Ka nui o ka paʻa paʻa hao

ʻO ka hiki ke hoʻopaʻa paʻa hao (TIBC) kahi hoʻāʻo o ke koko e ʻike inā he nui a heʻuʻuku paha kāu hao i kou koko. Holo ka hao ma o ke koko i pili i kahi protein i kapa ʻia transferrin. Kōkua kēia hōʻoia i kāu lawelawe mālama ola ʻike i ka maikaʻi o ka lawe ʻana o ka protein i ka hao i kou koko.

Pono kahi laʻana koko.

ʻAʻole ʻoe e ʻai a inu paha no 8 mau hola ma mua o ka hoʻāʻo.

Hiki i kekahi mau lāʻau ke hoʻololi i ka hopena o kēia hōʻike. E haʻi aku kāu mea lawelawe iā ʻoe inā pono ʻoe e haʻalele i ka lawe ʻana i nā lāʻau. Mai kū i kekahi lāʻau i mua o ke kamaʻilio ʻana i kāu mea hāʻawi.

Nā lāʻau i hiki ke hoʻololi i ka hopena hōʻike me:

• Adrenocorticotropic hormone (ACTH)
• Pila pale hānau
• ʻO Chloramphenicol
• Fluorides

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 ka ʻūlū iki. Hele koke kēia.

E ʻōlelo paha kāu mea hāʻawi i kēia hōʻoia inā:

• He mau hōʻailona a hōʻailona paha kāu o ka anemia ma muli o ka hao haʻahaʻa
• Hōʻike nā hōʻike hoʻokolohua ʻē aʻe he anemia kāu ma muli o nā pae hao haʻahaʻa

ʻO ka laulā maʻamau maʻamau:

• ʻO ka hao: 60 a 170 micrograms no deciliter (mcg / dL) a i ʻole 10.74 a 30.43 micromoles i kēlā me kēia lita (micromol / L)
• TIBC: 240 a 450 mcg / dL a i ʻole 42.96 a 80.55 micromol / L
• Transferrin saturation: 20% a 50%

ʻO nā helu ma luna aʻe nā ana maʻamau no nā hopena o kēia mau hoʻāʻo. 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.

ʻOi aku ka kiʻekiʻe o TIBC ma mua o ka maʻamau ke haʻahaʻa nā lako hao o ke kino. Hiki i kēia ke hana me:

• Anemia hemahema hao
• Hapai (hala)

ʻO ka manaʻo ʻo TIBC haʻahaʻa ma mua o ka maʻamau:

• Anemia ma muli o nā ʻulaʻula o ke koko e luku koke ʻia (hemolytic anemia)
• ʻO ke kiʻekiʻe haʻahaʻa o ka protein i loko o ke koko (hypoproteinemia)
• Hoʻonā
• ʻO ka maʻi akepaʻa, e like me ka cirrhosis
• Kaʻai pono ʻole
• Hoemi i nā ʻulaʻula o ke koko mai nā ʻōpū ʻaʻole e komo pono i ka lāʻau B12 (pernicious anemia)
• Anemia maʻi maʻi maʻi

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:

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

TIBC; Anemia -TIBC

• Hōʻaʻo koko

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.

Chernecky CC, Berger BJ. ʻO ka hao (Fe) a me ka nui o ka paʻa paʻa hao (TIBC) / transferrin - serum. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2013: 691-692.