Aia kekahi mea kupanaha e pili ana i kou mau hunaola koko? E nānā kākou i ka mea a ka hoʻāʻo (Peripheral Blood Smear - PBS) e ʻōlelo nei!

Ua loaʻa anei iā ʻoe kahi hoʻāʻo koko a ua haʻi ʻia e ke kauka he hewa kekahi mea me ka hōʻike? A i ʻole, no ka mea he mau hōʻailona kāu i maopopo ʻole ai, ua noi mai ke kauka iā ʻoe e hana i kahi hoʻāʻo koko kūikawā? I kēlā manawa, e noi ʻia paha ʻoe e hana i kahi hoʻāʻo i kapa ʻia ʻo `(Peripheral Blood Smear)` a i ʻole `(PBS)`. E kamaʻilio kākou e pili ana i kēia hoʻāʻo i kēia lā.

E nānā mua kākou i ke ʻano o kēia hoʻāʻo `(Peripheral Blood Smear - PBS)`.

I ka ʻōlelo maʻalahi, ʻo ka Peripheral Blood Smear kahi hoʻāʻo e nānā i nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets i loko o kou koko ma lalo o kahi microscope. Hana ʻia kekahi mau hoʻāʻo koko e nā mīkini. Akā ma kahi PBS, nānā ke kauka a i ʻole kekahi loea hoʻokolohua lapaʻau i aʻo ʻia i nā hunaola i loko o kāu hāpana koko ma lalo o kahi microscope a nānā i ko lākou ʻano, ka nui, a me ka helu. Ua like ia me kahi mākaʻi e ʻimi nei i nā loli liʻiliʻi i loko o kāu mau hunaola koko.

No ke aha e haʻi aku ai ke kauka iā ʻoe e hana i kēia hoʻokolohua `(PBS)`?

Aia kekahi mau kumu e noi ai ke kauka iā ʻoe e hana i kahi hoʻokolohua PBS.

• Inā he ʻokoʻa i kāu Helu Koko Piha (CBC): Ua loaʻa paha iā ʻoe kahi CBC ma mua. Inā hōʻike nā hopena he ʻano ʻē kāu mau keena koko ʻulaʻula, nā keena koko keʻokeʻo, a i ʻole nā ​​platelets, a i ʻole ua haʻahaʻa loa a kiʻekiʻe loa paha ko lākou helu, makemake kāu kauka e ʻike i ke kumu. ʻO ia ka manawa e nānā pono ai ka CBC i kāu mau keena koko e hoʻāʻo e ʻike i ka mea e hana nei. No ka laʻana, hiki i kahi CBC ke haʻi iā ʻoe ua haʻahaʻa loa kāu mau keena koko keʻokeʻo. Hiki i kahi CBC ke haʻi iā ʻoe i nā mea he nui e pili ana i ke ʻano o kāu mau keena koko keʻokeʻo, a i ʻole ke ʻano o nā keena koko keʻokeʻo i haʻahaʻa.
• Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona: i kekahi manawa manaʻo ʻoe i ka luhi i wehewehe ʻole ʻia, maʻi pinepine, loaʻa ke kahe koko mai nā wahi o kou kino, a i ʻole he mau hōʻailona ʻē aʻe, manaʻo paha kāu kauka he pilikia koko. ʻOiai i kēlā manawa, hiki i kēia `(PBS)` ke hāʻawi i ka ʻike koʻikoʻi.
• E ʻike inā e pane ana kou kino i ka lāʻau lapaʻau: Inā ʻoe e mālama ʻia nei no kahi maʻi, e like me ke kanesa, hoʻohana nā kauka i kēia hoʻāʻo "(PBS)" e ʻike ai inā ua holomua ka lāʻau lapaʻau a inā e hoʻi ana kāu mau hunaola koko i ka maʻamau.
• Ma mua o ka hoʻoili ʻana o nā cell kumu: He mea nui hoʻi kēia hoʻāʻo e aʻo hou e pili ana i ka iwi iwi a me nā cell koko o ke kanaka i ka wā e hoʻomākaukau ai iā lākou no ka hoʻoili ʻana o nā cell kumu.

E hoʻomanaʻo, ʻaʻole hiki i nā hopena o kahi hoʻāʻo PBS wale nō ke hōʻoia i kahi maʻi. E hana ke kauka i kahi hōʻailona ma ka hoʻohui ʻana i nā ʻike āpau mai kāu mōʻaukala olakino, ka hoʻokolokolo kino, a me nā hoʻokolohua hale hana e like me ka PBS.

He aha ka mea hiki ke nānā ʻia me kēia hoʻāʻo `(PBS)`?

I mea e hoʻomaopopo ai i ka mea e hōʻike ʻia ana e kahi hoʻokolohua `(PBS)`, e aʻo mua kākou e pili ana i nā ʻano cell nui a me nā platelets i loko o ko kākou koko.

• Nā hunaola koko ʻulaʻula: Ua like kēia me ka "lawelawe courier" e lawe ana i ka oxygen ma loko o kou kino. E noʻonoʻo i kēia ʻano, lawe lākou i ka oxygen mai kou mau māmā a hāʻawi iā ia i kēlā me kēia cell i loko o kou kino. ʻO ia ka manawa e loaʻa ai i kēlā mau cell ka ikehu e hana ai. Ma ke ala hoʻi, lawe lākou i ke kalapona ʻokikene (kahi kinoea ʻōpala) i hoʻokuʻu ʻia mai kēlā mau cell a hoʻihoʻi iā ia i kou mau māmā. A laila hoʻokuʻu ʻia kēlā kalapona ʻokikene i ka wā e hanu ai mākou.
• Nā hunaola koko keʻokeʻo: ʻO kēia nā "mana pale" o kou kino. Mālama kēia mau hunaola koko keʻokeʻo iā ʻoe mai nā maʻi like ʻole. ʻElima ʻano like ʻole o kēia mau hunaola, a ke kaua nei kēlā me kēia ʻano i nā maʻi ma ke ʻano ʻokoʻa.
• Nā Platelets: ʻO kēia nā mea e kōkua ai i kou ʻoki koko. E noʻonoʻo he ʻoki liʻiliʻi kou, a kōkua kēia mau platelets i ka hoʻōki ʻana i ke kahe ʻana o ke koko. Inā haʻahaʻa kēia mau mea, hiki ke kahe ke koko, a hiki nō hoʻi ke lilo i hōʻailona o kekahi mau maʻi ʻaʻai, nā maʻi, a i ʻole nā ​​pilikia olakino ʻē aʻe.

No laila, ma kahi hoʻāʻo "(PBS)", nānā ke kauka i kēia mau hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets ma lalo o kahi microscope. A laila hiki iā ia ke ʻike i nā mea e like me:

• Nā loli i ka nui a me ke ʻano o nā hunaola koko a me nā platelets: I kekahi mau maʻi koko a i ʻole nā ​​maʻi ʻaʻai koko, hiki ke loli ke ʻano a me ka nui o kēia mau hunaola. No ka laʻana, hiki i nā hunaola koko ʻulaʻula ke lilo i mea nui a liʻiliʻi paha, a i ʻole he ʻano ʻē.
• Nā loli i ka helu o nā cell koko a me nā platelet: Hiki i kēia ke hōʻike inā he kakaikahi a nui loa paha nā ʻano cell. Hiki i kēia mau loli ke hōʻike he hewa kekahi mea me ka iwi iwi (kahi e hana ʻia ai nā cell koko a me nā platelet).
• Nā loli maʻamau ʻole i nā ʻano keʻokeʻo keʻokeʻo like ʻole: ʻElima ʻano keʻokeʻo koko. ʻO nā ʻokoʻa o ka helu, ke ʻano, a me nā ʻano ʻē aʻe o kēlā me kēia ʻano hiki ke hāʻawi i nā hōʻailona e pili ana i nā maʻi like ʻole.
• Ke nānā ʻana i nā parasites i loko o ke koko: I kekahi mau maʻi, e like me ka malaria, hiki ke loaʻa nā parasites i loko o ke koko. Hiki i ka "PBS" ke ʻike i kēlā mau mea.

He aha nā maʻi e hiki i ka `(Peripheral Blood Smear)` ke kōkua i ka ʻike ʻana?

Hoʻohana nā kauka i ka hoʻāʻo PBS e kōkua i ka ʻike ʻana i nā maʻi koko like ʻole, nā maʻi ʻaʻai koko, a me nā maʻi. Hiki ke hana ʻia kēia mau kūlana ke lilo nā pūnaewele i loko o ka iwi iwi i mea ʻē a ulu i nā pūnaewele kanesa ʻē (i kapa ʻia hoʻi he blasts). ʻO kekahi mau laʻana:

• Leukemia: He maʻi ʻaʻai kēia e ulu ana i loko o ke koko a me ka iwi iwi. Lilo nā pūnaewele i loko o ka iwi iwi i mea ʻē a hoʻomaka e hana i nā pūnaewele koko olakino ma mua o ka maʻamau. Hiki ke ʻike ʻia kēia mau pūnaewele ʻē me kahi palaki koko (PBS).
• ʻO ka maʻi Myelodysplastic: He ʻano maʻi kanesa nō hoʻi kēia. Hoʻokumu ʻia ia e nā mutations i loko o nā hunaola koko. Pale kēia mau mutations i ke kino mai ka hana ʻana i nā hunaola koko keʻokeʻo olakino, piha, nā hunaola koko ʻulaʻula, a me/a i ʻole nā ​​platelets.
• Anemia: Loaʻa ka anemia ke ʻole lawa nā hunaola koko ʻulaʻula olakino o kou kino. Hiki i kahi hoʻāʻo koko (PBS) ke kōkua i ka hoʻoholo ʻana i ke kumu o ka anemia ma ka nānā ʻana i ka nui a me ke ʻano o kou mau hunaola koko ʻulaʻula.
• Hoʻopili ʻia me ka hāʻule ʻana o ka puʻuwai: I kekahi manawa ʻoi aku ka nui o ka helu o nā ʻula koko ʻulaʻula ma mua o ka maʻamau he hōʻailona ia o nā pae oxygen haʻahaʻa, kahi e pili ana me nā kūlana e like me ka hāʻule ʻana o ka puʻuwai.
• Lymphoma: He maʻi ʻaʻai kēia e hoʻomaka ana i loko o ka ʻōnaehana lymphatic, maʻamau i loko o nā lymph nodes. Loaʻa i kāu ʻōnaehana lymphatic nā hunaola koko keʻokeʻo e hele mai ana mai ka iwi iwi. Hoʻonui pinepine kēia mau hunaola i ka nui ke pane ke kino i nā maʻi, a laila emi iho ka nui. Loaʻa ka Lymphoma i ka wā e lilo ai kahi hunaola koko keʻokeʻo i loko o ka ʻōnaehana lymphatic i maʻi ʻaʻai a hoʻomau me ka ʻole o ka emi ʻana o ka helu a i ʻole ka nui.
• Nā maʻi Autoimmune: Loaʻa kēia mau maʻi ke hoʻouka hewa kāu ʻōnaehana pale ponoʻī i kou kino ponoʻī. ʻO ka helu haʻahaʻa o nā cell koko keʻokeʻo hiki ke lilo i hōʻailona o kēia ʻano maʻi.
• Malaria: Hiki mai ka Malaria ke nahu ʻia ʻoe e kahi makika e lawe ana i nā parasite malaria a komo nā parasite i kou koko. Hiki ke ʻike ʻia kēia mau parasite me PBS.

Pehea e hana ʻia ai kēia hoʻāʻo `(Peripheral Blood Smear)`?

He mea maʻalahi loa ia. Hoʻokomo ʻia kahi kulu o kou koko ma luna o kahi slide aniani a hohola ʻia i loko o kahi ʻili lahilahi. A laila, hoʻohui ʻia kahi kemika kūikawā e ʻike nui ʻia ai nā ʻano kūikawā o kēia mau hunaola koko (i kapa ʻia hoʻi he staining). ʻO ka hope loa, ua nānā ʻia kēia hāpana i hoʻomākaukau ʻia ma lalo o kahi microscope. Ua like ia me ka hoʻomālamalama ʻana i ke kiʻi.

He aha ka ʻōlelo a ka hōʻike hoʻāʻo? He aha ka hana a ke kauka me ia?

Hiki i ke kauka ke kauoha i kahi hoʻāʻo PBS no kekahi kumu kikoʻī. Malia paha e noiʻi i kahi hopena maʻamau ʻole ma kāu CBC. A i ʻole e ʻike i ke kumu o kāu mau hōʻailona. Eia nō naʻe, e wehewehe kāu kauka iā ʻoe i ke kumu e hana ʻia ai ka hoʻāʻo PBS a me ke ʻano o nā hopena.

ʻO ka mea nui, ʻo ka hoʻāʻo Peripheral Blood Smear hoʻokahi wale nō ʻāpana o ke kaʻina hana diagnostics.E hoʻoholo ke kauka ma ka hoʻohui ʻana i ka ʻike mai kēia, kou mōʻaukala olakino, a me nā hopena o ka hoʻokolokolo kino. Pono paha ʻoe e hana i nā hoʻokolohua hou aʻe. No laila, inā he mau nīnau kāu e pili ana i kēia hoʻokolohua a i ʻole kekahi hoʻokolohua ʻē aʻe, mai kānalua e nīnau i kāu kauka. E wehewehe ʻo ia i nā mea iā ʻoe.

No laila, eia nā mea e pono ai ʻoe e hoʻomanaʻo mai kēia mau mea a pau (Leka Lawe-Home)

• ʻO ka Peripheral Blood Smear (PBS) kahi hoʻokolohua e nānā ai i nā ʻulaʻula koko, nā ʻulaʻula keʻokeʻo, a me nā platelets i loko o kou koko ma lalo o kahi microscope.
• Hiki i kēia ke ʻike i nā loli i ke ʻano, ka nui, a me ka helu o nā hunaola koko.
• Hoʻohana ʻia ia e nānā i nā ʻano ʻē i loko o kahi "(CBC)", nā hōʻailona maopopo ʻole, a e nānā i ka holomua o nā lāʻau lapaʻau.
• Kōkua kēia i ka loaʻa ʻana o nā hōʻailona e pili ana i nā maʻi like ʻole e like me ka leukemia, anemia, a me ka malaria.
• ʻAʻole hiki i kēia wale nō ke hōʻoia pololei i kahi maʻi, hoʻokahi wale nō kaʻina hana i ke kaʻina hana diagnostic.
• Inā he mau nīnau a hopohopo paha kāu, e kamaʻilio me kāu kauka. Mai makaʻu, aia nā kauka ma laila e kōkua iā ʻoe.

Manaʻolana wau ua kōkua kēia ʻike iā ʻoe! E ola kino!

ʻO ka Smear Koko Peripheral, PBS, hoʻāʻo ʻili koko, nā hunaola koko, ʻike ʻana, leukemia, anemia