Periodic Analysis

أهم التحاليل الدورية بعد سن الأربعين

جميعاً لدينا العلم أنه بعد سن الأربعين يجب علينا جميعاً القيام ببعض التحليلات الدورية المهمة ، وأيضاً توجد أنواع كثيرة من حالات العدوى اللتي إن أكتشفت في وقت مبكر أصبح فرصة الشفاء منها بإذن الله مرتفعة وهنا ترجع أهمية عمل الفحوصات الدورية.
أهم الفحوصات الدورية:-
1- CBC) Complete Blood Count)
يعرف (بتحليل العد الشامل) ، تحليل مشهور جدا يستخدمة الأطباء في تشخيص بعض حالات العدوى ، وهنا يظهر دور هذا التحليل لما يشتمل عليه من العديد من الفحوصات والتي سوف نتطرق إليها فيما بعد.
تحليل CBC يشتمل على العديد من الفحوصات المهمة ، والتي من دورها تعطينا تفاصيل واضحة حول خلايا الدم الثلاث ، خلايا الدم الحمراء( Red Blood Cells) ، وخلايا الدم البيضاء( White blood cells)، والصفائح الدموية ( Platelets) ،فهذا التحليل يقيس مستوى الأنواع الثلاثة في الدم ، وتحديد الخصائص الفزيائية لكل الأنواع الثلاثة.
أهم الفحوصات التي يقيسها تحليل CBC
RBCs Count خلايا الدم الحمراء:
الملايين من خلايا الدم الحمراء توجد في الدورة الدموية والتي تعطي اللون الأحمرالمميز للدم ، وأيضا تحمل الأكسجين من الرئتين إلى أنسجة الجسم، تكون جلايا الدم الناضجة صغيرة ومستديرة وذات تجويف ثنائي ، خلية الدم الحمراء صغيرة للغاية ولا تحتوي على نواة ،وتحنوي الخلية على الهيموجلوبين الذي يرتبط بدوره مع الحديد.
خلايا الدم الحمراء تعيش في الإنسان من 100 إلى 120 يوماً، ويوجد حوالي 5.2 مليون خلية حمراء لكل مليمتر مكعب من الدم في الإنسان البالغ، يبلغ قطر خلية الدم الحمراء 7.8 ميكرومتر تقريباً (1 ميكروميتر=0.000039 بوصة) والخلية عبارة عن أقراص ثنائية الكهف.
أسباب الزيادة في عدد خلايا الدم الحمراء:
- التدخين.
- الجفاف الشديد مثل حالات الإسهال الشديد.
- أمراض القلب الخلقية.
- تليف الرئتين.
- أمراض الكلى.
- وجود بعض أنواع الهيموجلوبين الغير طبيعي.
أسباب النقص في عدد خلايا الدم الحمراء:
- النزيف الحاد.
- نقص الحديد.
- نقص حمض الفوليك وفيتامين ب 12.
- سرطان الدم(اللوكيميا).

(Hemoglobin (HGB الهيموجلوبين:
عبارة عن بروتين يحتوي على الحديد وكلاهما محمول في كرات الدم الحمراء، لذلك النقص في عنصر الحديد يؤدي بالضرورة الى نقص الهيموجلوبين بالدم.
والهيموجلوبين وظيفته الأساسية هي نقل الأكسجين من الرئتين الى باقي أعضاء الجسم المختلفة،وأيضا بالتبعية لذلك نقل ثاني أكسيد الكربون من كل أعضاء الجسم المختلفة إلى الرئتين، ولذلك نقص الهيموجلوبين ( فقر الدم ) يؤدي لعدد كبير من الظواهر والأعراض المختلفة، مثل الشحوب والتعب وصولا الى صعوبة التنفس.
المعدل الطبيعي للهيموجلوبين
عند الأطفال
- عند الأطفال حديث الولادة – شهر 13.3 الى 19.9 جرام/ ديسيلتر.
- عند الأطفال من عمر شهر – شهرين 10.7إلى 17.1 جرام/ديسيلتر.
- عند الأطفال من عمر شهرين- 3أشهر 9.0 إلى 14.1 جرام/ديسيلتر.
- عند الأطفال من عمر 3 أشهر-6أشهر 9.5 إلى 14.1 جرام/ديسيلتر.
- عند الأطفال من عمر6أشهر-4 سنوات 11 جرام/ديسيلتر.
- عند الأطفال من عمر 5 سنوات -12 سنة 11.5 جرام /ديسيلتر.
- عند الأطفال من عمر 12سنة -15 سنة 12جرام/ديسيلتر.
عند البالغين
- ذكور بالغين 13.8 إلى 17.2 جرام/ديسيلتر.
- النساء البالغات من 12.1 إلى 15.1 جرام /يسيلتر.
- عند النساء أثناء الحمل 11 جرام/ديسيلتر.
يتبع,,,,,,,,,,,,,,,,,,,,,,,,,,,
تحياتي د/ أحمد الناغي
تسلم يا دكتور
حبيبي
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