Ua lawe anei ʻoe i kahi hōʻike hoʻāʻo koko, nānā i nā leka a me nā helu ma luna, a noʻonoʻo, "He aha kēia?"? Ua ʻike paha ʻoe i ʻekolu mau leka: WBC, RBC, HGB, PLT, a me MCV. He mea maʻamau ke hopohopo iki ke ʻike ʻoe i kēia mau mea. No laila i kēia lā, e kamaʻilio kākou e pili ana i ka mea nui loa o kēia, ʻo MCV, a me kāna ʻōlelo e pili ana i ko kākou olakino.
I ka ʻōlelo maʻalahi, he aha ka MCV?
ʻO MCV ke kū nei no Mean Corpuscular Volume . Ke ana ia i ka nui awelika o nā hunaola koko ʻulaʻula i loko o kou koko.
E noʻonoʻo i kēia ʻano. Lawe ʻia ko mākou kino e nā kaʻa, e like me nā kalaka. He mau ʻulaʻula koko kēia mau kaʻa. No laila, ua hoʻouka ʻia kēia mau kaʻa me nā "waiwai" i kapa ʻia he oxygen a hāʻawi iā lākou i kēlā me kēia cell i loko o ke kino. He mea nui kēia oxygen no kā mākou mau cell e hana a ola.
No laila, ʻo ka hana a ka waiwai MCV, ʻo ia ke ana i ka nui awelika o kēia mau "kalaka" e holo ana a puni kou kino. Ua like lākou me nā kaʻa huila ʻekolu liʻiliʻi? Ua like lākou me nā kalaka maʻamau? A i ʻole ua like lākou me nā ipu nui? Hāʻawi kēia iā mākou i kahi manaʻo. He mea nui loa ka nui maʻamau o kēia mau hunaola koko ʻulaʻula no lākou e lawe pono i ka oxygen.
Inā liʻiliʻi loa nā hunaola koko ʻulaʻula (microcytic) a nui loa paha (macrocytic), hiki ke lilo i hōʻailona o kahi pilikia olakino. Eia nō naʻe, i kekahi manawa inā loaʻa i kāu hāpana koko he nui nā hunaola koko ʻulaʻula o nā nui like ʻole, hiki ke maʻamau ka waiwai MCV ke lawe ʻoe i ka waiwai awelika o lākou āpau. ʻO ia ke kumu ʻaʻole nānā wale nā kauka i ka waiwai MCV.
ʻO MCV hoʻokahi wale nō ʻāpana o kahi hoʻāʻo nui aʻe.
ʻAʻole ʻo MCV kahi hoʻāʻo kū hoʻokahi. Ana ʻia kēia waiwai MCV i ka wā o ka hoʻāʻo āu e hana mau ai i kapa ʻia ʻo Complete Blood Count (CBC) . ʻO ka ʻāpana o kēia hōʻike CBC e wehewehe ana i nā hunaola koko ʻulaʻula ua kapa ʻia ʻo nā ʻōkuhi RBC . ʻO MCV kekahi ʻāpana o kēia mau ʻōkuhi RBC.
Aia kekahi mau ana koʻikoʻi ʻē aʻe i nā ʻōkuhi RBC. E hoʻoholo ke kauka e pili ana i ka helu o kāu mau kele koko ʻulaʻula ma ka nānā ʻana i kēia mau mea āpau.
| Papa Kuhikuhi | ʻO ke ʻano maʻalahi |
|---|---|
| MCV (Ka nui o ke kino) | ʻO ka nui awelika o nā hunaola koko ʻulaʻula. |
| MCH (Mean Corpuscular Hemoglobin) | ʻO ka nui o ka hemoglobin i loaʻa maʻamau i loko o hoʻokahi hunaola koko ʻulaʻula. ʻO ka hemoglobin ka protein e lawe ana i ka oxygen. |
| MCHC (ʻAno o ka Hemoglobin Corpuscular) | ʻO ka nui o ka hemoglobin i loko o ke koko ʻulaʻula (pehea ka nui o ka hemoglobin i ka nui like). |
| RDW (Ka laulā o ka hoʻolaha ʻana o nā kelepona ʻulaʻula) | Pehea ka ʻokoʻa o ka nui o kou mau hunaola koko ʻulaʻula. ʻO ia hoʻi, ua like like ko lākou nui a pau, a i ʻole he nui nā hunaola nui a me nā hunaola liʻiliʻi i hui pū ʻia ? |
E hoʻomanaʻo, ʻaʻohe maʻi e hiki ke ʻike pololei ʻia ma ka nānā ʻana i ka waiwai MCV wale nō. E nānā ke kauka i kēia mau waiwai a pau a hoʻohālikelike iā lākou me kāu mau hōʻailona e hiki ai i kahi hopena.
Āhea wau e hana ai i kahi hoʻokolohua MCV?
ʻO MCV kekahi ʻāpana o ka hoʻāʻo CBC maʻamau, no laila e loaʻa iā ʻoe kahi heluhelu i kēlā me kēia manawa e loaʻa ai iā ʻoe kahi hoʻāʻo koko.
Eia nō naʻe, hopohopo nui paha ke kauka e pili ana i kēia waiwai:
- Inā ʻoe e luhi mau a make ola ʻole.
- Inā he keʻokeʻo kou ʻili.
- Inā pilikia ʻoe i ka hanu ʻana.
- Inā he mau hōʻailona e like me ka ʻeha poʻo a me ka dizziness.
Hiki ke ʻike ʻia kēia mau hōʻailona i nā kūlana e like me ka anemia . No laila, lilo ka waiwai MCV i mea nui loa i ia mau hihia. No ka laʻana, i ka anemia nele i ka hao, emi ka waiwai MCV. I ka nele o ka huaora B12 a i ʻole ka folate , piʻi paha ka waiwai MCV. Eia kekahi, i nā kūlana e like me ka maʻi akepaʻa, loli paha ka waiwai MCV.
Pehea e hoʻomākaukau ai no ka hoʻokolohua? Pehea e lawe ai i ka hoʻokolohua
He hoʻāʻo maʻalahi loa kēia. ʻAʻohe hoʻomākaukau kūikawā e pono ai no ka hoʻāʻo MCV, no ka mea, he ʻāpana ia o kahi hoʻāʻo CBC maʻamau. Eia nō naʻe, inā ua kauoha kāu kauka i nā hoʻāʻo ʻē aʻe (e like me nā pae kō koko) i ka manawa like, hiki iā ia ke noi iā ʻoe e hoʻokē ʻai no kekahi mau hola. E aʻo aku kāu kauka iā ʻoe ma kēia.
Hana ʻia ka hoʻāʻo penei:
1. E koho ke kauka a kahu maʻi paha i kahi ma kou lima kahi e ʻike maopopo ʻia ai ke aʻa koko.
2. E hoʻomaʻemaʻe i ka wahi me kahi ʻūpā waiʻona.
3. A laila, e hoʻohana i kahi kaula laholio e hoʻopaʻa iki i ka lima o luna. E ʻike maopopo ʻia nā aa koko.
4. Me ka hoʻohana ʻana i kahi nila liʻiliʻi loa, lawe ʻia ka nui o ke koko e pono ai mai ke aʻa koko i loko o kahi ʻōmole liʻiliʻi. E ʻike wale ʻoe i kahi kui iki.
5. Ma hope o ke kaha ʻia ʻana o ke koko, wehe ʻia ke kui, kau ʻia kahi ʻāpana pulupulu ma ia wahi, a hoʻopili ʻia kahi palaki.
ʻAʻole pono e ʻoi aku ma mua o ʻelima mau minuke ke kaʻina hana holoʻokoʻa. Ma hope o kēlā, hiki iā ʻoe ke hoʻi i ka home e like me ka maʻamau. Hiki i kekahi poʻe ke manaʻo iki i ka poniuniu, akā pono ʻoe e kali a nalowale kēlā. Hiki iā ʻoe ke manaʻo i kahi ʻeha iki a me kahi uliuli iki paha ma kahi i huki ʻia ai ke koko. E nalowale loa kēia i hoʻokahi a ʻelua paha lā. ʻAʻohe mea e hopohopo ai.
E hoʻomaopopo kākou i ka hōʻike MCV: He aha ke ʻano o kēia mau helu?
Hōʻike ʻia ka waiwai MCV ma kāu hōʻike ma ke ʻano he helu. Ua ana ʻia ma nā femtoliters (femtoliters - fl) . ʻAʻole pono ʻoe e noʻonoʻo nui e pili ana i kēlā huaʻōlelo. ʻO ka helu ka mea nui.
ʻO ka awelika o ka waiwai MCV no ke kanaka makua olakino ma waena o 80 fl a me 100 fl.
Akā e hoʻomanaʻo, hiki ke ʻokoʻa iki kēia pae mai ka hale hana a i ka hale hana, no laila e hoʻohālikelike iā ia me ka "pae maʻamau" i helu ʻia ma kāu hōʻike.
He aha ka mea e hana ai inā haʻahaʻa ka waiwai MCV? (MCV haʻahaʻa)
Inā emi kou MCV ma mua o 80 fl , ʻo ia hoʻi, ua liʻiliʻi kou mau hunaola koko ʻulaʻula ma mua o ka maʻamau. Ua kapa ʻia kēia ʻano ma ke ʻano lapaʻau he microcytosis . ʻO "Micro" ke ʻano he liʻiliʻi.
ʻO nā mea e hiki ai ke kumu i kēia:
- ʻAneemia nele i ka hao: ʻO kēia ke kumu nui a maʻamau o ka MCV haʻahaʻa. He mea nui ka hao no ka hana ʻana o nā hunaola koko ʻulaʻula. Ke lawa ʻole ka hao, e liʻiliʻi nā hunaola i hana ʻia.
- Thalassemia: He maʻi hoʻoilina kēia. Hoʻokumu ʻia ia e kahi hemahema i ka hana ʻana o ka hemoglobin.
- Nā kūlana ʻē aʻe e pili ana i ka hemoglobin.
He aha ka mea e hana inā kiʻekiʻe ka waiwai MCV? (MCV kiʻekiʻe)
Inā ʻoi aku kou MCV ma mua o 100 fl , ʻo ia hoʻi, ʻoi aku ka nui o kou mau hunaola koko ʻulaʻula ma mua o ka maʻamau. Ua kapa ʻia kēia ʻano he macrocytosis . ʻO "Macro" ke ʻano he nui.
ʻO nā mea e hiki ai ke kumu i kēia:
- Ka nele o ka wikamina B12: He mea nui ka wikamina B12 no ka mahele pono ʻana a me ke kūkulu ʻia ʻana o nā hunaola koko ʻulaʻula. Ke lawa ʻole, ʻaʻole e mahele pono nā hunaola a lilo i mea nui.
- Ka nele o ka Folate: E like me ka huaora B12, he mea nui kēia no ka hana ʻana o nā hunaola koko ʻulaʻula.
- Maʻi akepaʻa: ʻO ka hana ʻino o ke akepaʻa kekahi kumu o ka hoʻonui ʻia ʻana o ka MCV.
- Ka hana ʻino ʻana o ka iwi iwi: No ka laʻana, nā kūlana e like me ka myelodysplastic syndrome .
- Hiki i kekahi mau lāʻau chemotherapy no ka maʻi kanesa ke hoʻonui i nā waiwai MCV no kekahi manawa.
ʻO ka mea nui loa, mai hopohopo inā ʻaʻole i kūlike kāu waiwai MCV me ka pae maʻamau. ʻO ia hoʻi, pono i kāu kauka ke noiʻi hou aku i kēia. ʻAʻole ia he hōʻailona, akā he hōʻailona wale nō e hiki ke kōkua iā ʻoe e ʻike i kahi maʻi.
E hoʻohana kāu kauka i ka waiwai MCV, me nā waiwai ʻē aʻe e like me MCH, MCHC, RDW, kāu mau hōʻailona, a me nā hoʻokolohua ʻē aʻe inā pono, e hiki mai i kahi hopena pololei e pili ana i kou kūlana. No laila, e hōʻike mau i kāu hōʻike i ke kauka a kūkākūkā iā ia.
Leka Lawe-Home
- ʻO MCV (Mean Corpuscular Volume) kahi ana o ka awelika o ka nui o kou mau keʻena koko ʻulaʻula.
- He ʻāpana kēia o ka helu koko piha maʻamau (CBC). ʻAʻole pono kahi hoʻomākaukau kūikawā.
- ʻO ka waiwai MCV maʻamau no ke kanaka makua olakino ma waena o 80-100 fl.
- ʻO ka waiwai MCV haʻahaʻa (ma lalo o 80) hiki ke hōʻike i nā kūlana e like me ka nele i ka hao.
- ʻO ka nui o ka MCV (ma luna o 100) hiki ke hōʻike i ka nele o ka huaora B12 a i ʻole ka folate.
- ʻAʻole hiki i ka MCV wale nō ke ʻike i kekahi maʻi. Hoʻokahi wale nō kumu e kōkua ai i ke kauka e hana i kahi hōʻailona.
- Inā he nīnau kāu e pili ana i kekahi waiwai ma kāu hōʻike koko, e kamaʻilio mau me kāu kauka e pili ana i ia mea.
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