E noʻonoʻo ʻoe e hele ana ʻoe e ʻike i ke kauka no kekahi ʻano maʻi, a hāʻawi lākou iā ʻoe i kahi hoʻāʻo koko. Ke loaʻa iā ʻoe ka hōʻike i loko o kekahi mau lā, ke ʻike ʻoe i kekahi o nā huaʻōlelo lapaʻau i loko, manaʻo mākou i kahi makaʻu a me ka hoihoi, ʻeā? ʻO 'Polychromasia' kekahi huaʻōlelo. ʻAʻole kēia huaʻōlelo i loko o kāu hōʻike he mea e hopohopo ai a manaʻo paha he maʻi koʻikoʻi. Hōʻike wale ia i kahi kaʻina hana i loko o kou kino. No laila, i kēia lā e kamaʻilio mākou e pili ana i ke ʻano maoli o Polychromasia, no ke aha i hoʻopaʻa ʻia ai i loko o kahi hōʻike, a me nā mea āu e pono ai e ʻike e pili ana i ia mea.
I ka ʻōlelo maʻalahi, he aha ka Polychromasia?
ʻAʻole he maʻi ka Polychromasia. He mea ia āu e ʻike ai ke hoʻāʻo ʻia kahi hāpana o kou koko i loko o kahi keʻena hoʻokolohua. I ka ʻōlelo maʻalahi, ʻo ia hoʻi, ke hoʻāʻo ʻia kekahi o kou mau hunaola koko ʻulaʻula me kahi kala polū-hina i ka wā e hoʻāʻo ʻia ai me kahi mea hoʻoluʻu kūikawā.
ʻO ka maʻamau, ʻo kā mākou mau hunaola koko ʻulaʻula e oʻo i loko o ka iwi iwi, ʻo ia hoʻi ua oʻo piha lākou a mākaukau e hoʻokuʻu ʻia i loko o ke kahe koko. Akā i kekahi manawa, no kekahi kumu, hoʻokuʻu ka iwi iwi i kēia mau hunaola koko ʻulaʻula i loko o ke kahe koko ma mua o ko lākou oʻo ʻana, ʻo ia hoʻi he oʻo ʻole lākou . I ka lāʻau lapaʻau, kapa mākou i kēia mau hunaola koko ʻulaʻula ʻōpiopio he "Reticulocytes." Hoʻopili kēlā mau hunaola me kahi pigment kūikawā a ʻike ʻia he uliuli-hina. No laila, ʻōlelo kāu hōʻike ʻo Polychromasia, ʻo ia hoʻi he nui kāu o kēia mau hunaola koko ʻulaʻula ʻōpiopio i loko o kou koko.
No ke aha e hana ai kēia? Nā kumu nui o ka polychromasia
No ka hoʻomaopopo ʻana i kēia, e aʻo mua kākou e pili ana i ko kākou mau hunaola koko ʻulaʻula.
Pono kēlā me kēia ʻāpana a me nā ʻiʻo i loko o ko kākou kino i ka oxygen e ola ai. ʻO nā hunaola koko ʻulaʻula nā mea lawe e lawe i kēia oxygen makamae mai nā māmā a i ke koena o ke kino. Hana ʻia kēia mau mea ma kahi hale hana i kapa ʻia ʻo ko kākou iwi iwi. Ulu maikaʻi lākou i loko o ka iwi iwi no kahi o 7 mau lā ma mua o ko lākou hoʻokuʻu ʻia ʻana i loko o ke koko. ʻO ka maʻamau, ola kahi hunaola koko ʻulaʻula no kahi o 120 mau lā. Ke make lākou, hōʻailona kahi hormone i kapa ʻia ʻo "Erythropoietin" i hana ʻia e ko kākou mau puʻupaʻa i ka iwi iwi e hana i nā hunaola koko ʻulaʻula hou e hoʻopiha i ka hakahaka.
Eia nō naʻe, hiki i kekahi mau kūlana olakino ke hoʻopilikia i kēia kaʻina hana. Ke pono koke ke kino i nā hunaola koko ʻulaʻula, a i ʻole ke pilikia ka iwi iwi, hoʻokuʻu ʻia nā hunaola ʻōpiopio, me ka ʻōlelo ʻana, "Ua maikaʻi, ʻoiai ʻaʻole i hoʻokumu piha ʻia, ua mākaukau lākou e komo i loko o ke koko." ʻO ia ka manawa e ʻike ai ʻoe iā Polychromasia ma kāu hōʻike koko.
E nānā kākou i nā kumu nui ma ka papa ma lalo nei.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Anemia - ʻoi aku ka Anemia Hemolytic | ʻO ka mea e hana ʻia ma kēia, ʻo ia ka luku ʻia ʻana o nā hunaola koko ʻulaʻula ma mua o ka hiki ke hana ʻia. ʻO kēia ke kumu o ka emi ʻana o nā hunaola koko ʻulaʻula o ke kino. No ka hoʻopiha ʻana i kēia hemahema, hoʻokuʻu koke ka iwi iwi i nā hunaola ʻōpiopio i loko o ke koko. Nā Laʻana: - Nā maʻi hānau (e.g. Thalassemia, Sickle cell anemia) - Nā kūlana e kū mai ana ma hope (e laʻa, kekahi mau lāʻau lapaʻau, nā maʻi, ke kanesa, nā hopena i ka hāʻawi koko, nā maʻi autoimmune e like me lupus) |
| Ke kahe koko | Ke nalowale ka nui o ke koko mai ke kino mai, ma muli paha o kahi ʻeha a i ʻole ke kahe ʻana o ke koko i loko o ke kino (e like me ka ʻōpū, ka umauma, a i ʻole ka lolo), holo wikiwiki ka iwi iwi e hoʻopiha i ka hakahaka. I kēlā manawa, komo pū nā pūnaewele ʻōpiopio i loko o ke koko. |
| Nā pilikia o ka iwi ʻiwi (Myeloid metaplasia) | Ke hōʻino ʻia ka iwi iwi e kekahi mau ʻano maʻi kanesa (e like me ka lymphoma a me ka myeloma multiple), hoʻomaka nā ʻōpū ʻē aʻe, e like me ke akepaʻa a me ka spleen, e hana i nā hunaola koko ʻulaʻula. ʻOiai ʻaʻole hiki i kēia mau ʻōpū ke hana i nā hunaola makua e like me ka iwi iwi, hōʻiliʻili nā hunaola makua ʻole i loko o ke koko. |
He aha nā hōʻailona e pili ana paha i kēia?
ʻO ka mea nui , ʻaʻohe hōʻailona e pili pono ana iā Polychromasia. No ka mea, ʻaʻole ia he maʻi, he mea ia i ʻike ʻia ma kahi hōʻike lab. Eia nō naʻe, hiki iā ʻoe ke ʻike i nā hōʻailona like ʻole ma muli o ke kūlana kumu i hoʻokumu ai iā Polychromasia.
ʻO ke ʻano kēia, ʻaʻole nā hōʻailona āu e ʻike nei ma muli o Polychromasia, akā, ma muli o ka anemia, ke kahe koko, a i ʻole kekahi maʻi ʻē aʻe i hoʻokumu ai.
Eia kekahi mau hōʻailona maʻamau:
| Nā hōʻailona maʻamau e pili ana paha i nā kūlana olakino ma lalo | |
|---|---|
| - Luhi | - Keʻokeʻo |
| - Paʻakikī ka hanu ʻana | - Pōʻino |
| - Kuni | - ʻEha i nā iwi |
| - Ke kahe koko maʻalahi a i ʻole ka palapū | - Ka pehu ʻana o ke akepaʻa a i ʻole ka spleen |
Pehea e hiki ai ke ʻike a mālama ʻia kēia?
Ka ʻike ʻana
Ua ʻike ʻia ka Polychromasia me kahi hoʻāʻo koko kūikawā i kapa ʻia ʻo Peripheral Blood Smear . Pili kēia i ka lawe ʻana i kahi kulu liʻiliʻi o kou koko a hohola lahilahi ma luna o kahi slide aniani, e hoʻohui ana i kahi dye kūikawā iā ia, a nānā iā ia ma lalo o kahi microscope. Hiki i kēia i ke kauka ke loaʻa kahi manaʻo maikaʻi o ke ʻano, ka nui, a me ke ʻano o nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets i loko o kou koko.
Aia i loko o kēia mau hunaola koko ʻulaʻula ʻōpiopio kahi mea i kapa ʻia ʻo "Ribonucleic acid - RNA" ma mua o nā hunaola maʻamau. Hoʻopili kēlā RNA me ka pigment, ka mea e hāʻawi iā lākou i ko lākou ʻano polū-hina.
Nā koho lapaʻau
ʻO kēia ka ʻāpana koʻikoʻi loa. ʻAʻole mālama ʻia ka huaʻōlelo polychromasia. No ka mea, ʻaʻole ia he maʻi. ʻO ka lāʻau lapaʻau no ke kūlana kumu i hoʻokumu ai.
ʻO ke ʻano kēia e nānā kāu kauka i kāu hōʻike, e nīnau e pili ana i kāu mau hōʻailona, a e hoʻāʻo e hoʻoholo i ke kumu o kāu polychromasia. Pono paha ʻo ia e hana i nā hoʻokolohua hou aʻe.
- Inā he lāʻau lapaʻau ke kumu, hiki ke hoʻololi ʻia kēlā lāʻau lapaʻau.
- Inā he anemia ke kumu, e hāʻawi ʻia ka lāʻau kūpono (e like me nā papa hao, nā huaora, ke hoʻoili koko inā pono).
- Inā he maʻi ke kumu, e mālama ʻia.
- Inā he maʻi koʻikoʻi e like me ke kanesa ke kumu, e kuhikuhi ʻia ka mea maʻi i nā kauka loea a e hoʻomaka ka lāʻau lapaʻau e pono ai.
He manawa pōkole kekahi mau kumu a hiki ke ho'ōla piha ʻia me ka lāʻau lapaʻau. Hiki i kekahi ke lilo i mau maʻi mau loa e pono ai ke mālama ʻia i ke ola holoʻokoʻa. No laila, he mea nui e kūkākūkā i kāu hōʻike me kāu kauka a hahai pololei i kāna mau kuhikuhi.
Leka Lawe-Home
- ʻAʻole he maʻi ka Polychromasia, he memo wale nō ia e ʻike ʻia ma kahi hōʻike hoʻāʻo koko.
- ʻO ke ʻano kēia ua hoʻokuʻu ʻia nā hunaola koko ʻulaʻula ʻōpiopio mai kou iwi iwi i loko o ke koko.
- He hōʻailona paha kēia o kahi maʻi olakino (e.g. anemia, kahe koko).
- ʻAʻole no ka Polychromasia ka lāʻau lapaʻau, akā, no ke kūlana kumu i hoʻokumu ai.
- Inā hōʻike kāu hōʻike hoʻāʻo koko i kahi mea e like me kēia, mai hopohopo a kūkākūkā me kāu kauka a loaʻa i ka ʻōlelo aʻoaʻo kūpono.
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