Hoʻokahe koko

Nui nā kumu āu e pono ai i kahi kōpili.

• Ma hope o ke kuli a i ʻole ke kīwaha pani hakahaka, a i ʻole nā ​​ʻoki koʻikoʻi ʻē aʻe i hopena i ka lilo o ke koko
• Ma hope o kahi ʻeha koʻikoʻi e kumu i ke kahe nui
• Ke hiki ʻole i kou kino ke hoʻonui i ke koko

He palekana a he hana maʻamau ka transfusion o ke koko i ka wā e loaʻa ai iā ʻoe ke koko ma o kahi laina intravenous (IV) i kau ʻia i loko o kekahi o kou mau kīʻaha koko. Lawe ʻia ka 1 i ka 4 mau hola e loaʻa ai ke koko, kaukaʻi ʻia i ka nui āu e pono ai.

Nui nā kumu o ke koko, i hōʻike ʻia ma lalo.

ʻO ke kumu o ke koko ka loaʻa pinepine mai nā mea manawaleʻa i ka lehulehu. Ua kapa ʻia kēia ʻano makana he manawaleʻa homologous.

Nui nā kaiāulu i kahi panakō koko kahi e hiki ai i kekahi kanaka olakino ke hāʻawi manawaleʻa i ke koko. Hōʻaʻo ʻia kēia koko e ʻike inā kūlike ia me kāu.

Ua heluhelu paha ʻoe e pili ana i ka makaʻu o ka maʻi ʻana i ka maʻi hepatitis, HIV, a i ʻole nā ​​mea ʻino ʻē aʻe ma hope o ke kaʻi ʻana o ke koko. ʻAʻole palekana ke koko i ke koko. Akā ke manaʻo nei ke kahe o ke koko i kēia manawa ma mua o ka palekana. Hoʻomaʻo ʻia ke koko i hāʻawi ʻia no nā maʻi like ʻole. Eia kekahi, mālama nā kikowaena koko i ka papa inoa o nā mea hāʻawi palekana ʻole.

Pane nā mea hāʻawi i kahi papa inoa kikoʻī o nā nīnau e pili ana i ko lākou olakino ma mua o ka ʻae ʻia ʻana e hāʻawi manawaleʻa. ʻO nā nīnau e pili ana i nā mea pilikia no nā maʻi i hiki ke hoʻoili ʻia i loko o kā lākou koko, e like me ka moekolohe, ka hoʻohana ʻana i ka lāʻau, a me ka mōʻaukala huakaʻi a me nā wā i hala. Hoʻomaʻo ʻia kēia koko no nā maʻi maʻi ma mua o ka ʻae ʻia e hoʻohana.

Pili kēia hana i kekahi lālā o ka ʻohana a i ʻole hoa aloha e hāʻawi ana i ke koko ma mua o kahi ʻoki i hoʻolālā ʻia. Hoʻokaʻawale ʻia kēia koko a mālama ʻia nāu wale nō, inā ʻoe e pono i kahi transfusion koko ma hope o ke kaha ʻana.

Pono e hōʻiliʻili ʻia ke koko mai kēia mau mea hāʻawi manawaleʻa i kekahi mau lā ma mua o ka pono. Hōʻaʻo ʻia ke koko e ʻike inā kūlike ia me kāu. Hōʻike ʻia ʻia no ka maʻi.

ʻO ka hapanui o ka manawa, pono ʻoe e hoʻonohonoho me kāu haukapila a i ʻole panakō kūloko ma mua o kou ʻoki ʻana e kuhikuhi i ke koko hāʻawi.

He mea nui e hoʻomaopopo ʻaʻole he hōʻike e ʻoi aku ka palekana o ka loaʻa ʻana o ke koko mai nā lālā o ka ʻohana a i ʻole nā ​​hoaaloha ma mua o ka loaʻa ʻana o ke koko mai ka lehulehu. I nā hihia kakaikahi loa, akā, hiki i ke koko mai nā lālā o ka ʻohana ke kumu i kahi ʻano i kapa ʻia ʻo ka maʻi graft-versus-host. No kēia kumu, pono e mālama ʻia ke koko me ka pāhawewe ma mua o ka hiki ke hoʻololi ʻia.

ʻOiai ke koko i hāʻawi ʻia e ka lehulehu ākea a hoʻohana ʻia no ka hapa nui o ka poʻe i manaʻo ʻia he palekana loa ia, koho kekahi poʻe i kahi hana i kapa ʻia he autologous donation blood.

ʻO ke koko Autologous ke koko i hāʻawi ʻia e ʻoe, a loaʻa iā ʻoe ma hope inā pono ʻoe i kahi transfusion i ka wā a ma hope paha o ke ʻoki.

• Hiki iā ʻoe ke lawe i ke koko mai 6 mau pule a 5 mau lā ma mua o kou ʻoki ʻana.
• Mālama ʻia kou koko a maikaʻi no kekahi mau pule mai ka lā e ʻohiʻohi ai.
• Inā hoʻohana ʻole ʻia kou koko i ka wā a ma hope paha o ke kaha ʻana, e kiola ʻia ia.

Hsu Y-MS, Ness PM, Cushing MM. Nā loina o ke kāpili koko ʻulaʻula. I: Hoffman R, Benz EJ Jr, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 111.

Miller RD. Hoʻoikaika koko. I: Pardo MC, Miller RD, eds. Nā kumu o Anesthesia. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 24.

ʻO ka pūnaewele US Food and Drug Administration. Nā huahana koko a me nā koko. www.fda.gov/vaccines-blood-biologics/blood-blood-productions. Hoʻohou i Malaki 28, 2019. Loaʻa iā ʻAukake 5, 2019.

• Ka Hoʻohuli Koko a me ka Hāʻawi