Ke hele ʻoe e ʻike i ke kauka, e hāʻawi ʻo ia iā ʻoe i kahi hoʻāʻo koko. Ke hele ʻoe i ka lab me kēlā pepa, e ʻike ʻoe e ʻōlelo ana ʻo 'FBC' a i ʻole 'CBC'. Kāhea pū kekahi poʻe i kēia ʻo 'Full Blood Count'. He aha maoli kēia hoʻāʻo CBC? He aha kāna e nānā ai? He mea anei kēia e makaʻu ai? ʻAe, e kamaʻilio kākou e pili ana i kēia i kēia lā me ka maʻalahi, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
No ke aha e ʻōlelo ai ke kauka i kahi hoʻokolohua CBC?
He hoʻāʻo koko maʻamau a koʻikoʻi loa ka CBC (Complete Blood Count). I ka pōkole, helu ia i nā ʻano nui o nā cell i loko o kou koko. ʻO kēia nā cell koko ʻulaʻula, nā cell koko keʻokeʻo, a me nā platelets. Aia kekahi mau kumu e kauoha ai ke kauka i kēia hoʻāʻo.
- Ma ke ʻano he ʻāpana o ka nānā olakino maʻamau: E nānā i kou olakino holoʻokoʻa.
- E nānā inā he anemia: E kōkua kēia iā ʻoe e hoʻoholo inā ʻo ka anemia ke kumu o nā mea e like me ka luhi a me ka mae.
- Inā kānalua ʻoe i kekahi maʻi olakino ʻē aʻe: E ʻimi i ke kumu o kou ʻeha kino i wehewehe ʻole ʻia, ke kuni, a me nā palapū.
- E nānā i kahi maʻi i loaʻa mua: Inā he maʻi pili koko kou, e nānā i kona holomua.
- E nānā i nā hopena o nā lāʻau lapaʻau: E ʻike pehea e pili ai kekahi o nā lāʻau lapaʻau āu e lawe ai, ʻoiai nā mea i hoʻohana ʻia no ka mālama ʻana i ka maʻi kanesa (chemotherapy), i kou koko.
E noʻonoʻo, inā like ko kākou kino me ke kaʻa, ua like ka hoʻāʻo CBC me ka nānā ʻana i nā mea maʻamau o kēlā kaʻa e like me ka ʻaila ʻenekini a me ka pae wai. Hāʻawi ia iā mākou i kahi hōʻailona e pili ana i nā mea he nui e hana nei i loko o ke kino.
Pehea e hana ʻia ai kēia hoʻāʻo CBC?
He mea maʻalahi loa kēia a hiki ke hana ʻia i loko o kekahi mau minuke. ʻAʻole pono ʻoe e hana nui.
E hoʻohana kekahi kahu maʻi a i ʻole ke loea lab i kahi nila liʻiliʻi e lawe i kahi hāpana koko liʻiliʻi mai kahi aa koko ma kou lima. ʻO ia wale nō. A laila hiki iā ʻoe ke hoʻi i ka home. E hoʻouna lākou i ka hāpana koko i ka lab no ka hoʻāʻo ʻana.
I ka hapanui o nā hihia, inā ʻoe e hana wale ana i ka hoʻāʻo CBC, ʻaʻole pono ʻoe e hoʻokē ʻai. Hiki iā ʻoe ke ʻai a inu ma ke ʻano maʻamau. Eia nō naʻe, inā ua kauoha kāu kauka i kahi hoʻāʻo ʻē aʻe, e like me ka hoʻāʻo kō koko (FBS), me ka CBC, e hoʻomanaʻo e hahai pololei i kāna mau kuhikuhi .
He aha ka ʻōlelo a kēia mau mea ma ka Hōʻike CBC?
ʻAe, e nānā kākou i nā ʻāpana like ʻole o kēia hoʻāʻo. He ʻano loea iki paha kēia, akā he maʻalahi loa ia. Ua kau wau iā ia ma ka papa ma lalo nei no ʻoe e hoʻomaopopo ai.
| He aha ka mea e hoʻāʻo ʻia nei (Component) | He aha ke ʻano o ia mea? (He aha ke ʻano o ia mea) |
|---|---|
| Nā Kelepona Koko Keʻokeʻo (WBC) | Ua like kēia me ka ʻōnaehana pale o ko kākou kino. Ke kaua nei kēia mau pūnaewele i nā germs. Inā nui loa lākou, hiki iā ia ke alakaʻi i ka maʻi a i ʻole ka mumū. Inā kakaikahi loa , piʻi ka pilikia o ka maʻi. |
| Nā Kelepona Koko ʻUlaʻula (RBC) | ʻO kēia ka lawelawe lawe e lawe i ka oxygen ma ke kino holoʻokoʻa. Inā haʻahaʻa kēia mau pae , loaʻa paha iā ʻoe ka anemia. |
| Hemoglobin (Hemoglobin - Hb a i ʻole Hgb) | ʻO kēia ka protein e 'hopu' i ka oxygen mai loko mai o nā hunaola koko ʻulaʻula. ʻO kēia ke kumu o ke kala ʻulaʻula o ke koko. He mea nui loa kēia waiwai i ka nānā ʻana i ka anemia. |
| Hematocrit (Hct) | Hōʻike kēia iā ʻoe i ka pakeneka o kou koko i hana ʻia me nā hunaola koko ʻulaʻula. ʻO ka helu haʻahaʻa e hōʻike paha i ka nele i ka hao. ʻO ka helu kiʻekiʻe paha he hōʻailona ia o ka maloʻo ʻana o ka wai. |
| Ka nui o ke kino (MCV) | Ana kēia i ka nui awelika o kou mau hunaola koko ʻulaʻula. Inā nui loa lākou , he hemahema paha ia o ka wikamina B12 a i ʻole ka folate. Inā liʻiliʻi loa lākou , he anemia paha ia ma muli o ka nele i ka hao. |
| Nā Platelets | ʻO kēia nā mea e kōkua ai i ka hoʻōki ʻana i ke kahe ʻana o ke koko a hana i nā ʻūpā koko ke loaʻa iā ʻoe kahi ʻoki. Inā emi ko lākou helu, aia ka pilikia o ke kahe ʻana o ke koko. Inā piʻi ko lākou helu, aia ka pilikia o ke kāpili ʻana o ke koko pono ʻole. |
Pehea e maopopo ai iaʻu nā hopena o ka hōʻike?
Ke loaʻa iā ʻoe kāu hōʻike CBC, e ʻike ʻoe i kahi kolamu i kapa ʻia ʻo 'Reference Range' a me kahi kolamu i kapa ʻia ʻo 'Your Results' me kāu mau waiwai. Inā aia kāu hopena i loko o ka 'Reference Range', ua manaʻo ʻia he maʻamau. Inā ma lalo a ma luna paha o kēlā pae, he mea maʻamau ʻole ia.
Akā eia kekahi mea nui loa : Hiki ke ʻokoʻa iki kēia 'Reference Range' mai kekahi keʻena hoʻokolohua a i kekahi, ma muli o nā mea e like me kou makahiki, ke kāne, a me ke kiʻekiʻe o ka wahi āu e noho ai.
No laila, mai hopohopo e pili ana i ka hala ʻana o ka lā o ka hōʻike no ka mea ke loli nei ke kumukūʻai. E hōʻike pono i kāu kauka a e nānā iā ia.
E kōkua ka ʻike ma lalo nei iā ʻoe e loaʻa kahi manaʻo o nā pae i hoʻohana pinepine ʻia.
- Nā hunaola koko keʻokeʻo (WBC): 4,500 - 11,000 mau hunaola/mcL
- Nā hunaola koko ʻulaʻula (RBC): 4.5 - 5.9 miliona mau hunaola/mcL no nā kāne; 4.1 - 5.1 miliona mau hunaola/mcL no nā wāhine
- Hemoglobin: 14 - 17.5 gm/dL no nā kāne; 12.3 - 15.3 gm/dL no nā wahine
- Hematocrit: 41.5% - 50.4% no nā kāne; 35.9% - 44.6% no nā wahine
- Nā Platelets: 150,000 - 450,000 platelets/mcL
Nā kikoʻī hou aku ma ka Hōʻike CBC
I kekahi manawa e nānā kāu kauka i kēia mau mea e loaʻa ai kahi ʻike hohonu. Hoʻokomo pinepine ʻia kēia mau mea i loko o ka hōʻike CBC.
- ʻO ka Hemoglobin Corpuscular Maʻamau (MCH): ʻO ka nui o ka hemoglobin i loko o ke koko koko ʻulaʻula maʻamau.
- ʻO ke Kuʻina Hemoglobin Kino Loa (MCHC): Ke ana i ka nui o ka hemoglobin i loko o kahi nui o ke koko.
- Ka Laulā Hoʻolaha ʻUlaʻula (RDW): Hōʻike i ka nui o ka ʻokoʻa o ka nui o nā hunaola koko ʻulaʻula kekahi i kekahi.
- 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. He mea nui loa kēia i ka ʻike ʻana i ke ʻano o ka maʻi.
Kōkua kēia mau waiwai āpau i kāu kauka e loaʻa i kahi kiʻi piha o kou olakino, no laila ʻaʻole hiki iā ʻoe ke hoʻoholo ma muli o hoʻokahi wale nō waiwai.
Leka Lawe-Home
- He hoʻāʻo koko koʻikoʻi a maʻamau ka CBC (Complete Blood Count) e nānā ana i nā ʻāpana nui o kou koko.
- Hāʻawi kēia hoʻāʻo i nā hōʻailona koʻikoʻi e pili ana i nā kūlana olakino he nui, e like me ka anemia a me nā maʻi.
- Mai hopohopo inā aia nā waiwai i loko o ka hōʻike ma waho o ka pae kuhikuhi. Nui nā kumu no kēia.
- ʻO ka mea nui loa, ʻo ia ke hōʻike i kāu hōʻike CBC i ke kauka a ʻimi i ka ʻōlelo aʻo mai iā ia wale nō. Mai hoʻoholo ma muli o kāu mea i heluhelu ai ma ka pūnaewele a i ʻole ka ʻōlelo a haʻi.
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