Ua noʻonoʻo paha ʻoe i ke ʻano o kou koko? Ua lohe mākou a pau e pili ana i nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets. Akā, ua ʻike anei ʻoe he hapa iki o ko kākou koko he wai? Ua kapa ʻia kēlā ʻāpana wai he plasma . ʻO kēia ka mea e lawe ana i kēlā mau hunaola ʻē aʻe a puni ke kino. Ua like ia me ka waʻa ʻaʻole hiki ke holo me ka ʻole o ka wai.
No laila, he aha kēia plasma?
I ka ʻōlelo maʻalahi, ʻo ka plasma ka ʻāpana wai o ko kākou koko. E noʻonoʻo ua like ko kākou koko me ka sopa i hana ʻia me nā mea like ʻole, a ʻo ka plasma ka ʻāpana wai o kēlā sopa. ʻO kēia ma kahi o 55% o ko kākou nui koko holoʻokoʻa. ʻO nā hunaola koko ʻē aʻe - ʻo ia hoʻi, nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets - ua hui pū ʻia i loko o kēia plasma. ʻO ka plasma ka mea e lawe ai i kēia mau hunaola a pau i kēlā me kēia kihi o ke kino.
E nānā i nā mea o loko o kēia plasma. E kahaha auaneʻi ʻoe!
- ʻO ka wai ka mea nui loa - ma kahi o 92%.
- ʻO ka mea aʻe, ʻo ia nā protein - ma kahi o 7%. Ma waena o kēia mau mea he mau protein koʻikoʻi loa e like me nā antibodies, nā mea coagulation, albumin, a me fibrinogen.
- ʻO ke koena 1% he mau hormones, nā wikamina, nā paʻakai, nā enzymes, a me nā mea nui ʻē aʻe he nui.
Hiki iā ʻoe ke noʻonoʻo i ka nui o nā mea i loko o kēia kulu wai liʻiliʻi?
He aha ka lawelawe a ka plasma e hāʻawi ai i ko kākou kino? No ke aha he mea nui ia?
ʻAʻole he wai liʻiliʻi wale nō ka plasma. He nui nā mea maikaʻi e hana ai no ko kākou kino. He mea nui ka plasma no kākou e ola ai. E nānā i kāna hana:
- Lawe ʻia nā hunaola koko ʻulaʻula i nā māmā: ʻO ia kahi e hiki ai i nā hunaola koko ʻulaʻula ke lawe i ka oxygen a hoʻokuke aku i ke kalapona ʻokikene. E like me kahi kaʻa kaʻa.
- Mālama i ke kaomi koko: ʻO kēia ka mea e wehe ai i nā kīʻaha koko a holo pono ke kahe koko. Inā hāʻule ke kaomi, he pilikia nui ia.
- Hoʻolaha ʻia ka wai, nā hormones, nā meaolaola, nā electrolytes, a me nā protein i kahi e pono ai lākou: ʻaʻole hiki i kēlā me kēia ʻāpana o ke kino ke hana me ka ʻole o kēia mau mea.
- Kōkua i ka hoʻoponopono ʻana i ka mahana o ke kino: Ma muli o nā mea e like me kēia ke noho mau nei mākou i ka mahana like.
- Lawe ia i nā pūnaewele pale: E like me ka mākaʻi kiaʻi. Inā he maʻi a he germ paha ma kekahi wahi, ʻo ka plasma ka mea e lawe i kēia mau pūnaewele e hakakā iā ia.
- Hāʻawi i nā protein e pono ai no ka mumū, ke kāpili ʻana o ke koko, a me ka ho'ōla ʻana i nā ʻeha: Inā loaʻa iā ʻoe kahi ʻoki a ʻeha paha, kōkua kēia mau protein i ka hoʻōki ʻana i ke kahe ʻana o ke koko a ho'ōla i ka ʻeha.
- Lawe ʻia nā ʻōpala i makemake ʻole ʻia i ke akepaʻa a i ʻole nā puʻupaʻa: ma laila e lawe ʻia ai kēia mau huahana ʻōpala mai ke kino. E like me ke kaʻa ʻōpala.
E noʻonoʻo e pili ana i ia mea, ua like ka plasma me ka muliwai. ʻO nā mea a pau e lawe ʻia ana i loko, ua like ia me nā waʻa. I kēia manawa, inā e emi ana ka pae wai o kēia muliwai, ʻo ia hoʻi, inā e emi ana ka nui o ka plasma, ʻaʻole hiki i kēlā mau waʻa - ʻo ia hoʻi, nā mea nui - ke hele i nā wahi e pono ai lākou e hele. ʻO ia ka manawa e hoʻomaka ai nā pilikia.
Pehea i hoʻokumu ʻia ai ka plasma? Mai hea mai kēia plasma?
ʻAʻole i loaʻa mai ka plasma mai kahi kumu hoʻokahi. Hana ʻia ia mai ka wai a mākou e inu ai, ka meaʻai a mākou e ʻai ai, a me nā electrolytes a mākou e omo ai ma o kā mākou ʻōnaehana hoʻoheheʻe. Eia nō naʻe, aia kekahi mau protein koʻikoʻi e hana ana i ka plasma mai nā ʻōpū kikoʻī. Eia kekahi laʻana:
- Kou iwi iwi
- Nā hunaola koko kahiko a make
- Ake
- ʻŌpū
Hoʻokumu ʻia ka plasma ke hui pū kēia mau protein me nā electrolytes i loaʻa i ka wai.
He aha ke kala o ka plasma? Pehea kona ʻano?
Ke hoʻokaʻawale mākou i ka plasma mai nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets, ʻike ʻia ia he wai melemele keʻokeʻo e like me ka mauʻu .
Eia nō naʻe, inā loaʻa iā ʻoe kahi maʻi, hiki iā ia ke hoʻololi i ke ʻano o kāu plasma a hoʻololi i ke kala. Eia kekahi laʻana:
- Inā haki kou mau hunaola koko ʻulaʻula (ua kapa ʻia kēia he hemolysis) , e lilo paha ke koko i poni.
- Inā kiʻekiʻe kou mau pae bilirubin ma muli o ka maʻi ate, e hana ana i kahi maʻi i kapa ʻia ʻo jaundice , hiki i ka plasma ke lilo i kala ʻōmaʻomaʻo-ʻeleʻele.
ʻEhia pakeneka o ko kākou koko he plasma?
Ma ka awelika, ma kahi o 55% o ko kākou koko he plasma. Eia nō naʻe, hiki ke ʻokoʻa iki kēia nui ma muli o kou kāne a i ʻole kekahi mau kūlana olakino āu e loaʻa ai.
Pehea e hoʻokaʻawale ʻia ai ke koko mai ka plasma?
Aia kekahi mea hana kūikawā e hiki ke hoʻokaʻawale i nā ʻāpana o ke koko, me ka plasma. Ua kapa ʻia ʻo ia he centrifuge . Hoʻopololei kēia mīkini i kahi ʻōmole hoʻāʻo i piha i ke koko me ka wikiwiki loa. A laila, piholo nā hunaola koko ʻulaʻula kaumaha i lalo o ka ʻōmole hoʻāʻo. Noho nā platelets a me nā hunaola koko keʻokeʻo ma luna o lākou ma ke ʻano he papa keʻokeʻo. Ma luna o kēlā papa keʻokeʻo ka plasma.
He aha nā protein nui i loko o ka plasma?
Aia i loko o ka plasma kekahi mau protein koʻikoʻi loa. E nānā kākou i ko lākou ʻano:
ʻAlabina
Kōkua kēia protein i ka mālama ʻana i ke kaulike ma waena o ka nui o ka wai i loko o kā mākou mau cell a me ka nui o ka wai ma waho o nā cell, i kapa ʻia ʻo plasma. ʻO ia ke kumu ʻaʻole e kahe wale ka plasma mai loko mai o nā kīʻaha koko a i loko o nā ʻiʻo ʻē aʻe. Hana ia e like me ka huʻa, e omo ana i ka wai.
Fibrinogen
He protein koʻikoʻi loa kēia. Ke loaʻa iā kākou kahi ʻoki ma kekahi wahi o ko kākou kino, pono kākou i ke koko e hoʻopaʻa i ke kahe ʻana o ke koko. Kōkua kēia fibrinogen i ke koko e hoʻopaʻa a laila ho'ōla ka ʻeha a hana i kahi ʻiʻo maʻamau a i ʻole kahi ʻeha.
Nā Globulin
He mea nui loa kēia hui o nā protein. Kōkua kēia mau globulins i ke kaua ʻana i nā maʻi, hoʻoneʻe i nā mea a puni i loko o ke koko, a kōkua i ke kāpili ʻana o ke koko. Maanei kahi e loaʻa ai nā antibodies a kākou e ʻike nei.
ʻO nā protein pale a me nā protein halihali ʻē aʻe
Ma waho aʻe o kēia, he nui nā protein ʻē aʻe. Kōkua lākou i ka pale ʻana i ko mākou kino, hoʻoponopono i nā mea i hōʻino ʻia, a lawe i nā meaʻai a i ʻole nā hui koʻikoʻi ʻē aʻe i nā ʻāpana like ʻole o ke kino.
Ua hoʻāʻo ʻia nā mea hāʻawi plasma no nā maʻi lele?
ʻAe, ʻoiaʻiʻo nō! Ke hāʻawi kekahi i ka plasma, hoʻāʻo ʻia kēlā plasma no nā maʻi like ʻole ma mua o ka hāʻawi ʻia ʻana i nā poʻe ʻē aʻe. Eia kekahi laʻana:
- Hepatitis (nā ʻano āpau)
- HIV
- ʻO ka maʻi syphilis
ʻO nā hoʻokolohua e like me kēia nā mea e palekana ai ka hoʻoili ʻana o ka plasma.
He aha nā maʻi a i ʻole nā kūlana e hoʻopilikia ai i ka plasma?
ʻO ka mea pōʻino, aia kekahi mau maʻi a me nā kūlana olakino e hiki ke hoʻopilikia i kā mākou plasma. Eia kekahi mau laʻana:
- Nā maʻi i hoʻokumu ʻia e nā hemahema i ka hana o nā protein, no ka laʻana amyloidosis .
- Nā maʻi koko, e like me ka hemophilia , ka maʻi von Willebrand , a i ʻole ka nele o nā mea hana koko.
- Hoʻokumu ʻia ka immunodeficiency e ka nele o nā protein immune lawa i loko o ke koko.
- Nā maʻi e like me ka myeloma . Hoʻopilikia kēia i ka iwi iwi a hoʻopilikia i ke kūkulu ʻana o ke koko.
He aha nā hōʻailona o kahi pilikia e pili ana i ka plasma?
Inā he pilikia me kāu plasma, aia paha kekahi mau hōʻailona e hōʻike ana iā ia. E makaʻala i nā mea e like me:
- ʻEha i nā iwi.
- ʻEha a kahe koke paha ke koko. E hopohopo inā polū ʻoe me ka hoʻopā iki ʻana, a inā kahe ke koko o kou ʻāʻī i ka wā e palaki ai ʻoe i kou mau niho.
- Ka puʻuwai wikiwiki a i ʻole ka puʻuwai kūpono ʻole (arrhythmias).
- Ka maʻi pinepine ma muli o ka nāwaliwali o ka ʻōnaehana pale maʻi.
Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau.
He aha nā hoʻokolohua e hana ʻia e nānā i ke olakino o kaʻu plasma?
Hiki ke hana ʻia kekahi mau hoʻāʻo koko e nānā i kāu plasma no nā hōʻailona o kahi maʻi. ʻO kekahi o kēia mau mea:
- Hoʻāʻo nui o ke koko
- ʻO ka biopsy iwi
- Helu koko piha (FBC/CBC)
- Hoʻāʻo Hematocrit
Na ke kauka e hoʻoholo i kahi o kēia mau hoʻokolohua āu e pono ai.
He aha nā lāʻau lapaʻau maʻamau no nā maʻi e pili ana i ka plasma?
ʻO ka mālama ʻana no nā maʻi e pili ana i ka plasma e hilinaʻi nui ʻia i ke ʻano o ka maʻi. Eia kekahi mau laʻana o nā koho lapaʻau:
- Nā lāʻau antibiotic no nā maʻi.
- Nā hoʻoili koko no ka anemia a i ʻole nā pilikia ʻē aʻe.
- ʻO Chemotherapy a me nā hoʻoili cell kumu no ka maʻi kanesa.
- ʻO ka plasma convalescent (ua hoʻohana ʻia kēia i ka wā Covid, e hoʻomanaʻo paha ʻoe) e hoʻolako i nā antibodies keu e hakakā i kahi maʻi.
- ʻO ka hoʻokomo ʻana i ka wai electrolyte (e like me ka hāʻawi ʻana i ka saline) no ka dehydration a i ʻole nā maʻi ʻē aʻe.
- Hoʻohana ʻia ka hoʻokomo ʻana o ka plasma e pani i ka plasma nalowale, hoʻonui i ke koko, a pale i ka haʻalulu.
- ʻO ka Plasmapheresis a i ʻole ka hoʻololi plasma ke kaʻina hana o ka wehe ʻana i kahi mea mai ka plasma a i ʻole ke hoʻololi piha ʻana i ka plasma.
- Hoʻohana ʻia nā inikini plasma waiwai platelet (PRP) no kekahi mau ʻeha a maʻi paha.
- Nā Steroids no nā maʻi mumū.
Pehea e hāʻawi ai i ka plasma?
ʻElua mau ala e hāʻawi ai i ka plasma:
1. Ke hāʻawi ʻana i ke koko holoʻokoʻa: Hoʻokomo kekahi limahana olakino i kahi nila i loko o kahi aa koko ma kou lima a huki i ke koko. A laila hoʻokaʻawale ʻia ka plasma e like me ka mea e pono ai ma kahi keʻena hoʻokolohua.
2. Ke hāʻawi ʻana i ka plasma wale nō: Ua like kēia me ka hāʻawi ʻana i ke koko holoʻokoʻa. Ma hope o ke kaʻina hana nānā, e lawe kahi mea mālama ola i hoʻokahi nila i loko o kahi aa koko ma kou lima. A laila hoʻokaʻawale ʻia ka plasma i loko o kahi centrifuge, a hoʻihoʻi ʻia nā hunaola koko a me nā platelet i koe iā ʻoe ma o ka nila hoʻokahi.
Ma hope o ka hōʻiliʻili ʻia ʻana o ka plasma mai kou kino mai, e hoʻopaʻahau ʻia ka plasma i hāʻawi ʻia i loko o 24 mau hola. Mālama kēia i nā mea coagulation a me nā immunoglobulins. Hiki ke mālama ʻia ka plasma paʻahau no kahi o hoʻokahi makahiki.
ʻO ka plasma mai ka poʻe me ke ʻano koko AB ka mea kūpono loa. ʻO ke kumu o kēia, ʻaʻohe antibodies i loko o ka plasma. ʻO ia hoʻi, hiki ke hāʻawi ʻia ka plasma i kekahi me kekahi ʻano koko. Eia nō naʻe, hiki i kekahi ke hāʻawi i ka plasma a kōkua i nā poʻe ʻē aʻe.
He aha ka mea e hana ʻia i ka plasma i hāʻawi ʻia?
He nui nā pono o ka plasma i hāʻawi ʻia. Eia kekahi mau laʻana:
- Hoʻoili ʻia ka plasma i kekahi e pono ai ka plasma hou aku ma muli o ke kuni, ka haʻalulu, nā ulia pōpilikia, a i ʻole nā pilikia olakino ʻē aʻe.
- Hoʻohana ʻia ia no ka noiʻi ʻepekema e hana i nā lāʻau lapaʻau.
- Hoʻohana ʻia nā protein clotting koko e kāohi i ke kahe ʻana o ke koko.
- Hiki i nā protein pale kino ke kōkua i nā mea e like me ka mālama ʻana i ke kanesa, ka maʻi puʻupaʻa, ka measles, ka mumps, ka immunodeficiency, ka maʻi puʻupaʻa, ka hepatitis B, nā maʻi lolo, a me nā hoʻoili iwi iwi.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai
ʻO ka hapa nui o ka plasma he wai, akā he ʻāpana koʻikoʻi ia o ko kākou kino. ʻO ia ka mea e hiki ai i ko kākou koko ke kahe ma ke ʻano he wai a lawe i nā mea āpau e pono ai ko kākou mau cell e ola. A, hiki iā ʻoe ke hāʻawi iā ia e pōmaikaʻi ai i nā poʻe ʻē aʻe.
Hiki ke ʻike ʻia nā pilikia e pili ana i ka plasma ma o nā hoʻāʻo koko maʻamau ma ke ʻano he ʻāpana o ka nānā ʻana i ke olakino makahiki. I ka manawa pinepine, hiki i kēia mau hoʻāʻo ke ʻike i nā pilikia ma mua o kou loaʻa ʻana o nā hōʻailona.
Inā he mau nīnau kāu e pili ana i ke ʻano o ka hopena o kāu plasma i kou olakino, e kamaʻilio me kāu kauka. Hiki iā ia ke haʻi hou aku iā ʻoe a kōkua iā ʻoe e hana i nā hoʻoholo olakino e pili paha i kāu plasma. E noho olakino!
ʻO ka plasma, ke koko, ke koko, ke olakino, ka maʻi, ka protein, ka hāʻawi ʻana











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