Makemake ʻoe e ʻike i ka waiwai MCH i kāu hōʻike koko? (Mean Corpuscular Hemoglobin)

Ua lawe anei ʻoe i kahi hōʻike koko, nānā i nā leka a me nā helu ma luna, a noʻonoʻo, 'He aha kēia?' CBC, WBC, RBC, MCH... He nui o kēia mau huaʻōlelo i kamaʻāina ʻole iā mākou, ʻeā? I kekahi manawa makaʻu wale mākou ke ʻike mākou iā lākou. No laila i kēia lā e kamaʻilio mākou e pili ana i hoʻokahi waiwai, ʻo ia hoʻi, ka waiwai MCH. E nānā kākou i kona manaʻo maʻalahi, a me kāna ʻōlelo e pili ana i ko mākou kino i ka wā e hoʻonui ai a i ʻole e emi ana.

E nānā mua kākou, he aha ka MCH?

ʻO MCH kahi huaʻōlelo pōkole no nā huaʻōlelo Pelekania 'Mean Corpuscular Hemoglobin'. I nā huaʻōlelo maʻalahi, ana kēia i ka nui o ka hemoglobin i loko o kou ʻulaʻula koko . I kēia manawa ke noʻonoʻo nei paha ʻoe, 'He aha kēia hemoglobin?' ʻO Hemoglobin kahi protein kūikawā i loaʻa i loko o kā mākou mau ʻulaʻula koko e lawe ana i ka oxygen ma ke kino holoʻokoʻa. I ka pololei, ʻo kēia hemoglobin ka 'lawelawe lawe' e lawe ana i ka oxygen a mākou e lawe ai mai ko mākou mau māmā i kēlā me kēia cell i loko o ke kino. No laila, ʻo ka waiwai MCH ka awelika o ka nui o ka ukana (hemoglobin lawe oxygen) i loko o nā kaʻa (nā ʻulaʻula koko) o kēia lawelawe lawe. ʻO ka maʻamau, e ʻike ʻoe e pili ana i kēia waiwai MCH ke hana ʻoe i kahi hoʻāʻo koko i kapa ʻia ʻo CBC (Complete Blood Count) . He hoʻāʻo maʻamau kēia. Hoʻohana ke kauka i kēia waiwai e kōkua i ka hoʻoholo ʻana inā he hemahema meaʻai kāu, pilikia akepaʻa, a i ʻole kekahi maʻi olakino ʻē aʻe.

He hoʻolauna pōkole i ka hoʻāʻo CBC (Complete Blood Count)

He mea nui loa kēia hoʻāʻo no ka mea hiki iā ia ke hāʻawi i ka ʻike e pili ana i kekahi mau ʻāpana koʻikoʻi o kou koko. ʻO ka mea nui:

• Nā Kelepona Koko ʻUlaʻula : ʻO kēia nā kelepona lawe oxygen a mākou i kamaʻilio wale ai.
• Nā Kelepona Koko Keʻokeʻo : E like me ka 'pūʻali koa' o ko mākou kino e hakakā nei i nā maʻi.
• Hemoglobin : ʻO ka mea lawe oxygen i loko o nā hunaola koko ʻulaʻula.
• Nā Platelets: Nā pūnaewele e kōkua i ke kāpili ʻana o ke koko ke loaʻa kahi ʻeha.

Hiki i kāu kauka ke kauoha i kēia hoʻāʻo ma ke ʻano he ʻāpana o kāu nānā makahiki, a i ʻole inā kānalua ʻoe i kahi kūlana olakino e pili ana i kāu mau hōʻailona (e laʻa, luhi, keʻokeʻo). Pili kēia i ka lawe ʻana i kahi hāpana koko liʻiliʻi mai kahi aa koko ma kou lima. Hoʻouna ʻia ia i kahi lab no ka hoʻāʻo ʻana a me kahi hōʻike.

He aha ka waiwai MCH maʻamau?

ʻO ke anakahi ana no MCHNā Picogram (picograms a i ʻole pg). ʻO ka maʻamau, ʻo kēia waiwai no kahi pākeke olakino a me ke keiki ma waena o 27 pg a me 31 pg . No kahi pēpē hānau hou, ʻoi aku ka kiʻekiʻe o kēia, ʻo ia hoʻi, hiki ke mai 32 pg a i 34 pg .

Akā e hoʻomanaʻo, hiki ke ʻokoʻa iki kēia mau waiwai mai ka hale hana a i ka hale hana, no laila ʻoi aku ka maikaʻi o ka hoʻohālikelike ʻana iā lākou me ka 'Normal Range' ma kāu hōʻike.

He aha inā haʻahaʻa ka waiwai MCH?

ʻO ke ʻano o ka waiwai MCH haʻahaʻa, ʻo ia hoʻi, he haʻahaʻa ka nui o ka hemoglobin i loko o kou mau hunaola koko ʻulaʻula ma mua o ka maʻamau. Hiki i kēia ke hana i kou mau hunaola koko ʻulaʻula e ʻike ʻia he 'palalelale' a 'ʻeleʻele' paha. Aia kekahi mau kumu nui no kēia. E nānā kākou i ko lākou ʻano a me nā hōʻailona.

Ke kumu no ka waiwai MCH haʻahaʻa	Nā hōʻailona e ʻike ʻia
ʻO ka anemia ke kumu maʻamau. Hoʻokumu ʻia ia e ka nele o nā hunaola koko ʻulaʻula olakino e lawe i ka oxygen i ke kino. Hiki ke hana ʻia kēia e ka nele o ka hao, ka huaora B12, a i ʻole ka folate.	Manaʻo mau o ka luhi nui ʻIli keʻokeʻo Ka pilikia o ka hanu ʻana (ʻoiai me ka hoʻoikaika iki) ( Pīhoihoi ) a i ʻole ka nawaliwali
ʻO nā Hemoglobinopathies nā maʻi hoʻoilina i hoʻokumu ʻia e nā hemahema i ke ʻano o ka molekole hemoglobin a i ʻole i kāna kaʻina hana. Nā Laʻana: Thalassemia a me ka maʻi Sickle Cell.	I ka thalassemia: nā hōʻailona o ka anemia, ka pehu ʻana o ka ʻōpū, ka mimi ʻeleʻele. I ka maʻi sickle cell: nā hōʻailona o ka anemia, ka mimi ʻeleʻele, ka melemele o nā maka, ka ʻeha a me ka pehu ʻana ma nā lima a me nā wāwae, a me ka ʻeha nui i kekahi manawa ma ke kino.

Hiki ke hoʻonui ʻia ka waiwai o ka MCH?

ʻAe, i kekahi manawa hiki ke kiʻekiʻe aʻe ka waiwai MCH ma mua o ka maʻamau. ʻO ke ʻano kēia, ʻoi aku ka nui o kāu mau hunaola koko ʻulaʻula ma mua o ka maʻamau. Ua kapa ʻia kēia ʻano ma ke ʻano lapaʻau ʻo Macrocytosis . ʻO ka hapa nui o ka manawa, ʻaʻohe mea e hopohopo ai kēia. Akā i kekahi manawa, hiki ke lilo i hōʻailona o kahi maʻi.

ʻO nā kumu no ka hoʻonui ʻana o ka nui o ka MCH:

• Ka nele o ka wikamina B12 a i ʻole ka Folate: Mai kahaha, i ka wā e haʻahaʻa ai kēia mau meaola, hiki ke loaʻa ka anemia (ka emi ʻana o ka MCH), a me nā hunaola koko ʻulaʻula i hoʻonui ʻia (ka hoʻonui ʻia o ka MCH). Ua kapa ʻia kēia ʻo Macrocytic Anemia.
• ʻO kekahi mau maʻi ate: Hiki i kekahi mau pilikia me ka hana ate ke hoʻonui i nā pae MCH.
• ʻO ka inu ʻona nui: ʻO ka inu ʻona nui i ka wā lōʻihi kekahi kumu o kēia.
• Hypothyroidism: ʻO kēia ka manawa e hana ai ke kino i ka hormone thyroid liʻiliʻi.
• Hiki ke hana ʻia kēia ʻokoʻa e kekahi mau lāʻau lapaʻau: nā lāʻau lapaʻau e like me ka chemotherapy, kekahi mau antibiotics, a me nā antivirals.
• ʻO kekahi mau maʻi ʻaʻai e pili ana i ke koko.

ʻO ka mea nui, ʻaʻole hiki i nā pae MCH kiʻekiʻe ke hoʻoulu i kekahi mau hōʻailona kikoʻī. Eia nō naʻe, ʻo ka maʻi kumu e hoʻoulu ai iā lākou ke hoʻoulu i nā hōʻailona. No ka laʻana, inā loaʻa iā ʻoe ka Hypothyroidism, hiki iā ʻoe ke ʻike i nā hōʻailona e like me ka luhi, ka piʻi ʻana o ke kaumaha, ka mae ʻana o kou mau lima a me nā manamana lima, a me ka ʻeha o nā ʻiʻo. Inā loaʻa iā ʻoe ka maʻi akepaʻa, hiki iā ʻoe ke ʻike i ka ʻeha o ka ʻōpū o luna, ka nalowale o ka makemake, a me ka melemele o nā maka.

Leka Lawe-Home

• Hoʻokahi wale nō waiwai o MCH ma kāu hōʻike koko. Hāʻawi ia i kahi manaʻo laulā o ka nui o ka hemoglobin i loko o kou mau hunaola koko ʻulaʻula.
• Hiki ke hana ʻia kahi waiwai MCH haʻahaʻa a kiʻekiʻe paha e kahi maʻi maʻamau e like me ka anemia, a i ʻole hiki ke lilo i hōʻailona o kahi maʻi koʻikoʻi e pono ai ka nānā hou aku.
• Mai hoʻoholo i kou ʻano ma muli o kahi hoʻāʻo koko a i ʻole e ʻimi i ka ʻike ma ka pūnaewele. E hoʻoulu wale kēia i ke kaumaha pono ʻole.
• Inā he loli i kāu waiwai MCH a i ʻole kekahi waiwai ʻē aʻe, hiki i kāu kauka ke hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo maikaʻi loa a pololei loa. E hana ʻo ia i nā hoʻokolohua hou aʻe, inā pono, e ʻike i ke kumu pololei, a kuhikuhi i ka lāʻau e pono ai.

MCH, ʻAno Hemoglobin Corpuscular, hoʻāʻo koko, hōʻike koko, CBC, nā hunaola koko ʻulaʻula, hemoglobin, anemia, Thalassemia, wikamina B12