Ke nānā ʻoe i kahi hōʻike koko, ua hopohopo iki paha ʻoe i kou ʻike ʻana ua ʻoi aku ka nui o ka 'White Blood Cell Count', ʻo ia hoʻi, ka helu o nā keʻokeʻo koko, ma mua o ka maʻamau? Ua makaʻu anei ʻoe, "Auē, he mea koʻikoʻi anei kaʻu?"? ʻOiaʻiʻo, ua loaʻa i ka poʻe he nui ma ko mākou ʻāina kēia ʻike. Akā, ʻo ka piʻi ʻana o nā keʻokeʻo koko, ʻaʻole ia he mea e makaʻu mau ai. ʻO ka hapa nui o ka manawa, he hōʻailona maikaʻi ia e hakakā nei ko mākou kino i kahi maʻi. No laila, i kēia lā, e kamaʻilio maʻalahi a maopopo kākou e pili ana i kēia piʻi ʻana o nā keʻokeʻo koko, a i ʻole ka huaʻōlelo lapaʻau `(Leukocytosis)`.
I ka ʻōlelo maʻalahi, he aha ka leukocytosis?
ʻO ka Leukocytosis kahi kūlana i ʻoi aku ka nui o nā hunaola koko keʻokeʻo (WBC) i loko o kou koko ma mua o ka maʻamau. ʻAʻole kēia he maʻi mau. ʻO ka ʻoiaʻiʻo, he pane maʻamau ia o ka ʻōnaehana pale o ko mākou kino. E like me ko mākou pūʻali koa e makaʻala ana i ka wā e komo mai ai ka ʻenemi i ko mākou ʻāina, i ka wā e komo ai kahi maʻi a i ʻole ka germ i loko o ko mākou kino, hana ko mākou kino i kahi nui o nā hunaola koko keʻokeʻo, ʻo ia ko mākou "pūʻali koa", e kaua aku iā ia. No laila, piʻi ka helu o nā hunaola koko keʻokeʻo.
Eia nō naʻe, he mea kākaʻikahi loa kēia ʻano maʻi, a he hōʻailona paha ia o kahi maʻi koʻikoʻi e like me ka leukemia. No laila he mea nui ka hoʻomaopopo pololei ʻana i kēia.
ʻO ka maʻamau, he 4,000 a 11,000 mau keʻokeʻo koko o kahi kanaka makua olakino no kēlā me kēia microliter o ke koko. Ke ʻoi aku kēia helu ma mua o 11,000, kapa mākou i ke kūlana ʻo 'Leukocytosis'.
Nā ʻano o nā hunaola koko keʻokeʻo a me nā kūlana like ʻole e hoʻokiʻekiʻe ʻia ai lākou
Ua ʻike anei ʻoe ʻaʻole hoʻokahi wale nō ʻano o ke koko keʻokeʻo i ko mākou kino, aia he 5 mau ʻano nui. E like me ko mākou pūʻali koa he mau lālā like ʻole e like me ka pūʻali koa, ka moku kaua, a me ka mokulele. No laila, ke ʻōlelo mākou ua kiʻekiʻe nā koko keʻokeʻo, ua māhele ʻia ke ʻano 'Leukocytosis' i kekahi mau ʻano ma muli o ke ʻano i kiʻekiʻe.
| ʻAno o ka leukocytosis | Ka helu o nā keʻokeʻo koko kiʻekiʻe | He wehewehe maʻalahi |
|---|---|---|
| ʻO ka Neutrophilia | Nā Neutrophils | ʻO kēia ke ʻano o nā hunaola koko keʻokeʻo nui loa i loko o ko kākou kino. ʻO lākou ke kuleana nui no ke kaua ʻana i nā maʻi bacteria a me ka ho'ōla ʻana i nā ʻeha. Hoʻonui lākou i ka helu i nā manawa maʻi e like me ke kuni a me ke anu. |
| ʻO ka lymphocytosis | Nā Lymphocytes | ʻO kēia nā loea e hakakā nei i nā maʻi viral. Hiki iā mākou ke ʻike i nā loli i loko o kēia mau mea i nā maʻi viral e like me ka dengue a me ka measles. Mālama lākou i kā mākou ʻōnaehana lymphatic. |
| Monocytosis | Nā monocyte | Ua like kēia me nā "mea hōʻiliʻili ʻōpala" o ke kino. Kōkua lākou i ka wehe ʻana i nā mea e like me nā hunaola make a me nā germs mai ke kino. Hoʻokiʻekiʻe ʻia kēia mau mea i kekahi mau maʻi lōʻihi. |
| ʻEosinophilia | Nā Eosinophils | Ua kiʻekiʻe kēia mau mea i nā maʻi allergies a me nā maʻi parasitic. Hiki ke ʻike nui ʻia lākou i loko o ke koko o ka poʻe me ka hānō a i ʻole ka poʻe me nā ilo. |
| ʻO Basophilia | Nā Basophil | ʻO kēia ke ʻano kakaikahi loa o ka hoʻokiʻekiʻe ʻana o nā keʻena koko keʻokeʻo. Kōkua kēia i ka pale ʻana i nā hopena alerika a me ke kāpili ʻana o ke koko. |
He aha nā kumu o ke kiʻekiʻe o nā hunaola koko keʻokeʻo?
E noʻonoʻo, he kuni kou a he ʻeha kou kino. Hele ʻoe i ke kauka a noi ʻo ia iā ʻoe e hana i kahi hoʻāʻo koko. Hōʻike ka hōʻike ua kiʻekiʻe kou helu koko keʻokeʻo. ʻO ia hoʻi, ke kaua nei kou kino i kahi maʻi. Hiki ke hoʻokaʻawale ʻia nā kumu o kēia ʻano helu koko keʻokeʻo kiʻekiʻe i ʻelua mau ʻāpana: maʻamau a koʻikoʻi.
Nā kumu maʻamau, nā kumu maʻamau
ʻO kēia nā kumu maʻamau o ke kiʻekiʻe o kāu helu koko keʻokeʻo. ʻAʻohe mea e hopohopo nui ai kēia.
- Nā maʻi:ʻO nā maʻi bacteria a viral paha ke kumu nui. ʻO nā hiʻohiʻona e like me ka niumonia, nā maʻi ʻaʻai mimi (UTI), nā maʻi ʻāʻī, a me nā maʻi ʻili.
- Ka mumū: Nā kūlana mumū e kū mai ana ma nā wahi āpau o ke kino. Eia kekahi laʻana, nā maʻi e like me ka rheumatoid arthritis.
- Ke kaumaha kino a noʻonoʻo paha: Mai kahaha, hiki i nā hunaola koko keʻokeʻo ke hoʻonui ʻia ma ke ʻano he pane i nā mea e like me ka luhi nui, ke kaumaha o ka hoʻokolohua, ke ʻoki ʻana, a i ʻole ke komo ʻana i kahi ulia.
- Nā kuni: Ke puhi ʻia kahi ʻāpana nui o ke kino.
- Nā Allergies: Nā allergies i nā mea e like me ka lepo, ka pollen, a me nā maʻi e like me ka hānō.
- Kekahi mau lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau, e like me corticosteroids a me lithium, hiki ke hoʻonui i nā keena koko keʻokeʻo ma ke ʻano he hopena ʻaoʻao.
- Puhipaka: Loaʻa paha i nā mea puhi paka nā pae koko keʻokeʻo kiʻekiʻe mau no ka mea ua hoʻomehana mau ʻia ko lākou ʻōnaehana hanu.
- Hāpai keiki: He mea maʻamau ka piʻi ʻana o ka helu o nā hunaola koko keʻokeʻo i ka wā hāpai keiki ma muli o ke kaumaha ma ke kino o ka makuahine. E nānā pono kāu kauka iā ʻoe no kēia.
Nā kumu kakaikahi, hiki ke koʻikoʻi
ʻAʻole maʻamau kēia mau kumu. Akā he mea nui e makaʻala i kēia mau mea. Akā e hoʻomanaʻo, mai hopohopo no ka mea he kiʻekiʻe kou helu koko keʻokeʻo.
- Leukemia: Ka hana ʻana o nā hunaola koko keʻokeʻo ma ke ʻano maʻamau ʻole i loko o ka iwi iwi.
- Lymphoma: ʻO ke kanesa e kū mai ana i loko o ka ʻōnaehana lymphatic, ʻo ia kekahi hapa o ka ʻōnaehana immune.
- Nā Maʻi ʻIwi Momona: Nā maʻi e hoʻopilikia ai i ke kaʻina hana o ka hana ʻana i nā hunaola koko i loko o ka iwi momona, e like me ka 'Polycythemia Vera' a i ʻole 'Myelofibrosis'.
ʻO ka mea nui loa, inā kiʻekiʻe ka helu o kāu mau keʻokeʻo koko i kāu hōʻike koko, pono i kāu kauka ke hoʻoholo i ke kumu. Mai ho'āʻo e nānā iā ʻoe iho ma ka nānā ʻana ma ka pūnaewele.
He aha nā hōʻailona o ke kiʻekiʻe o nā hunaola koko keʻokeʻo?
ʻO ka hapa nui o ka manawa, ʻaʻohe hōʻailona kikoʻī i ke kūlana 'Leukocytosis' ponoʻī. Hoʻomaopopo mākou i nā hōʻailona o ke kūlana olakino i hoʻokumu ʻia ai. No ka laʻana, inā piʻi aʻe kou helu koko keʻokeʻo ma muli o kahi maʻi, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:
- Kuni a me nā anu
- ʻEha kino a me ka luhi
- ʻEha poʻo
- Paʻakikī ka hanu ʻana a i ʻole ka ʻeha o ka umauma
- ʻUlaʻula a ʻulaʻula paha ma ka ʻili
Eia nō naʻe, i kekahi manawa, ʻoiai inā kiʻekiʻe loa ka helu o nā cell koko keʻokeʻo ma muli o kahi maʻi koʻikoʻi e like me ke kanesa koko, nā hōʻailona e like me:
- ʻO ka pohō kaumaha me ke kumu ʻole:Inā ʻoe e lilo i ke kaumaha me ka ʻole o ka hoʻololi ʻana i kāu ʻai a i ʻole ka hoʻoikaika kino ʻana.
- Ka hou nui ʻana i ka pō: Inā nui kou hou ʻana a pulu nā moena.
- ʻEha maʻalahi a kahe ke koko: Inā ʻeha maʻalahi ʻoe ma hope o kahi ʻeha liʻiliʻi, a inā e kahe ke koko o kou ʻāʻī i ka wā e palaki ai ʻoe i kou mau niho.
- Nā maʻi pinepine: Inā loaʻa iā ʻoe ke anu a i ʻole ka maʻi flū i hoʻokahi a ʻelua paha o ka mahina.
Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, he mea nui e ʻike koke i ke kauka no ka ʻōlelo aʻo.
Pehea e ʻike ai ke kauka i kēia maʻi?
Ke hele ʻoe e ʻike i ke kauka, e nīnau ʻo ia iā ʻoe e pili ana i kou mau hōʻailona a me kou mōʻaukala olakino. A laila e nānā ʻo ia iā ʻoe.
ʻO ka hoʻāʻo nui e ʻike ai i kēia maʻi he helu koko piha (CBC) . He hoʻāʻo koko maʻalahi loa kēia. Hiki iā ia ke hāʻawi i kahi kiʻi pololei o ka helu o nā hunaola koko keʻokeʻo, nā hunaola koko ʻulaʻula, a me nā platelets i loko o kou koko.
Inā hōʻike ka hōʻike CBC i ka helu o nā keʻokeʻo koko kiʻekiʻe, hiki ke hoʻohana ʻia ka "Differential Count" e hoʻoholo ai i ke ʻano o nā keʻokeʻo koko i kiʻekiʻe. Ma muli o kēia ʻike, hiki i ke kauka ke loaʻa kahi manaʻo maikaʻi o ke kumu.
I kekahi manawa, inā ʻaʻole maopopo ke kumu a inā paha e kānalua ʻia kahi maʻi koʻikoʻi, hiki i kāu kauka ke kuhikuhi iā ʻoe no kahi hoʻāʻo ʻana i ka iwi iwi .
Pehea e mālama ʻia ai?
ʻO ka lāʻau no ka leukocytosis e pili ana i ke kumu. ʻO ka ʻōlelo pololei, ʻaʻole mākou e mālama i ka hoʻonui ʻia o nā hunaola koko keʻokeʻo, akā, ʻo ka maʻi kumu i hoʻokumu ai.
- Inā he maʻi bacteria: Ua kauoha ʻia nā antibiotics.
- Inā he maʻi ʻaleka: E hāʻawi ʻia nā lāʻau lapaʻau e like me nā antihistamines.
- Inā he maʻi ia e like me ka hānō: E haʻi ʻia ʻoe e hoʻohana i nā 'Inhalers'.
- Inā ma muli o ke kaumaha: E hāʻawi ʻia nā ʻano hana hoʻēmi i ke kaumaha a me nā lāʻau lapaʻau inā pono.
- Inā he maʻi koʻikoʻi e like me ke kanesa: pono paha i nā lāʻau lapaʻau kikoʻī e like me ka chemotherapy, radiation therapy, a i ʻole ka hoʻoili ʻana i nā cell stem.
I kekahi mau hihia, no ka laʻana, inā kiʻekiʻe ka helu o nā keʻokeʻo koko kiʻekiʻe ma muli o ke kaumaha nui, hiki i ka helu o nā keʻokeʻo koko ke hoʻi i ka maʻamau ke pau ke kaumaha, me ka ʻole o kekahi lāʻau lapaʻau.
I ka manawa hea e ʻike ai i ke kauka a hele i ka Emergency Treatment Unit (ETU)
He ʻāpana koʻikoʻi loa kēia. He mea nui loa e hoʻolohe i nā hōʻailona a kou kino e hāʻawi nei iā ʻoe.
| E ʻike i kāu kauka. | E hele koke i ka Emergency Treatment Unit (ETU). |
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Leka Lawe-Home
- Mai hopohopo no ka mea ua kiʻekiʻe kou helu koko keʻokeʻo (WBC). He hōʻailona maikaʻi pinepine ia e hakakā ana kou kino i kahi maʻi.
- ʻAʻole ʻo Leukocytosis he maʻi kanesa, akā i nā hihia kakaikahi hiki ke lilo i hōʻailona o kahi maʻi koʻikoʻi e like me ka leukemia.
- Hoʻoholo ʻia ka lāʻau lapaʻau i ke kūlana kumu e hoʻonui ai i ka helu o nā keʻokeʻo koko.
- Mai hoʻāʻo iā ʻoe iho ma ka pūnaewele. E ʻimi mau i ka ʻōlelo aʻo mai ke kauka kūpono.
- E makaʻala i nā hōʻailona e like me ke kuni, ka luhi nui, ka emi ʻana o ke kaumaha, a me ka maʻalahi o ka ʻeha. Inā loaʻa iā ʻoe kekahi o kēia mau mea, e ʻimi i ke kōkua lapaʻau.











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