Isho ukuthini imiphumela yakho yokuhlolwa kwe-hematocrit?

Imfundo Yezempilo

Uma ukhombisa izimpawu zokushoda kwegazi (okungafaka ukukhathala, ukukhathazeka, ikhanda elibuhlungu, noma imijikelezo esindayo yokuya esikhathini), udokotela wakho angafuna ukwenza umsebenzi wegazi. Ukuhlolwa kwe-hematocrit wuhlobo lokuhlolwa kwegazi olungathola i-anemia nezinye izimo zezempilo, ezizosiza umhlinzeki wakho wezokunakekelwa kwezempilo ukuthi akuthole kahle futhi akuphathe kahle. Lo mbhalo uchaza ukuthi yini ukuhlolwa kwe-hematocrit futhi usiza ekuchazeni ukuthi amazinga akho we-hematocrit asho ukuthini.

Kuyini i-hematocrit?

I-Hematocrit isilinganiso sobukhulu nenombolo yamaseli abomvu egazi umuntu anawo. Igazi lawo wonke umuntu lakhiwe ngamaseli abomvu egazi, amaseli amhlophe egazi, nama-platelets. I-hematocrit (hct) yisilinganiso sokuthi lingakanani igazi lomuntu elenziwe ngamaseli abomvu egazi. Izinyathelo zokuhlola ngevolumu kepha bese zivezwa njengephesenti. Uma umuntu ene-hematocrit ka-40%, lokhu kusho ukuthi unamamililitha angama-40 amaseli abomvu egazini kumamililitha ayikhulu egazi.

Odokotela bazocela umuntu othile ukuthi ahlolwe i-hematocrit njengengxenye yokubalwa kwegazi okuphelele (i-CBC) ukubona ukuthi baphendula kahle kangakanani ekwelashweni okuthile kanye / noma ukubona ukuthi banezinkinga zempilo ezingaphansi yini. IHematocrit isiza ukukala i-hemoglobin, nokuyinto etholakala kumaseli abomvu athwala umoya-mpilo. Kubalulekile ngoba umzimba awukwazi ukuthola i-oxygen eyanele ukuze usebenze kahle ngaphandle kwawo, kusho USusan Better , MD , udokotela womndeni eMercy Medical Center eBaltimore, eMaryland.

Kungani i-hematocrit ibalulekile?

Ukuhlolwa kwe-Hematocrit kungatshela odokotela uma umuntu enesifo segazi, okungenye yezizathu ezivame kakhulu zoku-oda ukuhlolwa. Izimpawu ze-anemia zifaka ukukhathala, ukukhathazeka, ukuya esikhathini okunzima, izandla nezinyawo ezibandayo, kanye nokugxila okungahambi kahle. Udokotela wakho angakucela ukuthi wenze ukuhlolwa kwe-hematocrit uma unezinye zalezo zimpawu.

Ukuhlolwa kwe-Hematocrit, kwesinye isikhathi okubizwa ngokuthi yi-packed cell volume test (PCV), kungasiza futhi ukutshela odokotela ukuthi ngabe umuntu unakho yini okunye ukushoda kokudla okunomsoco noma izinkinga zezempilo ezinjenge-leukemia, isifo sezinso, noma isifo samathambo. Ukuhlolwa kwe-hematocrit kubalulekile ngoba kukala ukuthi umuntu unamaseli abomvu egazi amangaki. Amangqamuzana egazi abomvu amaningi kakhulu noma amancane kakhulu angakhombisa ukuswela okuthile kokudla okunempilo noma izifo odokotela abazokwazi ukuzibona.

Yini ongayilindela ngesikhathi sokuhlolwa kwe-hematocrit

Ngesikhathi sokuhlolwa kwe-hematocrit, ungalindela ukuthola isampula yegazi elithathwe yi-phlebotomist noma omunye uchwepheshe wezokunakekelwa kwezempilo ongadonsa igazi. Ukudonswa kwegazi lakho kungahle kungakhululeki, kepha iningi labantu lizwa kuphela ukubhoboza okuncane lapho inaliti ifaka umthambo. Uma udinga ukuhlolwa kwe-hematocrit futhi wazi ukuthi ungathola ikhanda elincane, ungahlala ucela ukulala phansi ngenkathi kuthathwa isampula segazi lakho.

Yiliphi izinga elijwayelekile le-hematocrit?

Umuntu omdala ophilile kufanele abe nezinga elijwayelekile le-hematocrit eliphakathi kuka-35% kuya ku-50%. Izinga elijwayelekile le-hematocrit labesifazane lingu-36.1% kuya ku-44.3%. Kwabesilisa, ibanga elijwayelekile lingu-40.7% kuya ku-50.3%. Izinombolo ezijwayelekile ziyahlukahluka kancane kusuka kubhu kuya kwelebhu. Lokhu kusho ukuthi isilinganiso somthamo wegazi labantu besifazane abadala kufanele sibe namaseli abomvu angama-36% kuye kwangama-44%, kanti igazi lowesilisa omdala kumele libe ngamaseli abomvu angama-40% kuye kwangama-50%. Izinsana nezinsana ezisanda kuzalwa kufanele zibe namanani ajwayelekile aphakathi kuka-32% kuya ku-61%.

Ukuhlolwa kwe-Hematocrit ngokuvamile kunembile impela. Imiphumela yokuhlolwa isiza odokotela ukuxilonga iziguli zabo ngesimo sempilo esifanele ukuze bakwazi ukunikeza ukwelashwa okufanele. Kungenzeka izinto ezithile zibangele ukuhlolwa kwe-hematocrit ukunikeza imiphumela engalungile nokho. Nazi ezinye zezici ezivame ukudala amazinga aphezulu we-hematocrit angajwayelekile noma aphansi:

• Ukukhulelwa kungadala amazinga e-hematocrit aphansi kunokujwayelekile
• Noma yikuphi ukumpontshelwa igazi kwakamuva
• Ukuhlala endaweni ephakeme kakhulu kungadala amazinga aphezulu we-hematocrit
• Ukwehla kwamanzi emzimbeni kungadala amazinga aphezulu we-hematocrit

Odokotela bayazi ukuthi yini engabamba imiphumela yokuhlolwa, futhi banayo ngemuva kwengqondo yabo lapho befunda imiphumela. Uma udokotela wakho ezwa ukuthi amazinga akho e-hematocrit kungenzeka athintwe okuthile okufana nokuphelelwa ngamanzi emzimbeni, bangakucela ukuthi uphinde wenze isivivinyo ngesikhathi esihlukile.

Kusho ukuthini uma i-hematocrit yakho iphansi?

Ukuba namazinga aphansi we-hematocrit, kwesinye isikhathi abizwa ngokuthi yi-anemia, kuvame ukwenza abantu bazizwe bengaphansi kwesimo sezulu. Uma unanoma iyiphi yalezi zimpawu ezilandelayo, zingasho ukuthi unesibalo samaseli abomvu aphansi:

• Ukukhathala
• Ukuntuleka kokuhlushwa
• Ukuphelelwa umoya
• Ukuphathwa ikhanda
• Imijikelezo esindayo yokuya esikhathini
• Ukudinwa

Uma uthatha ukuhlolwa kwe-hematocrit futhi imiphumela yakho yokuhlolwa ibika amazinga aphansi we-hematocrit, lokhu kusho ukuthi unamaphesenti aphansi wamaseli abomvu kunalokho okufanele ukwenze. Izinto eziningi zingadala amazinga we-hematocrit aphansi, angakhombisa isimo sezempilo esingaphansi:

• Ukushoda kwegazi (Mayelana ne-Anemia)
• Ukushoda ngamavithamini noma amaminerali
• I-leukemia (Mayelana ne-leukemia)
• I-Lymphoma
• Ukulahleka kwegazi kwakamuva
• Izinkinga zomnkantsha wethambo
• Ukweqisa emzimbeni

Ngenxa yokuthi unamazinga aphansi e-hematocrit, akusho ukuthi unanoma iyiphi yalezi zimo ezingenhla. Udokotela wakho kungenzeka enze ezinye izivivinyo zezokwelapha futhi akubuze ngomlando wakho wezokwelapha ukusiza ukuthola ukuthi kwenzakalani empeleni.

Kusho ukuthini uma i-hematocrit yakho iphakeme?

Ukuthola izimpawu ezithile kungakhombisa ukuthi udinga ukuhlolwa kwe-hematocrit nokuthi i-hematocrit yakho iphezulu. Uma unezinye zalezi zimpawu ezilandelayo, kufanele ukhulume nodokotela wakho mayelana nokuthi ukuhlolwa kwe-hematocrit kukufanele yini noma cha:

• Ukukhathala
• Ukuphelelwa umoya
• Isikhumba esigcwele
• Ukujuluka
• Isiyezi
• Ubuhlungu obuhlangene
• Ukulunywa
• Ukuphathwa ikhanda

Uma uthathe ukuhlolwa kwe-hematocrit futhi i-hematocrit iphakeme, lokhu kusho ukuthi unamaseli abomvu egazi amaningi kunalokho okubhekwa njengokuphilile. Izinga eliphakeme le-hematocrit lingakhombisa izimo zezokwelapha eziyisisekelo ezinjengalezi:

• Ukuphela kwamanzi emzimbeni
• Ubuthi be-Carbon monoxide
• Isifo senhliziyo esizalwa naso
• Isifo somnkantsha we-Bone (polycythemia vera)
• Ukuqhuma kwamaphaphu
• Ayanele i-oxygen egazini (imvamisa ivela ezimeni zamaphaphu)
• I-Erythrocytosis

Ukuba namazinga aphakeme ngokungajwayelekile wamaseli abomvu egazi akusho ukuthi unesinye sezimo ezibalwe ngenhla. Izinga eliphakeme le-hematocrit lingasho ukuthi ungaba nesimo esibi sempilo esifana nesakho Isifo senhliziyo , kodwa udokotela wakho uzokwenza ezinye izivivinyo ukuze aqiniseke ukuthi utholakala ngokufanele.

Uwaphatha kanjani amazinga e-hematocrit angajwayelekile?

Lapho usuthathe ukuhlolwa kwe-hematocrit futhi wazi ukuthi unamazinga aphezulu noma aphansi e-hematocrit, isinyathelo esilandelayo ukuthola imbangela. Ukwelashwa kuzosuselwa ekutheni i-hematocrit ingavamile kangakanani futhi iyimbangela yayo eyisisekelo.

Okufanele ukwenze kumazinga aphezulu we-hematocrit

Izinguquko ezithile zendlela yokuphila, njengokuyeka ukubhema nokuhlala unamanzi amaningi, kungasiza ukwehlisa ukubala kwamaseli abomvu aphezulu. Ukuhlala u-hydrated kubaluleke kakhulu ngoba uketshezi lusiza ukugcina igazi lingagxili kakhulu.

Ngaphandle kokushintsha kwendlela yokuphila, udokotela wakho angakunikeza umuthi ozosiza ngamazinga aphezulu we-hematocrit. Imithi ye-clot clot ivame ukunqunywa ngoba abantu abanamaseli abomvu amaningi kakhulu basengozini enkulu yokuthola igazi. I-Aspirin (Ama-Aspirin amakhuphoni | Yini i-Aspirin?)kwesinye isikhathi kunconywa odokotela ngenxa yekhono layo lokusiza ngamahlule egazi.

Eminye imithi odokotela abayinikeza amazinga aphezulu we-hematocrit kungenzeka ukuthi igxile ekwelapheni isimo esenza umzimba ukhiqize amangqamuzana amaningi abomvu egazi, njengomnkantsha noma isifo senhliziyo. I-Phlebotomy (ukuphuma kwegazi) kuyindlela ethandwayo yokulawula ukubalwa kwamaseli abomvu aphezulu. Ku-phlebotomy, igazi lithathwa emithanjeni ukuze libe mncane.

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Okufanele ukwenze ngamazinga aphansi ngokweqile we-hematocrit

Abantu abanezibalo zamangqamuzana egazi abomvu aphansi ngokweqile bangadinga ukuya kudokotela ukuze bathole insimbi efakwa emithanjeni noma bafakwe igazi. Uma kunesimo sempilo esingaphansi esenza umzimba ukhiqize amaseli abomvu egazi amancane, khona-ke umuthi ungadingeka ukuze usize ukukhuthaza ukukhiqizwa kwamangqamuzana egazi abomvu amasha.

Olunye ushintsho lwendlela yokuphila lungasiza ukukhulisa ukubalwa kwamaseli abomvu egazi. Ukudla ukudla okunhlobonhlobo okusha, okunempilo okuqukethe i-iron, i-vitamin B-12, ne-folic acid kungavimbela i-anemia. Ukuthatha lezi zakhi zomzimba ngendlela yokwengeza nakho kungasiza.

Indlela enhle yokufunda kabanzi ngokuthi ungawaphatha kanjani amazinga aphansi noma aphezulu we-hematocrit ukukhuluma nodokotela wakho noma umhlinzeki wezokunakekelwa kwempilo.