Immun Mikaation - mimi
ʻO ka urihine urinamina kahi hōʻike e nānā i nā protein āpau i ka mimi.
Pono ʻoe e hoʻolako i kahi mimi maʻa mau (catchream).
- E hoʻomaʻemaʻe i ka wahi a puni kahi e haʻalele ai ka mimi i ke kino. E holoi ke kāne a keikikāne paha i ke poʻo o ka peni. Pono nā wahine a mau kaikamahine paha e holoi i ka wahi ma waena o nā lehelehe o ka lua me ka wai soapy a holoi maikaʻi.
- E ʻae i kahi mea liʻiliʻi e hāʻule i loko o ka ipu holoi ke hoʻomaka ʻoe e mimi. Hoʻomaʻemaʻe kēia i nā mea e haumia ai paha ka laʻana. Hopu ma kahi o 1 a 2 auneke (30 a 60 mau mile) o ka mimi i loko o ka ipu maʻemaʻe āu e hāʻawi ʻia ai.
- Wehe i ka ipu mai ke kahawai mimi.
- E hāʻawi i ka ipu i ka mea mālama ola a mea kōkua paha.
No kahi pēpē:
- E holoi pono i kahi e puka ai ka mimi i ke kino.
- E wehe i kahi ʻeke hōʻiliʻili mimi (kahi ʻeke palekiko me kahi pepa lina ma kekahi wēlau).
- No nā kāne, kau i ka peni holoʻokoʻa i loko o ka ʻeke a hoʻopili i ka lina i ka ʻili.
- No nā wahine, kau i ka ʻeke ma luna o ka labia.
- Diaper e like me ka maʻa ma luna o ka ʻeke paʻa.
E aho paha i hoʻokahi ka hoʻāʻo ʻana e kiʻi i kahi laʻana mai kahi pēpē. Hiki i kahi pēpē hana ke hoʻoneʻe i ka ʻeke, i hele ai ka mimi i loko o ka diaper. E hōʻoia pinepine i ka pēpē a hoʻololi i keʻeke ma hope o ka hōʻiliʻili ʻana o ka mimi. E hoʻokahe i ka mimi mai ka ʻeke i loko o ka ipu i hāʻawi ʻia iā ʻoe e kāu mea hāʻawi.
E hāʻawi i kahi laʻana i ka hale hana a i ʻole kāu mea hāʻawi i ka wā hiki ke pau.
ʻAʻole pono nā hanana kūikawā no kēia hōʻike.
Hoʻopili wale ka hōʻike i ka urination maʻamau wale nō. ʻAʻohe pilikia.
Hoʻohana pinepine ʻia kēia hoʻokolohua e nānā ai i ke kū ʻana o kekahi mau protein i kapa ʻia monoclonal immunoglobulins. Pili kēia mau protein i ka myeloma maha a me Waldenström macroglobulinemia. Hana pū ʻia ka hōʻike me kahi hōʻike koko e nānā ai i kahi immunoglobulin monoclonal i ka serum.
Loaʻa ka loaʻa ʻole o nā immunoglobulins monoclonal i ka mimi kahi hopena maʻamau.
Ke hōʻike nei ke alo o nā protein monoclonal:
- Nā maʻi maʻi e hoʻopili i ka ʻōnaehana pale, e like me myeloma maha a i ʻole Waldenström macroglobulinemia
- Nā maʻi maʻi ʻē aʻe
Kūlike ka Immunagagaation me ka immunoelectrophoresis mimi, akā hāʻawi paha ia i nā hopena wikiwiki aʻe.
ʻO McPherson RA, Riley RS, Massey HD. ʻO ka loiloi Laboratory o ka immunoglobulin hana a me ka palekana o humoral. 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 46.
Treon SP, Castillo JJ, Hunter ZR, Merlini G. Waldenström macroglobulinemia / lymphoplasmacytic lymphoma. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 87.