Nā hōʻike RBC

ʻO nā ʻikepili koko ʻulaʻula (RBC) kahi ʻāpana o ka helu piha o ke koko (CBC) hōʻike. Hoʻohana ʻia lākou e kōkua i ke kuhi ʻana i ke kumu o ka anemia, kahi ʻano i nui loa nā hunaola ʻulaʻula.

Aia nā helu i:

• Ka nui o ke kino o ke koko ʻulaʻula (MCV)
• ʻO ka nui Hemoglobin no ke koko ʻulaʻula (MCH)
• ʻO ka nui o ka hemoglobin e pili ana i ka nui o ke kele (hemoglobin konsentration) no ke koko ʻulaʻula (MCHC)

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.

Hāpai ʻo Hemoglobin i ka oxygen. Hāpai nā RBC i ka hemoglobin a me ka oxygen i nā pūnaewele o ko mākou kino. Hoʻomaopopo nā hōʻike hōʻike RBC i ke ʻano o ka hana maikaʻi ʻana o nā RBC. Hoʻohana ʻia nā hopena e hōʻoia i nā ʻano anemia like ʻole.

Aia kēia mau hopena ho'āʻo ma ka pae maʻamau:

• MCV: 80 a 100 femtoliter
• MCH: 27 a 31 mau picogram / cell
• MCHC: 32 a 36 gram / deciliter (g / dL) a i ʻole 320 a 360 paha mau pika ma kēlā me kēia lita (g / L)

ʻO nā laʻana ma luna he 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 hoʻokolohua 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 kēia mau hopena hōʻike i ke ʻano o ka anemia:

• MCV ma lalo o ka maʻamau. Anemia Microcytic (ma muli paha o ka haʻahaʻa o ka hao, nā lāʻau ʻino kēpau, a i ʻole thalassemia).
• MCV maʻamau. ʻO ka anemia Normocytic (ma muli paha o ka nalowale koke ʻana o ke koko, nā maʻi lōʻihi lōʻihi, nā kōpaʻa ʻole, anemia aplastic, a i ʻole nā ​​puʻuwai puʻuwai i hana ʻia e ke kanaka).
• MCV ma luna o ka maʻamau. Anemia Macrocytic (ma muli paha o ka haʻahaʻa folate a i ʻole nā ​​pae B12, a me chemotherapy).
• MCH ma lalo o ka maʻamau. Anemia Hypochromic (pinepine ma muli o nā pae hao haʻahaʻa).
• MCH maʻamau. ʻO Normochromic anemia (ma muli paha o ke kahe koke o ke koko, nā maʻi lōʻihi, ka holo ʻana o ka puʻupaʻa, anemia aplastic, a me nā valves puʻuwai i hana ʻia e ke kanaka).
• MCH ma luna o ka maʻamau. ʻO ka anemia Hyperchromic (ma muli paha o ka haʻahaʻa folate a i ʻole nā ​​pae B12, a me chemotherapy).

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, 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)

Nā hōʻike ʻErythrocyte; Nāʻike koko; ʻO ka hemoglobin corpuscular (MCH); ʻO ka nui o ka hemoglobin corpuscular (MCHC); ʻO ka nui o ka corpuscular volume (MCV); Nā ʻikena kelepaʻi ʻulaʻula

Chernecky CC, Berger BJ. ʻIkepili koko - koko. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2013: 217-219.

ʻO Elghetany MT, Schexneider KI, Banki K. Nā maʻi Erythrocytic. 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 32.

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.