Ke hele ʻoe i ke kauka, ua lohe paha ʻoe iā lākou e ʻōlelo ana, "E hana kākou i kahi hoʻāʻo koko," ʻeā? ʻO ka hapa nui o ka manawa, ke kamaʻilio nei lākou e pili ana i ka Complete Blood Count, a i ʻole ka hoʻāʻo CBC a mākou i kamaʻāina ai. He hoʻāʻo maʻamau loa kēia. Akā ke loaʻa iā ʻoe ka hōʻike, he mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke ʻike ʻoe i nā leka a me nā helu ma luna. No laila i kēia lā, e kamaʻilio kākou e pili ana i nā mea i loko o kēia hōʻike CBC a me kāna ʻōlelo ma ke ʻano maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha kēia hoʻāʻo CBC?
I ka ʻōlelo maʻalahi, he hoʻāʻo ka CBC e helu ana i nā ʻano nui o nā cell i loko o kou koko. ʻAʻole wale ko mākou koko he wai ʻulaʻula. Loaʻa iā ia kekahi mau ʻano cell e pono ai ko mākou kino. Nānā nui ka CBC i kēia mau ʻano cell ʻekolu: nā cell koko ʻulaʻula , nā cell koko keʻokeʻo , a me nā platelets .
I kēia manawa, e nānā kākou i ka wā e kauoha ai ke kauka i kēia hoʻāʻo CBC:
- Ma ke ʻano he ʻāpana o ka nānā olakino maʻamau: ʻOiai inā ʻaʻohe ou maʻi, hiki ke hana ʻia kēia e hōʻoia i ka maikaʻi o nā mea āpau.
- E huli i ke kumu o nā hōʻailona: E kōkua kēia iā ʻoe e ʻike i ke kumu o nā mea e like me ka manaʻo mau o ka nāwaliwali, ka luhi, ke kuni, a me ka ʻeha i kekahi manawa .
- E nānā no ka Anemia: ʻO ke ala maikaʻi loa e ʻike pono ai inā he anemia kou, kahi mea maʻamau i waena o nā poʻe he nui ma Sri Lanka, ʻo ia ka loaʻa ʻana o kahi CBC.
- E nānā i kahi kūlana i hala mua: Inā he kūlana pili koko kou, hana mau ʻia kēia hoʻāʻo e nānā i kona kūlana.
- E nānā i nā hopena o nā lāʻau lapaʻau: He mea nui kēia e ʻike ai inā kekahi o nā lāʻau lapaʻau āu e lawe nei, ʻoiai nā mea i hoʻohana ʻia no ka mālama ʻana i ka maʻi kanesa (chemotherapy), ke hoʻopilikia nei i kāu mau hunaola koko.
Pehea ʻoe e hana ai i kēia hoʻāʻo?
He mea maʻalahi loa kēia a hiki ke hoʻopau ʻia i loko o kekahi mau minuke. ʻAʻole pono ʻoe e hana nui.
Inā he hoʻāʻo CBC wale nō kāu, hiki iā ʻoe ke ʻai a inu ma ke ʻano maʻamau. Eia nō naʻe, inā he hoʻāʻo ʻē aʻe kāu, e like me ka hoʻāʻo kō koko hoʻokē ʻai, e haʻi aku kāu kauka iā ʻoe ʻaʻole e ʻai a inu paha no kekahi mau hola. Ke hele ʻoe i ka hale hana, e lawe kahi kahu maʻi a loea paha i kahi hāpana koko liʻiliʻi mai kahi aa koko ma kou lima me kahi syringe liʻiliʻi. He mau minuke wale nō ia a manaʻo ʻia e like me kahi ʻū ʻanuʻu liʻiliʻi. Ma hope o kēlā, hiki iā ʻoe ke hoʻi i ka home ma ke ʻano maʻamau. Hoʻāʻo ʻia ka hāpana koko ma ka hale hana me ka hoʻohana ʻana i kahi mīkini a ua hoʻomākaukau ʻia ka hōʻike.
ʻO ka mea a ka hōʻike CBC e ʻōlelo nei a me nā waiwai awelika
ʻAe, e nānā kākou i nā ʻāpana koʻikoʻi o kēia hōʻike a me ko lākou manaʻo. Ua kau wau i kēia ma kahi papa ma lalo nei no ʻoe e hoʻomaopopo maʻalahi. E hoʻomanaʻo, hiki ke ʻokoʻa iki kēia mau 'waiwai maʻamau' mai ka lab a i ka lab, ma muli o ka makahiki a me ke kāne.
| He aha ka mea e hoʻāʻo ʻia nei (hōʻailona) | ʻO ke ʻano maʻalahi | Pae Kuhikuhi |
|---|---|---|
| Nā hunaola koko keʻokeʻo (WBC) | Ua like ia me ka mākaʻi o ke kino. Mālama ia iā kākou mai nā maʻi ma ke kaua ʻana i nā germs. ʻO ka nui o kēia mau mea hiki ke alakaʻi i ka maʻi. ʻO ka liʻiliʻi loa hiki ke hoʻonui i ka pilikia o ka maʻi. | 4,500 - 11,000 mau pūnaewele no kēlā me kēia microliter |
| Nā hunaola koko ʻulaʻula (RBC) | Lawe lākou i ka oxygen mai nā māmā a hoʻolaha iā ia ma ke kino holoʻokoʻa. Ke pau kēia mau mea, loaʻa kahi maʻi i kapa ʻia ʻo "anemia". | Kāne: 4.5 - 5.9 miliona/mcL Nā wāhine: 4.1 - 5.1 miliona/mcL |
| Hemoglobin (Hb a i ʻole Hgb) | ʻO kēia ka protein e paʻa ana i ka oxygen i loko o nā hunaola koko ʻulaʻula. ʻO kēia ka mea nui e ana i ka anemia. | Nā kāne: 14 - 17.5 gm/dL Nā wāhine: 12.3 - 15.3 gm/dL |
| Hematocrit (Hct) | Hōʻike ia iā ʻoe i ka pakeneka o kou koko i hana ʻia me nā hunaola ʻulaʻula. Inā haʻahaʻa, haʻahaʻa paha kou hao. Inā kiʻekiʻe, maloʻo paha ʻoe. | Kāne: 41.5% - 50.4% Nā wāhine:35.9% - 44.6% |
| MCV (Ka nui o ke kino) | ʻO ka nui maʻamau o kahi hunaola koko ʻulaʻula. Inā nui loa lākou, he hōʻailona paha ia o ka nele o ka wikamina B12 a i ʻole ka folate. Inā liʻiliʻi loa lākou, he hōʻailona paha ia o ka anemia, e like me ka nele o ka hao. | 80 - 96 |
| Nā Platelets | Kōkua kēia mau pūnaewele i ka hoʻōki ʻana i ke kahe ʻana o ke koko a me ke kāpili ʻana i ke koko ke loaʻa kahi ʻeha. | 150,000 - 450,000/mcL |
He mea nui loa: Mai hoʻoholo i kou kūlana ma muli o nā waiwai i loko o kēia papa. ʻO kāu kauka wale nō ke hiki ke kālailai pololei i kēia hōʻike a hoʻohui pū me kāu mau hōʻailona ʻē aʻe a me nā kūlana olakino e hiki ai i kahi hopena pololei. Hāʻawi wale kēia ʻatikala iā ʻoe i kahi ʻike kumu o kēia.
He aha nā mea ʻē aʻe e hiki ke komo i loko o ka hōʻike CBC?
I kekahi manawa, inā makemake ke kauka e nānā hohonu i kou kūlana, e kālele ʻo ia i kekahi mau kikoʻī hou aʻe ma ka hōʻike CBC. ʻOiai he paʻakikī iki ka haʻi ʻana i nā inoa no lākou, he maʻalahi loa ko lākou manaʻo.
- MCH (Mean Corpuscular Hemoglobin): Pili kēia i ka nui awelika o ka hemoglobin i loko o hoʻokahi keena koko ʻulaʻula.
- MCHC (Mean Corpuscular Hemoglobin Concentration): Ana i ka nui o ka hemoglobin i loko o kahi nui o ke koko i hāʻawi ʻia.
- RDW (ʻĀpana Hoʻolaha Kelepona ʻUlaʻula): Hōʻike i ka ʻokoʻa o ka nui o kāu mau kelepona ʻulaʻula. ʻAʻole like ka nui o nā kelepona āpau.
- Helu Reticulocyte: Ana i ka helu o nā hunaola koko ʻulaʻula ʻōpiopio, a i ʻole nā hunaola koko hou i hana ʻia i loko o ke kino.
- MPV (Mean Platelet Volume): ʻO ka nui awelika o kāu mau platelets.
- PDW (Platelet Distribution Width): Hōʻike i ka nui o ka ʻokoʻa o ka nui o nā platelets.
- ʻOkoʻa o nā keena koko keʻokeʻo: Aia he 5 ʻano o nā keena koko keʻokeʻo (neutrophils, lymphocytes, monocytes, eosinophils, basophils). Hōʻike kēia hoʻāʻo i ka nui o kēlā me kēia ʻano i loaʻa ma ke kaʻawale. Hiki i kēia ke hāʻawi i kahi manaʻo maopopo o nā mea e like me ka maʻi a i ʻole nā allergies.
Ma ka lawe pū ʻana i kēia mau mea a pau e loaʻa ai i ke kauka kahi ʻike o kou olakino holoʻokoʻa. No laila, mai hopohopo inā ʻoi aku ke kiʻekiʻe a i ʻole ka haʻahaʻa o kekahi waiwai i loko o ka hōʻike. He kūlana manawa pōkole paha ia.
Leka Lawe-Home
- He mea nui ka CBC a he hoʻāʻo maʻamau e hāʻawi ana i ka ʻike e pili ana i nā pūnaewele i loko o kou koko.
- Hiki i kēia ke hāʻawi i nā hōʻailona e pili ana i ka anemia, nā maʻi, a me nā pilikia olakino ʻē aʻe.
- Mai hopohopo inā hōʻike kāu hōʻike i kahi waiwai ma waho o ka 'pae maʻamau'. Nui nā kumu no kēia.
- ʻO ka mea nui loa, ʻo ia ke hōʻike i kāu hōʻike CBC i kāu kauka a noi iā ia no ka wehewehe ʻana. Mai nānā wale ma ka pūnaewele a i ʻole e hoʻāʻo e ʻike i ka maʻi ma kāu iho.
- Inā ʻaʻole ʻoe maopopo i ka mea a kāu kauka e wehewehe nei, mai makaʻu e nīnau hou. ʻO kou kuleana ia e ʻike ʻia e pili ana i kou olakino.











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