Ua loaʻa anei iā ʻoe kahi hōʻike koko, ʻoiai ka helu koko piha, a noʻonoʻo, "He aha kēia?" Inā ʻoi aku ka nui o ka waiwai RDW ma kēlā hōʻike ma mua o ka maʻamau, hiki i kāu kauka ke hoʻohana i ka huaʻōlelo "Anisocytosis." Hiki ke hopohopo iki kēia huaʻōlelo ke lohe ʻia, akā mai hopohopo. E kamaʻilio kākou e pili ana i ia mea me ka maʻalahi a me ka maopopo i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka Anisocytosis?
ʻAʻole he maʻi ka Anisocytosis. He huaʻōlelo ia i hoʻohana ʻia e nā kauka. I ka ʻōlelo maʻalahi, ʻo ia hoʻi, ʻaʻole like ka nui o kāu mau hunaola koko ʻulaʻula (RBC), akā he ʻokoʻa nā nui. Hiki i kekahi mau hunaola ke ʻoi aku ka nui ma mua o ka maʻamau, hiki i kekahi ke liʻiliʻi, a i ʻole ka hui pū ʻana o nā mea ʻelua.
ʻO ka maʻamau, ua like ka nui o nā hunaola koko ʻulaʻula o ke kanaka olakino. No laila, ʻo kēia ʻokoʻa o ka nui he hōʻailona wale nō ia iā mākou e pili ana i kahi mea ʻē aʻe e hana nei i loko o ko mākou kino. No laila, ʻaʻole mākou e manaʻo he maʻi kēia, akā he hōʻailona ia o kahi maʻi ma lalo.
No ke aha he mea nui nā hunaola koko ʻulaʻula i ko mākou kino?
E noʻonoʻo iā ia he lawelawe lawe e lawe ana i ka oxygen ma o ko kākou kino. ʻO ia ka hana a nā hunaola koko ʻulaʻula. Hoʻokumu ʻia lākou i loko o ko kākou iwi a oʻo i loko o 7 mau lā.
- ʻO ka hana nui: E lawe i ka oxygen, ka mea e komo i loko o nā māmā i ka wā e hanu ai kākou, i kēlā me kēia cell o ke kino.
- ʻO kekahi hana: e hoʻihoʻi i ke kalapona ʻokikene i hana ʻia i loko o kēlā mau pūnaewele i nā māmā.
Hana lākou i kēia ma ka hoʻohana ʻana i kahi protein i kapa ʻia ʻo hemoglobin . He ʻano kūikawā nō hoʻi nā ʻulaʻula koko. Ua like lākou me ka donut me ka ʻole o ka lua ma waena, a he lahilahi lākou ma waena. ʻO kēia ʻano e hiki ai iā lākou ke kūlou a neʻe maʻalahi ma o nā kīʻaha koko liʻiliʻi loa o ke kino.
Hiki i nā loli i ka nui, ke ʻano, a i ʻole ka helu o kēia mau hunaola koko ʻulaʻula ke hoʻopilikia pololei i ko mākou olakino, no ka mea, ua pilikia paha ka lako oxygen o ke kino.
Pehea e ʻike ai inā he anisocytosis kou?
Hiki i kāu kauka ke hoʻohana i ʻelua mau hoʻokolohua nui e ʻike ai i kēia.
1. Helu Koko Piha (CBC): ʻO kēia ka hoʻāʻo i hana pinepine ʻia. Aia i loko o kēia hōʻike kahi waiwai i kapa ʻia ʻo RDW (Red Blood Cell Distribution Width) . Ana kēia i ka nui o ka ʻokoʻa, a i ʻole ka ʻokoʻa, i ka nui o kāu mau hunaola koko ʻulaʻula.
- ʻO ke kiʻekiʻe o ka RDW, ʻo ia hoʻi, he nui ka loli o ka nui o nā hunaola koko ʻulaʻula.
- ʻO ka waiwai RDW maʻamau ma waena o 12% a me 15%.Pono ia ma waena.
- Akā e hoʻomanaʻo, ʻaʻole i kēlā me kēia manawa e kiʻekiʻe ai kāu waiwai RDW, ʻo ia hoʻi he maʻi kou. Hiki ke piʻi iki kēia waiwai me ka makahiki, i ka wā hāpai, a ma hope o ka hoʻoikaika kino nui.
2. ʻO ka Peripheral Blood Smear (PBS): Pili kēia i ka lawe ʻana i kahi kulu o kāu hāpana koko a nānā iā ia ma lalo o kahi microscope. Hiki i ke kauka ke ʻike i ka nui a me ke ʻano o nā hunaola koko ʻulaʻula me nā maka ʻelua.
ʻOkoʻa ma waena o Anisocytosis a me Poikilocytosis
Hoʻohana ʻia kēia mau huaʻōlelo ʻelua e wehewehe i nā ʻano ʻē i loko o nā hunaola koko ʻulaʻula. No ka hoʻomaopopo maʻalahi i ka ʻokoʻa ma waena o nā mea ʻelua, e nānā i ka papa ma lalo.
| Kūlana | Wehewehena |
|---|---|
| ʻAnisocytosis | Nā loli i ka nui o nā hunaola koko ʻulaʻula (e nui a liʻiliʻi paha nā hunaola) |
| ʻO ka poikilocytosis | Nā loli i ke ʻano o nā hunaola koko ʻulaʻula (e like me ke ʻano sickle-shaped, oval) |
I kekahi manawa hiki ke hui pū ʻia kēia mau kūlana ʻelua. ʻO ke ʻano kēia ua loli ka nui a me ke ʻano o nā hunaola koko ʻulaʻula. ʻIke pinepine ʻia kēia i nā kūlana e like me ka anemia .
He aha nā kumu nui o ka anisocytosis?
ʻO ke kumu maʻamau a me ke kumu nui o ka anisocytosis ʻo ia ka anemia , ʻo ia ka mea a mākou e kapa nei he "hemahema koko." ʻO ka anemia ka nele o nā hunaola koko ʻulaʻula olakino e lawe ana i ka oxygen lawa i nā ʻiʻo o kou kino.
Nā hōʻailona maʻamau o ka anemia
- Luhi mau a me ka hiamoe nui
- Nāwaliwali
- ʻIli keʻokeʻo (pallor)
- Ka paʻakikī i ka hanu ʻana, a i ʻole ka wheezing, ʻoiai me ka hoʻoikaika iki
Nā ʻano o Anisocytosis e hiki ai ke hana i ka Anemia
| ʻAno anemia | He wehewehe maʻalahi |
|---|---|
| Anemia nele i ka hao | ʻO ke kumu o ia mea ʻo ka nele o ka hao i loko o ke kino. I kēia hihia, he liʻiliʻi nā hunaola koko ʻulaʻula (microcytosis). |
| Anemia nele i ka wikamina | Ma muli o ka nele o ka wikamina B12 a i ʻole ka folate, lilo nā hunaola koko ʻulaʻula i mea nui ʻē aʻe (Macrocytosis). |
| ʻAʻai anemia cell sickle | He ʻano hoʻoilina kahi e lilo ai nā hunaola koko ʻulaʻula i ʻano ʻo ka pahi ʻoʻoleʻa a luku koke ʻia. |
| ʻO ka anemia hemolytic autoimmune | Ka luku ʻia ʻana o nā hunaola koko ʻulaʻula o ke kino e ka ʻōnaehana pale ponoʻī o ke kino. |
Nā kūlana ʻē aʻe e pili ana me Anisocytosis ma waho aʻe o ka anemia
Ua ʻike nā kānaka noiʻi ma waho aʻe o ka anemia, ua hoʻonui ʻia ka waiwai RDW i nā maʻi ʻē aʻe he nui. ʻO ia hoʻi, ʻike ʻia ke kūlana o Anisocytosis. No laila, ua manaʻo ʻia hoʻi ka waiwai RDW he hōʻailona e hāʻawi ana i kekahi hōʻailona o ke kūlana olakino holoʻokoʻa.
ʻO nā kūlana ʻē aʻe e pili ana me ka anisocytosis:
- Maʻi cardiovascular: He nui ka poʻe me nā kūlana e like me ka maʻi puʻuwai a me ka maʻi coronary artery he kiʻekiʻe ko lākou mau waiwai RDW.
- Maʻi akepaʻa
- Maʻi puʻupaʻa
- Kekahi mau maʻi kanesa: Nā maʻi kanesa e like me ka leukemia a me ka lymphoma, ʻoiai nā mea e hoʻopilikia ai i ka iwi iwi.
- COVID-19: Ua ʻike ʻia nā waiwai RDW kiʻekiʻe i kekahi mau maʻi COVID-19, ʻoi aku ka poʻe me ka maʻi koʻikoʻi.
- Hiki ke hana ʻia kēia ʻano no kekahi manawa ma hope o ke kahe koko ʻana a i ʻole ma muli o kekahi mau lāʻau lapaʻau.
ʻO ka mea nui loa:ʻOiai ua haʻi ʻia iā ʻoe e pili ana i kēia mau kūlana, ʻaʻole ia he manaʻo e pono ʻoe e hopohopo. ʻAʻole pono ka waiwai RDW kiʻekiʻe e manaʻo he loaʻa iā ʻoe kekahi o kēia mau maʻi. He hōʻailona wale nō ia e pono ʻoe e ʻimi hou aku i nā hoʻāʻo.
Leka Lawe-Home
- ʻAʻole he maʻi ka Anisocytosis. He ʻano olakino ia e hōʻike ana he ʻokoʻa ka nui o kāu mau hunaola koko ʻulaʻula. Hiki ke ʻike ʻia kēia ma o ka nui o RDW ma kahi hōʻike koko.
- ʻO ke kumu maʻamau o kēia, ʻo ia ka anemia i hoʻokumu ʻia e ka hao, ka huaora B12, a i ʻole ka hemahema o ka folate.
- Ma waho aʻe o ka anemia, hiki ke ʻike ʻia kēia i nā maʻi ʻē aʻe e like me ka puʻuwai, ke akepaʻa, a me nā maʻi puʻupaʻa.
- Mai hopohopo i ka nui o ka RDW. ʻAʻole ia e hōʻike mau i kahi maʻi koʻikoʻi.
- ʻO ka ʻōlelo aʻoaʻo koʻikoʻi a hoʻokahi wale nō, inā he loli i kāu hōʻike koko, ʻoiai ka piʻi ʻana o ka waiwai RDW, pono ʻoe e kamaʻilio me kāu kauka e pili ana i ia mea a e ʻimi i kāna ʻōlelo aʻoaʻo. E pale loa i ka nānā ponoʻī ʻana a me ka mālama ponoʻī ʻana.
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