Ukuhlolwa kwevolumu yeseli epakishiwe (PCV) ukuhlolwa kwegazi okujwayelekile okuhlaziya futhi kukale ingxenye yamangqamuzana egazi abomvu kusampula yegazi. Kuphinde kwaziwe ngokuthi ukuhlolwa kwe-hematocrit futhi kuvezwa njengephesenti lama-RBC apakishwe ngevolumu kusampula yegazi, lapho inani lama-RBC akhona emzimbeni lingachazwa.

Kuyini ukuhlolwa kwe-PCV?

Ivolumu yeseli epakishiwe noma ukuhlolwa kwe-PCV ukuhlolwa kwe-serological okuhlinzeka ngokuhlolwa okuphelele kwephesenti lamaseli abomvu egazi. Inhloso yokuhlolwa kwe-PCV ukuhlola umthamo wegazi namandla okuthwala umoya-mpilo wamaseli abomvu egazi. Ukuhlolwa kwe-PCV kuvame uku-odwa eduze nokuhlolwa kwegazi okujwayelekile (isibalo segazi esiphelele).

Kufanele ngiluthole nini ukuhlolwa kwe-PCV?

Ukuhlolwa kwe-PCV ngokuvamile kwenziwa njengengxenye ye-a ukuhlolwa kwegazi okuphelele (CBC). noma ngesikhathi somsebenzi wegazi ojwayelekile. Kungase kunconywe ngokukhethekile ukuxilonga nokuqapha izimo ezithile zezokwelapha ezifana ne-anemia, ukuphelelwa amanzi emzimbeni, kanye ne-polycythemia. Udokotela angase futhi a-ode ukuhlolwa kwe-PCV ukuze ahlole ukuphumelela kokwelashwa okuhlobene nezimo zegazi ezifana ne-anemia.

Kwenzekani ngesikhathi sokuhlolwa kwe-PCV?

Ukuhlolwa kwe-PCV ukuhlola igazi, ngakho kuhilela ukuqoqa isampula yegazi bese ulithumela ku- ilabhorethri yokuhlola. 

Inqubo yokuhlolwa kwe-PCV

Ukuhlolwa kwe-PCV kwenziwa elabhorethri ngokufaka isampula yegazi phakathi nendawo. Phakathi ne-centrifugation, amangqamuzana egazi ahlala ngaphansi kweshubhu le-centrifuge kuyilapho i-plasma ikhuphukela phezulu. Amaphesenti amaseli abomvu egazi kusampula yegazi anganqunywa ngokulinganisa ubude bama-RBC apakishiwe ezansi ngokuhlobene nesamba sobude besampula.

Ukusetshenziswa kokuhlolwa kwe-PCV

Ukuhlolwa kwe-PCV kulinganisa ngokuyinhloko iphesenti lama-RBC kusampula yegazi. Ngokuvamile kwenziwa ukuxilonga noma ukukhipha izimo zegazi ezifana i-anemia noma i-polycythemia ezigulini. Odokotela bangase futhi batuse ukuhlolwa kwe-PCV hematocrit ukuze bahlole impendulo ekumpontshelwe igazi noma banqume ukuphumelela kokwelashwa kwezimo ezithile zegazi. Sekukonke, ukuhlolwa kwe-PCV kunikeza ukuhlolwa okuphelele kwempilo yomuntu kanye nengozi yabo yokuba nezimo ezithile zezokwelapha.

Ukulungiselela kanjani ukuhlolwa kwe-PCV?

Ukuze kuhlolwe igazi le-PCV, ayikho imikhawulo yokudla njengoba iwela ngaphansi komsebenzi wegazi ojwayelekile. Ngakho-ke, iziguli azidingi ukuzila ukudla ngaphambi kokuba isampula iqoqwe. Ngesikhathi sokuqoqwa kwegazi, i-phlebotomist ithola umthambo engalweni bese ihlanza indawo ngoketshezi lwe-antiseptic oludakayo. Ngokulandelayo, isampula liqoqwa kusetshenziswa inaliti eyinyumba bese ithunyelwa elebhu ukuze ihlaziywe.

Amanani wemiphumela yokuhlolwa kwe-PCV

Imiphumela yokuhlolwa kwe-PCV ivezwa ngamaphesenti. Uma ukuhlolwa kwegazi kwe-PCV kubonisa ukufundwa kwe-50%, kusho ukuthi ku-100 ml wegazi, amangqamuzana egazi abomvu athatha i-50 ml ngevolumu. Noma yikuphi ukwanda noma ukuncipha kwalokhu kufunda kungase kubonise izimo ezihlukahlukene zempilo nezinkinga, ezinye zazo ezingase zibe yizifo ezingelapheki.

Ibanga elijwayelekile lokuhlolwa kwe-PCV liyahlukahluka kuye ngobulili, ubudala, nezinye izici. 

Ukuba namaleveli e-PCV ngaphansi noma ngaphezulu kwamazinga anconyiwe kungase kusho izinto ezihlukile kubantu abahlukene kuye ngezimpawu zabo kanye nezidingo zokuhlola.

I-PCV ephansi ekuhlolweni kwegazi

Uma izinga le-PCV liphansi kunobubanzi obujwayelekile obunconywayo, kungase kube ngenxa yezimo ezimbalwa. I-anemia nokulahlekelwa kwegazi kuvame ukuhlotshaniswa namazinga aphansi e-PCV. I-anemia ingase ibangelwe izimo ezihlukahlukene, kuhlanganise nokuntuleka kwamavithamini, ukuntuleka kwamaminerali, noma ukugula okungapheli. Ukulahlekelwa igazi kungabangelwa ukuhlukumezeka noma ukuhlinzwa, futhi kungase kube ngenxa yezimo ezingapheli ezifana nokopha emathunjini noma ukuphazamiseka kokuya esikhathini. Izinto ezimbalwa zingaba nomthelela emazingeni aphansi e-PCV ekuhlolweni kwegazi:

• Ukwehla kwe-Vitamin B12
• Ukuphazamiseka kwezinso
• Ukushoda kwamaminerali
• Izifo ezivuthayo
• I-Hemolysis

Inani eliphakeme kakhulu lama-PCV

I-PCV ephezulu ekuhlolweni kwegazi ngokuvamile ibangelwa izimo ezifana nokuphelelwa amanzi emzimbeni noma i-polycythemia. Ukuphelelwa amanzi emzimbeni kubonakala ngokulahlekelwa noma ukuntula uketshezi lomzimba, okungaba umphumela wezizathu ezihlukahlukene, okuhlanganisa ukuphuza uketshezi olwanele noma imithi ethile. I-Polycythemia yisimo lapho kukhona ukweqisa kwamangqamuzana egazi abomvu uma kuqhathaniswa nebanga elijwayelekile lokuhlolwa kwegazi le-PCV, futhi kungenzeka ngenxa yezici ezihlukahlukene, okuhlanganisa ufuzo nokubhema. Uma umuntu ene-polycythemia, kungase kwandise ingozi yokushaywa unhlangothi, amahlule egazi, nezinye izinkinga. Amazinga aphezulu e-PCV nawo angabonisa isifo samaphaphu.

Isiphetho

Ukuhlolwa kwe-PCV noma ukuhlolwa kwe-hematocrit kuwumsebenzi wegazi ojwayelekile owenziwe ukuze kuhlolwe inani lama-RBC akhona kusampula yegazi. Lokhu kuhlolwa kungasetshenziselwa ukuhlonza izifo ezithile zegazi noma ukuqapha impilo yonke yeziguli.

Imibuzo Evame Ukubuzwa

1. Kusho ukuthini ukuba ne-PCV ephansi?

Izimpendulo. Ukuba namazinga aphansi e-PCV ekuhlolweni kwegazi kungase kubonise izimo zempilo ezimbalwa ezingaphansi, ezifana ne-anemia noma ukuntuleka kwevithamini namaminerali. Kodwa-ke, ngokusekelwe embikweni wokuhlolwa, kanye nokuhlolwa okwengeziwe kokuxilonga kanye nezimpawu ezitholakalayo, udokotela angakwazi ukuxilonga lesi simo ngendlela efanele.

2. Yini ebangela amazinga aphansi e-PCV?

Izimpendulo. Amazinga aphansi e-PCV ekuhlolweni kwegazi angabangelwa izimo ezihlukahlukene, kuhlanganise ne-anemia, ukulahlekelwa igazi, ukugula okungapheli, imithi ethile, noma ukuntuleka kokudla okunomsoco.

3. Kusho ukuthini izinga eliphezulu le-PCV?

Izimpendulo. Izinga eliphezulu le-PCV ekuhlolweni kwegazi le-PCV lingabonisa amazinga aphezulu kunokujwayelekile ama-RBC egazini, okungabangelwa izici ezihlukahlukene, okuhlanganisa imithelela yemvelo kanye nokuphazamiseka kwegazi okufana ne-polycythemia.

4. Iyini imbangela yamazinga aphezulu e-PCV ekuhlolweni kwegazi?

Izimpendulo. Uma izinga le-PCV ekuhlolweni kwegazi le-hematocrit liphezulu, kungase kube ngenxa yezinto ezifana nokuphelelwa amanzi emzimbeni, i-polycythemia, ukubhema, noma imithi ethile.

5. Ziyini izindleko zokuhlolwa kwe-PCV?

Izimpendulo. Izindleko zokuhlolwa kwegazi kwe-PCV ngokuvamile ziba phakathi kwama-Rs. 100 kanye nama-Rs. 200.