Ua noʻonoʻo paha ʻoe i kahi i puka mai ai kēia koko i loko o ko kākou kino a pehea e hana ʻia ai? Ua ʻike mākou i ke koʻikoʻi o kēia koko no ka mālama ʻana iā kākou i ke olakino, e pale iā kākou mai nā maʻi, a e lawe i ka oxygen i nā ʻāpana a pau o ko kākou kino. No laila i kēia lā e kamaʻilio mākou e pili ana i kēia kaʻina hana kupaianaha, ʻo ia hoʻi, hana ko kākou kino i nā hunaola koko hou nona iho. Ua like ia me kahi hale hana liʻiliʻi i loko o ke kino.
He aha ka hematopoiesis?
I ka ʻōlelo maʻalahi, ʻo Hematopoiesis ke kaʻina hana o ka hana ʻana i nā hunaola koko i loko o ko kākou kino. I ka make ʻana o nā hunaola koko kahiko, pono e hana mau ʻia nā hunaola koko hou e pani iā lākou. Me ka ʻole o lākou, e pilikia ana kā mākou lako koko. Hoʻomaka kēia kaʻina hana ma mua o ko kākou hānau ʻana a hoʻomau i loko o kahi pōʻaiapuni i ko kākou ola.
He mea paʻakikī paha kēia huaʻōlelo, akā, he maʻalahi loa kona manaʻo. Ua hana ʻia ia me ʻelua mau huaʻōlelo Helene:
- ʻO Haîma (Haima): ʻo ia hoʻi "ke koko"
- Poiēsis: ʻo ia hoʻi "ka hana ʻana i kahi mea"
I kēia manawa ua maopopo iā ʻoe, ʻeā? Ke hui pū ʻia kēia mau huaʻōlelo ʻelua, ʻo ia hoʻi ke "hoʻokumu ʻana o ke koko." I kekahi manawa hoʻohana ʻia nā huaʻōlelo e like me `(hemopoiesis)` a me `(hematogenesis)` no kēia.
He aha nā ʻano nui o nā hunaola koko i hana ʻia e kēia kaʻina hana?
Ua hana ʻia ko kākou koko i kahi hōʻiliʻili o nā ʻano ʻano pūnaewele like ʻole. Hoʻopuka ʻia kēia mau ʻano pūnaewele a pau i ka wā o ke kaʻina hana hematopoiesis. E nānā kākou i nā ʻano nui a me kā lākou mau hana.
| ʻAno o ke koko | He maʻalahi ka hana. |
|---|---|
| Nā Kelepona Koko ʻUlaʻula a i ʻole nā Erythrocytes | ʻO kēia ka 'lawelawe lawe' e lawe ana i ka oxygen mai ko kākou mau māmā a lawe iā ia i nā ʻano ʻē aʻe a me nā cell i loko o ke kino. Lawe pū lākou i nā huahana ʻōpala kalapona dioxide i hana ʻia e nā cell i nā māmā. Aia i loko o ko kākou koko ka hapa nui o nā cell koko ʻulaʻula. ʻO ke kaʻina hana o kēia mau mea ua kapa ʻia ʻo Erythropoiesis . |
| Nā Kelepona Koko Keʻokeʻo a i ʻole nā Leukocytes | ʻO kēia nā 'pūʻali koa' o ko kākou kino. Mālama kēia mau hunaola koko keʻokeʻo iā kākou mai nā maʻi ma ke kaua ʻana aku i nā mea komo hewa mai nā ʻāina ʻē e like me nā germs, bacteria, a me nā virus. Kōkua pū lākou i ka luku ʻana i nā hunaola ʻē i hana ʻia i loko o ke kino. ʻO ke kaʻina hana o ka hana ʻana iā lākou ua kapa ʻia ʻo leukopoiesis . |
| Nā Platelets a i ʻole Thrombocytes | E noʻonoʻo i ka mea e hiki mai ana inā ʻoki ʻoe i kou lima. Ma hope o kekahi manawa, pau ke kahe ʻana o ke koko, ʻeā? ʻO ia ka mea e kōkua ai nā platelets. He mau ʻāpana cell sticky kēia. Ke loaʻa kahi ʻeha, hui pū lākou e hana i kahi clot, e hoʻōki ana i ke kahe ʻana o ke koko. ʻO ke kaʻina hana o kēia mau mea ua kapa ʻia ʻo thrombopoiesis . |
Aia kekahi mau ʻano o nā hunaola koko keʻokeʻo?
ʻAe, e like me kā mākou pūʻali koa, aia nā ʻano like ʻole o nā hunaola koko keʻokeʻo. Loaʻa i kēlā me kēia kahi hana kikoʻī e hana ai. ʻO nā ʻano nui:
- Nā Neutrophils
- Nā Basophil
- Nā Eosinophils
- Nā monocyte
- Nā Lymphocytes - Ua māhele hou ʻia kēia mau mea i nā pūnaewele B, nā pūnaewele T, a me nā pūnaewele pepehi kanaka kūlohelohe.
Ma hea kahi e hana maoli ai kēia hoʻokumu ʻana o ke koko?
ʻO ka hale hana nui e hana ana i kēia mau hunaola koko aia i loko o ko kākou iwi iwi . ʻO ka iwi iwi ka ʻiʻo palupalu a huʻahuʻa i loko o ko kākou mau iwi nui. Hana ʻia nā hunaola koko i loko o ka iwi iwi, a laila e hoʻohui i ko kākou mau kīʻaha koko.
ʻOiai ke hana maʻamau ʻia ke koko i loko o ka iwi iwi, i kekahi mau hihia kūikawā, no ka laʻana, inā loaʻa i ka iwi iwi kahi maʻi e pale ai i ka hana ʻana i ke koko, hiki i nā ʻōpū e like me ko kākou akepaʻa a me ka spleen ke hoʻomaka e hana i ke koko.
Akā, ʻokoʻa iki nā wahi i hana ʻia ai kēia koko ma mua a ma hope o ko kākou hānau ʻana.
Ma mua o ka hānau ʻana (i ka wā fetal)
I nā pule mua o ka hāpai ʻana, hana ʻia ke koko i loko o kahi ʻano i kapa ʻia ʻo ka yolk sac. A laila, i ka holomua ʻana o ka hāpai ʻana, hoʻoili ʻia kēia hana i ke akepaʻa a me ka spleen. Ma kahi o ka malama ʻelima o ka hāpai ʻana, hoʻomaka ke koko e hana ʻia ma ka iwi iwi.
Ma hope o ka hānau ʻana
Mai ka lā i hānau ʻia ai kākou a hiki i ka wā makua, ʻo ka iwi iwi ke kikowaena nui no ka hana ʻana o nā hunaola koko. Eia nō naʻe, ulu pū kekahi ʻano hunaola koko keʻokeʻo i kapa ʻia ʻo lymphocytes ma nā wahi e like me ka thymus, ʻo ia kekahi ʻāpana o ka ʻōnaehana lymphatic, me ka iwi iwi.
Pehea e hana ʻia ai ke kaʻina hana o ka hematopoiesis?
Hoʻomaka kēia kaʻina holoʻokoʻa me kahi pūnaewele kūikawā hoʻokahi. Ua kapa ʻia kēia ʻo ke Kelepona Kumu Hematopoietic (HSC).E kapa kākou i kēia he "kelepona makuahine" a i ʻole he "kelepona mua." Hiki i kēia kelepona makuahine ke lilo i kele koko ʻulaʻula, kele koko keʻokeʻo, platelet, kekahi ʻano kele koko.
E noʻonoʻo i kēia me he puʻu lepo lā. E like me ka hana ʻana i nā ipu lepo, hiki ke hoʻohana ʻia kahi puʻu lepo e hana i ka ipuhao, kahi pā, a i ʻole kekahi mea ʻē aʻe, hiki ke hana ʻia kekahi ʻāpana koko mai kēia ʻāpana HSC.
ʻO kēia pūnaewele HSC e lilo mua i pūnaewele "precursor". A laila māhele a hoʻokaʻawale kēia pūnaewele precursor i kekahi mau manawa hou aku, a lilo hope i pūnaewele koko ʻulaʻula piha, pūnaewele koko keʻokeʻo, a i ʻole platelet.
- Ka hana ʻana o nā hunaola koko ʻulaʻula (Erythropoiesis): Hoʻomohala ʻia ke hunaola HSC i loko o kahi hunaola mua i kapa ʻia he "erythroblast", a lilo hope ia i hunaola koko ʻulaʻula.
- Hana ʻana o nā keena koko keʻokeʻo (Leukopoiesis): ʻElua ala hana ma ʻaneʻi. Hana ʻia kekahi mau keena koko keʻokeʻo ma o ke ala "laina cell myeloid", a me nā lymphocytes ma o ke ala "laina cell lymphoid".
- Ka hana ʻana o nā platelet (Thrombopoiesis): Hoʻomohala ʻia ke kelepona HSC i loko o kahi kelepona nui i kapa ʻia he "megakaryocyte." A laila, hoʻokumu ʻia nā platelets ma ka wāwahi ʻana i mau ʻāpana mai kēia kelepona nui.
He aha inā he pilikia me kēia kaʻina hana?
He maikaʻi loa ko kākou kino i ka hoʻomalu ʻana i ka hana ʻana o kēia mau hunaola koko. ʻO ia hoʻi, hana wale kākou i ka nui o nā hunaola e pono ai. Akā, hiki i kekahi mau maʻi ke hoʻopilikia i kēia kaʻina hana. A laila, hiki ke hana ʻia nā hunaola koko liʻiliʻi loa, a i ʻole hiki ke hana ʻia he nui loa. ʻAʻole maikaʻi kekahi o kēia mau mea no ke kino.
| ʻAno o ke koko | Inā emi ka helu o nā cell (Too Few) | Inā piʻi ka helu o nā cell (Nui Loa) |
|---|---|---|
| Nā hunaola koko ʻulaʻula | Ua kapa ʻia kēia maʻi he anemia . Manaʻo ke kino i ka luhi a me ka nāwaliwali no ka mea ʻaʻole i loaʻa i nā ʻāpana o ke kino ka oxygen e pono ai. | Ua kapa ʻia kēia ʻano he Erythrocytosis . Hiki iā ia ke hoʻomānoanoa i ke koko, e hoʻonui ana i ka pilikia o nā ʻano e like me ka hōʻeha puʻuwai a i ʻole ka hahau ʻana. |
| Nā hunaola koko keʻokeʻo | Ua kapa ʻia kēia maʻi ʻo Leukopenia . Ke haʻahaʻa nā hunaola koko keʻokeʻo, ua nāwaliwali ka ʻōnaehana pale o ke kino, a hiki ke loaʻa pinepine nā maʻi. | Ua kapa ʻia kēia ʻano he Leukocytosis . ʻIke pinepine ʻia ia i ka wā e hakakā nei ʻoe i kahi maʻi. Akā hiki nō hoʻi ke hana ʻia i kekahi mau maʻi koko a i ʻole nā maʻi kanesa. |
| Nā Platelets | Ua kapa ʻia kēia ʻano he Thrombocytopenia . ʻOiai kahi ʻeha liʻiliʻi hiki ke hoʻoulu i ke kahe koko ʻaʻole e pau. Hiki nō hoʻi ke loaʻa nā palapū ma ke kino. | Ua kapa ʻia kēia kūlana he thrombocytosis , a hoʻonui ia i ka pilikia o nā ʻūpā koko weliweli e hana ana i loko o nā kīʻaha koko. |
He aha nā kūlana e hoʻopilikia ai i ke kaʻina hana o ka hematopoiesis?
Hiki ke hoʻopilikia ʻia kēia kaʻina hana koko no nā kumu like ʻole.
- Ka ʻelemakule ʻana: I ko kākou wā ʻelemakule, hiki ke hoʻonui ʻia nā waihona momona i loko o ka iwi iwi, e hōʻemi ana i ka hiki ke hana i nā hunaola koko.
- Nā maʻi koko a me ke kanesa: ʻO nā maʻi kanesa e like me ka leukemia, lymphoma, a me ka myeloma hiki ke hana i nā nui o nā hunaola koko ʻē aʻe e hana pono ʻole.
- Kekahi mau lāʻau lapaʻau: No ka laʻana, hiki i ka chemotherapy no ka maʻi kanesa ke pepehi ʻaʻole wale i nā hunaola kanesa akā i nā hunaola koko olakino hoʻi. He hopena ʻaoʻao kēia o kekahi mau lāʻau lapaʻau.
Inā loaʻa iā ʻoe nā hōʻailona e like me ka luhi mau, ka loaʻa pinepine ʻana o ke kuni a me nā maʻi, ka palapū me ke kumu ʻole, a i ʻole ke kahe ʻana o ke koko mai kahi ʻeha e lōʻihi ka manawa e pau ai, e kamaʻilio me kāu kauka. He mau hōʻailona paha kēia o ka pilikia koko.
He hana mau a koʻikoʻi ka Hematopoiesis no ko kākou ola ʻana. ʻO kēia hale hana liʻiliʻi i loko o ko kākou iwi iwi ka mea e mālama ai iā kākou i ke olakino a me ka ikaika. ʻO ia ke kumu he mea nui loa ka mālama ʻana i ke olakino o ko kākou koko.
Leka Lawe-Home
- HematopoiesisPili ia i ke kaʻina hana e hana ai ko mākou kino i nā hunaola koko i kapa ʻia he mau hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets.
- Hana nui ʻia kēia kaʻina hana ma ka iwi ʻiʻo i loko o ko kākou mau iwi.
- Lawe nā hunaola koko ʻulaʻula i ka oxygen, pale nā hunaola koko keʻokeʻo iā mākou mai nā maʻi, a hoʻōki nā platelets i ke kahe koko ke hōʻeha ʻia mākou.
- ʻO ka helu haʻahaʻa a kiʻekiʻe paha o nā sela koko ma mua o ka maʻamau hiki ke alakaʻi i nā ʻano maʻi like ʻole.
- Inā ʻike ʻoe i nā hōʻailona e like me ka luhi nui i wehewehe ʻole ʻia, nā maʻi pinepine, a i ʻole ke kahe koko ʻē, he mea nui e ʻike koke i kāu kauka no ka ʻōlelo aʻo.











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