Ke Koʻikoʻi o ka Nānā Koko Piha
ʻO ka helu koko piha (CBC) kekahi o nā hoʻokolohua hoʻokolohua i hana pinepine ʻia ma ke kahua lapaʻau. He maʻalahi kēia hoʻokolohua, wikiwiki, a hāʻawi i kahi ʻike piha o ke olakino o ke kanaka, ʻoiai e pili ana i ka helu o nā cell koko. ʻOiai ke ʻano he "maʻamau," ʻo nā hopena CBC pinepine ke kī i ka ʻike mua ʻana i nā maʻi like ʻole, ka nānā ʻana i ka holomua o ka lāʻau lapaʻau, a me ke kōkua ʻana i nā kauka e hoʻoholo i nā hoʻokolohua hou aʻe. No laila, ʻo ka hoʻomaopopo ʻana i ke koʻikoʻi o ka CBC e kōkua i nā kānaka e ʻoi aku ka noʻonoʻo i ke olakino a emi iki ka hoʻohaʻahaʻa ʻana i kēia hoʻokolohua.
He aha ka helu koko piha?
ʻO ka helu koko piha (CBC) kahi hoʻāʻo e loiloi i nā ʻāpana nui like ʻole o ke koko, ʻoiai nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets. Ma waho aʻe o ka helu ʻana i ka helu o nā hunaola, loiloi pū kēia hoʻāʻo i kekahi mau ʻano e like me ka nui o nā hunaola, nā pae hemoglobin, a me ka lakio o nā ʻano hunaola koko keʻokeʻo. Mai kahi hāpana koko hoʻokahi i lawe ʻia mai kahi aa koko (maʻamau ma ka lima), hiki i ka hale hana ke hana i ka nui o ka ʻikepili e kōkua i ka loiloi ʻana i ke kūlana o ke kino.
Ma keʻano laulā, ʻo nā ʻāpana i nānā ʻia:
1. Hemoglobin (Hb): he protein i loko o nā hunaola koko ʻulaʻula e lawe ana i ka oxygen.
2. Hematocrit (Ht): pakeneka o ka nui o nā hunaola koko ʻulaʻula i loko o ke koko.
3. Helu Erythrocyte (RBC): ka helu o nā hunaola koko ʻulaʻula.
4. Nā ʻōkuhi Erythrocyte (MCV, MCH, MCHC): ka nui a me ka nui o ka hemoglobin i loko o nā hunaola koko ʻulaʻula.
5. Ka helu Leukocyte (WBC) a me ka ʻokoʻa: ka helu a me nā ʻano o nā keʻena koko keʻokeʻo (neutrophils, lymphocytes, monocytes, eosinophils, basophils).
6. Ka helu platelet a me kekahi mau ʻōuli kākoʻo: pili i ke kāpili ʻana o ke koko.
Me kēia ʻikepili, hiki i nā kauka ke ʻike inā loaʻa i ke kino nā pilikia e like me nā maʻi, anemia, nā maʻi clotting, a me nā maʻi maʻi iwi.
No ke aha he mea nui ka nānā ʻana i ke koko piha?
1. Ka ʻike mua ʻana i nā maʻi like ʻole
ʻO kekahi o nā pono nui o ka helu koko piha (CBC) ʻo ia kona hiki ke kōkua i ka ʻike mua ʻana. ʻAʻole hōʻike ka nui o nā maʻi i nā hōʻailona maopopo i nā pae mua, akā hiki ke hana mua ʻia nā loli i ke koko. No ka laʻana, hiki i kekahi mau maʻi lele ke hoʻonui i ka helu o nā hunaola koko keʻokeʻo (leukocytes) a hoʻololi paha i ke ʻano o nā ʻano hunaola koko keʻokeʻo. Pēlā nō, hiki ke ʻike ʻia ka anemia ma mua o ka manaʻo o ke kanaka ua nāwaliwali loa a poniuniu paha.
He mea nui ka ʻike mua ʻana no ka mea, ʻo ka wikiwiki o ka ʻike ʻia ʻana o ka pilikia, ʻo ka nui aʻe o ka manawa kūpono e loaʻa ai ka mālama pono ʻana a me ka pale ʻana i nā pilikia.
2. Kōkua i ka ʻike ʻana i ka Anemia a me nā maʻi koko ʻulaʻula
He maʻi maʻamau ka anemia, ʻoi aku hoʻi i nā wahine o ka wā hānau keiki, nā wahine hāpai, nā keiki, a me ka poʻe ʻelemakule. Kōkua ka helu koko piha (CBC) i ka hoʻoholo ʻana i ka anemia ma ke ana ʻana i nā pae hemoglobin, nā pae hematocrit, a me ka helu koko ʻulaʻula. Eia kekahi, hiki i nā ʻōkuhi koko ʻulaʻula e like me MCV ke kōkua i nā kauka e wānana i ke ʻano o ka anemia, e like me:
– ʻO ka MCV haʻahaʻa hiki ke alakaʻi i ka anemia deficiency hao a i ʻole thalassemia.
– Hiki i ka MCV kiʻekiʻe ke kuhikuhi i ka nele o ka wikamina B12/folate a i ʻole nā pilikia ʻē aʻe.
ʻOiai ʻo kahi hōʻoia hope loa e pono ai ka hoʻāʻo hou ʻana, he mea nui ka CBC i ka hana mua.
3. Loiloi i ka maʻi a me ka mumū
Ke hakakā ke kino i kahi maʻi, piʻi pinepine ka helu o nā keʻokeʻo koko. Eia naʻe, ʻaʻole wale ka helu holoʻokoʻa ka mea nui; he mea nui nō hoʻi ka helu ʻokoʻa o nā keʻokeʻo koko. No ka laʻana, hiki i ka nui o nā neutrophils ke hōʻike i kahi maʻi bacteria, ʻoiai ʻoi aku ka nui o nā lymphocytes i nā maʻi viral. I kekahi manawa pili nā eosinophils kiʻekiʻe me nā maʻi allergies a i ʻole nā maʻi parasitic.
Me kēia ʻike, hiki i ke kauka ke kuhi i ke kumu o nā hoʻopiʻi e like me ke kuni lōʻihi, ka ʻūlū lōʻihi, a i ʻole nā maʻi mumū ʻē aʻe, a hoʻoholo inā pono nā hoʻokolohua hou aʻe.
4. Ke nānā ʻana i nā kūlana maʻi a me nā hopena lapaʻau
No nā poʻe maʻi me nā maʻi mau loa e like me nā maʻi autoimmune, nā maʻi puʻupaʻa, nā maʻi akepaʻa, a i ʻole ke kanesa, he hoʻāʻo maʻamau ka helu koko piha (CBC). Hiki i kēia mau kūlana ke hoʻopilikia i ka hana ʻana a me ke kaulike o nā hunaola koko.
Eia kekahi, hiki i nā lāʻau lapaʻau he nui ke hoʻohaʻahaʻa i ka helu o nā keʻokeʻo koko a i ʻole nā platelet, e like me ka chemotherapy, kekahi mau antibiotics, a me nā immunosuppressants. ʻAe ka CBC i nā kauka e nānā i ka palekana o ka therapy, hoʻoponopono i ka dosage, a hoʻopau paha i ka lāʻau lapaʻau inā pono.
5. E loiloi i ka pilikia o ke kahe koko a me ke kāpili ʻana o ke koko
He kuleana koʻikoʻi ko nā platelets i ke kaʻina hana hoʻopaʻa koko. ʻO ka helu platelet haʻahaʻa loa (thrombocytopenia) hiki ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko, ʻoiai ʻo ka helu platelet kiʻekiʻe loa (thrombocytosis) hiki ke hoʻonui i ka pilikia o nā ʻōpū koko kūpono ʻole.
ʻOiai ʻo ka loiloi ʻana o ke koko koko e koi pinepine i nā hoʻokolohua hou aʻe e like me PT, aPTT, a i ʻole D-dimer, ʻo ka helu platelet mai ka helu koko piha he hōʻailona mua koʻikoʻi ia, ʻoiai ma mua o ke ʻoki ʻana, kekahi mau kaʻina hana lapaʻau, a i ʻole i nā poʻe maʻi i ʻeha a kahe ke koko me ka maʻalahi.
6. ʻĀpana o kahi Nānā Ola Kino Maʻamau
Hoʻokomo pinepine ʻia kahi helu koko piha (CBC) i loko o kahi pūʻolo nānā lapaʻau no ka mea hāʻawi ia i kahi ʻike piha. I ka poʻe i ʻike ʻia he olakino, hiki i kēia hoʻāʻo ke kōkua i ka ʻike ʻana i nā pilikia i ʻike ʻole ʻia, e like me ka anemia iki, nā hōʻailona o nā maʻi huna, a i ʻole nā loli platelet e pono ai ka loiloi hou aku.
Ma o nā nānā kino maʻamau, hiki i nā kānaka ke hana ikaika i ka mālama ʻana i ko lākou olakino, ʻaʻole wale ka hele ʻana mai i nā hale mālama ola ke maʻi lākou.
I ka manawa hea e pono ai ke kanaka i ka helu koko piha?
ʻO ke kumu, hiki i nā kauka ke hāʻawi i ka helu koko piha i nā kūlana he nui, e like me:
– Ke kuni o ke kumu i ʻike ʻole ʻia
– Luhi koke, nāwaliwali, a mae wale paha
- ʻO ka maʻalahi o ka palapū a i ʻole ke kahe pinepine ʻana o ka ihu
- ka emi ʻana o ke kaumaha no ke kumu ʻike ʻole ʻia
– Nā maʻi hoʻi hou
- Ke nānā ʻana ma hope o ke ʻoki ʻana a i ʻole i ka wā o kekahi mau lāʻau lapaʻau
– Nā nānā olakino maʻamau (e.g. makahiki)
Eia nō naʻe, pono e hoʻoponopono ʻia ke alapine (pinepine) o nā hoʻokolohua i nā pono pilikino. ʻOi aku ka pinepine o nā hoʻokolohua no ka poʻe me nā kūlana kūikawā ma mua o ka poʻe olakino.
Nā Mea e Hoʻomaopopo ai mai nā Hopena Hoʻāʻo
He mea nui e hoʻomanaʻo ʻaʻole kū hoʻokahi nā hopena CBC. Hiki ke ʻokoʻa nā waiwai "maʻamau" ma muli o ka makahiki, ke kāne, nā kūlana physiological (e.g., ka hāpai ʻana), a me nā kūlana hoʻokolohua i hoʻohana ʻia. No laila, pono e hana ʻia ka wehewehe ʻana o nā hopena e kahi loea olakino. ʻAʻole pono nā waiwai ma waho iki o ka pae maʻamau he mea weliweli, akā hiki iā lākou ke lilo i hōʻailona o ka loiloi hou aʻe.
Eia kekahi, ʻo nā kūlana manawa pōkole e like me ka maloʻo ʻana o ka wai, ke kaumaha, ka nele o ka hiamoe, a i ʻole kahi maʻi liʻiliʻi e hiki ke hoʻopilikia i nā hopena. ʻO ia ke kumu e hoʻopili pinepine ai nā kauka i nā hopena o ka hale hana me nā hōʻailona lapaʻau a me ka mōʻaukala olakino.
Pani
He hoʻāʻo koʻikoʻi ka helu koko piha (CBC) no ka mea hāʻawi ia i kahi ʻike piha o ke kūlana o ke kino ma o ka loiloi ʻana i nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets. ʻO kona mau pono e komo pū me ka ʻike mua ʻana i nā maʻi, ke kōkua ʻana i ka ʻike ʻana i ka anemia a me ka maʻi, ka nānā ʻana i nā maʻi maʻi a me nā hopena o ka lāʻau lapaʻau, a me ka loiloi ʻana i ka pilikia o ke kahe ʻana o ke koko a i ʻole nā maʻi clotting. ʻOiai he mea maʻalahi, he kumu hoʻomaka kēia hoʻāʻo i ka hoʻoholo ʻana i nā ʻanuʻu aʻe i kāu ʻoihana lapaʻau.
Me ka hoʻonui ʻana o ka ʻike o ka lehulehu i ke koʻikoʻi o nā nānā olakino, hiki i ka helu koko piha (CBC) ke lilo i mea pale kūpono. Ma o nā nānā maʻamau, e like me ka mea e pono ai, hiki iā mākou ke mālama maikaʻi i ko mākou olakino, ʻike koke i nā hōʻailona o nā pilikia, a loaʻa ka lāʻau kūpono ma mua o ka ʻino ʻana o nā kūlana.
