Pilikia Hemolytic

Kū ka pilikia Hemolytic ke luku ʻia nā helu nui o nā hunaola ʻulaʻula i kahi manawa pōkole. ʻOi aku ka wikiwiki o ka nalo ʻana o nā hunaola ʻulaʻula ma mua o ke kino i hiki ke hana i nā hunaola ʻulaʻula hou.

I ka wā hemolytic pilikia, ʻaʻole hiki i ke kino ke hana i nā ʻulaʻula o ke koko e pani i nā mea i luku ʻia. ʻO kēia ke kumu o ka anemia koʻikoʻi a pinepine.

Hoʻokuʻu ʻia ka ʻāpana o nā hunaola ʻulaʻula e lawe i ka oxygen (hemoglobin) i loko o ke kahe o ke koko. Hiki i kēia ke alakaʻi i ka hōʻino ʻana o ka hakuʻala.

Nā kumu o ka hemolysis pū:

• ʻO ka nele o kekahi mau protein i loko o nā hunaola ʻulaʻula
• Nā maʻi maʻi autoimmune
• Nā maʻi āpau
• Nā kīnā i nā mole hemoglobin i loko o nā hunaola ʻulaʻula
• Nā kīnā o nā protein i hana i ka papahana i loko o nā hunaola ʻulaʻula
• Nā hopena o kekahi mau lāʻau
• Nā hopena i ke kuʻi koko

Kāhea i kāu kahu mālama ola inā loaʻa iā ʻoe:

• Nā ʻōuli o ka anemia, me ka ʻili mae a me ka luhi, keu hoʻi ke hele a maikaʻi loa kēia mau ʻōuli
• ʻO ka mimi he ʻulaʻula, ʻulaʻula-ʻeleʻele, a ʻeleʻele (ti-kala)

Pono paha ka mālama ulia pōpilikia. Pākuʻi ʻia paha kēia i kahi noho ma ka haukapila, oxygen, hoʻololi koko, a me nā lāʻau ʻē aʻe.

Ke kūpaʻa kou ʻano, e hana ana kāu mea hāʻawi i kahi hoʻokolokolo kino a nīnau e pili ana i kāu mōʻaukala a me nā ʻōuli. Hōʻike ka hoʻokolohua kino i ka pehu o ka spleen (splenomegaly).

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Paukū kemika koko
• Helu piha koko (CBC)
• Hōʻike Coombs
• ʻO Haptoglobin
• Lactate dehydrogenase

Kaukaʻi pili i ke kumu o ka hemolysis.

Hemolisis - huʻi

ʻO Gallagher PG. Hemolytic anemias: ʻulaʻula koko membrane a me nā kīnā metabolik. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 152.