Helu RBC

ʻO kahi helu RBC kahi hōʻike koko e ana i ka nui o nā hunaola ʻulaʻula (RBC) iā ʻoe.

Loaʻa i nā RBC hemoglobin, e hāpai ana i ka oxygen. Aia ka nui o ka oxygen o kāu mau pūnaewele i ka nui o nā RBC āu a me ka maikaʻi o ka hana.

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.

ʻO ka helu RBC kahi ʻaneʻane mau o kahi hōʻike o ka helu piha o ke koko (CBC).

Hiki i ke hōʻike ke kōkua i ke kuhi ʻana i nā ʻano anemia like ʻole (helu haʻahaʻa o nā RBC) a me nā kūlana ʻē aʻe e pili ana i nā hunaola ʻulaʻula.

ʻO nā kūlana ʻē aʻe e koi ai i kahi helu RBC:

• ʻO ka maʻi e hōʻino ai i nā kīʻaha koko (Alport Syndrome)
• Ka maʻi ʻaʻai koko keʻokeʻo (Waldenström macroglobulinemia)
• ʻO ka maʻi kahi e wāwahi ai nā hunaola ʻulaʻula ma mua o ka maʻamau (paroxysmal nocturnal hemoglobinuria)
• ʻO ka maʻi pūpū iwi kahi e pani ʻia ka momona e kaʻiʻo makaʻu (myelofibrosis)

ʻO nā pae RBC maʻamau ʻo:

• Kāne: 4.7 a 6.1 miliona mau huna ma kēlā me kēia microliter (cells / mcL)
• Wahine: 4.2 a 5.4 miliona mau pūnaewele / mcL

ʻO nā pae ma luna 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 me kāu mea mālama ola e pili ana i ke ʻano o kāu mau hopena hōʻike kikoʻī.

ʻO ke kiʻekiʻe ma mua o nā helu maʻamau o RBC ma muli o:

• Puhi paka
• Ka pilikia me ka naʻau o ka hanana a me ka hana i kū i ka wā hānau (congenital puʻuwai maʻi)
• Hewa o ka ʻaoʻao ʻākau o ka puʻuwai (cor pulmonale)
• Dehydration (ʻo kahi laʻana, mai ka maʻi pākī nui)
• Tumo hakuʻala (carenaloma pūnana renal)
• ʻO ke kiʻekiʻe o ka oxygen koko haʻahaʻa (hypoxia)
• Pākuʻi a mānoanoa paha o nā akemāmā (pulmonary fibrosis)
• ʻO ka maʻi iwi iwi e hoʻonui ai i ka RBCs (polycythemia vera)

E hoʻonui ana kāu helu RBC no nā pule he nui inā ʻoe i kahi kiʻekiʻe kiʻekiʻe.

ʻO nā lāʻau i hiki ke hoʻonui i ka helu RBC:

• ʻO nā steroid Anabolic
• Erythropoietin
• Gentamicin

Nā helu haʻahaʻa ma mua o ka maʻamau o nā RBC ma muli o:

• Anemia
• Kahena
• Hoka iwi iwi (ʻo kahi laʻana, mai ka pāhawewe, toxins, a i ʻole tumo)
• Ka nele o kahi hōmona i kapa ʻia ʻo erythropoietin (i hoʻokumu ʻia e ka maʻi puʻupaʻa)
• Luku ʻia ʻo RBC (hemolysis) ma muli o ke transfusion, ʻeha o ke kīʻaha koko, a i ʻole kumu ʻē aʻe
• Leukemia
• Kaʻai pono ʻole
• ʻO ka maʻi ʻaʻai pūpū i kapa ʻia he myeloma he nui
• ʻO ka hao liʻiliʻi, keleawe, folic acid, wikamina B6, a i ʻole vitamin B12 i ka papaʻai
• Nui loa ka wai i ke kino (overhydration)
• Hapai keiki

ʻO nā lāʻau i hiki ke hoʻēmi i ka helu RBC:

• Nā lāʻau Chemotherapy
• ʻO Chloramphenicol a me kekahi mau lāʻau ʻaloʻalo ʻē aʻe
• Nā Hydantoins
• Methyldopa
• Nā lāʻau anti-inflammatory nonsteroidal (NSAIDs)
• Quinidine

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)

Helu helu ʻErythrocyte; Helu ʻulaʻula koko; Anemia - helu RBC

• Hōʻaʻo koko
• Nā mea i hana ʻia o ke koko
• Nā hoʻāʻo koko kiʻekiʻe

Chernecky CC, Berger BJ. ʻAla koko ʻulaʻula (RBC) - koko. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2013: 961-962.

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 M. Anemia liʻiliʻi. I: Cameron P, Little M, Mitra B, Deasy C, eds. Puka o ka Medicine Emergency Emergency. 5th lā. Piladelapia, PA: Elsevier; 2020: chap 13.

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.