Ua luhi mau ʻoe? Ua keʻokeʻo ʻoe? Malia paha he anemia!

Ke luhi nei hoʻi ʻoe a palaualelo wale i ka lā a pau me ke kumu ʻole? Ke poniuniu nei ʻoe ke hele iki ʻoe a piʻi paha i kahi alapiʻi ? Ke nānā ʻoe i loko o ke aniani, ke keʻokeʻo nei kou helehelena a me kou lehelehe? ʻO kēia nā mea a mākou e hoʻowahāwahā pinepine ai, me ka manaʻo, "Malia paha no ka nui o ka hana." Akā, he mau hōʻailona paha kēia o ka nele o ke koko i loko o kou kino, ʻo ia ka mea a mākou e kapa nei he anemia . Mai hopohopo, e kamaʻilio maʻalahi kākou e pili ana i kēia.

I ka ʻōlelo maʻalahi, he aha ka anemia?

I ka ʻōlelo maʻalahi, ʻo ka anemia ka emi ʻana o ka nui o nā hunaola koko ʻulaʻula i loko o kou koko. Hōʻike ʻia kēia ma ke ʻano he haʻahaʻa o ka hemoglobin a i ʻole ka hematocrit ma kahi hōʻike hoʻāʻo koko.

E noʻonoʻo i kēia ʻano, ua like kēia mau hunaola koko ʻulaʻula me kahi lawelawe lawe e lawe ana i ka oxygen ma o ko mākou kino. ʻO ka ukana nui ma luna o kēlā kaʻa lawe, ʻo ia hoʻi, ka protein e lawe ana i ka oxygen, ua kapa ʻia ʻo ia he hemoglobin. No laila, inā loaʻa iā ʻoe ka anemia, haʻahaʻa hoʻi ka pae o kēia hemoglobin i loko o kou koko. Inā haʻahaʻa loa ia, ʻaʻole loaʻa i kāu mau ʻiʻo a me nā ʻōpū (e like me ka puʻuwai , ka lolo, nā puʻupaʻa) ka nui o ka oxygen a lākou e pono ai. ʻO ia ke kumu e hoʻomaka ai ʻoe e ʻike i nā hōʻailona e like me ka luhi a me ka pōkole o ka hanu .

He aha nā hōʻailona o kēia?

I kekahi manawa, ua maʻalea loa nā hōʻailona a ʻaʻole paha ʻoe e ʻike iā lākou. Akā i ka emi ʻana o kou helu koko, hoʻomaka nā hōʻailona e ʻike ʻia. E nānā inā loaʻa iā ʻoe kēia mau hōʻailona pū kekahi.

Hiki i ka anemia ke lilo i mea make?

He pilikia kēia i loaʻa i nā kānaka he nui. He mea kākaʻikahi loa ka make ʻana o kekahi mai ka anemia. Hiki ke hana ʻia kēlā mau mea me nā maʻi genetic koʻikoʻi (e like me ka thalassemia, sickle cell anemia), inā he nui ke kahe koko i loko o kahi ulia, a i ʻole me nā kūlana olakino koʻikoʻi e like me kekahi mau maʻi kanesa. ʻO ka anemia maʻamau kahi kūlana hiki ke ho'ōla maʻalahi ʻia me ka lāʻau lapaʻau.

He aha nā kumu nui o ka anemia?

ʻOiai aia ma mua o 400 mau ʻano anemia, hiki ke puʻunaue ʻia i ʻekolu mau ʻano nui.

1. Ma muli o ke kahe ʻana o ke koko mai ke kino

Hiki i kēia ke lilo i kahe koko nui a koke, a i ʻole hiki ke hana mālie i ka hala ʻana o ka manawa me ka ʻole o kou ʻike ʻana.

• Nā pilikia me ka ʻōnaehana hoʻoheheʻe: ʻōpū ʻōpū, hemorrhoids, gastritis.
• ʻO kekahi mau lāʻau ʻeha: ʻO ka hoʻohana lōʻihi ʻana i nā lāʻau lapaʻau e like me Aspirin lāua ʻo Ibuprofen hiki ke hoʻoulu i nā ʻōpū ʻōpū a me ke kahe ʻana o ke koko.
• Ka hoʻomaʻemaʻe ʻana o ka wahine i ka wā o ka menstruation: ʻOi loa aku inā he nui ke kahe koko i ka wā o ka menstruation (nā wā kaumaha).

2. Ua emi a hemahema paha ka hana ʻana o nā hunaola koko ʻulaʻula

ʻO ka mea e hana ʻia ana ma kēia, ʻaʻole hiki i ko mākou kino ke hana i ka nui o nā hunaola koko ʻulaʻula e pono ai.

• ʻAneemia nele i ka hao: ʻO kēia ke ʻano maʻamau loa ma ka honua. He mea nui ka hao no ko kākou iwi iwi e hana i ka hemoglobin. Hoʻokumu ʻia ia e nā kumu e like me ka loaʻa ʻole o ka hao lawa mai ka meaʻai (ʻoi aku hoʻi nā kamaliʻi ʻōpio, ka poʻe ʻai mea kanu), a me ka hāpai ʻana.
• Anemia nele i ka wikamina: ʻO ka wikamina B12 a me ka folate ʻelua mau wikamina e pono ai no ka hana ʻana i nā hunaola koko ʻulaʻula. ʻO ka nele i kēia mau wikamina hiki ke alakaʻi i ka anemia.
• Nā maʻi iwi ʻulaʻula: I nā kūlana e like me ka anemia aplastic, ʻaʻole hiki i ka iwi ʻulaʻula ke hana i nā hunaola koko ʻulaʻula.
• ʻO Thalassemia a me ka anemia cell Sickle: He mau maʻi genetic kēia, ʻo ia hoʻi, nā maʻi i hoʻoilina ʻia e hoʻokumu ai i nā hunaola koko ʻulaʻula kīnā ʻole.

3. Ka luku wikiwiki ʻana o nā hunaola koko ʻulaʻula

Ua kapa ʻia kēia he anemia hemolytic. ʻO kēia ka wā e haki ai ko mākou mau hunaola koko ʻulaʻula a luku ʻia ma mua o ko lākou ola maʻamau. Hiki ke hana ʻia kēia e kekahi mau maʻi, nā lāʻau lapaʻau, a me nā pilikia o ka ʻōnaehana pale.

Pehea e ʻike ai ke kauka a mālama i kēia?

Inā loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma luna nei, ʻo ka mea mua āu e hana ai, ʻo ia ke ʻike ʻana i ke kauka . E nīnau ke kauka iā ʻoe e pili ana i kāu mau hōʻailona a nānā iā ʻoe.

A laila, no ka ʻike pono ʻana inā he anemia kou, e noi ʻia ʻoe e hana i kahi helu koko piha (CBC) . Ua kapa pinepine ʻia kēia he hōʻike FBC (Full Blood Count). Hiki i kēia ke nānā i nā mea he nui e like me ka pae hemoglobin i loko o kou koko a me ka helu o nā hunaola koko ʻulaʻula.

ʻO ke ʻano o ka mālama ʻana ma muli o ke ʻano o ka anemia āu e loaʻa ai.

• Inā no ka nele i ka hao , e haʻi aku kāu kauka iā ʻoe e lawe i nā mea hoʻopihapiha hao a ʻai i nā meaʻai waiwai i ka hao (nā pī, ka spinach, ka ʻiʻo ʻulaʻula, nā hua manu, ka soy).
• Inā ma muli o ka nele o ka wikamina , e hāʻawi ʻia nā papa wikamina B12 a i ʻole ka folic acid.
• Inā ma muli o kekahi kumu koʻikoʻi ʻē aʻe, e kuhikuhi ʻia ʻoe i nā lāʻau lapaʻau kikoʻī e pili ana i kēlā kumu (e like me ke kahe koko).

Pono anei ʻoe e hopohopo nui e pili ana i ka anemia i ka wā hāpai?

ʻAe, ʻoiaʻiʻo nō. I ka wā hāpai, piʻi ka nui o ke koko o ka makuahine ma kahi o 20% - 30%. Eia kekahi, pono ka nui o ka hao no ka ulu ʻana o ka pēpē i loko o ka ʻōpū. Ma muli o kēia, kiʻekiʻe loa ka pilikia o ka anemia i nā makuahine hāpai.

• ʻOiai he mea maʻamau ka anemia ʻoluʻolu i ka wā hāpai, inā lilo ia i mea koʻikoʻi, aia kahi pilikia o ka hānau mua ʻana a i ʻole ke kaumaha hānau haʻahaʻa no ka pēpē.
• Eia kekahi, aia paha ka pilikia o ke kahe nui ʻana o ke koko i ka wā hānau keiki a me ka emi ʻana o ka hiki ke hakakā i nā maʻi.

ʻO ia ke kumu he mea nui loa ka lawe ʻana i nā papa hao a me nā wikamina (ʻoi aku ka waikawa folic) i hāʻawi ʻia e ke keʻena olakino ʻohana e like me ke kauoha.