Ua kauoha paha kāu kauka i kahi hoʻāʻo koko a ua noʻonoʻo paha ʻoe, "He aha kēia?" i kou ʻike ʻana i kahi mea i kapa ʻia ʻo "Reticulocyte Count" ma ka hōʻike. Ua hana ʻia paha kēia hoʻāʻo e ʻike i ke kumu o kou anemia. He mea maʻamau ke manaʻo iki i ka makaʻu ke ʻike ʻoe i nā huaʻōlelo e like me kēia. Akā, mai hopohopo, no laila i kēia lā e kamaʻilio mākou e pili ana i kēia me ka maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha kēia Helu Reticulocyte?
E noʻonoʻo i kou iwi iwi e like me kahi hale hana e hana ana i nā hunaola koko ʻulaʻula. Ke hana mau nei kēia hale hana i nā hunaola koko ʻulaʻula hou a hoʻohui iā lākou i kou koko. ʻO kēia no ka mea e pono ai nā hunaola koko ʻulaʻula hou e pani i nā hunaola koko ʻulaʻula kahiko a make.
ʻO nā reticulocytes , ʻo ia hoʻi, he mau hunaola koko ʻulaʻula "pēpē" a "ʻōpiopio" paha e puka mai ana mai kēia hale hana. Hoʻokuʻu ʻia kēia mau mea i loko o ke koko a lilo i mau hunaola koko ʻulaʻula i oʻo piha i loko o hoʻokahi a ʻelua paha lā.
No laila, me kēia hoʻāʻo Reticulocyte Count , ke nānā nei mākou i ka maikaʻi o ka hana ʻana o kāu hale hana iwi iwi a inā paha e hana ana ia i nā hunaola koko ʻulaʻula hou no ke kino.
No ke aha e ʻōlelo ai ke kauka i kēia hoʻokolohua?
Aia paha kekahi mau kumu e ʻōlelo ai ke kauka i kēia hoʻokolohua.
- E huli i ke kumu o ka anemia: Inā loaʻa iā ʻoe ka anemia, kōkua kēia hoʻāʻo e hoʻoholo inā he emi ʻana o ka hana ʻana o nā hunaola koko ʻulaʻula e ka iwi iwi ke kumu, a inā paha e luku koke ʻia ana nā hunaola koko ʻulaʻula i hana ʻia.
- E nānā i ka hana o ka iwi ʻiʻo: He mea nui kēia e hōʻoia i ka hana ʻana o kou iwi ʻiʻo i ka nui e pono ai o nā hunaola koko ʻulaʻula hou.
- E ana i ka pane i ka lāʻau lapaʻau: Inā ua loaʻa iā ʻoe ka chemotherapy no nā kūlana e like me ke kanesa, a inā ua loaʻa iā ʻoe kahi hoʻoili iwi iwi , hana ʻia kēia hoʻāʻo e hōʻoia i ka hana pono ʻana o ka iwi iwi ma hope o kēlā mau lāʻau lapaʻau.
He aha ka awelika o kēia? Pehea e hana ʻia ai ka hoʻāʻo?
Hoʻohana pinepine ʻia ka helu Reticulocyte ma ke ʻano he pakeneka o kāu helu helu koko koko ʻulaʻula holoʻokoʻa.
- No ke kanaka makua , ma ka laulā, pono kēia waiwai ma waena o 0.5% a me 2.5% .
- No kahi pēpē hānau hou, hiki ke kiʻekiʻe iki aʻe kēia, ma waena o 2% a me 6% .
He maʻalahi loa kēia hoʻāʻo e hana. Lawe ʻia kahi hāpana koko liʻiliʻi mai kahi aʻa koko ma kou lima. A laila hoʻouna ʻia i kahi keʻena hoʻokolohua, kahi e hoʻohana ʻia ai kahi mea hana kūikawā e helu i ka helu o kēia mau hunaola koko ʻulaʻula ʻōpiopio i loko o kou koko.
He aha ka mea e hana ai inā emi a piʻi paha ka helu o nā reticulocyte?
Inā haʻahaʻa a kiʻekiʻe paha kēia helu ma mua o ka maʻamau, hōʻike ia he pilikia paha me ke koko.
Akā, hoʻokahi wale nō hoʻāʻo kēia. ʻAʻole hiki iā ʻoe ke huki i kahi hopena e pili ana i kahi maʻi ma ka nānā wale ʻana i kēia hōʻike. No laila, he mea nui e kamaʻilio me kāu kauka e pili ana i kēia. E wehewehe ʻo ia i kēia iā ʻoe e pili ana i kou kūlana.
Nā kumu kūpono no ka helu haʻahaʻa o nā reticulocyte
ʻO ka helu haʻahaʻa, ʻo ia hoʻi, ʻaʻole lawa ka hana ʻana o kou iwi iwi i nā hunaola koko ʻulaʻula hou. Aia ma lalo iho kekahi o nā kūlana e hiki ai ke hana i kēia.
| Kūlana/Kumu | He wehewehe maʻalahi |
|---|---|
| Anemia maʻi mau | Hiki ke emi ka hana o ka iwi ʻiʻo i nā maʻi lōʻihi e like me ka maʻi diabetes, ka maʻi puʻuwai, ka maʻi puʻupaʻa, a me ke kanesa. |
| Nā anemia meaʻai | Ke loaʻa ʻole i ke kino ka hao lawa, ka wikamina B12, a i ʻole ka folate, ʻaʻole hiki iā ia ke hana i nā hunaola koko ʻulaʻula. ʻO kahi laʻana, ʻo ia ka anemia nele i ka hao. |
| ʻAʻai anemia aplastic | He kūlana kākaʻikahi kēia. Ma kēia kūlana, emi iho ka nui o nā hunaola kumu e hana i nā hunaola koko i loko o ka iwi iwi, e hopena ana i ka emi ʻana o ka hana ʻana ʻaʻole wale o nā hunaola koko ʻulaʻula, akā, ʻo nā hunaola koko keʻokeʻo a me nā platelets. |
| ʻO ka maʻi Myelodysplastic | He maʻi kanesa kēia e hoʻopilikia ai i ka iwi iwi. I kēia hihia, ua pau ka hana ʻana o nā hunaola koko ʻulaʻula olakino mai nā hunaola kumu. |
ʻO nā kumu kūpono no ka hoʻonui ʻia o ka helu o nā reticulocytes
ʻO ka hoʻonui ʻia ʻana o kēia waiwai, ʻo ia hoʻi, no kekahi kumu, ua piʻi ka wikiwiki o ka luku ʻia ʻana o nā hunaola koko ʻulaʻula i loko o ke kino, a ke hana nei ka hale hana iwi iwi i ka manawa keu (overdrive) e hoʻopiha i ka hemahema.
| Kūlana/Kumu | He wehewehe maʻalahi |
|---|---|
| ʻAʻai koko hemolytic | ʻO ka maʻamau, ola kahi hunaola koko ʻulaʻula no kahi o 120 mau lā. Akā ma kēia kūlana, ua luku ʻia nā hunaola koko ʻulaʻula ma mua o kēlā manawa. No ka hoʻopiha ʻana i ka hemahema, hana koke ka iwi iwi i nā reticulocytes hou. |
| Ke kahe koko | Inā nalowale koke ka nui o ke koko, e like me kahi ulia, a inā he kahe mau ke koko, e like me kahi ʻeha o ka ʻōpū, hana nui ka iwi iwi e pani i ke koko i nalowale. |
Nā mea e nīnau aku ai i kāu kauka
He mea maʻamau ka loaʻa ʻana o nā nīnau e pili ana i kāu hōʻike, no laila mai makaʻu e nīnau i kēia mau nīnau ke hele ʻoe e ʻike i kāu kauka.
- "No ke aha i ʻōlelo mai ai ke kauka iaʻu e hana i kēia hoʻokolohua?"
- "He aha ka ʻōlelo a nā waiwai o kēia hōʻike e pili ana i koʻu kūlana?"
- "Pono anei au e hana hou i nā hoʻāʻo koko?"
- "He aha kā kākou e hana ai no kēia kūlana?"
Loaʻa iā ʻoe nā kuleana āpau e ʻike e pili ana i kou olakino. No laila e ʻoluʻolu e nīnau i nā mea a pau e hiki mai ana i kou manaʻo.
Leka Lawe-Home
- He hoʻāʻo koko maʻalahi ka Reticulocyte Count e ana i ka maikaʻi o ka hana ʻana o kou iwi iwi i nā hunaola koko ʻulaʻula hou.
- ʻO kahi waiwai i haʻahaʻa a kiʻekiʻe paha ma mua o ka maʻamau he hōʻailona paha ia o kahi maʻi pili i ke koko.
- Eia nō naʻe, hoʻokahi wale nō hoʻāʻo kēia. ʻAʻole hiki ke hana ʻia kahi hōʻailona ma muli o kēia hōʻike wale nō.
- Inā he mau hopohopo a kānalua paha kāu e pili ana i nā waiwai i loko o kāu hōʻike, ʻo ke kanaka maikaʻi loa e wehewehe iā lākou ʻo kāu kauka.E kamaʻilio wale aku iā ia me ka maopopo.
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