Pāheʻi Koko

Anter

• No ke aha e hana ʻia ai kahi hamo koko?
• He aha kaʻu e hana ai ma mua o ka pulu ʻana o ke koko?
• He aha ka hana i ka wā o ke kuʻi koko?
• He aha ke ʻano o nā hopena?

He aha ke kīloi koko?

ʻO ke kuʻi koko kahi hōʻike koko e hoʻohana ʻia e nānā no nā mea kūpono ʻole i nā hunaola koko. ʻO nā ʻāpana koko ʻekolu e nānā ʻia ka hōʻike.

• nā hunaola ʻulaʻula, lawe i ka oxygen ma loko o kou kino
• nā keʻokeʻo keʻokeʻo, e kōkua i kou kino e hakakā i nā maʻi a me nā maʻi ʻino ʻē aʻe
• platelet, he mea nui ia no ke kāpili ʻana i ke koko

Hāʻawi ka hōʻike i ka ʻike e pili ana i ka helu a me ke ʻano o kēia mau hunaola, i hiki ke kōkua i nā kauka e hōʻoia i kekahi ʻano maʻi koko a i ʻole nā ​​kūlana olakino ʻē aʻe.

Hiki i nā kūleʻa ʻole i ka helu a i ʻole ʻano o kou mau ʻulaʻula ke hoʻopili i ka holo ʻana o ka oxygen i loko o kou koko. Hoʻokumu pinepine ʻia kēia mau mea ʻino e ka minela a me ka hemahema o ka wikamina, akā hiki pū ʻia lākou i nā kūlana olakino hoʻoilina, e like me ka anemia maʻi maʻi.

ʻO nā hunaola keʻokeʻo kahi ʻāpana hoʻohui o kou ʻōnaehana pale pale, kahi pūnaewele o nā pūnaewele a me nā hunaola e kōkua i kou kino e hakakā i ka maʻi. Loaʻa i nā keokeo a keu a keu paha o nā hunaola keokeo ke hōʻike i kahi maʻi koko. ʻO nā maʻi e hoʻopili ana i kēia mau hunaʻi ka hopena pinepine i ka hiki ʻole o ke kino ke hoʻopau a kāohi paha i nā maʻi a i ʻole nā ​​pilikia ʻino.

ʻO nā mea maʻamau ʻole i ke kinona a i ʻole ka helu o nā hunaola keʻokeʻo he mau hōʻailona paha ia o kahi maʻi platelet. Hoʻopilikia nā maʻi platelet i ka hiki i kou koko ke kāpili, kahi e hiki ai i ke kahe nui a hoʻolōʻihi ʻia paha a i ʻole ke kō ʻana o ke koko. Kū pinepine lākou i ka wā e hana ai ke kino i nā platelets he nui a heʻuʻuku paha.

No ke aha e hana ʻia ai kahi hamo koko?

Hana pinepine ʻia ka hoʻāʻo ʻana i ke koko e ʻike i nā kūlana e kū mai ana:

• jaundice wehewehe ʻole ʻia
• anemia i wehewehe ʻole ʻia (nā pae haʻahaʻa o nā hunaola koko ʻulaʻula maʻamau)
• ʻāpiki ʻaʻano
• mau hōʻailona like flu
• pohō kaumaha hikiwawe
• maʻi ʻaʻai ʻole a koʻikoʻi paha
• ʻili a ʻokiʻoki paha
• ʻeha iwi

Hiki paha i kāu kauka ke kauoha i nā hoʻāʻo ʻana o ke koko i nā manawa maʻamau ke mālama ʻia ʻoe no kahi ʻano pili koko.

He aha kaʻu e hana ai ma mua o ka pulu ʻana o ke koko?

Ma mua o ka hoʻāʻo, he mea nui e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau a i ʻole nā ​​mea kūʻai aku loa, nā mea hoʻopiha, a me nā huaora āu e lawe nei. Hiki i kekahi mau lāʻau ke hoʻololi i kāu mau hopena hōʻike. Hoʻopili kēia i nā NSAID, kekahi mau antibiotic, a me nā glucocorticosteroids.

Hoʻohui hou, inā ʻoe e lawe pinepine i ka lāʻau anticoagulant therapy, e like me warfarin, (Coumadin), e makaʻu ʻoe no ka hoʻonui ʻia o ke kahe e pili pū ana me ke kaha koko.

Pono ʻoe e haʻi i kāu kauka e pili ana i nā ʻano olakino e kū nei, e like me hemophilia. ʻO kekahi mau maʻi olakino, transfusions huahana koko maʻamau, a me ke kū ʻana o kekahi ʻano maʻi ʻaʻai koko e hana i nā mea ʻē ma ke kahe o ke koko.

He mea nui e kūkākūkā i kēia mau mea me kāu kauka ma mua o ke kahe ʻana o ke koko e hōʻalo i kahi hemahema diagnostic hiki.

He aha ka hana i ka wā o ke kuʻi koko?

ʻO ke kolo koko ke hōʻike maʻalahi i ke koko. ʻO kahi phlebotomist, kahi kanaka i hoʻomaʻamaʻa kikoʻī ʻia e huki i ke koko, hoʻomaʻemaʻe mua a hoʻomaʻemaʻe i ka pūnaewele injection me kahi antiseptic. A laila nakinaki lākou i kahi kaula ma luna o ka pūnaewele venous kahi e huki ʻia ai kou koko. ʻO kēia ke kumu e pehu ai kou mau uaua me ke koko. Ke loaʻa lākou i kahi aa, hoʻokomo ka phlebotomist i kahi nila i loko o ke aa a huki i ke koko.

ʻIke ka hapa nui o ka poʻe i kahi ʻeha ʻoi loa ke komo mua ka nila, akā mae koke kēia i ka huki ʻia ʻana o ke koko. I loko o ʻelua mau minuke, wehe ka phlebotomist i ka nila a noi iā ʻoe e kau i ka pihi i ka pūnaewele me ka gauze a i ʻole ka pōpō pulupulu. Hoʻopili hou lākou i ka ʻeha kuʻi me kahi mea hoʻowalewale, a ma hope e hoʻokuʻu ʻoe e haʻalele.

ʻO kahi hoʻokolohua koko kahi hana haʻahaʻa haʻahaʻa. Eia nō naʻe, ʻo nā pilikia iki:

• maʻule mai ka ʻike ʻana o ke koko ma muli o vasovagal syncope
• dizziness a i ʻole vertigo
• ʻeha a ʻulaʻula paha ma ka pūnaewele puncture
• ʻāpala
• maʻi maʻi

He aha ke ʻano o nā hopena?

Kuhi ʻia kahi smear ke koko i ka nui o nā hunaola i loko o kou koko a he helehelena maʻamau nā hunaola. Kuhi ʻia kahi huna o ke koko i kahi ʻano ʻē ke loaʻa kahi maikaʻi ʻole i ka nui, ke ʻano, ke kala, a i ʻole nā ​​helu o nā hunaola i kou koko. E loli paha nā hopena maʻamau ma muli o ke ʻano o ke aʻa koko i loli ʻia.

ʻO nā maʻi maʻi ʻulaʻula e pili pū me:

• ʻo ka anemia hemahema o ka hao, kahi maʻi kahi a ke kino e hoʻohua ʻole ai i nā hunaola ʻulaʻula maʻamau ma muli o ka lawa ʻole o ka hao
• anemia ʻili maʻi, kahi maʻi hoʻoilina i hana ʻia ke loaʻa nā kinona koko ʻulaʻula i kahi ʻano crescent abnormal
• hemolytic uremic syndrome, ka mea i hoʻonāukiuki pinepine ʻia e kahi maʻi i ka ʻōnaehana digestive
• polycythemia rubra vera, kahi maʻi e kū ana i ka wā e hana ai ke kino i kahi nui loa o nā hunaola ʻulaʻula

Nā maʻi e pili ana i nā keʻokeʻo koko keʻokeʻo:

• leukemia ʻaʻano a mau paha, kahi ʻano maʻi ʻaʻai koko
• lymphoma, kahi ʻano o ka maʻi ʻaʻai e hoʻopili i ka ʻōnaehana pale
• ʻO ka maʻi HIV, he maʻi hoʻomaʻemaʻe i nā hunaola keokeo
• maʻi hepatitis C mea hoʻomaʻi
• nā maʻi parasita, e like me pinworm
• nā maʻi fungal, e like me ka candidiasis
• nā maʻi lymphoproliferative ʻē aʻe, me myeloma maha

ʻO nā maʻi e hoʻopili ana i nā platelet:

• nā maʻi myeloproliferative, kahi hui o nā maʻi e kumu i nā hunaola e ulu maʻamau i ka momona o ka iwi
• thrombositopenia, kahi e hana ai ke haʻahaʻa loa ka helu o nā platelet ma muli o kahi maʻi a i ʻole nā ​​maʻi ʻē aʻe

Hiki i ke kahe koko ke hōʻike i nā kūlana ʻē aʻe, e like me:

• maʻi maʻi ate
• maʻi maʻi ʻōpū
• hypothyroidism

Hiki ke loli nā pae maʻamau a me nā kaulike ʻole ma waena o nā labs no ka mea hoʻohana kekahi i nā mea hana like ʻole a i ʻole nā ​​ʻano hana e kālailai i ka hāpana koko. E kūkā kamaʻilio mau ʻoe i kāu mau hopena ma ke kikoʻī me kāu kauka. E hiki iā lākou ke haʻi iā ʻoe inā makemake ʻoe i ka hoʻāʻo hou.