Ke ʻoki ʻoe i kou manamana lima, e pau ke kahe ʻana o ke koko ma hope o kekahi manawa, ʻeā? A i ʻole ke kuʻi ʻoe i kou kuli i ka wā e pāʻani ana, e hana ʻia kahi ʻōpū koko ma luna o ka ʻeha a hoʻopaʻa iā ia. Ua noʻonoʻo paha ʻoe i ka mea nāna e hana i kēia mea kupaianaha? He ʻāpana maoli kēia o kahi ʻōnaehana pale kupaianaha loa i loko o ko mākou kino. Na ia ke kuleana no kekahi o nā ʻāpana liʻiliʻi loa, akā koʻikoʻi loa i loko o ko mākou koko. Kāhea mākou i kēia mau platelets, a i ʻole platelets . Kāhea pū kekahi poʻe iā lākou he '(Thrombocytes)'. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia mau koa liʻiliʻi.
I ka ʻōlelo maʻalahi, he aha nā platelets?
E noʻonoʻo e like me kahi Band-Aid liʻiliʻi e hana maoli ana i loko o kou kino. ʻO ia ke ʻano o nā platelets. ʻAʻole lākou he mau cell holoʻokoʻa, he mau ʻāpana liʻiliʻi lākou e haki ana mai nā cell nui i kapa ʻia ʻo megakaryocytes i loko o ko kākou iwi iwi. He liʻiliʻi loa lākou a ʻaʻohe kala. Akā hana nui lākou i ka hana.
Inā ʻoe e lawe i hoʻokahi kulu o kou koko, aia he mau ʻumi tausani o kēia mau platelets i loko. I mea e ola ai ko kākou kino, pono ke kaulike pono ka helu o kēia mau platelets.
- He haʻahaʻa ka helu platelet (Thrombocytopenia): Inā loaʻa iā ʻoe kahi ʻoki, ʻaʻole paha e pau ke kahe ʻana o ke koko a hiki ke kahe nui ke koko. Hiki ke lilo i mea weliweli kēia.
- Inā piʻi nā platelets (Thrombocytosis): Hiki i kēia ke hana i nā ʻūpā koko e hana pono ʻole ʻia, hiki ke paʻa i loko o nā kīʻaha koko. Hiki i kēia ke alakaʻi i nā kūlana koʻikoʻi e like me ka hōʻeha puʻuwai a i ʻole ka hahau ʻana.
ʻO ke ʻano kēia, inā loaʻa ka helu kūpono o nā platelets hiki ke oki ke kahe ʻana i ka wā e ʻeha ai, a pale pū i ke kūkulu ʻia ʻana o nā ʻōpū koko pono ʻole.
ʻO ka hana nui o nā platelets ka hoʻōki ʻana i ke kahe koko.
ʻO ka hana nui a koʻikoʻi loa o nā platelets, ʻo ia ke hoʻōki i ke kahe ʻana o ke koko ke hōʻino ʻia kekahi o ko mākou mau kīʻaha koko, ʻo ia hoʻi, he ʻeha. Kāhea mākou i kēia kaʻina hana ʻo "Hemostasis". He mea kēia e hana ʻia ma ke ʻano ʻē loa, ma kekahi mau ʻanuʻu. E noʻonoʻo i kahi paipu wai me kahi lua. Hana kēia mau platelets i kahi hana e like me ka plaster a mākou e kau ai e pani iā ia.
Eia ke ʻano o ka hana ʻana:
1. Hoʻopili ʻia: I ka wā e ʻoki ʻia ai kahi kīʻaha koko, holo wikiwiki nā platelets, ka mea e hele ana ma ke kino holoʻokoʻa me ke koko, i kahi o ka pōʻino a pipili i ka paia i haki. Ua like ia me ka ʻike ʻana i kahi lua a hele e hopu iā ia.
2. Hoʻāla: ʻO kēlā mau platelet i paʻa e lilo i "hoʻāla ʻia." ʻO ia hoʻi, hoʻololi lākou i ke ʻano. Hoʻololi lākou mai ke ʻano like me ka pā i ke ʻano like me ka nananana me nā kaula e kū ana i waho. Hiki i kēia mau wāwae ke paʻa maikaʻi i nā paia o ka ʻeha a me nā platelet ʻē aʻe. Eia kekahi, hoʻokuʻu kēia mau platelet i hoʻāla ʻia i nā kemika. Hoʻouna kēia mau kemika i kahi hōʻailona i nā platelet ʻē aʻe, e ʻōlelo ana, "Aia kahi pilikia ma aneʻi, e hele koke mai!"
3. Hōʻuluʻulu:Ke loaʻa kēlā hōʻailona, hiki mai nā tausani platelets hou aʻe i kahi a hana i kahi puʻupuʻu. Pani kēia puʻupuʻu i ka ʻeha no kekahi manawa. Kāhea mākou i kēia he "Platelet Plug."
Ua like kēia me ka hoʻopiha ʻana i nā ʻeke lepo me ka lepo ke haki kahi pā ma kahi muliwai. He hopena manawa pōkole ia.
A laila, i ka hui pū ʻana o kēia mau platelets, hoʻomaka kekahi hana paʻakikī. Ua kapa ʻia ʻo ia ʻo "Coagulation Cascade." Ma kēia, hui pū nā protein ʻē aʻe i loko o ke koko (nā mea clotting) e hana i kahi ʻupena ikaika i kapa ʻia ʻo fibrin . Hoʻoikaika hou kēia ʻupena fibrin i nā platelets, e hana ana i kahi ʻūpena koko paʻa a ikaika. ʻO ia ka manawa e pau loa ai ke kahe ʻana o ke koko.
Aia ma hea kēia mau platelets i loko o ko kākou kino?
Hiki ke loaʻa nā platelets ma nā wahi ʻekolu o ko mākou kino.
- ʻIwi iwi: ʻO kēia ka "hale hana" no nā platelets. Hana ʻia ko mākou mau hunaola koko i loko o ka iwi iwi, aia i loko o ko mākou mau iwi. Hoʻokaʻawale ʻia nā platelets i nā ʻāpana liʻiliʻi e nā hunaola nui i kapa ʻia ʻo "Megakaryocytes" ma aneʻi a hoʻokuʻu ʻia i loko o ke koko.
- Koko: Ke komo i loko o ke kahe koko, hele kēia mau platelets ma ke kino holoʻokoʻa ma o nā kīʻaha koko. No ka mea he māmā lākou, noho kokoke lākou i nā paia o nā kīʻaha koko. No laila, inā he ʻeha, hiki iā lākou ke hōʻea koke i kahi.
- ʻO ka spleen: ʻO kēia ka "mālama" a me ke "kikowaena hana hou" no nā platelets. Ma kahi o ka hapakolu o nā platelets i hana ʻia i loko o ko mākou kino e mālama ʻia a mālama ʻia i loko o ka spleen. Hoʻopau pū ia a hana hou i nā platelets kahiko a hōʻino ʻia.
Ehia mau platelets e pono ai i ke kanaka olakino ke loaʻa i loko o ko lākou koko?
Aia ma waena o 150,000 a me 450,000 mau platelets i kēlā me kēia microliter (he kulu koko liʻiliʻi loa) o ke koko o kahi kanaka makua olakino. He mea nui loa e komo kēia helu i loko o kēia mau palena.
He pōkole loa ke ola o kahi platelet. Hoʻopau ʻia kahi platelet i loko o 7 a 10 mau lā. No laila, pono i ko kākou iwi iwi ke hoʻohui mau i nā platelet hou i ke kahe koko. He hana hoʻomau kēia.
He aha nā maʻi nui e pili ana me nā platelets?
Hiki ke puʻunaue ʻia ka hapa nui o nā maʻi e pili ana i nā platelets i ʻelua ʻano: helu platelet haʻahaʻa a helu platelet kiʻekiʻe paha.
| Kūlana olakino | Manaʻo maʻalahi a me ka hopena |
|---|---|
| ʻO ka thrombocytopenia | He emi ʻana kēia o ka helu platelet . Hiki ke loaʻa kēia ʻano ke loaʻa iā ʻoe kahi maʻi e like me ka dengue. Loaʻa kēia ʻano ke hana ke kino i nā platelet liʻiliʻi a i ʻole ke luku koke ʻia nā platelet i hana ʻia. ʻO ka pilikia nui ma ʻaneʻi, ʻo ke kahe nui ʻana o ke koko, ʻoiai mai kahi ʻeha liʻiliʻi. |
| ʻO ka Thrombocytosis | He piʻi kēia o nā platelets . Hana ʻia kēia ʻano ke hana ʻia ka nui o nā platelets ma muli o kahi pilikia i loko o ka iwi iwi. ʻO ka pilikia nui ma ʻaneʻi ka hoʻokumu ʻia ʻana o nā clots koko pono ʻole i loko o ke kino. Inā ālai kēia mau clots koko i nā kīʻaha koko e alakaʻi ana i ka puʻuwai, ka lolo, a i ʻole nā māmā, hiki ke hoʻoweliweli i ke ola. |
He aha nā hōʻailona e hōʻike ana i ka pilikia me nā platelets?
Inā he kaulike ʻole kou i ka nui o nā platelets i loko o kou kino, hiki iā ʻoe ke ʻike i nā hōʻailona ma lalo nei. Inā hoʻomau ʻoe i kekahi a ʻoi aku paha o kēia mau mea, he mea nui loa ia e ʻike koke i kāu kauka .
| Hōʻailona | Wehewehena |
|---|---|
| ʻEha me ke kumu ʻole | Inā loaʻa iā ʻoe nā palapū polū a poni paha ma kou kino me ka ʻole o ka pā ʻana i kekahi mea, i kekahi manawa e ʻike ʻia paha nā kiko ʻulaʻula liʻiliʻi (petechiae) ma lalo o ka ʻili. |
| Ka pinepine ʻana o ke kahe ʻana o ka ihu a me ka ʻāʻī | Inā pinepine ke kahe koko o kou ʻāʻī i kou palaki ʻana i kou mau niho, a inā paha he pinepine ke kahe koko o kou ihu. |
| Koko i loko o ka ʻōpala a i ʻole ka mimi | ʻEleʻele a koko paha nā ʻōpala, mimi ʻulaʻula a poni paha. |
| ʻO ke kahe koko nui o ka menstrual i nā wahine | ʻO ke kahe ʻana o ke koko i ka wā o ka menstruation no ka manawa lōʻihi ma mua o ka maʻamau a i ʻole ke kaumaha ma mua o ka maʻamau. |
| Ke kahe koko nui mai kahi ʻeha liʻiliʻi | Inā paha he ʻeha liʻiliʻi loa, lōʻihi ka manawa e pau ai ke kahe ʻana o ke koko. |
| ʻO ka numbness, ka pehu ʻana i nā lālā | He hōʻailona e hiki ke kū mai i ka wā e piʻi ai nā platelets. Hiki ke kū mai kēia i ka wā e ālai ai nā ʻūpā koko i ke kahe koko. |
| ʻEha nui, poʻo hina, nāwaliwali | He mau hōʻailona koʻikoʻi kēia e hiki ke kū mai ma muli o nā ʻōpū koko e hana ana i loko o nā aa koko e hoʻolako ana i ke koko i ka lolo ma muli o ka hoʻonui ʻia o nā platelets. |
Pehea e nānā ai i ke olakino o nā platelets?
Inā kānalua kāu kauka e pili ana i kāu mau platelets, hiki iā lākou ke hana i kekahi mau hoʻokolohua e hōʻoia i ia.
- Helu Koko Piha (CBC): Ma Sri Lanka, kapa pinepine mākou i kēia he Helu Koko Piha (FBC). Pili kēia i ka lawe ʻana i kahi hāpana o kou koko a me ke ana ʻana i ka helu pololei o nā keena koko ʻulaʻula, nā keena koko keʻokeʻo, a me nā platelets i loko.
- ʻO ka Peripheral Blood Smear (PBS): ʻO kēia ke kāpili ʻana i kahi kulu koko liʻiliʻi ma luna o kahi slide aniani a nānā iā ia ma lalo o kahi microscope. ʻAe kēia i nā platelets e ʻike ʻia i ke ʻano a me ka nui maʻamau ʻole.
- Nā Hoʻāʻo ʻana i ke Koko Paʻa: Nā hoʻāʻo e nānā i ka wikiwiki o ke koko paʻa. Hiki i kēia ke hāʻawi i kahi manaʻo o ka hana a kāu mau platelets.
- ʻO ka Biopsy o ka iwi iwi: I kekahi mau hihia, lawe ʻia kahi hāpana liʻiliʻi o ka iwi iwi mai ka iwi ʻūhā ma lalo o ka anesthesia e nānā i nā pilikia me ka iwi iwi, kahi e hana ʻia ai nā platelets.
He aha nā lāʻau lapaʻau no ia mau kūlana?
Hoʻoholo ʻia ka lāʻau lapaʻau inā haʻahaʻa a kiʻekiʻe paha kāu helu platelet, a me ke kumu.
He mea nui loa: He mea maikaʻi ke ʻike i nā lāʻau lapaʻau ma lalo nei, akā , mai hoʻomaka a hoʻōki paha i kekahi lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- Nā lāʻau lapaʻau: Inā he kiʻekiʻe kou mau platelets, hiki ke hāʻawi ʻia iā ʻoe nā lāʻau lapaʻau e hōʻemi i kā lākou hana ʻana. Inā ʻo ka helu platelet haʻahaʻa ma muli o kahi pilikia o ka ʻōnaehana pale, hiki ke hāʻawi ʻia nā lāʻau lapaʻau ʻē aʻe e mālama ai.
- ʻAspirin: No ka hōʻemi ʻana i ka pilikia o nā ʻōpū koko i nā poʻe me ka helu platelet kiʻekiʻe, hiki i kāu kauka ke ʻōlelo e lawe i ka aspirin haʻahaʻa i kēlā me kēia lā.
- Nā Hoʻoili Platelet: Inā haʻahaʻa loa ka helu platelet a he nui ka pilikia o ke kahe ʻana o ke koko, hāʻawi ʻia nā platelets i lawe ʻia mai ke kanaka olakino i ke kino ma o ke koko.
- Splenectomy: I kekahi mau kūlana, hopu ka spleen a luku i nā platelets he nui. I ia mau hihia, inā ʻaʻole holomua nā lāʻau ʻē aʻe, pono paha ke ʻoki ʻana e wehe i ka spleen.
He aha kā mākou e hana ai e mālama i ke olakino o nā platelets?
Inā loaʻa iā ʻoe kahi maʻi e pili ana i ka platelet, he mea nui e hahai pololei i nā ʻōlelo a kāu kauka. Eia kekahi, kōkua kēia mau mea i ka mālama ʻana i ko mākou mau platelet i ke olakino.
- E kaupalena i ka inu ʻana i ka waiʻona. Hiki i ka inu nui ʻana i ka waiʻona ke hoʻopilikia i ka hana o ka iwi iwi a hōʻemi i ka hana ʻana o nā platelet.
- Mai puhipaka. Hiki i ka puhipaka ke hōʻino i nā kīʻaha koko a hoʻonui i ke ʻano o ka pipili ʻana o nā platelets.
- E noho mamao aku mai nā kemika ʻawahia. ʻO ka ʻike ʻana i kekahi mau kemika, e like me nā pesticides, hiki ke hōʻino i ka iwi iwi.
- E pale iā ʻoe iho mai ka ʻeha. Inā haʻahaʻa kou helu platelet, pono ʻoe e mālama pono e pale iā ʻoe iho mai ka hāʻule ʻana a me nā palapū.
Leka Lawe-Home
- He mau ʻāpana liʻiliʻi nā platelets i loko o ko kākou koko e hoʻōki ana i ke kahe ʻana ke hōʻeha ʻia kākou.
- ʻO ka emi ʻana o ka helu o nā platelets (thrombocytopenia) a me ka piʻi ʻana o ka helu o nā platelets (thrombocytosis) he mau pilikia.
- Mai hoʻowahāwahā i nā hōʻailona e like me ka palapū i wehewehe ʻole ʻia, ke kahe pinepine ʻana o ka ihu, a i ʻole ke kahe ʻana o nā ʻāʻī. He mau hōʻailona paha kēia o ka pilikia platelet.
- Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, mai kuhi wale, e ʻike koke aku i kāu kauka no ka ʻōlelo aʻo.
- Mai hoʻohana i kekahi lāʻau lapaʻau āu e makemake ai me ka ʻole o ke aʻo ʻana mai ke kauka.
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