ʻO ka hoʻāʻo ʻana o ka laulā hoʻoili kelekula ʻulaʻula (RDW)

Anter

• No ke aha e pau ai ka hōʻike RDW?
• Pehea ʻoe e hoʻomākaukau ai no ka hoʻāʻo?
• Pehea ka unuhi ʻana i nā hopena RDW?
• Nā hopena kiʻekiʻe
• Nā hopena maʻamau
• Nā hopena haʻahaʻa
• Outlook

He aha ka hoʻokolohua koko RDW?

ʻO ka laula o ka hoʻokaʻawale ʻana o nā hunaola ʻulaʻula (RDW) e ana i ka nui o ka hoʻololi ʻana o ke koko ʻulaʻula i ka nui a me ka nui.

Pono ʻoe i nā hunaola ʻulaʻula e lawe i ka oxygen mai kou mau māmā i kēlā me kēia ʻāpana o kou kino. ʻO nā mea āpau ma waho o ka laulā maʻamau i ka laula o ke kokoʻulaʻula a i ʻole ka leo e hōʻike i kahi pilikia me ka hana o ke kino e hoʻohuli i ka oxygen e hele i nā wahi like ʻole o kou kino.

Eia nō naʻe, me kekahi mau maʻi, loaʻa paha iā ʻoe kahi RDW maʻamau.

Mālama nā hunaola ʻulaʻula maʻamau i ka nui maʻamau o 6 a 8 micrometers (µm) i ke anawaena. Hoʻonui ʻia kāu RDW inā nui ka laulā o nā nui.

ʻO kēia ke kumu inā ma ka awelika he liʻiliʻi kāu RBC, akā he nui nā pūnaewele liʻiliʻi loa kāu, e hoʻokiʻekiʻe ʻia kāu RDW. Pēlā nō, inā ma ka awelika nui kāu RBC, akā he nui nā pūnaewele nui loa ʻoe, e hoʻokiʻekiʻe ʻia kāu RDW.

No kēia kumu, ʻaʻole hoʻohana ʻia ʻo RDW ma ke ʻano he parameter kaʻawale i ka wehewehe ʻana i ka helu piha o ke koko (CBC). Hāʻawi ia i nā pale o ka manaʻo i loko o ka pōʻaiapili o ka hemoglobin (hgb) a me ke kumu o ka waiwai corpuscular (MCV).

ʻO ka manaʻo kiʻekiʻe RDW paha he hemahema kāu, ka anemia, a me nā ʻano kumu ʻē aʻe.

No ke aha e pau ai ka hōʻike RDW?

Hoʻohana ʻia ka hōʻike RDW e kōkua i ke kuhi ʻano o ka anemia a me nā ʻano olakino ʻē aʻe e like me:

• thalassemias, nā mea i hoʻoili ʻia i ke koko i hiki ke hōʻeha i ka anemia koʻikoʻi
• mimikō mellitus
• maʻi maʻi puʻuwai
• maʻi maʻi ate
• maʻi ʻaʻai

Hana pinepine ʻia kēia hōʻike ma ke ʻano he ʻāpana o ka helu piha o ke koko (CBC).

Hoʻoholo ka CBC i nā ʻano a me nā helu o nā hunaola koko a me nā ʻano ʻē aʻe o kou koko, e like me nā ana o nā platelet, nā ʻulaʻula, a me nā ʻula koko keʻokeʻo.

Kōkua kēia mau hoʻāʻo e hoʻoholo i kāu kūlana olakino holoʻokoʻa a, i kekahi mau hihia, ʻike i ka maʻi a i ʻole nā ​​maʻi ʻē aʻe.

Nānā paha nā kauka i ka hōʻike RDW ma ke ʻāpana o kahi CBC inā loaʻa iā ʻoe:

• ʻōuli anemia, e like me ka lī, pale ʻili, a me ka helu
• ka hao a me ka wikamina hemahema
• kahi moʻolelo ʻohana o kahi maʻi koko, e like me ka anemia maʻi maʻi
• pohō nui o ke koko mai ke ʻoki a trauma paha
• ua ʻike ʻia me ka maʻi e hoʻopili i nā hunaola ʻulaʻula
• kahi maʻi maʻi, e like me HIV a i ʻole AIDS

Pehea ʻoe e hoʻomākaukau ai no ka hoʻāʻo?

Ma mua o kahi hoʻokolohua koko RDW, e noi ʻia ʻoe e hoʻokē ʻai, ke kaukaʻi ʻia i nā hōʻike koko ʻē aʻe a kāu kauka i kauoha ai. E hāʻawi aku kāu kauka iā ʻoe i kekahi ʻōlelo aʻoaʻo kūikawā ma mua o kāu hōʻoia.

ʻAʻoleʻoi aku ma mua o 5 mau minuke ka hoʻāʻo. E lawe kahi mea mālama ola i kahi laʻana o kou koko mai kahi aa a mālama i loko o kahi paipu.

Ke hoʻopiha ʻia ka paipu i ka hāpana koko, hemo ka nila, a kau ʻia ke kaomi a me ka wahī liʻiliʻi ma luna o ke kahua komo e kōkua ai e hōʻoki i ke kahe ʻana o ke kahe. E hoʻouna ʻia kāu paipu koko i kahi lab no ka hoʻāʻo ʻana.

Inā hoʻomau ke kahe o ka nila i mau mau hola, kipa koke i ke kauka.

Pehea ka unuhi ʻana i nā hopena RDW?

ʻO ka laulā maʻamau no ka laula o ka hāʻawi ʻana o ka ʻulaʻula he 12.2 a 16.1 pakeneka i nā wahine makua a 11.8 a 14.5 pakeneka i nā kāne makua. Inā helu ʻoe ma waho o kēia pae, hiki iā ʻoe ke loaʻa kahi hemahema, maʻi, a i ʻole nā ​​maʻi ʻē aʻe.

Eia nō naʻe, ma nā pae RDW maʻamau, loaʻa paha iā ʻoe kahi maʻi olakino.

No ka loaʻa ʻana o kahi hōʻailona kūpono, pono kāu kauka e nānā i nā hoʻokolohua koko ʻē aʻe - e like me ka hōʻike ʻana o ka nui o ka corpuscular volume (MCV), a he ʻāpana nō ia o kahi CBC - e hoʻohui i nā hopena a hāʻawi i kahi ʻōlelo aʻoaʻo pololei.

Ma waho aʻe o ke kōkua ʻana e hōʻoia i kahi kuhi ke hoʻohui ʻia me nā hoʻokolohua ʻē aʻe, hiki i nā hopena RDW ke kōkua i ka hoʻoholo ʻana i ke ʻano o ka anemia e loaʻa iā ʻoe.

Nā hopena kiʻekiʻe

Inā kiʻekiʻe loa kāu RDW, he hōʻailona paha ia no ka hemahema o ka momona, e like me ka hemahema o ka hao, folate, a me ka wikamina B-12.

Hiki i kēia mau hopena ke hōʻike i ka anemia macrocytic, ke hana ʻole kou kino i nā hunaola ʻulaʻula maʻamau, a ʻoi aku ka nui o nā hunaola āna e hana ai ma mua o ka maʻamau. Hiki i kēia ke kumu o ka lawa ʻole o ka folate a i ʻole ka wikamina B-12.

Hoʻohui ʻia, loaʻa paha iā ʻoe kahi anemia microcytic, ka hemahema o nā keena ʻulaʻula maʻamau, a ʻoi aku ka liʻiliʻi o kāu mau koko koko ma mua o ka maʻamau. ʻO ka anemia hemahema hao kahi kumu maʻamau o ka anemia microcytic.

I mea e kōkua pono ai i ke kuhi ʻana i kēia mau ʻano, e hoʻokō kāu kauka lawelawe i kahi hōʻike CBC a hoʻohālikelike i nā ʻāpana hōʻike RDW a me MCV e ana i kou nui o ke kahena o ke koko.

Loaʻa kahi MCV kiʻekiʻe me kahi RDW kiʻekiʻe i kekahi o nā anemias macrocytic. Loaʻa kahi MCV haʻahaʻa me kahi RDW kiʻekiʻe i nā anemias microcytic.

Nā hopena maʻamau

Inā loaʻa iā ʻoe kahi RDW maʻamau me kahi MCV haʻahaʻa, loaʻa iā ʻoe i kahi anemia e hopena ʻia mai kahi maʻi maʻi, e like me ka mea i hoʻokumu ʻia e ka maʻi maʻi maʻi mau.

Inā maʻamau kāu hopena RDW akā he MCV kiʻekiʻe kou, loaʻa paha iā ʻoe kahi anemia aplastic. He maʻi koko kēia kahi e ʻaʻole hiki ai i kou momona o ka iwi ke hoʻohua i nā huna koko, e pili pū ana me nā ʻulaʻula o ke koko.

Nā hopena haʻahaʻa

Inā haʻahaʻa kāu RDW, ʻaʻohe maʻi hematologic e pili ana me kahi hopena RDW haʻahaʻa.

Outlook

He kūlana hiki ke mālama ʻia ka Anemia, akā hiki ke kumu i nā pilikia hoʻoweliweli ke ola inā ʻaʻole ʻike pono ʻia a mālama ʻia.

Hiki i kahi hoʻokolohua koko RDW ke kōkua i ka hōʻoia ʻana i nā hopena hōʻike no nā maʻi o ke koko a me nā kūlana ʻē aʻe ke hui ʻia me nā hoʻokolohua ʻē aʻe. Pono kāu kauka e hōʻea i kahi hōʻailona ma mua o ka hōʻike ʻana iā ʻoe i nā koho lapaʻau.

Kaukaʻi ʻia i ka paʻakikī o kou ʻano, hiki i kāu kauka ke koi aku i nā huaora hoʻōla, ka lāʻau, a i ʻole nā ​​loli dietary.

Inā hoʻomaka ʻoe e ʻike i nā ʻōuli kūpono ʻole ma hope o kāu hōʻike RDW koko a i ʻole e hoʻomaka ana i ka lāʻau ʻana, e kāhea koke aku i kāu kauka.