Tusmooyinka RBC

Indices cell blood cell (RBC) indices waa qeyb ka mid ah baaritaanka dhiigga oo dhameystiran (CBC). Waxaa loo isticmaalaa in lagu caawiyo baaritaanka sababta dhiig-yaraanta, xaalad ay ku yaryihiin unugyada dhiigga cas.

Tusmooyinka waxaa ka mid ah:

• Celcelis ahaan cabirka unugyada dhiigga cas (MCV)
• Qaddarka haemoglobin ee unugyada dhiigga cas (MCH)
• Qaddarka haemoglobin ee u dhigma cabbirka unugga (isku-uruurinta haemoglobin) unugga cas cas (MCHC)

Sambal dhiig ayaa loo baahan yahay.

Diyaargarow gaar ah looma baahna.

Marka irbadda la geliyo si dhiig loo qaado, dadka qaar waxay dareemaan xanuun dhexdhexaad ah. Qaar kale waxay dareemaan oo keliya dharbaaxo ama xaniin. Intaas ka dib, waxaa laga yaabaa inay xoogaa wax garaacaan ama nabar yar. Tani dhawaan way tagi doontaa.

Hemoglobin wuxuu qaadaa oksijiinka. RBC-yadu waxay u qaadaan haemoglobin iyo oksijiin unugyada jirkeena. RBC indices indha indheynta ayaa cabbiraysa sida wanaagsan ee RBCs ay tan u sameeyaan. Natiijooyinka waxaa loo isticmaalaa in lagu baaro noocyada dhiig yaraanta.

Natiijooyinka baaritaanka waxay ku jiraan heerarka caadiga ah:

• MCV: 80 ilaa 100 femtoliter
• MCH: 27 illaa 31 picogram / unug
• MCHC: 32 illaa 36 garaam / deciliter (g / dL) ama 320 illaa 360 garaam litirkiiba (g / L)

Tusaalooyinka kor ku xusan waa cabbiraad guud oo ku saabsan natiijooyinka imtixaanadan. Heerarka qiimaha caadiga ahi way ku kala duwanaan karaan shaybaarada kala duwan. Shaybaarada qaarkood waxay isticmaalaan cabbiro kala duwan ama waxay tijaabin karaan shaybaarro kala duwan. Kala hadal bixiyahaaga daryeelka caafimaadka macnaha natiijooyinkaaga gaarka ah ee baaritaanka.

Natiijooyinka baaritaanka waxay muujinayaan nooca dhiig yaraanta:

• MCV sida caadiga ka hooseysa. Microcytic anemia (waxaa laga yaabaa inay ugu wacan tahay heerarka birta oo hooseeya, sunta rasaasta, ama thalassaemia).
• MCV caadi ah. Normocytic anemia (waxaa laga yaabaa inay ugu wacan tahay dhiig bax lama filaan ah, cuduro waqti dheer soconaya, kalyaha oo shaqeynaya, dhiig yari balastar ah, ama wadne-gacmeedyo ay dadku sameeyeen.
• MCV-ka caadiga ka sarreeya. Macrocytic anemia (waxaa laga yaabaa inay ugu wacan tahay folate yar ama heerarka B12, ama daaweynta kiimikada).
• MCH ka hooseeya sida caadiga ah. Hypochromic anemia (badanaa sababo heerarka birta oo hooseeya).
• MCH caadi ah. Normochromic anemia (waxaa laga yaabaa inay ugu wacan tahay dhiig bax lama filaan ah, cuduro waqti dheer soconaya, kalyaha oo shaqeynaya, dhiig yari daran, ama wadne-gacmeedyo dadku sameeyeen.
• MCH caadi ka sarreeya. Dhiig-yaraanta 'Hyperchromic anemia' (waxaa laga yaabaa inay ugu wacan tahay folate-ka hooseeya ama heerarka B12, ama daaweynta kiimikada).

Khatar yar ayaa ku jirta in dhiigaaga lagaa qaado. Xididdada iyo halbowlayaasha waxay ku kala duwan yihiin cabirka qof ilaa qof kale, iyo dhinac jirka ah dhinaca kale. Helitaanka tijaabada dhiigga ee dadka qaarkiis way ka dhib badan tahay kuwa kale.

Khataraha kale ee la xiriira dhiig qaadashada waa yar yihiin, laakiin waxaa ka mid noqon kara:

• Dhiigbax xad dhaaf ah
• Miyir beelid ama dareemid madax-wareer
• Daloollo badan si loo helo xididdada
• Hematoma (dhiigbax maqaarka hoostiisa)
• Infekshan (halis yar mar kasta oo maqaarku jabo)

Indices Erythrocyte; Tusmooyinka dhiigga; Hemoglobin qafiif ah (MCH); Celcelis ahaan uruurinta haemoglobin jirka (MCHC); Qiyaasta mugga jirka (MCV); Indices unugyada dhiigga cas

Chernecky CC, Berger BJ. Tusmooyinka dhiigga - dhiig. Gudaha: Chernecky CC, Berger BJ, eds. Tijaabooyinka Shaybaarka iyo Nidaamyada Baadhista. 6aad ed. Philadelphia, PA: Elsevier; 2013: 217-219.

Elghetany MT, Schexneider KI, Banki K. Cudurka Erythrocytic. Gudaha: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis iyo Maareynta Hababka Shaybaarka. 23aad ed. St Louis, MO: Elsevier; 2017: cutubka 32.

Waxaa loola jeedaa RT. Kusoo dhowaanshaha dhiig-yaraan. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: baab 149.

Vajpayee N, Graham SS, Bem S. Baaritaanka aasaasiga ah ee dhiigga iyo dhuuxa lafta. Gudaha: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis iyo Maareynta Hababka Shaybaarka. 23aad ed. St Louis, MO: Elsevier; 2017: cutubka 30.