Ua ʻōlelo anei kāu hoʻāʻo koko ʻo 'Polychromasia'? E nānā kākou i ke ʻano o ia mea! (Polychromasia)

Ke hana ʻoe i kahi hoʻāʻo koko, i kekahi manawa ʻike mākou i nā huaʻōlelo maʻamau ʻole i loko o ka hōʻike, ʻeā? Malia paha ua loaʻa pū i kāu hōʻike ka huaʻōlelo ʻo 'Polychromasia' a i ʻole 'Polychromatophilia'. Hiki ke hopohopo iki ke ʻike ʻoe. Akā, mai hopohopo, e kamaʻilio wale mākou e pili ana i kēia i kēia lā.

He aha ka mea ʻo 'Polychromasia'?

I ka ʻōlelo maʻalahi, ʻo ke ʻano o ka 'Polychromasia' he ʻokoʻa nā kala o kou mau ʻulaʻula koko. ʻIke ʻia kēia ke lawe ʻia kahi hāpana o kou koko, kau ʻia ma luna o kahi slide aniani, hoʻoluʻu ʻia me kahi dye kūikawā, a nānā ʻia ma lalo o kahi microscope. Kāhea mākou i kēia hoʻāʻo ʻo 'Peripheral Blood Smear (PBS)'.

ʻO ka maʻamau, ʻike ʻia nā hunaola koko ʻulaʻula olakino a ulu maikaʻi i ka ʻulaʻula ma ka 'PBS'. Eia nō naʻe, inā loaʻa ka 'Polychromasia', ma waena o kēia mau hunaola poni, hiki iā ʻoe ke ʻike i kekahi mau hunaola e like me ka uliuli, hina-uliuli, a poni paha . ʻO kēia mau hunaola kala like ʻole he mau hunaola koko ʻulaʻula ʻōpiopio . I ka lāʻau lapaʻau, kapa mākou i kēia mau hunaola koko ʻulaʻula ʻōpiopio ʻo 'Reticulocytes'.

ʻO ke ʻano maoli o ka Polychromasia, ke hoʻokuʻu nei kou iwi iwi i nā hunaola koko ʻulaʻula hou (Reticulocytes) i loko o kou koko me ka wikiwiki loa. ʻIke ʻoe, ʻo ka iwi iwi ka ʻāpana palupalu a huʻahuʻa o kou kino i loko o nā iwi nui. Hana ʻia nā hunaola koko ʻulaʻula a pau, nā hunaola koko keʻokeʻo, a me nā platelets i loko o kou koko i loko o ka iwi iwi. Ua like ia me kahi hale hana.

No ke aha i uliuli ai ke ʻano o kēia mau hunaola koko ʻulaʻula?

I kēia manawa, ke noʻonoʻo nei paha ʻoe no ke aha i uliuli ai ke ʻano o kēia mau hunaola koko ʻulaʻula ʻōpiopio (`Reticulocytes`). ʻO ke kumu, aia i loko o kēia mau `Reticulocytes` nā mea genetic i kapa ʻia ʻo `RNA`. Ke pane lākou me ka ʻili `PBS`, lilo kēia `RNA` i uliuli. Ua like kēia `RNA` me kahi papahana manawa pōkole i loko o ke kelepona. Ke oʻo kahi `Reticulocyte` a lilo i hunaola koko ʻulaʻula piha, nalowale kēia `RNA`.

He mea nui e ʻike i kēia mau 'Reticulocytes' i loko o kahi 'PBS'. No ka mea, ʻo nā 'Reticulocytes' he hui o nā cell i hiki ʻole ke lawe i ka oxygen e like me ka maikaʻi o nā cell koko ʻulaʻula i oʻo piha. ʻO ka hana nui o nā cell koko ʻulaʻula, ʻo ia ka lawe ʻana i ka oxygen i kēlā me kēia cell i loko o ko mākou kino. No laila, ʻo ka loaʻa ʻana o nā cell i ʻōpiopio he nui, ʻo ia hoʻi, ʻaʻole e hana pono ʻia kēlā hana.

He aha nā kumu o ka Polychromasia?

Hiki i ka Polychromasia ke lilo i hōʻailona o kahi maʻi lapaʻau. ʻO kēia kūlana ke kumu o kou iwi iwi e hoʻokuʻu koke i nā hunaola koko ʻulaʻula i loko o kou koko. Hana pinepine kēia i ka wā e emi ai ka nui o nā hunaola koko ʻulaʻula i loko o kou koko. Hoʻāʻo ke kino e uku ma o ka hoʻokuʻu koke ʻana i nā reticulocytes mai kou iwi iwi i loko o kou koko.

Eia kekahi mau kumu e ʻike ai ʻoe i ka 'Polychromasia':

• ʻAnemia Hemolytic: He maʻi koko kēia. ʻO kēia kahi e luku ʻia ai nā hunaola koko ʻulaʻula i ka wā ʻōpiopio. I kekahi manawa hiki ke hana ʻia kēia luku ʻana i ka wikiwiki e hiki ʻole ai i ke kino ke hana i nā hunaola koko ʻulaʻula hou. ʻO ka hopena kēia i ka anemia. Hiki ke hana ʻia ka anemia hemolytic e nā kūlana hoʻoilina e like me Paroxysmal Nocturnal Hemoglobinuria (PNH), Thalassemia, a me ka maʻi Sickle Cell. Hiki ke hana ʻia e kekahi mau maʻi a me kekahi mau lāʻau lapaʻau.
• Ka nalowale nui o ke koko: Ke kahe nui ke koko, ma loko a ma waho paha, hoʻoulu ʻia ka iwi iwi e hoʻonui i ka hana ʻana o nā hunaola koko ʻulaʻula. A laila hoʻokuʻu ʻia nā reticulocytes i loko o ke koko e pani i nā hunaola koko ʻulaʻula i nalowale. E noʻonoʻo, inā nalowale ʻoe i ka nui o ke koko i kahi ulia nui, hiki ke hana ʻia kēia.
• Kanesa: Hiki i kekahi ʻano kanesa ke pālahalaha i ka iwi iwi a hoʻopilikia i ka hana ʻana o nā sela koko ʻulaʻula, a i ʻole hiki ke hoʻokuke i nā sela koko ʻōpiopio i loko o ke kahe koko.
• Hāpai: He mea maʻamau ka nui o nā 'Reticulocytes' i loko o ke koko e ʻoi aku ka kiʻekiʻe ma mua o ka maʻamau i ka wā hāpai. I ka hapanui o nā hihia, ʻaʻole kēia he kumu e hopohopo ai.
• Ke noho ʻana ma nā wahi kiʻekiʻe: Haʻahaʻa nā pae oxygen ma nā wahi kiʻekiʻe. Hiki i ke kino ke hoʻololi i ka nele o ka oxygen ma ka hoʻonui ʻana i ka hana ʻana o nā hunaola koko ʻulaʻula a me ka hoʻokuʻu ʻana i nā reticulocytes i loko o ke koko.

Nā meaʻai e hoʻonui ai i nā hunaola koko ʻulaʻula

I kekahi manawa, ke hoʻomaka ʻoe e lawe i nā huaora a me nā mea hoʻohui e pono ai e hana i nā hunaola koko ʻulaʻula olakino, e ʻike paha ʻoe i ka "Polychromasia" ma kāu hōʻike koko. ʻO ke ʻano kēia e pane ana kou kino. Inā ʻaʻole ʻoe e lawa i kēia mau meaola mai nā meaʻai āu e ʻai ai, e ʻōlelo paha kāu kauka:

• Wikamina B12 (`Wikamina B12`)
• ʻAkika Folic ('Akika Folic')
• Hao

He mea nui kēia mau meaola no ka hana ʻana o nā hunaola koko ʻulaʻula. No ka laʻana, kōkua ka hao i ka hana ʻana i ka hemoglobin, ka protein lawe oxygen i loko o nā hunaola koko ʻulaʻula. He mea nui ka wikamina B12 a me ka waikawa folic no ka mahele ʻana a me ka oʻo ʻana o nā hunaola koko ʻulaʻula.

He aha nā hōʻailona o ka maʻi 'Polychromasia'?

ʻAʻohe hōʻailona kikoʻī no Polychromasia. Eia nō naʻe, hiki iā ʻoe ke ʻike i nā hōʻailona i hoʻokumu ʻia e kahi maʻi kumu, e like me ka anemia, i kumu ai ʻo Polychromasia.

ʻO kēia nā hōʻailona maʻamau o ka anemia:

• ʻIli keʻokeʻo
• ʻEha poʻo
• Ka nāwaliwali a luhi paha
• Ka paʻakikī o ka hanu ʻana (Dyspnea)
• Ka wikiwiki o ka puʻuwai (Tachycardia)
• Pōʻino a poʻo hina paha
• Ke koko haʻahaʻa (Hypotension)
• Melemele o ka ʻili a i ʻole keʻokeʻo o nā maka (Jaundice) - ʻIke nui ʻia kēia ma ka Hemolytic Anemia.
• Ka hoʻonui ʻia ʻana o ka spleen (`Splenomegaly`) a i ʻole ke akepaʻa (`Hepatomegaly`)

I kekahi manawa ʻaʻohe hōʻailona iki. Aia wale nō ia i ke kūlana kumu i hoʻokumu ai i ka polychromasia a me kona koʻikoʻi.

Pehea e ʻike ai i ka "Polychromasia"?

Hiki i nā kauka ke haʻi inā he polychromasia kou mai nā hopena o kahi hoʻāʻo PBS (peripheral blood smear). E hōʻike kēia i nā hunaola koko ʻulaʻula uliuli ʻeleʻele a polū-hina paha (i kapa ʻia ʻo reticulocytes) i loko o kāu hāpana koko, me nā hunaola koko ʻulaʻula maʻamau ʻulaʻula.

E hoʻomanaʻo, ʻo ka 'Polychromasia' kahi mea i ʻike ʻia i loko o kahi hoʻāʻo koko, ʻaʻole ia he 'diagnosis' i loko ona iho.

No laila, hiki i kāu kauka ke kauoha i nā hoʻokolohua hou aʻe e kōkua i ka hoʻoholo ʻana i ke kumu o kou kūlana. E nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona, ​​​​kou mōʻaukala olakino, a me nā lāʻau lapaʻau āu e lawe ai. Hiki iā lākou ke hana i kahi hoʻokolokolo kino e nānā i nā hōʻailona o ka anemia hemolytic (e like me ka spleen a i ʻole ke akepaʻa i hoʻonui ʻia). ʻO nā hoʻokolohua kikoʻī āu e loaʻa ai e pili ana i ke kumu i manaʻo ʻia e hoʻopilikia ana i ka hoʻokuʻu ʻia ʻana o nā reticulocytes mai kou iwi iwi.

Pehea e mālama ʻia ai ka Polychromasia?

Aia ka lāʻau lapaʻau i ke kumu o kou polychromasia. Inā he anemia iki ke kumu a ʻaʻohe ou hōʻailona nui, ʻaʻole paha ʻoe e pono i ka lāʻau lapaʻau. Eia nō naʻe, inā he maʻi koʻikoʻi kou e kumu ai i kou polychromasia, e ʻōlelo kāu kauka i ka lāʻau lapaʻau kūpono.

Hiki ke hoʻohana ʻia kēia mau mea ma ke ʻano he mau lāʻau lapaʻau:

• Ka hoʻoili koko: Ma kekahi mau kūlana hoʻoilina e like me ka maʻi Sickle Cell a i ʻole i nā hihia o ke kahe koko nui.
• Corticosteroids: I nā kūlana e like me ka Autoimmune Hemolytic Anemia, kahi e hoʻopau ai kāu ʻōnaehana pale i kāu mau hunaola koko ʻulaʻula ponoʻī.
• Nā Immunosuppressants: Hiki ke hāʻawi ʻia kēia mau mea i ka wā e luku ana ka ʻōnaehana pale i nā hunaola koko ʻulaʻula a ʻaʻole kūpono nā lāʻau lapaʻau e like me corticosteroids.

Inā hoʻokumu ʻia ka polychromasia e kahi maʻi bacteria, viral, a parasitic paha, pono paha nā lāʻau lapaʻau kikoʻī no kēlā maʻi. Inā hoʻokumu ʻia ke kūlana e kahi lāʻau lapaʻau, pono paha ʻoe e hoʻōki i ka lawe ʻana i kēlā lāʻau lapaʻau a hoʻololi paha i kahi lāʻau lapaʻau ʻē aʻe. Eia naʻe, mai hoʻōki i ka lawe ʻana i kekahi lāʻau lapaʻau me ka ʻole o ka ʻōlelo aʻo a kāu kauka. E alakaʻi pono kāu kauka iā ʻoe.

Pono ʻoe e makaʻu i ka 'Polychromasia'?

ʻAʻole pono. Hiki i ka Polychromasia ke lilo i hōʻailona o kahi maʻi koko e pono ai ka mālama ʻana, a i ʻole he mea ia e palekana ʻole ai. No ka laʻana, inā hāpai ʻoe a i ʻole ua hoʻomaka wale ʻoe e lawe i nā mea hoʻohui hao, hiki ke maʻamau kēia.

E haʻi aku kāu kauka iā ʻoe e pili ana i kēia mau hopena a wehewehe inā he mea lākou e hopohopo ai a i ʻole inā pono ka hoʻāʻo hou ʻana.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona o ka anemia, e like me ka luhi, ka maeʻele, a me ka pōkole o ka hanu, e hoʻonohonoho i kahi manawa e ʻike ai i ke kauka. I kēia manawa, mai hoʻokuʻu i kāu mau nānā makahiki. Hiki i kāu kauka ke nānā i kāu mau hunaola koko ma ka hana ʻana i nā hoʻokolohua e like me ka PBS inā pono.

Hiki i nā hōʻike hoʻāʻo koko ke hāʻawi i ka ʻike he nui e pili ana i kou olakino laulā. Hiki iā lākou ke kōkua iā ʻoe e ʻike i nā kūlana koko e pono ai ka mālama ʻana i ka wā mua.

I ka hōʻuluʻulu manaʻo (Leka Lawe-Home)

Mai hopohopo ke ʻike ʻoe i ka huaʻōlelo 'Polychromasia' ma kāu hōʻike koko. E hoʻomanaʻo:

• He wehewehe ʻana ka "Polychromasia", ʻaʻole he hōʻailona. ʻO ia hoʻi, he nui aku nā hunaola koko ʻulaʻula ʻōpiopio ma mua o ka maʻamau i loko o kou koko.
• He hōʻailona paha kēia o kahi maʻi olakino, a i ʻole he mea ia he mea pōʻino ʻole a no ka manawa pōkole.
• Inā he mau hopohopo kāu e pili ana i kēia, e kamaʻilio me kāu kauka. Hiki iā ia ke wehewehe pehea e pili ai kēia hopena iā ʻoe.

No laila, he mea nui loa ka mālama mau ʻana i ke kamaʻilio maikaʻi me kāu kauka. ʻO lākou ka poʻe e hoʻomaopopo maikaʻi loa i kou olakino.

ʻO Polychromasia, Nā Kelepona Koko ʻUlaʻula, Nā Hoʻāʻo Koko, Nā Reticulocytes, Iwi Momona, Anemia