Hōʻike Coombs

Nānā ka hoʻāʻo Coombs i nā mea ʻino e pili paʻa paha i kou mau hunaola ʻulaʻula a make i ke kakahiaka nui e make ai nā hunaola ʻulaʻula.

Pono kahi laʻana koko.

ʻAʻole pono kahi hoʻomākaukau kūikawā no kēia hōʻike.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ʻeha iki. Hele koke kēia.

ʻElua ʻano o ka hoʻāʻo Coombs:

• Kuhikuhi
• Alakaʻi ʻole

Hoʻohana ʻia ka hoʻāʻo Coombs pololei e ʻike i nā mea ʻino i paʻa ma ka ʻili o nā hunaola ʻulaʻula. Hiki i nā maʻi a me nā lāʻau ke hiki ke hana i kēia. Luku kēia mau mea ʻino i kekahi manawa i nā hunaola ʻulaʻula a hana i ka anemia. Hiki i kāu kauka olakino ke koi i kēia hōʻoia inā loaʻa iā ʻoe nā hōʻailona a i ʻole nā ​​ʻōuli o ka anemia a i ʻole ka jaundice (melemele o ka ʻili a me nā maka).

Nānā ka hōʻike Coombs ʻole i nā mea ʻino e lana ana i loko o ke koko. Hiki i kēia mau mea ʻino ke kūʻē i kekahi mau hunaola ʻulaʻula. Hana pinepine ʻia kēia hoʻāʻo e hoʻoholo inā loaʻa paha iā ʻoe kahi hopena i kahi transfusion o ke koko.

Kapa ʻia kahi hopena maʻamau he hopena maikaʻi ʻole. ʻO ka manaʻo ia ʻaʻohe puʻupuʻu o nā hunaola a ʻaʻohe ou antibodies i nā ʻulaʻula koko.

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole nā ​​hoʻāʻo i nā laʻana like ʻole. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

ʻO kahi ho'āʻo Coombs pololei ʻole (maikaʻi) pololei he mau antibodies kāu e kūʻē i kāu mau koko koko ʻula. Pili paha kēia i:

• Anemia hemolytic autoimmune
• Leukemia lymphocytic mau a i ʻole maʻi like
• ʻO ka maʻi koko i nā keiki hānau hou i kapa ʻia ʻo erythroblastosis fetalis (i kapa ʻia hoʻi ka maʻi hemolytic o ka hānau hou)
• Mononucleosis maʻi maʻi
• ʻO ka maʻi Mycoplasma
• Syphilis
• ʻO ka lupus erythematosus ʻōnaehana
• Ka hopena transfusion, e like me ka mea ma muli o ke kaulike ʻole o nā ʻāpana o ke koko

Hiki ʻole ke hopena o ka hopena hōʻike me ke kumu ʻole, keu hoʻi i waena o ka poʻe kahiko.

ʻO kahi ho'āʻo Coombs kuhikuhi ʻole (maikaʻi) ʻole aia iā ʻoe nā mea ʻākena e hana kūʻē i nā ʻulaʻula koko i ʻike ʻia e kou kino he haole. Kuhi paha kēia:

• Erythroblastosis fetalis
• Kūlike ʻole ke koko (ke hoʻohana ʻia i nā panakoko koko)

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi ʻē aʻe a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka lawe ʻana i ke koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

• Pāleʻale a ʻoluʻolu paha
• Nā punctures he nui e ʻimi i nā uaua
• Hematoma (kūkulu koko ma lalo o ka ʻili)
• Kahe nui ke koko
  
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Hōʻike antiglobulin pololei; Hōʻike antiglobulin kuhikuhi ʻole; Anemia - hemolytic

ʻO Elghetany MT, Schexneider KI, Banki K. Nā maʻi Erythrocytic. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 32.

ʻO Michel M. Autoimmune a me nā anemias hemolytic intravascular. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 151.