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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.
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Check Availability →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 |
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| 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. |
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| 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.
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.
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