Ke hāʻawi ke kauka iā ʻoe i kahi hoʻāʻo koko, ʻoiai ka Full Blood Count (FBC), ua piha ka hōʻike āu e loaʻa ai i nā inoa, nā leka, a me nā helu, ʻeā? Ua ʻike paha ʻoe aia kahi waiwai i kapa ʻia ʻo HCT a me Hb, WBC, PLT. ʻAʻole nui ka poʻe i ʻike i ke ʻano o kēia HCT, he aha ka mea e hana ai inā haʻahaʻa loa a kiʻekiʻe paha, a me kona manaʻo. No laila i kēia lā, e kamaʻilio maʻalahi kākou, ma kā mākou ʻōlelo, e pili ana i ka Hematocrit, a i ʻole ka waiwai HCT.
ʻO ka mea mua, e nānā kākou, he aha kēia hoʻāʻo Hematocrit (HCT)?
I ka ʻōlelo maʻalahi, ʻo ka hoʻāʻo Hematocrit (HCT) he hoʻāʻo koko e ana i
ka pakeneka o nā hunaola koko ʻulaʻula i loko o kou koko. E noʻonoʻo i ko kākou koko he hui wai. ʻO ka ʻāpana wai o kēia hui ʻana ua kapa ʻia ʻo plasma. Hana ʻia ia me nā protein, nā paʻakai, a me ka wai. ʻOi aku ma mua o ka hapalua o ko kākou koko he plasma. ʻEkolu ʻano o nā hunaola e lana ana i loko o kēlā plasma.
- Nā Platelets : ʻO kēia nā ʻāpana liʻiliʻi e kōkua i ke hana ʻana i nā ʻūpā koko e hoʻōki i ke kahe ʻana ke hōʻeha ʻia mākou.
- Nā hunaola koko keʻokeʻo: Ua like kēia me nā kiaʻi palekana o ko mākou kino. ʻO kahi ʻāpana o kā mākou ʻōnaehana pale kino, ke kaua nei kēia mau hunaola i nā mea hoʻouka kaua e hoʻoulu ai i nā maʻi.
- Nā hunaola koko ʻulaʻula: ʻO kēia nā hunaola nui loa i loko o ko kākou koko. Loaʻa iā lākou kahi protein kūikawā i kapa ʻia ʻo hemoglobin . ʻO kāna hana nui ka lawe ʻana i ka oxygen mai nā māmā a hoʻolaha iā ia ma ke kino holoʻokoʻa, a e hoʻihoʻi i ke kalapona ʻokikene i hana ʻia i loko o ke kino i nā māmā.
ʻO ka hoʻāʻo hematocrit (HCT) ke ana pololei i ka pakeneka o kou nui koko holoʻokoʻa i hana ʻia e kou mau hunaola koko ʻulaʻula a inā paha i loko o ka pae maʻamau. Hiki i kēia hoʻāʻo ke kōkua i kāu kauka e ʻike i nā maʻi e like me ka anemia, ʻo ia hoʻi ka helu haʻahaʻa o nā hunaola koko ʻulaʻula, a me ka polycythemia, ʻo ia hoʻi ka hoʻonui ʻia o nā hunaola koko ʻulaʻula.
He aha ka pae maʻamau o nā waiwai HCT?
Hiki ke ʻokoʻa iki nā waiwai HCT mai kēlā kanaka a kēia kanaka. Hiki ke ʻokoʻa kēia waiwai ma muli o nā mea e like me kou makahiki a me ke kāne. Akā ma ke ʻano laulā, penei nā waiwai maʻamau:
| No wai? | Ka awelika o ka waiwai HCT (ma ke ʻano he pakeneka) |
|---|
| No nā kāne a me nā mea i hāʻawi ʻia he kāne i ka wā hānau | 38.3% a i 48.6% |
| No nā wāhine a me nā wāhine i hāʻawi ʻia i wahine i ka wā hānau | 35.5% a i 44.9% |
E hoʻomanaʻo, he mau waiwai awelika wale nō kēia. ʻOkoʻa iki paha ka "pae maʻamau" i hāʻawi ʻia me nā waiwai ma kāu hōʻike lab. ʻO kāu kauka wale nō ke hāʻawi iā ʻoe i ka wehewehe maikaʻi loa.
He aha inā e emi ana ka waiwai HCT? - Ke ʻano nei anei ia he anemia?
ʻAe, ʻo ka HCT haʻahaʻa ma mua o ka maʻamau he hōʻailona pinepine ia
o ka anemia . I ka ʻōlelo maʻalahi, ʻo ka anemia ka nele o nā hunaola koko ʻulaʻula e lawe i ka oxygen i nā ʻiʻo o ke kino. Aia kekahi mau ʻano anemia.
- ʻAneemia nele i ka hao : ʻO kēia ke ʻano maʻamau. He mea nui ka hao no ko kākou iwi iwi e hana i nā hunaola koko ʻulaʻula. Ke haʻahaʻa ka hao, ʻaʻole hiki iā ia ke hana i ka hemoglobin lawa. He mea maʻamau kēia ʻano i nā wahine hāpai a me nā poʻe i nalowale ke koko he nui.
- ʻAneemia aplastic: ʻO kēia ka wā ʻaʻole lawa ka nui o nā hunaola koko ʻulaʻula o ka iwi iwi. Hiki ke hana ʻia kēia e kekahi mau maʻi, nā lāʻau lapaʻau, a me ka ʻike ʻana i nā mea ʻawahia .
- ʻO nā anemia hemolytic: ʻO kēia ka manawa e luku ai ke kino i nā hunaola koko ʻulaʻula kahiko ma mua o ka hiki ke hana i nā mea hou. Hiki i kēia ke lilo i maʻi hānau ʻia a i ʻole hiki ke ulu ma hope ma muli o kekahi mau maʻi kanesa, nā maʻi, nā virus, a i ʻole nā pilikia o ka ʻōnaehana pale.
- ʻAʻai anemia cell sickle: He maʻi genetic kēia i hoʻoili ʻia i nā hanauna. Ma kēia kūlana, lilo nā hunaola koko ʻulaʻula i ʻano sickle ma kahi o ko lākou ʻano poepoe maʻamau. ʻO kēia ka mea e hiki ʻole ai iā lākou ke lawe pono i ka oxygen.
- Anemia nele i ka wikamina: He mea nui nā wikamina e like me ka wikamina B12 a me ka folate (B9) no ko kākou kino e hana i nā hunaola koko ʻulaʻula olakino. ʻO ka nele i kēia mau mea hiki ke alakaʻi i ka anemia.
Nā hōʻailona maʻamau o ka anemia
| Hōʻailona | Wehewehena |
|---|
| Luhi mau | ʻO ke kumu o ka luhi, ʻaʻole i loaʻa i ke kino ka oxygen e pono ai. |
| Ka paʻakikī o ka hanu ʻana/pōkole o ka hanu ʻana | Paʻakikī ka hanu ʻana me ka hoʻoikaika iki ʻana. |
| ʻEha poʻo | Hiki ke hana ʻia ma muli o ka loaʻa ʻole o ka oxygen i ka lolo. |
| ʻIli keʻokeʻo a melemele paha | Ma muli o ka emi ʻana o nā hunaola koko ʻulaʻula, nona ke kuleana no ke kala ʻulaʻula o ke koko. |
| Nā lima a me nā wāwae anu | Hoʻopilikia ʻia ke kahe koko i nā ʻaoʻao o ke kino. |
| Puʻuwai wikiwiki/kūpono ʻole | Pono ka puʻuwai e hana ikaika aʻe e hoʻoponopono i nā pae oxygen haʻahaʻa. |
He aha inā e piʻi ka waiwai HCT? - E kamaʻilio kākou e pili ana i ka Polycythemia
ʻO kahi waiwai HCT i ʻoi aku ma mua o ka maʻamau he hōʻailona paha ia o kahi maʻi i kapa ʻia ʻo
polycythemia . ʻO kēia ka wā he nui loa nā hunaola koko ʻulaʻula o ke kino. ʻO kēia ke kumu o ke koko e
"mānoanoa." Ke mānoanoa ke koko, hoʻolohi ia i kona kahe ʻana ma o nā kīʻaha koko, hiki ke hōʻino i nā ʻōpū. ʻElua ʻano nui o ka polycythemia:
- ʻO ka polycythemia mua: Hoʻokumu ʻia kēia e kahi pilikia me nā pūnaewele i loko o ka iwi iwi e hana ana i nā hunaola koko ʻulaʻula. Hoʻokumu pinepine ʻia e nā loli genetic.
- ʻO ka polycythemia lua: Hana ʻia kēia i ka wā e hōʻemi ai kekahi kūlana olakino a i ʻole kekahi kumu kaiapuni i ka nui o ka oxygen e hiki ana i nā ʻiʻo o ke kino. I ka pane ʻana, hoʻomaka ke kino e hana i nā hunaola koko ʻulaʻula hou aʻe e uku.Hiki ke hana ʻia kēia e nā mea e like me ka puhipaka , ka noho ʻana ma nā wahi kiʻekiʻe, a i ʻole ka maʻi puʻuwai hānau .
Nā hōʻailona maʻamau o ka polycythemia
- ʻEha poʻo a me ka poniuniu
- ʻIke pōwehiwehi
- Ka pōkole o ka hanu a me ka luhi
- Nā pilikia koko, e like me ke kahe ʻana o ka ihu a i ʻole ka ʻūlū maʻalahi o ka ʻili
- Ka huikau
Pehea e hana ʻia ai ka hoʻāʻo HCT?
He hoʻāʻo koko maʻalahi loa kēia. Ke hele ʻoe i ka hale hana, e lawe kahi kahu maʻi i kahi hāpana koko liʻiliʻi mai kahi aʻa koko ma kou lima me ka hoʻohana ʻana i kahi syringe. A laila, ma ka hale hana, e hoʻokomo ʻia kēia hāpana koko i loko o kahi mīkini kūikawā i kapa ʻia he centrifuge e milo ana me ka wikiwiki kiʻekiʻe. I kona milo ʻana, e piholo ana nā hunaola koko ʻulaʻula kaumaha i lalo o ka ʻōmole hoʻāʻo, a piʻi aʻe ka plasma māmā i luna. A laila e ana ʻia ke kiʻekiʻe o nā hunaola koko ʻulaʻula i noho i lalo a e helu ʻia ka pakeneka o ka nui o ke koko e hōʻike ana. ʻO ia ka waiwai HCT.
Leka Lawe-Home
- He waiwai maʻalahi akā koʻikoʻi ka Hematocrit (HCT) ma kāu hōʻike helu koko piha (FBC). Hōʻike ia iā ʻoe e pili ana i ka nui o nā hunaola koko ʻulaʻula i loko o kou koko.
- Mai hopohopo inā ʻoi aku ka kiʻekiʻe a i ʻole ka haʻahaʻa o kāu waiwai HCT ma mua o ka pae maʻamau. I kekahi manawa, hiki ke loaʻa nā loli liʻiliʻi ma muli o nā mea e like me ke kaiapuni a mākou e noho nei a me ka meaʻai a mākou e ʻai ai.
- ʻO ka haʻahaʻa o ka HCT e hōʻike pinepine ana i ka anemia, ʻoiai ʻo ka nui o ka HCT e hōʻike ana i ka polycythemia.
- ʻO ka mea nui loa: Inā he mau hopohopo a nīnau paha kāu e pili ana i nā waiwai i loko o kāu hōʻike, e kamaʻilio pono me kāu kauka . Mai hoʻohewa iā ʻoe iho no ka loaʻa ʻana o kahi maʻi ma muli o kāu heluhelu ʻana ma ka pūnaewele a i ʻole e lohe ai mai nā poʻe ʻē aʻe. ʻO kāu kauka wale nō ke hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo a me ka hoʻolālā lapaʻau maikaʻi loa.
Hematocrit, HCT, Helu Koko Piha, FBC, Anemia, Polycythemia, Nā Kelepona Koko ʻUlaʻula, Nā Hoʻāʻo Koko
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