Mukati
Zvinoenderana nebasa rayo, Iyo Edhiyo Bhodhi yeMedTvoiLokony inoedza neparinogona napo kupa yakavimbika zvekurapa zvemukati zvinotsigirwa neruzivo rwazvino rwesainzi. Mureza wekuwedzera "Zvakatariswa Zvemukati" zvinoratidza kuti chinyorwa chakaongororwa kana kunyorwa zvakananga nachiremba. Iyi nhanho-mbiri yekusimbisa: mutori wenhau wezvekurapa uye chiremba anotitendera kuti tipe zvemhando yepamusoro zvemukati zvinoenderana neruzivo rwekurapa rwazvino.
Kuzvipira kwedu munharaunda iyi kwakaongwa, pakati pevamwe, neSangano reVatori venhau vehutano, iro rakapa iyo Editorial Board yeMedTvoiLokony ine zita rekuremekedza reMudzidzisi Mukuru.
Ropa mufananidzo wemashandiro anoita muviri wedu. Nokudaro, kuongorora kwayo nguva dzose kunokubvumira kuti uone zvisizvo mubasa rehurongwa uye nhengo nenguva uye kuunza kurapwa nokukurumidza. Reticulocytes chimwe chezvikamu zveropa zvinogona kuongororwa ne laboratory analysis. Ndeipi mipimo yavo uye zvii zvinotaridza zvisirizvo?
Reticulocytes - chii ichocho?
Reticulocytes inozivikanwawo se proerythrocytes. Icho chimiro chisati chakura chemasero matsvuku eropa. Iyo reticulocytes inokura mumuviri mukati memazuva mana. Kuumbwa kwavo kunoitika kana muviri ukatanga kuzivisa nezve kushaya erythrocyte. Izvi zvinogona kunge zvine hukama pamwe nekuparadza kwavo kwechisikigo maitiro, kana kuparadzwa nekuda kwezvirwere zvinokura mumuviri wemurwere. Huwandu hwemasero matsvuku eropa husina kukura hunoratidza kuti mwongo webhonzo unokurumidza sei kugadzira masero matsvuku eropa.
Reticulocytes - zviratidzo zvekuongorora
Reticulocyte level mumuviri unonyanya kudzidzwa kuongorora chirwere chekushaya ropa. Kuita bvunzo kunokubvumira kuti utarise kana kuwedzera kana kuderera kwereticulocytes kwakabatana nekusawirirana kwemwongo wemapfupa, kubuda ropa kana hemolysis. Zviratidzo zvinofanirwa kutinetsa uye zvinowanzo perekedza anemia zvinosanganisira:
- kucheneruka,
- kurara,
- chizoro,
- kazhinji syncope
- kuchinja mu mucous membranes yerurimi nehuro,
- yakaderera immune immune,
- concentration kusagadzikana,
- dambudziko remoyo,
- ganda rakaoma
- brittleness yezvipikiri nevhudzi;
- kurasikirwa nebvudzi.
Reticulocytes - kugadzirira bvunzo
Kuongororwa kwezinga reticulocytes hazvidi kugadzirirwa kwakakosha. Murwere anofanira kunge ari padumbu risina chinhu (haafanire kudya kwemaawa masere asati aongororwa). Munhu anoyedzwa anogona kungonwa girazi remvura yakanyarara inenge hafu yeawa isati yaitwa.
Muedzo pachawo unosanganisira kutora ropa kubva kumurwere, kazhinji kubva mutsinga dziri mugokora. Zvinongotora maminetsi mashoma uye sampu yeropa yakaunganidzwa inoendeswa kunoongororwa murabhoritari. Kuongorora huwandu hwemasero matsvuku eropa husina kukura kunosanganisira kuverenga chiyero che erythrocytes yakakura kune reticulocytes yakaburitswa kubva mumwongo yakananga muropa. Mhedzisiro inogona kuunganidzwa zuva rimwe chete mushure mekuedzwa kwaitwa.
Reticulocytes - mitemo
Munyaya ye reticulocytes, chiyero chekuisa kwavo muropa chakasiyana kune vana nevakuru. Zvichienderana nezera, muvanhu vane hutano, maitiro ndeaya anotevera:
- 2,5-6,5 muzana muvacheche;
- 0,5-3,1 muzana muvacheche;
- 0,5-2,0 muzana muvana nevakuru.
Zvese zvakakosha pazasi uye pamusoro peakamisikidzwa zviyero zvinoonekwa sezvisina kujairika uye zvinogona kuratidza chirwere chiri kukura mumuviri.
Yakakwira mazinga eticulocytes
Vanhu vanoonekwa vaine kuwandisa kwemasero matsvuku eropa akawandisa vanowanzotambura nehemolytic anemia, sickle cell anemia, leukemia, uye chronic hypoxia. Kuwedzera reticulocytes inobatanidzwawo nemamiriro ezvinhu mushure mekubuda ropa uye kubuda ropa, uyewo mushure mekuvhiyiwa kwekubvisa spleen. Kubata pamuviri kunogonawo kuwedzera chiyero che reticulocytes.
Kazhinji, huwandu hwepamusoro hwe reticulocytes hunoratidzwa mumigumisiro yekuongororwa kwevarwere panguva yekurapa ne folic acid, vitamini B12 uye iron.
Low mwero reticulocytes
Izvo zviitiko apo pane kushomeka kweimmature erythrocytes ndeidzi:
- plastiki anemia,
- anemia yakaipa,
- iron kushomeka anemia,
- kukundikana kwemwongo
- kushomeka kwe erythropoietin,
- anterior pituitary insufficiency,
- adrenal insufficiency.
Kushomeka kunoitikawo muvanhu vari kunetseka nemamota akaipa uye vachirapwa neradiotherapy kana chemotherapy vachishandisa cytostatics. Low mazinga eticulocytes anokanganisawo vanhu vanotambura nekudhakwa.
Chii chinonzi anemia?
Chikonzero chinonyanya kukosha chekusagadzikana kweropa reticulocyte kuverenga ndeye anemia. Chirwere ichi chinonyanya kuzivikanwa seanemia. Inozviratidza mumigumisiro yezviedzo ine yakaderera hemoglobin muropa kana yakaderera masero matsvuku eropa. Kune marudzi akawanda eanemia mumishonga.
Inonyanya kuzivikanwa ndeyekushaya iron anemia - inofungidzirwa kuti inogona kukanganisa kusvika ku25 muzana. vakadzi vane makore ari pakati pe20 ne50 okuberekwa. Zvinosuruvarisa, anemia ichiri kuregeredzwa nevarwere vakawanda. Uku kukanganisa kukuru. Kukundikana kuwana zvikonzero zvayo zvinogona kuva nemigumisiro yakakomba kune hutano hwako nehupenyu.