ʻO wai ke kauka hematologist? E aʻo kākou e pili ana i kēia!

Ua lohe paha ʻoe i kahi `( hematologist )`? Malia paha ua kuhikuhi kāu kauka ʻohana iā ʻoe e ʻike i ia ʻano loea. Ke lohe ʻoe i kēlā, makaʻu iki kekahi poʻe a hopohopo, me ka manaʻo, "ʻAuē, ʻaʻole maopopo iaʻu inā he maʻi koʻikoʻi koʻu." Akā, he `(Hematologist)` maoli anei kekahi kanaka e nānā mau ana i nā maʻi koʻikoʻi e like me ke kanesa? E kamaʻilio kākou e pili ana i kēia mau mea a pau me ka maopopo.

ʻO wai kēia `(Hematologist)`? I ka pololei...

I ka ʻōlelo maʻalahi, he "Hematologist" he kauka loea i nā maʻi e pili ana i ko kākou koko, ka iwi iwi, a me ka ʻōnaehana lymphatic . He ʻano kūikawā ʻē aʻe kēia i loko o ke kahua ākea o ka lāʻau lapaʻau i kapa ʻia ʻo "Internal medicine." E like me nā kauka ʻokoʻa e loea ana i nā ʻōnaehana like ʻole i loko o ko kākou kino, ʻo ia ke kauka loea no nā mea āpau e pili ana i ke koko.

He aha ka hana a ke kauka hematologic?

Kōkua kēia mau loea i ka ʻike ʻana, ka mālama ʻana, a me ka mālama ʻana i nā ʻano maʻi like ʻole e hoʻopilikia ana i ko kākou mau hunaola koko. Hiki i kekahi o kēia mau maʻi koko ke maʻi ʻole, ʻo ia hoʻi, ʻaʻole lākou he maʻi kanesa. Hiki i kekahi ke maʻi ʻino.

E noʻonoʻo e pili ana i ia mea, hiki i kekahi mau maʻi koko ke hoʻopilikia i ko kākou kahe koko, no ka laʻana, hiki ke loaʻa nā ʻūpā koko . Hiki i kekahi mau maʻi ʻē aʻe ke hoʻoulu i ke kahe koko ma mua o ka maʻamau. ʻOiai ʻo kēia mau maʻi pili koko a me nā maʻi ʻaʻai koko i kekahi manawa ke hōʻike i nā hōʻailona liʻiliʻi loa, ʻo kekahi mau kūlana koʻikoʻi hiki ke hoʻoweliweli i ke ola. ʻO ia ke kumu e pono ai ke kōkua o kahi loea e like me kēia.

He mea like anei ka "Hematologist" a me ka "Oncologist"?

He nīnau kēia a ka poʻe he nui. ʻAʻole, ʻaʻole like mau kēia mau mea ʻelua. Eia nō naʻe, hiki i kahi "Hematologist" ke lilo i loea maʻi kanesa "Oncologist".

I ka ʻōlelo maʻalahi:

• He loea maʻi kanesa (`( ʻO ka oncologist ke kanaka nāna e nānā a mālama i nā ʻano maʻi kanesa āpau.
• Hoʻoikaika nui ka hematologist i nā pilikia e pili ana i ko mākou koko a me nā ʻāpana o ke kino e kōkua i ka hana ʻana i ke koko (e like me ka iwi ʻiʻo a me ka ʻōnaehana lymphatic).

Eia nō naʻe, aia kahi pilina kūlohelohe ma waena o kēia mau kahua ʻelua. No ka mea, hoʻomaka ka hapa nui o nā maʻi ʻaʻai koko i loko o nā hunaola koko i loko o ko kākou iwi iwi a me ka ʻōnaehana lymphatic, loaʻa i kekahi mau kauka ke aʻo kūikawā ma nā kahua ʻelua (`(Hematology/Oncology)`).

Ke ʻike nei anei ke kauka hematologist he maʻi kanesa kou?

ʻAʻole loa!He mea kēia e hoʻomanaʻo ai. ʻOiai ua kuhikuhi ʻia ʻoe i kahi hematologist, ʻaʻole ia he manaʻo he maʻi kanesa kou.

`(Hematologist)` ‍ ‍ . `(Hematologist)` ‍ ‍ . , `(blood cell count)` , `(coagulation levels)` . ‍ .

I ka manawa hea e pono ai iaʻu ke ʻike i kahi Hematologist?

ʻO ka maʻamau, e kuhikuhi aku kāu kauka mālama mua iā ʻoe i kahi hematologist inā manaʻo lākou e pono ana kāu mau hopena hoʻāʻo koko i ka ʻōlelo aʻoaʻo loea hou aku. E like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole hiki i nā hopena hoʻāʻo koko maʻamau wale nō ke ʻike i kahi maʻi koʻikoʻi. ʻO ia ke kumu e pono ai ka hoʻāʻo hou ʻana a me ka ʻōlelo aʻoaʻo loea.

He aha nā maʻi koko maʻamau?

He mea nui ke koko no ke ola o ko kākou kino. E noʻonoʻo e pili ana i ia mea:

• Hāpai nā hunaola koko ʻulaʻula i ka oxygen i nā ʻiʻo o ko mākou kino a hāʻawi i ka ikehu.
• Kōkua nā hunaola koko keʻokeʻo i kā mākou ʻōnaehana pale e hakakā i nā maʻi.
• Kōkua nā platelets i ka hoʻōki ʻana i ke kahe koko a hōʻemi i ke koko.
• ʻO ka plasma ka wai e hoʻopaʻa pū ai i kēia mau hunaola koko.

No laila, inā he maʻi koko kou, ʻo ia hoʻi, ʻaʻole hana pono kekahi a ʻoi aku paha o kou koko. ʻAʻole maʻi kanesa kekahi mau maʻi koko, akā hiki ke koʻikoʻi.

Nā maʻi/kūlana koko ʻaʻole kanesa (Benign)

ʻAʻole kēia he mau maʻi ʻaʻai, akā he mau maʻi e hoʻopilikia ana i ke koko. E nānā kākou i kekahi mau laʻana:

• Anemia : Hana ʻia kēia ke lawa ʻole nā ​​hunaola koko ʻulaʻula e lawe i ka oxygen ma ke kino holoʻokoʻa. Nui nā ʻano anemia, akā ʻo ke ʻano maʻamau ka anemia nele i ka hao. Hiki i kēia ke hana iā ʻoe e luhi mau a hiki ke poniuniu.
• ʻO ka maʻi Von Willebrand : ʻO kēia ka maʻi kahe koko maʻamau ma ʻAmelika Hui Pū ʻIa.
• Hemophilia : He maʻi koko hoʻoilina kēia. Hoʻopilikia kēia i ka hiki o ke koko ke kāpili. ʻOiai kahi ʻeha liʻiliʻi hiki ke hoʻoulu i ke kahe koko nui.
• ʻAʻai ʻole i ke kinoea ʻeha (`(ʻAʻai ʻole i ke kinoea ʻeha)`)He maʻi hoʻoilina nō hoʻi kēia. Ma kēia, loli ke ʻano o nā hunaola koko ʻulaʻula, e like me ka pahi ʻoki.
• Thalassemias : He maʻi koko hoʻoilina nō hoʻi ʻo Thalassemia. Hoʻopilikia ia i ka hiki o ke kino ke hana i ka hemoglobin a me nā hunaola koko ʻulaʻula olakino.

Nā ʻano maʻamau o ke kanesa koko

Nui nā ʻano maʻi ʻaʻai koko. Wahi a ka Leukemia & Lymphoma Society, ʻo nā ʻano maʻamau ʻekolu o ke kanesa koko:

• Leukemia : ʻO kēia ke ʻano maʻi koko maʻamau loa ma ʻAmelika Hui Pū ʻIa. ʻO ia kekahi ʻano maʻi kanesa maʻamau loa i waena o nā keiki a me nā ʻōpio. ʻO ka nūhou maikaʻi, ua piʻi aʻe ka nui o ke ola ʻelima makahiki no ka poʻe i hoʻōla ʻia mai kēia maʻi i ʻehā manawa i nā makahiki 40 i hala.
• Lymphoma : ʻO Lymphoma kahi maʻi ʻaʻai o kāu ʻōnaehana lymphatic. Ua pāpālua ka nui o ke ola ʻana no ka poʻe i hoʻōla ʻia mai kēia maʻi i nā makahiki 40 i hala.
• Myeloma : He maʻi ʻaʻai ka Myeloma e hoʻomaka ana i loko o kou iwi iwi a hoʻopilikia i nā pūnaewele plasma. ʻOi aku ma mua o ka hapalua o ka poʻe i ʻike ʻia me ka myeloma e ola ana i ʻelima mau makahiki ma hope o ka ʻike ʻia ʻana.

Nui nā ʻano ʻē aʻe o kēlā me kēia o kēia mau maʻi ʻaʻai koko.

He aha ke ʻano o ka hoʻonaʻauao e pono ai e lilo i "(Hematologist)"?

Pono kēlā me kēia kauka e aʻo no ʻehā mau makahiki ma ke kula lapaʻau e loaʻa ai ke kēkelē lapaʻau. No ka lilo ʻana i "Hematologist", pono ʻoe e aʻo hou aku:

• ʻEkolu mau makahiki o ke aʻo ʻana no ka noho ʻana (`(Residency)`) : He aʻo lapaʻau kēia ma hope o ke puka ʻana. Hana ʻia kēia aʻo ʻana ma ka hana ʻana me nā maʻi. Hoʻopau ka hapa nui o nā kauka `(Hematologist)` i kēia aʻo ʻana no ka noho ʻana ma `(Internal Medicine)` a i ʻole `(Pediatrics`.
• Fellowship: He manawa kēia no ʻekolu a ʻelima mau makahiki o ke aʻo kūikawā ma kahi ʻāpana lapaʻau kikoʻī. I loko o kēia manawa, loaʻa i nā kauka ke aʻo kūikawā ma Hematology, a i ʻole nā ​​maʻi koko. Hana pū kekahi mau kauka i ke aʻo Oncology me Hematology.

Nā ʻAno o ke Aʻo ʻana i nā Loea Hematology

Hiki i nā kauka ke loea i nā ʻano like ʻole o ke kahua o "Hematology":

• Loea hematology makua : Hāʻawi kēia hoʻomaʻamaʻa iā ʻoe e mālama i nā maʻi koko, nā maʻi iwi iwi, a me nā maʻi o ka ʻōnaehana lymphatic e hoʻopilikia ana i nā pākeke.
• Hematology Pediatric : E like me ka inoa e hōʻike nei, ʻo kēia hoʻomaʻamaʻa ke mālama ʻana i nā keiki me nā maʻi koko.
• Loea Coagulation (`(Coagulation)`) : He loea kēia keʻena i nā maʻi e hoʻopilikia ai i ke kāpili ʻana o ke koko.
• Loea i nā maʻi koko a me ke kanesa koko (`(Hematology/oncology)`) : Hoʻomaopopo kēia hoʻomaʻamaʻa iā ʻoe e mālama i nā maʻi koko a me nā kanesa koko.

Ma hope o ka hoʻopau ʻana i kēia hoʻomaʻamaʻa kūikawā, hiki i nā kauka ke loaʻa ka palapala hōʻoia papa mai ka Papa ʻAmelika o ka Lapaʻau Kūloko. (Ua hōʻoia ʻia nā hematologists pediatric e ka Papa ʻAmelika o nā Pediatrics.) Eia kekahi, pono i kēlā me kēia kauka ke hala i ka Hoʻokolohua Laikini Lapaʻau o ʻAmelika Hui Pū ʻIa a loaʻa ka laikini mai ka mokuʻāina a lākou e hana ai. Ma Sri Lanka, hoʻokumu ʻia nā loea ma o kahi ʻōnaehana like i ʻike ʻia.

He aha kāu e manaʻo ai ke hele ʻoe e ʻike i kahi "(Hematologist)"?

Ke ʻike nei ʻoe i kahi hematologist no ka mea ke hōʻike nei kāu mau hoʻāʻo koko i kahi mea e pili ana i kou mau hunaola koko. Ua ʻōlelo paha kāu hematologist i nā hoʻāʻo hou aʻe e ʻike hou aku e pili ana i kou koko. Ke ʻike ʻoe i ke kauka, e hana ʻo ia i kēia mau mea:

• E nīnau e pili ana i kou olakino holoʻokoʻa .
• E nīnau e pili ana i nā loli hou i kou kino a me nā hōʻailona (ʻo ia paha nā hōʻailona o ka maʻi koko).
• E nānā pū wau i nā hopena o kāu hoʻāʻo koko me ʻoe.
• Ua wehewehe ʻo ia i kāna mea i manaʻo ai he kumu ia o kēlā mau hopena.
• E kūkākūkā lākou i nā hoʻokolohua ʻē aʻe āu e pono ai .
• Inā hiki iā ia ke hana i kahi hōʻailona, ​​​​e wehewehe ʻo ia i ka maʻi a ʻōlelo i ka lāʻau lapaʻau .

He aha nā hoʻāʻo koko maʻamau?

He nui nā ʻāpana o ko kākou koko. Hiki i nā kauka ke hoʻāʻo i ke koko holoʻokoʻa, a i ʻole e hoʻāʻo paha lākou i nā ʻāpana like ʻole o ke koko ma ke kaʻawale. Eia kekahi mau hoʻāʻo maʻamau a ke kauka hematology e kauoha ai e ʻike i kahi maʻi koko a i ʻole ke kanesa koko:

• Helu koko piha (CBC) : He hoʻāʻo koko maʻamau kēia. Helu ia i kou mau hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets.
• Hoʻāʻo ʻokoʻa koko : Nānā kēia i ka helu o kēlā me kēia ʻano o nā hunaola koko keʻokeʻo. Hiki ke hana ʻia kēia i ka manawa like me ka CBC.
• Hoʻāʻo manawa Prothrombin (PTT) : Hoʻāʻo kēia i ka wikiwiki o ke kāpili ʻana o kou koko.
• Helu Reticulocyte : Ke ana kēia i ka helu o nā hunaola koko ʻulaʻula ʻōpiopio (reticulocytes) i loko o kou koko.
• ʻO ka palaki koko peripheral (PBS) : Ma kēia kaʻina hana, nānā nā kauka i kāu mau hunaola koko ʻulaʻula a me keʻokeʻo a me nā platelets ma lalo o kahi microscope.

He aha nā hoʻāʻo koko no ka maʻi kanesa?

ʻO nā hoʻāʻo koko no ka maʻi kanesa kekahi o nā mea hana he nui a nā kauka e hoʻohana ai e ʻike a mālama i ka maʻi kanesa. Hiki i kahi hematologist ke hoʻohana i nā hoʻāʻo koko e:

• E nānā i kou koko no nā kemika a me nā protein e hōʻike ana i ka maʻi kanesa.
• E nānā i nā pae o nā ʻāpana koko .
• NāuE loiloi i ke kūlana olakino holoʻokoʻa.

Inā loaʻa iā ʻoe ka maʻi ʻaʻai koko, pono ʻoe e hana i nā hoʻokolohua koko hou aʻe. E hoʻohana kāu kauka (hematologist) i kēia mau hopena hoʻokolohua e:

• Kōkua ke ana ʻana i ke kahua o ke kanesa e hoʻoholo i ke kahua o ke kanesa . Ke ana ʻia kahi kanesa e nā kauka, nānā lākou i ka nui a me kahi o ka puʻupuʻu. Hoʻohana lākou i kēlā ʻike e kau i ke kanesa i loko o kahi māhele kikoʻī, a i ʻole ke kahua, i kapa ʻia me nā helu a me nā leka. Hoʻonohonoho ke ana ʻana i ke kahua no ka mālama ʻana i ke kanesa.
• Hoʻoholo i nā koho lapaʻau no ka maʻi ʻaʻai .
• Nānā ia inā e maikaʻi a ʻino aʻe paha ka maʻi i ka hala ʻana o ka manawa a/a i ʻole me ka lāʻau lapaʻau.
• Hoʻoholo inā ua hoʻi hou mai ke kanesa (`(recurrence)`) .

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu hematologist?

Ke ʻike nei ʻoe i kahi hematologist no ka mea ua hōʻike nā hoʻokolohua koko he hewa kekahi mea me kou koko. No laila he nui kāu mau nīnau. Eia kekahi mau nīnau hiki iā ʻoe ke noʻonoʻo:

• He aha nā mea i hōʻike ʻia e kaʻu mau hoʻokolohua koko?
• He aha ke ʻano o kēlā mau hopena?
• He aha koʻu kūlana?
• He koʻikoʻi anei kēia kūlana?
• He aha ke kumu o kēia kūlana?
• He aha nā hōʻailona e pono iaʻu e makaʻala?
• He aha kaʻu e hana ai inā ʻike au i kēlā mau hōʻailona?
• Pono anei au e hana i nā hoʻokolohua koko hou aʻe a i ʻole nā ​​​​hoʻokolohua ʻē aʻe?
• He aha kāu e manaʻolana ai e ʻike mai kēia mau hoʻokolohua?
• Āhea wau e loaʻa ai nā hopena hoʻāʻo?
• Pono anei au e hana i nā hoʻokolohua hou aʻe ma hope?
• He aha ka lāʻau lapaʻau āu e ʻōlelo mai ai noʻu? No ke aha mai?
• Āhea wau e hoʻomaka ai i ka lāʻau lapaʻau? Pehea ka lōʻihi o kona mau ʻana?
• He aha kaʻu e ʻike ai e pili ana i ka lāʻau lapaʻau āu e kuhikuhi nei?
• Aia kekahi mau hopena ʻaoʻao?
• He aha nā pilikia a me nā pono o kēia lāʻau lapaʻau?
• Aia kekahi mau koho lapaʻau ʻē aʻe?

Ke ʻike nei ʻoe i kahi hematologist no ka mea ke hōʻike nei nā hoʻokolohua ʻaʻole hana pono kāu mau hunaola koko, iwi iwi, a i ʻole ka ʻōnaehana lymph. Hiki iā ʻoe ke hopohopo ke ʻike ʻoe i kahi kauka loea i nā maʻi koko, me nā maʻi ʻaʻai koko. Inā he mau nīnau kāu e pili ana i kāu mau hopena hoʻokolohua, e nīnau i kāu hematologist e pili ana iā lākou a me kāna hana e ʻike ai i ke kumu o ia mau mea. E hauʻoli ʻo ia e pane i kāu mau nīnau a wehewehe i ka mea e hana ai ma hope. Mai makaʻu e nīnau i kekahi mea e hiki mai ana i kou manaʻo. ʻO kou kuleana ia.

Leka Lawe-Home

ʻO ke kauka "Hematologist" he kauka loea i nā maʻi e pili ana i ke koko, mai ka anemia a i ke kanesa koko. ʻO ka kuhikuhi ʻia ʻana i kahi "Hematologist" ʻaʻole ia he manaʻo he maʻi kanesa kou. I ka manawa pinepine, e wehewehe hou ʻia nā hopena o kahi hoʻāʻo koko maʻamau.

ʻO ka mea nui loa, ʻo ia ke kamaʻilio ākea me kāu kauka a nīnau i kāu mau nīnau. He mea nui loa ka hoʻomaopopo maikaʻi ʻana i kou kūlana olakino no ka holomua o kāu lāʻau lapaʻau. No laila, mai makaʻu, e kiʻi i ka ʻike āu e pono ai.

Nā maʻi koko, nā hematologists, nā maʻi ʻaʻai koko, anemia, leukemia, lymphoma, nā hoʻāʻo koko