He aha ka waiwai MCH i kāu hōʻike koko? (Mean Corpuscular Hemoglobin) E aʻo maʻalahi kākou e pili ana i kēia!

Ke loaʻa iā ʻoe kahi hoʻāʻo koko, pono ʻoe e ʻike he nui nā mea i kākau ʻia i loko o ka hōʻike me kēlā me kēia leka a me ka helu. I kekahi manawa ke ʻike mākou i kēia mau mea, ʻaʻole hiki iā mākou ke noʻonoʻo i ko lākou ʻano, a hiki iā mākou ke hopohopo iki. Pēlā nō, hoʻokahi waiwai koʻikoʻi āu e ʻike ai i kāu hōʻike helu koko piha (CBC) ʻo ia ka MCH . I kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o kēia MCH a i ʻole "Mean Corpuscular Hemoglobin", kāna ʻōlelo e pili ana i ko mākou olakino, a me ka mea e hana inā piʻi a emi paha kēlā waiwai me ka maʻalahi.

He aha maoli ka MCH?

I ka ʻōlelo maʻalahi, ʻo MCH kahi waiwai e ana i ka awelika o ka hemoglobin i loko o kāu mau ʻulaʻula koko (RBC) . I kēia manawa e noʻonoʻo e pili ana i ke ʻano o ka hemoglobin. He protein koʻikoʻi loa ka Hemoglobin i loko o ko mākou mau ʻulaʻula koko. ʻO kēia protein ka mea e lawe i ka oxygen mai ko mākou mau māmā a hāʻawi iā ia i nā ʻāpana ma ke kino holoʻokoʻa. Ua like ia me kahi kanaka `lawe` e lawe mai ana i ka meaʻai i ka home. ʻO kēia oxygen ka mea e hāʻawi i ka ikehu i kēlā me kēia ʻāpana i loko o ko mākou kino, a hana pono nā mea āpau i loko o ko mākou kino. No laila, hiki iā mākou ke loaʻa kahi manaʻo e pili ana i kēia hemoglobin mai ka waiwai MCH.

ʻO MCH kekahi waiwai wale nō ma ka ʻāpana "RBC indices" o ka hoʻāʻo "CBC" e wehewehe ana i nā hunaola koko ʻulaʻula. Aia kekahi mau waiwai ʻē aʻe e like me kēia:

• MCV `(Mean Corpuscular Volume)` : Hōʻike kēia iā ʻoe i ka nui awelika o kou mau hunaola koko ʻulaʻula, ʻo ia hoʻi, inā nui a liʻiliʻi paha.
• MCHC `(Mean Corpuscular Hemoglobin Concentration)` : Pili pū kēia i ka nui o ka hemoglobin i loko o kahi ʻulaʻula koko. Eia naʻe, ʻaʻole e like me MCH, noʻonoʻo pū ka MCHC i ka nui o nā ʻulaʻula koko.
• ʻO RDW `(Red Blood Cell Distribution Width)` : Ke ana kēia i ka ʻokoʻa o ka nui o kāu mau hunaola koko ʻulaʻula. ʻO ia hoʻi, aia kekahi mau ʻokoʻa, e like me kekahi mau hunaola he liʻiliʻi a kekahi mau hunaola he nui.

Hoʻohana nā kauka i kēia mau kikoʻī āpau e hoʻoholo ai i ke olakino o kou mau hunaola koko ʻulaʻula. He mea nui loa kēia mau waiwai no ka ʻike ʻana i nā maʻi e like me ka anemia .

I ka manawa hea e pono ai kahi hoʻāʻo MCH?

He ʻāpana maʻamau ka MCH o kahi hoʻāʻo CBC. ʻAʻole wale kēia hoʻāʻo CBC e ana i kāu mau hunaola koko ʻulaʻula, akā, i kou mau hunaola koko keʻokeʻo hoʻi (nā hunaola e pale iā mākou mai ka maʻi) a me nā platelets (nā hunaola e kōkua i ke kāpili ʻana o ke koko). No laila, i ka wā e hui pū ʻia me nā waiwai CBC ʻē aʻe, hiki i nā kauka ke ʻike i nā hōʻailona mua o kahi maʻi.

E hopohopo nui ana kāu kauka e pili ana i kāu waiwai MCH inā loaʻa iā ʻoe nā hōʻailona o ka anemia, e like me ka luhi, nā poʻo pinepine, ka maeʻele, a me ka pōkole o ka hanu . Inā ʻokoʻa kāu waiwai MCH i hoʻohālikelike ʻia me nā ʻōkuhi RBC ʻē aʻe, hiki iā ia ke kōkua i kāu kauka e hoʻoholo inā he anemia kou a, inā pēlā, he aha ke kumu.

Pehea e hana ʻia ai kēia hoʻāʻo?

He hoʻāʻo koko maʻalahi loa ka hoʻāʻo MCH. ʻO ka maʻamau, lawe kahi kahu maʻi a i ʻole phlebotomist i kahi koko liʻiliʻi mai ou aku. A laila kālailai ʻia ka hāpana koko e kahi helu koko automated. Hāʻawi kēia mīkini i ka ʻike e pili ana i nā cell i loko o kou koko.

Hoʻomaulia ʻia ka waiwai MCH ke nānā ʻia kāu mau hunaola koko ʻulaʻula.

Pono ʻoe e hoʻomākaukau ma mua o ka hoʻokolohua?

I ka hapanui o nā hihia, ʻaʻohe pono o ka hoʻomākaukau kūikawā no ka hoʻāʻo MCH. Eia nō naʻe, inā e hoʻolālā ana kāu kauka e hana i kekahi mau hoʻokolohua ʻē aʻe ma ka hāpana koko like, pono paha ʻoe e hoʻokē ʻai (ʻaʻole e ʻai a inu paha i kekahi mea) no kekahi mau hola . No laila, e hahai pono i nā ʻōlelo a kāu kauka. A laila hiki iā ʻoe ke hoʻomākaukau pono no ka hoʻāʻo.

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

E hoʻonoho lākou iā ʻoe ma luna o kahi noho a haʻi iā ʻoe e kīkoʻo i kou lima. A laila:

• Hoʻomaʻemaʻe ʻia kahi i hōʻiliʻili ʻia ai ke koko me kahi hopena antiseptic (kahi holoi waiʻona).
• Ua nakinaki ʻia kahi kaula laholio (tourniquet) ma luna iki o kahi i hōʻiliʻili ʻia ai ke koko ma ka lima. Kōkua kēia i ka waihona koko a maʻalahi ka hōʻiliʻili ʻana i ke koko.
• Hoʻokomo mālie ʻia kahi nila lahilahi loa i loko o ke aʻa.
• Hoʻiliʻili ʻia kahi koko liʻiliʻi i loko o kahi ʻōmole liʻiliʻi a i ʻole ka paipu.
• A laila wehe ʻia ke kui a kau ʻia kahi ʻāpana pulupulu e hoʻōki i ke kahe ʻana o ke koko.

ʻAʻole i ʻoi aku ma mua o ʻelima mau minuke ka lōʻihi o kēia mau mea a pau. Ke hoʻokomo ʻia ke kui, e ʻike paha ʻoe i kahi ʻano ʻūlū iki, e like me ke kui ʻana o kahi ʻanuʻu. Ma waho aʻe o kēlā, ʻaʻohe ʻeha nui.

He aha ka mea e hana ʻia ma hope o ka hoʻāʻo?

Ma hope o ka hāʻawi ʻana i ke koko, inā ʻaʻole ʻoe e manaʻo iki i ka poniuniu, hiki iā ʻoe ke hoʻi koke i ka home. Hiki i kekahi poʻe ke manaʻo iki i ka poniuniu ke ʻike lākou i ke koko, a inā paha e makaʻu iki lākou i nā nila. He mea maʻamau kēia, a ʻaʻole ʻoe hoʻokahi. Inā hana ʻia kēia, e mālama nā limahana lapaʻau iā ʻoe a hiki i kou ʻoluʻolu.

Aia kekahi mau pilikia i kēia hoʻāʻo?

ʻAʻole he hoʻāʻo pilikia kiʻekiʻe ka hoʻāʻo CBC e nānā iā MCH. Ma hope o ka hāʻawi ʻana i ke koko, e ʻike paha ʻoe i kahi palapū iki ma kahi i hoʻokomo ʻia ai ke kui. Hiki paha iā ʻoe ke manaʻo i kahi ʻeha ma kou lima. Eia nō naʻe, nalo pinepine kēia mau hōʻailona i ka lā hoʻokahi me ka hāʻawi ʻana i ke koko.

He aha nā hopena? He aha kā lākou e haʻi mai ai iā mākou?

Hōʻike nā hopena MCH i ka nui o nā picograms (pg/cell) o ka hemoglobin āu e loaʻa mau ai i loko o hoʻokahi cell koko ʻulaʻula. He liʻiliʻi loa ka picogram, ma kahi o hoʻokahi trillionth (ʻo ia hoʻi hoʻokahi a me ʻumikūmālua zeros) o ka gram.

ʻOiai aia kekahi mau ʻokoʻa iki ma waena o nā labs, ʻo ka waiwai MCH maʻamau no kahi pākeke (kāne a me ka wahine) ma waena o 27 a me 33 pg/cell . ʻO kēlā me kēia mea ma lalo o kēia waiwai ua manaʻo ʻia he MCH haʻahaʻa , a ʻo kēlā me kēia mea ma luna o kēia waiwai ua manaʻo ʻia he MCH kiʻekiʻe .

Akā e hoʻomanaʻo, ʻaʻole pono ʻoe e hopohopo koke inā haʻahaʻa a kiʻekiʻe paha kāu waiwai MCH. E hoʻohālikelike kāu kauka i kāu waiwai MCH me nā ʻōkuhi RBC ʻē aʻe a me kou olakino holoʻokoʻa e hoʻoholo ai. Hiki iā ia ke paipai i nā hoʻokolohua hou aʻe.

Inā haʻahaʻa ka waiwai MCH (Haʻahaʻa MCH)

ʻO ka waiwai MCH haʻahaʻa ʻo ia hoʻi he anemia hypochromic paha ʻoe (kahi i emi ai nā hunaola koko ʻulaʻula ma mua o ka maʻamau a ʻike ʻia he keʻokeʻo) a/a i ʻole anemia microcytic (kahi i liʻiliʻi loa ai nā hunaola koko ʻulaʻula). I kēia mau kūlana ʻelua, ʻaʻole lawa ka hemoglobin o kāu mau hunaola koko ʻulaʻula.

Hiki i kekahi mau kumu ke kumu i nā pae MCH haʻahaʻa:

• Ka nele i ka hao : Ke loaʻa ʻole i ke kino ka lawa o ka hao, ʻaʻole hiki iā ia ke hana i ka hemoglobin. ʻO ke kumu nui o ka anemia i hoʻokumu ʻia e ka nele i ka hao, ʻo ia ke kahe koko . Hiki ke hana ʻia kēia e nā mea e like me ke kahe koko nui o ka menstrual, ke kahe koko i loko (e.g., nā ʻōpū ʻōpū), a i ʻole ke kahe koko nui ma hope o ke ʻoki ʻana.
• Hemoglobinopathies : Hiki i kekahi mau maʻi koko hoʻoilina ke hoʻopilikia i ke ʻano o ka hana ʻana o ke kino i ka hemoglobin. ʻO nā hiʻohiʻona e komo pū me ka thalassemia a me ka anemia cell sickle .
• Ka mumū ma muli o nā maʻi mau loa : ʻO ka mumū i loko o ke kino ma muli o nā kūlana e like me kekahi mau maʻi mau loa, nā maʻi puʻupaʻa, nā maʻi akepaʻa, a me ke kanesa hiki ke hoʻemi i nā pae MCH.

Inā kiʻekiʻe ka waiwai MCH (High MCH)

ʻO ke kiʻekiʻe o ka pae MCH ʻo ia hoʻi he anemia macrocytic paha kou. Ma kēia kūlana, hana kou kino i nā hunaola koko ʻulaʻula nui loa, a he kiʻekiʻe ka hemoglobin o kēlā mau hunaola. Hoʻokumu pinepine ʻia kēia ma muli o ka loaʻa ʻole o ka folate (vitamin B9) a me ka vitamin B12, ʻelua mau meaʻai nui e pono ai e hana i nā hunaola koko ʻulaʻula olakino. A i ʻole, loaʻa paha iā ʻoe kahi maʻi e pale ai i kou kino mai ka omo pono ʻana i kēia mau meaʻai.

ʻO nā kumu ʻē aʻe no ka hoʻonui ʻana o ka waiwai MCH:

• Ka maʻi hoʻohana waiʻona lōʻihi .
• Nā pilikia o ka ʻōmaka thyroid .
• Nā hopena ʻaoʻao o kekahi mau lāʻau lapaʻau a i ʻole nā ​​​​​​lāʻau lapaʻau . No ka laʻana, hiki i ka chemotherapy no ka maʻi kanesa ke hoʻonui i ka MCV (a pēlā ʻo MCH) ma ke ʻano he hopena ʻaoʻao.

Inā he ʻano ʻē nā hopena, he aha kāu e hana ai ma hope?

Inā ʻano ʻē kou MCH, ʻo nā hana aʻe āu e hana ai e pili ana i ke kumu. No ka laʻana, inā manaʻo kāu kauka ua haʻahaʻa kāu MCH ma muli o ka nele o ka hao, hiki iā lākou ke kauoha i nā hoʻokolohua hou aʻe e nānā i kāu mau pae hao. A i ʻole, inā manaʻo lākou he maʻi ʻē aʻe, pono paha lākou e hana i nā hoʻokolohua no kēlā ʻano.

E aʻo pololei kāu kauka iā ʻoe i ka mea e hana ai ma muli o kāu mau hopena.

He mea maʻamau ke hopohopo iki a makaʻu paha i ka wā e ʻokoʻa ai kekahi hopena hoʻāʻo (inā haʻahaʻa a kiʻekiʻe paha). Akā i ka wā e pili ana i ka MCH, ʻo ka hopena ʻē aʻe ke ʻano ua aʻo hou kāu kauka e pili ana i kou olakino. I kekahi manawa, ʻo ka hopena MCH ʻē aʻe paha he mea ia e pono ai ke nānā ʻia a mālama ʻia, e like me ka maʻi koko hoʻoilina. Akā i kekahi manawa, he mea pōkole paha ia a ʻaʻohe mea e hopohopo ai. Inā hopohopo ʻoe a hopohopo paha e pili ana i kāu hopena MCH, e kamaʻilio me kāu kauka e pili ana i ia mea a hoʻohālikelike iā ia me nā hopena CBC ʻē aʻe e ʻike pehea e kūpono ai.

Leka Lawe-Home

He helu koʻikoʻi ka MCH ma kāu hōʻike hoʻāʻo koko. Hōʻike ia iā ʻoe i ka nui awelika o ka hemoglobin i loko o kekahi o kou mau hunaola koko ʻulaʻula.

• ʻO Hemoglobin ka protein e lawe ana i ka oxygen ma ke kino holoʻokoʻa.
• Hiki i ka haʻahaʻa o ka MCH ke hōʻailona o ka anemia. Hiki ke hana ʻia kēia e ka nele i ka hao, kekahi mau maʻi koko, a me nā kūlana mumū lōʻihi.
• ʻO ka nui o ka MCH he hōʻailona nō hoʻi ia o kekahi ʻano anemia ʻē aʻe. Hiki ke hana ʻia kēia e nā mea e like me ka nele o ka folate a i ʻole ka huaora B12, ka hoʻohana ʻana i ka waiʻona, a i ʻole nā ​​pilikia thyroid.
• Mai hopohopo inā ʻaʻole kūpono kāu waiwai MCH. E hoʻohālikelike kāu kauka iā ia me nā waiwai hoʻāʻo ʻē aʻe, e hana i nā hoʻokolohua hou aʻe inā pono, a hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo a me ka lāʻau kūpono loa.

Inā he mau nīnau kāu e pili ana i nā mea i hōʻike ʻia ma kāu hōʻike koko, ʻoi aku ka maikaʻi o ke nīnau ʻana i kāu kauka.

ʻO MCH, hemoglobin, nā hunaola koko ʻulaʻula, anemia, hoʻāʻo koko, CBC, olakino