I kekahi manawa ke nānā mākou i kahi hōʻike koko, ʻike mākou i nā huaʻōlelo maʻa ʻole i loko, ʻeā? Ke ʻōlelo ke kauka i kahi huaʻōlelo e like me kēia, manaʻo mākou he hoihoi iki, a makaʻu iki paha. ʻO kekahi inoa ʻo 'Heinz Bodies'. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano maoli o kēia, he maʻi anei, a he hōʻailona paha o kahi maʻi. Ke maopopo pono iā ʻoe kēia, e nalowale kou makaʻu.
I ka ʻōlelo maʻalahi, he aha kēia mau kino Heinz?
I ka ʻōlelo maʻalahi, ʻaʻole he maʻi nā kino o Heinz. He hōʻailona wale nō ia ua hōʻino ʻia kou mau hunaola koko ʻulaʻula. E like me ka wā e ʻike ai mākou i kahi lua i loko o ke kaʻa, ʻike mākou ua paʻi ʻia ma kekahi wahi, a pēlā nō hoʻi kēia.
He mau kiko liʻiliʻi kēia ma luna o ko kākou mau ʻulaʻula koko. Hiki ke ʻike ʻia e nā kauka (ʻoi aku hoʻi nā pathologists) ke hoʻohana lākou i kahi kala kūikawā a nānā iā lākou ma lalo o kahi microscope. Hana ʻia kēia mau kiko i kahi protein i kapa ʻia ʻo hemoglobin i hōʻino ʻia. No laila, ʻo ka loaʻa ʻana o kēia mau mea ma kahi hoʻāʻo koko ʻo ia hoʻi he hewa kekahi mea me nā ʻulaʻula koko. Hiki ke lilo i hōʻailona o kahi maʻi e like me ka anemia.
E hoʻomaopopo kākou pehea i hoʻokumu ʻia ai kēia mau mea?
No ka hoʻomaopopo ʻana i kēia, pono mua mākou e ʻike iki e pili ana i ko mākou mau hunaola koko ʻulaʻula.
E noʻonoʻo i nā hunaola koko ʻulaʻula e like me kahi lawelawe lawe e lawe ana i ka oxygen ma o ko kākou kino. ʻO ka ukana i loko o kēia kaʻa lawe ʻo ia ka hemoglobin. ʻO kēia hemoglobin ka mea e lawe ai i ka oxygen a lawe iā ia mai nā māmā a i nā ʻāpana āpau o ke kino. ʻO kēia hemoglobin ka mea e hāʻawi ai i ko kākou koko i kona kala ʻulaʻula.
ʻO ka maʻamau, he nucleus ko kahi cell i loko o ko kākou kino. Eia naʻe, ʻaʻohe nucleus o kahi cell koko ʻulaʻula makua. No laila, hiki iā ia ke loaʻa nā miliona o nā molekala hemoglobin.
Inā no kekahi kumu ua hōʻino ʻia kēia mau hemoglobin (hōʻino oxidative) , ʻaʻole lākou e hana pono. Hoʻopili pū lākou a hoʻopili pū. Kāhea mākou i kēlā mau ʻāpana hemoglobin i hoʻopili ʻia a hōʻino ʻia he Heinz Bodies. Ke hana ʻia kēia, ʻaʻole hiki i nā hunaola koko ʻulaʻula ke lawe pono i ka oxygen. Eia kekahi, hoʻomaka lākou e haki a luku ʻia ma mua o ka maʻamau. I ka lāʻau lapaʻau, ua kapa ʻia kēia haki wikiwiki ʻana o nā hunaola koko ʻulaʻula he hemolysis .
He aha nā hōʻailona e hiki ke kū mai inā loaʻa nā kino Heinz?
ʻAʻole i hoʻokumu ʻia nā hōʻailona e nā kino Heinz, akā na ke kūlana kumu e hoʻokumu ai iā lākou, ʻo ia hoʻi ka helu haʻahaʻa o nā cell koko ʻulaʻula (anemia). Inā haʻahaʻa loa kāu helu cell koko ʻulaʻula, ʻaʻole paha ʻoe e loaʻa i kekahi mau hōʻailona. ʻO ka hapa nui o ka manawa, ʻo kēia mau hōʻailona ke kumu o ka loaʻa ʻole o ka oxygen i kou kino.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Luhi | Luhi loa ke manaʻo nei ʻoiai me ka hana ʻole ʻana i kekahi mea. |
| Pōʻino | He manaʻo o ka poniuniu a me ka nalowale o ke kaulike. |
| ʻIli keʻokeʻo | ʻIli keʻokeʻo a me nā lehelehe ma muli o ke koko ʻole. |
| Ka wikiwiki o ka puʻuwai (Tachycardia) | Ka wikiwiki o ka puʻuwai, me ka manaʻo e kuʻi ana kou umauma. |
| Ka paʻakikī o ka hanu ʻana (Dyspnea) | Ka pōkole o ka hanu, ka manaʻo nāwaliwali ʻoiai me ka hoʻoikaika iki ʻana. |
| ʻĀʻī | Melemele o ka ʻili a me nā keʻokeʻo o nā maka. |
| ʻO ka splenomegaly | Ka hoʻonui ʻia ʻana o ka spleen, kahi e wehe ai i nā hunaola koko ʻulaʻula i hōʻino ʻia. |
Pehea ʻoe e loaʻa ai i kēia mau mea?
ʻIke nā kauka i kēia mau kino Heinz me kahi hoʻāʻo i kapa ʻia he peripheral blood smear . Pili kēia i ka lawe ʻana i kahi kulu koko liʻiliʻi mai kou manamana lima a hamo iā ia ma kahi slide aniani, hoʻohui i kahi kala kūikawā, a nānā iā ia ma lalo o kahi microscope.
ʻO ka mea kupaianaha maoli, ʻo kēia mau hunaola koko ʻulaʻula me nā kino Heinz i kekahi manawa ke nānā aku me he mea lā ua nahu kekahi i kahi ʻāpana o ke hunaola. Kāhea mākou i kēia mau "nā hunaola nahu."
Eia ke ʻano o ka hana ʻana: Ke hele nā hunaola koko ʻulaʻula i hōʻino ʻia ma o ko kākou ʻōpū, hana ka ʻōpū e like me ke kānana. "Nau" ia i nā kino Heinz i hōʻino ʻia. Ua like nā hunaola koko ʻulaʻula i koe me kahi ʻāpana meaʻai a kekahi i nau ai.
He aha nā kūlana olakino nui e ʻike ʻia ai nā kino Heinz?
Ua ʻike mākou i kēia manawa he hōʻailona nā kino Heinz o kahi maʻi. No laila, eia kekahi o nā kūlana nui i ʻike ʻia ai lākou.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| Anemia Hemolytic | Hoʻokumu ʻia ka anemia e ka haki ʻana a me ka luku ʻia ʻana o nā hunaola koko ʻulaʻula i ka wikiwiki ma mua o ka hana ʻia ʻana. |
| Ka hemahema o ka G6PD | He kūlana hoʻoilina kēia. ʻO ka nele o ka enzyme G6PD e hoʻonui i ka pilikia o ka hōʻino ʻana i nā hunaola koko ʻulaʻula. |
| ʻAlapha-thalassemia | He maʻi hoʻoilina nō hoʻi kēia. I kēia hihia, ʻaʻole hiki i ke kino ke hana i ka hemoglobin olakino. |
| ʻO ka spleen i hoʻonui ʻia | Pono ka spleen e hana ikaika aʻe e wehe i nā helu he nui o nā hunaola koko ʻulaʻula i hōʻino ʻia, e hoʻonui ai ia. |
No ke aha i loaʻa ai kēia mau kino Heinz? He aha nā kumu?
Aia kekahi mau kumu nui e hiki ai ke hōʻino i ka hemoglobin.
- Ka ʻike ʻia ʻana i kekahi mau lāʻau lapaʻau a me nā kemika: No ka laʻana, kekahi mau lāʻau lapaʻau no nā maʻi ʻōpū mimi (UTI) a me nā lāʻau lapaʻau no ka maʻi lēpera.
- Nā hemahema o nā minelala: ʻO ka hemahema o kahi minelala i loko o ke kino, ʻoiai ka selenium.
- Nā meaʻai kūikawā no ka poʻe me ka hemahema o G6PD: Inā ʻai kahi kanaka me ka hemahema o G6PD i nā meaʻai e like me nā pīni fava , hiki ke hōʻino ʻia ko lākou mau hunaola koko ʻulaʻula a hiki ke hoʻokumu ʻia nā kino Heinz.
Ka mālama ʻana a me ka pale ʻana
He pilikia kēia i loaʻa i nā kānaka he nui. ʻAʻohe lāʻau lapaʻau kūikawā no nā kino o Heinz. No ka mea, ʻaʻole ia he maʻi, akā he hōʻailona o kahi maʻi. ʻO ke kī, ʻo ia ka ʻimi ʻana i ke kūlana kumu e hoʻoulu ai a mālama iā ia. E hana kāu kauka i nā hoʻokolohua e pono ai, e ʻike pono i ke kumu o ia mea, a e kuhikuhi i ka lāʻau lapaʻau kūpono.
Hiki ke pale ʻia? ʻAe, i kekahi mau hihia hiki.
Eia kekahi laʻana, inā ʻike ʻoe he hemahema kou G6PD, pono ʻoe e pale i ka ʻai ʻana i nā pīni fava. Eia kekahi, ke lawe nei ʻoe i ka lāʻau lapaʻau no kekahi ʻano maʻi ʻē aʻe, he mea nui loa ia e hoʻomaopopo i kāu kauka he hemahema kou G6PD. Ma kēlā ʻano, hiki i kāu kauka ke kuhikuhi i kahi lāʻau lapaʻau e hōʻeha ʻole iā ʻoe.
Leka Lawe-Home
- ʻAʻole he maʻi nā kino Heinz, he hōʻailona wale nō ia ua hōʻino ʻia kou mau hunaola koko ʻulaʻula.
- ʻIke ʻia kēia ma o kahi hoʻāʻo kūikawā i hana ʻia ma kahi kulu koko (Peripheral Blood Smear).
- Hiki ke hana ʻia kēia mau mea e nā kūlana genetic e like me ka hemahema o G6PD, thalassemia, a i ʻole kekahi mau lāʻau lapaʻau.
- ʻAʻohe lāʻau lapaʻau kūikawā no nā kino Heinz. Kuhikuhi ʻia ka lāʻau lapaʻau i ke kūlana kumu i hoʻokumu ai iā lākou.
- Inā loaʻa iā ʻoe kahi inoa e like me kēia ma kāu hōʻike koko, mai hopohopo no ia mea, e ʻike koke i kāu kauka a kamaʻilio e pili ana. E hāʻawi ʻo ia iā ʻoe i nā ʻōlelo aʻoaʻo a pau āu e pono ai.
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