Blood bvunzo: inopangidza PDW (wokuyera uye kutsauka)

Zvakaoma kuwana munhu haana muupenyu hwake haana kuva nenguva yatinoona kuti vape ropa count. Tsanangudzo PDW zvinogona kutungamirira kuvhiringidzika. Ungangove, vakawanda ichi regai kunyange vakanzwa. Complete ropa count - inokosha zvishoma upi rokuongorora panguva chokudzivirira bvunzo, vasati vatanga kurapwa kuzosimbisa chirwere uye kunyoresa kuti pamuviri. Kudzidza uku inopa misoro mufananidzo mamiriro utano hwevanhu: anogumbura uye zvirwere urongwa, uye kupererwa neropa. Saka chii zviratidzo zvinorevei kunotoda kuongorora ropa sezvo yaizivikanwa panzeve dzedu, uye kwete kudaro?

Chii chinonzi kuongororwa ropa?

Blood - chinhu zvipenyu mvura kuti chinopinda musero rose dzemuviri. It migrates kuburikidza muviri wedu, saka wake chinzvimbo uye nemakemikari zviratidzo, unogona kuona zvakanaka kuti muviri yedu. Maererano kuongorora chiremba Anoongorora sei kushandisa izvi kana nedzimwe nhengo uye hurongwa. Muropa, pane zvimwe makemikari, pachiyero chiri anoratidza kuti nyanzvi. Ropa rinogona kutorwa rirambe richibvira uye venous. Saizvozvowo, kupa zvokutanga munwe, uye wechipiri - kubva tsinga. Kuongorora Inonyanya vanowanzochema bvunzo ropa. Pane zvimwe zvidzidzo zviri zvipenyu fluid yaunogona kuona padanho shuga mairi, nhamba zvakafanira mahormone, mamiriro ezvinhu chiropa uye dzimwe nhengo zhinji. Kunyanya teererai nyanzvi mwero Chizenga muropa. Iye zvinokosha kuti munhu, sezvo unokupai ose nhengo uye masero okisijeni, pasina iro kudziviswa siyana nemakemikari mavari.

Ndinofanira kugadzirira sei izvozvo?

Nokuti chero murabhoritari nemiedzo vanofanira kugadzirira. miedzo nani pane pokutsanya kwemaawa 8 asati ongororo kuburikidza dzakakudzingai kubva zvokudya kwemafuta ropa. Kuti vawane yakavimbika nemigumisiro muedzo asati zvakafanira kurega doro. Zvakaitika mukuru Kuongororwa ropa kurovedza akakosha haamanikidzwi, sezvazvakaita idzidzise pasina izvozvo. Nemimwe miedzo ropa zvinoda vavashandire pamberi ongororo.

Information nezvoutano hwedu pedyo bvunzo ropa

The CBC zvinosanganisira Chizenga, chena ropa masero uye zvokuimba masero matsvuku eropa, platelet kuverenga, erythrocyte sedimentation zvazvingava, kana zvichidiwa - hematocrit, ruvara indekisi, mavambo uye kuguma coagulation.

Norm masero matsvuku eropa muropa count ndiro yakaisvonaka hafu revanhu pakati 4.0 - 5.0, vamiririri akasimba pabonde - 4,5 kusvika 5.5. Ava vakaumba zvinhu ropa revanhu vari biconcave ndiro. Anorarama erythrocyte mazuva 110-120. Kuwanda masero matsvuku eropa angava kuipa, kumusoro uye vakaderera. Kuwedzera uwandu masero matsvuku eropa inonzi erythrocytosis. It kunoitika kunyanya thickening ropa, kana kuwedzera nhamba masero matsvuku eropa. Kwakaderedza nhamba masero matsvuku eropa inonzi erythropenia. Zvinogona kuitika mushure chinokosha kurasikirwa neropa.

Chizenga ndiye chikamu matsvuku eropa. Usaruyera kuti vadzidze pamusoro mwero saturation ose Chizenga muropa. Iye anozadza ropa pamwe oxygen, uye saka zvakakosha kuti kufema. The kuipa Chizenga pamwero varume anonzi nechiidzo 120 kusvika 170 magiramu muzana fő. Vakadzi vaiona chakaipa Chizenga pamwero 110 kusvika 150 magiramu muzana fő. Kana murwere Chizenga kunoderedza, ichi ari sevanhu kupererwa, zvichireva kusava simbi mumuviri, uye vhitamini B 12. Kuwedzera Chizenga hakusi chakasviba. It zvinogwambisa ropa, vakawedzera muna vatambi pamwe erythrocytosis vanhu vanogara dzemakomo.

Leukocytes - vari ropa masero machena. Kazhinji, nhamba anoda kubva 4 kusvika 9. chavainyanya basa - kudzivirirwa. In anogumbura, chirwere uye oncological malignancy, nhamba iyi inokwira anonzi leukocytosis. Kana masero machena eropa zvishoma pane dzose, zvino ichi inonzi leukopenia, kunoitika pashure mishonga, ungaderedza kutapata nezvimwe pathologies mumuviri. Kukosha anewo wbc: neutrophils, izvo kazhinji vanoumba kubva 45 kusvika 70 muzana zvachose leukocytes, lymphocytes, - kubva% monocytes 19 kusvika 37, - kubva 3 kusvika 10 muzana, eosinophils - 1-5 muzana basophils - kusvika 1%.

ESR - erythrocyte sedimentation mwero - zvakajairika vakadzi vakaenzana kubva 1 kusvika 15 millimeters paawa, varume iye anobva 1 kusvika 10 millimeters paawa. Wedzero zvinokonzerwa anoratidza anogumbura, zvinotapukira uye oncological nezvemabatiro mumuviri.

Maplatelet vanobatanidzwa muropa coagulation mugadziriro, fibrinolysis. Thrombocytosis kana kuwedzera uwandu maplatelet iri muviri angava anoratidza kurasikirwa neropa kwakacherechedzwa pashure nokubviswa chirwatata, pamwe myeloid neleukemia. Thrombocytopenia kana ungaderedza platelet count iri anoratidza vachiberekwa uye akawana abnormalities ose hematopoiesis.

Chii PDW mune bvunzo ropa?

Zvinonzi ikozvino kuzivikanwa anopfuura makumi maviri zviratidzi kuti abatsire chiremba kuita mhedziso yakarurama pamusoro mamiriro eutano murwere. Izvi zvinosanganisira platelet PDW indekisi - kuongororwa ropa, achiongorora zvaive ". Platelet Kuparadzirwa upamhi pamusoro mazwi avo" izvo unorira Iye inechirevo heterogeneity masero siyana, kusanganisira kuchinja kukura kwavo. Nemamwe mashoko, masero ropa vane inosiyana, uye kuti uwandu macro- uye mikrotrombotsitov inosimbisa muedzo uyu ropa. Achiongorora zvaive PDW kunobatsira kuziva zvinoverengeka zvakakomba abnormalities pamuviri.

mimwe ropa zvinofanira kutorwa usina chawadya kubva nomunwe. Whole ropa raizoiswa nemuedzo chubhu, kuti icho akawedzera anticoagulant pachine. Pari, tsvakurudzo rinoitwa pamusoro analyzers, izvo kuwedzera chakarurama izvi zvinogona kupa kunyange 24. Zvinokosha kupfuura CBC. Achiongorora zvaive PDW anoenderana ezvinhu akawanda, zvakadai sokudya, zadzisa, pamuviri, zuva kumwedzi. Naizvozvo, unofanira kupa ropa usina chawadya, kubvisa kunetseka, rinorema mumuviri basa, kwete kuita tsvakurudzo panguva yekutevera.

Uyewo, pane chinhu chakadai chizvidavirire SD indekisi PDW ropa bvunzo. Achiongorora zvaive zvakanyorwa pamapeji PDW-SD - indekisi zvinoratidza heterogeneity pamusoro maplatelet pedyo akakodzera mugumisiro kururama. SD muchiitiko ichi - ndiwo mutemo kutsauka. Ake kurangarira dzemaitirwe pamusoro indekisi.

Zvaunofanira kuziva nhamba iyi?

Hazvina chakavanzika kuti zvinokosha chaizvo kuti kubata bvunzo ropa. Tsanangudzo PDW ane zvinokosha chirwere uye prognostic ukoshi. Somuenzaniso, kukura mwero inocherechedzwa nyaya myelodysplastic zvirwere. Kutsauka Its kubva ndozvakajairwa kubvumira Kusiyanisa kuti kupererwa neropa uye zvimwe zvirwere zviri mumuviri.

PDW: Chii mwero vakuru?

In zvisingatomboiti akura maplatelet evanhu akaparadzirwa vhoriyamu kubudikidza 15-17 muzana. Izvi arşive kubvumira zviduku zvarakasiya - umwe maviri muzana, izvo kuvimba zvinoitwa nomumwe nomumwe muviri.

Norma indekisi vana

Kana decoding vose zviratidzi kunotoda kurapwa ropa kuongorora inorangarira murwere zera. Hapana Kunze uye PDW indekisi - ropa pachisara decoding, mwero vana vanofungidzirwa tichienzanisa nevamwe zviratidzo.

Chakarurama PDW haisati zvakakwana kudzidza, asi mashoko ayo inocherechedzwa nhoroondo pa nokusimbisa pathologies zhinji, kunyanya kenza ropa-nokuumba nhengo uye pezvakaitwa muvana. Avharenji, izvo nevamwe vana makore 18, kubvira 10 kusvika 15 muzana uwandu maplatelet.

PDW: Blood kuongorora (decoding). dzakakwirira nhanho

Tiite tsvakurudzo - iyi ndiyo chete hafu kurwa: inokosha yakarurama decoding miedzo ropa. Kunopindirana PDW kunowedzera pathologies akadai:

• anogumbura pezvakaitwa;
• mumuviri nesimba guru;
• kusagadzikana chiropa;
• mwoyo chirwere;
• splenectomy;
• nyanyisa urongwa, kunyanya metastasis kuti mwongo;
• zvikuru ropa kurasikirwa;
• vatungamirire chepfu;
• Various kupererwa neropa;
• kurapwa pamwe corticosteroids;
• CheAlzheimer;
• postoperative kumwedzi.

Panyama panguva PDW pamusoro mitemo murume Uchanzwa zvakawanda zvive uye simba, dzungu, anogona kuderedza kukwanisa kushanda.

PDW: Blood kuongorora (decoding). neb terama

In pathologies vakawanda akarurama chirwere uye zvakakwana kurapwa zvinobatsira kutsanangura kwete chete kuwedzera asiwo kudukupiswa PDW pamwero. Downgraded indekisi yava:

• neleukemia;
• nemwaranzi kurwara;
• myelodysplastic urwere;
• DIC;
• nemavhairasi zvirwere;
• sepsis;
• kushandisa cytostatics;
• megaloblastic kupererwa neropa;
• cirrhosis, chisingaperi kuzvimba chiropa.

Munguva yedu kuva pfungwa mukuru pamusoro pezvinhu zvakawanda zvinokosha. Asi kunyange kukosha nehanya ruzivo rwavo zvakakwana. Ane pfungwa uye zvikuru ruzivo - kwete zvimwe chetezvo. Saka, tinofanira kunzwisisa kuti PDW - ropa pachisara decoding, mwero uye kukosha izvo zvinozivikanwa chete nyanzvi. Munhu pachake hapana chikuru zvakabuda pakutsvakurudza uye mashandiro avo varege kuita, unofanira kuenda kuchipatara.