Hōʻike ʻili paʻa

Nānā ka hoʻāʻo o ka cell sickle no ka hemoglobin maʻamau i loko o ke koko e hiki ai i ka maʻi maʻi maʻi maʻi maʻi maʻi.

Pono kahi laʻana koko.

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 ʻeha paha. Hele koke kēia.

Hana ʻia kēia hōʻike e haʻi inā loaʻa i kahi kanaka i hemoglobin kūpono e hōʻeha i nā maʻi o ka cell sickle a me ke ʻano o ka cell sickle. ʻO Hemoglobin kahi protein i loko o nā hunaola ʻulaʻula e lawe i ka oxygen.

I ka maʻi maʻi maʻi maʻi, aia i kekahi kanaka ʻelua ʻano ʻokoʻa hemoglobin S. ʻO ke kanaka me ke ʻano o ka cell illle hoʻokahi wale nō o kēia mau genes ʻewa ʻole a ʻaʻohe ʻōuli, a i ʻole nā ​​mea akahai wale nō.

ʻAʻole hōʻike kēia hōʻike i ka ʻokoʻa ma waena o kēia mau ʻano ʻelua. ʻO kahi hōʻike ʻē aʻe, i kapa ʻia ʻo hemoglobin electrophoresis, e hana ʻia e haʻi i ke ʻano o kekahi.

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.

Kuhi kahi hopena hoʻokolohua ʻole i ke kanaka i kekahi o kēia:

• Maʻi maʻi maʻi maʻi
• ʻO ke ʻano o ka pūnaewele paʻapū

ʻO ka hemahema hao a i ʻole ke kahe ʻana o ke koko i loko o 3 mau mahina i hala i hiki i kahi hopena maikaʻi ʻole wahaheʻe. ʻO kēia ka mea i loaʻa i ke kanaka ka hemoglobin abnormal no ka cell sickle, akā ʻo kēia mau kumu ʻē aʻe ke hōʻike nei he maikaʻi ʻole nā ​​hopena o kā lākou hōʻike.

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)

ʻO Sickledex; Hgb S hoʻāʻo

• ʻUla koko ʻulaʻula, ʻili maʻiʻo
• Nā hunaola ʻulaʻula - nā ʻāpana sickle he nui
• ʻUla koko ʻulaʻula
• Nā hunaola ʻulaʻula - maʻi pahi a me Pappenheimer

ʻO Saunthararajah Y, Vichinsky EP. ʻO ka maʻi maʻi maʻi: nā hiʻohiʻona a me ka hoʻokele. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 42.