Ib qho ntawm cov khoom tsim ntawm cov kua dej sib txuas yog erythrocytes - cov qe ntshav liab. Lawv muaj hemoglobin. Qhov no yog cov xim uas ncaj qha rau kev xa cov pa oxygen mus rau cov ntaub so ntswg thiab yog lub luag haujlwm rau saturating tom kawg. Tsis tas li ntawd, nws yog ua tsaug rau hemoglobin uas cov ntshav hloov liab thiab tswj cov qib ib txwm ntawm nws cov kua qaub-puag tshuav. Nyob rau hauv qhov xaus ntawm kev tshawb fawb soj ntsuam ntawm cov kua connective cov ntaub so ntswg, lub abbreviation Mchc tuaj yeem pom. Nws qhia txog qhov nruab nrab ntawm hemoglobin hauv cov qe ntshav liab. Qhov ntsuas no muaj qhov tseem ceeb hauv kev kho mob. Raws li cov txiaj ntsig ntawm kev tshawb fawb, nws muaj peev xwm lees paub lossis tsis suav nrog kev txhim kho cov txheej txheem pathological hauv lub cev.
Mean hemoglobin concentration: txhais li cas
Mchc yogib qho kev qhia uas qhia txog tus nqi ntawm cov protein uas muaj hlau hauv erythrocytes. Cov ntawv luv luv no yuav tsum tsis txhob nkag siab nrog cov ntawv luv Mch. Qhov no yog lwm qhov taw qhia uas qhia txog qhov loj ntawm cov protein hauv ib lub qe ntshav liab. Nyob rau hauv lwm yam lus, Mchc yog qhov nruab nrab concentration ntawm hemoglobin, uas yog, qhov degree ntawm txhaws ntom ntawm cov ntshav liab. Qhov taw qhia tsuas yog txiav txim siab los ntawm qhov sib piv ntawm cov ntsiab lus kawm nyob rau hauv kev sib raug zoo nrog ib lossis lwm yam khoom sib xws ntawm cov ntaub so ntswg ua kua, tsis hais cov qe ntshav liab.
Kev txiav txim siab
Kev kuaj ntshav yog sau tseg yog tias koj xav tias kev txhim kho ntawm cov ntshav ntshav thiab cov kab mob cuam tshuam nrog cov txheej txheem pathological. Yog tias tus kws kho mob yuav tsum tsim kom muaj qhov nruab nrab ntawm hemoglobin hauv erythrocyte, nws xaiv tus neeg mob mus rau kev tshawb fawb soj ntsuam. Kev tshuaj xyuas yog ua los ntawm kev siv cov cuab yeej tshwj xeeb-lub hom phiaj hematological.
Sampling ntawm cov khoom siv roj ntsha (cov ntshav capillary) tau ua thaum sawv ntxov. Cov txheej txheem yog ua rau ntawm lub plab khoob. Tus neeg mob yuav tsum tsis txhob noj zaub mov 8-10 teev ua ntej kuaj biomaterial. Tsis tas li ntawd, nws raug nquahu kom tsis kam haus dej haus, tshwj xeeb tshaj yog cov uas muaj cawv.
Kev ua haujlwm ib txwm
Qhov nruab nrab ntawm hemoglobin hauv ib qho erythrocyte tsis muaj tus nqi tas li. Qhov taw qhia hloov thoob plaws ib tug neeg lub neej. Piv txwv li, qhov nruab nrab concentration ntawm hemoglobin nyob rau hauv ib tug me nyuam yug tshiab yog tsawg dua nyob rau hauv ib tug neeg laus. Tias yog vim li cas, thaum txhais cov txiaj ntsig ntawm kev simkev tshawb fawb yuav tsum coj mus rau hauv tus account lub hnub nyoog thiab poj niam txiv neej ntawm tus neeg mob.
Normal txhais hemoglobin qhov tseem ceeb (qhia hauv g / l):
- Txij hnub yug mus txog 14 hnub - tsis tsawg dua 280 thiab tsis tshaj 350.
- 14 hnub-30 hnub - tsis tshaj 360.
- 1-2 lub hlis - 280-350.
- 2-4 lub hlis - tsis tsawg dua 290 thiab tsis tshaj 370.
- 4-12 lub hlis - tsis tshaj 370.
- 1-3 xyoos - tsis tsawg dua 320 thiab tsis tshaj 380.
- Txij 3 mus rau 13 xyoos - 320-370.
- 13-15 xyoos. Tus qauv rau cov tub yog 320-370, rau cov ntxhais - 320-360.
- Ntawm 15 mus rau 45 xyoo - tsis tshaj 360.
- 45-60 xyoo. Tus qauv rau cov txiv neej yog 320-360, rau cov poj niam - 310-360.
- 65 thiab laus dua. Tus qauv rau cov txiv neej yog 310-360, rau cov poj niam - 320-360.
Nrog rau qhov sib txawv tseem ceeb ntawm qhov ntsuas, nws yog ib txwm hais txog kev txhim kho cov txheej txheem pathological hauv tus neeg mob lub cev. Txhawm rau txheeb xyuas cov hauv paus hauv paus, ntau qhov chaw kuaj thiab ntsuas ntsuas tau muab ntxiv.
kev sib txawv ntawm kev sib txawv
Yog tias qhov nruab nrab ntawm cov hemoglobin qis qis dua, qhov no qhia tias muaj hypochromia. Lo lus no hais txog kab mob uas cov qe ntshav liab tsis tuaj yeem nqus tau cov protein uas muaj hlau uas xav tau. Txoj kev loj hlob ntawm cov kab mob pathological no yog vim muaj cov kab mob uas twb muaj lawm, tawm tsam keeb kwm yav dhau los ntawm kev tsim cov hemoglobin cuam tshuam.
Tus kab mob tseem ceeb:
- Hypochromic anemia (ob leeg tsis muaj hlau thiab sideroblastic).
- Hemoglobinopathies.
- Posthemorrhagic anemia.
- Impaired dej thiab electrolyte tshuav.
- Pathologies of a hereditary xwm.
Thaum kuaj pom qhov nruab nrab ntawm hemoglobin qis, tus kws kho mob soj ntsuam lwm yam ntsuas: cov protein uas muaj hlau thiab cov qe ntshav liab. Yog tias tom kawg yog nyob rau hauv qhov qub, qhov no qhia tau hais tias qhov kev tshawb fawb tau ua nrog qhov yuam kev. Nyob rau hauv tas li ntawd, kev soj ntsuam ntawm biomaterial yog ua dua.
Muaj Teeb Meem
Txo qhov nruab nrab ntawm hemoglobin hauv ib qho erythrocyte yog ib qho mob pathological. Ntau hom anemia cuam tshuam rau kev ua haujlwm ntawm tag nrho cov kab mob. Thawj "kev tawm tsam" yog coj los ntawm lub plab zom mov thiab endocrine systems. Tawm tsam keeb kwm yav dhau los ntawm kev mob plab hnyuv thiab cov tshuaj hormonal tsis txaus, tus neeg mob daim tawv nqaij tig daj ntseg, rau tes tawg thiab alopecia tsim.
Tsis tas li ntawd, tsis quav ntsej qhov teeb meem ua rau cov kab mob hauv qab no:
- Hloov tus qauv ntawm lub hlwb.
- Kev txo qis ntshav siab.
- Kab mob ntawm cov hlab plawv.
- Kev cuam tshuam hauv kev ua haujlwm ntawm kov thiab saj buds.
- Camps thiab mob ntau qhov chaw.
- Pathology ntawm lub vestibular apparatus.
Nws yog ib qho tseem ceeb kom nkag siab tias cov xwm txheej saum toj no tuaj yeem ua rau muaj kab mob hnyav dua. Txhawm rau kom tsis txhob muaj kev pheej hmoo ntawm cov teeb meem, nws yog ib qho tsim nyog los sab laj nrog kws kho mob raws sijhawm (tam sim ntawd tom qab.tau txais cov txiaj ntsig lab).
Kev kho kom txo Mhch
Yog tias qhov nruab nrab ntawm hemoglobin hauv erythrocyte txo qis, kev kho tshuaj tau qhia. Tsis tas li ntawd, tus neeg mob yuav tsum tau hloov kho nws cov khoom noj. Cov ntawv qhia zaub mov yuav tsum muaj cov khoom uas muaj ntau ntawm folic acid thiab hlau.
Nws yog ib qho tseem ceeb los txiav txim siab lub hauv paus ua rau cov txheej txheem pathological raws sijhawm. Txoj kev kho mob nyob ntawm tus kab mob hauv qab.
Basic of Symptomatic Therapy:
- Noj cov vitamin complexes. Lawv yuav tsum muaj cov ntsiab lus ntawm pawg B.
- Noj cov tshuaj noj. Lawv yuav tsum nplua nuj nyob rau hauv minerals.
- noj tshuaj muaj hlau thiab folic acid.
Raws li txoj cai, nrog kev txo qis hauv qhov nruab nrab ntawm hemoglobin, cov kws kho mob tau sau cov tshuaj hauv qab no:
- Ferrum Lek.
- "Aktifferin".
- "Totem".
- Ferroplex.
- "Tardiferon".
Cov tshuaj no yog tshuaj rau cov menyuam yaus thiab cov neeg laus. Raws li lub hnub nyoog, tus kws kho mob kho cov tshuaj noj.
Lub sijhawm ntawm kev kho mob yog 1-3 lub hlis. Nws ncaj qha nyob ntawm qhov degree ntawm deviation ntawm qhov taw qhia. Lub hauv paus ua rau kev loj hlob ntawm cov kab mob pathological kuj tseem ceeb.
Txoj kev sib hloov
Cov xwm txheej zoo li no tau kuaj pom tsuas yog hauv cov xwm txheej cais. Cov laj thawj tseem ceeb rau qhov nce hauv qhov nruab nrabhemoglobin concentration:
- Impaired dej tshuav.
- Hyperchromic anemia.
- Oval lossis spherocytosis.
Ntau zaus qhov ua rau tsis yog pathological. Kev txiav txim siab tsis raug ntawm hemoglobin thiab hematocrit ua rau cov txiaj ntsig tsis raug. Tsis tas li ntawd, qhov tshwm sim ntawm txoj kev tshawb no yog cuam tshuam los ntawm kev sau thiab khaws cia ntawm biomaterial.
Yuav kom paub meej lossis tsis suav nrog qhov yuam kev, kuaj ntshav zaum ob. Yog hais tias qhov nruab nrab concentration ntawm hemoglobin nce, yuav tsum tau kho tshuaj tam sim ntawd. Qhov no yog vim qhov tseeb tias qhov sib txawv tseem ceeb ntawm Mchc qhov taw qhia nce siab (ntau dua 380 g / l) tuaj yeem ua rau crystallization ntawm cov xim liab thiab kev puas tsuaj ntawm cov qe ntshav liab. Nws yog tsim nyog sau cia tias qhov teeb meem no tau kuaj pom tsis tshua muaj.
Kev kho mob nce Mchc
Kev kho tus mob pathological yuav tsum tau siv tshuaj thiab hloov mus rau kev noj zaub mov tshwj xeeb.
Raws li txoj cai, cov kws kho mob tau sau cov tshuaj hauv qab no: Trental, Cardiomagnyl, Curantil. Nws yog ib qho tseem ceeb kom tsis txhob noj cov khoom uas muaj folic acid thiab B vitamins.
Nyob rau hauv lub xub ntiag ntawm qhov nce Mchc qhia, nws yog ib qho tsim nyog yuav tsum suav nrog cov khoom noj uas muaj ntsev ntau hauv cov zaub mov. Koj yuav tsum tso cov txiv hmab txiv ntoo liab thiab berries, nqaij thiab nqaij nyug siab. Tag nrho cov tais diav yuav tsum tau noj boiled los yog stewed. Cov dej cawv kuj raug txwv nruj heev.
Txhawm rau tiv thaiv kev txhim kho ntawm cov ntshav ntshav, nws yuav tsum tsis tu ncua pub ntshav rau kev tshuaj xyuas. Tsuas yogTsis tas li ntawd, qhov laj thawj ntawm kev mus ntsib kws kho mob tam sim ntawd yog qhov kev xav tsis muaj zog thiab pib qaug zog sai.
Nyob hauv kaw
Qhov nruab nrab ntawm hemoglobin hauv erythrocyte (Mchc) yog qhov ntsuas tseem ceeb hauv kev kho mob, raws li cov txiaj ntsig ntawm ib tus tuaj yeem txiav txim siab txog qhov muaj tus kab mob hauv tus neeg mob. Cov khoom siv roj ntsha rau kev kawm yog cov ntshav capillary. Nrog kev txo qis lossis nce hauv qhov nruab nrab ntawm hemoglobin, tsis yog tsuas yog siv tshuaj kho mob, tab sis kuj tseem muaj kev noj zaub mov tshwj xeeb. Tsis tas li ntawd, nws yog ib qho tseem ceeb kom tau raws sij hawm tsim lub hauv paus ua rau cov kab mob pathological.
