Malia paha ua luhi ʻoe, palaualelo , a i ʻole he ʻeha poʻo no kekahi mau lā, a ua kauoha kāu kauka i kahi hoʻāʻo koko . Ua hopohopo iki paha ʻoe i kou ʻike ʻana i ka inoa "Reticulocyte Count" ma ka hōʻike. "He aha ke ʻano o kēia hoʻāʻo ʻē?" Ua noʻonoʻo paha ʻoe iā ʻoe iho. He hoʻāʻo koko maʻalahi loa kēia i hana pinepine ʻia, akā hāʻawi ia i ka ʻike koʻikoʻi loa. I kēia lā, e kamaʻilio mākou e pili ana i kēia me ka maopopo a me ka maʻalahi.
ʻO ka mea mua, e nānā kākou i ke ʻano o kēia 'reticulocyte'.
Ua ʻike ʻoe he nui nā ʻano o nā cell i loko o ko kākou koko, e like me nā cell koko ʻulaʻula, nā cell koko keʻokeʻo , a me nā platelets. ʻO ka mea nui loa o kēia mau mea, ʻo ia nā cell koko ʻulaʻula . E like me kahi lawelawe kalaka e lawe ana i nā waiwai i nā kūlanakauhale ma o ko kākou kino, lawe kēia mau cell koko ʻulaʻula i ka oxygen mai nā māmā a hāʻawi iā ia i nā ʻāpana ʻē aʻe o ke kino. ʻUlaʻula ke ʻano o ko kākou koko ma muli o ka hemoglobin protein i loaʻa ka hao e kōkua ana i kēia hana.
Akā hiki i hoʻokahi hunaola koko ʻulaʻula ke ola no kahi o 4 mau mahina. No laila, pono mākou e hoʻomau i ka hana ʻana i nā hunaola hou e pani i kēia mau mea kahiko. ʻO ka hale hana e hana ana i kēia mau hunaola hou ʻo ia ka ʻāpana e like me ka huʻahuʻa i loko o ko mākou mau iwi, i kapa ʻia ʻo ka iwi ʻiʻo .
I ka ʻōlelo maʻalahi, kapa mākou i nā reticulocytes nā hunaola koko ʻulaʻula "pēpē" i hana hou ʻia e ka hale hana i kapa ʻia ʻo ka iwi ʻiʻo a hoʻokuʻu ʻia i loko o ke koko, ʻaʻole i oʻo piha.
ʻOi aku ka nui o kēia mau ʻāpana pēpē ma mua o nā ʻāpana koko ʻulaʻula maʻamau. I loko o hoʻokahi a ʻelua paha lā, oʻo piha lākou a lawe i ka hana o ka lawe ʻana i ka oxygen. I loko o ke kanaka olakino, hana nā reticulocytes ma waena o 0.5% a me 2.5% o ka huina o nā ʻāpana koko ʻulaʻula i loko o ke koko.
No laila he aha ka hana a kēia hoʻokolohua?
Inā makemake ke kauka e ʻike inā e hana pono ana kāu hale hana iwi a ke hana nei i ka nui o nā hunaola koko ʻulaʻula e pono ai, e kauoha ʻo ia i kēia hoʻāʻo Reticulocyte Count.
He hoʻāʻo maʻalahi loa kēia. Lawe ʻia kahi hāpana koko mai kahi aʻa koko ma kou lima. I ka wā ma mua, ua helu lima ʻia kēia mau cell me ka hoʻohana ʻana i kahi microscope. Akā i kēia manawa, hana nā mīkini hana i kēia helu me ka pololei loa. No laila, he hoʻāʻo koko maʻamau wale nō kēia ʻaʻole e hoʻopilikia iā ʻoe i kekahi pilikia kūikawā.
I nā kūlana hea e ʻōlelo ai ke kauka i kēia hoʻokolohua?
ʻO ke kumu nui a maʻamau no kēia hoʻāʻo ʻana, ʻo ia ka wā e kānalua ʻia ai kahi maʻi i kapa ʻia ʻo anemia . ʻO ka anemia ka wā ʻaʻole lawa nā hunaola koko ʻulaʻula olakino o ke kino. A laila hiki iā ʻoe ke ʻike i nā hōʻailona e like me ka luhi mau, ka manaʻo nāwaliwali, ka pōkole o ka hanu ʻoiai ke hele wāwae no kahi mamao pōkole, nā ʻeha poʻo pinepine, a i kekahi manawa ʻeha ka umauma .
Inā kānalua ʻoe he anemia kou mai ka helu koko piha (FBC), ʻo ia ka hoʻāʻo mua i hana ʻia, ʻo ka hoʻāʻo koʻikoʻi e ʻike pono i ke ʻano o ia ʻano ʻo ia ka Reticulocyte Count.
Aia kekahi mau ʻano anemia. E hāʻawi nā hopena o kēia hoʻāʻo i ke kauka i kahi manaʻo maikaʻi o ke ʻano.
| ʻAno o ka Anemia | He aha ka mea e hana ʻia i ka helu o nā Reticulocyte? | I ka ʻōlelo maʻalahi... |
|---|---|---|
| Anemia Hemolytic | Ua kiʻekiʻe ka helu. | Ua luku ʻia nā hunaola koko ʻulaʻula i loko o ke kino i ka wā ʻōpiopio. No ka hoʻoponopono ʻana i ka nalowale, hana ka hale hana iwi iwi me ka mana piha, e hana ana i nā hunaola hou he nui. |
| ʻAnemia Aplastic | Ke emi nei ka helu (Haʻahaʻa) | Ua hōʻino ʻia ka iwi iwi, e pale ana iā ia mai ka hana ʻana i ka nui e pono ai o nā hunaola koko ʻulaʻula hou. |
| Anemia nele hao | Ke emi nei ka helu (Haʻahaʻa) | ʻAʻohe hao i ke kino, kahi mea maka e pono ai no ka hana ʻana i nā hunaola koko ʻulaʻula. ʻAʻole hiki i ka hale hana ke hana iā ia no ka mea ʻaʻohe mea maka. |
| Anemia ʻino | Ke emi nei ka helu (Haʻahaʻa) | ʻO ka wikamina B12, kekahi mea hoʻohui e pono ai no ka hana ʻana i nā hunaola koko ʻulaʻula, ua nele i ke kino. Hoʻemi pū kēia i ka hana ʻana. |
Aia kekahi mau kumu ʻē aʻe ma waho aʻe o ka anemia?
ʻAe, he mea pono loa kēia hoʻāʻo ma nā kūlana ʻē aʻe he nui.
Maʻi ʻeha o ke kelepona ʻokiʻoki
He maʻi hoʻoilina kēia. ʻO nā hunaola koko ʻulaʻula e hana ʻia ma ʻaneʻi e lawe i ke ʻano o ka sickle ma kahi o ko lākou ʻano poepoe maʻamau. ʻO kēia ke kumu e luku koke ʻia ai lākou a hiki ke paʻa i loko o nā kīʻaha koko liʻiliʻi, e ālai ana i ke kahe ʻana o ke koko . ʻO ka helu reticulocyte kiʻekiʻe i loko o kēia mau maʻi e hōʻike paha i kahi pilikia o ka sickle cell, kahi e luku nui ʻia ai nā hunaola koko ʻulaʻula.
E ʻike i ka pane ʻana i ka lāʻau lapaʻau
- I ka wā e loaʻa ai ka chemotherapy a i ʻole ka radiation therapy no ka maʻi kanesa.
- Ma hope o ke kāpili ʻana o ka iwi ʻiʻo .
Hiki i kēia ʻano lāʻau lapaʻau ke hōʻino i ka iwi iwi. No laila ma hope o ka lāʻau lapaʻau, hiki ke hoʻohana ʻia kēia Reticulocyte Count e nānā inā ua hoʻōla ka iwi iwi a hoʻomaka e hana i nā cell hou. ʻO ka piʻi mālie ʻana o ka helu he hōʻailona ia o ka hoʻōla maikaʻi ʻana.
Leka Lawe-Home
- ʻO ka helu reticulocyte kahi hoʻāʻo koko maʻalahi e ana i ka hana maikaʻi o ka "hale hana koko ʻulaʻula" (ʻiwi iwi) o kou kino.
- Hoʻohana nui ʻia kēia e ʻike pono i ke ʻano o ka anemia āu.
- ʻO ka helu kiʻekiʻe, ʻo ia hoʻi ke luku nei ke kino i nā hunaola koko ʻulaʻula a ke hana ikaika nei ka iwi iwi e pani iā lākou. ʻO ka helu haʻahaʻa, ʻo ia hoʻi, ʻaʻole lawa nā hunaola o ka iwi iwi.
- ʻAʻole hiki ke hana i kahi hōʻailona ma muli o nā hopena o kēia hoʻāʻo wale nō. E hoʻohālikelike kāu kauka i kēia me kāu mau hōʻailona a me nā hopena hoʻāʻo ʻē aʻe e hiki ai i kahi hopena.
- No laila, mai hopohopo e pili ana i nā helu ma kāu hōʻike. Inā he mau nīnau a kānalua paha kāu, e kamaʻilio ākea me kāu kauka e pili ana iā lākou.
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