Ke haʻi nei kou koko i ka moʻolelo - ʻO nā mea āpau e pili ana i ka Helu Koko Piha (CBC)!

I kēia lā, e kamaʻilio kākou e pili ana i kahi mea nui loa iā ʻoe a me aʻu. He hoʻāʻo ia e hana ʻia ma ke koko i loko o ko kākou kino. Ua lohe paha ʻoe i kekahi kauka e ʻōlelo ana, "E hana kākou i kahi hoʻāʻo koko" ke hele ʻoe i ke kauka? ʻO kekahi o nā hoʻāʻo koko maʻamau a koʻikoʻi loa ʻo ia ka "Complete Blood Count (CBC)". Hiki i kēia ke haʻi mai iā kākou i nā mea he nui e pili ana i nā limahana liʻiliʻi a me nā kiaʻi i loko o ko kākou kino. No laila, e nānā kākou i ke ʻano o kēia hoʻāʻo `CBC`, no ke aha i hana ʻia ai, a he aha kāna e haʻi mai ai iā kākou?

He aha ke koko, a no ke aha he mea waiwai nui ia iā kākou?

E noʻonoʻo, ua like ko kākou kino me ke kūlanakauhale nui. Aia kahi pūnaewele o nā alanui e lawe ai i nā waiwai, nā leka, a me nā ʻōpala ma nā wahi a pau o kēia kūlanakauhale, ʻeā? Pēlā ke ʻano o ke koko e holo nei ma o ko kākou mau aa koko. Nui nā mea kupaianaha i loko o kēia koko, ua like ia me kahi honua liʻiliʻi! ʻEkolu mau ʻāpana nui a mākou e kālele nei ma kēia hoʻāʻo `CBC`.

Nā Kelepona Koko ʻUlaʻula - Ke koko ola o ko kākou kino

Ua ʻike anei ʻoe i ka mea nāna e lawe i ka oxygen e komo mai ana i loko o nā māmā ke hanu mākou i kēlā me kēia cell liʻiliʻi o ke kino, mai ka piko o ko mākou mau manamana lima a i nā cell lolo? Hana ʻia kēlā lawelawe nui e nā cell koko ʻulaʻula, a i ʻole nā ​​​​​​ʻUlaʻula Koko (RBC). Ua like kēia me nā disc liʻiliʻi, poepoe, a me nā ʻīpuka. ʻO kēia nā mea e lawe i ka oxygen ma ke kino holoʻokoʻa, e hoʻolaha iā ia i kēlā me kēia cell, a lawe mai i ka huahana ʻōpala o kēlā mau cell, ʻo ia hoʻi ʻo `Carbon Dioxide`, i nā māmā. Loaʻa iā mākou ka ikehu e holo, lele, hana, a noʻonoʻo no ka mea hana pono kēia mau cell koko ʻulaʻula i kā lākou hana. Ke haʻahaʻa kēia mau cell koko ʻulaʻula, ʻōlelo mākou i nā mea e like me ``anemic'', ``pale'', ``luhi iki'', ``manaʻo luhi''. Kāhea pū nā kauka i kēia maʻi he `` anemia ''.

Nā Kelepona Koko Keʻokeʻo - Nā Koa Palekana o ke Kino

I kēia manawa, e nānā, i ka wā e hoʻāʻo ai nā germs e hoʻoulu ai i nā maʻi, e like me ka bacteria, nā virus, a me nā fungi, e komo i loko o ko kākou kino, aia kekahi e hakakā iā lākou? ʻO ia ke kumu o nā keena koko keʻokeʻo, a i ʻole nā ​​​​​​Keena Koko Keʻokeʻo (WBC). Ua like kēia poʻe me ka pūʻali koa a me nā mākaʻi ma ko kākou ʻāina. ʻO kēia mau keena koko keʻokeʻo ka ʻāpana koʻikoʻi loa o ka ʻōnaehana pale o ko kākou kino.

Aia kekahi mau ʻano o kēia mau hunaola koko keʻokeʻo, a he hana kūikawā ko kēlā me kēia ʻano.

• Hele pololei kekahi mau hunaola koko keʻokeʻo i nā germs a 'ʻai iā lākou' (ua kapa ʻia kēia ʻo 'Phagocytosis').
• Hana kekahi i nā protein kūikawā i kapa ʻia ʻo 'antibodies' e kūʻē i kēlā mau germs. Hoʻopili kēia mau antibodies i nā germs a hoʻopau iā lākou.

No laila, ke loaʻa i ko mākou kino kahi maʻi, piʻi ka helu o kēia mau hunaola koko keʻokeʻo e hoʻomākaukau ai no ke kaua. Pēlā nō, i kekahi mau maʻi allergies, hiki ke piʻi aʻe kekahi ʻano o kēia mau hunaola koko keʻokeʻo.

Nā Platelets - nā koa liʻiliʻi e hoʻōki i ke koko

Ke hoʻomanaʻo nei ʻoe i kou hāʻule ʻana i ka wā e pāʻani ana a ʻoki paha i kou lima me ka pahi i ka wā e ʻoki ana i nā mea kanu, a ua pau ke kahe ʻana o ke koko ma hope o kekahi manawa? ʻO ia ka mea a nā platelets, a i ʻole 'Platelets' (ʻo kekahi inoa ʻo 'Thrombocytes'), e kōkua ai. ʻAʻole kēia he mau ʻāpana holoʻokoʻa, akā he mau ʻāpana e haki ana mai nā ʻāpana nui aʻe i loko o ka iwi iwi. Akā ʻoiai he liʻiliʻi lākou, hana nui lākou. Ke hōʻino ʻia kahi kīʻaha koko ma kekahi wahi a hoʻomaka ke koko e kahe i waho, ʻo kēia mau platelets nā mea e hele koke mai i laila a pili pū, e hana ana i kahi ʻupena e pani ai i ka ʻeha. E like me ka wā e hana ʻia ai kahi lua i loko o kahi culvert ma ke alanui, hoʻohana ʻia nā pōhaku a me ke one e hoʻopiha iā ia. Ua kapa ʻia kēia he clotting koko . Inā emi ka helu o kēia mau platelets, hiki ke paʻakikī ke hoʻōki i ke kahe ʻana o ke koko mai kahi ʻeha liʻiliʻi. I kekahi manawa, hiki i nā ʻāʻī ke kahe, a hiki i ke kino ke lilo i polū ma nā wahi (me he mea lā ua paʻi wale ʻia).

No laila he aha kēia hoʻāʻo helu koko piha (CBC)?

ʻAe, i kēia manawa ua loaʻa iā ʻoe kahi manaʻo iki e pili ana i nā koa nui a me nā mea hana i loko o kou koko. No laila, ʻo kēia 'Complete Blood Count (CBC)' he hoʻāʻo e helu ana i ka nui o kēia mau hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets i loko o kahi hāpana o kou koko. ʻAʻole wale ia, hiki iā ia ke ana i nā ʻike koʻikoʻi ʻē aʻe e pili ana i kēia mau hunaola, no ka laʻana, pehea ka nui a i ʻole ka liʻiliʻi (ʻo ia hoʻi, ka nui) o nā hunaola koko ʻulaʻula, pehea ko lākou ʻano, a me ka nui o ka hemoglobin `(Haemoglobin a i ʻole Hb)`, ka protein koʻikoʻi loa i loko o nā hunaola koko ʻulaʻula e lawe ana i ka oxygen. Nānā pū ia i ka nui o kēlā me kēia ʻano o nā hunaola koko keʻokeʻo.

Hiki i ke kauka ke kauoha i kēia hoʻāʻo "CBC" no nā kumu like ʻole.

• E ʻike inā he maʻi kou: Ke loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ka ʻeha kino, ka luhi nui, ka maeʻele, a me nā maʻi pinepine, hiki i kēia ke kōkua i ka hoʻoholo ʻana inā he maʻi, anemia, a i ʻole kekahi pilikia ʻē aʻe ke kumu.
• E nānā i ke kūlana o kahi maʻi e kū nei: I kekahi mau maʻi (e laʻa me ka leukemia, kekahi mau maʻi autoimmune), loaʻa nā loli i loko o nā hunaola koko. No laila, kōkua pū ka CBC e ʻike inā ua kaohi ʻia ka maʻi a inā e hana ana ka lāʻau.
• E nānā i nā hopena o kekahi mau lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau (e laʻa, chemotherapy, antibiotics) ke hoʻopilikia i ka iwi iwi, ka mea e hana ai i nā hunaola koko. No laila, ke hāʻawi ʻia kēlā mau lāʻau lapaʻau iā ʻoe, hana pinepine ʻia kēia hoʻāʻo e ʻike inā ke hōʻino nei lākou a i ʻole e hōʻemi ana i ka helu o nā hunaola koko.
• Ma mua o kahi ʻoki kino nui: He mea nui ka CBC ma mua o kahi ʻoki kino e nānā inā lawa ka helu koko, inā hiki i ke koko ke kuʻi pono, a inā he maʻi.
• Ma ke ʻano he ʻāpana o ka nānā ʻana i ke olakino maʻamau:ʻOiai inā ʻaʻohe maʻi, i kekahi manawa hiki ke hana ʻia kahi CBC ma ke ʻano he ʻāpana o ka nānā makahiki e hōʻoia i ka hana pono ʻana o nā mea āpau i loko o ko mākou kino. Aia kekahi mau manawa hiki ke kōkua iā mākou e ʻike mua, ʻoiai inā he maʻi ia e hoʻomaka ana i loko o mākou me ka ʻike ʻole ʻia.

He aha kā mākou e aʻo ai mai kahi hoʻokolohua CBC?

Ke ʻike ʻoe i ka nui o nā helu a me nā leka ma kēia hōʻike `CBC`, e noʻonoʻo paha ʻoe, "Auē, he aha kēia?" Mai makaʻu. ʻO kāu kauka wale nō ke hiki ke wehewehe pono i kēia hōʻike a hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo e pili ana i kou kūlana. Akā no ka ʻike laulā, e nānā kākou i kekahi o nā mea nui i ʻōlelo ʻia.

Nā mea e nānā ai mai ka manaʻo o nā hunaola koko ʻulaʻula (RBC):

• Helu Kelepona Koko ʻUlaʻula (Helu RBC): ʻO kēia ka huina o nā kelepona koko ʻulaʻula i loko o ke kino. Inā haʻahaʻa kēia ma mua o ka maʻamau, he hōʻailona paha ia o ka anemia.
• Hemoglobin (Hb): ʻO kēia ka protein i loko o nā hunaola koko ʻulaʻula e lawe ana i ka oxygen. ʻO ka emi ʻana o kēia nui he hōʻailona nui nō hoʻi ia o ka anemia. ʻOkoʻa nā waiwai maʻamau no nā kāne, nā wahine, nā kamaliʻi ʻōpio, a me nā wahine hāpai.
• Hematocrit (Hct) / Packed Cell Volume (PCV): Hōʻike kēia iā ʻoe i ka pakeneka o kou koko i hana ʻia me nā hunaola koko ʻulaʻula. I ka ʻōlelo maʻalahi, ua like ia me ka 'mānoanoa' o nā hunaola koko ʻulaʻula i loko o kou koko. Kōkua pū kēia i ka hoʻoholo ʻana inā he anemia kou. Hoʻolohe pū nā kauka i ke ʻano o ka loli ʻana o kēia waiwai `PCV` i nā maʻi e like me ka dengue.
• MCV (Mean Corpuscular Volume), MCH (Mean Corpuscular Haemoglobin), MCHC (Mean Corpuscular Haemoglobin Concentration), RDW (Red Cell Distribution Width): Hōʻike kēia mau leka Pelekania iā ʻoe i ka nui awelika o kou mau keena koko ʻulaʻula, ka nui o ka hemoglobin (Hb) i loko o hoʻokahi keena koko ʻulaʻula, pehea ka mānoanoa o ka hemoglobin i loko o nā keena koko ʻulaʻula, a me ka nui o nā keena koko ʻulaʻula (ʻo ia hoʻi nā ʻano nui like ʻole). ʻO kēia nā mea hiki i kāu kauka ke hoʻohana e hoʻoholo ai inā he anemia kou, inā paha ma muli o ka anemia nele i ka hao, ka huaora B12 a i ʻole ka hemahema o ka waikawa folic (Megaloblastic Anemia), kahi maʻi hoʻoilina e like me thalassemia, a i ʻole kekahi mea ʻē aʻe.

Nā mea e nānā ai e pili ana i ke ʻano o nā keʻokeʻo koko (WBC):

• Helu Kelepona Koko Keʻokeʻo (Helu WBC): ʻO kēia ka huina o nā kelepona koko keʻokeʻo i loko o ke kino. Inā ʻoi aku kēia ma mua o ka maʻamau, pinepine ia ma muli o kahi maʻi a i ʻole ka mumū ma kekahi wahi o ke kino. I kekahi manawa, hiki ke kiʻekiʻe loa kēia helu i nā maʻi kanesa e like me ka leukemia. He pilikia nō hoʻi inā haʻahaʻa kēia helu ma mua o ka maʻamau. Hiki ke kumu ia i kekahi mau maʻi viral (e.g., nā pae mua o ka dengue), nā pilikia iwi iwi, a i ʻole kekahi mau lāʻau lapaʻau.
• Helu ʻokoʻa (DC):Hōʻike kēia iā ʻoe i ka nui o nā ʻano keʻokeʻo koko like ʻole (ʻo ka hapa nui) ma ka pakeneka.
• Nā Neutrophils: ʻO kēia nā koa nui e hakakā nei i nā maʻi bacteria. Piʻi ko lākou pakeneka a me ka helu piha i ka wā o nā maʻi bacteria.
• Nā Lymphocytes: Kōkua kēia i ke kaua ʻana i nā maʻi viral a kūkulu i ka palekana. I nā kuni viral e like me ka dengue, hiki ke piʻi aʻe ko lākou pakeneka, ʻoiai e emi ana ka pakeneka o nā neutrophils (ua kapa ʻia kēia ʻo 'Relative Lymphocytosis').
• Monocytes: Hana pū kēia mau mea e kūʻē i nā maʻi, 'hoʻomaʻemaʻe' i nā hunaola make a me nā germs.
• ʻEosinophils: Hiki ke hoʻonui ʻia kēia mau mea i nā maʻi allergies (e like me ka hānō, eczema, nā allergies i nā mites lepo) a me nā maʻi parasitic (e like me nā pinworms).
• Nā Basophils: He mea nui kēia i nā hopena alerika a me kekahi mau kūlana mumū.

Nā mea e noʻonoʻo ai mai ka manaʻo o nā platelets:

• Helu Platelet: ʻO kēia ka helu o nā platelets e kōkua ana i ke kāpili ʻana o ke koko. Inā haʻahaʻa kēia ma mua o ka maʻamau (ua kapa ʻia kēia ʻo 'Thrombocytopenia'), ʻoi aku ka nui o ke kahe ʻana o ke koko. Ua lohe paha ʻoe e pili ana i ka emi ʻana o kēia mau platelets i ka wā o ka maʻi dengue. Hiki ke lilo i mea weliweli. Eia kekahi, inā kiʻekiʻe kēia ('Thrombocytosis'), i kekahi manawa hiki ke hana ʻia nā ʻōpū koko i loko o nā kīʻaha koko me ke kumu ʻole.

He mea nui loa: Loaʻa i kēlā me kēia helu kahi "Maʻamau." Akā, pono ʻoe e ʻike he ʻokoʻa iki kēlā mau pae mai ka hale hana a i ka hale hana, a ma muli hoʻi o nā mea e like me kou makahiki, ke kāne, a me ke kiʻekiʻe. No laila, no ka loaʻa ʻana o nā kikoʻī pololei o nā helu i kāu hōʻike, pono ʻoe e kamaʻilio me kāu kauka . E ʻoluʻolu, mai manaʻo he maʻi kou ma ka nānā wale ʻana i nā mea ma ka pūnaewele a i ʻole e hoʻohālikelike iā lākou me ka hōʻike a kahi hoaaloha. ʻO ia wale nō ke kumu o ka makaʻu pono ʻole.

Pehea e hana ʻia ai ka hoʻāʻo CBC? He mea anei ia e makaʻu ai?

I kēia manawa, ke noʻonoʻo nei paha ʻoe inā he mea pono ʻoe e hana i kēia hoʻāʻo `CBC`, a inā paha e ʻeha. ʻAʻohe mea e makaʻu ai. He maʻalahi loa ia, a he mau minuke wale nō ia.

ʻO ka maʻamau, pili ia i ka lawe ʻana i kahi hāpana koko liʻiliʻi mai kahi aʻa koko ma kou lima (ma lalo pono o kou kuʻekuʻe lima, kahi e ʻike maʻalahi ʻia ai). Hana ʻia kēia e ke kauka, kahi kahu maʻi i aʻo ʻia, a i ʻole he loea hoʻokolohua lapaʻau ma kahi keʻena hoʻokolohua.

1. ʻO ka mea mua, e hoʻomaʻemaʻe pono ʻia kahi e huki ʻia ai ke koko me kahi mea hoʻomaʻemaʻe e like me ka waiʻona.

2. A laila, hoʻokomo pono ʻia kahi nila liʻiliʻi a lahilahi (nila sterile) i loko o ke aʻa, a hōʻiliʻili ʻia ka nui o ke koko e pono ai (ma kahi o kekahi mau milliliters) i loko o kahi ʻōmole kūikawā. Loaʻa i kēia ʻōmole kahi mea kemika (anticoagulant) e hoʻōki ai i ke koko mai ka hoʻopili ʻana.

3. Ma hope o ka wehe ʻana i ke kui, e kau i kahi ʻāpana liʻiliʻi o ka plaster a i ʻole ka pulupulu ma ka wahi a paʻa i laila no kekahi manawa a hiki i ka pau ʻana o ke kahe ʻana o ke koko.

Ke hoʻokomo ʻia ke kui, e like paha me he ʻanuʻu liʻiliʻi a makika paha e ʻā ana iā ʻoe . Akā, he mau kekona wale nō ia. Ma hope o kēlā, ʻaʻohe ʻeha. Makaʻu iki kekahi poʻe i nā kui, he mea maʻamau ia. Inā like ʻoe me ia, hiki iā ʻoe ke nānā aku a hanu hohonu i ka wā e huki ʻia ana ke koko. Hiki i kēia ke kōkua i ka hoʻēmi iki ʻana i ka makaʻu. ʻO ka paʻa ʻana i kou lima no kekahi manawa ma hope o ke huki ʻia ʻana o ke koko e kōkua nō hoʻi i ka hoʻēmi ʻana i ka manawa e lilo ai ka wahi i polū.

A laila hoʻouna ʻia kēia hāpana koko i ka hale hana, kahi e helu ʻia ai nā ʻano cell i ʻōlelo ʻia ma luna a nānā ʻia ko lākou mau kikoʻī. Hiki ke hala kekahi mau hola, i kekahi manawa i hoʻokahi lā, no ka hōʻea ʻana o ka hōʻike, ma muli o ka nui o ka hana o ka hale hana.

No laila, he aha nā mea nui loa e pono ai mākou e hoʻomanaʻo e pili ana i kēia CBC? (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui mākou e pili ana i ka hoʻāʻo ʻana o ka `Complete Blood Count (CBC)`. No laila, eia nā kumu nui e pono ai ʻoe e hoʻomanaʻo mai kēia mau mea a pau:

• He hoʻāʻo maʻamau a waiwai nui ka `CBC` e ana i nā ʻano nui o nā cell i loko o kou koko, ʻo ia hoʻi nā cell koko ʻulaʻula, nā cell koko keʻokeʻo, a me nā platelets, a me ko lākou mau ʻano koʻikoʻi ʻē aʻe (e like me ka hemoglobin).
• Kōkua kēia hoʻāʻo iā ʻoe e ʻike i kekahi mau maʻi i loko o kou kino (e like me ka anemia, nā maʻi like ʻole, kekahi mau maʻi kanesa), ʻike i ke kūlana o kēia manawa o ka maʻi, a nānā i nā hopena o nā lāʻau lapaʻau.
• He hana kūikawā ko kēlā me kēia ʻano o ke koko. Lawe nā ʻulaʻula i ka oxygen, pale nā ​​ʻulaʻula keʻokeʻo i nā maʻi, a hoʻōki nā platelets i ke kahe koko. Inā nele kekahi o kēia mau mea, hiki ke hoʻopilikia ʻia ko kākou olakino.
• He mea nui e waiho i ka wehewehe ʻana o nā helu a me nā leka ma ka hōʻike `CBC` i ke kauka. Hiki ke ʻokoʻa iki ka `Normal Range` mai ka hale hana a i ka hale hana. No laila, mai lele i nā hopena a makaʻu a pīhoihoi paha.
• He mea maʻalahi loa ka hāʻawi ʻana i ke koko e hele pū me ka ʻeha liʻiliʻi, he mau kekona wale nō. ʻAʻohe mea e makaʻu ai.
• Inā maʻi ʻoe a i ʻole he mau hōʻailona i wehewehe ʻole ʻia (e.g., luhi mau, kuni pinepine, kahe koko mai nā wahi like ʻole o kou kino), e ʻike koke i ke kauka no ka ʻōlelo aʻo. Hiki iā ia ke kauoha i kahi CBC a i ʻole nā ​​​​hoʻokolohua ʻē aʻe inā pono.

ʻO ka mea hope loa, ua like kēia hoʻāʻo `CBC` me ke `aniani` e haʻi nui ana i ke ao liʻiliʻi i loko o ko kākou kino, e pili ana i ko kākou olakino. No laila, he kōkua nui ia no kākou ke hana ʻia kēia hoʻāʻo i ka manawa kūpono, e hoʻohana pono i ka ʻike i loaʻa mai ia mea, a mālama i ko kākou olakino. Ke makemake nei i ke olakino maikaʻi o nā kānaka a pau!

Helu koko piha, CBC, nā hoʻāʻo koko, nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, nā platelets, hemoglobin, hōʻailona