Pāheʻe Koko

Anter

• He aha ke kīloi koko?
• No ke aha ia e hoʻohana ai?
• No ke aha mai wau e pono ai i ka pāheʻe koko?
• He aha ka hana i ka wā o ke kuʻi koko?
• Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?
• Aia kekahi mau pilikia i ka hoʻāʻo?
• He aha ke ʻano o nā hopena?
• Aia paha kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i ka hamo koko?
• Nā kūmole

He aha ke kīloi koko?

ʻO kahi hamo koko kahi laʻana o ke koko e hoʻāʻo ʻia ma kahi slide i hana kūikawā ʻia. No ka hoʻāʻo ʻana i ke koko, nānā ka loea loea i ka paheʻe ma lalo o kahi microscope a nānā i ka nui, ke ʻano, a me ka helu o nā ʻano ʻāpana o ke koko. Pākuʻi ʻia kēia mau mea:

• Nā huna koko ʻulaʻula, lawe i ka oxygen mai kou mau māmā a i ke koena o kou kino
• Nā huna koko keʻokeʻo, ka mea e hakakā ai i ka maʻi maʻi
• Pāluna, ka mea e kōkua i kou koko e kāpili

Hoʻohana nā ho'āʻo koko he nui i nā kamepiula e kālailai i nā hopena. No ka hamo koko, nānā ka ʻoihana lab no nā pilikia o ke koko e ʻike ʻole ʻia ma ka loiloi kamepiula.

Nā inoa ʻē aʻe: peripheral smear, peripheral blood film, smear, Blood film, manual dich, différence slide, blood cell morphology, Blood smear analysis

No ke aha ia e hoʻohana ai?

Hoʻohana ʻia kahi hōʻoia smear koko e kōkua i ka hōʻoia ʻana i nā maʻi o ke koko.

No ke aha mai wau e pono ai i ka pāheʻe koko?

Hiki paha iā ʻoe ke hamo i ke koko inā loaʻa nā hopena maikaʻi ʻole ma ka helu piha o ke koko (CBC). ʻO kahi CBC kahi hōʻike maʻamau e ana i nā ʻāpana like ʻole o kou koko. Hiki paha i kāu kauka olakino ke kauoha i kahi hamo koko inā loaʻa iā ʻoe nā hōʻailona o kahi maʻi koko. Loaʻa kēia mau ʻōuli:

• Ka luhi
• ʻO Jaundice, kahi ʻano e lilo ai kou ʻili a me kou mau maka i melemele
• ʻIli pale
• ʻO ke kahe ʻole o ke kahe, me ke kahe o ka ihu
• Fiva
• ʻEha iwi

Eia hou, pono paha ʻoe i kahi hamo koko inā ʻoe i hōʻike ʻia i nā ticks a i huakaʻi paha i kahi ʻāina e ulu ana, a i ʻole inā manaʻo kāu mea mālama ola he maʻi kāu i hoʻokumu ʻia e kahi parasite, e like me ka malaria. ʻIke ʻia paha nā parasites ke nānā ʻia kahi hamo koko ma lalo o kahi microscope.

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

E lawe kahi ʻoihana mālama ola i kahi laʻana koko mai kahi aa i kou lima, e hoʻohana ana i kahi nila kuʻikuʻi. Ma hope o ka hoʻokomo ʻia ʻana o ka nila, e hōʻiliʻili ʻia kahi koko liʻiliʻi i loko o kahi pahu hoʻāʻo a ipu paha. Hiki paha iā ʻoe ke ʻoni iki i ka wā e hele ai a kuʻi paha ka nila. Lōʻihi kēia ma mua o ʻelima mau minuke.

Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?

ʻAʻole pono ʻoe i kahi hoʻomākaukau kūikawā no ka hamo ʻana i ke koko. Inā ua kauoha aku kāu mea mālama ola i nā hoʻokolohua koko ʻē aʻe, pono ʻoe e hoʻokē ʻai (ʻaʻole ʻai a inu) no kekahi mau hola ma mua o ka hoʻāʻo ʻana. E haʻi aku kāu mea mālama ola iā ʻoe inā aia kekahi ʻōlelo kūikawā e ukali ai.

Aia kekahi mau pilikia i ka hoʻāʻo?

ʻAʻohe liʻiliʻi loa i ka hōʻoia ʻana o ke koko. Loaʻa paha iā ʻoe ka ʻeha a ʻeha paha ma kahi o ka nila i hoʻokomo ʻia ai, akā ʻo ka hapa nui o nā ʻōuli e hele wikiwiki aku.

He aha ke ʻano o nā hopena?

E hōʻike ʻia kāu mau hopena inā nānā maʻamau kāu mau hunaola koko a ʻaʻole maʻamau. E loaʻa iā ʻoe nā hopena ʻokoʻa no nā hunaola ʻulaʻula, nā hunaola keʻokeʻo, a me nā platelet.

Inā ʻaʻole maʻamau kāu hopena ʻulaʻula koko, hōʻike paha ia:

• Anemia
• Anemia maʻi maʻi maʻi
• Hemolytic anemia, kahi ʻano anemia kahi e luku ʻia ai nā hunaola ʻulaʻula ma mua o ka hiki ke pani ʻia, e waiho ana i ke kino me ka lawa ʻole o nā kino koko ʻulaʻula olakino.
• Thalassemia
• Nā maʻi pūpū iwi

Inā ʻaʻole maʻamau kāu hualoaʻa koko keʻokeʻo, hōʻike paha ia:

• Maʻi kīnā
• Nā Pāhoihoi
• Leukemia

Inā ʻaʻole maʻamau kāu mau hopena platelet, hōʻike paha ia i ka thrombositopenia, kahi ʻano i loaʻa i kou koko ka haʻahaʻa ma mua o ka helu maʻamau o nā platelet.

E kamaʻilio me kāu mea mālama ola e aʻo hou e pili ana i kāu hopena.

E aʻo hou aʻe e pili ana i nā hoʻokolohua hoʻokolohua, nā pae kuhikuhi, a me ka hoʻomaopopo ʻana i nā hopena.

Aia paha kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i ka hamo koko?

ʻAʻole hiki i kahi palu koko ke hāʻawi i ka ʻike lawa no kāu kauka olakino e hana i kahi hōʻailona. Inā ʻaʻole maʻamau kekahi o kāu mau hopena smear o ke koko, e kauoha paha kāu mea hāʻawi i nā hoʻokolohua hou aku.

Nā kūmole

1. ʻO Bain B. Diagnosis mai ke kahe koko. N Engl J Med [Pūnaewele]. 2005 Aug 4 [helu ʻia 2017 Mei 26]; 353 (5): 498-507. Loaʻa mai: http://www.nejm.org/doi/full/10.1056/NEJMra043442
2. ʻO Hinkle J, Cheever K. Brunner & Suddarth's Handbook of Laboratory and Diagnostic Tests. 2^nd ʻO Ed, Kindle. Piladelapia: Wolters Kluwer Health, Lippincott Williams & Wilkins; c2014. Kaheʻe Koko; 94–5 p.
3. Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. ʻAhahui ʻAmelika no ka Chemical Clinical; c2001–2017. Blood Smear: Nīnau Nūhou [updated 2015 Feb 24; i helu ʻia 2017 Mei 26]; [ma kahi o 5 pale]. Loaʻa mai: https://labtestsonline.org/understanding/analytes/blood-smear/tab/faq
4. Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. ʻAhahui ʻAmelika no ka Chemical Clinical; c2001–2017. Blood Smear: The Test [hōʻano 2015 2015 24; i helu ʻia 2017 Mei 26]; [ma kahi o 4 pale]. Loaʻa mai: https://labtestsonline.org/understanding/analytes/blood-smear/tab/test
5. Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. ʻAhahui ʻAmelika no ka Chemical Clinical; c2001–2017. Blood Smear: The Sample Sample [hōʻano 2015 2015 24; i helu ʻia 2017 Mei 26]; [ma kahi o 3 pale]. Loaʻa mai: https://labtestsonline.org/understanding/analytes/blood-smear/tab/sample
6. Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. ʻAhahui ʻAmelika no ka Chemical Clinical; c2001–2017. Jaundice [hoʻohou 2016 Sep 16; i helu ʻia 2017 Mei 26]; [ma kahi o 4 pale]. Loaʻa mai: https://labtestsonline.org/understanding/conditions/jaundice
7. National Heart, Lung, and Blood Institute [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Nā ʻano o nā hoʻāʻo koko [hōʻano 2012 Jan 6; i helu ʻia 2017 Mei 26]; [ma kahi o 3 pale]. Loaʻa mai: https://www.nhlbi.nih.gov/health-topics/blood-tests#Types
8. National Heart, Lung, and Blood Institute [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; He aha nā pōʻino o ka hoʻāʻo ʻana i ke koko? [hōʻano 2012 Jan 6; i helu ʻia 2017 Mei 26]; [ma kahi o 5 pale]. Loaʻa mai: https://www.nhlbi.nih.gov/health-topics/blood-tests#Risk-Factors
9. National Heart, Lung, and Blood Institute [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; He aha ka hemolytic anemia? [hōʻano 2014 2014 21; i helu ʻia 2017 Mei 26]; [ma kahi o 3 pale]. Loaʻa mai: https://www.nhlbi.nih.gov/health-topics/hemolytic-anemia
10. National Heart, Lung, and Blood Institute [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; He aha ka Thrombositopenia? [hōʻano 2012 Sep 25; i helu ʻia 2017 Mei 26]; [ma kahi o 2 pale]. Loaʻa mai: https://www.nhlbi.nih.gov/health-topics/thrombocytopenia
11. National Heart, Lung, and Blood Institute [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; He aha ka mea e manaʻo ai me nā hoʻāʻo koko [hōʻano 2012 Jan 6; i helu ʻia 2017 Mei 26]; [ma kahi o 4 pale]. Loaʻa mai: https://www.nhlbi.nih.gov/health-topics/blood-tests
12. UF Health: Ke Kulanui o Florida Health [Pūnaewele]. Kulanui o Florida; c2017. Blood Smear: Nānā Hou [hōʻano 2017 Mei 26; i helu ʻia 2017 Mei 26]; [ma kahi o 2 pale]. Loaʻa mai: https://ufhealth.org/blood-smear
13. Kulanui o Rochester Medical Center [Pūnaewele]. Rochester (NY): Kulanui o Rochester Medical Center; c2017. ʻO Encyclopedia Health: Blood Smear [helu ʻia 2017 Mei 26]; [ma kahi o 2 pale]. Loaʻa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=167&ContentID;=blood_smear

ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.