Ua loaʻa anei iā ʻoe kahi hōʻike helu koko piha (CBC) i hala koke nei? Inā ʻōlelo ʻia ua kiʻekiʻe kou helu koko keʻokeʻo, he mea maʻamau ke manaʻo iki i ka hopohopo a me ka makaʻu. "Auē, he mea koʻikoʻi anei kaʻu?" e noʻonoʻo paha ʻoe. Akā ma mua o kou hopohopo ʻana, e hoʻomaopopo pono kākou i ke ʻano o kēia ʻano o nā koko keʻokeʻo kiʻekiʻe, a i ʻole leukocytosis e like me ka kapa ʻana o nā kauka.
He aha ka leukocytosis? I ka ʻōlelo maʻalahi...
ʻO ka leukocytosis ka wā e ʻoi aku ai ka nui o nā hunaola koko keʻokeʻo ma mua o ka maʻamau. I kēia manawa e noʻonoʻo e like me kēia mau koa liʻiliʻi i loko o ko mākou kino. ʻO kā lākou hana nui ke kaua i nā germs a me nā maʻi e komo i loko o ko mākou kino a pale iā mākou mai nā maʻi. No laila, i ka wā e loaʻa ai kahi maʻi a mumū paha ma kekahi wahi o ke kino, hana ko mākou kino i nā koa hunaola koko keʻokeʻo hou aʻe e kōkua i kēlā hakakā. ʻO ia hoʻi, ʻaʻole ia he mea weliweli mau ka hoʻonui ʻana o nā hunaola koko keʻokeʻo. I ka hapa nui o ka manawa, ʻo ia hoʻi ke kaua nei kou kino i kahi maʻi. Eia naʻe, he mea kakaikahi loa, i kekahi manawa hiki ke lilo kēia i hōʻailona o kahi maʻi koʻikoʻi e like me ka leukemia. ʻO ia ke kumu he mea nui e makaʻala i kēia.
He aha nā ʻano o nā keʻena koko keʻokeʻo a me nā leukocytosis?
ʻAʻole hoʻokahi wale nō ʻano o nā hunaola koko keʻokeʻo i loko o ko kākou kino. E like me nā pūʻali koa like ʻole i loko o kahi pūʻali koa, aia ʻelima mau ʻano nui o nā hunaola koko keʻokeʻo. No laila, ua hoʻokaʻawale ʻia ke kūlana i kapa ʻia ʻo leukocytosis ma muli o ke ʻano o nā hunaola koko keʻokeʻo i hoʻonui ʻia.
- ʻO Neutrophilia: ʻO kēia ke ʻano maʻamau. ʻO nā Neutrophils ke ʻano nui loa o nā hunaola koko keʻokeʻo i loko o ko mākou kino. ʻO lākou nā mea e kōkua i ke kaua ʻana i nā maʻi a ho'ōla i nā ʻeha. Ke piʻi nui kēia mau hunaola, ua kapa ʻia ʻo neutrophilia.
- Lymphocytosis: He hoʻonui kēia i kahi ʻano o ke koko keʻokeʻo i kapa ʻia ʻo lymphocytes. Mālama lākou i kā mākou ʻōnaehana lymphatic.
- Monocytosis: ʻO ka hoʻonui ʻia ʻana o nā hunaola koko keʻokeʻo i kapa ʻia ʻo monocytes. Hoʻoulu hou kēia i ka hana o kā mākou ʻōnaehana pale.
- ʻEosinophilia: ʻO ka hoʻonui ʻia ʻana o nā pūnaewele i kapa ʻia ʻo eosinophils. Kōkua pū kēia i ka hakakā ʻana i nā maʻi a me nā kūlana mumū. ʻIke nui ʻia lākou i nā maʻi allergies, nā maʻi parasitic, a me kekahi mau maʻi autoimmune.
- Basophilia: He ʻano leukocytosis kakaikahi kēia. Hōʻike ʻia ia e ka hoʻonui ʻia ʻana o nā pūnaewele i kapa ʻia he basophils. Ke kaua nei kēia mau pūnaewele i nā maʻi parasitic, pale i ke kāpili ʻana o ke koko, a pili i nā pane allergies.
I kēia manawa, ua maopopo paha iā ʻoe, ʻeā? ʻOiai ua hoʻonui ʻia nā hunaola koko keʻokeʻo, aia nā ʻano like ʻole o ia mea.
He aha ka manaʻo maoli o ka helu kiʻekiʻe o nā keʻokeʻo koko?
E like me kā mākou i ʻōlelo ai ma mua, he ʻāpana koʻikoʻi loa nā hunaola koko keʻokeʻo o kā mākou ʻōnaehana pale. Hana ʻia lākou i loko o ko mākou iwi iwi. ʻO lākou ka poʻe e pale i ko mākou kino mai nā maʻi like ʻole. No laila, inā piʻi nui ka helu o kēia mau hunaola koko keʻokeʻo, ʻo ia hoʻi ke ʻano he maʻi a mumū paha ma kekahi wahi o kou kino. E noʻonoʻo, loaʻa iā ʻoe kahi maʻi ʻāʻī, kahi ʻeha ʻili i loaʻa i ka maʻi, a i ʻole kahi maʻi e like me ka pneumonia. He mea maʻamau no ka piʻi ʻana o nā hunaola koko keʻokeʻo i nā manawa e like me kēia.
Eia nō naʻe, he mea kakaikahi loa, hiki i kekahi ʻano maʻi ʻaʻai koko a i ʻole nā maʻi e pili ana i ka iwi iwi ke hoʻonui i ka helu o nā kele koko keʻokeʻo.
Ma keʻano laulā, inā he ʻoi aku ma mua o 11,000 mau keʻokeʻo koko i kēlā me kēia microliter o ke koko, ua manaʻo ʻia he leukocytosis. Eia nō naʻe, hiki ke ʻokoʻa iki kēia mau waiwai mai kēlā me kēia lab.
Pono ʻoe e hopohopo e pili ana i ka piʻi ʻana o nā hunaola koko keʻokeʻo i ka wā hāpai?
He pilikia kēia i loaʻa i nā makuahine he nui. ʻO ka ʻoiaʻiʻo, he mea maʻamau ka piʻi iki ʻana o ka helu o nā hunaola koko keʻokeʻo i ka wā hāpai. ʻO kēia ma muli o ke kaumaha e hele mai me ka hāpai ʻana i kahi pēpē i loko o ka ʻōpū. E nānā kāu kauka i kēia ma ka hana ʻana i nā hoʻāʻo koko maʻamau i kou wā hāpai, no laila ʻaʻohe mea e hopohopo ai. E haʻi lākou iā ʻoe inā ʻike lākou i kekahi mea ʻē.
He maʻi koko anei ka leukocytosis i nā manawa a pau?
ʻAʻole. ʻO ka Leukocytosis ka hoʻonui wale ʻana o ka helu o nā hunaola koko keʻokeʻo. Hiki iā ia ke loaʻa i kekahi mau kumu. E like me kā mākou i kūkākūkā ai ma mua, ʻo ka maʻi ke kumu nui. Eia nō naʻe, ʻaʻole pinepine, hiki ke hoʻokiʻekiʻe ʻia nā hunaola koko keʻokeʻo ma ke ʻano he hōʻailona o kekahi mau ʻano maʻi koko. No ka laʻana, i nā kūlana e like me ka leukemia myeloid acute, ka leukemia myelogenous mau, a me ka leukemia lymphocytic mau. Eia naʻe, ʻaʻole nā kānaka a pau me ka hoʻonui ʻana o nā hunaola koko keʻokeʻo i loaʻa i ka maʻi kanesa.
He aha nā hōʻailona o ka leukocytosis?
I ka manawa pinepine, hoʻokumu ʻia nā hōʻailona e ke kūlana kumu e hoʻonui ai i ka helu o nā hunaola koko keʻokeʻo. No ka laʻana, hiki i kahi maʻi ke hoʻoulu i ke kuni a me nā ʻeha kino.
ʻO kekahi mau hōʻailona hōʻike maʻamau:
- kuni
- Luhi
- ʻEha kino
- Paʻakikī ka hanu ʻana
- Hanu ʻana
- Ka hou nui ʻana i ka pō (Night Sweats)
- Ka Pohō Kaumaha i Manaʻo ʻole ʻia
- Nā ʻeha ʻili, eczema `(Rash)`
I kekahi manawa, hiki i ka ʻeha maʻalahi ke hōʻailona o nā platelets haʻahaʻa (thrombocytopenia) a i ʻole ka leukemia koʻikoʻi koʻikoʻi. I ka leukemia koʻikoʻi koʻikoʻi, hiki i ka helu kiʻekiʻe o nā cell koko keʻokeʻo ke hoʻomānoanoa i ke koko a hoʻopilikia i ke kahe koko. Ua kapa ʻia kēia he hyperviscosity syndrome. Hiki i kēia ke alakaʻi i nā pilikia olakino koʻikoʻi e like me ka hahau ʻana, ke kahe ʻana o ke koko i loko, a i ʻole ka nalowale o ka ʻike.
No ke aha e piʻi ai kēia mau hunaola koko keʻokeʻo? He aha nā kumu?
E nānā kākou i nā kumu nui o ke kiʻekiʻe o nā keʻokeʻo koko.
Hoʻokumu pinepine ʻia e:
- Nā maʻi a i ʻole ka mumū: ʻO kēia ke kumu maʻamau. E like me nā maʻi bacteria, viral, a fungal paha.
- Ke kaumaha nui o ke kino a i ʻole ka noʻonoʻo: ma muli o nā mea e like me ke kuni, ka ʻeha, a i ʻole ke ʻoki kino.
- Nā kuni
- Nā maʻi ʻōnaehana pale: Nā maʻi autoimmune e like me lupus a i ʻole rheumatoid arthritis.
- Nā pilikia thyroid
- Nā ʻeha niho
- Kekahi mau lāʻau lapaʻau: Nā lāʻau lapaʻau e like me ka lithium, corticosteroids, a me nā beta-agonists.
- Nā maʻi ʻaleka
- Splenectomy
- Puhipaka
- Momona
Nā kumu kakaikahi:
- Leukemia
- ʻO ka maʻi ʻōpū
- Nā maʻi ʻiwi iwi: e like me ka polycythemia vera a i ʻole myelofibrosis.
Pehea e ʻike ʻia ai ka leukocytosis?
Ke ʻike ʻoe i ke kauka, e nīnau ʻo ia e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. A laila, e hana lākou i kahi hoʻokolokolo kino. Eia kekahi, e kauoha lākou i kahi helu koko piha (CBC) . He hoʻāʻo koko maʻamau kēia. Ana ia i ka helu o nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets i loko o kou koko. Hiki i ka CBC ke kōkua i kāu kauka e hoʻoholo inā he maʻi a maʻi paha kou. I kekahi mau hihia, hiki ke kauoha ʻia kahi hoʻāʻo iwi e hōʻoia i ka hōʻailona.
Pehea e mālama ʻia ai kēia?
ʻO ke ʻano o ka mālama ʻana i ka leukocytosis e pili ana i ke kumu kumu.
E noʻonoʻo ʻoe ua piʻi aʻe kou mau keʻokeʻo koko ma muli o kahi maʻi bacteria. I kēlā hihia, e kuhikuhi kāu kauka i nā antibiotics. Inā ma muli o kahi allergy, hiki ke hāʻawi ʻia iā ʻoe nā antihistamines.
Nā lāʻau lapaʻau maʻamau ʻē aʻe:
- Nā lāʻau lapaʻau e hōʻemi i ke kaumaha a i ʻole ka hopohopo.
- Nā lāʻau lapaʻau anti-inflammatory.
- Inā loaʻa iā ʻoe ka hānō, pono ʻoe i nā inhalers.
- Ke hāʻawi ʻana i ka saline (nā wai IV) e hoʻomaikaʻi i ke kahe koko.
- Leukapheresis: Hiki i kēia ʻano hana ke hōʻemi koke i ka helu o nā hunaola koko keʻokeʻo i loko o ke koko.
- I ke ʻano o ka maʻi kanesa, nā lāʻau lapaʻau e like me ka chemotherapy, radiation therapy, a i ʻole nā mea hoʻoili cell stem.
ʻO ka mea nui, i kekahi manawa, me ka ʻole o ka lāʻau lapaʻau ʻia, ke ho'ōla ʻia ke kumu kumu, hiki i ka helu o nā keʻena koko keʻokeʻo ke hoʻi i ka maʻamau.
ʻEhia ka lōʻihi e ho'ōla ai?
Pili nō hoʻi kēia i ke ʻano o ka lāʻau āu e loaʻa nei a me ke kumu o ka leukocytosis. I ka hapanui o nā hihia, hiki ke ho'ōla ʻia i loko o ʻelua a ʻehā pule. Eia nō naʻe, no kahi mea e like me ka mālama ʻana i ka maʻi kanesa, hiki ke lōʻihi.
Aia kekahi mau ala e pale aku ai i ka leukocytosis?
ʻO ka mea mua e hoʻomanaʻo ai, ʻo ka leukocytosis kahi pane maʻamau o ka pale ʻana i loko o ko kākou kino. ʻO ia hoʻi, ʻaʻole ia he mea e pono ai kākou e pale mau. Eia kekahi laʻana, i ka wā e hakakā ana kou kino i kahi maʻi, he mea maikaʻi ka hoʻonui ʻia ʻana o nā hunaola koko keʻokeʻo.
Eia nō naʻe, aia kekahi mau mea e hiki ai iā mākou ke hana e mālama i ko mākou pae koko keʻokeʻo i kahi pae olakino:
- E holoi pinepine i kou mau lima: E hōʻemi i ka pilikia o ka maʻi.
- E noho mamao aku mai nā mea e hoʻoulu ai i nā allergies .
- E pale i ka puhipaka.
- E mālama i ke olakino waha maikaʻi. E kipa aku i ke kauka niho ma ka liʻiliʻi i hoʻokahi manawa i kēlā me kēia ʻeono mahina.
- E hoʻohana i nā lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka e like me ke kuhikuhi ʻana.
- E ʻimi i nā ala e hōʻemi ai i ke kaumaha: E hoʻomaʻamaʻa i ka noʻonoʻo pono a i ʻole ka noʻonoʻo ʻana.
- Inā loaʻa iā ʻoe nā kūlana e like me ka hopohopo a i ʻole ke kaumaha, e ʻimi i ka lāʻau no lākou.
He aha ka mea e hiki mai ana inā loaʻa iaʻu ka leukocytosis?
Inā ua ʻike ʻia ʻoe me ka leukocytosis, e hana kāu kauka i nā hoʻokolohua hou aʻe e hoʻoholo ai i ke kumu. Ke hoʻoholo ʻia ke kumu kumu, e ʻōlelo lākou i ka lāʻau kūpono. No laila, he mea nui e hahai i nā ʻōlelo a kāu kauka a mai hopohopo.
Āhea wau e ʻike ai i ke kauka?
He mea naʻauao ke ʻike i ke kauka inā ʻike ʻoe i kekahi mea ʻē a ʻokoʻa paha. ʻOi loa aku inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e ʻimi pono i ke kōkua lapaʻau:
- kuni
- ʻEha maʻalahi
- Ke kahe nui ʻana o ke koko (e.g., ke kahe ʻana o ka ihu, nā ʻāʻī)
- Ka luaʻi a me ka luaʻi
- Luhi nui, hiamoe mau
- ʻO ka pohō kaumaha me ke kumu ʻole
- Makemake nui
- Ka hou nui pinepine ʻana i ka pō (nui loa a pulu nā pepa moe)
I ka manawa hea ʻoe e hele ai i kahi Emergency Treatment Unit (ETU) ?
Inā loaʻa kekahi o nā hōʻailona ma lalo nei, e kāhea koke i ka 911 a i ʻole e hele i ka lumi pilikia kokoke loa:
- Nā hōʻailona o ka hahau ʻana: huikau, poniuniu, kūlou ʻana o kekahi ʻaoʻao o ka maka.
- ʻEha umauma
- Paʻakikī nui ka hanu ʻana
- ʻO ke kani ʻana ma nā lima, nā wāwae, a i ʻole ka ʻōpū
- ʻEha hope koke
- Ke kahe koko ʻole e hiki ke hoʻōki
ʻO ka mea hope loa, nā mea nui e hoʻomanaʻo (Leka Lawe-Home)
ʻAe, mai nā mea a mākou i kūkākūkā ai, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi ʻike maikaʻi aʻe o ka leukocytosis, a i ʻole ka piʻi ʻana o nā hunaola koko keʻokeʻo.
E hoʻomanaʻo, i ka hapanui o ka manawa, ʻo ka hoʻonui ʻia ʻana o nā hunaola koko keʻokeʻo he pane maʻamau ia o ke kino. Hiki ke hana ʻia ma muli o kahi maʻi, ka mumū, ke kaumaha, a i ʻole ka hāpai ʻana.
Eia nō naʻe, i kekahi manawa hiki i kēia ke lilo i hōʻailona o kahi maʻi koʻikoʻi, no laila he mea nui e ʻimi i ke kumu pololei a ʻimi i ka lāʻau lapaʻau inā pono. No laila, inā kiʻekiʻe kou helu koko keʻokeʻo i kāu hoʻāʻo koko, mai hopohopo a nīnau aku i ke kauka. E hāʻawi ʻo ia iā ʻoe i ke alakaʻi e pono ai. E noho olakino!
Nā keena koko keʻokeʻo, leukocytosis, nā hoʻāʻo koko, nā maʻi, ka palekana, nā hōʻailona, ka lāʻau lapaʻau











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