He aha ka manaʻo o RDW i kāu hōʻike koko? (Ka laulā o ka hoʻolaha ʻana o nā cell koko ʻulaʻula) E hoʻomaopopo maʻalahi kākou.

Ua lawe anei ʻoe i kāu hōʻike hoʻāʻo koko, ʻo ia hoʻi, ka hōʻike 'Full Blood Count' (FBC) i kākau pinepine ʻia e ke kauka, a huikau ʻia e nā leka a me nā helu ma luna? Aia nā inoa e like me MCV, MCH, PLT, RDW, kekahi ma hope o kekahi. ʻAʻole paha ʻoe e hiki ke hoʻomaopopo i ke ʻano o kēia mau mea. Mai hopohopo, nui ka poʻe e manaʻo pēlā. I kēia lā, e hoʻomaopopo kākou ma ke ʻano maʻalahi a kamaʻilio hoʻi i kahi waiwai koʻikoʻi hoʻokahi ma kēia hōʻike, ʻo ia hoʻi, he aha ka RDW .

He aha ka manaʻo maʻalahi o ka RDW?

I ka ʻōlelo maʻalahi, ʻo RDW ke kū nei no ka Red Blood Cell Distribution Width . Ma ka ʻōlelo Sinhala, ʻo ia hoʻi ʻo 'Red Blood Cell Distribution Width'. Akā, mai huikau ʻoe i kēlā inoa. E hoʻomaopopo maʻalahi kākou i kēia.

E noʻonoʻo ʻoe he mau pōpō ʻulaʻula liʻiliʻi nā hunaola koko ʻulaʻula i loko o kou kino. Lawe kēia mau pōpō i ka oxygen mai ko kākou mau māmā i kēlā me kēia ʻāpana o ke kino, i kēlā me kēia ʻōkana. E like me nā pahu kinoea. No laila, he mea nui kēia oxygen no kēlā me kēia hunaola i loko o ke kino e hana a hoʻoulu i ka ikehu.

I ke kanaka olakino, ua like ka nui a me ke ʻano o kēia mau hunaola koko ʻulaʻula. E like me ka puʻu lemona mai ka hale kūʻai. Aia paha he ʻokoʻa iki, akā ʻaʻole nui ka ʻokoʻa.

ʻO ka hoʻāʻo RDW ke ana i ka nui o ka ʻokoʻa o kāu mau hunaola koko ʻulaʻula. ʻO ia hoʻi, nānā ia inā like ka nui o kāu mau hunaola koko ʻulaʻula a pau, a inā paha he liʻiliʻi kekahi, he nui kekahi, a inā paha he ʻokoʻa ko lākou nui.

ʻO ke kiʻekiʻe o ka waiwai RDW, ʻo ia hoʻi, he ʻokoʻa nui ka nui o nā hunaola koko ʻulaʻula. He liʻiliʻi loa kekahi, he nui loa kekahi. ʻO ke ʻano maʻamau o ka waiwai RDW, ʻo ia hoʻi, ua like ka nui o ka hapa nui o nā hunaola koko ʻulaʻula.

He aha ka pilina ma waena o ka hoʻāʻo RDW a me ka helu koko piha (CBC)?

ʻAʻole e kauoha kāu kauka i kahi hoʻāʻo e nānā wale i ka RDW. Hana pinepine ʻia kēia ma ke ʻano he ʻāpana o ka helu koko piha (CBC) . Kāhea pū mākou i kēia he FBC (Full Blood Count).

Hāʻawi kahi hōʻike FBC i ka ʻike e pili ana i nā ʻāpana nui ʻekolu o kou koko:

• Nā Kelepona Koko ʻUlaʻula
• Nā Kelepona Koko Keʻokeʻo
• Nā Platelets

Loaʻa i kēia hōʻike FBC kahi ʻāpana kūikawā e wehewehe ana i nā hunaola koko ʻulaʻula wale nō. Ua kapa ʻia ʻo ia he RBC Indices.ʻO RDW kekahi o kēlā mau ʻōkuhi RBC. E nānā kākou i nā waiwai nui ma kēia ʻāpana.

Ke nānā ke kauka i kou kūlana olakino, ʻoiai ke ʻano e like me ka anemia, nānā pū lākou i kēia mau waiwai āpau. ʻAʻole lākou e hoʻoholo ma muli o hoʻokahi wale nō waiwai.

I ka manawa hea e pono ai kahi hoʻāʻo RDW?

Inā loaʻa iā ʻoe nā hōʻailona e hōʻike ana he anemia kou, hiki i kāu kauka ke kauoha i kahi hoʻāʻo FBC. E nānā pū kēia i kāu waiwai RDW. ʻO ka anemia ka wā ʻaʻole lawa nā hunaola koko ʻulaʻula olakino e lawe i ka oxygen a puni kou kino.

Nā hōʻailona e hōʻike ana i ka anemia

Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, he mea nui e ʻimi i ke kōkua lapaʻau:

• Manaʻo mau o ka luhi nui
• Ka pōkole o ka hanu ʻoiai ke hele iki nei
• Ke anu nei i nā manawa a pau
• Pōʻino a poʻo hina paha
• ʻIli keʻokeʻo a maloʻo paha
• PinepineʻEha poʻo

Nā kūlana olakino e hiki ai ke hoʻonui i ka waiwai RDW

Hiki i ka hoʻāʻo RDW, me nā ʻōkuhi RBC ʻē aʻe, ke kōkua i ka hoʻoholo ʻana i ke kumu o ka anemia. Nui nā kumu like ʻole o ka anemia.

• Nā hemahema o ka huaora a me ka minelala: ʻO ka anemia, i hoʻokumu ʻia e ka hao, ka huaora B12, a me nā hemahema folate , hiki ke hoʻonui i ka waiwai RDW.
• Thalassemia: He kūlana hoʻoilina kēia.
• Nā maʻi mau loa: Nā maʻi lōʻihi e like me ka maʻi diabetes, ka maʻi a Crohn, a me ka maʻi HIV.
• Maʻi puʻupaʻa a i ʻole ke akepaʻa
• Ka maʻi ʻaʻai
• Maʻi cardiovascular
• Ke kahe koko nui mai kahi ulia a i ʻole ke ʻoki kino.

Pehea e hana ʻia ai kēia hoʻāʻo RDW? He mea anei ia e makaʻu ai?

ʻAʻole loa. He hoʻāʻo koko maʻalahi wale nō kēia. He mau minuke wale nō ia.

ʻAʻohe mea kūikawā e pono ai ʻoe e hoʻomākaukau no ma mua o kou huki ʻana i ke koko. Eia nō naʻe, inā ua kauoha kāu kauka i kahi hoʻokolohua ʻē aʻe, e like me ka hoʻāʻo kō koko hoʻokē ʻai, me ka FBC, pono ʻoe e hoʻokē ʻai no kekahi helu o nā hola. E aʻo aku kāu kauka iā ʻoe ma kēia.

Eia ka mea e hana ʻia ke huki ʻia ke koko:

1. E ʻike ke kahu maʻi a kauka paha i kahi aa koko maikaʻi kokoke i kou kuʻekuʻe lima a i ʻole ma ke kua o kou lima.

2. E hoʻomaʻemaʻe pono i kahi i hoʻokomo ʻia ai ka nila me kahi ʻūpā waiʻona.

3. Ua hoʻopaʻa iki ʻia kahi kaula laholio (e like me ka tourniquet) ma luna o kahi e hoʻokomo ʻia ai ke kui e kōkua i ka puka maikaʻi ʻana mai o ke aʻa.

4. A laila hoʻokomo ʻia ka nila i loko o ke aʻa a hōʻiliʻili ʻia ka nui o ke koko e pono ai i loko o kahi ʻōmole liʻiliʻi. Hiki paha iā ʻoe ke manaʻo i kahi ʻeha iki i ka wā e hoʻokomo ʻia ai ka nila.

5. Ke huki ʻia ke koko, wehe ʻia ke kui, kau ʻia kahi ʻāpana pulupulu ma kahi, a hoʻopili ʻia kahi palaki liʻiliʻi.

Hiki iā ʻoe ke haʻalele koke ma hope o ka hāʻawi ʻana i ke koko. I kekahi manawa e manaʻo paha ʻoe i kahi poniuniu iki, akā e noi ʻia ʻoe e noho no kekahi mau minuke. He polū iki paha ka wahi i hoʻokomo ʻia ai ke kui, akā e nalo wale kēia i loko o ʻelua a ʻekolu mau lā. He hoʻāʻo palekana loa kēia.

Pehea e hoʻomaopopo ai i nā hopena RDW?

Hōʻike ʻia kāu waiwai RDW ma ke ʻano he pakeneka (%). E nānā kākou inā he maʻamau, kiʻekiʻe, a haʻahaʻa paha kēlā waiwai.

Ke loaʻa iā ʻoe ka hōʻike koko, e lawe iā ia i kāu kauka lapaʻau a kūkākūkā pono. E nīnau iā ia i nā nīnau a hopohopo paha āu e loaʻa ai.