Ua loaʻa anei iā ʻoe kahi hoʻāʻo koko i hala koke aku nei? Aia kahi CBC ma kēlā hōʻike, ʻeā? Loaʻa iā ia kahi waiwai i kapa ʻia ʻo RBC Count. Nui ka poʻe e hopohopo iki ke ʻike lākou i kēia, me ka noʻonoʻo ʻana, 'Auē, he haʻahaʻa anei kēia? He kiʻekiʻe anei? He ʻano maʻi paha?' ʻAʻole ia he mea paʻakikī ke hoʻomaopopo. No laila i kēia lā, e kamaʻilio maʻalahi kākou, me he mea lā e kamaʻilio ana kākou me kahi hoaaloha, e pili ana i ke ʻano o kēia mau hunaola koko ʻulaʻula , a i ʻole RBC Count, a me ke kumu e loli ai ko lākou mau waiwai.
He aha maoli kēia helu o nā hunaola koko ʻulaʻula (RBC)?
I ka ʻōlelo maʻalahi, he ʻano kūikawā nā hunaola koko ʻulaʻula i loko o ko kākou koko. Ua kapa ʻia hoʻi lākou he 'erythrocytes'. Loaʻa i kēia mau hunaola kahi protein kūikawā i kapa ʻia ʻo hemoglobin . E like me ke kalaka e lawe ana i nā ukana, ʻo kēia hemoglobin ka mea e lawe ana i ka oxygen e komo mai ana i loko o nā māmā i ka wā e hanu ai kākou a hāʻawi aku iā ia i nā hunaola ʻē aʻe a puni ke kino.
No laila, ʻo ka nui o ka oxygen e hiki aku ana i nā ʻāpana āpau o kou kino e pili pono ana i ka helu o nā hunaola koko ʻulaʻula i loko o kou koko. Ke ana nei ka hoʻāʻo RBC Count i ka nui o nā miliona o nā hunaola koko ʻulaʻula i loko o ka milliliter o ke koko. ʻAʻole kēia he hoʻāʻo kaʻawale, akā hana ʻia ma ke ʻano he ʻāpana o ka hoʻāʻo helu koko piha (CBC) .
No ke aha ke noi nei ke kauka iā ʻoe e hana i kēia hoʻokolohua RBC?
Inā ʻoe e hele ana no kahi nānā maʻamau a i ʻole e loaʻa ana i ka lāʻau lapaʻau no kahi maʻi, hiki i kāu kauka ke kauoha i kahi hoʻāʻo CBC. Aia kekahi mau kumu nui no kēia:
- No ka nānā ʻana i kou kūlana olakino maʻamau: Kōkua kēia hoʻokolohua iā ʻoe e ʻike i ke ʻano o kou kino, me ke kumu ʻole.
- No ka ʻike ʻana i ke kumu o kāu mau hōʻailona: Inā ʻoe e luhi mau ana, luhi, poniuniu, a poʻo māmā paha, hiki i kēia hoʻāʻo ke kōkua iā ʻoe e ʻike i ke kumu. Hiki paha i ka nele o nā hunaola koko ʻulaʻula ( anemia ).
- No ka nānā ʻana i kahi maʻi: Inā loaʻa iā ʻoe kahi maʻi e like me ka maʻi puʻupaʻa , kahi maʻi koko, a i ʻole ke kanesa, hiki i kāu kauka ke kauoha pinepine i kēia hoʻāʻo e ʻike inā ua kāohi ʻia ke ʻano me ka lāʻau lapaʻau a inā he loli.
ʻO ka mea nui, mai nānā wale i ka waiwai āu e loaʻa ai a hoʻoholo i kāu iho. Hāʻawi wale ia iā ʻoe i kahi hōʻailona. ʻO kāu kauka wale nō ke wehewehe pono a haʻi iā ʻoe i ka mea e hana ai ma hope.
Pehea ke ʻano o nā waiwai RBC maʻamau?
Hiki ke ʻokoʻa iki kēia mau waiwai mai kekahi keʻena hoʻokolohua a i kekahi, no laila he mea nui e hoʻohālikelike iā lākou i ka pahu "Normal Range" ma kāu hōʻike. Akā ma ke ʻano laulā, penei nā waiwai maʻamau:
| Kanaka | Ka waiwai RBC maʻamau (miliona o nā cell i kēlā me kēia microliter o ke koko) |
|---|---|
| Kāne (mākua) | 4.7 – 6.1 miliona |
| Nā wāhine (mākua) | 4.2 – 5.4 miliona |
| Nā keiki | 4.0 – 5.5 miliona |
Hiki ke emi iki kēia mau waiwai me ka makahiki. Hiki ke ʻike ʻia nā loli o kēia mau waiwai i ka wā hāpai .
Inā ʻoi aku ka nui o nā RBC ma mua o ka maʻamau (Helu RBC Kiʻekiʻe)
I kekahi manawa, hiki i ka helu RBC kiʻekiʻe ke lilo i asymptomatic, akā hiki i kekahi poʻe ke ʻike i kekahi mau hōʻailona.
Nā hōʻailona e hiki ke kū mai i ka wā e hoʻonui ai
| Nā hōʻailona maʻamau o ka hoʻonui ʻia o ka helu RBC | |
|---|---|
| - Luhi pinepine | – Ka paʻakikī o ka hanu ʻana (dyspnea) |
| – ʻEha poʻo | – ʻIke pōwehiwehi |
| – ʻAʻole hiki ke hiamoe | ʻEha hui |
| ʻIli ʻāʻī | – Ke kahe ʻana o ke koko ihu |
Nā kumu o ka hoʻonui ʻia o ka helu RBC
- Puhipaka: Hoʻopuka ka poʻe puhipaka i nā hunaola koko ʻulaʻula hou aʻe e uku no ka emi ʻana o ka lawe ʻana o ka oxygen.
- Ka maloʻo ʻana o ka wai: Ke emi ka nui o ka wai i loko o ke kino, emi ka wai o ke koko a piʻi ka nui o nā ʻāpana e pili ana i ka nui o ka wai i loko o ke koko.
- Ke noho nei ma nā wahi kiʻekiʻe: ʻOiai ʻo ka liʻiliʻi o ka oxygen i ka ea ma nā wahi mauna, hoʻonui ke kino i ka hana RBC e hoʻololi.
- Maʻi puʻuwai: Hiki i kekahi mau maʻi puʻuwai (ʻoi aku ka hānau ʻana) ke hoʻopilikia i ka lako o ka oxygen o ke kino. Hoʻonui ka hana ʻana o nā RBC e uku ai.
- Nā maʻi e pili ana i ka māmā: Nā kūlana e like me ka hānō a me ka emphysema.
- ʻO Polycythemia vera: He maʻi iwi kēia kahi e hana ai ka iwi iwi i nā hunaola koko ʻulaʻula me ke kaohi ʻole.
- Ka maʻi ʻaʻai puʻupaʻa: Hoʻopuka kekahi ʻano maʻi ʻaʻai puʻupaʻa i nā hormones e hoʻoulu ai i ka hana ʻana o RBC.
- Kekahi mau lāʻau lapaʻau: Kekahi mau lāʻau lapaʻau, e like me nā steroids.
Inā haʻahaʻa ka helu RBC ma mua o ka maʻamau (Low RBC Count / Anemia)
Kāhea pinepine mākou i ka emi ʻana o ka helu RBC he anemia . Hiki ke hana ʻia kēia e nā kumu like ʻole.
Nā hōʻailona e ʻike ʻia i ka wā e emi ana
| Nā hōʻailona maʻamau o ka helu RBC haʻahaʻa (anemia) | |
|---|---|
| – Luhi nui a me ka nāwaliwali | ʻIli keʻokeʻo (i kekahi manawa ʻaʻole maopopo ma muli o ke kala o ka ʻili) |
| – Paʻakikī ka hanu ʻana | ʻEha umauma |
| – Puʻuwai wikiwiki a ʻano ʻole paha | – Manaʻo poniuniu |
| – Nā lima a me nā wāwae anu | – ʻEha poʻo |
Nā kumu o ka helu RBC haʻahaʻa
- Nā hemahema i nā meaʻai: ʻO nā hemahema i nā meaʻai, ʻoiai ka hao, ka huaora B12, a me ka folate, e hoʻopilikia pololei i ka hana ʻana o nā cell koko ʻulaʻula.
- Ke kahe ʻana o ke koko: Ka nalowale ʻana o ke koko mai ke kino, ma muli paha o kahi ulia a i ʻole ma muli o nā kūlana e like me ka ʻōpū ʻōpū a i ʻole nā hemorrhoids.
- Nā maʻi mau loa: Nā maʻi e like me ka maʻi puʻupaʻa koʻikoʻi, ka cirrhosis o ke ake, lupus, a me ka rheumatoid arthritis.
- Nā maʻi ʻiwi iwi: ʻO nā maʻi kanesa e like me ka leukemia a me ka myeloma maha e hōʻemi i ka hiki o ka iwi iwi ke hana i nā RBC.
- Ka emi ʻana o ka hana thyroid (Hypothyroidism).
- Kekahi mau lāʻau lapaʻau: Nā mea e like me nā lāʻau chemotherapy no ka maʻi kanesa.
Pehea e hana ai i kēia hoʻokolohua? Pono anei au e hoʻomākaukau?
He mea maʻalahi loa kēia. Pono ʻoe e lawe i kahi hāpana koko liʻiliʻi mai kahi aʻa koko ma kou lima. ʻAʻohe pono e hoʻomākaukau nui no kēia. Eia nō naʻe, ʻo ka mālama ʻana i kēia mau mea i ka lā ma mua o ka hoʻāʻo e kōkua i ka hōʻoia ʻana i ka pololei o nā hopena.
- E hōʻalo i ka hoʻoikaika kino ikaika i ka lā ma mua o ka hoʻokolohua.
- E noho mālie a me ka ʻole o ke kaumaha e like me ka hiki.
- E inu i ka wai nui.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei (me nā huaora). Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau no kekahi manawa ma mua o ka hoʻāʻo ʻana.
Inā makaʻu ʻoe i nā kākalaioa, e makaʻala i kēlā ma mua. ʻOiai paha e like me ka ʻū ʻana o kahi ʻanuʻu liʻiliʻi, e nalo koke ana ia.
Leka Lawe-Home
- ʻO ka helu RBC kahi hoʻāʻo e ana i ka helu o nā hunaola koko ʻulaʻula e lawe ana i ka oxygen ma loko o kou kino.
- Mai manaʻo ʻoe he hōʻailona kahi waiwai ma waho o ka pae maʻamau o kahi maʻi koʻikoʻi. He kuhi wale nō ia.
- Nui nā kumu e piʻi ai a emi paha kāu helu RBC. He maʻalahi loa kekahi (e like me ka inu ʻole ʻana i ka wai lawa), aʻo kekahi e pono paha ke kōkua lapaʻau.
- Ke loaʻa iā ʻoe kāu hōʻike hoʻāʻo koko, he aha nā waiwai i loko?E kamaʻilio me kāu kauka no nā kikoʻī kikoʻī.
- Mai hopohopo wale ma ka nānā ʻana i kahi hōʻike. ʻO ke kauka wale nō ke hāʻawi iā ʻoe i ka ʻōlelo aʻo kūpono.
Nā hunaola koko ʻulaʻula, helu RBC, hoʻāʻo koko, anemia, hōʻike koko, hoʻāʻo CBC, nā hōʻailona
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