I kou ʻike ʻana i kahi hōʻike hoʻāʻo koko i hala koke aku nei, ua ʻōlelo anei ia ua kiʻekiʻe kou helu koko ʻulaʻula? He mea maʻamau ke hopohopo iki a makaʻu ke ʻike ʻoe i kahi mea e like me ia. Manaʻo paha ʻoe, "He aha kēia? He maʻi koʻikoʻi koʻu?" Akā, mai hopohopo. I kēia lā, e kamaʻilio maʻalahi kākou e pili ana i kēia, e like me kāu e haʻi aku ai i kahi hoaaloha.
He aha ke ʻano o kēia hoʻonui ʻia ʻana o nā hunaola koko ʻulaʻula?
I ka ʻōlelo maʻalahi, ʻo ia hoʻi, ʻoi aku ka nui o nā hunaola koko ʻulaʻula (RBC) i loko o kou koko ma mua o ka maʻamau. ʻO ke koko o kākou he ʻekolu ʻāpana: nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets. ʻO ka hana nui o nā hunaola koko ʻulaʻula, ʻo ia ka lawe ʻana i ka oxygen mai nā māmā a i ke koena o ke kino.
E noʻonoʻo e like me nā kaʻa ma ke alanui. Ke lawa nā kaʻa, holo mālie ke kaʻa me ka ʻole o ka paʻa ʻana. Pēlā nō, ke lawa nā hunaola koko ʻulaʻula, hele ka oxygen ma ke kino holoʻokoʻa. Akā, i ka wā e piʻi nui ai ka nui o nā hunaola koko ʻulaʻula, e like me ka wā e piha ai ke alanui i nā kaʻa, nā pilikia kaʻa, mānoanoa ko kākou koko. Ua kapa ʻia kēia he "Erythrocytosis" ma ka ʻōlelo lapaʻau. Ke mānoanoa ke koko, hiki ke piʻi aʻe ka pilikia o nā ʻūpā koko. Hiki nō hoʻi ke lilo i hōʻailona o kahi pilikia olakino.
Ehia mau hunaola koko ʻulaʻula i manaʻo ʻia he "kiʻekiʻe"?
Ana nā kauka i ka helu o kāu mau hunaola koko ʻulaʻula e hoʻomaopopo i kou olakino a nānā i nā maʻi. ʻO ka maʻamau, hiki ke ʻokoʻa iki kēia mau waiwai ma muli o ka lab e hana ana i ka hoʻāʻo. Akā ma ke ʻano laulā, penei nā waiwai maʻamau.
| Kanaka | Ka nui o nā keena koko ʻulaʻula maʻamau (no kēlā me kēia microliter o ke koko) |
|---|---|
| Nā kāne | 4.7 a i 6.1 miliona |
| Nā wahine | 4.2 a i 5.4 miliona |
| Nā keiki | 4.0 a 5.5 miliona |
I ka manawa pinepine, ʻike ʻia kahi helu koko ʻulaʻula kiʻekiʻe ke hana ʻia kahi hoʻāʻo koko no kekahi pilikia olakino ʻē aʻe. Inā hana kēia, e paipai kāu kauka i nā hoʻokolohua hou aʻe e ʻike i ke kumu.
He aha nā hōʻailona o ka hoʻonui ʻia o nā hunaola koko ʻulaʻula?
ʻAʻole paha e ʻike kekahi poʻe i kekahi mau hōʻailona ʻoiai he kiʻekiʻe ko lākou helu koko ʻulaʻula. Eia nō naʻe, hiki i kekahi poʻe ke ʻike i kēia mau hōʻailona:
| Hōʻailona | Wehewehena |
|---|---|
| Luhi/māluhiluhi | Ka luhi nui me ke kumu ʻole. |
| Paʻakikī ka hanu ʻana | Ka pōkole o ka hanu ʻoiai me ka hoʻoikaika iki ʻana. |
| ʻEha poʻo a me ka ʻike pōwehiwehi | ʻEha pinepine ka ʻeha a me ka ʻike maka pohihihi. |
| ʻEha hui | ʻEha hui. |
| ʻIli ʻāʻī | ʻIli maneʻo, ʻoi aku hoʻi ma hope o ka ʻauʻau ʻana i ka wai wela. |
| Nā pilikia hiamoe | ʻAʻohe hiamoe a i ʻole ka hoʻonui ʻia ʻana o ka hāhā ʻana. |
No ke aha e piʻi ai ka helu o nā hunaola koko ʻulaʻula? He aha nā kumu?
Aia kekahi mau kumu e hiki ai ke kiʻekiʻe ka helu o nā hunaola koko ʻulaʻula. ʻAʻole kēia he hōʻailona mau o kahi maʻi koʻikoʻi. Hiki ke hana ʻia e kekahi mau mea i ko kākou nohona. E nānā kākou i nā kumu nui.
Ma muli o nā kūlana olakino
- Ka Hāʻule ʻana o ka Puʻuwai: Ke nāwaliwali ka puʻuwai, ʻaʻole hiki iā ia ke pamu i ka oxygen lawa i ke kino. No ka hoʻoponopono ʻana, hoʻomaka ke kino e hana i nā hunaola koko ʻulaʻula hou aʻe.
- Maʻi Puʻuwai Hānau: Ma muli o kekahi mau kīnā i loko o ka puʻuwai i loaʻa i ka wā hānau.
- ʻO Polycythemia Vera: He ʻano maʻi koko kakaikahi kēia kahi e hana ai ka iwi iwi i nā hunaola koko ʻulaʻula me ke kaohi ʻole.
- ʻO nā puʻupaʻa puʻupaʻa: Ma muli o ka hana nui ʻana o kahi hormone (Erythropoietin) e hoʻoulu ai i ka hana ʻana o nā hunaola koko ʻulaʻula e nā puʻupaʻa.
- Nā maʻi akemāmā: Hoʻemi nā maʻi e like me ka 'COPD' a me ka 'Emphysema' i ka nui o ka oxygen i loaʻa i ke kino. No ka hoʻoponopono ʻana i kēia, hana ke kino i nā hunaola koko ʻulaʻula hou aʻe.
- Hypoxia: Kekahi ʻano i haʻahaʻa ai ka nui o ka oxygen i loko o ke koko.
- ʻApnea hiamoe: He ʻano e pau pinepine ai ka hanu ʻana i ka wā hiamoe. Hoʻemi pū kēia i nā pae oxygen i loko o ke kino a hoʻonui i ka hana ʻana o nā hunaola koko ʻulaʻula.
Ka hopena o ko mākou nohona
- Puhipaka: Hoʻopaʻa ka carbon monoxide i loko o ka uahi o ka cigarette i ka hemoglobin, ka protein lawe oxygen i loko o ke koko. Hoʻemi kēia i ka hiki o ke koko ke hoʻopaʻa i ka oxygen. Hoʻoponopono ke kino ma ka hana ʻana i nā hunaola koko ʻulaʻula hou aʻe.
- Ke noho nei ma nā wahi kiʻekiʻe: E noʻonoʻo e neʻe ana ʻoe mai Colombo a i Nuwara Eliya. Haʻahaʻa ka nui o ka oxygen i ka lewa ma nā wahi kiʻekiʻe. No ka hoʻomaʻamaʻa ʻana i kēia, hoʻonui maoli kou kino i kāna hana ʻana o nā hunaola koko ʻulaʻula.
- Ka hoʻohana ʻana i nā lāʻau hoʻonui hana: Hoʻohana kekahi mau mea pāʻani i nā steroid anabolic a i ʻole erythropoietin, hiki ke hoʻonui i ka hana ʻana o nā cell koko ʻulaʻula.
Hiki i ke kaumaha ke hoʻonui i nā hunaola koko ʻulaʻula?
ʻAe. Ua loaʻa i ka noiʻi kahi pilina ma waena o ke kaumaha a me nā hunaola koko. Hiki i ke kaumaha nui ke hoʻonui i ka helu o nā hunaola koko ʻulaʻula, nā neutrophils, kahi ʻano hunaola koko keʻokeʻo, a me nā platelets.
Pehea e mālama ʻia ai ka piʻi ʻana o ka helu o nā hunaola koko ʻulaʻula?
ʻO ka mea nui loa, ʻo ia ka hilinaʻi o ka lāʻau lapaʻau i ke kumu nui o ka helu kiʻekiʻe o nā kele koko ʻulaʻula. He mea nui ka ʻimi ʻana i ke kumu a me ka mālama ʻana ma mua o ka hoʻemi wale ʻana i ka helu o nā kele koko ʻulaʻula.
Eia kekahi laʻana, inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo 'Polycythemia Vera', hiki i kāu kauka ke kuhikuhi i kahi lāʻau lapaʻau e like me '(Hydroxyurea)' e kāohi i ka hana ʻana o nā cell koko ʻulaʻula. Eia kekahi, i kekahi manawa hoʻohana ʻia kahi lāʻau i kapa ʻia ʻo 'Therapeutic Phlebotomy'. Pili kēia i ka wehe ʻana i kahi koko liʻiliʻi mai kou kino i nā manawa maʻamau, e like me ka hāʻawi ʻana i ke koko, e kāohi i ka helu o kāu mau cell koko ʻulaʻula.
No laila, inā kiʻekiʻe kou helu koko ʻulaʻula, pono ʻoe e ʻike i kāu kauka a kūkākūkā iā ia. ʻO ia ka mea nāna e ʻimi i ke kumu maoli a hoʻoholo i ka lāʻau lapaʻau āu e pono ai.
He aha kā mākou e hana ai e pale aku i ka ulu ʻana o nā hunaola koko ʻulaʻula?
ʻOiai ʻaʻole hiki iā mākou ke pale mau i kēia, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pilikia:
- Inu i ka wai nui: ʻO ka inu ʻana i ka liʻiliʻi he 8-10 mau aniani wai i ka lā e hiki ke kōkua i ka hōʻemi ʻana i ke kahe koko.
- E hōʻemi i nā mea e like me ke kofe a me nā mea inu kō: He mau diuretics kēia e hoʻoulu ai i ka nalowale o ka wai mai ke kino a hiki ke kōkua i ka mānoanoa o ke koko.
- E pale loa i ka puhipaka: ʻO kēia kekahi o nā mea maikaʻi loa hiki iā ʻoe ke hana.
- Hoʻoikaika Kino: He mea maikaʻi loa ka hoʻoikaika kino mau no ka puʻuwai a me ke kahe koko.
- Mai lawe i nā pila hao ke ʻole ʻoe e pono: Mai lawe i nā pila hao ke ʻole ʻōlelo ʻia e kāu kauka, no ka mea, he meaʻai koʻikoʻi ka hao no ka hana ʻana i nā hunaola koko ʻulaʻula.
- Inā loaʻa iā ʻoe ka Sleep Apnea: E hoʻohana pololei i nā mea hana e like me ka `CPAP` e like me ke kuhikuhi a kāu kauka.
- Inā he maʻi puʻuwai kou: E hahai pono i ka hoʻolālā lapaʻau a kāu kauka i hāʻawi ai iā ʻoe.
Leka Lawe-Home
- Mai hopohopo inā ʻike ʻoe i kahi helu koko ʻulaʻula kiʻekiʻe (RBC) ma kāu hōʻike koko. Akā, mai hoʻowahāwahā iā ia.
- ʻO ka hoʻonui ʻia ʻana o nā hunaola koko ʻulaʻula, ʻo ia hoʻi, e mānoanoa ke koko a piʻi aʻe ka pilikia o ke kāpili ʻana o ke koko.
- Hiki ke hana ʻia kēia e nā kumu nohona e like me ka puhipaka a me ka noho ʻana ma nā wahi kiʻekiʻe, a me ka maʻi puʻuwai, ka maʻi māmā, a i ʻole kekahi mau maʻi kanesa.
- ʻO ka mea nui loa, ʻo ia ke ʻike koke i ke kauka a ʻike i ke kumu maoli.
- Aia ka lāʻau lapaʻau i ke kumu kumu. Hiki i ka mālama ʻana i kahi nohona olakino ke hōʻemi i ka pilikia.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ke ʻano o ka 'Helu Kelepona Koko ʻUlaʻula Kiʻekiʻe / Polycythemia'?
ʻO ka maʻamau, pono i ko kākou koko ke loaʻa nā hunaola koko ʻulaʻula e lawe i ka oxygen. Akā i loko o kēia maʻi, ma muli o kekahi pilikia koʻikoʻi i loko o ke kino/iwi iwi, piʻi ka nui o nā hunaola koko ʻulaʻula i nā ʻumi tausani (Elevated RBC/Hematocrit), he ʻano make ia e lilo ai ke koko i 'mānoanoa/mānoanoa e like me ka meli' (Hyperviscosity) ma kahi o ka wai. Hoʻoulu kēia i nā ʻūpā koko a hiki i ka mea maʻi ke loaʻa i ka hōʻeha puʻuwai/hahau i kēlā me kēia manawa a make!
💬 He aha nā kumu nui o ka mānoanoa o ke koko a me ka hoʻonui ʻia o nā hunaola koko ʻulaʻula (Polycythemia)?
ʻElua kumu nui no kēia: 1) Secondary Polycythemia - Hana ʻia kēia no ka mea ua puhi nui ʻoe, loaʻa iā ʻoe ka maʻi puʻuwai/maʻi māmā (COPD), a i ʻole he apnea hiamoe! A laila makaʻu ka lolo no ka mea ua pōloli ke kino no ka oxygen a haʻi aku i nā puʻupaʻa e hana i nā ʻāpana hou (hoʻokuʻu ʻana o EPO). 2) Polycythemia Vera (PV) - He 'Blood Cancer / Bone maʻi' kēia! No ke kumu ʻole, hoʻokuʻu ka iwi iwi i nā ʻumi tausani o nā hunaola koko ʻulaʻula i loko o ke kahe koko.
💬 He aha nā hōʻailona weliweli o ke koko kiʻekiʻe? Āhea ʻoe e ʻike ai i ke kauka?
ʻO nā hōʻailona nui loa, ʻo ia ka ʻeha poʻo hiki ʻole ke hoʻomanawanui (ma muli o ke koko kiʻekiʻe), ka ʻike maka pohihihi, a me ka maneʻo ma ke kino holoʻokoʻa ma hope o ka ʻauʻau ʻana/wai wela! Eia kekahi, ʻulaʻula mau ka maka (Plethora). Eia naʻe, inā 1) ke ʻūlū nei/ʻūmiʻi nei ka umauma, 2) ʻaʻole hiki iā ʻoe ke hanu koke, 3) mae ka lima a i ʻole ka wāwae a nalowale kou ʻike (nā hōʻailona o ka hahau ʻana), pono ʻoe e hele koke i ka haukapila no ka mea ua paʻa paha kahi ʻōpū koko (Blood clots/Thrombosis)!
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