Ua loaʻa iā mākou a pau nā hoʻāʻo koko. I kekahi manawa ke noi mai nei ke kauka iā mākou e hana i kahi `Full Blood Count (FBC)`. Ke loaʻa iā mākou kēlā hōʻike, he nui nā waiwai ma mua o kēlā me kēia leka a mākou i maopopo ʻole ai. Inā ma waena o kēia mau mea, ʻo `WBC` he `Low`, a laila makaʻu iki mākou. He aha kēia `WBC`? No ke aha e emi ai? He mea anei kēia e makaʻu ai? Inā aia kēlā mau nīnau ma kou manaʻo, e kamaʻilio kākou e pili ana iā ia me ka maʻalahi a me ke aloha i kēia lā.
ʻO ka mea mua, e nānā kākou, he aha ka leukopenia?
I ka ʻōlelo maʻalahi, ʻo Leukopenia kahi kūlana kahi i emi ai ka nui o nā hunaola koko keʻokeʻo (Leukocytes) i loko o kou koko ma mua o ka maʻamau. E noʻonoʻo i ko kākou kino ma ke ʻano he ʻāina. ʻO kēia mau hunaola koko keʻokeʻo ka pūʻali koa ma ia ʻāina. ʻO kēia pūʻali koa ka mea e pale ai i ko kākou kino mai nā ʻenemi o waho (ʻo ia hoʻi nā maʻi) e like me nā virus a me nā bacteria.
Aia nā pūʻali koa like ʻole i loko o kēia pūʻali koa. I waena o lākou , ʻo ka pūʻali koa nui a koʻikoʻi loa, ʻo ia nā neutrophils. E like me nā koa o nā Pūʻali Koa Kūikawā i loko o kahi pūʻali koa. Ke komo kahi maʻi i loko o ke kino, ʻo ka mea mua e hele e hakakā me ia, ʻo ia nā neutrophils. No laila, i ke ʻano o ka leukopenia, ʻo ka mea nui e hana ʻia, ʻo ia ka emi ʻana o ka helu o nā neutrophils. He aha ka mea e hana ʻia a laila? Hoʻonāwaliwali ka ʻōnaehana pale o ko mākou kino. Hoʻonui ka manawa kūpono e maʻalahi ai ka maʻi ʻana me kahi maʻi liʻiliʻi.
He aha ka helu maʻamau o nā hunaola koko keʻokeʻo?
ʻO ka maʻamau, he 4,000 a me 11,000 mau keʻokeʻo koko i loko o kahi pākeke olakino no kēlā me kēia microliter o ke koko. Hiki ke ʻokoʻa iki kēia helu ma muli o ka makahiki a me ke kāne. Inā emi iho kāu helu WBC ma kāu hōʻike FBC ma mua o 4,000, hiki i kāu kauka ke ʻike iā ʻoe me kahi maʻi i kapa ʻia ʻo leukopenia.
ʻO ka nīnau e hopohopo nei i nā poʻe he nui: He maʻi kanesa anei ka leukopenia?
ʻAʻole. ʻO kaʻoiaʻiʻo, ʻaʻole ʻo Leukopenia he maʻi kanesa. Akā aia kahi pilina ma waena o nā mea ʻelua. He mea nui loa ia e hoʻomaopopo i kēlā.
- Hiki i nā lāʻau lapaʻau maʻi kanesa ke hoʻoulu i ka leukopenia: ʻO ka hapa nui o nā lāʻau lapaʻau maʻi kanesa, ʻoiai ka chemotherapy, pepehi i nā ʻāpana e māhele wikiwiki ana i loko o ko mākou kino. E like me nā ʻāpana kanesa, nā ʻāpana koko (me nā ʻāpana koko keʻokeʻo) i hana ʻia i loko o ko mākou iwi iwi e māhele wikiwiki pū kekahi. No laila, hiki i ka chemotherapy ke pepehi i kēia mau ʻāpana maikaʻi me nā ʻāpana kanesa. ʻO ia ke kumu e emi ai ka helu o nā ʻāpana koko keʻokeʻo a loaʻa ka leukopenia.
- Hiki i ka maʻi leukemia ke hana i ka leukopenia:He maʻi ʻaʻai koko ka maʻi leukemia. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka nui o nā hunaola koko keʻokeʻo kūpono ʻole a pono ʻole i loko o ka iwi iwi. I ka hoʻonui ʻia ʻana o kēia mau hunaola kūpono ʻole, nalowale ka wahi no nā hunaola koko keʻokeʻo olakino e hana ʻia ai. ʻO ka hopena, emi ka nui o nā hunaola koko keʻokeʻo olakino, e hana ana i ka leukopenia.
E hoʻomanaʻo wale: ʻaʻole alakaʻi ka leukopenia i ka leukemia, akā hiki ke ʻike ʻia ka leukopenia he hōʻailona o ka leukemia.
He aha nā kumu o nā hunaola koko keʻokeʻo haʻahaʻa?
Aia kekahi mau kumu e hiki ai ke loaʻa ka leukopenia. He manawa pōkole kekahi, aʻo kekahi e pono ai ka mālama lōʻihi. E nānā kākou i nā kumu nui.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Nā Maʻi e Pili Ana i ka Iwi Momona | ʻO ka iwi iwi ka hale hana e hana ai i kā mākou mau hunaola koko. Inā hōʻino ʻia kēia hale hana, e emi ana ka hana ʻana o nā hunaola koko. No ka laʻana, loaʻa nā maʻi e like me Aplastic Anemia a me Multiple Myeloma . |
| Nā maʻi Autoimmune | ʻO kēia ka manawa e hewa ai ka ʻōnaehana pale o ko mākou kino a hoʻouka i kā mākou mau hunaola olakino ponoʻī. ʻO ka Lupus a me ka rheumatoid arthritis nā laʻana o ia mau maʻi. |
| Nā maʻi | ʻO kekahi mau maʻi viral koʻikoʻi, ʻoi aku hoʻi nā mea e like me ka HIV , e hoʻouka pololei a luku i kā mākou mau hunaola koko keʻokeʻo. Hiki i nā maʻi e like me ka dengue a me ka typhoid ke hoʻoulu i ka emi ʻana o nā hunaola koko keʻokeʻo no kekahi manawa. |
| Ka lāʻau lapaʻau no ka maʻi kanesa | E like me ka mea i ʻōlelo ʻia ma mua , hiki i ka chemotherapy a me ka radiation therapy ke hōʻino i ka iwi iwi a hōʻemi i ka hana ʻana o nā keʻena koko keʻokeʻo. |
| Kekahi mau lāʻau lapaʻau | ʻO kekahi mau lāʻau antibiotic a me nā lāʻau lapaʻau i lawe ʻia no nā maʻi ʻē aʻe hiki ke hoʻemi i ka nui o nā hunaola koko keʻokeʻo. |
| Nā hemahema meaʻai | ʻO ka nele i nā wikamina a me nā minelala, ʻoiai ka wikamina B12, folate, a me ke keleawe, hiki ke hoʻopilikia i ka hana ʻana o nā keʻena koko keʻokeʻo. |
He aha nā hōʻailona o ka leukopenia?
Eia kekahi mea nui loa. ʻAʻohe hōʻailona kikoʻī e pili ana i ka leukopenia. ʻO ia hoʻi, ʻaʻole ʻoe e manaʻo ua haʻahaʻa kou mau keʻokeʻo koko. Akā, he aha ka mea e hana ai ke haʻahaʻa kou mau keʻokeʻo koko? Hoʻonui nui ʻia kou pilikia o ka loaʻa ʻana o nā maʻi. No laila, ʻo nā hōʻailona āu e ʻike ai, ʻo ia nā hōʻailona o nā maʻi e kū mai ana.
Inā haʻahaʻa kou helu koko keʻokeʻo, pono ʻoe e makaʻala loa e pili ana i kēia mau hōʻailona o ka maʻi:
- Kuni pinepine a me nā anu
- Nā ʻeha waha a i ʻole nā ʻāpana keʻokeʻo a ʻulaʻula paha i loko o ka waha
- ʻEha ka ʻāʻī a me ke kuni nui
- Paʻakikī ka hanu ʻana
- Ke kuni nei i ka wā e mimi ana a me ka mimi pilau
- Ka maʻi pākī
- Ka wai ʻana o ka pus mai nā ʻeha o ka ʻili
- Ka hoʻokahe ʻana o ka ʻōpū maʻamau ʻole a i ʻole ka ʻāʻī ʻana i nā wahine
Inā ʻike ʻoe he leukopenia kou, mai hoʻowahāwahā i kekahi o kēia mau hōʻailona liʻiliʻi. ʻOiai he kuni iki ke kumu o kahi maʻi koʻikoʻi. No laila e ʻike koke i kāu kauka.
Pehea e ʻike ai ke kauka i kēia? He aha ka lāʻau lapaʻau?
ʻO ka hoʻāʻo nui e ʻike ai i ka leukopenia ʻo ia ka Complete Blood Count (CBC) a mākou i kamaʻilio ai ma mua. E hāʻawi kēia iā ʻoe i kahi helu pololei o kāu mau keʻokeʻo koko, nā keʻokeʻo koko ʻulaʻula, a me nā platelets.
Inā loaʻa iā ʻoe nā hōʻailona o kahi maʻi, hiki i kāu kauka ke kauoha i nā hoʻokolohua hou aʻe e ʻike i ke kumu.
- Nā hoʻāʻo mimi: E nānā inā he maʻi ʻaʻai mimi.
- X-ray o ka umauma: No ka hōʻoia ʻana i kahi maʻi māmā e like me ka niumonia.
Nā ʻano lapaʻau
ʻO ke ʻano o ka mālama ʻana i ka leukopenia e pili ana i ke kumu kumu.
- Lapaʻau no nā maʻi: Hāʻawi ʻia nā antibiotics inā he maʻi bacteria ke kumu. Inā he maʻi viral, hāʻawi ʻia nā lāʻau lapaʻau kūpono.
- Nā Kumu Ulu: He mau lāʻau lapaʻau kūikawā kēia e hoʻoulu ai i ka iwi iwi a kōkua iā ia e hana i nā hunaola koko keʻokeʻo hou aʻe.
- Hoʻopaneʻe ʻia ka chemotherapy: Inā ʻoe e mālama ʻia ana i ka maʻi kanesa a hāʻule haʻahaʻa loa kāu helu koko keʻokeʻo, hiki i kāu kauka ke hoʻoholo e hoʻōki i kāu chemotherapy no kekahi manawa a hōʻemi paha i ka nui. E hoʻomaka hou ʻia ka lāʻau lapaʻau ke hoʻi hou kāu helu koko keʻokeʻo i ka maʻamau.
He aha kā kākou e hana ai e pale aku iā kākou iho mai nā maʻi?
Inā loaʻa iā ʻoe ka leukopenia, ʻo kāu pahuhopu nui ka pale ʻana iā ʻoe iho mai nā maʻi i ka hiki. E hoʻokomo i kēia mau ʻano maʻalahi i kou ola.
Hoʻomaʻemaʻe pilikino
- E holoi pinepine i kou mau lima: E holoi pono i kou mau lima me ke kopa a me ka wai. E hoʻomaʻamaʻa i ka holoi pinepine ʻana i kou mau lima, e like me ka hele ʻana i waho, ma mua o ka ʻai ʻana, a ma hope o ka hoʻohana ʻana i ka lua. E hoʻohana i kahi mea hoʻomaʻemaʻe lima i loaʻa ka waiʻona ke loaʻa ʻole ke kopa.
- Mai kaʻana like me nā poʻe ʻē aʻe: Mai kaʻana like i nā mea e like me nā pā, nā kīʻaha, nā puna, nā kāwele, nā ʻumiʻumi, a me nā pulupulu niho me nā poʻe ʻē aʻe.
- E pale i kou ʻili: E makaʻala i ʻole e loaʻa i kekahi ʻoki a i ʻole nā kala ma kou ʻili. Inā hana ʻoe, e hoʻomaʻemaʻe koke i ka ʻeha a kau i ka lāʻau lapaʻau. ʻAʻole ʻōlelo ʻia nā peʻa a me nā ʻoki kino i kēia manawa.
Kaiapuni a me ka meaʻai
- E pale i nā wahi piha kanaka: E noho mamao aku mai ka poʻe i loaʻa i ke kuni a i ʻole ke anu. E hōʻemi i kou kipa ʻana i nā wahi piha kanaka e like me ka halihali lehulehu, nā hale kiʻiʻoniʻoni, a me nā hale kūʻai.
- Palekana Meaʻai: E holoi pono i nā mea kanu a me nā huaʻai ma mua o ka ʻai ʻana. E hoʻomoʻa pono i ka ʻiʻo a me ka iʻa. E pale i ka ʻai ʻana i ka ʻiʻo maka, ka iʻa, a me nā hua manu.
- Māla a me nā holoholona: E ʻaʻahu i nā mīkina lima i ka wā e hana ana i loko o ka māla. E pale i ka ʻohi ʻana i nā ʻōpala holoholona. Inā pono, e ʻaʻahu i nā mīkina lima a holoi pono i kou mau lima ma hope o kou pau ʻana.
- E noho mamao aku mai nā wai: E pale i ka ʻauʻau ʻana i nā muliwai, nā kahawai, nā loko, a me nā loko. Hiki i kēia mau wahi ke loaʻa nā huakini e hiki ai ke hoʻoulu i nā maʻi.
Ma ka hahai ʻana i kēia mau kuhikuhi, hiki iā ʻoe ke hōʻemi nui i kou pilikia o ka loaʻa ʻana o kahi maʻi. E hahai mau i nā kuhikuhi a kāu kauka me ka pololei.
Leka Lawe-Home
- ʻO Leukopenia ka emi ʻana o ka nui o nā hunaola koko keʻokeʻo i loko o ke koko. Hoʻemi kēia i ka pale ʻana o ke kino, ʻo ia hoʻi, kona hiki ke pale aku i nā maʻi.
- ʻAʻole kēia he maʻi kanesa, akā hiki ke hana ʻia e nā lāʻau lapaʻau maʻi kanesa a me nā maʻi kanesa e like me ka leukemia.
- ʻAʻohe hōʻailona kikoʻī o Leukopenia, akā hiki ke ʻike ʻia nā hōʻailona o ka maʻi e like me ke kuni pinepine, nā ʻeha waha, a me ke kuʻi.
- Inā loaʻa iā ʻoe ka leukopenia, he mea nui e makaʻala loa i nā hōʻailona o ka maʻi a hana i nā hana e pale aku ai iā ʻoe iho mai lākou.
- Inā ʻike ʻia kekahi mau hōʻailona o ka maʻi, mai mālama ponoʻī a e ʻike koke i kāu kauka.
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