Mune Kuongororwa ropa RDW vanomutswa kana kutura - zvinorevei?

Kana kuita bvunzo ropa kuti Anoongorora kwete chete kuwanda masero ayo, asi unhu hwavo. Characteristics akadai ruvara, chimiro, saizi vane kukosha nechirwere zvirwere uye apo neapo tiri pathognomonic zviratidzo. Naizvozvo, hematologists vanokumbirwa kuti kutaridzwa murabhoritari assays uyewo RDW, inomira sezvo kuparadzira masero matsvuku eropa ukuru.

Chii?

Pamusana ropa redu, kunze fluid ndivo masero zvinoberekwa mumwongo. Vakauya mhando nhatu: tsvuku, chena uye maplatelet. Muchiitiko chino, tiri kuziva masero matsvuku kana masero matsvuku eropa. Izvi duku biconcave Disc chimiro, izvo zvinoita ropa ruvara rayo, uyewo vari vatakuri okisijeni kubva mumapapu kusvikira munyama uye zvomukati. In vanhu utano, vose vane chimiro, ruvara uye vhoriyamu. Hazvina kubva zvapedzisira mufananidzo kunobva yakarurama kushanda masero aya. Akadana MCV uye chakaipa anogona siyana zvishoma, inonzi upamhi vhoriyamu kugovera.

Kana chiremba anogona kufanoona kuti murwere anogona kushandura bhuku pamakamuri, iyo anotumira kuna CBC. RDW pamwe mubatsiri rinokusha pachake. Izvi ndezvechokwadi kunyanya kana Anisocytosis vakachengeta muropa.

Zvinorevei RDW mune bvunzo ropa? Ndiwo chaiwo kutyora kuparadzirwa masero matsvuku eropa ukuru.

Anisocytosis - a pathological kuchinja kukura masero matsvuku eropa. Kazhinji hazvina zvichisiyana manomwe micrometers nomwe nehafu. Microcytes vane saizi kusvika 6.9 micrometers, uye macrocytes azvaitwa masere kusvika gumi micrometers. masero Zvakakura haangaupfuuri kubudikidza rirambe richibvira dhayamita, sezvo kushandiswa mune chirwatata. In hwakanaka munhu nhamba kuipa uye zvakachinjwa masero matsvuku eropa anoda kubva 5: 1. Anisocytosis akaora vakaratidzawo kupererwa, mwoyo nokukundikana, kupfupika mweya, cyanosis. The zvinokonzera ichi kungava kushaya mavhitamini, kunyanya B 12 uye Kushaya simbi, nenyonganiso pakati mumwongo zvakadai myelodysplastic urwere kana kuvapo metastasis pane kenza ropa. Treatment kunobva chikonzero uye ipfupi kwayo kubviswa.

Chinangwa ongororo

Yemanyorero RDW ari kuongorora ropa kunotemwa pachiimbwa nedzimwe metrics panguva kutanga kwekupwanyiwa nechirwere. tsvakurudzo ino zvinogona vakagadzwa kuva aronga, panguva murwere ari muchipatara uye pakumanikidzwa, asati atanga kuvhiyiwa. Uyezve, mamwe mapoka varwere tsanangudzo RDW kuita nguva dzose kuti chamber simba rinomutsa ari kurapwa kwezvirwere ropa.

With yakanaka mugumisiro, chiremba anofanirwa kugadza kudzidza arambe, nekuti achifuridzirwa nechitarisiko zvinhu zvinogona chirwere zviduku venhema-akanaka muedzo RDW.

KLA uye RDW

Kazhinji, ropa riri kunoyerwa Kuongorora RDW uyewo vazvionere MCV. Izvi zvinobatsira kuona mufananidzo chirwere zvizere uye kusiyanisa mumwe rumwe rudzi microcytic kupererwa neropa kana. Kana indekisi pasi MCV yakafanira, panguva mwero RDW, kungava chiratidzo kwazvo pathologies akadai thalassemia, ropa, ropa, uye vamwe vakawanda. Uyezve, dzimwe nguva neoplastic pezvakaitwa anogona kupa mufananidzo ropa, kunyanya kana murwere aiitirwa pamwe mishonga.

Zvichida pakatarisana mamiriro ezvinhu apo MCV rokumusoro nzvimbo chiratidzo uye RDW kudzokera dzose,. Kubatana uku rinozivikanwa zvirwere chiropa. Asi vapedzisira kutaurwa kunoratidzwa rudzi nokukanganisika ropa mufananidzo uye coagulation zvokuti differential zvokuongorora kuti chiremba anokwanisa hakuna kuoma.

Nzira dzokudzidza

Murwere anopa ropa kubva tsinga usina chawadya, asi kuti vana navacheche ropa zvakakwana kubva munwe. Mushure yezvirwere apedza mabiko, iye anoisa ivhu ari centrifuge vaparadzane nemvura mugove ropa kubva mumasero. Zvino anoisa kwaizoita pakaoma Zvakasara analyzer uye mudziyo pachayo anoti nhamba nemarudzi akasiyana-siyana emasero, anoyera navo, uye zvinoita mushumo. Results vari goho kuti aidhinda sezvo histogram.

Kana nenyaya iri zvakanaka, ari dzakati rinoshandisa rayo wodzokorora kuti vadzivise kuzvidya venhema mugumisiro. mutemo uyu unoshanda zvinenge zvose Analyses chokuita nechirwere kuti kupererwa, sezvo kufamba kweropa mufananidzo chiremba anopa chikonzero nechokwadi Kururama rakasarudzwa kurapwa nzira uye kuongorora nzira nokuda rakasungwa ichi pathological ezvinhu.

zvinoitika mumatunhu

Mune Kuongororwa ropa RDW kupiwa pachikumbaridzo 11,5-14,5 muzana nokuda chokuchinja erythrocytes neurefu hwakasiyana akura. In vana, parameter ichi zvichisiyana iri zvinobva 11.6 kusvika 18.7 muzana. Pashure pezvose, havagoni zvose kuva zvakangofanana.

Zvinoratidza RDW indekisi, zvinofanira kurangarirwa kuti nezvechisarudzo ichi hakubvi muchitokisi saizi. Izvi zvinogona kupa nhema nemigumisiro yakaipa, uye chokuita chokwadi kuti vakawanda dzakachinjwa ropa masero matsvuku varipo muropa. masero eropa izvi matsvuku ndivo anonzi macrocytes. Dzimwe nguva, kuti kutora migumisiro kuongorora chaiwo, zvakakodzera kwete chete kune zvaidiwa RDW, asi kuwirirana dzaro MCV.

zvakawedzera waivako

RDW ari bvunzo ropa kunogona upgraded mune Kashoma. Kazhinji, icho chiratidzo kupererwa, kazhinji simbi. Asi pane mukana dzichiri vhitamini B12 kushaikwa kupererwa, folate kukanganisika kana chiropa chirwere. Saka, iva nechokwadi kuti aite rimwe differential chirwere, kugadza wokuwedzera kuongororwa uye kutsoropodza ainoita rezultam yavo. Kuona mhando kupererwa neropa - basa unoparadza nguva-nokuti nevarapi.

simbi kushaikwa kupererwa neropa

Sezvo simbi kushaikwa kupererwa neropa ndicho mu hemisphere yedu, zvino isu ikurukurei zvizere.

In padariro wokutanga chirwere nhamba aumba zvinhu zviri mukati inowanzotorwa siyana, asi padanho Chizenga rinosvika rezasi muganhu kana anosiya nehasha. Izvi zvinopa chikonzero rokuongorora kupererwa neropa. Asi kuongorora ropa RDW romuzvarirwo, sezvo pachine anisocytosis, uye mumwongo iri kushanda zvakanaka.

Rinotevera chikuva ichazivikanwa noku donhwe yakatokura mu Chizenga uye matsvuku eropa count, asi ikozvino anochinja uye zvimwewo. RDW yakawedzera ropa pachisara pane zvakasiyana chitsama masero, zviri Chizenga yayo yevasungwa. The histogram achava kure kuruboshwe.

Mushure kurapwa, kutongwa nziyo ropa, nhamba, ukuru uye chimiro masero matsvuku eropa kudzokera dzose. Izvi zvinoitwa nokugamuchira simbi supplementation.

donha

Hazvina kufanira, asi kana RDW iri kuongorora ropa chichiburutswa, naicho anogona kuratidza kupererwa neropa. Naizvozvo, teererai vo MCV. Sezvo inogona kutapudza panguva anoratidza chiropa chirwere. Kazhinji inoda zvinopfuura chimwe ongororo kunzwisisa chikonzero kuchinja kwakadaro muropa mufananidzo yose.

Chero zvazvingava, regai kusasa madota pamusoro wake mberi nguva. Mune Kuongororwa ropa (RDW) zvinogona kubvumirwa inaccuracy, sezvo kunoita muchina uye kunodiwa recalculation manually. Uyezve, zvarakasiya kubva ndozvakajairwa anogona kuva pashure ropa kana kuvhiyiwa. Zvino unofanira kudzokorora bvunzo gare gare.

Pano iwe uende bvunzo ropa. RDW - upgraded. Zvinorevei? Ungangove, Saka, kuti murabhoritari asingadi calibrate huchashandiswa, kana kana uchangobva kukuvara zvidiki maoparesheni, kana iwe waiva anyatsoronga.

mufananidzo ropa anochinja nokukurumidza zvakakwana, saka regai kupinda kunyonganiswa. Analysis vanofanira kuratidza chiremba wako uye kuteerera mazano ake nokungwarira. Izvi zvichakubatsira kudzivisa kusanzwisisana mune ramangwana. Uyezve, rabhoritari neimwe ine zviratidzo yaro Kuongororwa ropa - RDW, zvichienderana worudzii midziyo vanoshandisa. Chiremba anogona kureva kuti ari kurwara nacho Center, migumisiro yaakanga anovimba. Zvinokoshawo kwazvo kuongorora chirwere.