Ua loaʻa anei iā ʻoe kahi helu koko piha a ʻike ʻoe ua kiʻekiʻe iki ka nui o nā hunaola koko ʻulaʻula (RBC) i loko o ka hōʻike ma mua o ka maʻamau? He mea maʻamau ke manaʻo iki i ka hopohopo a me ka makaʻu ke ʻike ʻoe i kahi mea e like me ia. "He aha kēia? No ke aha e hana nei kēia?" Manaʻo paha ʻoe. I ka lāʻau lapaʻau, i ka wā e kiʻekiʻe ai ka nui o nā hunaola koko ʻulaʻula i loko o ke koko ma mua o ka maʻamau, kapa mākou ia he erythrocytosis. Mai hopohopo, e kamaʻilio mākou e pili ana i kēia me ka maopopo a me ka maʻalahi i kēia lā.
ʻO ka mea mua, e nānā kākou, he aha kēia mau hunaola koko ʻulaʻula?
I ka ʻōlelo maʻalahi, ua like nā hunaola koko ʻulaʻula me nā mea hana liʻiliʻi i loko o ko kākou koko. ʻO kā lākou hana nui
ka hōʻiliʻili ʻana i ka oxygen e komo mai ana i loko o nā māmā i ka wā e hanu ai kākou a lawe iā ia i nā hunaola ma nā kihi a pau o ke kino . Kōkua pū lākou
i ka lawe ʻana mai i ke kalapona ʻokikene i hoʻokuʻu ʻia mai nā hunaola i nā māmā a hoʻopau iā ia i ka wā e hanu ai kākou. Hana ʻia kēia mau mea hana liʻiliʻi i loko o ko kākou iwi iwi. Ma laila, hana ʻia lākou, hui pū me ke koko, hana i kā lākou hana no kahi o 120 mau lā, a laila make. Hana mau kēia pōʻaiapuni. Eia naʻe, inā no kekahi kumu, piʻi nui ka hana ʻana o kēia mau hunaola koko ʻulaʻula, ʻo ia kahi e kū ai ke kūlana i kapa ʻia ʻo Erythrocytosis.
ʻElua mau ʻano nui o ka erythrocytosis:
Hiki ke piʻi aʻe kēia hoʻonui ʻana o nā hunaola koko ʻulaʻula ma nā ʻano ʻelua. ʻOiai ʻo nā hihia ʻelua e pili ana i ka hoʻonui ʻana o nā hunaola koko ʻulaʻula, ʻokoʻa ke kumu.
| ʻAno o ka erythrocytosis | He wehewehe maʻalahi |
|---|
| ʻErythrocytosis mua | Aia ka pilikia ma ka iwi iwi. Ma muli o kekahi kīnā i loko o ka iwi iwi, hoʻomaka ia e hana i nā hunaola koko ʻulaʻula he nui me ka ʻole o ke kāohi ʻana. Hiki ke hānau ʻia kēia a i loaʻa paha ma hope o ke ola. |
| ʻErythrocytosis lua | ʻAʻohe pilikia me ka iwi ʻiwi ma ʻaneʻi. Eia nō naʻe, ma muli o kahi pilikia ma kahi ʻē aʻe o ke kino, loaʻa i ka iwi ʻiwi kahi hōʻailona e "hana i nā hunaola koko ʻulaʻula hou aʻe." Hoʻokumu pinepine ʻia kēia e kahi hormone i kapa ʻia ʻo erythropoietin (EPO), i hana ʻia e ko mākou mau puʻupaʻa. Hoʻomalu kēia hormone i ka hana ʻana o nā hunaola koko ʻulaʻula. |
No ke aha e hoʻonui ai nā hunaola koko ʻulaʻula penei? He aha nā kumu?
ʻOkoʻa ke kumu ma muli o ke ʻano a mākou i kamaʻilio ai ma mua.
Nā kumu o ka Erythrocytosis mua
I kekahi manawa, hiki i kēia ke lilo i maʻi hoʻoilina ʻino ʻole e hoʻoili ʻia i nā hanauna. Inā he nui wale kou mau hunaola koko ʻulaʻula i loko o kou koko, a he maʻamau kou mau hunaola koko keʻokeʻo a me nā platelets, ʻo ia paha ke kumu. Eia naʻe, i kekahi manawa ua hana ʻia kēia e kahi ʻano maʻi kanesa koko i kapa ʻia ʻo
polycythemia vera . I kēia manawa, mai makaʻu i kou lohe ʻana i ka huaʻōlelo "maʻi kanesa." He
maʻi ulu lohi loa kēia, he mea laha ʻole . ʻAʻole ʻike kekahi poʻe ua loaʻa iā lākou no nā makahiki. Akā hiki ke lilo i mea weliweli inā waiho ʻole ʻia. No ka mea, i ka wā e hoʻonui ai nā hunaola koko ʻulaʻula, mānoanoa ke koko a emi ke kahe ʻana. Hoʻonui kēia
i ka pilikia o nā ʻūpā koko .
Nā kumu o ka Erythrocytosis Lua
Nui nā kumu no kēia. ʻO ke kumu nui, ʻo ia ka haʻahaʻa o ka oxygen i loko o ke kino.
E noʻonoʻo, i ka wā ʻaʻole lawa ka oxygen i ke kino, manaʻo ke kino, "ʻAe, ʻaʻole lawa nā limahana lawe oxygen ( nā hunaola koko ʻulaʻula ). E hana hou kākou a hoʻouna aku iā lākou." ʻO ia ka mea e hana ʻia.
- Puhipaka : Hoʻopōʻino ka puhipaka i nā māmā a hōʻemi i ka hiki o ke kino ke lawe i ka oxygen.
- Nā pilikia puʻuwai a me nā maʻi māmā : Hiki i nā maʻi e like me ka hānō a me ka COPD ke hana i nā pae oxygen haʻahaʻa.
- ʻApnea hiamoe: ʻO kēia ka wā e pau ai ka hanu ʻana a i ʻole e pāpaʻu i ka wā hiamoe i ka pō. Hoʻemi pū kēia i ka nui o ka oxygen i loaʻa i ke kino.
- Ke noho nei ma nā wahi kiʻekiʻe:E noʻonoʻo i ka wā e hele ai ʻoe i kahi kiʻekiʻe e like me Nuwara Eliya, paʻakikī kekahi poʻe i ka hanu ʻana. ʻO kēia no ka mea haʻahaʻa ka nui o ka oxygen i ka lewa. Ke noho ʻoe ma ia mau wahi no ka manawa lōʻihi, hoʻonui ke kino i kāna hana ʻana i nā hunaola koko ʻulaʻula e hoʻomaʻamaʻa iā ia.
- Hemoglobinopathy: He maʻi koko hoʻoilina kēia kahi hiki ʻole i nā ʻula koko ʻulaʻula ke lawe pono i ka oxygen.
Nā kumu ʻē aʻe:- Maʻi puʻupaʻa : ʻO ka hormone EPO a mākou i kamaʻilio ai ma mua ua hana ʻia i loko o nā puʻupaʻa. No laila, ʻo nā pilikia e like me nā cysts puʻupaʻa, nā puʻupuʻu, a i ʻole ka haiki ʻana o nā kīʻaha koko e hoʻolako ana i nā puʻupaʻa hiki ke hana i ka hana nui ʻana o ka hormone EPO.
- Kekahi mau lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau bodybuilding, e like me nā steroid anabolic, hiki ke hoʻonui i ka hana ʻana o nā cell koko ʻulaʻula.
- ʻO nā puʻupuʻu: ʻO kekahi mau puʻupuʻu e ulu ana i loko o nā ʻōpū e like me nā puʻupaʻa, ka lolo, ke akepaʻa, a me ka ʻōpū hiki ke hūnā i ka hormone EPO.
- Ka maloʻo ʻana o ka wai: I kekahi manawa, ʻaʻole kiʻekiʻe loa ka helu o nā hunaola koko ʻulaʻula. Akā, ua emi ka nui o ka wai (fluidity) i loko o ke kino a ua mānoanoa ke koko. A laila, hōʻike kahi hoʻāʻo koko i ka piʻi ʻana o ka nui o nā hunaola koko ʻulaʻula. Hiki ke hana ʻia kēia e nā mea e like me ka maʻi pākī, ka luaʻi ʻana, ke kuni ʻana, a i ʻole ka inu ʻole ʻana i ka wai lawa.
He aha nā hōʻailona o kēia maʻi?
Nui nā hōʻailona e kū mai ana no ka mea e mānoanoa ke koko a lohi i kona neʻe ʻana ma ke kino holoʻokoʻa. ʻAʻole e ʻike nā kānaka a pau i kēia mau hōʻailona a pau. ʻAʻole paha e loaʻa i kekahi poʻe kekahi mau hōʻailona.
- ʻEha poʻo
- ʻIke pōwehiwehi
- Ka huikau
- Ke koko kiʻekiʻe
- Kahe koko ihu
- ʻIli ʻili (ʻoi aku hoʻi ma hope o ka ʻauʻau ʻana i ka wai wela)
- Ka nāwaliwali a me ka luhi
Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, he mea nui loa
e kamaʻilio me kāu kauka e pili ana i ia mea.
Pehea e ʻike ai ke kauka i kēia?
ʻIke mua ʻia kēia ʻano me kahi hoʻāʻo koko. E nānā kāu kauka i kāu helu koko ʻulaʻula a me kāu mau pae hormone EPO.
- Inā haʻahaʻa nā pae EPO: Hana ʻia nā hoʻokolohua hou aʻe e nānā i ka Erythrocytosis Primary (ʻoi aku hoʻi ka Polycythemia Vera), no ka mea, aia paha ka pilikia ma ka iwi iwi.
- Inā maʻamau a kiʻekiʻe paha ka pae EPO: ʻOiai aia ka pilikia ma kahi ʻē aʻe, hana ʻia nā hoʻokolohua e nānā i nā mea e hiki ke hoʻoulu i ka erythrocytosis lua (nā māmā, ka puʻuwai, nā puʻupaʻa, a me nā mea ʻē aʻe).
He aha nā lāʻau lapaʻau no kēia?
Ma muli o ke kumu o ka lāʻau lapaʻau.
E hoʻomanaʻo, na kāu kauka e hoʻoholo i kāu lāʻau lapaʻau. Mai mālama ponoʻī ma muli o kāu mea i heluhelu ai ma ka pūnaewele a i ʻole ka lohe.
- No ka Erythrocytosis Mua (Polycythemia Vera): ʻO ka lāʻau lapaʻau nui ka phlebotomy . Pili kēia i ka wehe ʻana i kahi koko liʻiliʻi mai ke kino, e like me ka hoʻoili koko. Wehe kēia i nā hunaola koko ʻulaʻula keu, hoʻomāmā i ke koko, a hoʻomaikaʻi i ke kahe koko. I kekahi manawa, hiki ke hāʻawi ʻia nā lāʻau lapaʻau e pale aku i nā ʻūpā koko.
- No ka Erythrocytosis Lua: Hoʻōla ʻia ke kumu kumu .
- Hāʻawi i ka oxygen i ka poʻe me nā pae oxygen haʻahaʻa.
- Inā he mea puhi paka ʻoe, e hāʻawi i ka ʻōlelo aʻoaʻo a me ke kōkua e hoʻōki ai.
- Ka mālama kūpono ʻana i nā kūlana e like me ka maʻi puʻuwai a me ka maʻi akemāmā.
- Inā ma muli o kahi puʻupuʻu kanesa, e wehe ʻia ma ke ʻoki ʻana.
- Inā ma muli o ka lāʻau lapaʻau, e hoʻopau a hoʻololi paha i ka lāʻau lapaʻau e like me ke kuhikuhi a kāu kauka.
- Inā no ka maloʻo ʻana o ka wai, e hāʻawi i ka saline (nā wai).
Leka Lawe-Home
- ʻO ka Erythrocytosis ka nui o nā hunaola koko ʻulaʻula i loko o ke koko ma mua o ka maʻamau.
- ʻElua ʻano nui o kēia: ʻO ke ʻano mua, i hoʻokumu ʻia e kahi pilikia me ka iwi iwi ponoʻī, a me ke ʻano lua, i hoʻokumu ʻia e kekahi maʻi olakino ʻē aʻe.
- Hiki i nā kumu ke ʻano like ʻole me ka dehydration i nā maʻi koʻikoʻi e like me ka puhipaka, ka maʻi puʻuwai, a me ka Polycythemia Vera.
- Inā kiʻekiʻe ka helu o kou mau kele koko ʻulaʻula i kāu hoʻāʻo koko a i ʻole he mau hōʻailona kāu, he mea nui loa ia e pale aku i ka hopohopo a e ʻike koke aku i kāu kauka no ka ʻōlelo aʻo.
- Hiki ke hoʻomalu maikaʻi ʻia kēia kūlana ma ka loaʻa ʻana o ke kumu kūpono a me ka loaʻa ʻana o ka lāʻau kūpono e like me ia.
ʻO ka Erythrocytosis Sinhala, hoʻonui ʻia nā hunaola koko ʻulaʻula, Polycythemia Vera, mānoanoa o ke koko, hormone EPO, hōʻike koko i ke kiʻekiʻe o ka RBC, nā hoʻokolohua koko
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