01 Chii chinonzi hemoglobin
Chidimburidzo cheChirungu chehemoglobin ndicho HGB kana Hb.Hemoglobin ipuroteni yakakosha inotakura oxygen mumasero matsvuku eropa.Ipuroteni inoita kuti ropa ritsve.Inoumbwa neGlobin uye heme.Chikamu chekuyera nhamba yemagiramu ehemoglobin parita (1000 ml) yeropa.Kukosha kwekushandiswa kwehemoglobin uye masero matsvuku eropa kwakafanana, uye kuwedzera nekudzikira kwehemoglobin kunogona kureva kukosha kwekiriniki yekuwedzera nekudzikira kwesero dzvuku.
Iko kukosha kweiyo hemoglobin kunosiyana zvishoma zvichienderana nehukadzi uye makore.Chirevo chetauro ndeichi: murume mukuru: 110-170g/L, mukadzi mukuru: 115-150g/L, achangozvarwa: 145-200g/L
02 hemoglobin iri pasi penguva dzose
Kuderera kwehemoglobin kunogona kukamurwa kuva physiological and pathological change.Kuderedzwa kwepathological kunowanzoonekwa mumhando dzakasiyana dzeanemia, uye zvikonzero zvakajairika zvinosanganisira:
① Bone marrow hematopoietic dysfunction, yakadai seaplastic anemia, leukemia, myeloma, uye bone marrow fibrosis;
② Hematopoietic zvinhu kushomeka kana chipingamupinyi chekushandisa, senge Iron-deficiency anemia, sideroblastic anemia, megaloblastic anemia, erythropenia (folic acid uye vhitamini B kushomeka);
③ Kurasikirwa kweropa kwakanyanya uye kusingaperi, sekurasikirwa neropa kwakanyanya mushure mekuvhiyiwa kana kukuvadzwa, peptic ulcer, chirwere cheParasitic;
④ Kuparadzwa kwakanyanya kwemasero eropa, akadai senhaka spherocytosis, paroxysmal nocturnal hemoglobinuria, abnormal hemoglobinopathy, hemolytic anemia;
⑤ Anemia inokonzerwa kana kuperekedzwa nezvimwe zvirwere (zvakadai sekuputika, chirwere chechiropa, Endocrine system disease).
Kana mamiriro akasiyana eanemia akaitika, nekuda kwemazinga akasiyana ehemoglobin mumasero matsvuku eropa, dhigirii rekuderedzwa kwemasero matsvuku eropa uye hemoglobin inowirirana.Kuyera kwehemoglobin kunogona kushandiswa kunzwisisa dhigirii yeanemia, asi kuti uwedzere kunzwisisa rudzi rweanemia, masero matsvuku eropa uye kuongorora morphological, pamwe chete nezvimwe zviratidzo zvine chokuita nemasero matsvuku eropa, zvinoda kuitwa.
03 Hemoglobin iri pamusoro penguva dzose
Kuwedzera kwehemoglobin kunogonawo kukamurwa kuva physiological uye pathological kuwedzera.Physiological elevation inowanikwa munzvimbo dzakakwirira, uye vagari vemo, fetus, vana vachangoberekwa, uye vanhu vane hutano vanogara munzvimbo dzakakwirira vanogona kuwana kuwedzera kwehemoglobin panguva yekurovedza kwakanyanya kana basa rinorema remuviri.Oxygen iri mumhepo pakakwirira yakadzikira pane iri pabani.Kuti uve nechokwadi chekudiwa kweokisijeni yakakwana, muviri unenge uine maitiro ekubhadhara, kureva kuti, nhamba yemasero matsvuku eropa ichawedzera, izvo zvinozoita kuti hemoglobin iwedzere.Izvi zvinowanzonzi "hypererythrosis", inova chirwere Chisingaperi chegomo.Saizvozvovo, vana vacheche nevacheche, nekuda kwenzvimbo ye hypoxic muchibereko, vane huwandu hwe hemoglobin, iyo inogona kudonha kusvika kune yakajairwa yemaitiro evakuru mushure memwedzi 1-2 yekuzvarwa.Patinotanga kurovedza muviri kwakasimba kana basa rinorema remuviri, tinogona kusangana ne hypoxia uye kudikitira zvakanyanya, izvo zvinowedzera viscosity yeropa uye hemoglobin.
Pathological elevation inogona kukamurwa kuita kuenzana kukwirisa uye kukwidziridzwa zvachose.Kuwedzera kwehama kunowanzova kunyengera kwechinguva kunokonzerwa nekuderera kwehuwandu hweplasma uye kuwedzera kwezvikamu zvinooneka muropa.Inowanzoonekwa muhutano hweropa rakasvibiswa, uye inowanzokonzerwa nekurutsa kwakanyanya, manyoka akawanda, kudikitira kwakawanda, kupisa kwakanyanya, Diabetes insipidus, uye kushandiswa kwemishonga yakawanda ye diuretics.
Kuwedzera kwakakwana kunowanzoenderana netishu hypoxia, kuwedzera erythropoietin level muropa, uye kukurumidza kuburitswa kwemasero matsvuku eropa kubva mumwongo wemapfupa, ayo anogona kuonekwa mu:
① Primary Polycythemia: Chirwere chisingaperi chemyeloproliferative, icho chinowanzoonekwa mumakiriniki maitiro.Inoratidzwa nerima tsvuku tsvuku mucosa inokonzerwa nekuwedzera kwemasero matsvuku eropa uye huwandu hweropa rose, pamwe chete nekuwedzera kwemasero machena eropa uye maplatelet.
② Secondary Polycythemia: inoonekwa mumapapu emwoyo chirwere, obstructive Emphysema, cyanotic Congenital heart defect uye abnormal hemoglobin disease;Inobatana nemamwe mapundu uye zvirwere zvetsvo, zvakadai sekenza yetsvo, hepatocellular carcinoma, Uterine fibroid, kenza ye ovarian, renal embryoma uye Hydronephrosis, polycystic itsvo, uye kuchinjwa kwetsvo;Mukuwedzera, inogonawo kuonekwa mukuwedzera kwekusangana kwemhuri inongoerekana yaitika erythropoietin uye kuwedzera kwemasero matsvuku eropa anokonzerwa nemishonga.
04 Hemoglobin muKudzidzira Kwemitambo
Vatambi vane huwandu hwakawanda hwekuchinja kwehemoglobin, nekusiyana kwakasiyana kwemunhu.Vangave vakakwirira kana vakaderera hemoglobin vanhu, iyo fluctuation amplitude yehemoglobin yavo panguva yekurovedza muviri inowirirana nehuwandu hwekuchinja mukuremerwa kwekurovedza muviri, uye ese ari maviri anoramba ari mukati meimwe siyana yekuchinja.Muchiito chekutarisa hemoglobin, kuitira kupa humwe huongorori hune chinangwa uye hutungamiri hwekudzidziswa, kuongororwa kwega kwega kunofanira kuitwa pamusoro pekuchinja kwehemoglobin yemutambi wega wega.
Pakutanga kwekudzidzira kwepamusoro-soro, vatambi vanotarisana nekuderera kweHb, asi kuderera kunowanzova mukati me10% yevhareji yavo, uye hapazovi nekuderera kukuru mukukwanisa kwemitambo.Mushure mechikamu chekudzidzira, kana muviri uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchingedzo, huwandu hweHb huchamuka zvakare, huchiwedzera neanenge 10% kana ichienzaniswa neavhareji nhanho, inova chiratidzo chekuvandudza basa uye kugona kwemitambo.Panguva ino, vatambi vanowanzoita zvirinani mumakwikwi;Kana iyo Hb nhanho ichiri kusasimuka kana kutoratidza kuderera mushure mechikamu chekudzidziswa, ichipfuura kukosha kwekutanga kwekutanga ne10% kusvika 15%, inoratidza kuti kurovedza muviri kwakakwira uye muviri hausati wajaira kurovedza muviri. load.Panguva ino, kutarisisa kunofanira kubhadharwa pakugadzirisa chirongwa chekudzidzisa uye kurongeka kwemakwikwi, nekusimbisa kudya kunovaka muviri.
Saka panguva yekuongorora hemoglobin, zvinobvira kuziva rovedzo huru yemitambo yakakodzera, kurovedza kutsungirira, kana kuti kurovedza kumhanya kwevatambi, izvo zvingabatsira varairidzi kusarudza zvokushandisa.
05 Kuonekwa kweHemoglobin
Kuonekwa kwehemoglobin kunoda kutorwa ropa kuchipatara kuti riongororwe murabhoritari, uye nzira yekuyera inowanzoshandiswa ndeye blood cell analyzer colorimetry.Nekushandisa chekuongorora masero eropa, huwandu hwehemoglobin hunogona kuongororwa otomatiki.Muzvipatara zvakawanda, hemoglobin count haidi kuongororwa zvakasiyana, uye kuongororwa kweropa kunosanganisira hemoglobin count test.
06 Inotakurika hemoglobin analyzer
Portablehemoglobin analyzermuongorori anoshandisa musimboti wekuratidzira kwechiedza kuona kuwanda kwehemoglobin muropa rose remacapillaries kana tsinga dzevanhu.Hemoglobin mitainogona kukurumidza kuwana mhinduro dzakavimbika kuburikidza nekushanda kuri nyore.Idiki, inotakurika, iri nyore kushandisa, uye inokurumidza kuona yakaoma makemikari test striphemoglobin monitor.Nedonhwe rimwe chete reropa remunwe, hemoglobin (Hb) yemurwere uye hematocrit (HCT) inogona kuonekwa mukati memasekondi gumi.Yakanyatsokodzera zvipatara pamatanho ese kuita nzvimbo yekuongororwa kwekuchengetedza, uye yakanyanya kukodzera kusimudzirwa uye kushandiswa mumagariro ekuongorora muviri zviitiko.Nzira dzechinyakare dzekuona dzinoda kutorwa kweropa uye kudzoserwa kurabhoritari kunoongororwa, rinova basa rinorema uye rinokanganisa vashandi vekiriniki kuti vataure nevarwere nemhuri dzavo nenguva.Nekudaro, inotakurika hemoglobin metres inopa mhinduro iri nani yeizvi.
Nguva yekutumira: Jul-20-2023