CBC Test – RBC, WBC, Hemoglobin | সিবিসি টেস্ট কী ও কেন

CBC Test – RBC, WBC, Hemoglobin | সিবিসি টেস্ট কী ও কেন

What is a CBC Test?
A Complete Blood Count (CBC) is a common but essential blood test that evaluates the health and composition of your blood. It measures:

  • 🔴 Red Blood Cells (RBC)
  • White Blood Cells (WBC)
  • 🩸 Hemoglobin (Hb)
  • 📊 Hematocrit (HCT)
  • 🟣 Platelets (PLT)
  • 🧬 Red Cell Indices: MCV, MCH, MCHC

CBC is a first-line test used to detect anemia, infections, inflammation, blood cancers, and immune system disorders.


🎯 Purpose of the CBC Test

  • Detect anemia or polycythemia
  • Identify infections or inflammation
  • Diagnose leukemia or other blood cancers
  • Monitor chronic diseases or treatment effects
  • Evaluate symptoms like fatigue, fever, or bleeding

📋 Key Parameters in CBC

1. 🔴 Red Blood Cells (RBC)

  • Function: Carry oxygen from lungs to body tissues
  • Normal Ranges:
    • Men: 4.7 – 6.1 million/µL
    • Women: 4.2 – 5.4 million/µL
    • Children: 4.1 – 5.5 million/µL
  • Low RBC: Anemia, bone marrow issues, bleeding
  • High RBC: Polycythemia vera, dehydration

2. 🩸 Hemoglobin (Hb)

  • Function: Oxygen-carrying protein in RBCs
  • Normal Ranges:
    • Men: 13.8 – 17.2 g/dL
    • Women: 12.1 – 15.1 g/dL
    • Children: 11 – 16 g/dL
  • Low Hb: Iron deficiency, chronic illness
  • High Hb: Smoking, high altitude, lung diseases

3. 📊 Hematocrit (HCT)

  • Function: Percentage of blood volume occupied by RBCs
  • Normal Ranges:
    • Men: 40 – 52%
    • Women: 36 – 48%
  • Reflects similar conditions as hemoglobin

4. White Blood Cells (WBC)

  • Function: Fight infection and support immunity
  • Normal Range: 4,000 – 11,000 cells/µL
  • High WBC: Infection, inflammation, leukemia
  • Low WBC: Viral infections, bone marrow failure

5. 🟣 Platelets (PLT)

  • Function: Help blood to clot and stop bleeding
  • Normal Range: 150,000 – 450,000 cells/µL
  • Low Platelets: Dengue, aplastic anemia, bleeding risk
  • High Platelets: Risk of thrombosis, inflammation

6. 🔬 Red Cell Indices

These help identify the type and cause of anemia:

  • MCV (Mean Corpuscular Volume)
    • Normal: 80–100 fL
    • ↓ MCV: Iron deficiency anemia
    • ↑ MCV: Vitamin B12 or folate deficiency
  • MCH (Mean Corpuscular Hemoglobin)
    • Normal: 27–33 pg
    • Reflects average hemoglobin per RBC
  • MCHC (Mean Corpuscular Hemoglobin Concentration)
    • Normal: 32–36 g/dL
    • Shows average hemoglobin concentration per cell

👨⚕️ What Doctors Should Know

  • CBC is a primary diagnostic tool for many conditions
  • Trends over time are more meaningful than a single result
  • Used for monitoring chemotherapy, bone marrow recovery, or chronic illness
  • Results must align with clinical findings and may need confirmation via other tests (iron profile, B12, ESR, CRP, etc.)

🧍 What Patients Should Know

  • It’s a simple blood test taken from a vein
  • No fasting is usually needed
  • Safe, quick, and reports are available within hours to 1 day
  • Let your doctor know if you have:
    • Taken recent medications
    • Received vaccines or had infections
    • History of bleeding or easy bruising

When is a CBC Recommended?

  • Fatigue, weakness, dizziness
  • Persistent fever or signs of infection
  • Unusual bruising or bleeding
  • Monitoring cancer, kidney disease, or autoimmune conditions
  • Pre-surgical health checkups

🧪 CBC Test Preparation

  • Fasting: Not usually required
  • Time: Can be done at any time of day
  • Instructions: Avoid heavy physical activity before the test and inform your doctor about ongoing medications
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