Ke ʻōlelo nei kāu hōʻike koko iā RDW? E nānā kākou i ke ʻano o ia mea! (Hoʻāʻo Koko RDW)

I kekahi manawa ke hana ʻoe i kahi hoʻāʻo koko, ʻike paha ʻoe i kahi waiwai i kapa ʻia ʻo RDW ma ka hōʻike. A laila manaʻo paha ʻoe, 'Auē, he aha kēia RDW?' Mai hopohopo, he maʻalahi loa ia. I kēia lā, e kamaʻilio mākou e pili ana i kēia hoʻāʻo koko i kapa ʻia ʻo RDW (Red Blood Cell Distribution Width), e like me ka maʻalahi o ke kamaʻilio ʻana me kahi hoaaloha.

He aha ka RDW (ʻO ka laulā o ka hoʻolaha ʻana o nā kelepona ʻulaʻula)?

I ka ʻōlelo maʻalahi, nānā kēia hoʻāʻo koko i kapa ʻia ʻo RDW i ka nui o nā hunaola koko ʻulaʻula i loaʻa iā ʻoe, a me ka nui o nā nui like ʻole a me nā nui o kēlā mau hunaola. ʻIke ʻoe, ʻo kēia mau hunaola koko ʻulaʻula e lawe ana i ka oxygen mai nā māmā ma o ko mākou kino. ʻO kēia oxygen ka mea e kōkua ai i nā hunaola o ko mākou kino e hana i ka ikehu a hana.

I kēia manawa, he mea nui loa ka nui o kēia mau hunaola koko ʻulaʻula. ʻO ka nui o nā hunaola koko ʻulaʻula olakino ka nui like, ʻo ia hoʻi ma waena o 6.2 a me 8.2 micrometers. Eia nō naʻe, inā he ʻokoʻa loa ka nui o kēia mau hunaola koko ʻulaʻula (ʻo ia hoʻi, he nui ka loli), hiki ke lilo i hōʻailona o kahi maʻi i kapa ʻia ʻo anemia . ʻO ka anemia, i ka ʻōlelo maʻalahi, ʻaʻole lawa nā hunaola koko ʻulaʻula olakino e hāʻawi i ka oxygen e pono ai kou kino. ʻO kēia ka mea a mākou e kapa nei i kekahi manawa ʻo 'anemia.'

ʻO ka hoʻāʻo koko RDW hoʻokahi wale nō hoʻāʻo a kāu kauka e hoʻohana ai e ʻike i ka anemia a i ʻole nā ​​​​​​kūlana olakino ʻē aʻe. Hoʻohana ke kauka i ka ʻike mai ia mea e hiki ai i kahi hopena ma ka hoʻohui ʻana iā ia me ka ʻike mai nā hoʻokolohua ʻē aʻe.

He aha ka ʻokoʻa ma waena o ka hoʻāʻo RDW a me ka helu koko piha (CBC)?

Hiki i kāu kauka ke kauoha i ka hoʻāʻo RDW ma ke ʻano he ʻāpana o kahi hoʻāʻo koko kikoʻī i kapa ʻia ʻo Complete Blood Count (CBC) . ʻO ka CBC kahi hoʻāʻo koko e hāʻawi i ka ʻike e pili ana i nā ʻāpana he nui o kou koko, me nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets. Ua like ka CBC me kahi 'palapala hōʻoia olakino' no ke koko i loko o kou kino.

ʻO kekahi ʻāpana o ka CBC he hui o nā hoʻokolohua i kapa ʻia ʻo RBC (Red Blood Cell Indices) . Hāʻawi kēia mau ʻōkuhi RBC i ka ʻike e pili ana i kāu mau hunaola koko ʻulaʻula. ʻO ka hoʻāʻo koko RDW kekahi o kēlā mau hoʻokolohua.

ʻO nā hōʻailona RBC e komo pū ana me:

• ʻO ka laulā o ka hoʻolaha ʻana o nā keena koko ʻulaʻula (RDW): Ke ana kēia i ka ʻokoʻa o ka nui o kāu mau keena koko ʻulaʻula. ʻO ia hoʻi, pehea ka nui a me ka liʻiliʻi o nā keena koko ʻulaʻula.
• Ka nui o ke kino koko (MCV): Ke ana kēia i ka nui awelika o kou mau hunaola koko ʻulaʻula. ʻO ia hoʻi, pehea ka nui o kahi hunaola koko ʻulaʻula ma ka awelika.
• ʻO ka Hemoglobin Corpuscular Mean (MCH): Ke ana kēia i ka nui awelika o ka hemoglobin i loko o kou mau hunaola koko ʻulaʻula. ʻO ka Hemoglobin kahi protein e kōkua i kāu mau hunaola koko ʻulaʻula e lawe i ka oxygen ma loko o kou kino a hāʻawi iā lākou i ko lākou kala ʻulaʻula.
• ʻO ke ʻano o ka Hemoglobin Corpuscular Mean (MCHC): Ke ana kēia i ka nui awelika o ka hemoglobin i hoʻopaʻa ʻia (i hoʻopaʻa pū ʻia, i hoʻopaʻa paʻa ʻia) i loko o kou mau keʻena koko ʻulaʻula.

He kōkua nui kēia mau hoʻāʻo a pau i ka ʻike ʻana i nā ʻano maʻi like ʻole e pili ana i nā pilikia me kāu mau koko koko ʻulaʻula.

He aha ka mea e ana maoli ai ʻo RDW?

Hiki ke huikau iki ka huaʻōlelo 'Red Cell Distribution Width' no ka mea ʻo ia hoʻi ke ʻano he 'ākea'. Manaʻo paha ʻoe e ana ia i ka laulā o kou mau hunaola koko ʻulaʻula, akā ʻaʻole. Ana ka hoʻāʻo koko RDW i ka ʻokoʻa o ka nui o nā hunaola i loko o kahi hāpana o kou mau hunaola koko ʻulaʻula. Ua like ia me ka ʻike ʻana inā like ke kiʻekiʻe o nā keiki i loko o kahi papa, a inā he nui nā keiki kiʻekiʻe a pōkole i loko o ka hui.

ʻO ka 'ākea hoʻolaha kelepona' ka mamao ma waena o nā nui o nā kelepona ke kaha ʻia ma kahi histogram . ʻO ka histogram kahi ʻano kiʻi kūikawā e hōʻike ana i kahi laulā o nā helu a i ʻole nā ​​​​waiwai, e like me ka laulā o nā nui o nā kelepona koko ʻulaʻula.

E noʻonoʻo, inā like ka nui o kāu mau hunaola koko ʻulaʻula a pau, ʻo ia hoʻi, ua olakino lākou, e hōʻuluʻulu ʻia kēlā mau waiwai i kahi wahi liʻiliʻi ma ka histogram. A laila haʻahaʻa ka waiwai RDW. ʻO ia hoʻi, ʻaʻohe ʻokoʻa nui.

Eia nō naʻe, inā ʻokoʻa loa ka nui o nā hunaola koko ʻulaʻula (he liʻiliʻi kekahi, he nui kekahi), e hohola ʻia kēlā mau waiwai ma kahi ākea ma ka histogram. ʻO ia ka manawa a mākou e ʻōlelo ai he ākea ka hoʻolaha ʻana o nā waiwai. I ia hihia, kiʻekiʻe ka waiwai RDW. ʻO ia hoʻi, he nui nā ʻano like ʻole.

I ka manawa hea e pono ai kahi hoʻāʻo RDW?

Inā loaʻa iā ʻoe nā hōʻailona e like me ka anemia, a inā he maʻi kou e pili ana i ka anemia, e kōkua kēia hoʻāʻo RDW i kāu kauka e ʻike pono i ke ʻano o ia mea.

He aha kou mau hōʻailona?

Hiki i kāu kauka ke ʻōlelo aku i kahi hoʻāʻo RDW e hoʻoholo ai inā ʻo ka anemia ke kumu o kāu mau hōʻailona. Eia kekahi o nā hōʻailona maʻamau o ka anemia:

• Luhi mau ka manaʻo (Fatigue). Me he mea lā ua nāwaliwali loa ke kino a ʻaʻole hiki ke hana i kekahi mea.
• Ka pōkole o ka hanu, me he mea lā e maule ana ʻoe ma hope o ka hele ʻana i kahi mamao pōkole.
• Ke anu nei i nā manawa a pau, ʻoiai inā he maʻamau ka mahana o kekahi, ke anu nei ʻoe.
• Manaʻo poniuniu a nāwaliwali paha.
• Lilo ka ʻili i ke keʻokeʻo a maloʻo. I kekahi manawa, hiki ke lilo i ke keʻokeʻo ma lalo o nā maka.
• ʻEha poʻo.

Hiki i ka hoʻāʻo koko RDW ke hāʻawi i ka ʻike e pili ana i ke ʻano kikoʻī o ka anemia āu e loaʻa ai, ʻoiai hiki ke ʻokoʻa ka waiwai RDW i nā ʻano anemia like ʻole.

Nā maʻi e hiki ai ke hoʻoulu i ka anemia

ʻO ka hoʻāʻo koko RDW, i hui pū ʻia me nā ʻōkuhi RBC ʻē aʻe, hiki ke kōkua i ka ʻike ʻana i ke kumu o ka anemia. ʻO kekahi o nā kūlana e pili ana me ka anemia:

• Ka maʻi ʻaʻai.
• Maʻi cardiovascular.
• Maʻi puʻupaʻa.
• Maʻi akepaʻa.
• Thalassemia - He maʻi hoʻoilina kēia.
• Nā maʻi mau loa - ʻo nā hiʻohiʻona e komo pū ana me ka maʻi o Crohn (kahi maʻi o ka ʻōpū hoʻoheheʻe), Diabetes Mellitus , a me ka HIV .
• Ka nele o nā wikamina a me nā minelala - No ka laʻana, ka nele o nā mea e like me ka hao , ka wikamina B12 , a me ka folate . ʻO kēia nā kumu maʻamau o ka anemia.

Eia kekahi, hiki ke loaʻa ka anemia ke nalowale ka nui o ke koko mai ke kino, inā paha ma muli o kahi maʻi lōʻihi, kahi ulia, a i ʻole ke ʻoki kino.

Pehea e hana ʻia ai ka hoʻāʻo RDW?

He hoʻāʻo koko maʻalahi loa ka hoʻāʻo koko RDW. Hoʻouna ʻia ka hāpana koko āu e lawe ai i kahi keʻena hoʻokolohua. Ma laila, nānā kahi loea (ʻo ka mea maʻamau he ʻepekema keʻena hoʻokolohua lapaʻau) i kāu mau keʻena koko ʻulaʻula ma lalo o kahi microscope a nānā i nā ʻokoʻa o ko lākou nui. Hoʻohana ʻia ka hāpana koko i kālailai ʻia ma kēia ʻano ma ke ʻano he hāpana e loaʻa ai kahi manaʻo maikaʻi aʻe o ka ʻokoʻa o ka nui o kāu mau keʻena koko ʻulaʻula ma kou kino holoʻokoʻa.

Pono ʻoe e hoʻomākaukau no ka hoʻokolohua RDW?

I ka hapanui o nā hihia, ʻaʻole pono ʻoe e hana i kekahi mea kūikawā e hoʻomākaukau ai no ka hoʻāʻo RDW wale nō. Eia nō naʻe, inā ua kauoha kāu kauka i kekahi mau hoʻāʻo koko ʻē aʻe me ka hoʻāʻo RDW, pono paha kekahi o kēlā mau hoʻāʻo i ka hoʻomākaukau kūikawā. No ka laʻana, koi paha kekahi mau hoʻāʻo iā ʻoe e hoʻokē ʻai no kekahi mau hola, ʻo ia hoʻi, ʻaʻole ʻoe e ʻai a inu paha i kekahi mea. I ia mau hihia, he mea nui e hahai pololei i nā ʻōlelo a kāu kauka, i hiki iā ʻoe ke mākaukau no nā hoʻāʻo diagnostic āpau āu e pono ai.

He aha kāu e manaʻo ai i ka wā e hana ai i ka hoʻāʻo RDW?

ʻAe, e nānā kākou i ka mea e hana ʻia ke hana ʻoe i kēia hoʻāʻo RDW, ka mea āu e manaʻo ai. He mea liʻiliʻi loa ia, a ua pau i loko o kekahi mau minuke. Ua like ia me ka loaʻa ʻana o kahi huki koko maʻamau.

• ʻO ka mea mua, e ʻimi kāu kauka a kahu maʻi paha i kahi kūpono loa e huki ai i ke koko. ʻO ka hapa pinepine, he aa koko kēia ma lalo pono o kou kuʻekuʻe lima, a i ʻole ma ke kua o kou lima.
• A laila, hoʻomaʻemaʻe pono ʻia ka wahi i hoʻokomo ʻia ai ke kui a holoi ʻia me kahi wai antiseptic. He mea nui loa kēia, no ka mea, a laila ʻaʻohe huakini e komo i ke kino.
• ʻO ka mea aʻe, e nakinaki kāu kauka i kahi kaula elastic (i kapa ʻia hoʻi he tourniquet) ma luna pono o kahi i hoʻokomo ʻia ai ke kui ma kou lima. Hana ʻia kēia e kāohi i ke kahe koko i loko o kou lima, e ʻike nui ʻia ai ke aʻa, a e maʻalahi ai ke huki koko.
• I kēia manawa, ua lawe ʻia ke koko. Ke komo ka nila i loko, e ʻike paha ʻoe i kahi ʻano ʻūlū iki, e like me ke nahu ʻia ʻana e kahi ʻanuʻu. He mau kekona wale nō ia. Hoʻiliʻili ʻia kahi koko liʻiliʻi i loko o kahi ʻōmole liʻiliʻi (ʻōmole) i hoʻopili ʻia i ka nila.
• Ma hope o ka lawe ʻia ʻana o ke koko i makemake ʻia, wehe ʻia ke kui a kau ʻia kahi palaki liʻiliʻi a ʻāpana pulupulu paha ma luna o kahi i kahe ai ke koko, a kaomi ʻia e hoʻōki i ke kahe ʻana o ke koko.

ʻO ia wale nō! Ua pau ka hoʻāʻo.

Ma hope o ka hoʻāʻo RDW? Aia kekahi mau pilikia?

Hiki iā ʻoe ke haʻalele ma hope koke iho o ka pau ʻana o ke kaha koko. I kekahi manawa e haʻi aku ke kauka iā ʻoe e kali i kekahi mau minuke e hōʻoia ʻaʻohe ou hopena ʻaoʻao.

He hoʻāʻo palekana loa ka hoʻāʻo koko RDW, me nā hopena ʻaoʻao liʻiliʻi loa. Hiki ke uliuli iki a palapū paha ka wahi i hoʻokomo ʻia ai ke kui. E nalo wale kēia i loko o kekahi mau lā. Hiki i kekahi poʻe ke manaʻo iki i ka poniuniu ma hope o ke kaha ʻia ʻana o ke koko, akā ʻaʻole lōʻihi kēia manaʻo.

Eia nō naʻe, inā ʻaʻole e pau ke kahe ʻana o ke koko mai kahi i hoʻokomo ʻia ai, a inā hoʻomaka ʻoe e manaʻo i ka luaʻi a i ʻole ka nāwaliwali, e haʻi i kāu kauka. Hiki ke loaʻa kēia mau hopena ʻaoʻao, akā he mea kakaikahi loa ia.

Pehea e loaʻa ai nā hopena RDW? He aha ke ʻano o ia mau mea?

Hāʻawi ʻia nā hopena hoʻāʻo ma ke ʻano he pakeneka. E kōkua kēia iā ʻoe e ʻike inā aia kāu mau hopena i loko o ka pae maʻamau, a inā paha he kiʻekiʻe a haʻahaʻa paha kāu waiwai RDW.

He aha ka waiwai RDW maʻamau?

He maʻamau kou waiwai RDW, ʻo ia hoʻi, ua like ka nui o kou mau hunaola koko ʻulaʻula a pau. ʻO ia hoʻi, ʻaʻole nui ka ʻokoʻa o ko lākou nui. ʻO ka waiwai RDW maʻamau ma waena o 12% a me 15% . Eia nō naʻe, e hoʻomanaʻo e hiki ke ʻokoʻa iki kēia pae ma muli o ka lab e hana ana i ka hoʻāʻo. E hōʻike maopopo ana ka hōʻike āu e loaʻa ai i ke ʻano o ka pae maʻamau. A laila hiki iā ʻoe ke hoʻohālikelike i kou waiwai me ia.

Eia nō naʻe, ʻaʻole manaʻo ka waiwai RDW maʻamau ʻaʻohe ou maʻi ʻē aʻe e pono ai ka mālama ʻana. I kekahi mau ʻano anemia, ʻoiai inā maʻamau ka waiwai RDW, hiki ke kiʻekiʻe a haʻahaʻa paha ka waiwai o kekahi o nā hōʻailona RBC ʻē aʻe. ʻO ia ke kumu e hoʻoholo ai ke kauka ma hope o ka nānā ʻana i ka hōʻike holoʻokoʻa.

He aha ka manaʻo o ka RDW kiʻekiʻe?

ʻO ke kiʻekiʻe o ka waiwai RDW, ʻo ia hoʻi, ʻoi aku ka nui o kou mau hunaola koko ʻulaʻula ma mua o ka maʻamau. ʻO ke ʻano kēia, ua liʻiliʻi loa kekahi mau hunaola koko ʻulaʻula, a ʻo kekahi ua nui loa. Hiki i ke kiʻekiʻe o ka waiwai RDW ke hōʻailona o ka anemia a i ʻole kahi maʻi pili. Eia nō naʻe, pono kāu kauka e nānā i nā hōʻike hoʻāʻo ʻē aʻe e hana i kahi hōʻailona paʻa. ʻO ka hapa pinepine, hoʻohana pū ʻia ka waiwai RDW (red blood cell size variability) a me ka waiwai MCV (mean red blood cell volume) e loiloi i ke olakino o kāu mau hunaola koko ʻulaʻula.

He aha ka manaʻo o ka RDW haʻahaʻa?

ʻAʻohe mea e hopohopo ai ka waiwai RDW haʻahaʻa, a ʻaʻole ia e pili ana i kekahi ʻano anemia kikoʻī.

Āhea wau e ʻike ai i ka hōʻike hoʻāʻo?

Hiki iā ʻoe ke loaʻa i kāu mau hopena i loko o kekahi mau lā ma hope o ka hōʻea ʻana o kāu hāpana koko i ka lab. Inā makemake ʻoe i ke kōkua e hoʻomaopopo i kāu mau hopena, e kamaʻilio me kāu kauka. E kamaʻilio me ia e pili ana i ka mea e hana ai e ʻike ai i kou kūlana.

Inā kiʻekiʻe, haʻahaʻa, a maʻamau paha nā hopena o ka hoʻāʻo koko RDW, ʻaʻole hiki i ke kauka ke hana i kahi hōʻailona ma muli o kēlā wale nō. Eia nō naʻe, ʻo ka hoʻāʻo koko RDW kahi ʻāpana koʻikoʻi o ka puzzle e kōkua iā mākou e hoʻomaopopo i ka maikaʻi o ka lawe ʻana o kāu mau hunaola koko ʻulaʻula i ka oxygen ma loko o kou kino. No laila, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka i ke ʻano o kāu mau hopena hoʻāʻo koko RDW, me nā hopena ʻē aʻe o kāu hoʻāʻo CBC.

ʻO ka mea nui e hoʻomanaʻo

ʻAe, ua kamaʻilio nui mākou e pili ana i ka hoʻāʻo koko RDW. Eia kekahi mau mea e hoʻomanaʻo ai:

• Hoʻohana ka hoʻāʻo RDW i ke ana o ka nui o kou mau ʻula koko ʻulaʻula.
• Kōkua kēia i ka hoʻoponopono ʻana i nā kūlana e like me ka anemia .
• Hana pinepine ʻia kēia ma ke ʻano he ʻāpana o kahi hoʻokolohua i kapa ʻia ʻo CBC (helu koko piha) .
• ʻAʻole manaʻo nui ka hopena RDW wale nō. Pono e loiloi ʻia e ke kauka me nā hopena hoʻāʻo koko ʻē aʻe a me kāu mau hōʻailona .

Inā he mau nīnau kāu e pili ana i kou waiwai RDW, mai kānalua e nīnau i kāu kauka. A laila hiki iā ʻoe ke loaʻa kahi ʻike maopopo.

ʻO RDW, Nā Kelepona Koko ʻUlaʻula, Hoʻāʻo Koko, Anemia, CBC, MCV, Hemoglobin, Anemia, Hoʻāʻo Koko, Nā Kelepona Koko ʻUlaʻula, Helu Koko Piha, Hemoglobin, Waiwai RDW