Ua hāʻawi anei ke kauka iā ʻoe i kahi kiko no ka hoʻāʻo koko? Ua ʻōlelo ʻia ʻo 'FBC' a i ʻole 'Full Blood Count'? I ka manawa pinepine, ke ʻike mākou i nā leka a me nā helu ma kēia hōʻike, manaʻo mākou i kahi makaʻu a hopohopo iki. "He aha ke ʻano o kēia?" Manaʻo mākou. Akā, mai hopohopo. He hoʻāʻo koko maʻalahi loa kēia a nā kauka e hoʻohana nui ai a haʻi nui i ke olakino o ko mākou kino. I kēia lā, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha kēia hoʻāʻo FBC?
I ka ʻōlelo maʻalahi, ʻo ka FBC (Complete Blood Count) he hoʻokolohua e nānā ana i nā ʻano nui ʻekolu o nā cell i loko o kou koko. ʻAʻole wale ko mākou koko he wai ʻulaʻula. Loaʻa iā ia he miliona o nā cell liʻiliʻi e hana ana i nā hana koʻikoʻi he nui i loko o ko mākou kino. Nānā nui ka FBC i kēia mau ʻano cell:
- Nā hunaola koko ʻulaʻula: ʻO ia nā mea e lawe i ka oxygen ma ke kino holoʻokoʻa.
- Nā Kelepona Koko Keʻokeʻo: E like me ka pūʻali koa o ke kino, ke kaua nei lākou i nā maʻi a me nā germs.
- Nā Platelets: ʻO kēia nā pūnaewele e kōkua i ka hoʻōki ʻana i ke kahe ʻana ma o ka hana ʻana i nā ʻūpā koko.
Kōkua kēia hoʻāʻo i kāu kauka e loaʻa kahi manaʻo maikaʻi o kou olakino holoʻokoʻa. He mea nui hoʻi e ʻike i kahi maʻi, e nānā i kahi kūlana e kū nei, e ʻike pehea e hoʻopilikia ai kahi lāʻau lapaʻau i ke kino, a e ana i ke olakino o ka ʻōnaehana pale. He hana maʻamau ia i ka ʻike ʻana i nā kūlana e like me ka anemia, nā maʻi like ʻole, a me nā maʻi ʻaʻai koko .
No ke aha e hana ʻia ai kahi 'Differential Count' me kahi FBC?
I kekahi manawa e ʻike paha ʻoe iā "CBC me Differential" ma kāu hōʻike. He aha ke ʻano o kēia?
E noʻonoʻo i nā hunaola koko keʻokeʻo e like me ko kākou pūʻali koa. Helu ka FBC i ka huina o nā koa i loko o kahi pūʻali koa. Akā, ʻoi aku ka hohonu o ka 'Differential Count' ma mua o kēlā. Helu ia i ka heluna o nā koa ma nā regiment like ʻole (no ka laʻana, nā pūʻali koa wāwae, nā commandos, nā luna ʻike) i loko o kēlā pūʻali koa.
ʻO ia hoʻi, ʻelima ʻano o nā hunaola koko keʻokeʻo, a ke ana nei kēia 'Helu ʻokoʻa' i ka helu o kēlā me kēia ʻano ma ke kaʻawale. Hiki i kēia i ke kauka ke loaʻa kahi manaʻo maopopo loa o ka mea e hana nei i loko o kāu ʻōnaehana pale, e like me ka loaʻa ʻana o kahi maʻi bacteria, kahi maʻi viral, a i ʻole kahi allergy.
I ka manawa hea e ʻōlelo ai ke kauka e hana i kahi FBC?
ʻOiai he hoʻāʻo maʻamau ka FBC, hiki i ke kauka ke ʻōlelo aku iā ia ma nā kūlana like ʻole.
- Ma ke ʻano he ʻāpana o ka hoʻokolohua olakino makahiki: E kiʻi i kahi ʻike laulā o kou olakino holoʻokoʻa.
- E nānā i nā hōʻailona i hiki ʻole ke wehewehe ʻia: No ka laʻana, e ʻimi i ke kumu o ke kuni mau, ka pohō kaumaha, ka hou ʻana i ka pō, ka palapū i wehewehe ʻole ʻia, a me ka luhi mau.
- E nānā i nā kūlana olakino i loaʻa mua: E nānā i ke kūlana o kekahi me nā maʻi lōʻihi e like me ke kanesa a me ka maʻi puʻupaʻa mau loa.
- E nānā i nā hopena o nā lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau (e laʻa me nā lāʻau lapaʻau kanesa) ke hoʻemi i ka helu o nā hunaola koko keʻokeʻo. He mea nui kēia hoʻāʻo e nānā i ia mau hopena.
- I ka wā hāpai: E hōʻoia i ka maikaʻi o ke olakino o ka makuahine hāpai a me ke pēpē.
He aha nā kūlana e hiki ke ʻike ʻia ma ka hōʻike FBC?
ʻAʻole ʻōlelo pololei kēia hoʻāʻo "he hānō kou." Eia naʻe, hāʻawi ia i ke kauka i nā hōʻailona koʻikoʻi he nui. Hiki i nā waiwai i loko o ka hōʻike ke hōʻike i nā kūlana aʻe:
| Inoa lapaʻau | I ka ʻōlelo maʻalahi... |
|---|---|
| Anemia | Haʻahaʻa nā pae koko ʻulaʻula a i ʻole ka hemoglobin (e like me kā mākou e kapa nei, 'anemia'). |
| ʻEritrositosis | Nā pae koko ʻulaʻula kiʻekiʻe loa (hoʻonui ʻia ka mānoanoa o ke koko). |
| Leukocytosis | Hoʻonui ʻia ka helu o nā keʻokeʻo koko keʻokeʻo (pinepine he hōʻailona o ka maʻi). |
| Leukopenia | He haʻahaʻa ka helu o nā hunaola koko keʻokeʻo (he hōʻailona o ka nāwaliwali o ka pale ʻana). |
| ʻO ka Thrombocytosis | Hoʻonui ʻia ka helu platelet. |
| ʻO ka thrombocytopenia | Ka emi ʻana o ka helu platelet (ʻike ʻia i nā maʻi e like me ka dengue). |
E nānā anei kākou i nā waiwai i loko o ka hōʻike me ka kikoʻī hou aku?
ʻAe, i kēia manawa e ho'āʻo kākou e hoʻomaopopo i nā leka i loko o ka hōʻike.
Nā mea e pono ai ʻoe e ʻike e pili ana i nā ʻulaʻula koko
ʻO kēia ka 'lawelawe lawe' e lawe ana i ka oxygen ma ke kino holoʻokoʻa. ʻO kēia nā waiwai nui i ʻōlelo ʻia.
- RBC (Helu o nā Kelepona Koko ʻUlaʻula): Ka huina o nā hunaola koko ʻulaʻula i loko o kahi nui o ke koko.
- Hb / Hgb (Hemoglobin): ʻO ka Hemoglobin ka protein lawe oxygen i loaʻa i loko o nā hunaola koko ʻulaʻula. Ana ʻia ia ma ke ʻano o kona nui. ʻO ia ka mea e hāʻawi ai i ke koko i kona kala ʻulaʻula.
- Hct (Hematocrit): ʻO ka pakeneka o kou koko i hana ʻia me nā hunaola koko ʻulaʻula.
Eia kekahi, aia kekahi mau waiwai ʻē aʻe e hōʻike ana i ka nui a me ke ʻano o nā hunaola koko ʻulaʻula (i kapa ʻia ʻo 'Red Cell Indices').
- MCV (Mean Corpuscular Volume): ʻO ka nui awelika o hoʻokahi keena koko ʻulaʻula.
- MCH (Mean Corpuscular Hemoglobin): ʻO ka nui awelika (kaumaha) o ka hemoglobin i loko o hoʻokahi keena koko ʻulaʻula.
- MCHC (Mean Corpuscular Hemoglobin Concentration): Ka nui o ka hemoglobin i loko o kahi nui kikoʻī o ke koko.
- ʻO RDW (Red Cell Distribution Width): Hōʻike kēia iā ʻoe inā like ka nui o kāu mau hunaola koko ʻulaʻula a pau, a inā paha he hui pū ʻana o nā hunaola nui a liʻiliʻi. Ua like ia me ka nānā ʻana inā he mau kuki i ʻoki ʻia mai ka ʻōmole like, a i ʻole nā kuki hana lima ʻokoʻa ka nui.
Nā mea e pono ai ʻoe e ʻike e pili ana i nā platelets
ʻO kēia nā 'ʻāpana palaki' ma ko kākou kino. Inā loaʻa iā kākou kahi ʻoki a ʻeha paha ma kekahi wahi, holo wikiwiki lākou i kahi, pili pū, a hoʻōki i ke kahe ʻana o ke koko.
- Helu Platelet: ʻO ka huina o nā platelets i loko o ka hāpana koko.
- MPV (Mean Platelet Volume): ʻO ka nui awelika o kahi platelet hoʻokahi.
Nā Kelepona Koko Keʻokeʻo a me ko lākou ʻano
ʻO kēia ka pūʻali koa pale o ko kākou kino. ʻO kā lākou hana ke pale aku iā kākou ma ke kaua ʻana i nā huakini a me nā maʻi. Inā ʻoe e hana i kahi 'Helu ʻokoʻa', e loaʻa iā ʻoe nā kikoʻī kaʻawale e pili ana i nā pūʻali koa like ʻole o kēia pūʻali koa.
| ʻAno Kelepona | Hana nui (i hoʻomaʻalahi ʻia) |
|---|---|
| WBC (Helu Kelepona Koko Keʻokeʻo) | ʻO ka heluna holoʻokoʻa o nā ʻano hunaola koko keʻokeʻo a pau. |
| Nā Neutrophils | E like me nā commandos pane wikiwiki, ʻo lākou ka mea mua e hoʻouka i nā maʻi bacteria a me nā fungal . |
| Nā Lymphocytes | E like me nā luna ʻike. Ke kaua nei lākou i nā maʻi viral . Hoʻomanaʻo lākou i nā maʻi ma mua a aʻo i ke kino e kaua koke iā lākou inā maʻi hou lākou. |
| Nā monocyte | Nā limahana hoʻomaʻemaʻe. Wehe lākou i nā ʻōpala o ke keena a me nā germs i waiho ʻia ma hope o kahi maʻi. |
| Nā Eosinophils | Ke kaua nei lākou i nā parasites (e like me nā ilo). Hoʻonui pū ʻia ko lākou helu i ka wā o nā maʻi allergies . |
| Nā Basophil | Hoʻopuka lākou i nā hōʻailona hōʻike. ʻO kēia nā mea e hoʻokuʻu i nā mea e like me ka 'histamine' i ka wā o nā maʻi allergies. |
Pono ʻoe e hoʻomākaukau no ka hoʻokolohua FBC?
ʻO ka nūhou maikaʻi loa, ʻaʻole pono ʻoe e hana i kekahi hoʻomākaukau kūikawā no kahi hoʻāʻo FBC. Hiki iā ʻoe ke ʻai a inu ma ke ʻano maʻamau a lawe i kāu mau lāʻau lapaʻau maʻamau. ʻAʻohe pono e hoʻokē ʻai.
Akā, e hoʻomanaʻo maikaʻi i kēia:Inā ua kauoha kāu kauka i kahi hoʻokolohua ʻē aʻe, e like me ke kō koko hoʻokē ʻai a i ʻole ka ʻikepili lipid, me ka FBC, pono ʻoe e hahai pololei i nā kuhikuhi no kēlā hoʻokolohua (e.g., hoʻokē ʻai no 8-12 mau hola). No laila, inā he kānalua kou e pili ana i ka mea ma ka ʻōkuhi a i ʻole ka mea a ke kauka i ʻōlelo ai, e ʻoluʻolu e nīnau hou i kāu kauka e hōʻoia.
Ua like anei ka 'Normal Range' ma ka hōʻike FBC no nā kānaka a pau?
He kuhi hewa maʻamau kēia. ʻAʻole like ka 'Normal Range / Reference Range' i kāu hōʻike FBC no kēlā me kēia kanaka. Hiki ke ʻokoʻa ma muli o nā kumu like ʻole.
- Ma muli o ka lab e hana ana i ka hoʻāʻo: Hiki ke ʻokoʻa iki kēia mau waiwai ma muli o nā mīkini a me nā kemika i hoʻohana ʻia e kēlā me kēia lab.
- Ma muli o kou mau makahiki: ʻOkoʻa nā waiwai "maʻamau" no nā pākeke a me nā keiki.
- Ma muli o kou kāne: ʻOkoʻa kekahi mau waiwai (ʻoi aku ka poʻe e pili ana i nā ʻula koko ʻulaʻula) ma muli o ka ʻokoʻa o nā pae hormone ma waena o nā wahine a me nā kāne.
- Inā hāpai ʻoe: Hiki ke loli kēia mau waiwai ma muli o nā loli i kou kino i ka wā hāpai.
No laila, e hoʻohālikelike wale i nā waiwai i loko o kāu hōʻike me ka 'Reference Range' (ka laulā waiwai maʻamau) i hāʻawi ʻia ma ka ʻaoʻao o ka hōʻike ponoʻī. Mai hoʻohālikelike iā ia me ka hōʻike a kekahi a i ʻole me nā waiwai maʻamau i loaʻa ma ka Pūnaewele.
He aha kaʻu e hana ai ma hope inā kiʻekiʻe loa a haʻahaʻa paha nā waiwai i loko o ka hōʻike?
Mai hopohopo inā ʻike ʻoe i kahi waiwai ma kāu hōʻike ma waho o ka 'Normal Range'. ʻAʻole ia he manaʻo he maʻi koʻikoʻi kou. I kekahi manawa he maʻi maʻalahi loa ia a hiki ke mālama ʻia.
ʻO ka mea nui loa kēia:
Mai hoʻoholo loa he maʻi kou ma muli o kāu mea i heluhelu ai ma ka pūnaewele a i ʻole ka ʻōlelo a kekahi. ʻO kāu kauka wale nō ke hāʻawi iā ʻoe i ka hōʻoia pololei loa, me ka noʻonoʻo ʻana i kāu mau hōʻailona, kou mōʻaukala olakino, a me nā waiwai i loko o kēia hōʻike FBC.
E nānā hou kāu kauka i ka hōʻike a, inā pono, e kauoha i nā hoʻokolohua hou aʻe, e hoʻomaka i ka lāʻau lapaʻau, a i ʻole e ʻōlelo paha, "ʻAʻole kēia he mea nui, e nānā hou mākou i loko o kekahi manawa." No laila, e hōʻoia e lawe i kāu hōʻike a ʻike i kāu kauka lapaʻau.
Leka Lawe-Home
- He hoʻāʻo koko palekana a maʻamau ka FBC (Full Blood Count) e hāʻawi ana i ka ʻike nui e pili ana i kou olakino holoʻokoʻa.
- Mai hopohopo i nā helu a me nā leka ma ka hōʻike. Hōʻike lākou iā ʻoe e pili ana i ka nui a me ke ʻano o nā ʻāpana like ʻole i loko o kou koko.
- Hiki ke ʻokoʻa ka 'Normal Range' ma muli o ka makahiki, ke kāne, a me ka lab. No laila e hoʻohālikelike mau i ka 'Reference Range' ma kāu hōʻike.
- ʻOiai inā ʻaʻole ma waho o ka pae maʻamau kahi waiwai i loko o ka hōʻike, hiki i kāu kauka ke hāʻawi i ka wehewehe pololei a me ka ʻōlelo aʻoaʻo.
- Mai hoʻoholo ponoʻī i kou maʻi a ʻaʻole hoʻi e ʻimi i ka lāʻau lapaʻau ma ke ʻōlelo aʻoaʻo a haʻi. E ʻike mau i kāu kauka me kāu hōʻike.
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