Ua haʻi ʻia aku anei ʻoe e kāu kauka ʻohana, "E hōʻike kākou i kēia i kahi hematologist" ke loaʻa iā ʻoe kahi hōʻike koko? Ua makaʻu iki paha ʻoe i kou lohe ʻana i kēlā. "ʻAuē, he mea koʻikoʻi koʻu?" Ua manaʻo paha ʻoe. Akā, mai makaʻu. ʻAʻole i nā manawa a pau e noi ʻia ai ʻoe e ʻike i kahi hematologist, he kauka loea i nā maʻi koko, he mea koʻikoʻi ia. I kēia lā, e kamaʻilio kākou e pili ana i ka mea he hematologist, kā lākou hana, a me nā mea e pono ai ʻoe e ʻike inā pono ʻoe e ʻike i kekahi.
I ka ʻōlelo maʻalahi, ʻo wai kēia Hematologist?
He kauka hematologist ka mea loea i nā maʻi e pili ana i ke koko, ka iwi iwi, a me ka ʻōnaehana lymphatic o ko kākou kino. Ma ke ʻano pololei, he ʻoihana kūikawā kēia o ka Lapaʻau Kūloko.
E noʻonoʻo i kēia ʻano: ʻo ke koko i loko o ko kākou kino ua like ia me kahi pūnaewele o nā alanui e holo ana ma waena o kahi ʻāina. Ma kēia mau alanui e lawe ai ko kākou kino i ka oxygen a me nā meaʻai i nā ʻāpana āpau o ke kino, a hoʻopau pū ia i nā huahana ʻōpala. Inā he pilikia me kēia ʻōnaehana, aia kahi hematologist e nānā iā ia, e ʻike pono i ka mea i hewa, a mālama iā ia.
Hoʻomaopopo, mālama, a hoʻokele lākou i nā ʻano maʻi like ʻole e pili ana i ke koko. Hiki i kekahi o kēia mau maʻi ke lilo i mau maʻi maikaʻi ʻole (ʻaʻole maʻi kanesa), aʻo kekahi hiki ke lilo i maʻi ʻino (maʻi kanesa). Hoʻōla pū lākou i nā maʻi e like me nā pilikia clotting koko a me ke kahe nui ʻana o ke koko.
He ʻelua kānaka ʻokoʻa anei ka Hematologist a me ka Oncologist? A i ʻole he kanaka hoʻokahi lāua?
He mea kēia e huikau ai ka poʻe he nui. ʻAʻole like ka hematologist a me ka oncologist , akā i kekahi manawa hiki i ke kauka hoʻokahi ke loaʻa ka ʻike loea ma nā kahua ʻelua.
E nānā wale kākou i ka ʻokoʻa:
- Kauka Lapaʻau ʻOnkolo: He mau kauka loea kēia i ka maʻi kanesa. ʻO ia hoʻi, mālama lākou i nā ʻano maʻi kanesa āpau e hiki ke hana ma nā wahi āpau o ke kino.
- Hematologist: Ke nānā wale nei lākou i nā maʻi e pili ana i ke koko, ka iwi iwi, a me ka ʻōnaehana lymphatic.
I kēia manawa, ke noʻonoʻo nei paha ʻoe, "ʻO wai ka mea mālama i nā maʻi kanesa e ulu ana i loko o ke koko?" ʻAe, ʻo ia kahi e hui pū ai kēia mau kahua ʻelua. Nui nā maʻi kanesa, e like me ka leukemia a me ka lymphoma, e kū mai ana mai ko kākou mau hunaola koko a i ʻole ka iwi iwi. No laila, he loea nō hoʻi ka hematologist i nā maʻi kanesa e pili ana i ke koko. ʻO ia ke kumu i loea ai kekahi mau kauka i nā kahua ʻelua ma ke ʻano he "Hematologist-Oncologist."
ʻO ka mea nui e hoʻomanaʻo ai, ʻoiai ua ʻōlelo ʻia ʻoe e ʻike i kahi hematologist, ʻaʻole ia he manaʻo he maʻi kanesa kou.
ʻO ka hapa nui o ka manawa, e kuhikuhi wale aku kāu kauka ʻohana iā ʻoe i kahi hematologist inā ʻike lākou i kahi mea ʻē i kāu mau hōʻike hoʻāʻo koko. Hiki paha kēia i kahi loli i ka helu o kāu mau cell koko a i ʻole kahi loli i kou pae clotting koko. ʻAʻole mau nā loli liʻiliʻi i kēia mau hōʻike kumu he hōʻailona o kahi maʻi koʻikoʻi. E kuhikuhi lākou iā ʻoe i kahi loea e nānā pono iā ia.
He aha nā maʻi maʻamau a ke hematologist e mālama ai?
He nui nā ʻāpana nui o ko kākou koko. Lawe nā hunaola koko ʻulaʻula i ka oxygen i ke kino, pale nā hunaola koko keʻokeʻo iā kākou mai nā maʻi, a hoʻōki nā platelets i ke kahe koko. Inā pilikia ka hana o kekahi a ʻoi aku paha o kēia mau ʻāpana, kapa mākou ia he maʻi pili koko. E nānā kākou i ke ʻano o kēia mau ʻano maʻi.
| Nā maʻi koko maikaʻi ʻole | |
|---|---|
| Anemia | ʻO ka anemia nele i ka hao ke ʻano maʻamau o ka anemia. |
| Nā maʻi Thalassemia | He maʻi hoʻoilina kēia. Hoʻopilikia ia i ka hiki o ke kino ke hana i nā hunaola koko ʻulaʻula olakino a me ka hemoglobin. He kūlana ia a mākou e lohe pinepine ai ma Sri Lanka. |
| Hemophilia | He maʻi hoʻoilina nō hoʻi kēia. Hoʻonāwaliwali kēia i ke kaʻina hana koko. ʻOiai kahi ʻeha liʻiliʻi hiki ke hoʻoulu i ka nui o ke kahe koko. |
| ʻO ka maʻi Von Willebrand | He maʻi kahe koko maʻamau kēia. |
| ʻAʻai anemia cell sickle | He maʻi hoʻoilina i hoʻokumu ʻia e nā loli i ke ʻano o nā hunaola koko ʻulaʻula. |
| Nā maʻi koko ʻino | |
| Leukemia | He maʻi ʻaʻai koko e hoʻomaka ana ma ka iwi iwi. He mea maʻamau ia i nā keiki a me nā ʻōpio. Eia nō naʻe, me nā lāʻau lapaʻau o kēia manawa, ua piʻi nui ka nui o ka ho'ōla ʻia. |
| ʻO ka maʻi ʻōpū | He maʻi ʻaʻai e kū ana i loko o ka ʻōnaehana lymphatic. |
| Myeloma | He ʻano maʻi ʻaʻai e hoʻopilikia ai i nā pūnaewele plasma i loko o ka iwi iwi. |
He aha kāu e manaʻo ai ke ʻike ʻoe i kahi hematologist?
Inā he manawa kou e ʻike ai i kahi hematologist, he manaʻo maikaʻi e hoʻomākaukau iki ma mua o kou hele ʻana. ʻO ka hapa nui o ka manawa, e hana ke kauka i kēia mau mea:
- E nīnau e pili ana i kou olakino holoʻokoʻa: nā maʻi ʻē aʻe āu e loaʻa nei, nā lāʻau lapaʻau āu e lawe nei, a inā paha he maʻi kēia i loko o kekahi o kou ʻohana.
- E nīnau e pili ana i kāu mau hōʻailona: nā loli i kou kino, ka luhi, nā loli i ke kala o ka ʻili, nā fiva pinepine, a me ka pohō kaumaha.
- E nānā hou ʻia kāu mau hoʻāʻo koko: E lawe mai i kāu mau hoʻāʻo koko kahiko a hōʻike iā lākou i ke kauka. E nānā pono ke kauka iā lākou a wehewehe iā ʻoe i ke ʻano o nā waiwai.
- Hoʻoholo inā pono nā hoʻokolohua hou aʻe: Hiki ke noi ʻia ʻoe e hana i nā hoʻokolohua koko kūikawā a i ʻole kahi hoʻāʻo iwi iwi e ʻike pololei ai i ka maʻi.
- Kūkākūkā i ka hōʻailona a me ka lāʻau lapaʻau: Inā ua ʻike ʻia ka maʻi, e wehewehe piha ʻia iā ʻoe a e kūkākūkā ʻia nā koho lapaʻau hiki ke hana pū me ʻoe.
Nā hoʻāʻo koko maʻamau i kauoha ʻia e kahi hematologist
Kōkua kēia mau hoʻokolohua i ke kauka e hana i kahi hōʻailona pololei. E noi ʻia paha ʻoe e hana i kekahi o kēia mau mea.
| Inoa o ka hoʻāʻo | I ka ʻōlelo maʻalahi, he aha kāu e ʻike ai ma kēia? |
|---|---|
| Helu Koko Piha (CBC) | ʻO kēia ka hoʻāʻo koko maʻalahi loa. Ana ia i ka helu o nā hunaola ʻulaʻula, nā hunaola keʻokeʻo, a me nā platelets. |
| Hoʻāʻo ʻokoʻa koko | Hoʻokaʻawale ʻia ka helu o nā ʻano keʻokeʻo keʻokeʻo like ʻole (e.g. neutrophils, lymphocytes). |
| Hoʻāʻo Manawa Prothrombin (PTT) | Ke ana ia i ka lōʻihi o ke kau ʻana o kou koko. |
| ʻO ka hoʻopili koko peripheral (PBS) | Hoʻopili ʻia kahi kulu koko ma kahi slide aniani a nānā ʻia ma lalo o kahi microscope e nānā i ke ʻano a me ke ʻano o nā hunaola koko. |
Nā nīnau koʻikoʻi e nīnau aku i kāu kauka
Ke hele ʻoe e ʻike i ke kauka, he mea nui e nīnau i nā nīnau a pau āu e loaʻa ai. Mai makaʻu a hilahila paha. E pili ana kēia i kou olakino. I mea e kōkua ai iā ʻoe, eia kekahi mau nīnau hiki iā ʻoe ke nīnau:
- "E ke kauka, he aha ke ʻano ʻē i loko o kaʻu hōʻike koko? He aha ke ʻano?"
- "He aha kou manaʻo no ke ʻano olakino e loaʻa ana iaʻu?"
- "He kūlana koʻikoʻi anei kēia?"
- "He aha paha ke kumu o kēia?"
- "He aha nā hōʻailona kikoʻī e pono iaʻu e makaʻala?"
- "Pono anei au e hana i nā hoʻokolohua hou aʻe? He aha kā lākou e ʻimi nei?"
- "Pono anei au i ka lāʻau lapaʻau? He aha ke ʻano o ka lāʻau lapaʻau e loaʻa ana?"
- "Āhea e hoʻomaka ai ka lāʻau lapaʻau? Pehea ka lōʻihi?"
- "Aia kekahi mau hopena ʻaoʻao i ka lāʻau lapaʻau e hāʻawi ʻia mai nei iaʻu?"
He mea kōkua ke kākau i kēia mau nīnau ma kahi ʻāpana pepa. E kākau pū i lalo i nā pane a ke kauka e hāʻawi ai i kahi pōkole.
Leka Lawe-Home
- He kauka hematologist ka mea i loea i nā maʻi e pili ana i ke koko, ka iwi iwi, a me ka ʻōnaehana lymphatic.
- ʻOiai ua kuhikuhi ʻia ʻoe i kahi hematologist, ʻaʻole ia he manaʻo he maʻi kanesa kou. Nui nā maʻi ʻaʻole maʻi kanesa, e like me ka anemia.
- Ke kipa aku ʻoe i kāu kauka, mai makaʻu e nīnau i kāu mau nīnau. Pono ʻoe e hoʻomaopopo pono i kou kūlana a me kou lāʻau lapaʻau.
- Mai hopohopo no ka mea wale nō ua ʻike ʻoe i kahi loli i loko o kahi hoʻāʻo koko. Aia nā kauka loea ma laila e nānā pono iā ia a hana i nā mea e pono ai.











💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo