechikamu kusanganisira kunyoreswa. Zvishandiso zvekuongorora zvinogadzira mhedzisiro zvinoburitsa mhedzisiro mukati memaminitsi mashoma mushure mekusvika kwesampuli, kunyangwe nguva dzekuzivisa dzichisiyana pakati pemarabhoritari.

Mishonga inogona kuchinja mhinduro dzangu dzeCBC here?

Ehe. Mishonga yeCorticosteroids, chemotherapy, mimwe mishonga inorwisa mabhakitiriya, mishonga inorwisa epileptics, mishonga inorwisa thyroid uye mishonga inodzvinyirira immune system zvese zvinogona kukanganisa huwandu hwemasero matsvuku mumuviri. Udza chiremba anokukumbira zvese zvaunotora, kusanganisira AYUSH uye mishonga inorwisa majoini, uye usamborega mushonga wakanyorerwa usati wabvunza chiremba.

Kuwanda kwemasero machena muropa kunorevei?

Kuwanda kwemasero eropa kunogona kukonzerwa nehutachiona huchangobva kupararira, mimwe mishonga, chirwere che autoimmune, kukura kwepleen kana chirwere chemumaronda emapfupa. Vamwe vanhu vane hutano hwakanaka vanowanzova nenhamba shoma yemasero eropa. Kuwanda kumwe chete kunowanzo dzokororwa vasati vaongororwa zvakare. Fivha ine nhamba shoma panguva yechemotherapy inoda kuongororwa nekukurumidza.

Kuwanda kwemaplatelet angu kwadzoka kwakaderera zvikuru asi ndiri kunzwa zvakanaka. Ko zvino chii?

Kuungana kwemaplatelet muchubhu yekuunganidza chirwere chikonzero chinozivikanwa chehuwandu hushoma hwemasero. Marabhoritari anowanzo simbisa mhedzisiro yacho pakuongorora kana kudzokorora sampuli mune imwe chubhu. Bata chiremba wako zuva rimwe chetero kuitira kuti mhedzisiro yacho iongororwe uye zvikonzero zvechokwadi zviongororwe.

CBC inofanira kudzokororwa kangani?

Hapana nguva inoonekwa seyenguva dzose. Mumunhu mukuru ane hutano hwakanaka, CBC inogona kuverengerwa mukuongororwa kwehutano nguva nenguva. Panguva yekurapwa ne chemotherapy kana mimwe mishonga yenguva refu, kuongororwa kunogona kuitwa vhiki nevhiki kana mwedzi wega wega. Mukuva nepamuviri, chirwere cheitsvo chisingaperi kana anemia inozivikanwa, chiremba anorapa ndiye anogadza nguva.

Ko CBC yakachengeteka here kuvana uye panguva yekuzvitakura?

Kutorwa kweropa kunoitirwa mumapoka ese ari maviri uye matambudziko haawanzoitiki, kazhinji kacho anongogumira pakurwadziwa kwenguva pfupi kana kukuvara kudiki. Machubhu madiki anoshandiswa kuvana vacheche, uye nguva dzekutarisa vana kana pamuviri dzinodiwa kuti vatsanangure.