Hōʻaʻo koko pālolo pālolo
Hōʻike kēia hōʻike i ke koko inā loaʻa iā ʻoe nā mea ʻino e kūʻē i nā platelet i kou koko. ʻO Platelet kahi ʻāpana o ke koko e kōkua i ke kōkuʻu koko.
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.
ʻO kahi antibody kahi protein i hana ʻia e ka ʻōnaehana pale o kou kino e hoʻouka i nā mea ʻino, i kapa ʻia he antigens. ʻO nā laʻana o nā antigens me nā koʻohune a me nā mea hoʻomaʻi.
Hiki ke hana ʻia nā Antibodies ke manaʻo kuhihewa kāu ʻōnaehana pale kino i nāʻiʻo maikaʻi ʻole e lilo i mea weliweli. I ka hihia o nā pāpale platelet, ua hana kou kino i nā mea pale e hoʻouka i nā platelet. A ʻo kahi hopena, e loaʻa iā ʻoe kahi haʻahaʻa ma mua o ka helu maʻamau o nā platelet i kou kino. Kapa ʻia kēia ʻano thrombositopenia, a hiki ke kumu i ke kahe ʻana o ke kahe.
Kauoha pinepine ʻia kēia hoʻāʻo no ka mea he pilikia koko kou.
He maʻamau kahi hōʻike maikaʻi ʻole. ʻO ke kumu kēia ʻaʻohe ou anti-platelet antibodies i loko o kou 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 me kāu mea mālama ola e pili ana i ke ʻano o kāu mau hopena hōʻike kikoʻī.
Hōʻike nā hopena maʻamau loaʻa iā ʻoe nā anti-platelet antibodies. Hiki ke ʻike ʻia nā mea pale anti-platelet i ke koko ma muli o kekahi o kēia mau mea:
- No nā kumu i ʻike ʻole ʻia (idiopathic thrombocytopenic purpura, a i ʻole ITP)
- ʻO ka hopena o kekahi mau lāʻau e like me ke gula, heparin, quinidine, a me ka quinine
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, a mai kekahi ʻaoʻao o ke kino i kekahi ʻē aʻe. ʻOi aku ka paʻakikī o ka loaʻa ʻana o kahi laʻana 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 (hōʻiliʻili koko ma lalo o ka ʻili)
- Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)
Thrombositopenia - platelet antibody; Idiopathic thrombocytopenic purpura - platelet antibody
- Hōʻaʻo koko
Chernecky CC, Berger BJ. Platelet antibody - koko. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 885.
ʻO Warkentin TE. Hoʻokumu ʻia ʻo Thrombocytopenia e ka luku ʻana i ka platelet, hypersplenism, a i ʻole hemodilution. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 132.