Reticulocytes ndizozolowereka

Erythrocytes ndiwo amachititsa mlingo wa mpweya m'magazi ndi kuchuluka kwa hemoglobini. Pamene mlingo wa erythrocyte umathamanga kwambiri, ma reticulocytes amawongolera mwamphamvu m'mafupa. Maselo amenewa m'masiku ochepa amatembenukira ku maselo ofiira ofiira kwambiri ndipo amatha kulipira malipiro omwe atulukira. Kodi chizoloŵezi cha reticulocytes ndi chiyani, ndipo kusintha kotere kumatanthauza chiyani, tidzakambirana lero?

Kodi chizoloŵezi cha reticulocytes m'magazi ndi chiyani?

Zamkati mwa reticulocytes m'magazi zimasiyana pa zifukwa zambiri. Kawirikawiri, zimaphatikizapo zovuta zomwe zimakhudzana ndi kutaya mwazi komanso kuponderezedwa kwa impso ndi mafupa. Chowonadi ndi chakuti kusintha kwa reticulocytes mu erythrocyte kumachitika mothandizidwa ndi erythropoietin, mahomoni opangidwa ndi adrenals ndi impso. Chizoloŵezi cha reticulocyte chimatsimikiziridwa mu ppm poyerekeza ndi kuchuluka kwa magazi ndipo pakati pa zinthu zina zingasonyeze kuti pali homoni iyi. Kuwonjezeka kwa erythropoietin kumasonyeza mpweya wa oxygen, zomwe zimayambitsa zochitika izi ndi zosiyana:

• Kuwonongeka kwa erythrocyte kwachangu chifukwa cha kusokonezeka kwa mankhwala kuchokera kunja;
• kuwonongeka kwa erythrocytes chifukwa cha mankhwala ntchito ya zamoyo;
• kutaya magazi ambiri;
• kupweteka kwa kupuma;
• kupyolera, kapena kutseka kwa mitsempha yayikulu.

Chizolowezi cha reticulocytes mwa amayi ndi abambo chimasiyanasiyana kwambiri. Asanafike msinkhu, anyamata ndi atsikana ali ofanana, koma pochita ntchito yobereka, amayi amatha kutaya magazi ambiri, komanso pamalo omwe ali ndi maselo ofiira a magazi, kotero kuti reticulocyte imawerengetsa kusinthasintha kwakukulu. Kotero, pano pali chizoloŵezi cha reticulocytes mwa magawo a zaka zosiyanasiyana za odwala:

• makanda obadwa kumene - 0.15-1.5%;
• Sabata 2-6 la moyo - 0.45-2.1;
• Sabata 8-12 ya moyo - 0,25-0,9%;
• Miyezi 6 - 1.5 zaka - 0.2-1%;
• 1,5 -2 zaka - 0,2-0,7%;
• kuyambira zaka 2 mpaka 6 - 0.2-0.8%;
• kuyambira zaka 6 mpaka 13 - 0.2-1.3%;
• Atsikana opitirira 13 ndi akulu - 0.12-2.05%;
• anyamata oposa zaka 13 ndi amuna - 0,24-1,7%.

Ngati chiwerengero cha reuculocytes ndi chachilendo, izi sizitsimikizo kuti thupi liri ndi thanzi, koma mobwerezabwereza kuyezetsa magazi kungatsimikizire kuti palibe matenda. Sankhani mlingo wa reticulocyte ndi magazi otengedwa kuchokera mu mitsempha. Ana ang'onoang'ono amatha kugwiritsa ntchito magazi a capillary chifukwa chaichi.

Kodi chingachititse bwanji kupatuka kwa reticulocytes kuchokera pachizolowezi pofufuza magazi?

Ngati kafukufuku wamagazi wonse akuwonetsa kuti reticulocytes sizinali zachilendo, izi zingasonyeze kusintha kotereku m'thupi:

• mitundu yonse ya matenda a impso;
• kuwononga mafupa;
• ziwonongeko za ziwalo chifukwa cha erythropoiesis yosatha (kuwonongeka kwa erythrocytes ndi kufunika kwa kukonzanso kwawo);
• kupweteka kwa magazi ;
• magazi;
• kusowa kwa nthendayi;
• magazi ndi matenda opatsirana;
• matenda opatsirana pogwiritsa ntchito metastasis m'mapanga a mafupa;
• kumwa mowa mopitirira muyeso.

Mbali yapamwamba ya reticulocytes imasonyeza kuti pangakhale kuchepa kwakukulu kwa chiwerengero cha maselo ofiira a magazi ndipo thupi lidachitapo kanthu mokwanira - ndi kuwonjezeka chiwerengero cha maselo kumene ma erythrocyte atsopano amapangidwa. Pano pali zifukwa zomwe zimayambitsa zizindikiro za reticulocytes pamwamba pazizolowezi:

• mphamvu ya anti-anemia treatment;
• kutuluka magazi kwakanthaŵi;
• kuwonongeka kwakukulu kwa erythrocytes;
• malaria ;
• Thalassemia ndi matenda ena opatsirana okhudza hemoglobin ndi erythrocytes;
• matenda opatsirana pogwiritsa ntchito mafupa owonongeka.

Chinthu chenichenicho cha kusintha kwa chiwerengero cha reticulocytes chingakhazikitsidwe mwa kuphunzira mosamalitsa mbiri yonse.