Hemoglobini yafupika ndi chiwerengero cha maselo ofiira (erythrocytes) omwe amachepa m'magazi. Hemoglobin ndi mapuloteni okhala ndi zitsulo omwe amapezeka mu erythrocytes, imapereka mpweya wokwanira ndi zotengera kupita ku makoswe, komanso amapereka magazi.
Zizindikiro za hemoglobini yotsika
Mpweya wabwino wa hemoglobin kwa akazi ndi 120-150 g / mol, kwa amuna - 130-170 g / mole.
Ngati, pa chifukwa china chilichonse, hemoglobine imakhala pansi pa malire a thupi, ziwalo ndi machitidwe amatha mpweya wabwino, ndipo chifukwa chake, zizindikiro zambiri zimayambira.
Pansi pa hemoglobini amatha kuona:
- zofooka zambiri ndi zofooka;
- kufooka kwakukulu;
- kugona;
- chizungulire ndi kutaya;
- mpweya wochepa ;
- Kugonjetsa mtima ndi misozi mkati mwa mtima;
- khungu la khungu ndi mucous membrane;
- kuchepetsa kutentha kwa mapeto (manja kapena manja ndi miyendo kapena nthawi yozizira);
- maonekedwe a zosangalatsa zachilendo (mwinamwake, pali choko kukoka).
Kodi n'chiyani chimayambitsa ma hemoglobin?
Kulephera kwa iron
Chifukwa chodziwika bwino komanso chotetezeka kwambiri cha hemoglobin, chifukwa chimaperekedwa mosavuta pogwiritsira ntchito mankhwala ena komanso kudya mankhwala osokoneza bongo.
Kutaya magazi
Matenda a magazi omwe amayamba chifukwa cha kuwonongeka kwa magazi amatha kuwonedwa pambuyo pa zilonda ndi kuvulala ndi kutaya magazi kwambiri, zilonda zam'mimba kapena m'matumbo, zomwe zimatulutsa magazi. Chifukwa china chodziwikitsa kuti amayi akhoza kukhala ndi hemoglobini yotsika ndiko matenda a msambo (nthawi yayitali ndi kutaya magazi kwambiri). Pankhani ya zinthu zomwe zimagwira ntchito yochepa (ntchito, mwezi, wopereka), hemoglobini imabwezeretsedwa mosavuta. Ngati kutayika kwa magazi kumayambitsa matenda, ndiye kuti chithandizochi chidzakhala chovuta komanso chokhalitsa.
Mimba
Pakati pa mimba, kuchepa kwa mlingo wa hemoglobini kumawonetsedwa mwa amayi ambiri, chifukwa thupi liyenera kupereka zinthu zonse zofunika, osati mayi yekha, komanso mwanayo. Mkhalidwewo umasinthidwa kawirikawiri ndi kusankha zakudya zoyenera, ndipo pamakhala zovuta kwambiri ndi mankhwala.
Komanso kuchepetsa mlingo wa hemoglobini m'magazi kumakhudzidwa ndi:
- Matenda opweteka a m'mimba (matenda a atrophic gastritis, kupinda mkati);
- Matenda opatsirana omwe amatenga nthawi yaitali (matenda a chiwindi, kupweteka kwakukulu kwa impso, chifuwa chachikulu, gastroenterocolitis, etc.);
- khansa ya m'magazi komanso zilonda zam'thupi.
Kawirikawiri, hemoglobin imafooka pang'onopang'ono, ndipo chitukuko cha matendawa chikhoza kuimitsidwa poyamba. Chifukwa cha kuchepa kwakukulu ndi hemoglobin yotsika kwambiri nthawi zambiri zimatulutsa magazi ambiri, kapena zinthu zovulaza.
Pamwamba pa ESR pa hemoglobin yapamtunda
ESR (kuchuluka kwa dothi la erythrocytes kapena erythrocyte sedimentation reaction) -
Ngati vuto la hemoglobini lachepa ndilopanda chitsulo, kutaya mwazi pa nthawi ya kusamba kapena mimba, chiwerengero cha ESR chimawonjezereka bwino (mwa 20-30 mm / h). Zifukwa zapamwamba kwambiri za ESR (zoposa 60) ndi otsika hemoglobini, zimatha kukhala matenda opatsirana ndi zoopsa (khansa, khansa ya m'magazi).