Helu helu Retikulosit
ʻO nā retikulita he ʻulaʻula kō ʻole o ke koko. ʻO kahi helu reticulocyte kahi hōʻike i ke koko e ana i ka nui o kēia mau hunaola i ke koko.
Pono kahi laʻana koko.
ʻAʻole pono kahi hoʻomākaukau kūikawā.
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.
Hana ʻia ka hoʻāʻo e hoʻoholo inā e hana ʻia nā hunaola ʻulaʻula i ka momona o ka iwi ma kahi kūpono kūpono. ʻO ka helu o nā retikulosit i loko o ke koko he hōʻailona o ka wikiwiki e hana ʻia a hoʻokuʻu ʻia e ka iwi iwi.
ʻO kahi hopena maʻamau no nā mākua olakino ʻaʻole anemia ma kahi o 0.5% a 2.5%.
Aia ka pae maʻamau i kāu pae o hemoglobin. ʻO Hemoglobin kahi protein i loko o nā hunaola ʻulaʻula e lawe i ka oxygen. ʻOi aku ke kiʻekiʻe inā haʻahaʻa ka hemoglobin, mai ke kahe ʻana a i ʻole inā e luku ʻia nā hunaola ʻulaʻula.
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.
ʻO kahi kiʻekiʻe ma mua o ka helu o nā retikulika maʻamau e kuhikuhi ai:
- Anemia ma muli o nā ʻulaʻula koko e luku ʻia ma mua o ka maʻamau (hemolytic anemia)
- Kahena
- ʻO ka maʻi koko i loko o kahi ʻōpū a keiki hānau hou paha (erythroblastosis fetalis)
- ʻO ka maʻi kīwī, me ka hoʻonui ʻia o ka hana o kahi hormone i kapa ʻia ʻo erythropoietin
ʻO kahi haʻahaʻa ma mua o ka helu retikulositoma maʻamau e kuhikuhi ai:
- Hoka iwi iwi (ʻo kahi laʻana, mai kekahi lāʻau, tumo, radiation radiation, a i ʻole maʻi maʻi)
- Cirrhosis o ke ake
- Hoʻokumu ʻia ka anemia e nā pae hao haʻahaʻa, a i ʻole nā pae haʻahaʻa o ka lāʻau B12 a i ʻole folate
- Maʻi maʻi ʻōniʻoniʻo
ʻOi aku ka kiʻekiʻe o ka helu Retikulosit i ka wā hāpai.
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)
Anemia - retikulosit
- Nā Reticulosit
Chernecky CC, Berger BJ. Helu-koko reticulositte. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2013: 980-981.
ʻO Culligan D, Watson HG. Koko a me ka iwi iwi. I: Cross SS, ed. Underwood's Pathology. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 23.
Lin JC. Hele i ka anemia i ke kanaka makua a me ke keiki. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 34.
ʻO RT. Hele i nā anemias. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 149.