Cov Ntshav Cell Liab (RBC)

Zoo Siab

• Cov tsos mob ntawm kev suav tsis meej
• Vim li cas kuv thiaj li xav tau RBC suav?
• RBC suav ua li cas tau?
• Kuv yuav npaj li cas rau suav RBC?
• Dab tsi yog cov kev pheej hmoo ntawm qhov tau txais RBC suav?
• Dab tsi yog qhov ntau ntau rau kev suav RBC?
• Dab tsi tsis siab dua kev suav txhais tau li cas?
• Dab tsi uas qis dua qub suav txhais tau li cas?
• Cov ntshav liab thiab cov ntshav qog ntshav
• Yuav ua li cas yog tias kuv muaj qhov ntsuas tsis zoo?
• Txoj kev ua neej hloov
• Kev noj haus hloov

Lub qe ntshav liab yog dab tsi?

Cov qe ntshav liab yog txoj kev kuaj ntshav uas koj tus kws kho mob siv los kuaj seb koj muaj pes tsawg cov ntshav liab (RBCs) koj muaj. Nws tseem hu ua erythrocyte suav.

Qhov kev ntsuam xyuas yog qhov tseem ceeb vim tias RBCs muaj cov hemoglobin, uas nqa oxygen rau koj lub cev cov ntaub so ntswg. Tus naj npawb ntawm RBCs koj muaj peev xwm cuam tshuam ntau npaum li cas cov pa koj cov ntaub so ntswg txais. Koj cov ntaub so ntswg xav tau oxygen ua haujlwm.

Cov tsos mob ntawm kev suav tsis meej

Yog tias koj qhov RBC suav ntau dhau los yog dhau qis, koj yuav muaj cov tsos mob thiab cov teeb meem.

Yog tias koj tsis tshua muaj RBC suav, cov tsos mob tuaj yeem suav nrog:

• nkees
• txog siav
• kiv taub hau, tsis muaj zog, lossis lub teeb taws me, tshwj xeeb yog thaum koj hloov chaw sai
• lub plawv dhia rau lub siab
• mob taub hau
• daj ntseg tawv nqaij

Yog tias koj muaj RBC suav ntau, koj yuav muaj cov tsos mob xws li:

• nkees
• txog siav
• mob tej pob txha
• rhiab nyob rau hauv xib teg ntawm txhais tes lossis ob txhais taw ntawm taw
• khaus tawv nqaij, tshwj xeeb yog tom qab da dej lossis da dej
• kev ntxhov siab vim pw tsaug zog

Yog tias koj ntsib cov tsos mob no koj tus kws kho mob tuaj yeem xaj RBC.

Vim li cas kuv thiaj li xav tau RBC suav?

Raws li Asmeskas Lub Chaw Haujlwm Sib Koom Nrog Kev Kho Mob (AACC), qhov kev ntsuas yuav luag txhua qhov ntawm kev ua tiav kev suav cov ntshav (CBC). Kev kuaj CBC ntsuas tus lej ntawm txhua feem hauv ntshav, suav nrog:

• cov ntshav liab
• ntshav dawb
• hemoglobin
• hematocrit
• platelets

Koj hematocrit yog qhov ntim ntshav liab hauv koj lub cev. Kev kuaj ntshav hematocrit ntsuas qhov feem ntau ntawm RBCs hauv koj cov ntshav.

Platelets yog cov qe ntshav me me uas nyob rau hauv cov ntshav thiab ua cov ntshav txhaws ua kom cov qhov txhab ua kom zoo thiab tiv thaiv kom tsis txhob los ntshav.

Koj tus kws kho mob yuav xaj kuaj yog tias lawv xav tias koj muaj tus mob uas cuam tshuam rau koj RBCs, lossis yog tias koj pom cov tsos mob muaj ntshav oxygen tsawg. Cov no tuaj yeem suav nrog:

• bluish discoloration ntawm daim tawv nqaij
• tsis meej pem
• txob taus thiab nyob tsis tswm
• kev ua pa tsis xwm yeem

Kev kuaj CBC feem ntau yuav yog ib feem ntawm kev tshuaj xyuas lub cev ib txwm muaj. Nws tuaj yeem ua qhov ntsuas ntawm koj txoj kev noj qab haus huv tag nrho. Nws tseem tuaj yeem ua tiav ua ntej kev phais mob.

Yog tias koj muaj kev kuaj mob ntshav uas yuav cuam tshuam rau RBC suav, lossis koj noj tshuaj uas cuam tshuam rau koj RBCs, koj tus kws kho mob yuav xaj kom kuaj xyuas saib koj tus mob lossis kev kho mob zoo li cas. Cov kws kho mob tuaj yeem siv cov kev kuaj mob CBC los saib xyuas cov mob xws li roj ntsha ntshav thiab ua mob rau cov ntshav.

RBC suav ua li cas tau?

Daim npav RBC yog ib qho kev kuaj ntshav yoojyim ntawm koj tus kws khomob lub chaw haujlwm. Koj tus kws kho mob yuav nqus ntshav los ntawm koj txoj hlab ntsha, feem ntau nyob rau sab hauv ntawm koj lub luj tshib. Cov kauj ruam kev koom tes hauv cov ntshav kos yog:

• Tus kws kho mob yuav ntxuav qhov chaw puncture nrog antiseptic.
• Lawv yuav muab ib txoj hlua khi ncig ntawm koj sab caj npab kom koj cov leeg ntshav nrog ntshav.
• Lawv yuav maj mam ntxig ib rab koob rau hauv koj txoj hlab ntsha thiab sau cov ntshav rau hauv lub vauj lossis raj.
• Lawv mam li tshem tawm rab koob thiab ntawm band los ntawm koj txhais caj npab.
• Tus kws kho mob yuav xa koj cov ntshav mus kuaj rau kev kuaj.

Kuv yuav npaj li cas rau suav RBC?

Feem ntau tsis muaj kev npaj tshwj xeeb rau qhov kev ntsuas no. Tab sis koj yuav tsum qhia koj tus kws kho mob yog tias koj tau noj tshuaj. Cov no suav nrog cov tshuaj yuav tom khw (OTC) cov tshuaj lossis cov tshuaj noj ntxiv.

Koj tus kws kho mob tuaj yeem qhia koj txog lwm cov kev tiv thaiv kev ceev faj.

Dab tsi yog cov kev pheej hmoo ntawm qhov tau txais RBC suav?

Ib yam li kev kuaj ntshav, muaj qhov pheej hmoo yuav los ntshav, doog ntshav, lossis kis tus mob ntawm thaj chaw hno. Koj tuaj yeem hnov ​​cov mob me ntsis lossis ntse ib pliag thaum koob nkag rau hauv koj txhais caj npab.

Dab tsi yog qhov ntau ntau rau kev suav RBC?

Raws Li Kev Leukemia & Lymphoma Society:

• RBC li qub rau cov txiv neej yog 4.7 rau 6.1 lab hlwb ib microliter (mcL).
• Qhov RBC ib txwm muaj rau cov poj niam uas tsis tau xeeb tub yog 4.2 rau 5,4 lab mcL.
• Qhov RBC ib txwm rau cov menyuam yaus yog 4.0 txog 5.5 lab mcL.

Cov kab kev sib txawv no yuav txawv nyob hauv chav kuaj lossis kws kho mob.

Dab tsi tsis siab dua kev suav txhais tau li cas?

Koj muaj erythrocytosis yog tias koj RBC suav ntau dua qhov qub. Qhov no tuaj yeem yog vim:

• luam yeeb
• yug los ua neeg mob plawv
• lub cev qhuav dej
• Mob raum cell, ib hom mob qog noj ntshav
• Mob ntsws pulmonary
• polycythemia vera, mob hlwb pob txha uas ua rau muaj kev ua haujlwm ntau ntawm RBCs thiab cuam tshuam nrog kev hloov caj ces

Thaum koj tsiv mus rau qhov chaw siab dua, koj qhov RBC ntau ntxiv yuav nce mus rau ntau lub lis piam vim tias muaj pa oxygen tsawg nyob rau hauv huab cua.

Qee hom tshuaj xws li gentamicin thiab methyldopa tuaj yeem nce koj RBC ntau ntxiv. Gentamicin yog ib qho tshuaj tua kab mob uas siv los kho kab mob hauv cov ntshav.

Methyldopa feem ntau siv los kho ntshav siab. Nws ua haujlwm los ntawm kev so lub cev cov leeg ntshav kom tso cai rau cov ntshav txaus dua los ntawm lub cev. Nco ntsoov qhia koj tus kws kho mob txog kev siv tshuaj uas koj noj.

Kev suav RBC ntau heev tuaj yeem ua rau pw tsaug zog apnea, pulmonary fibrosis, thiab lwm yam mob uas ua rau muaj cov pa oxygen tsawg hauv cov ntshav.

Kev ua kom zoo-siv tshuaj zoo li kev txhaj tshuaj protein thiab cov tshuaj anabolic steroids kuj tseem tuaj yeem nce RBCs. Kab mob hauv lub raum thiab mob qog hlav hauv lub raum tuaj yeem ua rau RBC ntau ntxiv thiab.

Dab tsi uas qis dua qub suav txhais tau li cas?

Yog tias cov naj npawb ntawm RBCs qis dua li qub, nws yuav tshwm sim los ntawm:

• anemia
• hlwb pob txha tsis ua haujlwm
• erythropoietin deficiency, uas yog qhov tseem ceeb tshaj plaws ua rau tus neeg muaj ntshav tsis txaus hauv cov neeg mob uas mob raum
• hemolysis, lossis RBC rhuav tshem los ntawm kev txhab ntshav thiab ntshav hlab ntshav raug mob
• los ntshav sab hauv lossis sab nraud
• mob leukemia
• khoom noj khoom haus tsis muaj zog
• ntau myeloma, mob cancer ntawm cov ntshav ntshav hauv hlwb pob txha
• kev noj zaub mov tsis txaus, suav nrog kev ua tsis zoo ntawm cov hlau, tooj liab, folate, thiab cov vitamins B-6 thiab B-12
• cev xeeb tub
• cov thyroid cuam tshuam

Qee yam tshuaj kuj tuaj yeem txo koj RBC suav, tshwj xeeb:

• kev siv tshuaj kho mob
• chloramphenicol, uas kho cov kab mob kis kab mob
• quinidine, uas tuaj yeem kho lub plawv dhia tsis xwm yeem
• hydantoins, uas ib txwm siv los kho kev mob vwm thiab mob pob txha

Cov ntshav liab thiab cov ntshav qog ntshav

Kab mob ntshav hauv ntshav tuaj yeem cuam tshuam rau kev tsim thiab ua haujlwm ntawm cov ntshav liab. Lawv kuj tseem tuaj yeem ua rau cov qib RBC tsis txawv txav.

Txhua hom ntshav qog ntshav muaj feem cuam tshuam rau RBC. Peb hom tseem ceeb ntawm cov mob ntshav yog:

• mob leukemia, uas ua rau cov hlwb pob txha muaj peev xwm ua tau cov qe ntshav thiab qe ntshav liab
• lymphoma, uas cuam tshuam rau cov qe ntshav dawb ntawm lub cev tiv thaiv kab mob
• myeloma, uas tiv thaiv ib txwm ua ntawm cov tshuaj tiv thaiv

Yuav ua li cas yog tias kuv muaj qhov ntsuas tsis zoo?

Koj tus kws kho mob yuav tham txog qhov tshwm sim tsis zoo nrog koj. Nyob ntawm cov txiaj ntsig, lawv yuav tau txiav txim siab mus twv ntxiv.

Cov no tuaj yeem suav nrog cov ntshav muag, nyob qhov twg cov paj yeeb yaj kiab ntawm koj cov ntshav tau kuaj hauv qab lub tshuab tsom. Cov ntshav txhaws ntshav muaj peev xwm pab tshawb pom qhov txawv txav hauv cov qe ntshav (xws li mob ntshav qis ntshav tsis txaus), cov ntshav dawb muaj teeb meem xws li mob leukemia, thiab qog ntshav muaj ntshav zoo li malaria.

Zawv Zus yog ib qho mob uas tsis muaj ntshav liab txaus txaus nqa cov pa mus thoob hauv lub cev. Hom mob qog muaj:

• hlau deficiency anemia, uas feem ntau kho tau yooj yim
• sickle cell anemia, uas ua rau muaj cov qe ntshav liab tsis txaus uas tuag sai sai
• vitamin deficiency anemia, uas feem ntau pib los ntawm theem qis ntawm cov vitamin B-12

Txhua txhua yam mob ntshav liab xav tau kev kho mob. Cov neeg uas muaj anemia feem ntau xav tias nkees thiab qaug zog. Lawv yuav muaj mob taub hau, txhais tes txias thiab taw, kiv taub hau, thiab lub plawv dhia tsis xwm yeem.

Kev hloov pob txha ntawm cov pob txha tuaj yeem qhia qhov sib txawv ntawm koj cov ntshav li cas hauv koj txoj kev hloov hlwb pob txha. Kev ntsuam xyuas mob, xws li lub zog lossis electrocardiograms, tuaj yeem nrhiav cov xwm txheej cuam tshuam rau lub raum lossis lub plawv.

Txoj kev ua neej hloov

Cov kev hloov hauv lub neej tau cuam tshuam rau koj RBC suav. Qee qhov kev hloov pauv no suav nrog:

• tswj kev noj zaub mov zoo thiab ua kom tsis txhob muaj cov vitamin tsis txaus
• qoj ib ce tsis tu ncua, uas yuav tsum muaj lub cev kom siv oxygen ntau dua
• tsis txhob noj cov tshuaj aspirin
• zam kev haus luam yeeb

Koj tuaj yeem tuaj yeem txo koj li RBC nrog cov kev pauv hauv lub neej hauv qab no:

• txo cov hlau thiab cov nqaij liab uas koj haus
• haus dej ntau ntxiv
• zam kev diuretics, xws li haus muaj caffeine lossis dej cawv
• txiav kev haus luam yeeb

Kev noj haus hloov

Kev noj zaub mov noj tuaj yeem ua rau lub luag haujlwm tseem ceeb hauv tsev kho mob los ntawm kev nce lossis txo koj tus lej RBC.

Koj tuaj yeem tuaj yeem nce koj li RBC nrog cov kev noj zaub mov hauv qab no:

• ntxiv cov khoom noj muaj hlau (xws li nqaij, ntses, nqaij qaib), nrog rau taum qhuav, taum pauv, thiab cov zaub ntsuab (xws li zaub ntsuab) rau koj cov zaub mov noj
• ua ntau rau hauv koj cov zaub mov nrog zaub mov xws li qwj ntses, nqaij qaib, thiab txiv ntoo
• tau txais cov vitamins B-12 ntau dua nrog cov zaub mov zoo li qe, nqaij, thiab cov zaub mov uas muaj zog