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UNDERSTANDING THE PARAMETERS IN BLOOD TESTS AND THEIR EFFECTS ON OUR HEALTH

Rector Advisor, Vice Dean, and Faculty Member - Istanbul Kent University, Faculty of Pharmacy, Departmant of Pharmocology
Visiting Researcher&Lecturer - University College London, Mechanical Engineering and Faculty of Medicine, UK
Visiting Lecturer - University of Aveiro, Faculty of Biomedical Engineering, Portugal
Faculty Member - Istanbul Kent University, Faculty of Pharmacy, Department of Biochemistry

"The blood test is a vital tool that analyzes the body's health status through blood cells and biochemical parameters, enabling early diagnosis of many diseases. When evaluated under medical supervision, the results of this test play a crucial role in maintaining overall health."

KAN TAHLİLİNDE YER ALAN PARAMETRELERİN ANLAMI VE SAĞLIĞIMIZ ÜZERİNDEKİ ETKİLERİ

What is a blood test and what tests does it include?

Blood tests are tests performed for screening purposes to evaluate the general health status of inpiduals or possible health problems they may encounter in the future. In blood tests, tests such as complete blood count (hemogram), blood sugar and lipid profile, hormone analyses, enzyme determinations, serological analyses, and determination of vitamin and mineral levels are performed.

What is a hemogram (blood test) and for what purpose is it performed?

A hemogram is a blood test that examines the content of the blood in detail and is performed to detect health problems occurring in the body. This test is generally used in the diagnosis of infection, anemia, immune system disorders, and other blood-related diseases. Thanks to the hemogram, information is obtained about the levels of red blood cells (erythrocytes), white blood cells (leukocytes), platelets, and hemoglobin in the body. The test is also used in general health screenings, monitoring of chronic diseases, and evaluating the response to treatment.

What Parameters are Analyzed in a Hemogram Test?

The hemogram test, often referred to as a complete blood count (CBC), includes several parameters. These parameters include erythrocyte count (RBC), leukocyte count (WBC), hemoglobin (Hb), hematocrit (HCT), platelet count (PLT), and mean corpuscular volume (MCV). Each parameter reflects a different aspect of bodily function and helps in diagnosing various conditions.


What is Erythrocyte Count (RBC) and Why is it Important?

Erythrocytes are red blood cells that transport oxygen throughout the body. The erythrocyte (red blood cell) count is an indicator of the oxygen-carrying capacity of the blood and is used to diagnose conditions like anemia. A low erythrocyte (red blood cell) count suggests anemia, while a high count may indicate polycythemia.

Polycythemia, also called erythrocytosis, refers to increased red blood cell mass, noted on laboratory evaluation as increased hemoglobin and hematocrit levels.


What Does Leukocyte Count (WBC) Indicate and Why is it Tested?

Leukocytes, or white blood cells, fight infections in the body. The WBC count is used to assess immune system function. A high leukocyte (white blood cell) count often indicates an infection or inflammation, while a low count can signify a weakened immune system.


What Does Hemoglobin (Hb) Level Show?

Hemoglobin is a protein in red blood cells that carries oxygen. Measuring Hb levels helps determine the blood’s oxygen-carrying capacity. Low hemoglobin levels suggest anemia, while high levels may indicate polycythemia.


What is Hematocrit (HCT) and When Does it Change?

Hematocrit measures the proportion of red blood cells in the blood. High hematocrit levels can indicate dehydration or polycythemia, whereas low levels may signal anemia or blood loss.


What Does Platelet Count (PLT) Mean?

Platelets are involved in blood clotting. A high platelet count may suggest clotting disorders, while a low count can indicate a risk of bleeding. Monitoring platelet count is essential for surgeries and certain medical conditions.


What is MCV (Mean Corpuscular Volume)?

MCV measures the average size of red blood cells. Smaller cells may indicate iron deficiency anemia, while larger cells could suggest vitamin B12 deficiency.


What Do MCH and MCHC Mean in a Blood Test Result?

MCH (mean corpuscular hemoglobin) indicates the average amount of hemoglobin per red blood cell, while MCHC (mean corpuscular hemoglobin concentration) shows the concentration of hemoglobin in red blood cells. Low MCH and MCHC levels may indicate iron deficiency anemia, while high levels could suggest vitamin B12 or folic acid deficiencies.


What is RDW (Red Cell Distribution Width)?

RDW measures the variation in size among red blood cells. A high RDW may indicate various types of anemia or other blood disorders.


What is MPV (Mean Platelet Volume)?

MPV measures the average size of platelets. High MPV suggests the production of larger, more active platelets, while low MPV may indicate bone marrow issues.


What Do Eosinophil and Basophil Counts Indicate?

Eosinophils and basophils are white blood cells involved in allergic reactions and certain infections. Increased eosinophil counts may suggest allergies or parasitic infections, while elevated basophils may be related to inflammation.


What is a Leukocyte Differential Formula?

The leukocyte (white blood cells) differential formula shows the proportions of different types of white blood cells. This formula helps identify the type of infection or disease, such as leukemia or other blood cancers.


What Does Reticulocyte Count Mean?

Reticulocytes are immature red blood cells. Reticulocyte count indicates the bone marrow’s ability to produce new red blood cells. High counts can signal recovery from blood loss or hemolytic anemia.


What Does Vitamin D (25(OH)D) Level Indicate?

Vitamin D is crucial for bone health, immune function, muscle function, and nerve health. Deficiency can lead to osteoporosis, immune disorders, and depression, while excess levels can cause hypercalcemia and kidney stones.


What Does Vitamin B12 (Cobalamin) Level Indicate?

Vitamin B12 is essential for red blood cell production and nervous system function. Deficiency can cause anemia, fatigue, memory problems, nerve damage, and depression. Excessive B12 intake is generally not harmful but may rarely cause allergic reactions.


What Does Iron (Fe) Level Indicate?

Iron is a key component of hemoglobin, essential for oxygen transport. Low iron levels can cause anemia, fatigue, and shortness of breath, while high levels (hemochromatosis) can lead to liver damage, diabetes, and heart disease.


What Does Calcium (Ca) Level Indicate?

Calcium is vital for bone health, muscle contraction, and nerve transmission. Deficiency can result in osteoporosis, muscle cramps, and heart rhythm disturbances, while excess calcium may lead to kidney stones and bone weakness.


What Does Magnesium (Mg) Level Indicate?

Magnesium is involved in muscle and nerve functions, blood sugar control, and protein synthesis. Deficiency is linked to muscle cramps, migraines, anxiety, and high blood pressure. Excessive magnesium can cause kidney issues and heart problems.


What Does Zinc (Zn) Level Indicate?

Zinc supports immune function, wound healing, and DNA synthesis. Deficiency can result in immune dysfunction, loss of appetite, and growth delays. Excessive zinc may lead to nausea, vomiting, and suppressed immune function.


What Does Folate (Vitamin B9) Level Indicate?

Folate is necessary for DNA synthesis and cell pision. Adequate folate intake during pregnancy helps prevent birth defects. Deficiency can lead to megaloblastic anemia and neurological issues, while excess folate may mask vitamin B12 deficiency.


What Does the Potassium (K) Level Indicate?

Potassium is crucial for muscle function and nerve signaling. Deficiency can cause muscle weakness, irregular heart rhythms, and digestive issues. Excess potassium may lead to hyperkalemia, causing severe heart rhythm disturbances and potential cardiac arrest.


What Does Sodium (Na) Level Indicate?

Sodium regulates fluid balance and blood pressure. Low sodium (hyponatremia) can impair brain function, leading to nausea, dizziness, and seizures. High sodium (hypernatremia) may contribute to hypertension and cardiovascular diseases.


What Does Phosphorus (P) Level Indicate?

Phosphorus is essential for energy production and bone health. Low phosphorus levels can cause bone weakness, fatigue, and muscle pain, while excessive phosphorus may lead to decreased bone density and kidney problems.


What Does Selenium (Se) Level Indicate?

Selenium plays a role in antioxidant defense and thyroid function. Deficiency can result in weakened immune response and thyroid disorders. Excess selenium can cause hair loss, brittle nails, and neurological issues.


How To Interpret Blood Test Results and Should A Doctor Be Consulted?

Blood test results are interpreted based on whether the parameters fall within normal ranges. Deviations from normal values can indicate underlying health issues and may require further testing by a healthcare professional. Interpreting these results accurately is crucial for diagnosing potential health problems early and maintaining overall health. Therefore, consulting a doctor for proper interpretation and further action is vital to address any abnormalities and ensure appropriate treatment and management.

Kaynaklar


1. Celkan TT, What does a hemogram say to us? (2020).

2. Al Zomia AS, et al., Blood Parameter Profiles and Their Clinical Implications in Hypertensive Patients: A Retrospective Chart Review. (2023).

3. Zhong F, et al., Red Blood Cell Count: An Unrecognized Risk Factor for Nonalcoholic Fatty Liver Disease. (2021).

4. Charostad J, et al., Evaluation of hematological parameters alterations in different waves of COVID-19 pandemic: A cross-sectional study. (2023).

5. Addo OY, et al., Evaluation of Hemoglobin Cutoff Levels to Define Anemia Among Healthy Individuals. (2021).

6. Kwon H and Park B, Borderline-High Mean Corpuscular Volume Levels Are Associated with Arterial Stiffness among the Apparently Healthy Korean Individuals. (2020).

7. Zeng-Yun-Ou Z, Zhong-Yu J, and Wei L, Bidirectional associations between eosinophils, basophils, and lymphocytes with atopic dermatitis: A multivariable Mendelian randomization study. (2022).

8. Tardy AL, et al., Vitamins and Minerals for Energy, Fatigue and Cognition: A Narrative Review of the Biochemical and Clinical Evidence. (2020).

9. Miyasaki AMM, et al., Blood tests and use of nutritional supplements in a cohort of Brazilian children with trisomy 21. (2023).

10. Arakaki M, et al., Personalized Nutritional Therapy Based on Blood Data Analysis for Malaise Patients. (2021).

11. Behers BJ, et al., Vitamins and Minerals for Blood Pressure Reduction in the General, Normotensive Population: A Systematic Review and Meta-Analysis of Six Supplements. (2023).

12. Zheng J, et al., Biomarkers of Micronutrients and Phytonutrients and Their Application in Epidemiological Studies. (2023).


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