Volume Corpuscular Volume (CMV): he aha ia a no ke aha he kiʻekiʻe a haʻahaʻa paha ia
Anter
- Hiki ke hoʻololi i VCM
- 1. He aha ka mea hiki ke kiʻekiʻe VCM
- 2. He aha ka mea e haʻahaʻa CMV
- CMV i ka hōʻailona o anemia
ʻO VCM, ʻo ia hoʻi ka Average Corpuscular Volume, kahi papa kuhikuhi ma ka helu o ke koko e hōʻike ana i ka awelika o ka nui o nā hunaola ʻulaʻula, nā ʻulaʻula koko. Aia ka waiwai maʻamau o VCM ma waena o 80 a me 100 fl, a ʻokoʻa paha e like me ka keʻena hoʻokolohua.
He mea nui ka ʻike ʻana i ka nui o CMV e kōkua ai i ka diagnose anemia a me ka nānā ʻana i ka mea maʻi ma hope o ka hoʻomaka ʻana o ka lāʻau. Eia nō naʻe, pono e hana pū i ka hoʻopili VCM me ke kālailai ʻana i ka helu o ke koko holoʻokoʻa, ʻo ka hapanui o HCM, RDW a me hemoglobin. E aʻo pehea e wehewehe ai i ka helu o ke koko.
Hiki ke hoʻololi i VCM
Hoʻonui a hoʻemi ʻia paha ka nui o ka corpuscular volume, ʻo kēlā me kēia kūlana he ʻano o nā pilikia olakino like ʻole.
1. He aha ka mea hiki ke kiʻekiʻe VCM
Kuhi ka VCM kiʻekiʻe he nui nā hunaola ʻulaʻula, a ʻike pinepine ʻia kahi waiwai hoʻonui ʻia o RDW, kahi kūlana i ʻike ʻia ʻo anisositosis. E ʻike i ke ʻano o ka RDW ma ka hoʻāʻo ʻana i ke koko.
ʻO ka hoʻonui ʻia o ka waiwai e hōʻike ʻia ana i ka anemia megaloblastic a me ka anemia ʻino, ʻo kahi laʻana. Akā hiki ke hoʻololi ʻia i ka hilinaʻi waiʻona, hemorrhages, myelodysplastic syndrome a me hypothyroidism.
2. He aha ka mea e haʻahaʻa CMV
Hōʻike ka CMV haʻahaʻa i nā ʻulaʻula o ke koko i loaʻa i ke koko i liʻiliʻi, i kapa ʻia ʻo microcytic. Hiki ke loaʻa nā hunaola ʻulaʻula Microcytic i nā hanana he nui, e like me ka thalassemia liʻiliʻi, ka spherocytosis kōnane, ka uremia, nā maʻi maʻi a me nā anemias hemahema hao, a ʻike ʻia hoʻi me nā anemias hypochromic microcytic, no ka mea, he HCM haʻahaʻa ko lākou. Hoʻomaopopo he aha ka HCM.
CMV i ka hōʻailona o anemia
No ka ʻike keʻena hoʻokolohua o anemia, nānā nui ke kauka i nā waiwai hemoglobin, me ka hoʻohui pū ʻia me nā ʻike ʻē aʻe, e like me VCM a me HCM. Inā haʻahaʻa ka hemoglobin, hiki ke ʻike ʻia ke ʻano o ka anemia mai nā hopena aʻe:
- Low VCM a me HCM: ʻO ke ʻano o ka anemia microcytic, e like me ka anemia deficience o ka hao;
- CMV maʻamau a me HCM: ʻO ia ke anemia normosittic, kahi e hōʻike ana i ka thalassemia;
- MCV kiʻekiʻe: ʻO ia hoʻi ka anemia macrocytic, e like me ka anemia megaloblastic, no ka laʻana.
Ma muli o ka hopena o ka helu o ke koko, hiki i ke kauka ke kauoha i nā hoʻokolohua ʻē aʻe e hōʻoia i ka ʻike o ka anemia. E ʻike i nā hōʻoia e hōʻoia i ka anemia.