Hōʻoia hemoglobin manuahi

ʻO ka hemoglobin manuahi kūmau kahi hōʻike koko e ana i ke kiʻekiʻe o ka hemoglobin manuahi i ka ʻāpana wai o ke koko (ka serum). ʻO hemoglobin manuahi ka hemoglobin ma waho o nā hunaola ʻulaʻula. Loaʻa ka hapa nui o ka hemoglobin i loko o nā hunaola ʻulaʻula, ʻaʻole i ke serum. Hāpai ka hemoglobin i ka oxygen i loko o ke koko.

Pono kahi laʻana koko.

ʻAʻole pono kahi hoʻomākaukau.

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 Hemoglobin (Hb) ka mea nui o nā hunaola ʻulaʻula. He protein ia e lawe ana i ka oxygen. Hana ʻia kēia hōʻoia e kuhikuhi a nānā paha i ka nui o ka hemolytic anemia. He maʻi kēia kahi e helu ʻia ai kahi helu ʻulaʻula haʻahaʻa o ke koko e ka hopena maʻamau o nā hunaola ʻulaʻula.

ʻO ka Plasma a i ʻole ke serum i ka mea ʻaʻohe hemolytic anemia e komo i 5 mau milligrams no deciliter (mg / dL) a i ʻole 0.05 gram i kēlā me kēia lita (g / L) hemoglobin.

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.

E hōʻike paha kahi pae kiʻekiʻe aʻe ma mua o ka maʻamau:

• A hemolytic anemia (ma muli o kekahi kumu, me autoimmune a me nā pale ʻana i nā kumu, e like me thalassemia)
• Ke kūlana e wāwahi ai nā hunaola ʻulaʻula ke hōʻike ʻia ke kino i kekahi mau lāʻau a i ʻole ke koʻikoʻi o ka maʻi (G6PD deficit)
• Heluhelu ke koko ʻulaʻula haʻahaʻa ma muli o ka hōʻemi ʻana o nā hunaola koko ma mua o ka maʻamau
• ʻO ka maʻi koko kahi e luku ʻia ai nā hunaola koko ke hele lākou mai ke anuanu a i nā mahana mahana (paroxysmal cold hemoglobinuria)
• Maʻi maʻi maʻi maʻi
• Hoʻohuli transfusion

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 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)

Hemoglobin koko; Serum hemoglobin; Hemolytic anemia - hemoglobin manuahi

• Hemoglobin

ʻO Marcogliese AN, Yee DL. Nā kumuwaiwai no ka hematologist: nā manaʻo wehewehe a me nā waiwai i koho ʻia no ka neonatal, pediatric, a me nā heluna makua. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 162.

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.