Transferrin: ndi chiyani, mfundo zabwinobwino komanso zomwe zimapangidwira

Zamkati
- Ndi chiyani
- Kodi Transferrin Saturation Index ndi chiyani
- Zomwe mkulu transferrin amatanthauza
- Zomwe otsika transferrin amatanthauza
Transferrin ndi puloteni yomwe imapangidwa makamaka ndi chiwindi ndipo ntchito yake yayikulu ndikutengera chitsulo kupita m'mafupa, ndulu, chiwindi ndi minofu, kukhalabe ndi magwiridwe antchito mthupi.
Makhalidwe abwinowa a transferrin m'magazi ndi awa:
- Amuna: 215 - 365 mg / dL
- Akazi: 250 - 380 mg / dL
Kuunika kwa kuchuluka kwa magazi m'magazi kuyenera kuchitika mwachangu kwa ola 8 mpaka 12, kutengera malangizo a dokotala ndi labotale, ndipo nthawi zambiri amafunsidwa limodzi ndi muyeso wa iron ndi ferritin, kuphatikiza pakuyesa kwamankhwala am'magazi komanso hematological, monga kuchuluka kwa magazi, mwachitsanzo, kuyenera kumasuliridwa limodzi. Dziwani kuchuluka kwa magazi ndi momwe mungatanthauzire.
Ndi chiyani
Mlingo wa transferrin nthawi zambiri amafunsidwa ndi dokotala kuti apange kusiyanitsa kwa ma microcytic anemias, omwe amadziwika ndi kupezeka kwa maselo ofiira ang'onoang'ono kuposa abwinobwino. Chifukwa chake, kuwonjezera pa transferrin, adokotala amapempha kuyeza kwa seramu iron ndi ferritin. Dziwani zambiri za ferritin.
Mbiri ya labotore ya ma microcytic anemias ndi:
Chitsulo cha seramu | Kusintha | Kukhathamiritsa kwa Transferrin | Ferritin | |
Kusowa kwa magazi m'thupi kwachitsulo | Zochepa | Pamwamba | Zochepa | Zochepa |
Matenda Ochepetsa Matenda | Zochepa | Zochepa | Zochepa | Zachibadwa kapena zowonjezeka |
Thalassemia | Zachibadwa kapena zowonjezeka | Zachibadwa kapena kuchepa | Zachibadwa kapena zowonjezeka | Zachibadwa kapena zowonjezeka |
Kuchepa kwa magazi kwa Sideroblastic | Pamwamba | Zachibadwa kapena kuchepa | Pamwamba | Pamwamba |
Kuphatikiza pa kuyesaku, hemoglobin electrophoresis itha kupemphedwa kuti izindikire mtundu wa hemoglobin ya wodwalayo, motero, kutsimikizira kuti matenda a thalassemia, mwachitsanzo.
Ndikofunikira kuti zotsatira zamayesowo zimasuliridwe ndi adotolo, chifukwa kuwonjezera pa kuchuluka kwa chitsulo, transferrin ndi ferritin, ndikofunikira kusanthula mayeso ena kuti athe kuwunika momwe wodwalayo alili.
Kodi Transferrin Saturation Index ndi chiyani
Transferrin Saturation Index ikufanana ndi kuchuluka kwa transferrin komwe kumakhala chitsulo. Mumikhalidwe yabwinobwino, 20 mpaka 50% yamawebusayiti omangika a transferrin amakhala ndi chitsulo.
Pankhani ya kuchepa kwa magazi m'thupi, mwachitsanzo, transferrin saturation index ndiyotsika chifukwa chitsulo chochepa chopezeka m'magazi. Ndiye kuti, chamoyo chimayamba kupanga ma transerrin ambiri kuti atenge chitsulo chochuluka momwe angatengere kumatendawo, koma transferrin iliyonse imanyamula chitsulo chocheperako kuposa momwe amayenera kuchitira.
Zomwe mkulu transferrin amatanthauza
High transferrin nthawi zambiri imawoneka pakusowa kwa magazi m'thupi, komwe kumadziwika kuti kusowa kwa magazi m'thupi, m'mimba komanso kuchiza m'malo mwa mahomoni, makamaka estrogen.
Zomwe otsika transferrin amatanthauza
Low transferrin imatha kuchitika nthawi zina, monga:
- Thalassemia;
- Kuchepa kwa magazi kwa Sideroblastic;
- Kutupa;
- Zinthu zomwe zimatayika zomanga thupi, monga matenda opatsirana ndi zotentha, mwachitsanzo;
- Chiwindi ndi matenda a impso;
- Zotupa;
- Nephrosis;
- Kusowa zakudya m'thupi.
Kuphatikiza apo, kuchuluka kwa transferrin m'magazi kumathandizanso kuchepa kwa kuchepa kwa magazi kwa matenda, omwe ndi mtundu wa kuchepa kwa magazi komwe kumachitika mwa anthu ogonekedwa komanso omwe ali ndi matenda opatsirana, zotupa kapena zotupa.