Ehia mau hunaola ʻulaʻula i loko o kou koko? E aʻo kākou e pili ana i ka hoʻāʻo hematocrit!

Ua lohe paha ʻoe i kekahi kauka e ʻōlelo ana, "E hana kākou i kahi hoʻāʻo koko" ke hele ʻoe i ke kauka? ʻO kahi hoʻāʻo koko maʻalahi akā koʻikoʻi loa i hana pinepine ʻia ʻo ia ka hematocrit. I kekahi manawa hiki ke helu ʻia ʻo ia he `(Hct)` ma kāu hōʻike. I ka ʻōlelo maʻalahi, ana kēia i ka pakeneka o nā hunaola koko ʻulaʻula i loko o kou koko. Hana ʻia ko mākou koko i nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, nā platelets, a me kahi ʻāpana wai i kapa ʻia ʻo `(plasma). He mea nui loa ka loaʻa ʻana o ka nui olakino o kēia mau hunaola koko ʻulaʻula. No ka mea, he hana koʻikoʻi kā lākou - ka lawe ʻana i ka oxygen ma ke kino holoʻokoʻa.

ʻO ka hapa pinepine, hana ʻia kēia hoʻāʻo hematocrit ma ke ʻano he ʻāpana o kahi hoʻāʻo koko nui i kapa ʻia he helu koko piha a i ʻole CBC. Pono paha ʻoe i kēia hoʻāʻo ma nā kūlana aʻe:

• I nā hoʻokolohua koko maʻamau i hana ʻia i kēlā me kēia makahiki, ʻo ia hoʻi, ma ke ʻano he ʻāpana o kāu nānā piha ʻana.
• Inā loaʻa iā ʻoe nā hōʻailona o kahi maʻi e hoʻopilikia ai i kou mau hunaola koko ʻulaʻula. E noʻonoʻo inā luhi a nāwaliwali mau ʻoe.
• Inā he maʻi pili koko kou, makemake paha kāu kauka e nānā mau i kāu mau hunaola koko ʻulaʻula.

E nānā kākou pehea e hana ai i kēia hoʻāʻo?

He mea maʻalahi loa kēia. No ke kanaka makua, lawe pinepine ʻoe i kahi koko liʻiliʻi mai kahi aʻa koko ma kou lima. No kahi pēpē liʻiliʻi, e like me kekahi mau mahina, lawe pinepine ʻoe i kahi koko liʻiliʻi mai ke kuʻekuʻe wāwae. A laila hōʻiliʻili ʻia ke koko i loko o kahi ʻōmole kūikawā, a i ʻole kekahi mau ʻōmole, i hoʻolālā ʻia e hōʻiliʻili i ke koko.

A laila hoʻouna ʻia kēia hāpana koko i ka hale hana. Ma laila, hoʻopololei wikiwiki kahi mīkini kūikawā i ke koko, e hoʻokaʻawale ana i nā ʻāpana like ʻole. E like me ka wā e ʻoki ʻia ai ka waiū. A laila, helu ka mīkini ponoʻī i ka pakeneka pololei o nā hunaola koko ʻulaʻula.

Pono ʻoe e hana i kekahi mea kūikawā ma mua o ka hoʻokolohua?

Eia kekahi nūhou maikaʻi nāu! ʻAʻole pono ʻoe e hana i kekahi mea kūikawā e hoʻomākaukau ai no kēia hoʻāʻo hematocrit. Hiki iā ʻoe ke ʻai a inu maʻamau a lawe i nā lāʻau lapaʻau āu e lawe ai e like me ka mea maʻamau. Inā ʻaʻole ʻōlelo ʻē kāu kauka iā ʻoe, pono ʻoe e hoʻomau i kāu mau hana o kēlā me kēia lā e like me ka mea maʻamau.

Akā, eia kahi mea liʻiliʻi e hoʻomanaʻo ai: Inā he makaʻu iki kou i nā nila, ʻo ia hoʻi ke hopohopo nei ʻoe ke ʻōlelo ʻia ʻoe e huki ʻia ke koko, e haʻi mua i ke kahu maʻi a i ʻole ke limahana lapaʻau. A laila e aʻo lākou iā ʻoe i nā ʻano like ʻole e hoʻomaha ai a hōʻemi i kou makaʻu. E kamaʻilio paha lākou iā ʻoe a i ʻole e haʻi iā ʻoe e lohi, e like me ka hanu mālie ʻana.

He aha ka mea e hana ʻia ke loaʻa ke koko iā ʻoe? He mea anei ia e makaʻu ai?

He mau minuke wale nō ka lawe ʻana i ke koko. He hana wikiwiki ia. Eia ka mea maʻamau e hana ʻia:

• ʻO ka mea mua, ʻo ke kanaka e lawe ana i ke koko (hiki i kēia ke lilo i kahu maʻi a i ʻole he loea hoʻokolohua lapaʻau) e ʻike i kahi aa koko maikaʻi ma kou lima (ma ka ʻaoʻao o loko o kou kuʻekuʻe lima).
• A laila, ma kou lima luna, ʻo ia hoʻi kou lima, kau lākou i kahi kaula laholio, a mākou e kapa nei hoʻi he "tourniquet". ʻO kēia ka mea e hoʻonui iki ai i ke aʻa a e maʻalahi ai ke huki ʻana i ke koko.
• ʻO ka mea aʻe, hoʻomaʻemaʻe pono ʻia ka ʻili kahi e hoʻokomo ʻia ai ke kui me kahi mea e like me ka waiʻona. Hana ʻia kēia e pale aku i ke komo ʻana o nā germs.
• A laila, hoʻokomo pono ʻia ke kui i loko o ke aʻa. E loaʻa kahi ʻeha iki ma ʻaneʻi, e like me ke nahu ʻia ʻana e kahi ʻanuʻu . Akā, he pōkole loa ka ʻeha a nalowale koke. E maʻalahi ke hanu hohonu ʻoe. Mai makaʻu.
• ʻO ke koko e puka mai ana ma o ka nila e hōʻiliʻili ʻia i loko o ka ʻōmole kūikawā a i ʻole ka syringe i ʻōlelo ʻia ma mua.
• Ke lawe ʻia ka nui o ke koko e pono ai, e wehe ʻia ke kui a me ke kāʻei laholio, e kau ʻia kahi plaster liʻiliʻi a i ʻole kahi ʻāpana pulupulu ma luna o kahi i huki ʻia ai ke koko, a hoʻopili ʻia kahi kāʻei.

E hiki iā ʻoe ke hoʻi i ka home i ka manawa pōkole. Ma mua o kou hele ʻana, he manaʻo maikaʻi e nīnau i ka wā e loaʻa ai iā ʻoe kāu hōʻike hematocrit `(Hct)`. Loaʻa pinepine ka hōʻike i loko o hoʻokahi a ʻelua paha lā, i kekahi manawa he mau lā.

Hiki i kēia ke hana i kekahi mau hopena ʻaoʻao?

ʻAʻole ʻike ka hapa nui o ka poʻe i kekahi ʻeha ma hope o ka hāʻawi ʻana i ke koko a ua maikaʻi ko lākou manaʻo. Eia nō naʻe, hiki i kekahi poʻe ke manaʻo iki i ka poniuniu a i ʻole ka poʻo māmā i ka wā e huki ʻia ai ke koko. Inā manaʻo ʻoe i kēia ʻano, he mea maʻamau ia, mai hopohopo. Eia naʻe, e hōʻoia e haʻi aku i ka mea e huki ana i kou koko i kou manaʻo. A laila e haʻi aku lākou iā ʻoe e moe no kekahi manawa, e hāʻawi iā ʻoe i kahi wai e inu ai, a i ʻole e kōkua iā ʻoe a hiki i kou ʻoluʻolu. Hiki ke lilo ka wahi i huki ʻia ai ke koko i polū iki, akā e nalo wale kēia i loko o kekahi mau lā.

He aha ka mea i loko o ka hōʻike? He aha ka mea e ʻōlelo nei?

ʻO ka hopena o kāu hōʻike hematocrit he helu, i hōʻike ʻia ma ke ʻano he pakeneka. No ka laʻana, inā ʻōlelo kāu hōʻike he 45, ʻo ia hoʻi he 45% o kou koko i hana ʻia me nā hunaola koko ʻulaʻula. Eia ke ʻano o ka loli ʻana o nā pae hematocrit maʻamau ma muli o ka makahiki a me ke kāne:

• No nā kāne : 41% a 50%
• No nā wahine : 36% a i 44%
• No nā pēpē i kekahi mau mahina : 32% a 42%
• No nā pēpē hānau hou : 45% a i 61%

Akā, aia kekahi mea nui loa e pono ai ʻoe e hoʻomanaʻo ma ʻaneʻi. Hiki ke ʻokoʻa iki kēia pae 'maʻamau' mai kekahi keʻena hoʻokolohua a i kekahi keʻena hoʻokolohua . ʻO ia hoʻi, ʻokoʻa iki paha ka pae maʻamau o kekahi keʻena hoʻokolohua mai kekahi keʻena hoʻokolohua ʻē aʻe. ʻO ia ke kumu e hoʻohālikelike ai ʻoe i ka waiwai i kāu hōʻike me ka 'pae kuhikuhi' i hāʻawi ʻia ma ia hōʻike. Eia kekahi, e nānā i ka leka `(H)` (Kiʻekiʻe - ʻo ia hoʻi ke kiʻekiʻe) a i ʻole `(L)` (Haʻahaʻa - ʻo ia hoʻi ke haʻahaʻa) ma ka ʻaoʻao o kāu waiwai. Ma kēlā ala hiki iā ʻoe ke hoʻomaopopo iā ʻoe iho inā aia kāu waiwai i loko o ka pae maʻamau, a kiʻekiʻe a haʻahaʻa paha.

He aha ka mea e hana ai inā kiʻekiʻe ka hematocrit?

Ke kiʻekiʻe aʻe ka waiwai hematocrit ma mua o ka nui i ʻōlelo ʻia, kapa mākou ia mea ma ke ʻano lapaʻau he `(Erythrocytosis)`. I kekahi manawa hiki i kēia ke hōʻailona o kahi maʻi iwi iwi e like me `(Polycythemia vera)`. Akā i ka hapa nui o ka manawa, ʻo ia hoʻi, pono nā ʻāpana o kou kino i ka oxygen hou aʻe, no laila ke hana nei kou kino i nā ʻāpana koko ʻulaʻula hou aʻe i ka pane ʻana. E like me ka paʻakikī o ka hanu ʻana ma kahi me ka oxygen liʻiliʻi, hiki ke hana like i loko o ke kino. Eia kekahi mau kumu e piʻi ai ka waiwai hematocrit:

• ʻAi ʻona kalapona monoxide: Hana ʻia kēia ke hanu ʻoe i ka uahi mai nā mea e like me nā kapuahi wahie a me ka ʻōpala o ke kaʻa.
• Ka maloʻo ʻana o ke koko: Ke loaʻa ʻole ka wai lawa i ke kino, emi iho ke kahe o ke koko a piʻi aʻe ka pakeneka o nā hunaola koko ʻulaʻula.
• Kekahi mau maʻi puʻuwai: Ke ʻole ka puʻuwai e pamu pono i ke koko.
• ʻO ka fibrosis pulmonary: Ma kēia, ʻaʻole hana pono ka hoʻololi ʻana o ka oxygen i loko o nā māmā.
• ʻO ka apnea hiamoe obstructive: ʻO kēia ka wā e pau ai ka hanu no ka manawa pōkole i ka wā hiamoe i ka pō.
• Ka Puhipaka: Hoʻohua ke kino i nā hunaola koko ʻulaʻula hou aʻe no ka mea ʻoi aku ka liʻiliʻi o ka hiki ke lawe i ka oxygen i ke koko o ka poʻe puhi paka.
• Ke lawe nei i ka hormone testosterone ma waho.

ʻO kekahi mea ʻē aʻe, inā ʻoe e noho ana ma kahi kiʻekiʻe, hiki ke piʻi aʻe kou hematocrit i ka wā e hoʻomaʻamaʻa ai kou kino i nā pae oxygen haʻahaʻa ma ia wahi. Akā, ʻaʻole ia he mea e hopohopo ai i nā manawa a pau. E noʻonoʻo kāu kauka i nā mea e like me kou nohona a me ke kaiapuni āu e noho nei i ka wā e nānā ai i kāu hōʻike a hiki i kahi hopena.

He aha ka mea e hana ai inā haʻahaʻa ka waiwai hematocrit?

ʻO ka hematocrit haʻahaʻa pinepine ke ʻano ʻaʻole lawa nā hunaola koko ʻulaʻula olakino o kou kino. Ua kapa pinepine ʻia kēia ʻano he anemia. ʻO ka ʻoiaʻiʻo, ʻo ke kumu nui e loaʻa ai kahi hoʻāʻo hematocrit inā manaʻo ʻoe he anemia kou . Ke ʻike nei paha ʻoe i nā hōʻailona e like me ka luhi, ka nāwaliwali, ka poʻo māmā, a me ka poniuniu paha ma muli o ka anemia. Aia kekahi mau kumu ʻē aʻe e haʻahaʻa ai kou hematocrit:

• Ke kahe koko: Hiki ke loaʻa mai kahi ʻeha, kahi ʻōpū ʻōpū, a i ʻole ke kaumaha o ka menstruation i nā wahine.
• Hyponatremia: ʻO ke ʻano kēia o ka emi ʻana o ka paʻakai o ke koko.
• Nā maʻi ʻaʻai e ulu ana i loko o ke koko, e like me ka leukemia.
• Maʻi puʻupaʻa: Ke hana nā puʻupaʻa i kahi hormone e kōkua ai i ka hana ʻana i nā hunaola koko ʻulaʻula, lilo ia i mea ʻino.
• Maʻi thyroid: ʻOi loa aku i ka wā e haʻahaʻa ai nā hormones thyroid.

Hiki ke emi iki ka waiwai hematocrit i ka wā hāpai. ʻO kēia no ka mea e piʻi ana ka wai o ke kino o ka makuahine (plasma) i kēia manawa, e hoʻonui ana i ka nui o ka plasma i loko o ke koko e pili ana i ka nui o nā hunaola koko ʻulaʻula. He mea maʻamau kēia.

Āhea ʻoe e pono ai e kamaʻilio me ke kauka?

Inā ʻaʻole ʻoe maopopo i ka mea ma kāu hōʻike, a inā he mau nīnau a hopohopo paha kāu e pili ana i kou hematocrit, e kamaʻilio me kāu kauka . Mai hilahila a makaʻu paha. E hoʻomanaʻo, ʻo ka hematocrit i ʻoi aku ma mua o ka maʻamau ʻaʻole ia he manaʻo koʻikoʻi. E nānā kāu kauka i kou hematocrit, kāu mau hopena hoʻāʻo ʻē aʻe, kāu mau hōʻailona, ​​a me kāu mōʻaukala olakino e hoʻoholo ai inā he hewa kekahi mea. E wehewehe ʻo ia i ke ʻano o kēlā mau waiwai no kou olakino, ka mea e hana ai ma hope inā haʻahaʻa a kiʻekiʻe paha kou hematocrit, a inā pono kekahi lāʻau lapaʻau.

Ua kauoha paha kāu kauka i kēia hoʻāʻo no ka mea he mau hōʻailona kou o kahi maʻi e hoʻopilikia ai i kou pae hematocrit (e.g., luhi, keʻokeʻo). Inā pēlā, he mea nui e haʻi i kāu kauka inā e ʻoi aku ka ʻino o kāu mau hōʻailona.

He aha ka ʻokoʻa ma waena o ka Hematocrit a me ka Hemoglobin?

He nīnau kēia a ka poʻe he nui e nīnau ai, a i kekahi manawa huikau. ʻOiai pili nā mea ʻelua i nā hunaola koko ʻulaʻula, ana lākou i ʻelua mau mea like ʻole.

I ka ʻōlelo maʻalahi:

• ʻO ka hoʻāʻo hematocrit ke ana i ka pakeneka o kou nui koko holoʻokoʻa i hana ʻia me nā hunaola koko ʻulaʻula (ua like ia me ka 'density' o nā hunaola koko ʻulaʻula i loko o kou koko).
• ʻO ke ana ʻana o ka hoʻāʻo hemoglobin ke ana i ka nui (maʻamau i nā grama) o kahi protein i kapa ʻia ʻo hemoglobin i loko o kou mau ʻula koko ʻulaʻula.

He mea nui loa kēia hemoglobin. No ka mea, ʻo ka mea e kōkua ai i nā hunaola koko ʻulaʻula e lawe i ka oxygen ma ke kino holoʻokoʻa, a ʻo ka mea e hopu ai i ka oxygen, ʻo ia kēia protein i kapa ʻia ʻo hemoglobin. No laila, ʻo kēia mau mea ʻelua e haʻi mai iā mākou i ka ʻike koʻikoʻi e pili ana i ko mākou olakino.

He aha inā haʻahaʻa ka hematocrit a me ka hemoglobin?

I kekahi manawa, hiki i kāu hoʻāʻo koko ke hōʻike i ka hematocrit haʻahaʻa a me ka hemoglobin haʻahaʻa. ʻEkolu mau kumu nui no kēia:

• Ke kahe nei ke koko : Hiki paha kēia mai kahi ʻeha a i ʻole kahi maʻi kūloko (e.g. ʻōpū ʻōpū, kahe koko ʻōpū).
• ʻAʻole lawa ka hana ʻana o kou iwi iwi i nā hunaola koko ʻulaʻula : ʻO ka iwi iwi ko mākou hale hana hunaola koko. Inā he pilikia me ia, hiki ke emi iho ka hana ʻana o nā hunaola koko ʻulaʻula.
• Ke make nei (luku ana) kou mau hunaola koko ʻulaʻula ma mua o ka maʻamau : He ola maʻamau ko nā hunaola koko ʻulaʻula. Inā luku ʻia lākou ma mua o kēlā, hiki i kēlā ke hoʻohaʻahaʻa i kēia mau waiwai.

Inā loaʻa iā ʻoe kekahi ʻano e like me kēia, ʻo ia hoʻi ua haʻahaʻa kou hematocrit `(Hct)` a me ka hemoglobin `(Hb)`, e hoʻoholo kāu kauka i ke kumu pololei a hoʻoholo i ke ʻano o ka lāʻau āu e pono ai.

ʻO ka mea hope loa, nā mea nui e pono ai ʻoe e hoʻomanaʻo!

He mea maʻamau ke hopohopo iki a hopohopo paha inā ʻoi aku ka nui a i ʻole ka haʻahaʻa o kou hematocrit `(Hct)` ma kāu hōʻike hoʻāʻo koko ma mua o ka maʻamau. Eia nō naʻe, he mea nui e hoʻomaopopo he nui nā kumu e hiki ai ke hana ʻia kēia . I kekahi manawa, hiki i kēia mau loli ke lilo i hōʻailona o kahi maʻi koʻikoʻi. Akā ʻoi aku ka pinepine ma mua o ka ʻole, hiki ke kumu o nā kūlana i emi iki ka koʻikoʻi, a i ʻole nā ​​​​loli i kā mākou ʻai a me ke ʻano o ka nohona. I kekahi manawa, hiki i kēia mau hopena ke lilo i manawa pōkole. No ka laʻana, i ka wā e maloʻo ai ke kino, hiki ke ʻike ʻia ka hematocrit kiʻekiʻe iki aʻe.

No laila, mai manaʻo koke i ka mea ʻino loa ke ʻike ʻoe i ka hōʻike. Mai hopohopo. ʻO ka mea nui loa, ʻo ke kamaʻilio ʻana me kāu kauka a hoʻomaopopo pono i ke ʻano o kēia mau waiwai no kou olakino . A laila e loaʻa iā ʻoe kahi ʻike maopopo, a inā he mea e hana ai, e ʻike ʻoe i ke ʻano o ia mea. Kōkua nui nā hoʻokolohua e like me kēia iā mākou e noho olakino!

Hematocrit , Hct, hoʻāʻo koko, nā hunaola koko ʻulaʻula, anemia, CBC, helu koko