Ke ʻike ʻoe i nā leka a me nā helu ma ka hōʻike āu e loaʻa ai ke loaʻa iā ʻoe kahi hoʻāʻo koko , i kekahi manawa e hiki mai ana kahi nīnau liʻiliʻi i ka noʻonoʻo, ʻeā? 'He aha ke ʻano o kēia mau CBC , RDW, a me MCV?' Nīnau ka poʻe he nui e pili ana i kēia waiwai, ʻoiai ka waiwai RDW. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o kēia RDW a me kāna ʻōlelo e pili ana i ko kākou olakino ma ke ʻano maʻalahi loa.
E nānā mua kākou, he aha kēia RDW?
I ka ʻōlelo maʻalahi, ʻo RDW, a i ʻole Red Blood Cell Distribution Width , ke ana i ka ʻokoʻa o ka nui o nā hunaola koko ʻulaʻula i loko o kou koko. ʻOiai ke ʻōlelo nei "width," ʻaʻole kēia e ana i ka laulā o kahi hunaola, ke ana ia i ka laulā o nā nui o nā hunaola.
E noʻonoʻo i kēia ʻano: ua like nā hunaola koko ʻulaʻula i loko o ko kākou kino me nā kalaka liʻiliʻi e lawe ana i ka oxygen. Lawe lākou i ka oxygen mai nā māmā a lawe iā ia i nā ʻāpana ʻē aʻe o ke kino. ʻO ka protein e kōkua ana i kēia hana ua kapa ʻia ʻo hemoglobin . ʻO ka maʻamau, pono e like ka nui o nā hunaola koko ʻulaʻula o ke kanaka olakino. Inā he ʻokoʻa nui ma waena o ko lākou nui, ʻo ia hoʻi he pilikia paha.
Ke hele ʻoe i ke kauka, hāʻawi pinepine lākou iā ʻoe i kahi hōʻike i kapa ʻia he helu koko piha (CBC), ʻeā? ʻO RDW kekahi ʻāpana o kēlā hōʻike CBC.
Ke nānā wale nei ʻo RDW iā ia? He aha hou aʻe ka mea nui ma ka hōʻike CBC?
ʻAʻole loa e hana ke kauka i kahi hōʻailona ma muli o ka waiwai RDW wale nō. Ua like ia me hoʻokahi ʻāpana o ka puzzle. Pono ʻoe i nā ʻāpana ʻē aʻe e ʻike i ke kiʻi holoʻokoʻa. Aia kekahi mau ana koʻikoʻi ʻē aʻe o nā hunaola koko ʻulaʻula ma ka hōʻike CBC. Kāhea mākou iā lākou he Red Blood Cell Indices. ʻO RDW kekahi o kēlā mau helu kuhikuhi.
| Papa Kuhikuhi | He aha ke ʻano o ia mea maʻalahi? |
|---|---|
| MCV (Ka nui o ke kino) | Ana ia i ka nui awelika o kou mau hunaola koko ʻulaʻula. |
| MCH (Mean Corpuscular Hemoglobin) | Ana ia i ka nui o ka hemoglobin i loko o ke koko ʻulaʻula. |
| MCHC (ʻAno o ka Hemoglobin Corpuscular) | Hoʻoholo ʻia ka nui o ka hemoglobin i loko o ke koko ʻulaʻula. |
E lawe pū kāu kauka i kēia mau waiwai āpau e loaʻa ai kahi manaʻo pololei o kou kūlana olakino.
ʻO wai ka mea e hopohopo nui e pili ana i kēia waiwai RDW?
Hoʻohana pinepine ʻia ka waiwai RDW i nā poʻe a pau i loaʻa i kahi hoʻāʻo CBC, akā e nānā pono ke kauka i kēia waiwai inā manaʻo lākou he anemia kou.
ʻO ka anemia kahi kūlana i hana ʻole ai ke kino i nā hunaola koko ʻulaʻula olakino. E nānā e ʻike inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:
- Luhi mau
- Paʻakikī ka hanu ʻana ʻoiai ke hele wāwae i kahi mamao pōkole
- Ke anuanu loa nei
- Pōʻino
- Kino make ʻole
- ʻIli keʻokeʻo a maloʻo paha
- ʻEha poʻo pinepine
- Nā palpitations o ka puʻuwai
Inā loaʻa iā ʻoe kēia mau hōʻailona, e nānā kāu kauka i ka waiwai RDW e hoʻāʻo e ʻimi i ke kumu o kou anemia. Eia kekahi, he mea nui nō hoʻi ka waiwai RDW i nā kūlana aʻe:
- Inā loaʻa i kekahi o ka ʻohana nā maʻi koko hoʻoilina e like me ka thalassemia a i ʻole ka anemia cell sickle.
- Inā loaʻa iā ʻoe nā maʻi mau e like me ka maʻi diabetes a i ʻole ka maʻi a Crohn.
- Inā haʻahaʻa kāu meaʻai i ka hao a me nā minelala ʻē aʻe.
- Inā ʻeha ʻoe i kahi maʻi lōʻihi.
- Inā ua wehe ʻia ka nui o ke koko mai ke kino ma muli o kahi ulia a i ʻole ke ʻoki kino.
He aha ka manaʻo o nā helu ma ka hōʻike RDW?
ʻAe, e nānā kākou i ke ʻano o ka loaʻa ʻana o kēia waiwai RDW ma kahi pae kiʻekiʻe, haʻahaʻa, a i ʻole maʻamau.
Waiwai RDW kiʻekiʻe
ʻO ke kiʻekiʻe o ka waiwai RDW, ʻo ia hoʻi, he ʻokoʻa nui ka nui o kou mau hunaola koko ʻulaʻula. ʻO ia hoʻi, he liʻiliʻi kekahi mau hunaola a he nui kekahi. Hiki i kēia ke lilo i hōʻailona o ka anemia. ʻO ka anemia nele i ka hao, ʻo ia hoʻi, hoʻonui i ka waiwai RDW. Hiki nō hoʻi ke hana ʻia e ka nele o nā meaola e like me ka huaora B12 a i ʻole ka folate.
Ka waiwai RDW haʻahaʻa
ʻO ka waiwai RDW haʻahaʻa ke ʻano o ka nui like o kāu mau hunaola koko ʻulaʻula a pau. He kūlana maikaʻi loa kēia. ʻAʻohe mea e hopohopo ai.
ʻO ka waiwai RDW he maʻamau
ʻO ka waiwai RDW 'Maʻamau' (ma waena o 12% - 15%) ʻo ia hoʻi ʻaʻohe ʻokoʻa koʻikoʻi o ka nui o nā hunaola koko ʻulaʻula. Eia naʻe, ʻaʻole kēia manaʻo ua maikaʻi nā mea āpau. I kekahi manawa, ʻoiai inā maʻamau ka RDW, hiki i nā hunaola koko ʻulaʻula ke liʻiliʻi (haʻahaʻa ka waiwai MCV). Hiki i kēia ke lilo i hōʻailona o kahi maʻi hoʻoilina e like me ka thalassemia .
ʻO ka mea nui loa, ʻaʻole hiki iā ʻoe ke hana i kahi hōʻailona ma muli o ka waiwai RDW wale nō. E hoʻohālikelike ke kauka i kēia waiwai me ka waiwai MCV a me nā hopena hoʻāʻo ʻē aʻe e hiki ai i kahi hōʻailona pololei.
Hiki ke ho'ākāka hou ʻia kēia ma ka papa ma lalo nei.
| Ka waiwai RDW | Ka waiwai MCV (ka nui o ke kelepona awelika) | Kūlana kānalua pinepine |
|---|---|---|
| RDW kiʻekiʻe | MCV haʻahaʻa | Anemia nele i ka hao |
| RDW maʻamau | MCV haʻahaʻa | Anemia ma muli o ka Thalassemia a i ʻole ka maʻi mau |
| RDW kiʻekiʻe | MCV kiʻekiʻe | Ka nele o ka wikamina B12 a i ʻole ka folate |
| RDW kiʻekiʻe | MCV maʻamau | Hiki paha ke lilo i hihia mua o ka anemia a i ʻole nā maʻi akepaʻa. |
Aia kekahi pae 'pōʻino' o ka waiwai RDW?
I ka ʻōlelo pololei ʻana, ʻaʻohe mea e like me ka 'waiwai RDW weliweli.' Ua like kēia me kahi bele hōʻike. ʻO ia hoʻi, pono e nānā ʻia kekahi mea i loko o ke kino. No laila, mai makaʻu nui i kahi waiwai RDW kiʻekiʻe.
ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke lawe i kāu hōʻike a kamaʻilio me kāu kauka e pili ana i ia mea. E hana ʻo ia i nā hoʻokolohua hou aʻe inā pono, e ʻimi i ke kumu pololei o ka maʻi, a e kuhikuhi i ka lāʻau lapaʻau āu e pono ai.
Leka Lawe-Home
- ʻO RDW hoʻokahi wale nō ʻāpana o kāu helu koko piha (CBC).
- Ke ana kēia i ka ʻokoʻa o ka nui o kou mau hunaola koko ʻulaʻula.
- ʻO ka nui o ka RDW i hoʻonui ʻia he hōʻailona ia o ka anemia, e like me ka nele o ka hao.
- He kūlana maikaʻi loa ka waiwai RDW haʻahaʻa. ʻAʻohe kumu e hopohopo ai no ia mea.
- ʻAʻole hiki iā ʻoe ke ʻike i kekahi maʻi ma ka nānā ʻana i ka waiwai RDW wale nō. Hoʻohālikelike ke kauka iā ia me nā waiwai ʻē aʻe e like me MCV.
- Inā he mau nīnau a kānalua paha kāu e pili ana i nā waiwai i loko o kāu hōʻike, ʻo ka mea maikaʻi loa a palekana hoʻi e hana ai, ʻo ia ke kamaʻilio me kāu kauka e pili ana i ia mea.











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