Ke kiʻi ʻoe i kahi hōʻike hoʻāʻo koko, manaʻo iki ʻoe i kekahi manawa i ka makaʻu ke ʻike ʻoe i nā huaʻōlelo, nā leka, a me nā helu ma luna, ʻeā? Ma kēia hōʻike, nona ka nui o nā huaʻōlelo e like me CBC, Hct, a me Hb, i kēia lā ke kamaʻilio nei mākou e pili ana i ka hoʻāʻo i kapa ʻia ʻo Hematocrit, a i ʻole Hct no ka pōkole. He hoʻāʻo maʻalahi loa kēia, a haʻi pū ia iā mākou i ka ʻike koʻikoʻi e pili ana i ko mākou olakino.
I ka ʻōlelo maʻalahi, he aha kēia hoʻāʻo Hematocrit (Hct)?
He maʻalahi loa ia. Pili ia i ka lawe ʻana i kahi hāpana o kou koko a me ke ana ʻana i ka pakeneka o ka nui o ke koko i hana ʻia me nā hunaola koko ʻulaʻula .
E noʻonoʻo, ʻaʻole i hana ʻia ko kākou koko i hoʻokahi mea. He ʻehā ona ʻāpana nui:
- Nā hunaola koko ʻulaʻula: ʻO kēia nā mea e lawe i ka oxygen ma o ko kākou kino. He hana koʻikoʻi kā lākou.
- Nā hunaola koko keʻokeʻo: ʻO kēia nā pale o ko mākou kino e hakakā nei i nā maʻi a me nā huakini e komo i loko o ko mākou kino.
- Nā Platelets: ʻO kēia nā mea e kōkua ai i ka hoʻōki ʻana i ke kahe koko a hana i nā ʻūpā koko ke loaʻa kahi ʻeha.
- Plasma: ʻO kēia ka ʻāpana wai o ke koko. Lana nā ʻāpana ʻē aʻe a pau i loko.
No laila, ke ana nei ka hoʻāʻo Hematocrit i ka pakeneka o nā hunaola koko ʻulaʻula i loko o kēia mau mea a pau. He mea nui loa ka loaʻa ʻana o ka nui kūpono o nā hunaola koko ʻulaʻula e noho olakino ai, no ka mea, ʻo lākou ka mea e lawe ai i ka oxygen i ke kino.
I ka manawa hea e ʻōlelo ai ke kauka e hana i kēia hoʻokolohua?
Aia kekahi mau kumu maʻamau e noi ai ke kauka iā ʻoe e hana i kēia hoʻokolohua. Hana pinepine ʻia ia ma ke ʻano he ʻāpana o kahi hoʻokolohua i kapa ʻia he Complete Blood Count (CBC) .
- Ma ke ʻano he ʻāpana o ka hoʻokolohua lapaʻau maʻamau e pono ai ʻoe e hana i kēlā me kēia makahiki.
- Inā loaʻa iā ʻoe nā hōʻailona o kahi maʻi e hoʻopilikia ai i nā hunaola koko ʻulaʻula (no ka laʻana, luhi mau, keʻokeʻo, paʻakikī ka hanu ʻana).
- Inā loaʻa iā ʻoe kahi maʻi koko i ʻike ʻia, e kiaʻi iā ia.
Pehea e hana ʻia ai kēia hoʻāʻo koko? Aia kekahi mea e makaʻu ai?
ʻAuē, ʻaʻohe mea e makaʻu ai. He mea wikiwiki a maʻalahi hoʻi kēia e hana ai.
Pono ʻoe e hoʻomākaukau ma mua o ka hoʻokolohua?
ʻAʻohe pono o ka hoʻomākaukau kūikawā. Hiki iā ʻoe ke ʻai a inu ma ke ʻano maʻamau a lawe i kāu mau lāʻau lapaʻau. Eia nō naʻe, inā makaʻu ʻoe i nā nila, e haʻi mua i nā limahana i kahi e huki ʻia ai kou koko. E kōkua lākou iā ʻoe e hoʻomaha.
He aha ka mea e hana ʻia ke huki ʻia ke koko?
He mau minuke wale nō kēia e lawe ai.
1. ʻO ka mea mua, e ʻimi kekahi limahana lapaʻau i kahi aa koko maikaʻi ma kou lima (ʻo ka mea maʻamau ka ʻaoʻao o loko o kou kuʻekuʻe lima) e huki ai i ke koko. No nā keiki ʻōpio, lawe pinepine ʻia ke koko mai ke kuʻekuʻe wāwae.
2. A laila, ua kau ʻia kahi kaula laholio (e like me ka tourniquet) a puni ka ʻaoʻao o luna o ka lima a hoʻopaʻa iki ʻia.
3. E hoʻomaʻemaʻe i kahi i hoʻokomo ʻia ai ke kui me kahi ʻāpana pulupulu.
4. A laila, hoʻokomo ke kauka i ka nila i loko o ke aʻa. Hiki paha iā ʻoe ke manaʻo i kahi ʻeha iki i kēlā manawa , akā e nalo aku ia i loko o kekahi mau kekona.
5. Hōʻiliʻili ʻia ka nui o ke koko e pono ai i loko o kahi ʻōmole.
6. ʻO ka hope loa, wehe ʻia ke kui, kau ʻia kahi ʻāpana pulupulu ma ia wahi, a hoʻopili ʻia kahi palaki.
Hiki iā ʻoe ke hoʻi i ka home ma hope o ka hāʻawi ʻana i ke koko. Ma mua o kou hele ʻana, e nīnau i ka wā e hiki ai iā ʻoe ke manaʻo e loaʻa ka hōʻike. ʻO ka maʻamau, e loaʻa iā ʻoe ka hōʻike i loko o 24 mau hola a i ʻole kekahi mau lā.
Hiki i kekahi poʻe ke manaʻo iki i ka puni ma hope o ka hāʻawi ʻana i ke koko. He mea maʻamau kēia. Inā manaʻo ʻoe pēlā, mai makaʻu e haʻi aku i ka poʻe ma laila. E kōkua lākou iā ʻoe.
Pehea e maopopo ai iaʻu nā waiwai i loko o ka hōʻike?
Hāʻawi ʻia nā hopena o kāu hōʻike Hematocrit (Hct) ma ke ʻano he pakeneka. No ka laʻana, inā he 45 ka hopena, ʻo ia hoʻi he 45% o kou koko he mau hunaola koko ʻulaʻula.
Hoʻololi kēia mau waiwai maʻamau ma muli o ka makahiki a me ke kāne.
| Kanaka | Ka waiwai maʻamau o ka Hematocrit (Hct) |
|---|---|
| Nā kāne | 41% a i 50% |
| Nā wahine | 36% a i 44% |
| Nā pēpē | 32% a i 42% |
| Nā pēpē hānau hou | 45% a i 61% |
He mea nui: Hiki ke ʻokoʻa iki kēia mau waiwai maʻamau mai ka hale hana a i ka hale hana. No laila e hoʻohālikelike i kāu mau hopena i ka "Reference Range" i helu ʻia ma kāu hōʻike. Hiki i kekahi mau hōʻike ke hōʻike i kahi waiwai kiʻekiʻe (H) a i ʻole kahi waiwai haʻahaʻa (L).
Inā piʻi ka waiwai hematocrit (High Hematocrit)
ʻO ka waiwai Hct i ʻoi aku ma mua o ka maʻamau i kapa ʻia ʻo Erythrocytosis i ka lāʻau lapaʻau. I kekahi manawa hiki ke kumu o kēia i kahi maʻi olakino e like me 'Polycythemia Vera'. Akā i ka hapa nui o ka manawa, ʻo ia hoʻi ke hana nei ke kino i nā hunaola koko ʻulaʻula hou aʻe no ka mea e pono ai nā hunaola o ke kino i ka oxygen hou aʻe.
Hiki i kekahi mau kumu ke hoʻonui i nā waiwai Hct:
- Dehydration: ʻO ke ʻano kēia ʻaʻole lawa ka wai o ke kino.
- Maʻi puʻuwai:
- Puhi paka:
- Nā maʻi o ka māmā (Pulmonary fibrosis):
- ʻO ka apnea hiamoe obstructive:
- Ka lāʻau make kalapona monoxide:
- Ke lawe nei i ka hormone testosterone:
- Ke noho ʻana ma nā wahi kiʻekiʻe: No ka mea, ʻoi aku ka liʻiliʻi o ka oxygen i ka ea ma nā wahi mauna, hoʻohua ke kino i nā hunaola koko ʻulaʻula hou aʻe e hoʻololi ai.
Inā emi ka waiwai hematocrit (Haʻahaʻa Hematocrit)
ʻO ka haʻahaʻa o ka waiwai Hct pinepine ke ʻano ʻaʻole lawa nā hunaola koko ʻulaʻula olakino o kou kino. Kāhea mākou i kēia maʻi he anemia . Pono ka poʻe he nui e hana i kēia hoʻāʻo ma muli o nā hōʻailona e like me ka luhi mau a me ka nāwaliwali.
ʻO nā kumu ʻē aʻe e hiki ai ke hoʻemi i ka waiwai Hct:
- Ke kahe ʻana o ke koko: Ma muli o kahi ʻeha a i ʻole kekahi kūlana olakino ʻē aʻe i loko o ke kino.
- Maʻi puʻupaʻa:
- Maʻi thyroid:
- Nā maʻi e like me ka leukemia:
- Hyponatremia: ʻO ke ʻano kēia o ka emi ʻana o nā pae sodium i loko o ke koko.
- Hāpai keiki: Ma muli o ka piʻi ʻana o ka nui o ka wai i loko o ke kino i ka wā hāpai, ʻike ʻia paha ka haʻahaʻa o ka pakeneka o nā hunaola koko ʻulaʻula.
He ʻelua mau mea like ʻole ka Hematocrit a me ka Hemoglobin?
ʻAe. ʻO ia hoʻi ʻelua. Ua ʻike paha ʻoe i kēia mau mea ʻelua ma kāu hōʻike.
- ʻO ka Hematocrit (Hct) ka pakeneka o nā hunaola koko ʻulaʻula i loko o ke koko.
- ʻO ka Hemoglobin (Hb) ka nui o ka protein e lawe ana i ka oxygen i loko o nā ʻāpana koko ʻulaʻula.
I ka ʻōlelo maʻalahi, ana ʻo Hct i ka nui o nā hunaola koko ʻulaʻula, a ana ʻo Hb i ka nui o ka hiki ke lawe i ka oxygen i loko o kēlā mau hunaola.
ʻO ka mea nui loa: Mai hopohopo inā ʻike ʻoe i kahi waiwai haʻahaʻa a kiʻekiʻe paha ma kāu hōʻike. He hōʻailona paha ia o kahi maʻi koʻikoʻi, a i ʻole ma muli o kahi kumu maʻalahi a manawa pōkole e like me ka maloʻo ʻana o ka wai. No laila, ma kahi o ka hopohopo e pili ana i ka mea ʻino loa, e kūkākūkā mau i ka hōʻike me kāu kauka.
Hiki i kāu kauka ke wehewehe pono iā ʻoe i ke ʻano maoli o kēia mau hopena a me ka mea e hana ai ma hope, ma ka hoʻohālikelike ʻana iā lākou me nā waiwai ʻē aʻe i kāu hōʻike a me kāu mau hōʻailona.
Leka Lawe-Home
- He hoʻāʻo koko maʻalahi ka Hematocrit (Hct) e ana i ka pakeneka o nā hunaola koko ʻulaʻula i loko o kou koko.
- Hiki ke hoʻonui a hoʻemi ʻia paha kēia waiwai e nā kūlana olakino koʻikoʻi, a me nā kumu maʻamau e like me ka puhipaka, ka maloʻo ʻana o ka wai, a i ʻole ka hāpai ʻana.
- Mai hopohopo inā ʻike ʻoe i kahi waiwai ma ka hōʻike i ʻokoʻa mai ka pae maʻamau.
- ʻO ke ala maikaʻi loa a ʻo ke ala hoʻokahi wale nō e hoʻoponopono ai i kekahi mau nīnau a hopohopo paha āu e pili ana i nā hopena o kāu hōʻike, ʻo ia ke kamaʻilio me kāu kauka.
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