Hōʻike Coombs

Anter

• No ke aha e hana ai i nā hōʻike Coombs?
• Pehea e hana ai i ka hōʻike Coombs?
• Pehea wau e hoʻomākaukau ai no ka hōʻike Coombs?
• He aha nā pilikia o ka hoʻāʻo Coombs?
• He aha nā hopena no ka hōʻike Coombs?
• Nā hopena maʻamau
• Nā hopena maʻamau i kahi hōʻike Coombs pololei
• Nā hualoaʻa kūpono ʻole ma kahi hōʻike Coombs ʻole

He aha ka hōʻike Coombs?

Inā ʻoe e luhi, loaʻa ka hanu, nā lima anuanu a me nā wāwae, a me ka ʻili mae loa, loaʻa paha iā ʻoe kahi lawa ʻole o nā hunaola ʻulaʻula. Kapa ʻia kēia ʻano anemia, a he nui nā kumu.

Inā hōʻoia kāu kauka he helu haʻahaʻa kou no ke koko ʻulaʻula, ʻo ka hōʻike Coombs kekahi o nā hoʻokolohua koko e kauoha ai kāu kauka e kōkua e ʻike i ke ʻano o ka anemia i loaʻa iā ʻoe.

No ke aha e hana ai i nā hōʻike Coombs?

Nānā ka hoʻāʻo Coombs i ke koko e ʻike inā loaʻa kekahi mau mea ʻāpala. ʻO nā Antibodies nā protein i hana ʻia e kāu ʻōnaehana pale ke ʻike ia he mea ʻino kekahi i kou olakino.

E luku aku kēia mau mea ʻino i ka mea komo hewa. Inā hewa ka ʻike o ka ʻōnaehana pale, hiki i kekahi manawa ke hana i nā mea pale i kāu mau huna ponoʻī. Hiki i kēia ke kumu i nā ʻano pilikia o ke olakino.

E kōkua ka hoʻāʻo Coombs i kāu kauka e hoʻoholo inā loaʻa iā ʻoe nā mea ʻino i loko o kou kahe koko e hoʻouka nei i kāu ʻōnaehana pale pale a luku i kou mau ʻulaʻula koko ponoʻī. Inā luku ʻia kou mau ʻulaʻula koko, hiki i kēia ke hopena i kahi ʻano i kapa ʻia ʻo hemolytic anemia.

ʻElua ʻano o nā hoʻāʻo Coombs: ʻo ka hōʻike Coombs pololei a me ka hoʻāʻo Coombs ʻole. ʻOi aku ka maʻamau o ka hoʻāʻo pololei a me nā hōʻoia no nā mea pale i hoʻohui ʻia i ka ʻili o kou mau ʻulaʻula.

Nānā nā hōʻike hoʻokolohua ʻole i nā mea ʻaoʻao pili ʻole i lana i ke kahe o ke koko. Hoʻokele pū ʻia ia e hoʻoholo inā aia paha kahi hopena maikaʻi ʻole i kahi transfusion koko.

Pehea e hana ai i ka hōʻike Coombs?

Pono kahi laʻana o kou koko e hana i ka hoʻokolohua. Hōʻaʻo ʻia ke koko me nā mea hoʻohui e hana ai me nā mea pale i loko o kou koko.

Loaʻa ka laʻana o ke koko ma o ka venipuncture, kahi i hoʻokomo ʻia ai kahi nila i kou lima a i ʻole ka lima. Kuhi ka nila i kahi liʻiliʻi o ke koko i ka tubing. Mālama ʻia kahi laʻana i loko o kahi pahu hōʻike.

Hana pinepine ʻia kēia hoʻāʻo ʻana i nā pēpē i loaʻa paha nā mea pale i ko lākou koko no ka mea he ʻano koko ʻokoʻa ko ko lākou makuahine. E hana i kēia hoʻāʻo i loko o kahi pēpē, kuʻi ʻia ka ʻili me kahi nila kui liʻiliʻi i kapa ʻia he lancet, ma ka kuʻekuʻe wāwae o ka wāwae. Hōʻiliʻili ʻia ke koko i loko o kahi pahu aniani liʻiliʻi, ma kahi kīʻaha kīʻaha, a i ʻole ma kahi kaha hoʻāʻo.

Pehea wau e hoʻomākaukau ai no ka hōʻike Coombs?

ʻAʻole pono kahi hoʻomākaukau kūikawā. E inu kāu kauka iā ʻoe i ka wai maʻamau maʻamau ma mua o ka hele ʻana i ka hale hana a me ka pūnaewele hōʻiliʻili.

Hiki paha iā ʻoe ke kāpae i ka lawe ʻana i kekahi mau lāʻau i mua o ka hōʻike ʻia ʻana, akā inā ʻōlelo ʻia e kāu kauka e hana pēlā.

He aha nā pilikia o ka hoʻāʻo Coombs?

Ke hōʻiliʻili ʻia ke koko, ʻike paha ʻoe i ka ʻeha kaulike a i ʻole ka ʻūlū liʻiliʻi ʻana. Eia nō naʻe, no ka manawa pōkole loa kēia a me ka liʻiliʻi loa. Ma hope o ka hemo ʻana o ka nila, ʻike paha ʻoe i kahi ʻano throbbing. E kauoha ʻia ʻoe e noi i ka kaomi i ka pūnaewele kahi i komo ai ka nila i kou ʻili.

E hoʻopili ʻia kahi bandage. Pono ia e noho ma kahi maʻamau no 10 a 20 mau minuke. Pono ʻoe e hōʻalo i ka hoʻohana ʻana i kēlā lima no ka hāpai hāpai kaumaha no ke koena o ka lā.

Pākuʻi loa nā kamepiula i:

• ʻālohilohi a maʻule paha
• hematoma, he ʻeke koko ma lalo o ka ʻili e like me ka ʻeha
• maʻi, pale pinepine ʻia e ka ʻili i hoʻomaʻemaʻe ʻia ma mua o ka hoʻokomo ʻia ʻana o ka nila
• kahe nui loa (kahe ana ke kahe no kahi manawa lōʻihi ma hope o ka hōʻike e hōʻike i kahi kūlana kahe nui aʻe a pono e hōʻike ʻia i kāu kauka)

He aha nā hopena no ka hōʻike Coombs?

Nā hopena maʻamau

Manaʻo ʻia nā hopena he maʻamau inā ʻaʻohe ʻōpala o nā hunaola ʻulaʻula.

Nā hopena maʻamau i kahi hōʻike Coombs pololei

ʻO kahi ʻōpala o nā hunaola ʻulaʻula i ka wā o ka hoʻāʻo e hōʻike ana i kahi hopena maikaʻi ʻole. ʻO ka Agglutination (clumping) o kāu mau hunaola i ka wā o kahi hōʻike Coombs pololei he ʻano antibodies ʻoe ma nā ʻulaʻula a loaʻa iā ʻoe kahi kūlana e hōʻino ai i nā hunaola ʻulaʻula e kāu ʻōnaehana paleʻea, i kapa ʻia ʻo hemolysis.

ʻO nā kūlana e kumu iā ʻoe e loaʻa i nā mea ʻāpala ma nā hunaola ʻulaʻula:

• anemia hemolytic autoimmune, ke hana a kou ʻōnaehana pale pale i kou mau ʻulaʻula koko
• ke hoʻololi transfusion, ke hoʻouka kāu ʻōnaehana pale i ke koko i hāʻawi manawaleʻa ʻia
• erythroblastosis fetalis, a i ʻole nā ​​ʻano koko ʻokoʻa ma waena o ka makuahine a me nā pēpē
• leukemia lymphocytic mau a me kekahi mau leukemias ʻē aʻe
• systemic lupus erythematosus, kahi maʻi autoimmune a me ka ʻano maʻamau o ka lupus
• mononucleosis
• maʻi me ka mycoplasma, kahi ʻano bacteria e hiki ʻole i nā antibiotic ke make
• syphilis

ʻO ka lāʻau ʻona ka lāʻau ʻona ʻē aʻe i hiki ke loaʻa iā ʻoe i nā mea pale ma nā ʻulaʻula koko. Nā lāʻau i hiki ke alakaʻi i kēia:

• cephalosporins, kahi antibiotic
• levodopa, no ka maʻi ʻo Parkinson
• dapsone, he lāʻau kūpili
• nitrofurantoin (Macrobid, Macrodantin, Furadantin), kahi antibiotic
• nonsteroidal anti-inflammatories (NSAIDs) e like me ibuprofen (Advil, Motrin IB)
• quinidine, kahi lāʻau naʻau

I kekahi manawa, keu hoʻi i nā mākua makua, kahi hopena Coombs e loaʻa kahi hopena maikaʻi ʻole me ka ʻole o nā maʻi ʻē aʻe a i ʻole nā ​​mea weliweli.

Nā hualoaʻa kūpono ʻole ma kahi hōʻike Coombs ʻole

ʻO kahi hopena kūpono ʻole i kahi hoʻokolohua Coombs ʻole ʻo ia hoʻi he antibodies kāu e kahe ana i kāu kahe o ke koko i hiki ke hana i kāu ʻōnaehana pale pale i nā ʻulaʻula koko i manaʻo ʻia he haole i ke kino - ʻo ia hoʻi nā mea i loaʻa i ka wā o ke kahe o ke koko.

Kaukaʻi ʻia i ka makahiki a me nā kūlana, hiki i kēia ke hoʻohālikelike i ka fetalis erythroblastosis, kahi kūlike ʻole o ke koko no kahi transfusion koko, a i ʻole hemolytic anemia ma muli o kahi hopena autoimmune a i ʻole ka lāʻau ʻona.

Hiki i nā pēpē me ka erythroblastosis fetalis ke kiʻekiʻe loa o ka bilirubin i loko o kā lākou koko, a hiki i ka jaundice. Hana ʻia kēia hopena ke loaʻa i ke pēpē a me ka makuahine nā ʻano koko ʻokoʻa, e like me Rh factor maikaʻi a maikaʻi ʻole a i ʻole ABO ʻano ʻokoʻa. Hoʻouka ke kino pale o ka makuahine i ke koko o ka pēpē i ka wā o ka hana.

Pono e nānā pono ʻia kēia ʻano. Hiki ke hopena i ka make o ka makuahine a me ke keiki. Hāʻawi pinepine ʻia kahi wahine hāpai i kahi hōʻike Coombs ʻole e nānā no nā lāʻau ʻino ma mua o ka hana i ka wā prenatal mālama.