Ua lohe paha ʻoe iā 'Bone Marrow', ʻeā? Malia paha mai ke kauka mai, a i ʻole ma ke TV paha. He mea kupaianaha loa ia i loko o ko kākou mau iwi, kahi mea nui i ko kākou kino. Mai hopohopo, ʻoiai paha he mea nui kēia, i kēia lā e kamaʻilio maʻalahi mākou e pili ana i ia mea, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha maoli ka iwi ʻiwi?
ʻAe, e nānā mua kākou i ke ʻano o kēia 'iwi ʻōmo' . I ka ʻōlelo maʻalahi, ʻo ia ka ʻāpana palupalu, huʻa, e like me ka jelly i loko o ko kākou mau iwi. Ua ʻike anei ʻoe i ka iwi ʻōmo i loko o kekahi mau iwi holoholona (no ka laʻana, ka iwi ʻūhā ke ʻai ʻoe i ka moa)? ʻO ia ke ʻano o kēia. Ma ka ʻōlelo Pelekania, ua kapa ʻia ʻo 'bone marrow'. Ua like ia me 'me-ro' .
ʻAʻole kēia iwi iwi i loko o nā iwi āpau o ko kākou kino, akā he nui loa ia i loko o nā iwi nui a lōʻihi o ko kākou kino. Eia kekahi laʻana, i loko o kou iwi ʻūhā, iwi ʻūhā, sternum, a me nā iwi ʻaoʻao. ʻOiai he nui nā iwi i loko o nā keiki liʻiliʻi i loaʻa kēia iwi iwi, i ko kākou ulu ʻana, ʻo ia hoʻi, i ko kākou hiki ʻana i ka wā ʻōpio, loli kekahi mau iwi a piha i nā hunaola momona. Akā ma nā wahi e like me ka iwi ʻūhā a me ka iwi ʻūhā, e mau ana kēia iwi iwi koʻikoʻi i ka hana a pau o ke ola.
Ua ʻike anei ʻoe he ʻelua ʻano o ka iwi ʻiwi?
ʻAe, aia ʻelua ʻano nui o ka iwi iwi i loko o ko kākou kino. ʻO kekahi ka iwi iwi ʻulaʻula , a ʻo kekahi ka iwi iwi melemele . He ʻokoʻa iki nā hana a kēia mau mea ʻelua.
ʻIwi ʻUlaʻula - ʻO kā mākou hale hana koko!
ʻO kēia iwi ʻulaʻula ka mea e pono ai ko kākou kino, a he hana koʻikoʻi loa kāna. Hoʻopuka ia i nā ʻano hunaola koko āpau i loko o ko kākou kino. E noʻonoʻo e like me kahi hale hana nui, e hana mau ana i nā hunaola koko a kākou e pono ai. He aha kēia mau hunaola koko?
- Nā Kelepona Koko ʻUlaʻula (RBC): ʻO kēia nā keena e lawe ana i ka oxygen ma o ko kākou kino. E noʻonoʻo iā lākou e like me nā kaʻa liʻiliʻi e lawe ana i ka oxygen mai nā māmā a hāʻawi iā ia i kēlā me kēia keena o ke kino. ʻO kēia oxygen ka mea e hāʻawi iā mākou i ka ikehu, e hiki ai iā mākou ke hanu, a e hiki ai iā mākou ke hana. Ke haʻahaʻa kēia mau keena, luhi mākou a i kekahi manawa loaʻa kahi maʻi i kapa ʻia ʻo anemia.
- Nā Kelepona Koko Keʻokeʻo (WBC): Ua like kēia me nā kiaʻi palekana o ko mākou kino. E like me ka pūʻali koa a me nā mākaʻi ma ko mākou ʻāina. Ke komo nā mea hoʻoulu maʻi e like me nā germs, bacteria, a me nā virus i loko o ke kino, hele kēia mau kelepona keʻokeʻo e kaua iā lākou, luku iā lākou, a hoʻopakele iā mākou mai nā maʻi. Aia kekahi mau ʻano o kēia mau kelepona koko keʻokeʻo, a he hana kikoʻī ko kēlā me kēia ʻano. No ka laʻana, nā neutrophils a me nā lymphocytes.
- Nā Platelets:ʻO kekahi hui koʻikoʻi ʻē aʻe, ʻo ia kēia mau platelets. Ke loaʻa iā ʻoe kahi ʻeha liʻiliʻi, kahi ʻoki, e kahe ana kekahi koko a e pau koke. Kōkua kēia mau platelets i kēlā. ʻO kā lākou hana, ʻo ia ke hele mai i kahi e kahe ai ke koko a hui pū, hana i kahi ʻūpā koko, sila i ka ʻeha a hoʻōki i ke kahe ʻana o ke koko. A i ʻole, hiki i kahi ʻeha liʻiliʻi ke lilo i pilikia nui, ʻeā? Inā nui ke koko e nalowale ana, he mea weliweli ia.
No laila, ʻo kēia iwi ʻulaʻula ka mea e hana ai i nā ʻano ʻekolu o nā cell a mālama i ko mākou ʻōnaehana koko i ke olakino. ʻO ia ke kumu i piha ai nā iwi he nui i loko o nā keiki ʻōpio me kēia iwi ʻulaʻula, no ka mea, ke ulu wikiwiki nei lākou a pono i ka nui o nā cell koko.
ʻIwi iwi melemele - Mālama momona
ʻO ka iwi melemele ka mea nui i hana ʻia me nā hunaola momona. Ua like kēia me ka waihona ikehu o ko kākou kino. Hiki ke hoʻololi ʻia kēia momona i ikehu ke pono. Eia kekahi, i kahi pilikia, no ka laʻana, inā he kahe koko nui, hiki i kēia iwi melemele ke hoʻi i loko o ka iwi ʻulaʻula a kōkua i ka hana ʻana i nā hunaola koko. ʻAʻole anei he mea kupaianaha? I ko kākou ʻelemakule ʻana, ʻoi aku ka nui o ka iwi melemele o kekahi mau iwi ma mua o ka iwi ʻulaʻula.
No ke aha he mea nui ka iwi iwi iā kākou? – Kāna mau hana nui
I kēia manawa, ua maopopo paha iā ʻoe ke koʻikoʻi o ka iwi ʻiʻo, ʻoiai ka iwi ʻulaʻula, i ko kākou kino. E nānā kākou i kekahi o kāna mau hana nui:
1. Ka hana ʻana o nā hunaola koko: ʻO kēia ka hana nui a koʻikoʻi loa. ʻO nā ʻano hunaola koko ʻekolu, nā hunaola ʻulaʻula, nā hunaola keʻokeʻo, a me nā platelets, ua hana ʻia e ka iwi iwi.
2. Kōkua i ka lawe ʻana o ka oxygen: Hāʻawi nā ʻulaʻula i ka oxygen i ke kino holoʻokoʻa.
3. Ka mālama ʻana i ka palekana: Mālama nā keʻokeʻo keʻokeʻo iā mākou mai nā maʻi.
4. Ke kāohi ʻana i ke kahe ʻana o ke koko: Hoʻōki nā platelets i ke kahe nui ʻana o ke koko ma o ke kāpili ʻana i ke koko.
5. Ka Home o nā Stem Cells: I loko o ka iwi iwi, aia kekahi ʻano cell kūikawā i kapa ʻia ʻo 'Stem Cells' . ʻAʻole hiki i kēia mau cell ke lilo i kekahi ʻano cell koko, akā, i kekahi mau ʻano cell ʻē aʻe i loko o ke kino. ʻO ia ke kumu e hoʻohana ʻia ai ka 'Stem Cell Transplant' ma ke ʻano he lāʻau lapaʻau no kekahi mau maʻi.
I ka ʻōlelo maʻalahi, he ʻōkana koʻikoʻi ka iwi iwi no ko kākou ola ʻana. Ua like ia me kahi hale hana liʻiliʻi akā ikaika loa i loko o ko kākou kino.
Hiki ke loaʻa nā pilikia o ka iwi iwi? - Kekahi mau pilikia maʻamau
E like me nā ʻāpana ʻē aʻe o ko kākou kino, hiki i ka iwi iwi ke loaʻa i nā pilikia a me nā maʻi. Inā hana ʻia kēlā, hiki iā ia ke hoʻopilikia i ko kākou kino holoʻokoʻa, ʻoiai ua hoʻopilikia ʻia ka hana ʻana o nā hunaola koko. E nānā kākou i kekahi o nā pilikia nui e hiki ke hana ʻia:
- Leukemia: He ʻano maʻi ʻaʻai kēia e ulu ana i loko o ka iwi iwi. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka hana ʻana o ka iwi iwi i ka nui o nā hunaola koko keʻokeʻo kūpono ʻole a pono ʻole. Hoʻemi pū kēia mau hunaola kūpono ʻole i ka hana ʻana o nā hunaola koko olakino.
- ʻO ka maʻi ʻili:He ʻano maʻi kanesa nō hoʻi kēia. Eia nō naʻe, hoʻomaka ia i loko o nā hunaola koko keʻokeʻo i kapa ʻia ʻo lymphocytes, ʻo ia kekahi ʻāpana o ka ʻōnaehana pale. ʻOiai ua loaʻa pū kēia mau lymphocytes i loko o ka iwi iwi, hiki i ka lymphoma ke hoʻopilikia i ka iwi iwi.
- ʻAnemia Aplastic: Ma kēia kūlana, ʻaʻole hiki i ka iwi iwi ke hana i nā hunaola koko hou (nā hunaola ʻulaʻula, nā hunaola keʻokeʻo, a me nā platelet). Me he mea lā ua pani ʻia ka hale hana.
- Nā Syndromes Myelodysplastic (MDS): Maanei, ʻoiai ke hana nei ka iwi iwi i nā hunaola koko, ʻaʻole i hoʻomohala pono ʻia nā hunaola a lākou e hana ai, a i ʻole ua hoʻopilikia ʻia kā lākou hana. Ua like ia me ka hoʻoponopono ʻana i nā lako haʻihaʻi.
- ʻO ka Myeloma Nui: He maʻi ʻaʻai kēia e ulu ana i loko o ka iwi iwi e pili ana i nā cell plasma (kahi ʻano o ke koko keʻokeʻo).
- Nā kumu ʻē aʻe: Eia kekahi, hiki i kekahi mau maʻi, kekahi mau lāʻau lapaʻau (ʻoi aku ka chemotherapy), radiation therapy, a me kekahi mau hemahema meaʻai (e.g., vitamin B12, folate, hemahema hao) ke hoʻopilikia i ka hana o ka iwi ʻiʻo.
Ke kū mai kēia ʻano, hiki ke ʻike ʻia nā hōʻailona e like me ka luhi, ka maʻi pinepine, ka maeʻele, a me ke kahe ʻana o ke koko.
Pehea ʻoe e ʻike ai inā he pilikia me ka iwi iwi? - Ka hōʻoia ʻana
Inā manaʻo kekahi kauka he pilikia ko kekahi me ka iwi iwi, e hana lākou i kekahi mau hoʻokolohua e ʻike pono ai i ke ʻano o ia mea.
- Nā Hoʻāʻo Koko: ʻO ka mea mua āu e hana ai, ʻo ia ka helu koko piha (FBC). E nānā kēia i ka helu o nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelet i loko o kou koko. Inā he ʻokoʻa nui kēia mau helu, he pilikia paha ia me kou iwi iwi.
- ʻO ka ʻAi ʻana o ka Iwi a me ka Biopsy: ʻO kēia ka hoʻāʻo nui i hoʻohana ʻia e hoʻoholo ai i ke kūlana pololei o ka iwi. Maanei, lawe ʻia kahi hāpana liʻiliʻi o ka iwi me ka hoʻohana ʻana i kahi syringe liʻiliʻi, maʻamau mai kahi e like me ka iwi ʻūhā. Ua kapa ʻia kēia he 'Bone Marrow Aspiration' a me 'Biopsy' . ʻOiai ke ʻano he hoʻāʻo ʻeha iki kēia, hana nā kauka i mea e ʻoluʻolu ʻole ai. A laila nānā ʻia ka hāpana ma lalo o kahi microscope e nānā i ke ʻano a me ka nui o nā cell.
Hiki i kēia mau hoʻokolohua ke hoʻoholo pono i ke ʻano o ka pilikia ma ka iwi iwi.
He aha nā lāʻau lapaʻau no nā maʻi iwi?
Ke ʻike ʻia kahi maʻi iwi iwi, hilinaʻi ka lāʻau lapaʻau i nā kumu he nui, me ke ʻano o ka maʻi, ka makahiki o ka mea maʻi, a me ko lākou olakino holoʻokoʻa. Eia kekahi o nā koho lapaʻau nui:
- Nā lāʻau lapaʻau: No kekahi mau kūlana, hāʻawi ʻia nā lāʻau lapaʻau e hoʻoulu ai i ka iwi iwi a hoʻonui i ka hana ʻana o nā hunaola koko. No nā kūlana maʻi kanesa, hoʻohana ʻia nā lāʻau lapaʻau ikaika e like me ka chemotherapy .
- Nā Hoʻoili Koko:Inā haʻahaʻa loa ka helu o nā sela koko, hana ʻia nā hoʻoili koko o waho (nā sela ʻulaʻula, nā platelets).
- Hoʻoili ʻana o ka iwi iwi / Hoʻoili ʻana o nā cell kumu: He ʻano lapaʻau paʻakikī kēia. Pili ia i ka wehe ʻana i ka iwi iwi maʻi a hoʻololi iā ia me nā cell iwi iwi olakino (a i ʻole nā cell kumu). Hiki i kēia mau cell olakino ke hele mai mai kahi mea hāʻawi kūpono, a i ʻole i kekahi manawa mai ka mea maʻi ponoʻī. ʻOiai he lāʻau lapaʻau nui a paʻakikī kēia, ua hiki iā ia ke ho'ōla i kekahi mau maʻi iwi koʻikoʻi.
Eia kekahi, he mea nui nō hoʻi nā mea e like me ka mālama ola kino a me nā ʻōlelo aʻoaʻo no ka meaʻai.
He aha kā kākou e hana ai e mālama i ke olakino o ko kākou iwi?
ʻOiai ʻo ka iwi iwi kahi mea i loaʻa i loko o ke kino, e noʻonoʻo paha ʻoe inā pono ʻoe e hana i kekahi mea kūikawā e mālama ai. ʻO ka ʻoiaʻiʻo, ʻo ka mālama ʻana i kahi nohona olakino holoʻokoʻa ka mea maikaʻi loa no ke olakino o ka iwi iwi.
- ʻAi maikaʻi: E ʻai i ka meaʻai kaulike e loaʻa ana nā meaolaola e like me ka hao, ka wikamina B12, a me ka waikawa folic. ʻO nā meaʻai e like me nā greens, nā mea kanu, nā huaʻai, ka ʻiʻo, ka iʻa, a me nā huahana waiū e kōkua i kēia.
- E pale i nā mea ʻino: E pale i ka pili ʻana i nā kemika ʻawahia a me ka radiation pono ʻole i ka hiki. He mea ʻino nō hoʻi nā mea e like me ka puhipaka.
- ʻŌlelo aʻoaʻo lapaʻau: Inā loaʻa iā ʻoe kekahi mau hōʻailona (e laʻa me ka luhi mau, ka maʻi pinepine), a inā paha ua loaʻa i kekahi o kou ʻohana kahi maʻi iwi iwi, e ʻike i ke kauka no ka ʻōlelo aʻoaʻo.
Leka Lawe-Home
No laila, i kēia lā ua kamaʻilio nui kākou e pili ana i ka iwi ʻiʻo, ʻeā?
Ua like ka iwi iwi me kahi hale hana liʻiliʻi i loko o ko kākou kino e hana ana i kahi lawelawe mālie akā koʻikoʻi loa, e hoʻomau ana iā kākou e ola. ʻAʻole hiki iā kākou ke ola me ka ʻole o nā hunaola koko āna e hana ai.
- I ka ʻōlelo maʻalahi, he ʻāpana like ka iwi ʻiʻo me ka huʻahuʻa i loko o ko kākou mau iwi e hana ana i nā ʻano ʻekolu o nā hunaola koko: nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets.
- Kōkua kēia mau hunaola koko i ka lawe ʻana i ka oxygen i ko mākou kino, pale iā mākou mai nā maʻi, a hoʻōki i ke kahe ʻana o ke koko .
- I kekahi manawa, hiki i ka iwi iwi ke hoʻomohala i nā maʻi (e like me ka leukemia), akā hiki ke mālama ʻia kēia mau mea me ka hoʻāʻo lapaʻau kūpono a me ka mālama ʻana .
- He mea nui nō hoʻi ka noho ʻana i kahi nohona olakino no ke olakino o ka iwi.
Inā he mau nīnau hou aku kāu e pili ana i kēia, mai makaʻu e nīnau i ke kauka. ʻO ka nui o ko kākou ʻike e pili ana i ko kākou kino, ʻo ka nui o ko kākou mālama ʻana i ko kākou olakino.
ʻIwi iwi, Nā hunaola koko, Nā hunaola koko ʻulaʻula, Nā hunaola koko keʻokeʻo, Nā platelet, Leukemia, Hoʻoili iwi iwi











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