Ua noʻonoʻo paha ʻoe no ke aha i ʻulaʻula ai ko kākou koko? A i ʻole ua nānā paha ʻoe i kahi kulu koko e puka mai ana mai kahi ʻeha liʻiliʻi a noʻonoʻo i ka mea o loko? He hale hana kupaianaha maoli ko kākou kino. I loko o kēia hale hana, aia kekahi mau limahana liʻiliʻi e hana ana i kahi hana mālie akā pono ʻole. ʻO lākou ka mea a mākou e kapa nei he mau ʻulaʻula koko, a i ʻole `(Erythrocytes)`. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia mau koa liʻiliʻi, akā pono ʻole o ko kākou ola.
I ka ʻōlelo maʻalahi, he aha ka hana a kēia mau hunaola koko ʻulaʻula?
E noʻonoʻo he kūlanakauhale nui ko kākou kino. Pono kēlā me kēia hale, kēlā me kēia hale kūʻai, kēlā me kēia keʻena ma kēia kūlanakauhale i ka ikehu e hana ai. ʻO ka mea nui e pono ai e hoʻolako i kēlā ikehu, ʻo ia ka oxygen. No laila, ua like nā hunaola koko ʻulaʻula me ka lawelawe lawe leka wikiwiki loa ma kēia kūlanakauhale.
Eia ke ʻano o ka hana ʻana:
1. Ke kiʻi ʻana i ka oxygen: ʻO ka oxygen e komo i loko o ko kākou mau māmā ke hanu mākou ua hoʻouka ʻia i loko o nā ʻeke lawe leka i kapa ʻia he mau hunaola koko ʻulaʻula. Ua like ia me ke kiʻi ʻana i nā waiwai mai kahi hale kūʻai.
2. Hoʻolaha ʻia ma ke kino holoʻokoʻa: A laila hele kēia mau hunaola koko ʻulaʻula i piha i ka oxygen ma o ko kākou mau kīʻaha koko mai kekahi kihi o ke kino a i kekahi kihi, e hoʻolaha ana i ka oxygen i kēlā me kēia cell, mai nā hunaola lolo a i nā hunaola ʻili a i nā hunaola ma ko kākou mau manamana wāwae.
3. Lawe ia i nā ʻōpala: Ke hoʻohana mākou i ka oxygen e hana i ka ikehu, hoʻokuʻu ko mākou mau cell i kahi huahana ʻōpala i kapa ʻia ʻo carbon dioxide. Ua like kēia me ka ʻōpala a mākou e hoʻolei ai i waho o ko mākou mau home. No laila, hōʻiliʻili ko mākou mau cell koko ʻulaʻula i kēia ʻōpala carbon dioxide a hoʻihoʻi i nā māmā.
4. Ke hoʻokuʻu ʻana i ka ʻōpala: Hoʻokuʻu mākou i ke kalapona ʻokikene mai nā māmā ke hanu mākou.
Ua ʻike anei ʻoe i ka hana? Hana ʻia kēia pōʻaiapuni i loko o ko kākou kino me ka ʻole o ka hoʻōki ʻana no hoʻokahi kekona. ʻO ia ke kumu e loaʻa ai iā kākou ka ikehu e ola ai.
Ma hea i hana ʻia ai kēia mau hunaola koko ʻulaʻula? Pehea ko lākou ʻano?
Aia ka hale hana kahi i hana ʻia ai kēia mau limahana liʻiliʻi i kapa ʻia he mau hunaola koko ʻulaʻula ma loko o ka iwi ʻiʻo i loko o ko kākou mau iwi . ʻO kēia kahi nui i loko o ko kākou kino kahi e hana ʻia ai nā hunaola koko. Ma kahi o ʻehiku lā no kahi hunaola koko ʻulaʻula i hana hou ʻia e oʻo piha a hui pū me ke kahe koko.
He mea kūikawā loa hoʻi ko lākou helehelena.
- Waihoʻoluʻu: Loaʻa iā lākou ko lākou kala ʻulaʻula ʻālohilohi mai kahi protein i kapa ʻia ʻo hemoglobin . ʻO kēia hemoglobin ka mea e lawe ana i ka oxygen, e like me ka ʻeke lawe leka.
- ʻAno: He liʻiliʻi loa kēia mau mea, a hiki ke ʻike wale ʻia me kahi microscope. Ua like ko lākou ʻano me kahi donut , akā ʻaʻohe lua ma waenakonu. Ua like ka ʻāpana waena me kahi diski poepoe pālahalaha i piholo ʻia ma nā ʻaoʻao ʻelua.
- ʻAʻohe nukleus:ʻAʻole like me nā ʻāpana ʻē aʻe, ʻaʻohe nucleus o nā ʻulaʻula koko. He pōmaikaʻi nui kēia. No ka mea, ʻaʻohe o lākou nucleus, hiki iā lākou ke hoʻololi i ko lākou ʻano i kekahi ʻano a lākou e makemake ai a hiki ke komo i loko o nā kīʻaha koko liʻiliʻi loa. ʻO ia ke kumu e hiki ai iā lākou ke lawe i ka oxygen i kēlā me kēia kihi o ke kino.
He aha nā maʻi e hoʻopilikia ai i nā hunaola koko ʻulaʻula?
I kekahi manawa, hiki ke emi a kiʻekiʻe paha ka helu o nā hunaola koko ʻulaʻula i loko o ko kākou kino ma mua o ka maʻamau. Hiki i kēia mau kūlana ʻelua ke hoʻopilikia i ko kākou olakino.
1. Helu Haʻahaʻa o nā Kelepona Koko ʻUlaʻula
ʻO ka maʻamau, kapa mākou i kēia he "anemia" a i ʻole, ma ka ʻōlelo lapaʻau, "anemia." ʻO kēia ka manawa ʻaʻole hiki i kou koko ke lawe i ka oxygen lawa, hiki iā ia ke hoʻonāwaliwali a luhi hoʻi ʻoe.
| Kūlana / Kumu | Ua wehewehe maʻalahi ʻia |
|---|---|
| Anemia | Ke manaʻo mau nei i ka luhi, ke anu, a me ka nāwaliwali ma muli o ka loaʻa ʻole o ka oxygen i ke kino. |
| Ka nalowale o ke koko | ʻO ka nalowale ʻana o ke koko ma mua o ka wikiwiki o ke kino e hiki ke pani iā ia ma muli o kahi ʻeha, ʻoki kino, a i ʻole kekahi kumu ʻē aʻe. |
| Ka maʻi ʻiwi iwi | Ka hōʻino ʻana i ka mea hana hana o nā hunaola koko ʻulaʻula ponoʻī. No ka laʻana, nā maʻi e like me ka leukemia a me ka lymphoma . |
| Ka maʻi ʻaʻai a me ka lāʻau lapaʻau | ʻO kekahi mau maʻi kanesa a me nā lāʻau lapaʻau chemotherapy no ka maʻi kanesa hiki ke hoʻemi i ka hana ʻana o nā cell koko ʻulaʻula. |
2. Helu Kiʻekiʻe o nā Kelepona Koko ʻUlaʻula
I kekahi manawa, hana ke kino i nā hunaola koko ʻulaʻula ma mua o ka mea e pono ai. ʻO kēia ke kumu e mānoanoa ai ke koko. E noʻonoʻo iā ia he syrup mānoanoa ma kahi o ka wai. ʻO kēia koko mānoanoa e paʻakikī ai ke kahe ʻana o ke koko ma o nā aa koko, e hoʻonui ana i ka pilikia o nā maʻi koʻikoʻi e like me nā ʻōpū koko, nā hōʻeha puʻuwai, a me nā hahau.
| Kūlana / Kumu | Ua wehewehe maʻalahi ʻia |
|---|---|
| ʻO ka Polycythemia vera | He maʻi kēia o ka iwi iwi, kahi e hana ai ke kino i nā hunaola koko ʻulaʻula he nui loa ke ʻole ia e pono ai. |
| Maʻi puʻuwai hānau | Inā he kīnā puʻuwai hānau, ʻaʻole lawa ka oxygen i ke kino. No ka hoʻoponopono ʻana i kēia hemahema, hana ke kino i nā hunaola koko ʻulaʻula hou aʻe. |
| Maʻi Pūmāmā | ʻO nā maʻi e like me COPD a me Pulmonary Fibrosis e paʻakikī ai i ke kino ke omo i ka oxygen. Ma ke ʻano he uku, hoʻopuka ke kino i nā hunaola koko ʻulaʻula hou aʻe. |
| Hypoxia | Haʻahaʻa nā pae oxygen i loko o ke koko. Hiki ke loaʻa kēia ʻano i ka wā e noho ana ma nā wahi kiʻekiʻe. |
| Kalapona Monoxide | Ke puhipaka ʻoe, komo ke kalapona monoxide i loko o ke kino. Hoʻopaʻa kēia i ka hemoglobin a pale iā ia mai ka lawe ʻana i ka oxygen. ʻO ka hopena, hana ke kino i nā hunaola koko ʻulaʻula hou aʻe. |
He aha nā hōʻailona maʻamau o ka pilikia o nā hunaola koko ʻulaʻula?
Inā haʻahaʻa a kiʻekiʻe paha ka helu o kāu mau kele koko ʻulaʻula, hiki ke loaʻa kekahi mau hōʻailona maʻamau, no ka mea, ʻo ka hopena o nā mea ʻelua e hoʻololi i ke ʻano o ka loaʻa ʻana o ka oxygen i nā ʻāpana o ke kino e pono ai.
ʻO ka mea nui, mai hopohopo no ka mea he hoʻokahi a ʻelua paha o kēia mau hōʻailona kou. Hiki ke hana ʻia e nā mea ʻē aʻe he nui. Akā inā hoʻomau kēia mau hōʻailona, e ʻike pono i kāu kauka.
| Hōʻailona | Pehea kona manaʻo |
|---|---|
| Luhi | Manaʻo ola ʻole ʻoiai ma hope o ka hiamoe maikaʻi ʻana a me ka hana ʻole ʻana. |
| Nāwaliwali o nā ʻiʻo | ʻOi aku ka paʻakikī o ka manaʻo ma mua o ka maʻamau i ka hana ʻana i nā mea e like me ka hāpai ʻana i nā mea kaumaha a i ʻole ke piʻi ʻana i nā alapiʻi. |
| Ka nele o ka ikehu | Manaʻo hiamoe a hoihoi ʻole i kekahi mea i ka lā a puni. |
| ʻEha poʻo a i ʻole ka poʻo ʻāʻī | ʻOiai hoʻi i ka wā e piʻi ai nā hunaola koko ʻulaʻula, hiki i ka mānoanoa o ke koko ke hoʻopilikia i ke kahe o ke koko i ka lolo. |
| ʻIke Pōwehiwehi | Hiki ke loli ka ʻike ma muli o ka hōʻino ʻia ʻana o nā kīʻaha koko palupalu o nā maka. |
| Nā Lima a me nā Wāwae Anu | Hana ʻia kēia ma muli o ka emi ʻana o ke kahe koko i nā ʻāpana mamao loa o ke kino, ʻoiai hoʻi i nā hihia o ka anemia. |
Pehea e hoʻāʻo ʻia ai kēia mau mea? He aha nā waiwai maʻamau?
Aia kahi hoʻāʻo maʻalahi a maʻamau hoʻi e hiki ke hana ʻia e nānā i ke olakino o kou mau hunaola koko ʻulaʻula. Ua kapa ʻia ʻo ia he helu koko piha (CBC) . Pili kēia i ka lawe ʻana i kahi hāpana koko liʻiliʻi mai kou lima a helu ʻaʻole wale i nā hunaola koko ʻulaʻula, akā, ʻo ka helu hoʻi o nā ʻano hunaola like ʻole, e like me nā hunaola koko keʻokeʻo a me nā platelets.
ʻO ka maʻamau, hiki i ka helu o nā sela koko ʻulaʻula o ke kanaka olakino ke komo i kēia pae.
| Kanaka | Helu koko ʻulaʻula maʻamau (no kēlā me kēia microliter o ke koko) |
|---|---|
| Nā kāne | 4.7 a i 6.1 miliona |
| Nā wahine | 4.2 a i 5.4 miliona |
| Nā keiki | 4.0 a 5.5 miliona |
Akā e hoʻomanaʻo, hiki ke ʻokoʻa iki kēia mau helu mai ka hale hana a i ka hale hana, a mai ke kanaka a i ke kanaka. Mai hopohopo inā ʻaʻole lawa kāu hōʻike. E nānā kāu kauka i kāu hōʻike, e hoʻohālikelike iā ia me kou olakino, a e wehewehe pono i kona manaʻo.
He aha kā mākou e hana ai e mālama i ke olakino o nā hunaola koko ʻulaʻula?
He mea nui loa ka mālama ʻana i kēia poʻe hana mālie o kākou i ke olakino. ʻAʻole pono ia he mea nui. Inā mālama pono kākou i kā kākou meaʻai a me nā mea inu, hiki iā kākou ke hana i nā mea he nui. Pono kākou e loaʻa nā meaolaola e pono ai kākou e hana i nā hunaola koko ʻulaʻula mai ka meaʻai.
ʻO ka mea nui e pono ai:
- Hao
- Wikamina B9 (waikawa folic)
- Wikamina B12
Eia kekahi o nā meaʻai maʻamau:
- ʻIʻo ʻulaʻula (pipi) a me nā ʻāpana e like me ke akepaʻa: He kiʻekiʻe loa ka hao o kēia mau mea.
- Iʻa: ʻOi aku ka iʻa e like me ka salao a me ke kumbalao.
- Nā lau ʻai ʻōmaʻomaʻo ʻeleʻele: nā mea e like me ka spinach, kale, ka gotu kola, a me nā lau moringa.
- ʻO nā ʻano palaoa e like me nā lentil, chickpeas, peas, a me nā pīni ʻōmaʻomaʻo.
- Hua: ʻOi aku hoʻi nā yolks hua manu.
- Nā nati a me nā hua maloʻo: Nā mea e like me nā lā, nā hua waina maloʻo, a me nā cashews.
Ma ka hoʻohui ʻana i kēia mau meaʻai i kāu papaʻai o kēlā me kēia lā, e loaʻa iā ʻoe nā mea pono e pono ai kāu hale hana koko ʻulaʻula. Eia kekahi, ʻo ka pale ʻana i ka puhipaka he kōkua nui ia no nā koko ʻulaʻula.
Leka Lawe-Home
- ʻO nā hunaola koko ʻulaʻula kahi ʻano hunaola liʻiliʻi e hana ana e like me ka lawelawe ʻelele e lawe ana i ka oxygen i kēlā me kēia hunaola o ko kākou kino.
- Hiki i nā pae haʻahaʻa (anemia) a me ke kiʻekiʻe (polycythemia) ke hoʻoulu i nā pilikia olakino.
- Inā ʻike ʻoe i nā hōʻailona e like me ka luhi mau, ka nāwaliwali, a me ke poʻo ʻeha, he mea nui e ʻimi i ke aʻo lapaʻau.
- Hiki i kahi hoʻāʻo koko maʻalahi (CBC) ke hoʻoholo i ka helu o kāu mau kele koko ʻulaʻula.
- Hiki iā ʻoe ke mālama i ke olakino o nā hunaola koko ʻulaʻula ma ka ʻai ʻana i kahi meaʻai kaulike i waiwai i ka hao, nā wikamina B9, a me B12, a ma ka pale ʻana i ka puhipaka.
- Inā he mau hopohopo kou e pili ana i nā hopena o kāu hoʻāʻo koko a i ʻole kekahi mau hōʻailona, e kamaʻilio pono me kāu kauka e pili ana i ia mea.
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