ʻO ke kahawai o ke ola i loko o kou koko: E aʻo kākou i nā mea āpau e pili ana i ka Plasma.

Ke noʻonoʻo ʻoe i ke koko, hiki mai kahi wai ʻulaʻula i ka noʻonoʻo, ʻeā? Akā ua ʻike anei ʻoe he ʻoi aku ma mua o ka hapalua o kou koko he wai melemele? ʻO ia ka mea a mākou e kapa nei he plasma. Ua like ia me ke kahawai o ke ola i loko o ko mākou kino. ʻO nā mea a pau e pono ai ko mākou kino e hele ana ma kēia muliwai. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia wai kupaianaha, plasma, ma nā ʻōlelo maʻalahi.

He aha maoli ka Plasma?

I ka ʻōlelo maʻalahi, ʻo ka plasma ka ʻāpana wai o kou koko. I ka pololei, he 55% ia, a ʻoi aku paha ma mua o ka hapalua, o ka nui o kou koko holoʻokoʻa. ʻO nā hunaola koko ʻulaʻula a pau, nā hunaola koko keʻokeʻo, a me nā platelets āu i lohe ai e lana ana a puni i loko o kēia plasma, e lawe ana iā lākou ma kou kino holoʻokoʻa.

E noʻonoʻo e like me ka salakeke hua. ʻO nā ʻāpana huaʻai nā hunaola koko ʻulaʻula a me keʻokeʻo a me nā platelets. ʻO ka jelly i hui pū ʻia ua like ia me ka plasma.

He 92% wai kēia plasma. ʻO ke koena 7% he mau protein (e like me nā antibodies, nā mea hoʻohuihui koko, albumin, fibrinogen). ʻO ke koena 1% he mau mea pono no ko kākou kino, e like me nā hormones, nā huaora, nā paʻakai, a me nā enzymes.

No ke aha he mea nui ka plasma i ko mākou kino?

ʻAʻole he wai liʻiliʻi wale nō ka plasma. Hana nui ia i loko o ko kākou kino. E noʻonoʻo i ka plasma e like me ka muliwai. Ua like nā ʻāpana koko ʻē aʻe me nā waʻa e holo ana ma kēlā muliwai. Inā emi ka pae wai ma ka muliwai, ʻaʻole hiki i nā waʻa ke holo, ʻeā? Pēlā nō ia. Me ka ʻole o ka plasma, ʻaʻole hiki i ko kākou koko ke holo.

E nānā i ka papa ma lalo e ʻike i nā hana koʻikoʻi a ka plasma e hana ai no ko mākou kino.

Pehea i hoʻokumu ʻia ai ka plasma a he aha ke kala?

ʻAʻole ka plasma kahi mea i hana ʻia ma kahi hoʻokahi. Hoʻokumu ʻia ia e ka hui pū ʻana o nā electrolytes, ʻo ia hoʻi nā paʻakai a mākou e omo ai ma o kā mākou ʻōnaehana hoʻoheheʻe mai ka wai a mākou e inu ai a me ka meaʻai a mākou e ʻai ai. Akā, ʻo nā protein koʻikoʻi loa i hoʻohui ʻia iā ia mai nā wahi kikoʻī o ko mākou kino.

• ʻIwi iwi
• Nā hunaola koko kahiko a make
• Ake
• ʻŌpū

Ke hui pū kēia mau protein me kēlā wai, hoʻokumu ʻia ka plasma piha.

ʻO ka maʻamau, ke wehe ʻia nā hunaola koko ʻulaʻula mai ke koko, he melemele māmā ke kala o ka plasma, e like me ka mauʻu. Eia nō naʻe, inā loaʻa iā ʻoe kahi maʻi, hiki ke loli kēia kala. No ka laʻana, inā loaʻa iā ʻoe kahi maʻi kahi i wāwahi ʻia ai nā hunaola koko ʻulaʻula (hemolysis), he poni paha ka plasma. Inā loaʻa iā ʻoe ka maʻi akepaʻa, ka mea e hoʻoulu ai i ka jaundice, he ʻōmaʻomaʻo a ʻeleʻele paha ka plasma.

ʻO nā ʻano nui o nā protein i loko o ka plasma

Ua ʻōlelo mākou he nui nā protein koʻikoʻi i loko o ka plasma. ʻO kēia kekahi o nā ʻano nui.

Nā maʻi a me nā hōʻailona e pili ana i ka plasma

Inā he kaulike ʻole a kīnā paha i ka plasma, hiki ke loaʻa nā maʻi like ʻole.

Kekahi mau kūlana olakino:

• Nā maʻi i hoʻokumu ʻia e nā pilikia me ka hana ʻana o nā protein, no ka laʻana `(Amyloidosis)`.
• ʻO nā maʻi e hoʻoulu ai i nā pilikia o ke kāpili ʻana o ke koko, no ka laʻana `(Hemophilia)` a me `(von Willebrand disease)`.
• Nā maʻi e hōʻemi ana i ka palekana (nele o nā protein palekana i loko o ke koko).
• ʻO ka Myeloma kahi maʻi ʻaʻai e hoʻopilikia ai i ka iwi iwi.

He mau hōʻailona paha kēia o:

Inā hoʻomau ʻoe i kēia mau mea, he manaʻo maikaʻi e ʻike i ke kauka.

• ʻOiai kahi ʻeha liʻiliʻi hiki ke hana i kahi palapū nui a i ʻole kahi kahe koko iki.
• ʻEha iwi.
• Ke manaʻo nei e kuʻi ana ka puʻuwai i ke ʻano ʻē (palpitations, ʻeha umauma).
• ʻO ka maʻi pinepine ʻana, ʻo ia hoʻi ka ulu koke ʻana o nā maʻi ma muli o ka nāwaliwali o ka ʻōnaehana pale maʻi.

Hiki i ka hāʻawi ʻana i ka plasma ke hoʻōla i nā ola

E like me ka hāʻawi ʻana i ke koko, hiki iā ʻoe ke hāʻawi wale i ka plasma. Hiki i kēia ke hoʻopakele i ke ola o nā maʻi he nui.

1. Hāʻawi koko mau:Ke hāʻawi ʻoe i ke koko, hiki ke hoʻokaʻawale ʻia ka plasma mai ia mea ma hope aku i loko o ka hale hana.

2. Hāʻawi plasma wale nō: Pili kēia i ka hoʻohana ʻana i kahi mīkini kūikawā e lawe i kou koko, hoʻokaʻawale i ka plasma wale nō, a hoʻokomo i nā hunaola ʻulaʻula a me keʻokeʻo i koe i loko o kou kino. Ua kapa ʻia kēia ʻano hana he "Plasmapheresis".

Hoʻohana ʻia ka plasma i hāʻawi ʻia e mālama i nā kuni, nā ulia koʻikoʻi, nā maʻi kanesa, nā maʻi immunocompromised, a me nā maʻi ʻē aʻe he nui. He mea waiwai nui ka plasma mai ka poʻe me ke koko ʻano AB no ka mea ʻaʻohe ona antibodies a hiki ke hāʻawi ʻia i nā poʻe o kēlā me kēia ʻano koko. Akā, ʻaʻohe mea he aha kou ʻano koko, hiki nō iā ʻoe ke kōkua ma ka hāʻawi ʻana i ka plasma.