Ke luhi nei hoʻi ʻoe a make i nā manawa a pau? Ke manaʻo nei ʻoe i kekahi manawa ua poniuniu a anu paha kou mau lālā? ʻO kekahi kumu o kēia mau mea, ʻo ia ka emi ʻana o ka nui o ka hemoglobin i loko o kou koko. No laila, i kēia lā, e kamaʻilio maʻalahi a aloha kākou e pili ana i ke ʻano o kēia hemoglobin, ka mea a ka hoʻāʻo e ana ai, a me nā maʻi e hiki ke ʻike ʻia.
I ka ʻōlelo maʻalahi, he aha ka hemoglobin?
E noʻonoʻo e pili ana i ia mea, ʻo nā hunaola koko ʻulaʻula nā 'kalaka' liʻiliʻi e lawe ana i ka oxygen ma o ko kākou kino. A laila ʻo ka mea nui e hoʻouka ana i kēlā mau kalaka me ka oxygen a hāʻawi iā ia i nā ʻāpana āpau o ke kino ua kapa ʻia ʻo ia he hemoglobin . He protein kūikawā kēia i loaʻa i loko o nā hunaola koko ʻulaʻula. Loaʻa ka hao i loko o ka hemoglobin. ʻO kēia hao ka mea e hoʻopaʻa ai i ka oxygen a kōkua i ka lawe ʻana mai nā māmā a i nā ʻano a me nā ʻiʻo ʻē aʻe o ke kino.
I ka ʻōlelo maʻalahi, ʻo ka nui o ka hemoglobin i loko o kou koko e hāʻawi iā ʻoe i kahi manaʻo maikaʻi o ke olakino o kāu mau hunaola koko ʻulaʻula. ʻO ka ʻike ʻana i kēia pae e hiki ke kōkua i kāu kauka e ʻike i nā maʻi e pili ana i ke koko a me nā kūlana ʻē aʻe, e like me ka anemia.
No ke aha e hana ʻia ai kēia hoʻāʻo hemoglobin?
Ke hele ʻoe no kahi nānā maʻamau, e kauoha paha kāu kauka i kahi hoʻāʻo hemoglobin ma ke ʻano he ʻāpana o ka helu koko piha (CBC). Ana ka CBC i ka helu o nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets i loko o kou koko. Hiki i kēia ʻike ke hāʻawi iā ʻoe i kahi kiʻi maikaʻi o kou olakino holoʻokoʻa.
Eia kekahi, inā loaʻa iā ʻoe nā hōʻailona o ka haʻahaʻa a kiʻekiʻe paha o ka hemoglobin, e ʻōlelo maoli kāu kauka i kēia hoʻokolohua.
| Nā hōʻailona o ka haʻahaʻa o ka hemoglobin | Nā hōʻailona o ka hoʻonui ʻia o ka hemoglobin |
|---|---|
| Manaʻo mau o ka luhi nui | ʻEha poʻo |
| ʻIli keʻokeʻo (ʻoi aku ka maka, nā lehelehe, a me nā poho lima) | ʻIke pōwehiwehi a ʻike pālua paha |
| Ka nāwaliwali/nāwaliwali | Pōʻino |
| Pōʻino | ʻIli ʻāʻī |
| Paʻakikī ka hanu ʻana (hanu ʻole ʻoiai ke hele iki ʻana) | Ka pilikia o nā ʻōpū koko |
| Nā lima a me nā wāwae anu | - |
Pono ʻoe e hoʻomākaukau ma mua o ka hoʻokolohua?
ʻAʻole pono kahi hoʻomākaukau kūikawā no kahi hoʻokolohua e nānā wale ana i nā pae hemoglobin. Hiki ke hana ʻia i loko o kekahi mau minuke wale nō.
Eia nō naʻe, i kekahi manawa e kauoha aku kāu kauka i kekahi mau hoʻāʻo koko hou aʻe me kēia hoʻāʻo. Inā pēlā, e noi ʻia ʻoe e hoʻokē ʻai (me ka ʻole o ka meaʻai a me ka mea inu) no kekahi mau hola ma mua o ka hoʻāʻo. No laila , ʻoi aku ka maikaʻi o ke nīnau ʻana i kāu kauka no nā kuhikuhi pololei.
Pehea ʻoe e hana ai i kēia hoʻāʻo?
He mea maʻalahi loa kēia. E lawe ke kauka a kahu maʻi paha i kahi hāpana koko liʻiliʻi mai kahi aʻa koko ma kou lima (kokoke i ke kuʻekuʻe) a i ʻole ke kua o kou lima. No kahi pēpē liʻiliʻi, hiki ke lawe ʻia kahi kulu koko mai ke kuʻekuʻe wāwae a i ʻole ka piko o ka manamana lima.
ʻO ka mea mua, hoʻomaʻemaʻe ʻia ka wahi me ka waiʻona, a kau ʻia kahi kaula elastic a puni ka lima o luna e hōʻike i ke aʻa. A laila, hoʻokomo ʻia kahi nila liʻiliʻi i loko o ke aʻa. E ʻike ʻoe i kahi ʻeha iki ke hoʻokomo ʻia ka nila, akā he pōkole wale nō ia. A laila, hōʻiliʻili ʻia ke koko i loko o kahi ʻōmole liʻiliʻi a hoʻouna ʻia i ka lab no ka hoʻāʻo ʻana.
He aha ka ʻōlelo a ka hōʻike hoʻāʻo?
E hōʻike pololei kēia hoʻāʻo iā ʻoe inā maʻamau, haʻahaʻa, a kiʻekiʻe paha kou pae hemoglobin. Hiki iā ia ke hāʻawi iā ʻoe i kahi manaʻo no ke koʻikoʻi o ke kūlana.
Akā, ʻaʻole kēia e haʻi pololei mai iā mākou i ke kumu o ka pae hemoglobin kūpono ʻole.
Ua like kēia me ka nānā ʻana inā haʻahaʻa a kiʻekiʻe paha ka wai i loko o ka pahu wai o ka hale. Inā haʻahaʻa ka wai, pono ʻoe e nānā kaʻawale e ʻike inā he piula wai hāmama ke kumu, he puka i loko o ka pahu, a he pilikia paha me ka motika. Pēlā nō, no ka ʻike ʻana i ke kumu o ka hemoglobin haʻahaʻa/kiʻekiʻe, e nānā ke kauka i kāu mau hōʻailona a me nā hōʻike hoʻāʻo ʻē aʻe a pau e hoʻoholo ai.
He aha nā waiwai hemoglobin maʻamau?
ʻO ka pae hemoglobin maʻamau no ke kanaka makua ma waena o 12 a me 17.4 grams no ka deciliter o ke koko (`12 g/dL - 17.4 g/dL`). Eia nō naʻe, hiki ke ʻokoʻa iki kēia waiwai ma muli o kou makahiki, ke kāne, a me ka lāhui. Eia kekahi, hiki i nā mea e pili ana i kou nohona ke hoʻopilikia i kou pae hemoglobin, e like me:
- Kiʻekiʻe kahi āu e noho ai
- Kāu ʻai
- Ka nui o ka hoʻoikaika kino
- ʻO kekahi mau lāʻau lapaʻau āu e lawe ai
He aha ke ʻano o ka hemoglobin haʻahaʻa?
ʻO ka anemia kahi kūlana i haʻahaʻa ai ka pae hemoglobin ma mua o ka maʻamau. Hiki i kēia ke ʻano ʻaʻole lawa ka hana ʻana o kou kino i nā hunaola koko ʻulaʻula, a i ʻole e luku koke ʻia ana nā hunaola koko ʻulaʻula āna e hana ai. Eia kekahi, ʻo ke kahe koko lōʻihi (e.g., ka menstruation kaumaha, nā ʻōpū ʻōpū) kekahi kumu nui o ka hemoglobin haʻahaʻa.
Aia kekahi mau kumu ʻē aʻe e hoʻoulu ai i ka hemoglobin haʻahaʻa:
- Ka nele i ka hao
- nā hemahema meaʻai, e like me ka huaora B12 a i ʻole ka waikawa folic
- Nā maʻi ʻaʻai e hoʻopilikia ai i ke koko a i ʻole ka iwi iwi
- Thalassemia
- Maʻi puʻupaʻa
- Maʻi akepaʻa
- Maʻi ʻeha o ke kelepona ʻokiʻoki
- Ke kahe koko ma muli o ke ʻoki kino, ulia, a i ʻole kekahi kumu ʻē aʻe
He aha ka manaʻo o ka hemoglobin hoʻonui?
Hiki i kekahi mau kūlana olakino ke hoʻonui i ka helu o kāu mau hunaola koko ʻulaʻula, e hoʻonui ai i kou pae hemoglobin. Hoʻomānoanoa kēia i kou koko a hoʻolohi i ke kahe ʻana o ke koko. Hiki i kēia ke hōʻemi i ka nui o ka oxygen i loaʻa i kāu mau kino. Hiki i ka maloʻo wai ke hoʻonui i kou pae hemoglobin no kekahi manawa.
Aia kekahi mau kumu e hiki ai ke hoʻonui i ka hemoglobin:
- ʻO ke kūlana i kapa ʻia ʻo 'Polycythemia vera'
- Maʻi puʻuwai hānau
- ʻO kekahi mau maʻi puʻupaʻa, e like me ke kanesa puʻupaʻa
- Maʻi māmā mau loa (COPD, fibrosis pulmonary)
Ua like anei kēia me ka hoʻāʻo hemoglobin A1c (HbA1c)?
ʻO kēia kahi e huikau ai ka poʻe he nui. ʻO ka hoʻāʻo hemoglobin maʻamau a me ka hemoglobin A1c (`HbA1c`) he ʻelua mau hoʻāʻo ʻokoʻa loa.
- Hoʻāʻo hemoglobin maʻamau: Ke ana kēia i ka nui o ka hemoglobin i loko o kou koko. Hoʻohana nui ʻia ia no ka ʻike ʻana i nā maʻi e like me ka anemia.
- Hoʻāʻo Hemoglobin A1c (`HbA1c`): Hana ʻia kēia no ka ʻike ʻana i ka maʻi diabetes (`Diabetes Mellitus`) a i ʻole e ʻike inā ua kāohi ʻia nā pae kō koko o kahi maʻi diabetes i nā mahina 2-3 i hala. Hoʻopili ʻia ke kō (glucose) i loko o kou koko i ka hemoglobin. Ana ʻo `HbA1c` i ka pakeneka o ka hemoglobin i hoʻopili ʻia kēia kō.
ʻO ka mea nui loa, ʻo ia kou hoʻomaopopo ʻana ua hana ʻia kēia mau hoʻokolohua ʻelua no ʻelua mau kumu like ʻole.
Inā hōʻike kāu hōʻike i nā waiwai kūpono ʻole, e wehewehe kāu kauka i kēia iā ʻoe. Hiki iā ia ke kauoha i nā hoʻokolohua hou aʻe e ʻike i ke kumu. Aia ka lāʻau lapaʻau i ke kumu nui o ka loli ʻana o kou pae hemoglobin. No laila e kūkākūkā mau i kēia me kāu kauka a e hahai i kāna ʻōlelo aʻo.
Leka Lawe-Home
- ʻO Hemoglobin ka protein koʻikoʻi loa i loko o nā ʻula koko ʻulaʻula e lawe ana i ka oxygen ma loko o kou kino.
- ʻO nā hōʻailona e like me ka luhi pinepine, ka maeʻele, a me ka poniuniu he mau hōʻailona ia o ka hemoglobin haʻahaʻa.
- He hoʻāʻo koko maʻalahi loa ka hemoglobin, ʻaneʻane ʻaʻohe pilikia e hiki ke hana ʻia i loko o kekahi mau minuke wale nō.
- Inā ʻaʻole kūpono ka hopena o ka hoʻāʻo, pono ʻoe e ʻike i ke kauka e ʻike i ke kumu. Mai ho'āʻo e nānā iā ʻoe iho ma ka nānā ʻana ma ka pūnaewele.
- ʻO ka hoʻāʻo hemoglobin maʻamau a me ka hoʻāʻo hemoglobin A1c (HbA1c) no ka maʻi diabetes he ʻelua mau hoʻāʻo ʻokoʻa loa.
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