Ke manaʻo nei ʻoe he haʻahaʻa kou koko? He Normocytic Anemia paha ia! E kamaʻilio kākou e pili ana.

Ke luhi mau nei ʻoe? Ke manaʻo nei ʻoe i ka poniuniu a i ʻole ka maeʻele i kekahi manawa? He mau hōʻailona paha kēia o ka nele o ke koko, ʻo ia ka mea a mākou e kapa nei ma ke ʻano lapaʻau he anemia. I kēia lā e kamaʻilio mākou e pili ana i kekahi o kēia mau ʻano anemia , ʻo ia hoʻi ka anemia normocytic . He mea nui paha ka inoa, akā mai hopohopo, e wehewehe maʻalahi mākou a ma ke ʻano e hiki ai iā ʻoe ke hoʻomaopopo.

He aha maoli ka Anemia Normocytic?

I ka ʻōlelo maʻalahi, ʻo ka anemia normocytic ʻo ia hoʻi ka emi ʻana o ka nui o nā hunaola koko ʻulaʻula i loko o kou kino ma mua o ka maʻamau . Eia kekahi, ʻaʻole maʻamau ka nui o ka protein i kapa ʻia ʻo hemoglobin i loko o kēia mau hunaola koko ʻulaʻula. I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia hemoglobin. ʻO ia ka mea nui e kōkua ai i kā mākou mau hunaola koko ʻulaʻula e hopu i ka oxygen a lawe iā ia ma ke kino holoʻokoʻa. E like me ke kaʻa e lawe ana i nā ukana, hāʻawi ka hemoglobin i ka oxygen i ko mākou kino. No laila, ke emi kēia mau hunaola koko ʻulaʻula, ke emi ka hemoglobin, emi pū ka nui o ka oxygen i loaʻa i ke kino. ʻO ia ka manawa e hoʻomaka ai nā hōʻailona o kēlā me kēia maʻi.

I kekahi manawa, manaʻo nā kauka i ka anemia normocytic he hōʻailona ia o kekahi maʻi ʻē aʻe. Hiki i kekahi poʻe ke loaʻa iā ia ma muli o kahi maʻi hoʻoilina. Akā ʻo ka hapa nui, hiki mai kēia maʻi me kahi maʻi mau ʻē aʻe. ʻO ka mea maikaʻi loa, mālama nā kauka iā ia me ka mālama ʻana i ka maʻi kumu.

No ke aha mākou e loaʻa ai i ka anemia normocytic?

ʻEkolu mau kumu nui no kēia kūlana. E nānā kākou i ke ʻano o lākou:

1. Ma muli o ke koko e puka mai ana mai kou kino mai

Ke nalowale ke koko mai ke kino aku, ʻo ia hoʻi ke nalowale ʻana o nā hunaola koko ʻulaʻula. Nui nā kumu no kēia.

• Hiki ke loaʻa ma muli o kahi ʻeha i kahi ulia .
• Hiki paha ke kumu o ke kahe koko ʻana i loko . Aia kekahi mau maʻi e hiki ke hoʻoulu i ke kahe koko i loko o ke kino ma kēia ʻano.
• No nā wahine, hiki ke loaʻa kēia ʻano ma muli o nā wā kaumaha .

2. ʻAʻole hiki i kou kino ke hana i nā hunaola koko ʻulaʻula lawa (ua emi ka hana ʻana o nā hunaola koko ʻulaʻula)

ʻO ko kākou iwi iwi kahi e hana ʻia ai nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets. Hana ʻia kēia mau mea mai nā hunaola kumu. ʻO ka maʻamau, hana ko kākou iwi iwi i nā hunaola koko ʻulaʻula e lawa ai e hoʻokō i kā kākou mau pono. Eia nō naʻe, hiki i kekahi mau maʻi ke hoʻopilikia i kēia kaʻina hana.

• Anemia o ka maʻi mau loa: Hiki ke loaʻa kēia ʻano inā loaʻa iā ʻoe kahi maʻi autoimmune e hoʻoulu ai i ka mumū i loko o ke kino no nā mahina ʻekolu a ʻoi. Ua kapa pū nā kauka i kēia "Anemia of Inflammation".
• Maʻi Puʻupaʻa: Ua ʻike anei ʻoe e hana ana ko kākou mau puʻupaʻa i kahi hormone i kapa ʻia ʻo Erythropoietin (EPO) . Hōʻike kēia hormone EPO i ka iwi iwi i ka wā a pehea e hana ai i nā hunaola koko ʻulaʻula. No laila, inā ua hōʻino ʻia nā puʻupaʻa, ʻo ia hoʻi, inā nāwaliwali nā puʻupaʻa (nā puʻupaʻa i hōʻino ʻia) , emi iho ka hana ʻana o kēia hormone EPO. A laila emi pū ka hana ʻana o nā hunaola koko ʻulaʻula e ka iwi iwi, e hoʻoulu ai i ka anemia.
• ʻAnemia Aplastic: He maʻi koko laha ʻole kēia kahi i hana ʻole ai nā hunaola kumu i loko o ka iwi iwi i nā hunaola koko ʻulaʻula lawa, a me nā hunaola koko ʻē aʻe.

3. Hoʻopau koke ʻia kou mau hunaola koko ʻulaʻula (Hemolysis)

ʻO ka maʻamau, ola kahi ʻulaʻula koko olakino no kahi o 120 mau lā ma hope o kona hoʻokuʻu ʻia ʻana mai ka iwi iwi i loko o ke kahe koko. Akā i kekahi manawa e haki kēia mau ʻulaʻula koko ma mua o kēlā. Kāhea mākou i kēia he hemolysis . Hiki i nā ʻulaʻula koko ke haki koke ma kēia ʻano, inā paha ma muli o kahi maʻi hoʻoilina a i ʻole ma muli o kahi maʻi e ulu ana ma hope o ke ola. E nānā kākou i kekahi mau laʻana:

• ʻO ka Anemia Cell Sickle: He maʻi koko hoʻoilina kēia. Ma kēia, loli ke ʻano o nā hunaola koko ʻulaʻula, e lilo i ʻano sickle. Hoʻopilikia kēia i ke kahe koko.
• ʻO ka Spherocytosis Hoʻoilina: He maʻi koko laha ʻole kēia. Hoʻoulu ia i ka anemia hemolytic, ʻo ia hoʻi, ua haki koke nā hunaola koko ʻulaʻula kahiko ma mua o ka hiki i ke kino ke hana i nā mea hou.
• ʻO ka Anemia Hemolytic Autoimmune: He maʻi ʻōnaehana pale maʻamau kēia. Ma kēia, hoʻouka hewa kā mākou ʻōnaehana pale ponoʻī i kā mākou mau hunaola koko ʻulaʻula ponoʻī.
• ʻO ka Thrombotic Thrombocytopenic Purpura (TTP): Hoʻoulu kēia maʻi i nā ʻūpā koko liʻiliʻi e hana ma ke kino holoʻokoʻa.
• ʻO ka Disseminated Intravascular Coagulation (DIC): He maʻi kēia o ke kahe koko. Inā ʻaʻole mālama ʻia, hiki iā ia ke alakaʻi i ke kahe koko nui.
• Ka hemahema o G6PD: He hemahema kēia o kahi enzyme e pale ai i nā hunaola koko ʻulaʻula mai nā mea ʻino.

He aha nā hōʻailona o kēia maʻi?

ʻAʻole ʻike koke ʻia nā hōʻailona o ka anemia normocytic, akā lohi iki. ʻAʻole paha ʻoe e ʻike i kekahi mau loli nui i kou kino ʻoiai inā loaʻa iā ʻoe kēia maʻi. Eia nō naʻe, e makaʻala inā hoʻomaka ʻoe e ʻike i kekahi o kēia mau mea:

• Ka luhi mau a me ka nāwaliwali.
• Pōʻaiʻī.
• ʻIli keʻokeʻo ma mua o ka maʻamau. Me he mea lā ua emi ke koko i ʻike ʻia.
• Ka wikiwiki o ka puʻuwai.
• Paʻakikī ka hanu ʻana, me he ʻio lā (Pōkole ka hanu ʻana).
• Hiki ke ʻike ʻia ka ʻili keʻokeʻo, ka ʻili maloʻo a i ʻole ka ʻili e palaho maʻalahi .

He mea nui: ʻO ka loaʻa ʻana o hoʻokahi a ʻelua paha o kēia mau hōʻailona ʻaʻole ia he manaʻo he anemia normocytic kou. Eia nō naʻe, inā hoʻomau kēia mau hōʻailona, ​​​​ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau.

Pehea e ʻike ai nā kauka i kēia?

Hana nui nā kauka i kekahi mau hoʻāʻo koko e ʻike i ka anemia normocytic.

• Helu Koko Piha (CBC): Hiki i kēia ke haʻi iā ʻoe i nā mea he nui e pili ana i kou pae hemoglobin, ka helu o nā ʻula koko ʻulaʻula, a me ka nui. ʻO ke ʻano o ka nomocytic he maʻamau ka nui o nā ʻula koko ʻulaʻula, akā he haʻahaʻa ko lākou helu.
• ʻO ka Peripheral Blood Smear: Nānā kēia hoʻokolohua i nā hunaola koko ma lalo o kahi microscope e nānā i ko lākou ʻano, ka hoʻonohonoho ʻana, a me nā mea ʻē aʻe. Hiki i kēia ke kōkua i ka ʻike ʻana i ka maʻi kumu e hoʻoulu ai i ka anemia normocytic.
• Helu Reticulocyte: ʻO nā reticulocytes he mau hunaola koko ʻulaʻula hou i hoʻokumu ʻia ʻaʻole i oʻo piha. Nānā kēia hoʻāʻo inā e hana ana kou iwi iwi i nā hunaola koko ʻulaʻula olakino.

No ka mea, ʻo ka anemia normocytic he hōʻailona pinepine ia o kahi maʻi kumu i ʻike ʻole ʻia, hiki i kāu kauka ke hana i nā hoʻokolohua hou aʻe e ʻike pono ai i ke ʻano o ke kūlana kumu. No ka laʻana, inā manaʻo kāu kauka he maʻi puʻupaʻa mau kou, hiki iā ia ke hana i nā hoʻokolohua koko hou aʻe, nā hoʻokolohua protein mimi, a i ʻole nā ​​​​hoʻokolohua kiʻi.

Pehea e mālama ʻia ai ka Anemia Normocytic?

Hoʻōla ʻia ia ma ka mālama ʻana i ke kumu kumu . I ka ʻōlelo maʻalahi, ke mālama ʻia ke kūlana kumu e hoʻoulu ai i ka anemia normocytic, e hoʻomaikaʻi pū ʻia ka anemia.

E noʻonoʻo ʻoe he anemia kou ma muli o ka maʻi puʻupaʻa mau loa. A laila, e kālele ana nā kauka i ka mālama ʻana i ka maʻi puʻupaʻa. I kona ho'ōla ʻana, e emi pū ana nā hōʻailona anemia.

Eia nō naʻe, inā loaʻa iā ʻoe ka anemia koʻikoʻi , hiki i nā kauka ke hāʻawi iā ʻoe i ka lāʻau lapaʻau e kōkua i kou iwi iwi e hana i nā hunaola koko ʻulaʻula hou aʻe.

Hiki ke pale ʻia kēia mai ka hana ʻana?

ʻO kaʻoiaʻiʻo, he nui nā kumu e hiki ai ke ulu i ka anemia normocytic, no laila he paʻakikī ke ʻōlelo pololei i ka wā e ulu ai a pehea e pale aku ai. ʻO ka hapa nui o ka manawa, ua hoʻokumu ʻia e kekahi maʻi ʻē aʻe āu i loaʻa mua.

No laila, ʻoiai ʻaʻole hiki ke pale loa iā ia, hiki paha iā ʻoe ke hōʻemi i kona hopena. Inā loaʻa iā ʻoe kahi maʻi mau, e nīnau i kāu kauka inā hoʻokomo ia iā ʻoe i ka pilikia o ka loaʻa ʻana o ka anemia normocytic. Inā pēlā, e nīnau e pili ana i nā hōʻailona o ka anemia. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e ʻike koke i kāu kauka.

He aha inā loaʻa iaʻu ka anemia normocytic? He aha kaʻu e manaʻo ai?

Hiki i ka anemia normocytic ke lilo i hōʻailona o kekahi mau pilikia olakino. ʻAʻole koʻikoʻi kekahi, akā hiki i kekahi ke koʻikoʻi loa. Inā loaʻa iā ʻoe kēia ʻano, pili kāu prognosis i kekahi mau kumu. ʻO ia hoʻi, he aha ka maʻi i hoʻoulu ai iā ʻoe e loaʻa i ka anemia, pehea ʻoe e pane ai i ka lāʻau no kēlā maʻi, a me kou olakino holoʻokoʻa.

Inā he mau hopohopo kāu e pili ana i kēia, e kamaʻilio me kāu kauka . Hiki iā ia ke hāʻawi iā ʻoe i ka ʻike maikaʻi loa e pili ana i kou kūlana.

Inā loaʻa iā ʻoe ka anemia normocytic, aia paha ʻoe i kahi maʻi mau loa. He paʻakikī ke ola me kēlā maʻi. No laila, ʻo kēia anemia kekahi mea hou āu e pono ai e hoʻokele. Eia kekahi mau mea e kōkua paha iā ʻoe:

• E ʻai i ka meaʻai olakino. Hoʻokumu pinepine ʻia ka anemia e ka nele o ka hao, ka wikamina B12, a me ka wikamina B9 (folic acid). E nīnau i kāu kauka e pili ana i nā mea hoʻohui wikamina.
• He mea luhi loa ka anemia no ke kino, no laila e hoʻomaha i ka hiki.
• E inu i ka wai lawa (e noho hydrated).
• E holoi pinepine i kou mau lima a pale i nā maʻi.

E ʻike paha ʻoe he anemia normocytic kou ma hope o kahi hoʻāʻo koko maʻamau, a i ʻole ma hope o kahi hoʻāʻo koko ma muli o kekahi o kāu mau hōʻailona. ʻO ka hapa nui, ʻo kēia ma muli o kahi maʻi mau e hoʻopilikia ai i kāu mau hunaola koko ʻulaʻula. Ua ʻike paha ʻoe e pili ana i ka maʻi no ka manawa lōʻihi, a i ʻole he nūhou hou a hoʻohoka paha iā ʻoe. Eia nō naʻe, he mea nui e kamaʻilio me kāu kauka e pili ana i kāu mau hopena hoʻāʻo a me ka mea e hana ai ma hope. E hāʻawi kēia iā ʻoe i kahi manaʻo o ka mea e manaʻo ai.

No laila he aha nā mea nui a mākou i aʻo ai mai kēia? (Leka Lawe-Home)

ʻAe, no laila e hoʻomanaʻo kākou iā kākou iho i kekahi o nā mea nui e pili ana i ka Normocytic Anemia a mākou i kamaʻilio ai i kēia lā:

• ʻO ka anemia normocytic ka emi ʻana o ka helu o nā hunaola koko ʻulaʻula , akā he maʻamau ka nui o ia mau hunaola koko.
• ʻO nā kumu nui no kēia:Ke kahe ʻana o ke koko, ka emi ʻana o ka hana ʻana o nā hunaola koko ʻulaʻula, a i ʻole ka haki wikiwiki ʻana o nā hunaola koko ʻulaʻula.
• I ka manawa pinepine, kū mai kēia maʻi ma ke ʻano he hōʻailona o kahi maʻi ʻē aʻe .
• Hiki ke ʻike ʻia nā hōʻailona e like me ka luhi, ka poniuniu, ka ʻili keʻokeʻo, a me ka paʻakikī o ka hanu ʻana .
• ʻO ka mālama ʻana ma ka mālama ʻana i ka maʻi kumu.
• Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e ʻimi pono i ke kōkua lapaʻau. Mai hopohopo, hiki ke hoʻomalu ʻia kēia maʻi me ka mālama kūpono.

E hoʻomanaʻo, ʻo ʻoe ka mea pono e makaʻala loa i kou olakino. Inā he kānalua iki kou e pili ana i kekahi mea, mai kānalua e kamaʻilio me ke kauka.

ʻAʻohe maʻi koko, anemia normocytic, hemahema koko, nā hunaola koko ʻulaʻula, hemoglobin, nā maʻi mau, nā maʻi puʻupaʻa