Ke noʻonoʻo kākou i nā iwi, manaʻo kākou iā lākou he mea e hāʻawi ai i ka ikaika a me ka ikaika i ke kino, ʻeā? He ʻoiaʻiʻo kēlā. Akā, ua ʻike anei ʻoe aia i loko o ko kākou mau iwi nui kekahi mea kupaianaha loa, e like me kahi hale hana ola? ʻO ia ka mea a kākou e kapa nei he iwi ʻiʻo, a i ʻole ma ka ʻōlelo Pelekania `(Bone Marrow)`. He ʻāpana koʻikoʻi kēia a he mea nui loa hoʻi o ko kākou ola. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia iwi ʻiʻo ma nā ʻōlelo maʻalahi.
I ka ʻōlelo maʻalahi, he aha kēia iwi ʻiwi?
ʻO ka iwi iwi ka ʻiʻo palupalu e like me ka jelly i loko o ko kākou mau iwi. ʻO ka ʻoiaʻiʻo, ʻo ia ke kahua hana koko nui i loko o ko kākou kino. Hana ʻia kāu mau hunaola koko a pau, me nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets, i loko o kēia iwi iwi.
E noʻonoʻo i ka iwi iwi ma ke ʻano he hale hana nui o kahi ʻoihana nui. ʻO kēia hale hana kahi e hana ai ke kino i nā ʻano "limahana" like ʻole (ʻo ia hoʻi nā ʻāpana koko) e pono ai a hoʻouna iā lākou ma ke kino holoʻokoʻa ma o nā kīʻaha koko.
- Nā Kelepona Koko ʻUlaʻula: ʻO kēia ka "lawelawe lawe" e lawe i ka oxygen ma ke kino holoʻokoʻa.
- Nā Kelepona Koko Keʻokeʻo: ʻO kēia nā "pūʻali pale" o ko mākou kino. Ke kaua nei lākou i nā huakini e hoʻoulu ai i nā maʻi.
- Nā Platelets: ʻO kēia ka "hui hoʻoponopono" e hoʻōki i ke kahe ʻana ke loaʻa kahi ʻeha ma kekahi wahi.
Hoʻopuka ʻia kēia mau mea a pau i loko o ka iwi iwi. ʻAʻole wale ia, akā kōkua pū ka iwi iwi i ka mālama ʻana i ka momona no ke kino e hoʻohana ai i ka wā e pono ai. No laila, ʻaʻole hiki iā kākou ke ola me ka ʻole o ka iwi iwi.
Ua ʻike anei ʻoe he ʻelua ʻano o ka iwi ʻiwi?
ʻAe, aia ʻelua ʻano nui o ka iwi iwi i loko o ko kākou kino. Hoʻokaʻawale ʻia lākou e ko lākou kala. Ma ka awelika, he 2.5 kilokani o nā ʻano ʻelua ko ke kanaka makua i loko o ko lākou kino.
E nānā kākou i ke ʻano o kēia mau ʻano ʻelua.
| ʻAno iwi ʻiwi | Ka hana nui a me ka wehewehe ʻana |
|---|---|
| ʻUlaʻula Iwi Momona | ʻO kēia ka hale hana nui e hana ai i kā mākou mau hunaola koko. I ka lāʻau lapaʻau, kapa mākou i kēia kaʻina hana (Hematopoiesis) . Hoʻopuka ʻia nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets mai nā hunaola kumu kūikawā i loko o ka iwi ʻulaʻula. |
| ʻIwi iwi melemele | ʻO ka hapa nui o kēia ʻano he momona. ʻO kāna hana nui ka mālama ʻana i ka momona no ka hoʻohana ʻana i ka wā e pono ai ka ikehu. Eia kekahi, hiki i nā hunaola kumu i loko ke kōkua i ke kūkulu ʻana i nā iwi, nā cartilage, nā ʻiʻo, a me nā hunaola momona. |
I ko kākou wā ʻōpiopio, a hiki i ka 7 mau makahiki, ua aneane piha ko kākou mau iwi i ka ʻiʻo iwi ʻulaʻula. ʻO kēia no ka mea i kēlā manawa, pono ke kino i ka nui o nā hunaola koko e ulu ai. I ko kākou wā ʻelemakule, lilo kekahi o kēia ʻiʻo iwi ʻulaʻula i ʻiʻo iwi melemele.
Hiki iaʻu ke hāʻawi i ka iwi iwi? No ke aha mai?
ʻAe, hiki nō. He mea maikaʻi loa ia e hana ai e hoʻopakele i ke ola. I kekahi mau maʻi, ʻoiai ka leukemia, he maʻi ʻaʻai koko, lilo nā pūnaewele i loko o ka iwi iwi i mea ʻē, e hoʻōki ana i ka hana ʻana o nā pūnaewele koko olakino a ʻae i nā pūnaewele maʻi ʻaʻai ʻē e ulu wikiwiki.
I nā manawa e like me kēia, ma ke kāpili ʻana i ka iwi iwi mai ke kanaka olakino i loko o ke kanaka maʻi (Bone Marrow Transplant), hiki i ke kino o ka mea maʻi ke hoʻomaka hou e hana i nā hunaola koko olakino.
ʻO ka mea e hana ʻia ma kēia, ʻo ia ka hoʻokomo ʻia ʻana o nā pūnaewele kumu olakino, i lawe ʻia mai kahi mea hāʻawi olakino, i loko o ke kahe koko o ka mea maʻi. A laila hele nā kelepona a noho i loko o ka iwi iwi o ka mea maʻi a hoʻomaka e hana i nā pūnaewele koko olakino.
He aha nā maʻi e hoʻopilikia ai i ka iwi iwi?
ʻOiai ʻo ka iwi iwi ke kahua nui o ka hana ʻana o ke koko, hiki ke loaʻa nā maʻi like ʻole e pili ana i ke koko ke hōʻino ʻia ka hana o ka iwi iwi. E nānā kākou i kekahi o nā maʻi nui o ia ʻano.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| Leukemia | He maʻi ʻaʻai kēia e hoʻopilikia ai i ka iwi iwi a me ke koko. Hoʻololi ʻia nā pūnaewele i loko o ka iwi iwi a hana i nā helu he nui o nā hunaola koko keʻokeʻo ʻē me ke kaohi ʻole ʻia. |
| ʻO ka Myeloma lehulehu | ʻO kahi ʻano kelepona kūikawā i kapa ʻia ʻo nā pūnaewele plasma i loko o ka iwi iwi e lilo i maʻi ʻaʻai a ulu me ke kāohi ʻole ʻia. |
| ʻAnemia Aplastic | ʻO ka mea e hana ʻia ana ma kēia, ʻaʻole hana ka iwi iwi i nā hunaola koko lawa (ʻulaʻula, keʻokeʻo, a me nā platelets). Me he mea lā ua pau ka hana ʻana o ka hale hana iwi iwi. |
| ʻO ka Polycythemia Vera | Hana ʻia kēia i ka wā e hana ai ka iwi iwi i nā hunaola koko ʻulaʻula he nui loa, kahi e mānoanoa ai ke koko a hoʻonui i ka pilikia o nā ʻūpā koko. |
| Nā Syndrome Myelodysplastic | He hui kēia o nā maʻi. Ma kēia, ʻaʻole olakino nā hunaola koko i hana ʻia e ka iwi iwi a ʻaʻole hana pono. ʻO ka hopena, emi ka nui o nā hunaola koko olakino i loko o ke kino. |
He aha nā hōʻailona maʻamau o kēia mau maʻi?
ʻOiai he mau hōʻailona kikoʻī ko kēlā me kēia maʻi ke loaʻa ka pilikia me ka iwi iwi, eia nā hōʻailona maʻamau:
- Luhi a me ka māluhiluhi: Me ka lawa ʻole o nā hunaola koko ʻulaʻula, ʻaʻole loaʻa i ke kino ka oxygen e pono ai.
- Nā maʻi pinepine: Ma muli o ka nele o nā hunaola koko keʻokeʻo olakino, ua nāwaliwali ka ʻōnaehana pale o ke kino.
- ʻEha maʻalahi a me ke kahe ʻana o ke koko: Ma muli o ka helu platelet haʻahaʻa, ʻoiai he ʻoki liʻiliʻi e lōʻihi ka manawa e hoʻōki ai i ke kahe ʻana o ke koko. Hiki i ka ʻili ke ʻeha maʻalahi.
- Ka nāwaliwali o nā ʻiʻo.
- Keʻokeʻo.
Inā loaʻa iā ʻoe kēia mau hōʻailona, he mea nui loa e ʻike koke i kāu kauka no ka ʻōlelo aʻo.
Pehea e nānā ai i ke olakino o ka iwi ʻiʻo?
Inā kānalua ke kauka he pilikia kou me kou iwi iwi, aia ʻelua mau hoʻokolohua e hiki ke hōʻoia i ia mea. Hana pinepine ʻia kēia mau hoʻokolohua ʻelua ma lalo o kahi mea hoʻomānoino, no laila ʻaʻole ʻoe e ʻeha nui.
1. Ka Hoʻokahe ʻana o ka Iwi: Ma kēia, hoʻohana ʻia kahi nila kūikawā e wehe i kahi hāpana o ka wai a me nā ʻāpana mai ka iwi. Hoʻāʻo ʻia kēia hāpana e hoʻoholo pono i nā ʻano ʻāpana i loko o ka iwi a inā he maʻamau a he ʻano ʻē paha.
2. Biopsy o ka iwi iwi:Ma kēia, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo iwi me ka hoʻohana ʻana i kahi nila nui iki. ʻAe kēia iā mākou e loaʻa kahi ʻike maikaʻi aʻe i ka hoʻonohonoho ʻana o nā cell i loko o ka iwi iwi, a me nā ʻano a me nā nui o nā cell.
Ma hope o kēia hoʻāʻo ʻana, aia paha kekahi ʻeha a me ka palapū ma kahi i hoʻokomo ʻia ai ke kui no kekahi mau lā. Akā he mea maʻamau kēlā.
He aha kā mākou e hana ai e mālama i ke olakino o ka iwi?
ʻOiai ʻo ka iwi iwi ke kumu o ko kākou mau iwi, ke koko, a me nā ʻiʻo, ʻo ka hana ʻana i nā mea e kōkua ai e mālama i kēlā mau ʻāpana i ke olakino he mea maikaʻi nō hoʻi ia no ka iwi iwi.
- E ʻai i nā meaʻai waiwai i ka protein: E hoʻokomo i nā meaʻai waiwai i ka protein e like me ka ʻiʻo wīwī, iʻa, pīni, nati, waiū, a me nā hua manu i kāu papaʻai. He mea nui ka protein no ke kūkulu ʻana i nā ʻāpana olakino.
- E mālama i kāu mau wikamina a me nā minelala: He mea nui ka hao, ka wikamina B9 (waikawa folic), a me ka wikamina B12 no ke kūkulu ʻana i ke koko. E ʻai i nā meaʻai waiwai i kēia mau mea (nā mea kanu, ka ʻiʻo, nā nati). Akā e nīnau pono i kāu kauka ma mua o ka lawe ʻana i nā pila wikamina.
- E hoʻokele i nā kūlana olakino ʻē aʻe: Hiki i kekahi mau kūlana olakino ke hoʻopilikia pololei ʻole i ka hana o ka iwi iwi, no laila he mea nui e loaʻa ka lāʻau kūpono no nā kūlana olakino ʻē aʻe āu e loaʻa ai.
- He nohona olakino: ʻO ka hoʻoikaika kino kūpono, ka hiamoe maikaʻi, a me ka ʻai kaulike he mea maikaʻi ia no ke olakino o kēlā me kēia ʻāpana o ke kino, me ka iwi iwi.
Ua like ka iwi ʻiʻo me he meʻe mālie akā pono e mālama ʻia i loko o ko kākou kino. He kuleana ko kākou e makaʻala iā ia a mālama i ko kākou olakino.
Leka Lawe-Home
- ʻO ka iwi ʻiʻo ka hale hana nui i loko o ko kākou mau iwi e hana ai i nā hunaola koko (nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets).
- ʻElua ʻano o ka iwi ʻulaʻula, ʻulaʻula a me ka melemele. Hana ʻia ke koko mai ka iwi ʻulaʻula.
- I nā maʻi ʻaʻai koko e like me ka leukemia, ua pilikia ka hana o ka iwi iwi. Hiki i kahi hoʻoili iwi olakino ke lilo i lāʻau lapaʻau e hoʻōla ai i ke ola no ia mau maʻi.
- He mea nui e ʻimi i ke kōkua lapaʻau inā ʻike ʻoe i nā hōʻailona e like me ka luhi pinepine, ka maʻi pinepine, a i ʻole ka ʻeha maʻalahi.
- ʻO ka ʻai kaulike i waiwai i ka protein a me nā wikamina a me ke ʻano ola olakino e kōkua i ka mālama ʻana i ke olakino o ka iwi.

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