Hematocrit
ʻO Hematocrit kahi hōʻoia koko e ana i ka nui o ke koko o ke kanaka i hana ʻia i nā hunaola ʻulaʻula. Aia kēia ana i ka helu a me ka nui o nā hunaola ʻulaʻula.
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 ka ʻūlū iki. Hele koke kēia.
ʻAneʻane hana ʻia ka hematocrit ma ke ʻano he mahele o kahi helu piha o ke koko (CBC).
Hiki i kāu kauka olakino ke koi i kēia hōʻoia inā he hōʻailona kou a i ʻole makaʻu paha ʻoe no ka anemia. Pākuʻi ʻia kēia mau mea:
- Grumpiness a luhi paha
- Poʻo poʻo poʻo
- Hoʻopilikia i nā pilikia
- ʻAnoʻai maikaʻi ʻole
- Nā wā menstrual kaumaha
- ʻO ke koko i loko o kāu pahu, a i ʻole ka luaʻi (inā ʻoe e hoʻolei)
- Lapaʻau no ka maʻi ʻaʻai
- Leukemia a i ʻole nā pilikia ʻē aʻe i ka momona o ka iwi
- Nā pilikia olakino koʻikoʻi, e like me ka maʻi puʻupaʻa a i ʻole kekahi ʻano o ka maʻi o ka maʻi
Hoʻololi nā hopena maʻamau, akā ma ka maʻamau:
- Kāne: 40.7% a 50.3%
- Wahine: 36.1% a 44.3%
No nā pēpē, nā hopena maʻamau:
- Hānau hou: 45% a 61%
- Pēpē: 32% i ka 42%
ʻO nā laʻana ma luna he ana maʻamau no nā hopena o kēia mau hoʻāʻo. Hoʻololi 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 i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.
ʻO ka haʻahaʻa hematocrit paha ma muli o:
- Anemia
- Kahena
- Ka luku ʻia ʻana o nā hunaola ʻulaʻula
- Leukemia
- Kaʻai pono ʻole
- ʻO ka hao liʻiliʻi, folate, wikamina B12, a me ka wikamina B6 i ka papaʻai
- Nui loa ka wai i ke kino
ʻO ka hematocrit kiʻekiʻe paha ma muli o:
- Maʻi maʻi ʻōpū
- Hoka o ka ʻaoʻao ʻākau o ka puʻuwai
- Liʻiliʻi loa ka wai i ke kino (make wai)
- Nā pae haʻahaʻa o ka oxygen i loko o ke koko
- Pākuʻi a mānoanoa paha o nā akemāmā
- ʻO ka maʻi iwi iwi e hoʻonui ai i ka maikaʻi ʻole i nā hunaola ʻulaʻula
Aia kahi pilikia iki i ka lawe ʻia ʻana o kou koko. Hoʻohālikelike 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 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)
HCT
- Nā mea i hana ʻia o ke koko
Chernecky CC, Berger BJ. H. Hematocrit (Hct) - koko. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 620-621.
ʻO Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Nā maʻi koko. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 124.
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.
ʻO Vajpayee N, Graham SS, Bem S. Nānā maʻamau o ke koko a me ka iwi iwi. 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 30.