Hemoglobin haʻahaʻa? Manaʻo nāwaliwali? E aʻo kākou e pili ana i nā kumu, nā hōʻailona, ​​a me nā lāʻau lapaʻau ma ke ala maʻalahi!

Ke luhi nei hoʻi ʻoe a make mau i nā manawa a pau? Ke nāwaliwali nei ʻoe ma hope o ka hana ʻana i kahi hana liʻiliʻi? Malia paha ua poniuniu ʻoe a keʻokeʻo paha kou ʻili? ʻO kekahi kumu o kēia mau hōʻailona, ​​ʻo ia ka emi ʻana o ka pae o ka hemoglobin i loko o kou kino. No laila, he aha kēia hemoglobin ? He aha ka mea e hana ʻia ke emi iho? No ke aha e emi ai? He aha ka mea hiki ke hana ʻia e pili ana i ia mea? E kamaʻilio kākou e pili ana i kēia mau mea a pau ma ke ʻano maʻalahi i kēia lā.

🤔 He aha kēia hemoglobin? No ke aha i ʻōlelo ʻia ai e emi ana?

Hemoglobin a me nā keena koko ʻulaʻula

E noʻonoʻo i nā hunaola koko ʻulaʻula i loko o ko kākou koko e like me nā kalaka liʻiliʻi. ʻO ka hana nui o kēia mau kalaka, ʻo ia ke kiʻi ʻana i ka oxygen mai nā māmā a hāʻawi iā ia i nā hunaola ʻē aʻe a pau o ke kino. He mea nui kēia oxygen no kā kākou mau hunaola e hana a hana i ka ikehu.

No laila, ʻo ka protein kūikawā e lawe ana i ka oxygen i loko o kēia mau hunaola koko ʻulaʻula ua kapa ʻia ʻo hemoglobin . Loaʻa i ka hemoglobin ka hao , a hoʻopili nā molekula oxygen i kēlā hao. ʻO kēia hemoglobin ka mea e hāʻawi i nā hunaola koko ʻulaʻula i ko lākou kala ʻulaʻula.

He aha ka mea e hana ai ke emi iho ka hemoglobin?

Inā no kekahi kumu e emi ana ka nui o nā hunaola koko ʻulaʻula i hana ʻia i loko o kou kino, a inā paha e emi ana ka nui o ka hemoglobin i loko o kēlā mau hunaola koko ʻulaʻula, e emi ana hoʻi ka nui o ka oxygen e hiki ke lawe ʻia ma ke kino holoʻokoʻa. E like me ka emi ʻana o ka helu o nā kalaka oxygen, a i ʻole e emi ana ka nui o ka oxygen e hiki ke hoʻouka ʻia i loko o hoʻokahi kalaka.

Ke nele ko kākou mau ʻāpana i ka oxygen, hoʻomaka kākou e ʻike i nā hōʻailona e like me ka luhi, ka nāwaliwali, ka pōkole o ka hanu , a me ka poniuniu. Hiki ke hoʻonui ʻia kēia mau hōʻailona i ka emi ʻana o ko kākou pae hemoglobin.

He aha nā pae maʻamau a me nā pae weliweli?

Ua ana ʻia nā pae hemoglobin ma nā grama no ka deciliter (gm/dL). ʻOkoʻa iki ka pae hemoglobin maʻamau no ke kanaka olakino ma muli o ke kāne a me ka wahine:

• Nā Kāne: ʻO ka maʻamau ma waena o 14.0 gm/dL a me 17.5 gm/dL.
• Wahine: ʻO ka maʻamau ma waena o 12.3 gm/dL a me 15.3 gm/dL.

(Hiki ke ʻokoʻa iki kēia mau waiwai mai ka hale hana a i ka hale hana).

ʻO ka "hemoglobin haʻahaʻa" ʻo ia ka wā e hāʻule ai nā pae hemoglobin ma lalo o kēia mau waiwai maʻamau. ʻO ka hāʻule ʻana ma lalo o 13 gm/dL i loko o ke kāne a me ka hāʻule ʻana ma lalo o 12 gm/dL i loko o ka wahine ua manaʻo ʻia he hāʻule nui. ʻO ka hāʻule ʻana ma lalo loa o kēia hiki ke lilo i mea weliweli.

Pehea e ʻike ai inā haʻahaʻa kou hemoglobin?

ʻO ke ala nui e ʻike ai, ʻo ia ka loaʻa ʻana o kahi hoʻāʻo koko. Lawe ʻia kahi hāpana o kou koko a ana ʻia ka nui o ka hemoglobin i loko. Ua kapa ʻia kēia he hoʻāʻo hemoglobin . I kekahi manawa, hiki ke hana ʻia nā hoʻāʻo kūikawā, e like me ka hemoglobin electrophoresis, e nānā i nā ʻano hemoglobin like ʻole i loko o kou mau ʻulaʻula koko.

📉 He aha nā kumu kūpono o ka hemoglobin haʻahaʻa?

Hiki ke hoʻokaʻawale ʻia nā kumu o ka hemoglobin haʻahaʻa i ʻelua mau pūʻulu nui:

Nā Māhele Laulā

1. ʻAʻole lawa ka hana ʻana o nā hunaola koko ʻulaʻula: Hoʻopuka ka iwi iwi i loko o ko kākou mau iwi i nā hunaola koko ʻulaʻula a me nā hunaola koko keʻokeʻo. Inā hoʻopilikia ʻia ka hana o kēia iwi iwi ma muli o kahi maʻi a i ʻole ke ʻano, e emi paha ka hana ʻana o nā hunaola koko ʻulaʻula.
2. Ua luku ʻia nā hunaola koko ʻulaʻula ma mua o ka hana ʻia ʻana: Inā hana ke kino i nā hunaola koko ʻulaʻula, akā haki koke lākou, ʻaʻole hiki ke hoʻololi ʻia ka mea i nalowale.
3. Ka Poho Koko: Inā paha ma muli o kahi ʻeha, ke kahe koko ʻana o loko (e laʻa, mai kahi ʻōpū ʻōpū), a inā paha he nui ke kahe koko o nā wāhine i ko lākou wā, nalowale pū ka hemoglobin a me ka hao mai ke kino me ke koko.
4. ʻAʻole hiki ke omo pono i ka hao: He mea nui ka hao no ka hana ʻana i ka hemoglobin. Inā ʻaʻole omo pono ʻia ka hao mai ka meaʻai, e emi ana ka hana ʻana o ka hemoglobin.
5. ʻAʻohe o nā meaola koʻikoʻi: Hao a me ka wikamina B12 (He mea nui nō hoʻi ka wikamina B12 a me ka wikamina B9 (folate) no ka hoʻokumu pono ʻana o nā hunaola koko ʻulaʻula. ʻO ka loaʻa ʻole o kēia mau mea i kāu meaʻai e hiki ke alakaʻi i nā pae hemoglobin haʻahaʻa.

I kēia manawa, e nānā kākou i nā kūlana olakino kikoʻī a me nā kumu e pili ana i kēia mau pilikia koʻikoʻi.

Nā mea e hoʻopilikia ai i ka hana ʻana o nā hunaola koko ʻulaʻula

• Lymphoma: He maʻi ʻaʻai kēia e ulu ana i loko o ka ʻōnaehana lymphatic. Inā pālahalaha kēia mau hunaola maʻi ʻaʻai i ka iwi iwi, hoʻopilikia lākou i ka hana ʻana o nā hunaola koko ʻulaʻula.
• Leukemia: He maʻi ʻaʻai kēia e kū mai ana i loko o ke koko a me ka iwi iwi. Ke hoʻopiha nā hunaola maʻi ʻaʻai i ka iwi iwi, e emi ana ka hana ʻana o nā hunaola koko ʻulaʻula olakino.
• Anemia: ʻO Anemia ka inoa maʻamau no ka emi ʻana o ka hemoglobin. Hiki ke hana kēia no nā kumu like ʻole. Nā laʻana:
  • Anemia Aplastic: ʻO ia ke ʻano i hana ʻole ai ka iwi iwi i nā hunaola koko lawa mai nā hunaola kumu.
  • ʻO ka Anemia Pernicious: He maʻi autoimmune kēia e pale ai i ke kino mai ka omo ʻana i ka huaora B12. Me ka ʻole o ka B12, ʻaʻole hiki ke hana pono ʻia nā hunaola koko ʻulaʻula.
  • ʻAneemia nele i ka hao: He kūlana kēia kahi hiki ʻole i ke kino ke hana i ka hemoglobin ma muli o ka nele o ka hao. He mea maʻamau loa kēia.
• ʻO ka Myeloma Nui: Ma kēia, hoʻokumu ʻia nā pūnaewele plasma maʻamau ʻole i loko o ka iwi iwi, kahi e hoʻopilikia ai i ka hana ʻana o nā hunaola koko ʻulaʻula.
• Nā Syndromes Myelodysplastic: ʻO kēia ke ʻano kahi e ulu ʻole ai nā pūnaewele kumu i loko o ka iwi iwi i loko o nā pūpū koko olakino.
• Maʻi Puʻupaʻa Mau Loa: Hoʻopuka nā puʻupaʻa i kahi hormone (erythropoietin) e hōʻailona ana i ka iwi iwi e hana i nā hunaola koko ʻulaʻula. Ke hana pono ʻole nā ​​puʻupaʻa, hoʻopilikia ʻia kēia kaʻina hana.
• Nā lāʻau lapaʻau antiretroviral: ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i nā maʻi e like me ka HIV hiki ke hōʻino i ka iwi iwi a hōʻemi i ka hana ʻana o nā cell koko ʻulaʻula.
• Chemotherapy: ʻO nā lāʻau lapaʻau chemotherapy i hoʻohana ʻia e pepehi i nā hunaola kanesa hiki ke hōʻino i nā hunaola olakino i loko o ka iwi iwi, e hōʻemi ana i ka hana ʻana o nā hunaola koko ʻulaʻula.

Nā mea e hoʻopilikia ai i ke ola o nā hunaola koko ʻulaʻula

ʻO ka maʻamau, ola kahi hunaola koko ʻulaʻula i loko o ko kākou koko no kahi o 120 mau lā. Ke hana mau ʻia nei nā hunaola koko ʻulaʻula hou i loko o ka iwi iwi. Eia naʻe, ma muli o kekahi mau kūlana, make mua kēia mau hunaola koko ʻulaʻula (hemolysis).

• Ka nui o ka spleen / Splenomegaly:Ua like ka ʻōpū me kahi kānana i loko o ko kākou kino. Hopu a luku ia i nā hunaola koko ʻulaʻula kahiko a hōʻino ʻia. Inā hoʻonui ʻia ka ʻōpū ma muli o kekahi mau maʻi (e like me ka malaria, kekahi mau maʻi koko), hoʻomaka ia e hopu a luku i nā hunaola koko ʻulaʻula ma mua o ka mea e pono ai, e hoʻopōkole ana i ke ola.
• ʻO ka Anemia Cell Sickle: He maʻi koko hoʻoilina kēia. Ma kēia, ʻo kahi ʻano ʻē i ka hemoglobin e hoʻololi ai i ke ʻano o nā hunaola koko ʻulaʻula (lilo i ke ʻano sickle), e haki maʻalahi ai a paʻa i loko o nā kīʻaha koko.
• Thalassemias: He hui nō hoʻi kēia o nā maʻi koko hoʻoilina. Ma kēia, ʻaʻole hiki i ke kino ke hana pono i ka hemoglobin a me nā hunaola koko ʻulaʻula.

✅ Pehea e hoʻomaikaʻi ai i nā pae hemoglobin? (Mālama a me ka Lapaʻau)

Lapaʻau lapaʻau: E mālama kākou i ke kumu!

Hoʻōla ʻia ka hemoglobin haʻahaʻa ma ka ʻimi ʻana i ke kumu kumu a me ka mālama ʻana i kēlā kumu. ʻAʻole kūpono ke hoʻomaka e lawe i nā papa hao i ka wā e hōʻike ai kahi hoʻāʻo koko ua haʻahaʻa kou hemoglobin. Pono ʻoe e ʻike mua i ke kauka a ʻike i ke kumu o ka haʻahaʻa o kou hemoglobin.

Eia kekahi laʻana, inā ʻike kāu kauka ua haʻahaʻa kou pae hemoglobin ma muli o ka anemia nele i ka hao, e paipai ʻo ia i nā mea hoʻohui hao a me ka ʻai momona i ka hao. Ke mālama ʻia ka hemahema hao, e hoʻi hou kou pae hemoglobin i ka maʻamau.

Inā he hemahema ka wikamina B12 ke kumu, e mālama ʻia. Inā he maʻi puʻupaʻa ke kumu, hiki ke hāʻawi ʻia nā inikini hormone e kōkua i ka hana ʻana i nā hunaola koko ʻulaʻula i ka wā e mālama ʻia ana. Inā he maʻi ʻaʻai ke kumu, pono e mālama ʻia ke kanesa. Inā he maʻi hoʻoilina e like me ka thalassemia ke kumu, pono paha ka lāʻau e like me ke kahe koko.

No laila, ʻo ke ʻano o ka mālama ʻana e pili ana i ke kumu kikoʻī o ka hemoglobin haʻahaʻa.

He aha kā mākou e hana ai ma ka home?

ʻOiai hiki ke hoʻoulu pinepine ʻia ka hemoglobin haʻahaʻa e kahi maʻi koʻikoʻi, ʻaʻole hiki ke hoʻomalu ʻia me nā lāʻau lapaʻau home wale nō. He mea nui e ʻike i ke kauka e ʻike i ke kumu a loaʻa ka lāʻau lapaʻau.

Eia nō naʻe, ʻo ka mālama ʻana i kahi ʻai kaulike a momona hoʻi (ʻai waiwai i ka huaora) e kōkua i ka mālama ʻana i nā ʻula koko ʻulaʻula olakino a me nā pae hemoglobin. ʻOi aku ka maikaʻi, pono ʻoe e makaʻala i nā meaolaola hao, huaora B12 a me ka folate. Eia kekahi mau meaʻai maʻamau:

• ʻAi ʻulaʻula (pipi), a me nā ʻōpū e like me ke akepaʻa.
• Nā ʻano iʻa.
• Nā mea kanu ʻōmaʻomaʻo ʻeleʻele (e like me ka spinach, kale, collard greens, a pēlā aku).
• Nā legumes e like me nā lentils, nā pī, nā chickpeas, a me nā pī ʻōmaʻomaʻo.
• Nā nati a me nā hua maloʻo e like me nā hua waina maloʻo a me nā lā.

He mea maikaʻi ke hoʻohui i kēia mau meaʻai i kāu papaʻai, akā inā he haʻahaʻa loa kou hemoglobin, pono paha e lawe i nā pila hao a i ʻole nā ​​​​lāʻau ʻē aʻe i kuhikuhi ʻia e kāu kauka .

🩺 Āhea e kāhea aku ai i ke kauka?

Inā ʻoi aku ka ʻino o nā hōʻailona ...

Inā ʻike ʻoe he maʻi kou e hoʻopilikia ai i kou pae hemoglobin (e like me ka maʻi puʻupaʻa, maʻi koko), a ʻoi aku ka ʻino o kāu mau hōʻailona (e like me ka luhi, ka hanu pōkole) ma mua o ka maʻamau, e ʻike i kāu kauka .

✍️ ʻO ka hope loa

Hōʻuluʻulu manaʻo a me nā mea e hoʻomanaʻo ai

Inā hōʻike kāu hoʻāʻo koko ua haʻahaʻa kou pae hemoglobin ma mua o ka maʻamau, ʻo ia hoʻi ua emi ka pono o kou mau hunaola koko ʻulaʻula, ka mea e lawe ana i ka oxygen ma kou kino. Akā, ʻaʻole kēia he kumu hopohopo mau. Nui nā mea e hiki ke hoʻopilikia i kou pae hemoglobin. Inā hōʻike nā hopena o kāu hoʻāʻo i kahi waiwai haʻahaʻa, e wehewehe kāu kauka iā ʻoe i ke kumu, kona manaʻo, a pehea e mālama ai. ʻO ke ala maikaʻi loa e noho olakino ai, ʻo ia ka hahai ʻana i ka ʻōlelo aʻo a kāu kauka ma mua o ka lāʻau ponoʻī.