Achiongorora zvaive HCT ropa bvunzo zvazvingava

Tose kuenda kwachiremba, uye wokutanga, sei kutanga kukurukura kwedu - tsvakurudzo iyi murabhoritari. Uye kana, nokuti nyanzvi Data wakapiwa migumisiro vakawana, kwakajeka, ipapo avhareji munhu kazhinji bewilders kunyange nyore inopangidza ane bvunzo ropa. HCT - kuti nzira nhasi vanomiririra parameter akadai hematocrit - chinokosha chokukomborerwa utano. Tiudzei zvimwe nezvazvo.

Hematocrit - nayo

Hematocrit mumwe kwakajairika zviratidzi ropa. Anoratidza chikamu matsvuku eropa gobvu kuti zvachose Vhoriyamu zvipenyu mvura. HCT zvazvingava (a bvunzo ropa), inopangidza pamusoro uko kunogona sokureva nhamba masero eropa kuti plasma, kazhinji achiri anosarudza bhuku masero matsvuku eropa, nokuti vanoumba 99% of uwandu masero eropa.

Zita unonyanya parameter ichi - hematocrit, sezvazvakanyorwa anowanzonzi "arambe achirema ropa" mururimi rwavo matauriro. Hematocrit iri - a girobhu racho, iro rinoshandiswa kuti centrifuging zvinhu zvipenyu, asi zita abatwa musi saka zvakanaka kuti kazhinji inoshandiswa mukurapa pamutemo.

Akatsunga ne hematocrit

Sokuziva, ropa rinoumbwa plasma (emura mugove) uye masero. Plasma mvura, sezvamakaropafadzwa ichiputswa mapuroteni, makemikari, mahormone, chero zvinhu. Masero vakanga anomiririrwa masero matsvuku eropa, ropa masero machena uye maplatelet, vane zvivako zvakasiyana uye mabasa akasiyana-siyana mabasa. Kana decoding ropa pachisara HCT atsunga nemaziso. Kuongorora yasarudzwa venous kana rirambe richibvira ropa raizoiswa nemuedzo chubhu, uye pashure achiwedzera kwachiri imwe anticoagulant iri centrifuged. Panyaya iyi, masero denser uye kwakanyanya vari iiswe. Chinonyanya rukoko vanoumba erythrocytes, svikiro - leukocytes uye maplatelets, uye plasma anoramba pamusoro. Zvadaro, nokuyerwa kunoitika. Somuenzaniso, kana mugumisiro kunoratidza kuti 40% HCT (ropa kuongorora), inopangidza kuchareva kuti mune bvunzo chubhu ine 100 .mu.l ropa pashure pacho akatungamirira achishandisa centrifuge, tora 40 Ul pamusoro erythrocytes.

Nhasi, kune nzira mbiri kuziva kuti hematocrit. Kuzviita centrifuge (mu iyi chokupika kucharatidzwa somunhu chikamu) uye achiedza zvoga hematology analyzer. Mukupera kudzidza Decryption talk ropa kuongorora HCT atsunga sezvo nhamba marita kuti marita (L / L). Zvichaita kutarira sezvinotevera:

• kuferefeta ari centrifuge - 35%;
• kushandisa hematology analyzer - 0.35 L / L.

HCT (bvunzo ropa), achiongorora zvaive. wokuyera

Hematocrit haazi nhamba. In varume kazhinji wakakwirira kupfuura vakadzi. Ndezvipi zviratidzo zviri dzose HCT? Blood kuongorora (decoding) gore upenyu rokutanga kazhinji hunoratidza Misiyano kubva vakuru. Zvavakanga kurei murwere, ukoshi ichi zvishoma nezvishoma shoma. Pamuviri zvakare kunokanganisa inoenzanirana. Chaiye hematocrit nokuda kwayo kuderedzwa zvishoma.

Normal tsika ndeizvi HCT (ongororo ropa, decoding):

• mwero vana vhiki yokutanga muupenyu - 42-66%, kubva 6 mwedzi 2 years - 33-39%, kubva 2 kusvika 6 makore - 35-45%, kubva 6 makore 15 - 36-49%;
• vakadzi makore 15 kusvika 18 makore zvingava hematocrit kubva 36 kusvika 46%, uye vakomana - 37-49%;
• munhukadzi hematocrit dzinowanzoona kubva 33 kusvika 47%;
• munhurume - 39-51%.

Sezvinogona kuoneka, asi zviratidzo tinodzibata paupamhi kupararira. Mukuwedzera, kufunga migumisiro, yeuka kuti zvimwewo zvingaita navo. Somuenzaniso, kushandisa zvimwe zvinodhaka (Alpha-interferon, ropa rive dete) anogona zvinoshamisa kukanganisa zvaizoitika.

Sei kugadza ongororo

Kana pane inopangidza ropa, HCT Kuongororwa ndeimwe zvinokosha zviratidzo zvake, saka nguva dzose yaizoongororwa. The chirwere Kukosha chakarurama izvi zvinotevera nyaya:

• kuzosimbisa chirwere kuti kupererwa neropa;
• panguva polycythemia (boka zvirwere ichazivikanwa noku kuwedzera matsvuku eropa count);
• panguva poliglobulii (zvirwere chokuita dzakakwirira nhanho mapuroteni muropa);
• kuongorora nokurapa kupererwa neropa.

Uyezve, kana varwere inorema akaita decoding miedzo ropa, HCT kuona kuvapo munyika kubuda ropa, padanho kupera mvura mumuviri. Uyewo chinhu chinokosha chakarurama varwere pashure ropa, nekuti zvinobatsira kuongorora kubudirira matanho akatorwa.

HCT (bvunzo ropa), achiongorora zvaive. A ukoshi repasi

Kakawanda, vasanyanye pamusoro hematocrit anogona kuonekwa aplastic kupererwa neropa. In chirwere ichi HCT pamwero zvingaderedzwa kusvika 15-25%. Izvi zvinogona kuratidza symptomatically Kuramba kuneta, kutemwa nomusoro, dzungu, utera. Cardio-vascular ezvinhu vakachengeta tachycardia (nokukurumidza kwemwoyo), kupfupika mweya. Externally akacherekedza pallor ganda, bvudzi kurasikirwa, pfava nezvipikiri.

Chimwe chikonzero yakaderera hematocrit kungava hyperhydration. zvokurwara Izvi ichazivikanwa noku nekumwisa mvura muropa aigona kuva migumisiro renal kukundikana, intoxications, nemavhairasi kana zvirwere.

Hyperproteinemia (kuwedzera huwandu mapuroteni muropa) rinogonawo pamwe yakaderera hematocrit. Chikonzero kuwedzera ropa mapuroteni vari chiropa chirwere (chiropa, cirrhosis), malignancy, kwenguva refu fivha, kudhaka, chirwere chomwoyo uye itsvo kukundikana.

HCT panguva pamuviri

The kuderera hematocrit panguva pamuviri chinhu vasiri hunhu. Zvisinei, kubva gayinakorojisiti, aitungamirira pamuviri zvinoda yakakodzera kusarudza kana kwakaderedza zviratidzo zvinoratidza kukura kupererwa neropa. Zvakakunakirai kuti muedzo uyu ropa aita nguva dzose. HCT (wokuyera) vakadzi vane pamuviri, anoda kubatsira kubva 31 kusvika 35%. simukai ake pamusoro 36% anogona zviratidzo zvokusava nemvura, uye mwero pamusoro 40% vava kutaura kwazvo hypovolemia (kudzikisa inzwi ropa). Izvi zvingava chenguva kurutsa, kuzvimba, kunyanya kushandisa munyu.

Kuderera hematocrit mune pamuviri asingasviki 30% angava chiratidzo kuwedzera kupererwa, izvo zvinoreva kuti masero usaswedera zvinovaka muviri zvakakwana uye oxygen. Uyezve, kunoita kuti kunyanya mutoro pamusoro mwoyo, neitsvo uye nedzimwe nhengo. Chimwe chikonzero kuderera hematocrit zviratidzo zvinogona hyperhydration kunokonzerwa pakatanga guru zvemaBhaibheri intravenous zvinwiwa.

HCT vakawedzera

Kuwana hematocrit indekisi pamwero pamusoro 55% zvinokwanisika kutaura nezvibereko zvayo. Izvi kunonyanya zvinoreva kuti ropa anova sero yakawandisa zvinhu, kureva, ayo viscosity inowedzerawo. It vanotyisidzira vawedzere thrombosis. Thrombosis zvinogona kuguma nemamwe matambudziko kuva inouraya. Chikonzero chichiwedzera hematocrit anogona kuva zvinotevera inoti:

• erythrocytosis sezvo chikuru (erythema) uye yechipiri, izvo zvinogona kukonzerwa anoxia;
• renal nezvirwere izvo pamwe zvakawedzera kwetunhu erythropoietin;
• hydronephrosis kana polycystic cheitsvo;
• zvinoderedza achiparadzira rwakapetwa ropa (chingava mugumisiro kokutsva chirwere, peritonitis, svota);
• kupera mvura mumuviri.

Chii rinokanganisa hematocrit

Pasinei ose pamusoro, usinganyanyi kuwedzera kana kudzikisa hematocrit hachisi chiratidzo chipi zvokurwara nguva dzose. simukai yake angava nokuda zvishoma kupera mvura mumuviri. Kazhinji vanotambura vanhu ndakagara uyu vanoshandisa zvishoma zvokunwa. Yakakwirira hematocrit kunogona kuva nemhaka vangadikitira, manyoka kana kurutsa.

High HCT anogona kuonekwa vanhu vaigara pamatunhu altitudes. Chikonzero ichi ndicho chinoramba hypoxia. Kujairana kwazviri, muviri kunowedzera nhamba masero matsvuku eropa.

Hematocrit yakawedzera vatambi vanoshandisa anabolic steroids. Kana ropa ongororo yakaratidza HCT pamusoro 50% (0.5), nomutambi haabvumirwi kunwa sezvo makwikwi doping.

Kusvuta kunogona kukonzera rakawedzera hematocrit. tsika iyi kunoita muviri kuti vave kuramba ezvinhu okisijeni kukanganisika kuti kunomutsa masero matsvuku eropa. Somugumisiro - wakawedzera hematocrit, saka kunyange utano vanosvuta, zvichava kupfuura asiri uchisvuta.