Ke loaʻa iā ʻoe kahi ʻeha liʻiliʻi, e like me ke ʻoki ʻana i kou lima me ka pahi i ka wā e ʻoki ana i kahi mea kanu, a pau ke kahe ʻana o ke koko ma hope o kekahi manawa, ʻeā? Ua noʻonoʻo paha ʻoe pehea e hana ai kēlā? He hana kupaianaha maoli nō ia. I kēia lā e kamaʻilio mākou e pili ana i nā koa liʻiliʻi i loko o ko mākou kino e kōkua ana i kēlā. Kāhea mākou i kēia poʻe he platelets, a i ʻole e like me kā lākou ʻōlelo ma ka ʻōlelo Pelekania, platelets .
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No laila he aha kēia mau platelets?
I ka ʻōlelo maʻalahi, he mau ʻāpana liʻiliʻi o nā platelets i loko o ko kākou koko. ʻAʻole lākou he mau cell holoʻokoʻa, akā he mea nui lākou i ko kākou kino. Ua like lākou me ka plaster kūlohelohe i loko o kou kino. Inā he ʻeha ma kekahi wahi a ua hōʻino ʻia kekahi kīʻaha koko, holo wikiwiki kēia mau platelets a kōkua i ka hoʻōki ʻana i ke kahe ʻana o ke koko.
E noʻonoʻo, inā ʻoe e lawe i kahi kulu o kou koko, he ʻumi tausani o kēia mau platelets i loko. No laila hiki iā ʻoe ke noʻonoʻo i ka liʻiliʻi o kēia mau mea. He mea nui loa ka loaʻa ʻana o ka nui kūpono o kēia mau platelets i loko o ko kākou kino. Inā haʻahaʻa lākou , hiki i kahi ʻeha liʻiliʻi ke hoʻoulu i ka nui o ke kahe koko. Eia kekahi, inā kiʻekiʻe lākou , hiki i nā ʻōpū koko ke hana i loko o nā aa koko me ke kumu ʻole a hoʻoulu i nā kūlana weliweli. No laila, pono e kaulike kēia mau platelets e hoʻōki i ke kahe koko a pale i ka hoʻokumu ʻia ʻana o nā ʻōpū koko pono ʻole.
Pehea e hana ai nā platelets koko?
He hana hoihoi loa kēia. Hana nā platelets e like me kahi hui lapaʻau ulia pōpilikia i aʻo maikaʻi ʻia. I ka wā e hōʻino ʻia ai kahi kīʻaha koko, hoʻomaka kēia hui e hana. I ka lāʻau lapaʻau, kapa mākou i kēia kaʻina holoʻokoʻa he 'hemostasis'. E nānā kākou pehea e hana ai i kēlā me kēia ʻanuʻu.
E noʻonoʻo i kahi lua nui ma ke alanui. Hele mai kahi hui hana e hoʻoponopono, ʻeā? Pēlā nō ia.
1. Hoʻopili ʻia: ʻO ka mea mua, ʻo nā platelets, e lana wale ana i loko o ke koko, e holo wikiwiki i kahi o ke kīʻaha koko e haki a pipili i ka paia i haki. E like me ka hōʻea mua ʻana o kahi hui kūkulu hale i kahi lua ma ke alanui.
2. Hoʻāla ʻana: ʻO ka mea aʻe, lilo nā platelets i hōʻea i laila i "hoʻāla ʻia." Hoʻololi lākou i ko lākou ʻano, e maʻalahi ai iā lākou ke hoʻopili i nā platelets ʻē aʻe. Hoʻokuʻu pū lākou i nā kemika. Hana kēia mau kemika i ʻelua mau mea. ʻO kekahi, ʻo ia ka hoʻopaʻa iki ʻana i ke kīʻaha koko i hōʻino ʻia. Kōkua kēia i ka hoʻomalu iki ʻana i ke kahe ʻana o ke koko. ʻO kekahi, ʻo ia ka hōʻailona i nā platelets ʻē aʻe, "Aia kahi pilikia ma ʻaneʻi, e hele koke mai." Ua like ia me kahi hui o nā limahana e hele mai ana a kau i nā pale a kāhea aku no ke kōkua.
3. Hōʻuluʻulu: I kēia manawa, ma muli o kēlā hōʻailona, hele koke mai nā platelet he nui a pili pū a puni ka ʻeha. Pili pū lākou a pani i ka lua no kekahi manawa. Kāhea mākou i kēia he "platelet plug."
Akā, he hopena manawa pōkole wale nō kēia. Ua like ia me ka hoʻopiha ʻana i kahi lua ma ke alanui me kahi lepo. Pono kekahi mea ʻē aʻe e hana ʻia e hoʻopaʻa mau ai.
ʻO ia kahi e hoʻomaka ai ke kahe koko . Ma kahi i hui pū ai nā platelets, hui pū kekahi ʻano protein i loko o ko kākou koko (nā mea clotting) e hana i kahi mea i kapa ʻia ʻo fibrin . Ua like kēia fibrin me kahi ʻupena ikaika. Hoʻopuni kēia ʻupena a puni nā platelets a hana i kahi ʻūpena koko ikaika loa a mau loa. I kēia manawa ua pau loa ke kahe ʻana o ke koko.
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Check Availability →Ma hea i hoʻokumu ʻia ai kēia mau platelets? Ma hea lākou e waiho ai?
Hiki ke loaʻa nā platelets ma ʻekolu mau wahi nui o ko kākou kino.
- ʻIwi iwi: ʻO ka iwi iwi i loko o ko kākou mau iwi ka hale hana kahi i hana ʻia ai ko kākou mau hunaola koko. Aia nā hunaola nui loa i kapa ʻia he megakaryocytes . ʻO kēlā mau hunaola nā mea e hana i nā platelets, he mau ʻāpana liʻiliʻi i hoʻohui ʻia i ke koko. ʻO ia ke kumu i ʻōlelo mua ai mākou ʻaʻole nā platelets he mau hunaola holoʻokoʻa, akā he mau ʻāpana hunaola.
- Koko: Ke hana ʻia, hele kēia mau mea ma ko mākou kino ma o ko mākou mau kīʻaha koko. ʻO nā platelets ka ʻāpana māmā loa o ke koko. ʻO ia ke kumu e hele ai lākou a kokoke i nā paia o nā aa koko. Ma kēlā ʻano, ʻoi aku ka maʻalahi iā lākou ke hiki koke i laila inā he ʻeha ma kekahi wahi.
- Spleen: ʻO ka spleen kahi ʻōkana aia ma ka ʻaoʻao hema o luna o kou ʻōpū. Mālama ia i kahi hapakolu o nā platelets i hana ʻia i loko o ko mākou kino. Hoʻopau pū ia i nā platelets kahiko a hōʻino ʻia.
Ehia mau platelets e pono ai i loko o ke koko maʻamau?
Aia i loko o ke kanaka olakino ma waena o 150,000 a me 450,000 mau platelet i kēlā me kēia microliter o ke koko. ʻO kēia ka pae maʻamau. ʻO ke ola o kahi platelet he 7-10 mau lā wale nō. No laila, ke hana mau nei ko mākou kino i nā platelet hou. Ma kahi o ʻekolu lā e hana ʻia ai kahi platelet hou.
Ua kapa ʻia nā platelets he "platelets" no ka mea ua like ko lākou ʻano me nā papa. Ke hoʻāla ʻia, hoʻolōʻihi lākou i nā kaula e like me nā wāwae nananana a pili me nā platelets ʻē aʻe e sila i ka ʻeha.
Nā maʻi nui e pili ana me nā platelets
ʻO ka hapa pinepine, loaʻa nā pilikia me nā platelets ma muli o ka emi ʻana a i ʻole ka piʻi ʻana o ko lākou helu. E hoʻokaʻawale kākou i kēia mau kūlana ʻelua ma ke kaʻawale.
| Kūlana olakino | I ka ʻōlelo maʻalahi... |
|---|---|
| ʻO ka thrombocytopenia | He kūlana kēia kahi e emi ai ka helu o nā platelets i loko o ke koko . Hiki ke hana ʻia kēia kūlana inā emi ka hana ʻana o nā platelets o ke kino a inā paha e luku koke ʻia nā platelets i hana ʻia. ʻO ka pilikia nui ma ʻaneʻi, ʻo ia ke kahe ʻana o ke koko . |
| ʻO ka Thrombocytosis | He piʻi kēia o ka helu o nā platelets i loko o ke koko . Hiki ke hana nui ʻia nā platelets ma muli o kahi pilikia me ka iwi iwi. A i ʻole hiki iā lākou ke hoʻonui i ka pane ʻana i kahi maʻi ʻē aʻe. ʻO ka pilikia nui ma ʻaneʻi, ʻo ia ka hoʻopili koko pono ʻole . |
He aha nā hōʻailona o kahi pilikia platelet?
Inā he loli i kāu helu platelet, hiki iā ʻoe ke ʻike i hoʻokahi a ʻoi aku paha o nā hōʻailona ma lalo nei. Inā hoʻomau ʻoe i kekahi o kēia mau mea, he mea nui loa ia e ʻike i ke kauka.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Nā ʻōuli ʻili a me nā palapū | ʻO ke ʻano o nā kiko poni, ʻulaʻula ma ka ʻili (purpura, petechiae). Hiki i kahi puʻupuʻu liʻiliʻi ke lilo i polū. |
| Kahe pinepine ʻana o ke koko | Ka kahe pinepine ʻana o ka ihu (epistaxis) a i ʻole ke kahe ʻana o nā ʻāʻī i ka wā e palaki ai i kou mau niho. |
| Ke koko i loko o ka ʻōpala a i ʻole ka mimi | Koko i loko o ka ʻōpala a i ʻole ka mimi ʻulaʻula/ʻeleʻele. |
| Ka menstruation kaumaha i nā wahine | ʻO ke kahe koko ʻana o ka maʻi menstrual i lōʻihi a ʻoi aku paha ma mua o ka maʻamau (menorrhagia). |
| Pehu ʻana o ka spleen | Ka manaʻo kaumaha a ʻeha paha ma ka ʻaoʻao hema o luna o ka ʻōpū (splenomegaly). |
| Ka mae ʻana o nā lālā | He manaʻo ʻūlū ma nā lima a me nā wāwae (paresthesia). |
| Nā hiʻohiʻona ʻē aʻe | Pehu ʻana o nā wāwae (edema), ʻeha poʻo nui, poniuniu, ʻeha kino. |
Pehea e nānā ai i ke olakino o nā platelets?
Inā loaʻa iā ʻoe nā hōʻailona i luna, hiki i kāu kauka ke hana i kekahi mau hoʻokolohua e nānā i kāu mau platelets.
- Helu Koko Piha (CBC): He hoʻāʻo koko maʻamau kēia. Ana ia i ka helu o nā hunaola ʻulaʻula, nā hunaola keʻokeʻo, a me nā platelet i loko o kou koko. Hiki iā ia ke haʻi inā haʻahaʻa, kiʻekiʻe, a maʻamau paha kāu mau platelet.
- ʻO ka Peripheral Blood Smear (PBS): Maanei, lawe ʻia kahi kulu o kou koko a nānā ʻia ma lalo o kahi microscope. Hiki i kēia ke ʻike inā he ʻano ʻē ke ʻano a me ka nui o nā platelets.
- Nā hoʻāʻo koko: Aia kekahi mau hoʻokolohua e nānā i ka lōʻihi o ke koko e koko ai.
- Biopsy o ka iwi iwi: I kekahi mau hihia, pono paha e nānā i ka iwi iwi, ka hale hana kahi i hana ʻia ai nā platelets. Pili kēia i ka hāʻawi ʻana i kahi anesthetic māmā a me ka lawe ʻana i kahi hāpana liʻiliʻi o ka iwi iwi mai ka iwi ʻūhā.
- Nā hoʻāʻo hoʻoilina: Hiki ke hana ʻia kekahi mau maʻi platelet e nā kīnā hoʻoilina hoʻoilina. I ia mau hihia, pono paha kēia mau hoʻāʻo.
He aha nā lāʻau lapaʻau no nā maʻi platelet?
Hoʻoholo ʻia ka lāʻau lapaʻau ma kou kūlana (nā platelet haʻahaʻa a kiʻekiʻe paha) a me kona kumu.
ʻO ka mea nui loa, ʻo ia ka hana ʻia ʻana o kekahi o kēia mau lāʻau lapaʻau ma lalo o ke aʻo a ke kauka. Mai lawe i ka lāʻau lapaʻau ma kāu iho.
- Nā lāʻau lapaʻau:Inā kiʻekiʻe ka helu platelet, hiki ke hāʻawi ʻia nā lāʻau lapaʻau e kāohi i kā lākou hana ʻana. Inā ʻo ka helu platelet haʻahaʻa ma muli o kekahi kūlana ʻē aʻe, e like me kahi maʻi autoimmune, ʻo ka mālama ʻana i kēlā kūlana e kōkua paha i ka helu platelet e hoʻi i ka maʻamau.
- Nā hoʻoili platelet: No kekahi kanaka me ka helu platelet haʻahaʻa loa a me ka nui o ke kahe koko, hiki ke hoʻokomo ʻia nā platelets i loaʻa mai nā kumu waho i loko o ke kino ma o kahi hopena saline.
- Splenectomy: I kekahi manawa ua hōʻino ʻia ka spleen e ka nui o nā platelets. I ia mau hihia, inā ʻaʻole holomua nā lāʻau ʻē aʻe, hiki i nā kauka ke hoʻoholo e wehe i ka spleen ma ke ʻoki ʻana.
- Plateletpheresis: He lāʻau lapaʻau kēia no ka poʻe me nā helu platelet kiʻekiʻe loa. Hoʻopili ʻia kou koko i kahi mīkini kūikawā, kahi e wehe ai i nā platelet keu, a laila hoʻihoʻi i ke koko i koe i kou kino.
Pehea e mālama ai i ke olakino o kāu mau platelets?
Inā loaʻa iā ʻoe kahi maʻi platelet, he mea nui e hahai pono i nā ʻōlelo a kāu kauka. Eia kekahi, ʻo ka hahai ʻana i kahi nohona olakino maʻamau he mea maikaʻi nō hoʻi ia no ke olakino platelet.
- E kaupalena i ka waiʻona.
- E pale loa i ka puhipaka.
- E pale i ka pili ʻana i nā kemika ʻawahia.
- E hōʻemi i ka pilikia o ka hōʻeha.
Inā hiki iā ʻoe, hiki iā ʻoe ke hāʻawi i nā platelets a me ke koko . He hana aloha waiwai nui nō hoʻi kēlā. Kōkua kēia mau platelets i ka hoʻopakele ʻana i nā ola, e like me ka poʻe me ke kanesa a i ʻole ka poʻe i ʻeha nui.
Leka Lawe-Home
- He ʻāpana liʻiliʻi nā platelets, akā he mea nui ia o ko mākou kino e hoʻōki ai i ke kahe ʻana o ke koko.
- ʻO ka emi ʻana o ko lākou helu (thrombocytopenia) e hoʻonui ai i ka pilikia o ke kahe ʻana o ke koko, ʻoiai ʻo ka hoʻonui ʻia o ko lākou helu (thrombocytosis) e hoʻonui ai i ka pilikia o ke kāpili ʻana o ke koko pono ʻole.
- Inā he ʻeha kou ihu i wehewehe ʻole ʻia, ke kahe pinepine ʻana o ke koko, a i ʻole ke kahe ʻana o nā ʻāʻī, he mea nui e hoʻolohe iā ia a kamaʻilio me ke kauka.
- Mai hoʻowahāwahā i nā hōʻailona. ʻO ka ʻimi koke ʻana i ke kōkua lapaʻau hiki ke pale i nā maʻi koʻikoʻi.
- ʻO ka hahai ʻana i nā ʻōlelo aʻoaʻo a kāu kauka a me ke ola ʻana i kahi nohona olakino e kōkua i ka mālama ʻana i ke olakino o kāu mau platelets.
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