He aha ke ʻano o ka waiwai MCH ma kāu hōʻike koko? (Mean Corpuscular Hemoglobin)

Ua loaʻa anei iā ʻoe kahi hōʻike hoʻāʻo koko, nānā i nā leka a me nā helu ma luna, a noʻonoʻo, "He aha kēia?" He mea maʻamau ke hopohopo iki ke ʻike ʻoe i nā inoa he nui e like me CBC, MCV, RDW, a me MCH. ʻO kekahi o ia waiwai ʻo MCH. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia waiwai MCH, ka mea e haʻi iā ʻoe i ka ʻike nui e pili ana i kāu mau hunaola koko.

I ka ʻōlelo maʻalahi, he aha ka MCH?

ʻO ka pōkole o MCH no 'Mean Corpuscular Hemoglobin'. ʻO kēia kekahi o nā waiwai i loko o ka helu koko piha (CBC) a mākou e hana mau ai. Ke ana nei ia i ka nui o ka hemoglobin i loko o kekahi o kou mau hunaola koko ʻulaʻula .

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "He aha kēia hemoglobin?" E noʻonoʻo i kou mau hunaola koko ʻulaʻula e like me nā kalaka liʻiliʻi e lawe ana i ka oxygen ma kou kino holoʻokoʻa. A ʻo ka hemoglobin nā pahu i piha i ka oxygen i loko o kēlā mau kalaka . ʻO kēia mau pahu ka mea e hopu maoli i ka oxygen, e hāʻawi iā ia i kēlā me kēia cell i loko o kou kino, a kōkua i ka hāʻawi ʻana i kēlā mau cell i ka ikehu e pono ai lākou. No laila hiki iā ʻoe ke ʻike i ke koʻikoʻi o ka hemoglobin ma ke ʻano he protein.

No laila ke hōʻike mai nei ka waiwai MCH iā mākou i kahi manaʻo o ka nui o nā pahu oxygen i loko o kāu kalaka koko koko ʻulaʻula.

ʻO nā ʻōkuhi koko koko ʻulaʻula koʻikoʻi ʻē aʻe (RBC Indices) e like me MCH

ʻAʻole wale ʻo MCH i loko o kāu hōʻike koko, akā, aia kekahi mau waiwai ʻē aʻe. Hōʻike kēlā me kēia o kēia iā ʻoe i ka ʻike like ʻole e pili ana i ke olakino o kou mau keʻena koko ʻulaʻula. Kāhea mākou i kēia mau ʻōkuhi keʻena koko ʻulaʻula (nā ʻōkuhi RBC). E nānā ke kauka i kēia mau waiwai āpau i ka wā e noiʻi ai i kou kūlana olakino, ʻoiai ke ʻano e like me ka anemia.

Ma ka nānā wale ʻana i kēia mau waiwai āpau hiki i ke kauka ke hoʻomaopopo pololei i ka pilikia me kou koko.

Āhea ʻoe e nānā ai i kāu waiwai MCH?

He ʻāpana maʻamau ka MCH o ka helu koko piha (CBC). Hiki i ke kauka ke kauoha i kahi CBC e nānā i kou olakino holoʻokoʻa.

Akā he mea nui loa ka waiwai MCH, ʻoiai inā he mau hōʻailona o ka anemia .

• Manaʻo mau o ka luhi nui
• ʻEha poʻo pinepine
• ʻIli keʻokeʻo
• Manaʻo puni
• Paʻakikī ka hanu ʻana

Ma ka nānā ʻana i ka waiwai MCH a me nā hōʻailona RBC ʻē aʻe o kekahi me kēia mau hōʻailona, ​​​​hiki i ke kauka ke hoʻoholo inā he anemia kou, inā pēlā, he aha ke ʻano, a he aha ke kumu.

Pehea ʻoe e hana ai i kēia hoʻāʻo? He mea nui anei ia?

He hoʻāʻo koko maʻalahi loa kēia, no laila ʻaʻohe kumu e makaʻu ai.

Pono ʻoe e hoʻomākaukau ma mua o ka hoʻokolohua?

ʻAʻole pono ʻoe e hana i kekahi mea kūikawā e hoʻomākaukau ai no kahi hoʻāʻo CBC. Eia nō naʻe, inā ua kauoha kāu kauka i nā hoʻokolohua ʻē aʻe e hana ʻia ma ka hāpana koko like (no ka laʻana, e nānā i kāu kō koko), e noi ʻia paha ʻoe e hoʻokē ʻai no kekahi mau hola. No laila e hahai mau i nā ʻōlelo a kāu kauka.

He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?

He mea maʻalahi kēia e emi iho ma mua o ʻelima mau minuke.

1. Ua hoʻonoho ʻia ʻoe ma luna o kahi noho a ua noi ʻia e hoʻolōʻihi i kou lima.

2. E hoʻomaʻemaʻe ke kahu maʻi a i ʻole ka loea hoʻokolohua lapaʻau i kahi i hoʻokomo ʻia ai ke kui me ka waiʻona.

3. A laila, ua nakinaki ʻia kahi kaula laholio a puni ka lima o luna e ʻike nui ʻia ai nā aa koko.

4. Hoʻokomo mālie ʻia ka nila i loko o ke aʻa a hōʻiliʻili ʻia ka nui o ke koko e pono ai i loko o kahi ʻōmole liʻiliʻi.

5. A laila, wehe ʻia ke kui a kau ʻia kahi ʻāpana pulupulu ma kahi a kaomi ʻia e hoʻōki i ke kahe ʻana o ke koko.

ʻOiai ua like ia me kahi haʻalulu uila iki i ka wā i hoʻokomo ʻia ai ke kui, ʻaʻole naʻe i ʻeha loa.

Ma hope o ka hoʻāʻo ʻana?

Ma hope o ka hāʻawi ʻana i ke koko, inā ʻaʻole ʻoe e manaʻo i ka poniuniu, hiki iā ʻoe ke hoʻi i ka home. Manaʻo iki kekahi poʻe i ka ʻoluʻolu ʻole ke ʻike lākou i ke koko. He mea maʻamau kēia. Inā hana ʻia kēlā, e mālama lākou iā ʻoe a hiki i kou ʻoluʻolu.

Pehea e maopopo ai iaʻu nā waiwai MCH i loko o ka hōʻike?

Ua ana ʻia ʻo MCH ma nā picograms (pg), he mea liʻiliʻi loa ke kaumaha, ma kahi o hoʻokahi trillion o ka gram.

ʻO ka pae maʻamau no kahi pae MCH olakino no kahi pākeke (kāne a me ka wahine) he 27 pg a 33 pg . Eia nō naʻe, e hoʻomanaʻo e hiki ke ʻokoʻa iki kēia mau waiwai ma waena o nā keʻena hoʻokolohua like ʻole. No laila, he mea nui e hoʻohālikelike i kāu mau hopena me ka "pae maʻamau" ma kāu hōʻike.

ʻO ka waiwai haʻahaʻa ma mua o kēia pae i kapa ʻia ʻo "Low MCH" a ʻo ka waiwai kiʻekiʻe ma mua o kēia pae i kapa ʻia ʻo "High MCH".

Akā e hoʻomanaʻo i kēia: Mai hopohopo inā haʻahaʻa a kiʻekiʻe paha kou waiwai MCH. ʻAʻole ia wale nō ke manaʻo he maʻi koʻikoʻi kou. E kālailai kāu kauka i kēia me kāu mau waiwai koko ʻē aʻe, nā hōʻailona, ​​a me ke olakino holoʻokoʻa.

He aha ke ʻano o ka MCH haʻahaʻa?

Inā haʻahaʻa kou waiwai MCH ma mua o ka maʻamau, hōʻike ia ʻaʻole lawa ka hemoglobin o kou mau hunaola koko ʻulaʻula. Hiki i kēia ke hoʻomālamalama i ke kala o kou mau hunaola koko ʻulaʻula ma mua o ka maʻamau (anemia hypochromic) a i ʻole ka liʻiliʻi ma mua o ka maʻamau (anemia microcytic).

ʻO nā kumu nui no ka MCH haʻahaʻa:

• Ka nele i ka hao: ʻO kēia ke kumu maʻamau o ka anemia ma ko mākou ʻāina. He mea nui ka hao no ka hana ʻana o ka hemoglobin. Ke lawa ʻole ka hao, emi iho ka hana ʻana o ka hemoglobin. Hiki ke loaʻa kēia ʻano i nā wahine i loaʻa ke kahe koko nui i ka menstruation, ma muli o ke kahe koko i loko (e.g. nā ʻōpū ʻōpū), a i ʻole ma hope o ke ʻoki ʻana.
• Nā pilikia genetic me ka hana ʻana o ka hemoglobin (Hemoglobinopathies): Hānau ʻia kekahi poʻe me nā kūlana genetic e pale ai i ko lākou kino mai ka hana pono ʻana i ka hemoglobin. ʻO ka Thalassemia a me ka anemia cell sickle nā ​​laʻana o kēia.
• Nā maʻi mau loa: ʻO ka mumū i loko o ke kino ma muli o nā kūlana e like me nā maʻi lōʻihi, nā maʻi puʻupaʻa, nā maʻi ate, a me ke kanesa hiki ke hoʻopilikia i ka hana hemoglobin.

He aha ke ʻano o ka MCH kiʻekiʻe?

Inā ʻoi aku ke kiʻekiʻe o kāu MCH ma mua o ka maʻamau, ʻo ia hoʻi ke hana nei kou kino i nā hunaola koko ʻulaʻula nui aʻe ma mua o ka maʻamau (anemia Macrocytic). Loaʻa i kēia mau hunaola nui ka hemoglobin, akā ʻaʻole lākou e hana pono.

ʻO nā kumu nui o ka MCH kiʻekiʻe:

• Ka nele o ka wikamina B12 a i ʻole ka Folate: He mea nui kēia mau meaola ʻelua no ko mākou kino e hana i nā hunaola koko ʻulaʻula olakino. ʻO ka loaʻa ʻole o lākou i kā mākou meaʻai a i ʻole ka omo pono ʻole ʻana iā lākou e hiki ke hoʻonui i nā hunaola koko ʻulaʻula.
• Ka inu ʻana i ka waiʻona me ka nui o ka waiʻona i kahi manawa lōʻihi.
• Nā pilikia thyroid: Hiki ke hana ʻia kēia e ka hypothyroidism, ma ke ʻano kūikawā.
• Nā hopena ʻaoʻao o kekahi mau lāʻau lapaʻau: No ka laʻana, hiki i ka chemotherapy no ka maʻi ʻaʻai ke hana i kēia ʻano.

He aha kāu e hana ai ma hope inā he nui ka MCH āu e like me ka maʻamau?

ʻO kēia ka mea nui loa. Mai lele koke i nā hopena nou iho e pili ana i ke kiʻekiʻe a i ʻole ka haʻahaʻa o kāu hōʻike, a i ʻole e nānā iā ʻoe iho me kahi maʻi ma ka pūnaewele.

Na kāu kauka e hoʻoholo i ka mea e hana ai ma hope.

• Inā haʻahaʻa kāu MCH a ke manaʻo nei ʻoe he nele i ka hao, e noi ʻia paha ʻoe e hana i nā hoʻokolohua hou aʻe e nānā i nā pae hao o kou kino.
• Inā kiʻekiʻe ka waiwai MCH, e noi ʻia paha ʻoe e nānā i kāu pae huaora B12 a me ka folate.

ʻO ka mea maikaʻi loa āu e hana ai, ʻo ia ke kūkākūkā i kāu mau nīnau a hopohopo paha e pili ana i kāu hōʻike me kāu kauka . E nānā hou ʻo ia i kēia mau waiwai me kou olakino holoʻokoʻa, e wehewehe iā ʻoe, a e kuhikuhi i ka lāʻau lapaʻau inā pono.