Hōʻike ʻokoʻa Koko
Anter
- No ke aha wau e pono ai i kahi hōʻoia ʻokoʻa koko?
- Pehea e hana ʻia ai kahi hoʻāʻo ʻokoʻa koko?
- He aha nā pilikia e pili ana i ka hoʻowalewale koko?
- He aha ke ʻano o nā hopena hōʻike?
- He aha ka hana ma hope o ka hoʻāʻo ʻana o ke hoʻokaʻawale koko?
He aha ka hōʻike hoʻokaʻawale koko?
Hiki i ka hoʻāʻo ʻana ke hoʻokaʻawale ke koko ke ʻike i nā hunaola kūpono ʻole a makua ʻole paha. Hiki iā ia ke kuhi i kahi maʻi, puhi, leukemia, a i ʻole kahi maʻi ʻōnaehana pale maʻi.
ʻAno o ke keʻokeʻo koko keʻokeʻo | Launch |
neutrophil | kōkua i ka hoʻōki ʻana i nā microorganism i nā maʻi i ka ʻai ʻana iā lākou a luku iā lākou me nā enzymes |
lymphocyte | –Hoʻopau i nā mea ʻino e hōʻoki i nā bacteria a i ʻole nā virus i ke komo ʻana i ke kino (lymphocyte B-cell) –E luku aku i nā hunaola o ke kino inā lākou i hoʻohoka ʻia e ka maʻi ʻino a i ʻole nā pūnaʻi maʻi ʻaʻai (T-cell lymphocyte) |
monositoma | lilo i macrophage i loko o nā kino o ke kino, e ʻai ana i nā microorganism a me ka hemo ʻana o nā hunaola make me ka hoʻonui ʻana i ka ikaika o ka ʻōnaehana pale |
eosinophil | kōkua i ka mālama ʻana i ka mumū, keu hoʻi i ka wā o nā maʻi parasite a me nā hopena maʻi ʻaʻai, kū i nā mea a i ʻole nā mea ʻē aʻe mai ka hōʻeha ʻana i ke kino |
basophil | hana i nā enzymes i ka wā e hoʻouka ai ka hānō a me nā hopena maʻi ʻaʻa |
Hiki i ka hoʻāʻo ʻana ke hoʻokaʻawale ke koko ke ʻike i nā hunaola kūpono ʻole a makua ʻole paha. Hiki iā ia ke kuhi i kahi maʻi, puhi, leukemia, a i ʻole kahi maʻi ʻōnaehana pale maʻi.
No ke aha wau e pono ai i kahi hōʻoia ʻokoʻa koko?
E kauoha paha kāu kauka i kahi hoʻokolohua ʻokoʻa koko ma ke ʻano he ʻāpana o ka hōʻike olakino maʻamau.
ʻO kahi hōʻike hoʻokaʻawale koko he ʻāpana pinepine ia o kahi helu piha o ke koko (CBC). Hoʻohana ʻia kahi CBC e ana i nā ʻāpana o kou koko:
- nā keʻokeʻo koko keʻokeʻo, kahi e kōkua ai e hōʻoki i nā maʻi
- ʻulaʻula koko, e lawe i ka oxygen
- platelet, kahi e kōkua ai i ke kāpili ʻana i ke koko
- hemoglobin, ka protein i loko o nā hunaola ʻulaʻula i loaʻa ka oxygen
- hematocrit, ka lakio o nā hunaola ʻulaʻula i ka plasma i kou koko
Pono pono kahi hoʻāʻo ʻokoʻa koko inā ʻaʻole kāu hopena CBC i loko o ka pae maʻamau.
Hiki paha i kāu kauka ke kauoha i kahi hoʻokolohua hoʻokaʻawale koko inā manaʻo lākou he maʻi ʻoe, pehu, maʻi pūpū iwi, a maʻi autoimmune paha.
Pehea e hana ʻia ai kahi hoʻāʻo ʻokoʻa koko?
Nānā kāu kauka i nā pae o ke koko keʻokeʻo ma ka hoʻāʻo ʻana i kahi laʻana o kou koko. Hana pinepine ʻia kēia hōʻike ma kahi keʻena hoʻokolohua lapaʻau waho.
Hoʻohana ka mea mālama ola ma ke keʻena hoʻokolohua i kahi nila liʻiliʻi e huki i ke koko mai kou lima a lima paha. ʻAʻohe hoʻomākaukau kūikawā ma mua o ka pono o ka hoʻāʻo.
Kau kahi loea o ke keʻena hoʻokolohua i kahi kulu o ke koko mai kāu hāpana ma ka paheʻe aniani ākea a hamo iā ia e hoʻolaha i ke koko a puni. A laila, hoʻohaumia lākou i ke koko i ka hamo me ke kala e kōkua ai i ka hoʻokaʻawale ʻana i nā ʻano kiko keʻokeʻo keʻokeʻo i ka hāpana.
Heluhelu ka loea loea i ka helu o kēlā me kēia ʻano keʻokeʻo koko keʻokeʻo.
Hiki i ka loea ke hana i kahi helu lima lima, ʻike ʻike i ka helu a me ka nui o nā hunaola ma ka slide. E hoʻohana paha kāu loea i kahi helu koko automated. I kēia hihia, kālailai kahi mīkini i kāu mau huna koko e pili ana i nā ana hoʻohālikelike automate.
Hoʻohana ka ʻenehana helu automated i ka uila, kukuna, a i ʻole photodetection mau hana e hāʻawi i kahi kiʻi kūpono loa o ka nui, ke ʻano, a me ka nui o nā hunaola koko i kahi laʻana.
Ua hōʻike ʻia kahi noiʻi ma 2013 he pololei loa kēia mau ʻano hana, ʻoiai ma nā ʻano mīkini like ʻole e like me ka helu ʻana o ke koko.
ʻAʻole pololei paha nā pae helu ʻo Eosinophil, basophil, a me ka lymphocyte inā lawe ʻoe i nā lāʻau corticosteroid, e like me prednisone, cortisone, a me hydrocortisone, i ka manawa o ka hoʻāʻo.E hoʻomaopopo i kāu kauka inā lawe ʻoe i kekahi o kēia mau lāʻau ma mua o ka lawe ʻana i ka hōʻike.
He aha nā pilikia e pili ana i ka hoʻowalewale koko?
ʻO ka makaʻu o nā kūpikipiki ke kiʻi ʻia ke koko he mea liʻiliʻi ia. ʻIke kekahi poʻe i ka ʻeha me ka luʻuluʻu.
Ma hope o ka hoʻāʻo, kahi ʻeha, kahe iki ʻana o ke kahe, kahi maʻi, a i ʻole hematoma (kahi puʻu i piha i ke koko ma lalo o kou ʻili) e hoʻomohala ʻia ma ka pūnaewele puncture.
He aha ke ʻano o nā hopena hōʻike?
Hiki i ka hoʻoikaika ikaika a me nā kiʻekiʻe kiʻekiʻe o ke koʻikoʻi ke hoʻopili i kāu helu keʻokeʻo o ke koko keʻokeʻo, keu hoʻi i kāu mau neutrophil pae.
Hōʻike kekahi mau noiʻi e hiki i ka papaʻai vegan ke kumu e emi ai ka helu o kou keokeo ma mua o ka maʻamau. Eia naʻe, ʻaʻole ʻae ʻia ke kumu o kēia e nā ʻepekema.
Hiki i ka hoʻonui kūlohelohe ʻana i hoʻokahi ʻano keokeo keokeo ke hoʻoemi i kekahi ʻano ʻē aʻe. Hiki i nā hopena ʻelua ma muli o ke ʻano o ke kumu like.
Hiki ke hoʻololi i nā kumukūʻai Lab. Wahi a ka American Academy of Pediatric Dentistry, ʻo nā pākēneka o nā hunaola keokeo i nā kānaka olakino penei:
- 54 a 62 pākēneka neutrophil
- 25 a 30 pākēneka lymphocytes
- 0 i ka 9 pakeneka monocytes
- 1 a 3 pākēneka eosinophils
- 1 pakeneka basophils
An hoʻonui ʻia ka pākēneka o nā neutrophil i kou koko hiki ke manaʻo i loaʻa iā ʻoe:
- neutrophilia, kahi maʻi keʻokeʻo koko keʻokeʻo i hiki ke kumu ʻia e kahi maʻi, steroid, puhipaka, a hoʻoikaika ikaika paha
- he maʻi ʻino, ʻoi loa kahi maʻi bacteria
- koʻikoʻi koʻikoʻi
- hāpai keiki
- pehu, e like me ka maʻi ʻōpū a me ka rheumatoid arthritis
- hōʻeha kino ma muli o ka ʻeha
- maʻi leukemia
A hoʻemi i ka pākēneka o nā neutrophil i kou koko hiki hōʻike:
- neutropenia, kahi maʻi keʻokeʻo koko keʻokeʻo i hiki ke kumu ʻia e ka nele o ka neutrophil hana i ka iwi iwi
- anemia aplastic, kahi hoʻemi o ka nui o nā hunaola i hana ʻia e kou iwi iwi
- kahi maʻi koʻohune a laha ākea paha
- nā chemotherapy hou a i ʻole radiation radiation therapy
An hoʻonui ʻia ka pākēneka o nā lymphocytes i loko o kou koko ma muli o:
- lymphoma, kahi maʻi ʻaʻa koko keʻokeʻo e hoʻomaka i kāu mau lymph node
- he maʻi koʻohune maʻi
- maʻi hepa
- myeloma maha, kahi maʻi ʻaʻai o nā hunaola i loko o kou iwi iwi
- kahi maʻi maʻi viral, e like me mononucleosis, mumps, a me measles
- maʻi leukemia lymphocytic
A hoʻemi i ka pākēneka o nā lymphocytes i kou koko hiki i ka hopena o:
- hōʻino iwi iwi ma muli o chemotherapy a i ʻole radiation radiation
- ʻO ka maʻi HIV, tuberculosis, a me ka maʻi hepatitis
- maʻi leukemia
- he maʻi ʻinoʻino, e like me sepsis
- kahi maʻi autoimmune, e like me lupus a i ʻole rheumatoid arthritis
A ke kiʻekiʻena pākēneka o monocytes i kou koko hiki ke kumu ʻia e:
- maʻi maʻi mau, e like me ka maʻi ʻōpū
- kahi maʻi parasit a maʻi viral paha
- kahi maʻi bacteria i kou puʻuwai
- kahi maʻi vaskular collagen, e like me lupus, vasculitis, a i ʻole rheumatoid arthritis
- kekahi ʻano leukemia
An hoʻonui i ka pākēneka o eosinophils i kou koko hiki hōʻike:
- ʻO eosinophilia, hiki ke kumu ʻia i nā maʻi maʻi, parasites, tumors, a i ʻole gastrointestinal (GI) maʻi
- kahi hopena maʻi ʻaʻano
- ʻili ʻōpala, e like me ka eczema a i ʻole dermatitis
- he maʻi parasitika
- kahi maʻi hōʻeha, e like me ka maʻi ʻōpū a me ka maʻi celiac
- kekahi maʻi ʻaʻai
An hoʻonui ʻia ka pākēneka o nā basophil i loko o kou koko e kumu ʻia e:
- kahi maʻi ʻaʻai koʻikoʻi
- pehu
- maʻi leukemia
He aha ka hana ma hope o ka hoʻāʻo ʻana o ke hoʻokaʻawale koko?
E kauoha paha kāu kauka i nā hoʻokolohua hou inā he piʻi mau a hoʻemi paha ʻoe i nā pae o nā ʻano papa keʻokeʻo o ke koko keʻokeʻo.
Hiki i kēia mau hoʻāʻo ke hoʻopili i kahi biopsy pūhaka iwi e hoʻoholo ai i ke kumu kumu.
E kūkākūkā kāu kauka me nā koho hoʻokele me ʻoe ma hope o ka ʻike ʻana i ke kumu o kāu hopena maikaʻi ʻole.
Hiki iā lākou ke kauoha i hoʻokahi a ʻoi paha o nā hōʻike aʻe e hoʻoholo ai i nā koho maikaʻi loa no kāu mālama ʻana a me kāu ukali.
- hoʻāʻo helu eosinophil
- kahe cytometry, ka mea hiki ke ʻike inā nui ka helu o ke keʻokeʻo o ke koko ke kumu ʻia e nā maʻi ʻaʻa o ke koko
- immunophenotyping, ka mea hiki ke kōkua i ka loaʻa ʻana o ka lapaʻau maikaʻi loa no kahi kūlana i hoʻokumu ʻia e nā helu o ke kaukā ʻole
- polymerase chain react (PCR) hōʻike, kahi e ana ai nā meaola biomarkers i ka iwi iwi a i ʻole nā aʻa koko, ʻoi aku hoʻi o nā hunaola maʻi ʻaʻai koko.
Pono paha nā hoʻokolohua ʻē aʻe e pili ana i nā hopena o ka hoʻokolohua ʻokoʻa a me nā hoʻokolohua ukali.
He nui nā ʻano o kāu kauka e hoʻoholo ai a mālama ʻana i nā kumu o nā helu o ke koko kūlohelohe, a e like paha kou ʻano o ke ola, inā ʻaʻole hoʻomaikaʻi, ke ʻike ʻoe i ke kumu.