Hōʻike fragility osmotic
ʻO ka palupalu Osmotic kahi hōʻike koko e ʻike ai inā e haki paha nā hunaola ʻulaʻula.
Pono kahi laʻana koko.
I ke keʻena hoʻokolohua, hoʻāʻo ʻia nā hunaola ʻulaʻula me kahi hopena e pehu ai. Hoʻoholo kēia i ka palupalu o lākou.
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 ka ʻūlū iki. Hele koke kēia.
Hana ʻia kēia hōʻike e ʻike i nā kūlana i kapa ʻia herherary spherocytosis a me thalassemia. ʻO ka herheritary spherocytosis a me ka thalassemia ke kumu o ka nāwaliwali o nā ʻulaʻula ma mua o ka maʻamau.
Kapa ʻia kahi hopena hōʻike maʻamau he hopena maikaʻi ʻole.
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 paha kahi hopena maʻamau i kekahi o kēia mau ʻano:
- Thalassemia
- Spherocytosis hoʻoilina
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 (kūkulu koko ma lalo o ka ʻili)
- Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)
Spherositosis - fragility osmotic; ʻO Thalassemia - fragility osmotic
ʻO Gallagher PG. Hemolytic anemias: ʻulaʻula koko membrane a me nā kīnā metabolik. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 152.
ʻO Gallagher PG. Nā maʻi membrane ʻulaʻula koko. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 45.