Anemia hemahema hao

ʻO ke Anemia kahi ʻano i lawa ʻole ke kino i nā hunaola ʻulaʻula olakino. Hāʻawi nā hunaola ʻulaʻula i ka oxygen i nā aʻa o ke kino. Nui a hewahewa nā ʻano anemia.

Hana ʻia ka anemia hemahema hao ke lawa ʻole ka hao o kou kino. Kōkua ka hao i nā hunaola ʻulaʻula. ʻO ka anemia hemahema hao ka ʻano maʻamau o ka anemia.

Lawe ke koko ʻulaʻula i ka oxygen i nā aʻa o ke kino. Hana ʻia nā hunaola ʻulaʻula olakino i kou momona iwi. Ke hele nei nā hunaola ʻulaʻula i loko o kou kino no 3 a 4 mau mahina. ʻO nā ʻāpana o kou kino, e like me kou lūlū, hemo i nā huna koko kahiko.

ʻO ka hao kahi ʻāpana nui o nā hunaola ʻulaʻula. Me ka ʻole o ka hao, ʻaʻole hiki i ke koko ke hāpai maikaʻi i ka oxygen. Loaʻa ka hao i kou kino ma o kāu papaʻai. Hoʻohana hou ia i ka hao mai nā hunaola ʻulaʻula kahiko.

Hoʻonui ka anemia hemahema hao ke holo haʻahaʻa nā hale hao o kou kino. Hiki i kēia ke hana ma muli o:

• Lilo hou ʻoe i nā pūnaewele koko a me ka hao ma mua o ka hoʻololi o kou kino
• ʻAʻole hana maikaʻi kou kino i ke komo ʻana i ka hao
• Hiki i kou kino ke komo i ka hao, akā ʻaʻole ʻoe e ʻai i nā meaʻai i piha i ka hao
• Pono kou kino i ka hao nui aʻe ma mua o ka maʻamau (e like me ka hāpai a hānai waiu paha)

Hiki i ke kahe ʻana ke lilo i ka hao. ʻO nā kumu maʻamau o ke kahe ʻana:

• Kaumaha, lōʻihi, a i ʻole nā ​​wā paʻule pinepine
• Ka maʻi ʻaʻai ma ka esophagus, ʻōpū, ʻōpū liʻiliʻi, a i ʻole kolone
• ʻO nā varises Esophageal, mai ka cirrhosis pinepine
• Ka hoʻohana ʻana i ka aspirin, ibuprofen, a i ʻole nā ​​lāʻau arthritis no kekahi manawa lōʻihi, kahi e hiki ai ke kahe i ka gastrointestinal
• Maʻi maʻi peptic

ʻAʻole hiki ke kino i ka hao i kāu papaʻai ma muli o:

• Maʻi Celiac
• Maʻi Crohn
• ʻOki kino Gastric
• Lawe i nā antacids he nui a i ʻole ka nui o ka tetracycline antibiotic

ʻAʻole paha lawa ʻoe i ka hao i kāu papaʻai inā:

• He meaʻai ikaika ʻoe
• ʻAʻole ʻoe e ʻai i nā meaʻai i lawa ka hao

ʻAʻohe ou ʻōuli inā akahai ka anemia.

ʻO ka hapa nui o ka manawa, akahai nā ʻōuli ma ka mua a ulu lohi. Pākuʻi ʻia paha nā ʻōuli:

• Manaʻo nāwaliwali a luhi paha ma mua o ka mau, a i ʻole me ka hoʻoikaika kino
• Poʻo poʻo poʻo
• Puʻupuʻu
• Palpitations
• Nā pilikia e noʻonoʻo ana a i ʻole ka noʻonoʻo ʻana

Ke hele a māhuahua ka anemia, e komo pū nā hōʻailona:

• Nā kui kuʻi
• ʻO kaʻulaʻula polū i nā keʻokeʻo o ka maka
• Makemake e ʻai i ka hau a i ʻole nā ​​mea ʻai ʻole (pica)
• Mālamalama ka manaʻo ke kū ʻoe i luna
• Waihoʻoluʻu pale
• Pokole o ka hanu
• Lelo hōʻeha a kuni paha
• Ulcer waha
• ʻO ka neʻe ʻole o ka neʻe ʻana o nā wāwae (i ka wā hiamoe)
• Lilo ka lauoho

Nā ʻōuli o nā kūlana (e pili ana i ke kahe ʻana o ke koko) i kumu i ka anemia hemahema o ka hao:

• ʻO nā noho pāʻeleʻele, a me nā kala ʻulaʻula a i ʻole ke koko i loko o ka pahu
• Kaumaha menstrual kahe (wahine)
• ʻEha ma ka ʻōpū o luna (mai ulcer)
• Ka emi o ke kaumaha (i ka poʻe me ka maʻi ʻaʻai)

No ke kuhikuhi ʻana i ka anemia, hiki i kāu kauka olakino ke kauoha i kēia mau ho'āʻo koko.

• Helu piha koko
• Helu helu Retikulosit

E nānā i nā pae hao, e kauoha paha kāu mea hāʻawi:

• ʻO ka biopsy iwi iwi (inā ʻaʻole maopopo ka ʻike)
• Hiki paʻa paʻa hao (TIBC) i ke koko
• Serum ferritin
• Pae pae serum
• Serum hepcidin level (protein a me ka regulator o ka hao i ke kino)

E nānā i nā kumu (kahe o ke koko) o ka hemahema o ka hao, kauoha paha kāu mea hāʻawi:

• Kolonekia
• Hōʻike koko okekoma fecal
• Palapala hope kiʻekiʻe
• Nā hoʻāʻo e ʻike i nā kumuwaiwai o ke kahe o ke koko i loko o ka urinary tract or uterus

Hoʻopili paha ka mālama ʻana i ka lawe ʻana i nā mea hoʻohui hao a me ka ʻai ʻana i nā meaʻai waiwai hao.

Kūkulu nā mea hoʻohui hao (ʻo ka ferate pinepine sulfate) i nā hale kūʻai hao i kou kino. ʻO ka hapa nui o ka manawa, e ana kāu mea hāʻawi i kāu pae hao ma mua o kou hoʻomaka ʻana i nā hoʻopihapiha.

Inā ʻaʻole hiki iā ʻoe ke lawe i ka hao ma ka waha, pono ʻoe e lawe iā ia ma o kahi aa (intravenous) a i ʻole e hoʻokomo ʻia i loko o ka mākala.

Pono nā wahine hāpai a hānai hoʻi e lawe i ka hao keu no ka mea ʻaʻole hiki ke lawa ka hao mai kā lākou papaʻai maʻamau.

Pono e hoʻi kāu hematocrit i ka maʻamau ma waena o 6 mau pule o ka hao hao. Pono ʻoe e mālama i ka lawe hao no 6 a 12 mau mahina hou e pani i nā hale hao o ke kino i ka iwi iwi.

Hoʻolālā maikaʻi ʻia nā mea hoʻohui hao, akā hiki ke kumu:

• Nusea
• ʻO ka luaʻi
• Konipōpō

ʻO nā meaʻai waiwai hao e:

• ʻO ka moa a me ka pipi
• ʻO nā piʻo maloʻo, nā pī, a me nā pī
• Iʻa
• ʻAi (ʻo ke ake ke kumu kiʻekiʻe)
• Soybeans, pūlehu ʻia, pīpī
• Palaoa huina piha

ʻO nā kumuwaiwai ʻē aʻe:

• Oatmeal
• ʻO Raisins, prunes, apricots, a me nā pī
• Spinach, kale, a me nā greens ʻē aʻe

Kōkua ka Wikamina C i kou kino e omo i ka hao. ʻO nā kumu waiwai maikaʻi o ka wikamina C:

• ʻAlani
• Hua hua hua
• Kiwi
• ʻO Strawberries
• Broccoli
• ʻO Tomato

Me ka lapaʻau ʻana, maikaʻi paha ka hopena, akā pili ia i ke kumu.

Kāhea i kāu mea hāʻawi inā:

• Loaʻa iā ʻoe nā ʻōuli o ka hao hao
• ʻIke ʻoe i ke koko i loko o kāu pahu

Pono kahi papaʻai kaulike e hoʻopili i ka hao. ʻO ka ʻiʻo ʻulaʻula, ake, a me nā yolks hua manu kahi kumu hao nui. ʻO ka palaoa, ka berena, a me kekahi mau cereala i hoʻopaʻa ʻia me ka hao. Inā aʻoaʻo ʻia e kāu mea hoʻolako, e lawe i nā mea hoʻohui hao inā ʻaʻole lawa kāu hao i kāu papaʻai.

Anemia - hemahema hao

• Nā Reticulosit
• Nā pūnaewele koko
• Hemoglobin

ʻO Brittenham GM. Nā maʻi o ka homeostasis hao: ka nui o ka hao a me ka nui loa. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 36.

ʻO RT. Hele i nā anemias. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 149.

ʻO ka US Department of Health and Human Services; Pūnaewele National Heart, Lung, a me Blood Institute. ʻO ka anemia hemahema hao. www.nhlbi.nih.gov/health-topics/iron-deficiency-anemia. Loaʻa iā ʻApelila 24, 2020.