Created at:1/13/2025
Ukubalwa Kwegazi Okuphelele (CBC) kungenye yezivivinyo zegazi ezivamile udokotela wakho angazi-oda. Kuyisivivinyo esilula esinikeza umhlinzeki wakho wezempilo isithombe esinemininingwane yezinhlobo ezahlukene zamaseli egazini lakho nokuthi umzimba wakho usebenza kahle kangakanani.
Cabanga ngegazi lakho njengomgwaqo omkhulu omatasa othwala izisebenzi ezibalulekile emzimbeni wakho wonke. Isivivinyo se-CBC sibala lezi "zisebenzi" ezihlukene futhi sibheka ukuthi ziyawenza yini imisebenzi yazo ngendlela efanele. Lolu lwazi lusiza odokotela ukuthi bathole izifo, i-anemia, izifo zegazi, nezinye izimo eziningi zempilo ngaphambi kokuba zibe yizinkinga ezinkulu.
I-CBC ilinganisa izinhlobo ezintathu eziyinhloko zamaseli egazi akugcina uphilile futhi uqinile. Lokhu kuhlanganisa amaseli abomvu egazi athwala umoya-mpilo, amaseli amhlophe egazi alwa nezifo, kanye nama-platelet asiza igazi lakho ukuthi ligqame uma ulimele.
Isivivinyo sibuye silinganise amanani amaningana abalulekile ohlotsheni ngalunye lweseli. Ngamaseli abomvu egazi, ihlola amazinga e-hemoglobin, i-hematocrit (iphesenti lamaseli abomvu egazi egazini lakho), nosayizi nesimo salawa maseli. Ngamaseli amhlophe egazi, ibala inani eliphelele futhi ihlukanisa izinhlobo ezihlukene ezinenkolelo ekhethekile yokulwa nezifo.
Imiphumela yakho ye-CBC iza njengombiko onemininingwane enezinhlu ezijwayelekile ezisendaweni yamanani akho. Lokhu kwenza kube lula ukuthi udokotela wakho athole noma yiziphi izinombolo ezingase zidinge ukunakwa futhi anqume ukuthi ngabe ukuhlolwa okuqhubekayo kuyadingeka yini.
Odokotela ba-oda izivivinyo ze-CBC ngezizathu eziningi ezihlukene, futhi ngokuvamile kuyingxenye yokuhlolwa kwezempilo okujwayelekile. Isivivinyo sisiza ukuhlola izimo eziningi ezahlukene futhi sinikeze umhlinzeki wakho wezempilo imininingwane eyisisekelo ebalulekile mayelana nempilo yakho yonke.
Udktela wakho angase ancome i-CBC uma unezimpawu ezingase zikhombe izinkinga ezihlobene negazi. Lezi zimpawu zingase zizizwe zikhulu, kodwa khumbula ukuthi izimo eziningi ezibangela lezi zimpawu ziyelapheka kakhulu uma zitholakele ngokushesha:
I-CBC iphinde isize ukuqapha ukuthi ukwelashwa kusebenza kahle kangakanani uma usuvele ulawula isimo sempilo. Imithi eminingi ingathinta ukubalwa kwamaseli egazi lakho, ngakho ukuhlolwa kwe-CBC okuvamile kusiza ukuqinisekisa ukuthi ukwelashwa kwakho kuhlala kuphephile futhi kusebenza kahle.
Ukuthola ukuhlolwa kwe-CBC kulula futhi kuvame ukuthatha ngaphansi kwemizuzu emihlanu. Uchwepheshe wezempilo uzodonsa isampula elincane legazi emthanjeni engalweni yakho esebenzisa inaliti encane, efana nalokho ongase ukuzwe ngesikhathi sokunikela ngegazi okujwayelekile.
Inqubo iqala lapho ufika elabhorethri noma ehhovisi likadokotela. Uzocelwa ukuthi uhlale esihlalweni esinethezekile futhi welule ingalo yakho. Umsebenzi wezempilo uzohlanza indawo ngeswiphu le-antiseptic ukuvimbela ukutheleleka, bese ethola umthambo ofanele, ngokuvamile ngaphakathi kwendololwane yakho.
Uzozwa ukuchofoza okusheshayo lapho inaliti ingena, kulandelwe umuzwa omfushane wokudonsa njengoba igazi ligeleza liye ethubeni lokuqoqa. Abantu abaningi bathola ukuthi lokhu kungakhululeki kulawuleka kakhulu futhi akusabisi kangako kunalokho ababekulindele ekuqaleni.
Ngemva kokuqoqa isampula, isisebenzi sezempilo sizosusa inaliti bese sicindezela ngobumnene ngebhandishi. Ungase uzizwe unesiyezi kancane, kodwa lokhu kudlula ngokushesha. Inqubo yonke kusukela ekuqaleni kuya ekugcineni ivame ukuthatha ngaphansi kwemizuzu eyishumi, okuhlanganisa nemibhalo.
Izindaba ezinhle mayelana nokuhlolwa kwe-CBC ukuthi zidinga ukulungiselela okuncane kakhulu ngakho. Ngokungafani nokunye ukuhlolwa kwegazi, ungadla futhi uphuze ngokujwayelekile ngaphambi kwe-CBC yakho, okwenza ukuhlela kube lula kakhulu.
Nokho, kunezinye izinyathelo ezimbalwa ezilula ezingasiza ekuqinisekiseni imiphumela enembile futhi zenze okuhlangenwe nakho kwakho kube lula. Okokuqala, hlala uhlanzekile ngokuphelelwa amanzi emzimbeni ngokuphuza amanzi amaningi emahoreni ngaphambi kokuhlolwa kwakho. Ukuhlanzeka kahle kwenza imithambo yakho ibe lula ukuyithola futhi kungenza inqubo yokudonsa igazi ibe bushelelezi.
Yazisa umhlinzeki wakho wezempilo nganoma yimiphi imithi noma izithasiselo ozithathayo. Nakuba iningi lingadingeki ukuthi limiswe ngaphambi kwe-CBC, eminye imithi ingathinta ukubalwa kwamaseli egazi lakho, futhi udokotela wakho udinga lolu lwazi ukuze ahumushe imiphumela yakho ngendlela efanele.
Ngosuku lokuhlolwa kwakho, gqoka izingubo ezinemikhono engahle ikwazi ukugoqwa kalula noma isuswe eceleni. Lokhu kunikeza isisebenzi sezempilo ukufinyelela okungcono engalweni yakho futhi kukusiza ukuthi uzizwe ukhululekile ngesikhathi senqubo.
Ukuqonda imiphumela yakho ye-CBC kuba lula kakhulu uma wazi ukuthi isilinganiso ngasinye sikutshelani ngempilo yakho. Imiphumela yakho izokhombisa amanani akho angempela kanye nobubanzi obujwayelekile, okwenza kube lula ukubona ukuthi yiziphi izinombolo ezingase zidinge ukunakwa.
Isigaba samaseli abomvu egazi sihlanganisa izilinganiso ezimbalwa ezibalulekile ezisebenza ndawonye ukuze zibonise ukuthi igazi lakho lithwala kahle kangakanani umoya-mpilo. Amazinga e-hemoglobin abonisa ukuthi unamaprotheni angakanani athwala umoya-mpilo, kuyilapho i-hematocrit ikhombisa iphesenti legazi lakho elenziwe ngamaseli abomvu egazi. Lawa manani asiza ukuthola i-anemia nezinye izimo ezithinta ukulethwa komoya-mpilo.
Inani lakho lamaseli amhlophe egazi lembula ukuthi isimiso sakho somzimba sokuzivikela sisebenza kahle kangakanani. Inani eliphelele libonisa umthamo wakho wokulwa nokutheleleka, kuyilapho ukubala okuhlukile kuhlukanisa izinhlobo ezithile zamaseli amhlophe egazi. Uhlobo ngalunye lunendima ekhethekile, kusukela ekulweni nezifo ezibangelwa amagciwane kuya ekuphatheni ukusabela komzimba.
Ukubalwa kwamaplatelet kukutshela ngekhono legazi lakho lokuvutha kahle. Amaplatelet ambalwa kakhulu angaholela ekuphumeni kwegazi ngokweqile, kuyilapho amaningi kakhulu angase andise izingozi zokuvutha. Udokotela wakho uzocabangela wonke lawa manani ndawonye kunokugxila ezinombolweni ngazinye ngaphandle kokuzihlukanisa.
Ukwenza ngcono imiphumela yakho ye-CBC ngokuvamile kuhilela ukubhekana nembangela eyinhloko yanoma yimaphi amanani angajwayelekile. Udokotela wakho uzosebenza nawe ukudala uhlelo olwenzelwe wena ngokusekelwe ekutheni yiziphi izilinganiso ezithile ezidinga ukunakwa nokuthi yini ebangela izinguquko.
Ukuze uthole ukubalwa kwamangqamuzana abomvu egazi aphansi noma i-anemia, ukwelashwa kungase kuhlanganise izinguquko zokudla ukuze kwandiswe ukudla kwensimbi noma izithasiselo zokubhekana nokuntuleka kokudla okunomsoco. Ukudla okunensimbi eningi njengenyama ebhityile, imifino eluhlaza, kanye nokusanhlamvu okuqinisiwe kungasiza, kuyilapho uvithamini C usiza umzimba wakho ukumunca insimbi ngempumelelo.
Uma ukubalwa kwamaseli akho amhlophe egazi kungajwayelekile, udokotela wakho uzogxila ekwelapheni noma yiziphi izifo ezingaphansi noma izimo ezithinta isimiso sakho somzimba sokuzivikela. Lokhu kungase kuhlanganise ama-antibiotics ezifweni ezibangelwa amagciwane, imithi yezimo ze-autoimmune, noma ukulungiswa kokwelashwa kwamanje okungase kuthinte amaseli akho egazi.
Ezindabeni ze-platelet, ukwelashwa kuncike ekutheni ukubala kwakho kuphezulu kakhulu noma kuphansi kakhulu. Udokotela wakho angase ancome imithi, izinguquko zokuphila, noma ukwelashwa kwezimo ezingaphansi ezithinta ukukhiqizwa noma ukusebenza kwe-platelet.
Amazingo "okungcono" e-CBC yilawa awela ngaphakathi kwamabanga avamile asungulwe ngeminyaka yakho, ubulili, kanye nesimo sempilo yakho esiphelele. Lawa mabanga amelela amanani abonakala kubantu abanempilo futhi anikeza uhlaka oluthembekile lokuhumusha imiphumela yakho.
Amazinga avamile e-hemoglobin ngokuvamile asukela ku-12-15.5 amagremu ngedesilitha kwabesifazane kanye no-14-17.5 amagremu ngedesilitha kwabesilisa. I-hematocrit yakho ngokuvamile kufanele ibe phakathi kuka-36-46% kwabesifazane kanye no-41-50% kwabesilisa. Lawa mabanga angahluka kancane phakathi kwamalebhu, ngakho-ke qhathanisa njalo imiphumela yakho namabanga athile ahlinzekwe ngesivivinyo sakho.
Ukubalwa kwamangqamuzana amhlophe egazi kuvamile ukusuka ku-4,000 kuya ku-11,000 amaseli ngemayikrolitha yegazi. Ngaphakathi kwaleli banga, izinhlobo ezahlukene zamangqamuzana amhlophe egazi zinamaphesenti azo avamile. Udokotela wakho uzobheka kokubili ukubalwa okuphelele kanye nokulinganisela phakathi kwezinhlobo ezahlukene zamaseli.
Ukubalwa kwamaplatelet anempilo ngokuvamile kuwela phakathi kuka-150,000 no-450,000 amaplatelet ngemayikrolitha. Amanani ngaphakathi kwalawa mabanga abonisa ukuthi igazi lakho lingagqama kahle uma kudingeka ngenkathi ligwema ukugqama ngokweqile okungase kubangele izinkinga.
Izici eziningana zingakhuphula amathuba akho okuthuthukisa ukubalwa kwamangqamuzana egazi aphansi, futhi ukuqonda lokhu kukusiza ukuthi uthathe izinyathelo zokuvikela impilo yakho. Eziningi zalezi zici eziyingozi zilawuleka ngokunakekelwa kwezempilo okufanele kanye nokulungiswa kwendlela yokuphila.
Ukuntuleka kokudla okunomsoco kumelela enye yezimbangela ezivamile nezilaphekayo zamanani aphansi e-CBC. Umzimba wakho udinga insimbi eyanele, uvithamini B12, kanye ne-folate ukuze ukhiqize amangqamuzana egazi anempilo, ngakho-ke ukudla okungahambi kahle noma izinkinga zokumuncwa kungaholela ekuntulekeni:
Ushintsho oluhlobene nobudala lungathinta amanani akho e-CBC, nakuba abadala abaningi begcina izibalo zegazi ezijwayelekile ngokudla okunempilo nokunakekelwa kwezempilo okufanele. Ukuqapha njalo kubaluleke kakhulu njengoba ukhula ukuze ubambe noma yiziphi izinguquko ekuqaleni.
Akukho ngisho namanani aphezulu noma aphansi e-CBC alungile empilweni yakho. Umzimba wakho usebenza kahle kakhulu uma izibalo zamaseli egazi zihlala ngaphakathi kwamabanga ajwayelekile, njengoba lokhu kubonisa ukuthi umnkantsha wakho wamathambo, amasosha omzimba, nezinye izitho zisebenza kahle.
Ngenkathi ukuhlukahluka okuncane kusuka kumabanga ajwayelekile kungase kungabangeli izimpawu ngokushesha, ukuhlukahluka okukhulu nganoma iyiphi indlela kungabonisa izinkinga zempilo ezingaphansi ezidinga ukunakekelwa. Izibalo eziphansi zingase zibonise ukuntuleka kokudla okunomsoco, izinkinga zomnkantsha wamathambo, noma izifo ezingamahlalakhona, kuyilapho izibalo eziphezulu zingase zibonise izifo, ukuvuvukala, noma izifo zegazi.
Udokotela wakho uhlola imiphumela yakho ye-CBC ngokuqondene nempilo yakho yonke, izimpawu, neminye imiphumela yokuhlolwa. Ushintsho lwesikhashana lungase lube yizimpendulo ezijwayelekile ezigulweni noma ukucindezeleka, kuyilapho ukungajwayelekile okuqhubekayo ngokuvamile kudinga uphenyo olwengeziwe nokwelashwa.
Umgomo ukugcina amanani azinzile, ajwayelekile ngokuhamba kwesikhathi kunokuzama ukufeza izinombolo eziphakeme kakhulu noma eziphansi kakhulu. Imiphumela eqhubekayo ngaphakathi kwamabanga ajwayelekile ibonisa ukuthi izinhlelo zomzimba wakho ezikhiqiza igazi zisebenza ngendlela okufanele zisebenze ngayo.
Ukubalwa kwamangqamuzana egazi okuphansi kungaholela ezinkingeni eziningana ezithinta impilo yakho yansuku zonke kanye nempilo yakho yonke. Ukuqonda lezi zinkinga ezingaba khona kukusiza ukuthi ubone ukuthi nini okufanele ufune ukunakekelwa kwezokwelapha futhi kukukhuthaza ukuthi ulandele uhlelo lwakho lokwelashwa.
Ukubalwa kwamangqamuzana egazi abomvu okuphansi (i-anemia) kungathinta kakhulu amazinga akho wamandla kanye nekhwalithi yempilo. Izinkinga zithuthuka kancane kancane, futhi abantu abaningi bazivumelanisa nezimpawu ezithambile ngaphandle kokuqaphela ukuthi ukubalwa kwegazi labo kuphansi:
Ukubalwa kwamangqamuzana egazi amhlophe okuphansi kukwenza uthambekele ezifweni umzimba wakho ovame ukuzilwa kalula. Ungase uqaphele ukuthi ukusikeka okuncane kuthatha isikhathi eside ukuphola, noma ukuthi ubamba imikhuhlane nezinye izifo kaningi kunokujwayelekile.
Ukubalwa kwamaplatelet okuphansi kungabangela izinkinga zokuphuma kwegazi eziqala ekuphazamisekeni okuncane kuya ezimeni eziphuthumayo zezokwelapha ezingathi sína. Ungase ulume kalula, ube nokuphuma kwegazi emakhaleni njalo, noma uqaphele ukuthi ukusikeka okuncane kuphuma igazi isikhathi eside kunokulindelekile.
Ukubalwa kwamangqamuzana egazi aphezulu kungase futhi kudale izinkinga zempilo, nakuba izinkinga zehluka kulezo ezibangelwa ukubalwa okuphansi. Abantu abaningi abanokubalwa okuphakeme kancane bazizwa bejwayelekile ekuqaleni, kodwa izinkinga zingase zivele ngokuhamba kwesikhathi uma imbangela eyisisekelo ingakhulunywa.
Ukubalwa kwamangqamuzana egazi abomvu aphezulu kwenza igazi lakho libe mnyinyane futhi kube nzima enhliziyweni yakho ukumpompa ngempumelelo. Lokhu kwanda kobukhulu kungaholela ezinkingeni ezingathi sína zenhliziyo nemithambo yegazi ezidinga ukunakekelwa kwezokwelapha okusheshayo:
Ukubalwa kwamangqamuzana amhlophe egazi aphezulu kakhulu kungase kubonise izimo ezinzima njenge-leukemia noma izifo ezinzima. Nakuba lezi zimo zingavamile, zidinga ukuhlolwa kwezokwelapha ngokushesha nokwelashwa.
Ukubalwa kwamaplatelet aphezulu kungakhuphula ubungozi bakho bokujiya kwegazi okungavamile, okungase kuholele ekushayweni unhlangothi, ekuhlaselweni yinhliziyo, noma emahlule kwamanye amalungu omzimba wakho. Udokotela wakho uzoqapha la mazinga ngokucophelela futhi angase ancome imithi yokunciphisa izingozi zokujiya kwegazi.
Kufanele uthintane nomhlinzeki wakho wokunakekelwa kwezempilo uma uthola imiphumela engavamile ye-CBC, ikakhulukazi uma uhlangabezana nezimpawu ezikukhathazayo. Ungalindi ukuthi izimpawu zibe zimbi, njengoba izimo eziningi ezihlobene negazi zisabela kangcono ekwelashweni kwasekuqaleni.
Hlela i-aphoyintimenti ngokushesha uma i-CBC yakho ikhombisa amanani angavamile kakhulu, ngisho noma uzizwa ulungile. Ezinye izifo zegazi zibangela izimpawu ezimbalwa ezigabeni zokuqala, futhi udokotela wakho angathola ukuthi ngabe kudingeka yini ukuhlolwa okuqhubekayo noma ukwelashwa.
Funana ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nezimpawu ezisikisela izinkinga ezinzima. Lezi zimpawu zokuxwayisa zibonisa ukuthi ukungavamile kwamangqamuzana egazi lakho kungase kuthinte ukusebenza kwezitho ezibalulekile futhi kudinga ukunakekelwa okuphuthumayo.
Shayela udokotela wakho ngokushesha uma uba nokukhathala okukhulu, ubunzima bokuphefumula, ubuhlungu besifuba, noma izimpawu zokutheleleka okukhulu njengomkhuhlane ophezulu noma ukudideka. Lezi zimpawu ezihlanganiswe nemiphumela engavamile ye-CBC zidinga ukuhlolwa ngokushesha.
Izivivinyo ze-CBC ngezinye izikhathi zingathola izimpawu ezisikisela ukuthi umdlavuza kungenzeka ukhona, kodwa azikwazi ukuxilonga umdlavuza ngokwawo. Ukuhlolwa kungase kubonise ukubalwa kwamaseli egazi okungavamile okwenza udokotela wakho aphenye ngeminye imivivinyo nokuhlolwa.
Eminye imidlavaza yegazi efana ne-leukemia ivame ukubangela izinguquko ezihlukile ekubalweni kwamaseli egazi amhlophe okubonakala ezivivinyweni ze-CBC. Kodwa-ke, ezinye izimo eziningi zingabangela izinguquko ezifanayo, ngakho-ke udokotela wakho uzodinga ezinye izivivinyo eziqondile ukuze enze ukuxilongwa komdlavuza.
Yebo, amazinga e-hemoglobin aphansi avame ukubangela ukukhathala ngoba igazi lakho alikwazi ukuthwala umoya-mpilo owanele ukuze kuhlangatshezwane nezidingo zomzimba wakho. Lokhu kushoda komoya-mpilo kwenza inhliziyo yakho isebenze kanzima futhi kukushiye uzizwa ukhathele ngisho nangemva kokuphumula.
Ukukhathala okuvela ku-hemoglobin ephansi kuvame ukuthuthuka kancane kancane, ngakho-ke ungase ungakuqapheli ekuqaleni. Abantu abaningi bazivumelanisa ne-anemia encane ngaphandle kokuqaphela ukuthi amazinga abo wamandla anciphile kuze kube yilapho ukwelashwa kubuyisela i-hemoglobin yabo emazingeni avamile.
Abantu abadala abaningi abanempilo kufanele babe nokuhlolwa kwe-CBC njengengxenye yokuhlolwa kwabo komzimba kwaminyaka yonke noma ukuhlolwa kwempilo okuvamile. Lokhu kusiza ukusungula amanani ayisisekelo futhi kubambe noma yiziphi izinguquko ekuqaleni lapho ziselashwa kakhulu.
Ungase udinge izivivinyo ze-CBC ezivamile uma unezimo zempilo ezingapheli, uthatha imithi ethinta ukukhiqizwa kwamaseli egazi, noma unomlando womndeni wokuphazamiseka kwegazi. Udokotela wakho uzoncoma isimiso sokuhlolwa esifanele esisekelwe ezidingweni zakho zempilo.
Yebo, ukushoda kwamanzi kungathinta imiphumela yakho ye-CBC ngokugxilisa igazi lakho futhi kwenze ukubalwa kwamaseli kubonakale kuphezulu kunalokho okuyikho ngempela. Yingakho ukuhlala unamanzi kahle ngaphambi kokuhlolwa kwakho kusiza ekuqinisekiseni imiphumela enembile.
Yebo, ububanzi obujwayelekile be-CBC buhlukile phakathi kwamadoda nabesifazane, ikakhulukazi ekulinganisweni kwamaseli abomvu egazi. Abesifazane ngokuvamile banamanani aphansi e-hemoglobin ne-hematocrit kunamadoda ngenxa yokulahlekelwa igazi ngesikhathi sokuya esikhathini kanye nokungafani kwama-hormone.
Lobu bubanzi obuqondene nobulili buqinisekisa ukuthi imiphumela yakho ihunyushwa ngendlela efanele yobulili bakho kanye neqembu leminyaka. Umbiko wakho welabhorethri uzokhombisa ububanzi obujwayelekile obufanele ukuze buqhathaniswe namanani akho wangempela.