RBC: koko Ka Ikepili, omńkalakala, uku a me ka waiwai. Ka maʻamau uku o kaʻulaʻula koko aeee (RBC) i loko o ke koko

E huai ae i hūnāʻia mai i loko o nā mea maʻi, kauka i koi 'ia ke koko o Kaoleioku, i ka hopena o ka i ko kakou hoahewaia ma ke alo o abnormalities i loko o ka hana ana i kekahi mau kino. I keia ao i keʻano o ke ana lapaau. Ka Ikepili hookolokolo aku la ia i ke koko keena, kekahi o i meaʻulaʻula koko keena. RBC-ana ua koi 'ia e ho oholo i ka moku'āina o ka meaola. Kona mea ulu a emi like me ka peahi o hiki ka maʻi.

Ka wehewehena o "erythrocyte"

Red koko aeea (RBC), a erythrocytes, ula koko aeee mea biconcave pā hōkū-me shape a me ka mea i waena o ka pūʻulu oi aku ka nui o ke koko keena. Ke anawaena o ka oʻo ulaula koko aeea i ka nui o ka mai 7,0 a hiki i 8,0 microns, Ana emi o 5,89 microns, 9,13 microns a me ka nui i manaoia physiological anisocytosis. Kēia 'ole maximizes ka ula koko keena kūhohonu loa na nā lātoma o ka o oxygen, a i carbon dioxide i loko o ke koko.

An nui ke keʻena o ka ula koko aeee mea hemoglobin pigment, ai ka malamalama i oxygen ma ka paa a me ka hoʻokuʻu o kēia hehee ai i loko o nā'aʻaʻa a me nā loko.

Eia kekahi RBCs amo ka oxygen e loaa hou mai ua lawe lipid nā lātoma hana i loko o ke koko, wai koko, hoolilo o ka'aminoʻakika residues a me liluwelo waiwai, ua noho mana anaʻakika-kumu a me ka ion equilibrium i loko o ke koko, i ka wai-paakai mail kino. Ka mea, hana'ōnaehana paleʻea reactions ma ke omo a me ka luku ana oʻawahia waiwai, uumi coagulation nenoaiu ku i ke kahua o ka thromboplastin nā lātoma.

Red ka lolo o ka wahi o ka ho okumu ana oʻulaʻula koko keena, kahi mea he ana hou no kēia mau keena, nae lākou helu like RBC kōmi koe ikaika. I ka wa e ola ana o ke koko keenaʻula loa emi o 4 mahina.

He aha ka RBC-Ka Ikepili?

E hoʻoholo i ka maʻiʻo o ka erythrocytes, kā lākou lehulehu ua anaia mai ka manawa i 1 cubic mililika me, a 1 hano. RBC-paa koko Ka Ikepili. Deciphering keia anakahi hoʻolako 'ike ma luna o ke ola kino kūlana, a leie aku oe e kuhikuhi i kekahi maʻi i loko o kānaka. Ka nui o ke ola i ke kanaka ulaula koko keena loli aʻe i loko o ka puali ololi huahelu, a ua kalele iho ma luna o kona mau makahiki a me ka wahine.

Ke pa alima o ka ana o RBC i loko o ke koko Ka Ikepili hoʻohana he 10 ¹² / hano.

Pehea e lawe koko e ho'āʻo ai ma RBC

E loaa ike loea hualoaʻa, ia mea e pono ke ike i ka rula o ka haawi koko helu. IeAUPIIe, IAa IO i loko o nā keʻena lāʻau lapaʻau ke koko donation ua lawe mai i loko o ke kakahiaka, ma ka nele'ōpū. Ua UaʻAʻole pono e hoopau ia ai paha fluids, me ke koe nae o ka mea mau i ka wai maemae. Oe E hoomanawanui mai ka momoku a me ka inu waiʻona.

No ka haawi ana i ka mea Ikepili hoomakaukau ai ma luna o ke apo manamana lima o kona lima akau, i ke kihi o ka i ua ia me ka waiʻona a me ka pulupulu. Me punctured manamana lima walania iho la ka manao, alaila, ua ohi i ke koko i loko o ka hoʻokolohua Tube. Manamana lima hoʻokō i ka waiʻona pulupulu hulu hipa e cauterize i kaʻeha.

Mai ke koko RBC-Ka Ikepili i komo i loko o ka mauʻano papa hana o ke koko e ho'āʻo ai,ʻo ia ihola ke keʻena hoʻokolohua i loko o kekahi hana lā. E ho ohana i countable keena a me analyzers, hoʻomalu hana loiloi hoʻohana helu i ka helu ana o erythrocytes.

Koko RBC-Ka Ikepili: transcript

Ma hope o helu i ka helu o nā erythrocytes me ke keʻena hoʻokolohua Ka Ikepili hualoaʻa i ho'īli kauka. No ka Loiloi i ka moku'āina o ka meaola, oia ke ano o ka 'ike i haawi koko RBC-Ka Ikepili. Ho omńkalakala i kona kiko'î pono e hooholo i ka helu o kaʻulaʻula koko keena, e like me ka ho'ākāka 'ana o nā hoailona Ht (hematocrit) a me HB (hemoglobin lehulehu). Kēia pili pili wale i ka ola koko keena me ka pololei 'ole a me ka palapala. Ike i ka RBC ke keʻena, hiki ke nānā 'ia e ka haʻilula HB = 3 m RBC hemoglobin lehulehu, a laila, i ka hematocrit (Ht = 3 m HB). Hematocrit Hōʻike ka buke lākiō o ka erythrocyte aeee i nui koko buke, haʻahaʻa 'inideka Hōʻike kona anaemia, a ua kiʻekiʻe koko dehydration' o ia hoʻi.

RBC-koko Ka Ikepili hiki e alakaʻi hewa ka wā e paʻa ana ia i loko o ka menstrual paha epistaxis, ma ka iapaau ana o diuretic ai '. pono e noonoo mau hiʻona ka wā e mālama nei noiʻi.

Normal ulaula koko aeea maʻiʻo

Mākou e hoailona hou ia kahua, i emi nui ma mua o ke koko RBC-Ka Ikepili - ho omńkalakala i. Norma maʻiʻo o kaʻulaʻula koko keena hilinaʻi nui ma luna o ka wahine a me ka makahiki. I na kanaka, i ka helu ana o aeee i loko o ka erythrocytic 1 hano iki kiekie (4.5 e 5.5 × 10 ¹²⁾ ma mua o ka wahine (4.0 e 5.0 × 10 ^12). He He maʻamau RBC indices. Kēia koena unuhi Ua oi mālama nui kūpono 'ana o ke Muscle nuipa i loko o nā kānaka.

I keiki na kamalii uuku, RBC inideka mea kiʻekiʻe (4.2 i 7,5 × 10 ^12), e hoike ana i ka maʻiʻo kiʻekiʻe oʻulaʻula koko keena, a hoʻopaʻa i ka maʻamau lako o ke kino keena o ka oxygen nā lātoma. Loko o ka mahina ua hoemiia ka helu o kaʻulaʻula koko aeee (mai 3,7 e 5,7 × 10 ¹²⁾ ma muli o kā lākou i hoʻololi iho, aia no he gradual hope ma ka hou erythrocytic keena.

Ma na keiki ma lalo o 6 mahina o RBC Index ma ka laulā o 3,6 e 4,9 × 10 ¹² a me 12 mahina o ka makahiki RBC rationing - mai 3,7 e 4,9 × 10 ¹² no hano. Me ka 1 makahiki no 12 makahiki o ka makahiki erythrocyte - 3,6-4,6 × 10 ¹² no hano.

Hapai pono i hoʻokohu 'ia ke koko RBC-Ka Ikepili, kona omńkalakala ua lawe mai e lawe i ka mooolelo rula i oko, mai ka poʻe no ka' ole-hapai wahine - a mai ka 3.0 hiki i 3.5 m ¹⁰ December. Underestimated maʻiʻo erythrocytic keena aie i ke alo o ka oi loli i loko o nā nā'aʻaʻa, i dilutes i ke koko, e ia oi loli. Kekahi kumu o ka haahaa ka maʻiʻo o ka hemoglobin, i mea hoʻomaopop 'ana i loko o aneane pau hapai wahine.

Hoonuiia holo 'awelika o RBC

Ke kiekie pae o kaʻulaʻula koko aeee i loko o ke koko i kapa erythrocytosis. Hoomaopopo loa a me ka pili polycythemia. Ma ka hihia mua, he mea ulu ma ka helu o erythrocytic aeee mea loea ma ka lilo ana o kā lākou? Iecaianoaaiiuo i loko o ka iwi, he lua moku'āina ia lŘlŘ ka wā naʻe i ke koko, a emi iho kona leo.

Ke kiekie pae o kaʻulaʻula koko aeee i physiological a me ka pathological kumu.

Physiological kumu hoomahuahua RBC pae

Aia nā kumu i ke hoomahuahua i ka helu o maoli ulaula koko keena ma 0.5 m 10 ⁹ no ka lā, i mea ole i ka maʻi.

Nō kāu, RBC i loko o ke koko ho'āʻo hiki e mahuahua:

• ma lalo o ka aoao o ka stress, noʻonoʻo overstrain;
• i kekahi, ua kīkoʻo akula noho ma ka mauna ma ka lewa mea,ʻaʻole lawa ka oxygen;
• me ka mahuahua physical aʻo;
• ma ke kinowai shortage i loko o ke kino.

Ka hoʻopau o kēia mau mea, lalau mai hele aku ai a hiki i ka gradual loaa o ka lehulehu o ke koko keena, a me ka ulaula, mea,ʻaʻole he hoailona ia o ka imbalance i loko o ke kino. Ka noho ana o na Hawaii me ka noho 'ana kamaliʻi paka houʻulaʻula koko aeee e compensate no ka oxygen ma deficiency o ka meaola. A pau kēia mau hiʻona e e ia i loko o ka wā, no ka unuhi kauka kālailai.

Pathologies ma i māhuahua pae o RBC

Ma waho aʻeo ia maoli kumu, loaʻa nō i ka helu o ka pathological kumu ma i overstated ka nui o RBC. Ke kiekie pae o kaʻulaʻula koko keena malama i ka loaa ana diuretics a glucocorticosteroids, no ka nui ka wai poho pili me ka nui'ā, pinepine a me ka nui wai pā holoi 'Isaaka. A pau i kēia mau rula e kekahi koko manoanoa.

Nui helu o erythrocytes a erythrocytosis, ka hōʻike o nā maʻi e like me:

• hakuʻala mai, ma a ka hōmona erythropoietin ua hua mai la i ka excessive dala;
• polycythemia me ka malignantʻeho kaʻina hana i loko o ke koko, i ua pili me ka excessive aeea ka hoʻonuiʻana i loko o ka iwi ka lolo;
• oi? iecaianoaaiiuo o hormones o ka adrenal cortex i loko o Cushing ka maʻi pale;
• maʻi leukemia Vakeza;
• Oxygen ma deficiency i ka maʻi maʻi o na bronchi a me ia maʻiʻaʻai (obstructive bronchitis, emphysema, bronchial asthma);
• congenital a ua loaa mā o ka naau Muscle me ke koko kokuaia kāna hana o ke kino;
• Pulmonary hypertension mea he ole no ka pono o ka'ōpū;
• overweight me pulmonary insufficiency, a ua kiʻekiʻe holo 'awelika o vascular puʻe;
• Atherosclerosis o kaʻaʻa puʻuwai artery;
• polycysticʻaʻa puʻuwai'aʻaʻa.

hoemiia erythrocyte

Erythropenia hiki ke 'ike' ia e hele i ke koko RBC-Ka Ikepili. Deciphering i nā hualoaʻa e e hōʻike no haʻahaʻa pae o kaʻulaʻula koko aeea i loko o na keena koko. Keia ano ua malamaia ma acee? Iuo oeiia o ka anemia. Kona papahelu mea okoa ke kaumaha ma muli o ka palapala:

Hao deficiency anaemia mea hiki i ikaika uuku hemorrhages, nae RBC anakahi i e maʻamau a iki haÿahaÿa (3.0 i 3,6 m 10 ¹² no hano).

Anemia, kena ae la ia e ka nele o ka wikamina B _12, aplastic, hemolytic palapala, huʻi ke koko poho - a pau o kēia mau Hawaii i kekahi wehewehe aku ma ka haʻahaʻa ka maʻiʻo o kaʻulaʻula aeee i loko o ke koko. RBC aiee mai 1.0 hiki i 1,6 m 10 ¹² no 1 hano e manaoia pilikia, a pono ka manaʻo 'inikua' uao.

Emi ma ka helu o kaʻulaʻula koko keena malama i ulcerative lesions o ka mucousʻili lahilahi i loko o ka duodenum a me ka opu, hakuʻala na pohaku a me ka bladder, glomerular nephritis hakuʻala, mahuahua lehulehu o ka kumuʻiʻo nā lātoma i loko o ke koko, generalized plasmacytoma, oi loli ma na nā'aʻaʻa a me nā loko.

Oiai e hali ana i ke keiki i loko o ka wahine o ka kino maoli i ke dala o ke koko e circulates ma ka moku, a hoi ho'ēmi i kā ka uku ma RBC.