Nā ho'āʻo e hōʻoia i ka anemia

Anter

• Nā waiwai e hōʻoia i ka anemia
• Nā hoʻāʻo e ʻike i ke ʻano o ka anemia

No ka hōʻoia ʻana i ka anemia he mea pono e loaʻa kahi hoʻokolohua koko e nānā i ka nui o nā hunaola ʻulaʻula a me ka hemoglobin, ka mea e hōʻike pinepine ai i ka anemia ke loaʻa nā helu hemoglobin ma lalo o 12 g / dL no nā wahine a me 14 g / dL no nā kāne maʻi.

Eia nō naʻe, ʻaʻole wale ka noʻonoʻo hemoglobin no ka hōʻailona o ka anemia, a noi ʻia nā hoʻokolohua ʻē aʻe e ʻike i ke kumu o ka hemoglobin haʻahaʻa a hoʻomaka i ka lāʻau kūpono kūpono. E ʻike i nā mea e hōʻike ai nā waiwai hemoglobin i hoʻololi ʻia.

ʻOiai ʻo ka anemia hemahema o ka hao ka mea maʻamau, hoʻomaka ke kauka ma ka loiloi ʻana i ka nui o ka ferritin i loko o ke koko, no ka mea i ka wā o kēia mea i loko o ka liʻiliʻi he mea nui ka hao ma ke kino. Eia nō naʻe, inā maʻamau nā waiwai ferritin, nā hoʻokolohua hou aʻe e like me hemoglobin electrophoresis a i ʻole ka helu ʻana i nā huaora B12 a me nā pae waikawa folic, i kōkua e ʻike i nā ʻano anemia ʻē aʻe, pono paha.

Nā waiwai e hōʻoia i ka anemia

Hoʻomaopopo ʻia ke anemia o ke anemia ke kū ka waiwai o ka hemoglobin i ka helu o ke koko.

• I nā kāne: ma lalo o 14 g / dL o ke koko;
• I nā wahine: ma lalo o 12 g / dL o ke koko;

ʻO ka maʻamau, ua komo pū kēia hōʻike koko i ka nui o ferritin, no laila hiki i kāu kauka ke loiloi inā e loaʻa ana kāu anemia e ka nele o ka hao. Inā ʻo kēia ka hihia, e haʻahaʻa hoʻi ka waiwai ferritin, e hōʻike ana i nā pae hao hao haʻahaʻa, kahi e hōʻike ai i ka anemia hemahema hao. Eia nō naʻe, inā maʻamau nā pae ferritin, he hōʻailona ia e hoʻokumu ʻia ka anemia e kekahi pilikia ʻē aʻe, a no laila, e kauoha ʻia paha nā hoʻokolohua hou aku e ʻike i ke kumu kūpono.

Ma waho aʻe o ka loiloi ʻana i ka waiwai hemoglobin, nānā ke kauka i ka waiwai o nā papa kuhikuhi hemogram ʻē aʻe, e like me Average Corpuscular Volume (VCM), Average Corpuscular Hemoglobin (HCM), Average Corpuscular Hemoglobin Concentration (CHCM) a me RDW, e ana ana i ka loli. i ka nui ma waena o nā hunaola ʻulaʻula. Mai ke kālailai ʻana i ka helu o ke koko, hiki i ke kauka ke hoʻomaopopo i ke ʻano o ka anemia. Hoʻomaopopo i ke ʻano o ka hana ʻana o ke koko.

Nā hoʻāʻo e ʻike i ke ʻano o ka anemia

Ma waho o ka helu o ke koko a me ka ferritin, aia kekahi mau hoʻokolohua ʻē aʻe i hiki ke kauoha ʻia e ke kauka e ʻike i nā ʻano anemia ʻē aʻe, e like me:

• Electrogoresis Hemoglobin: kālailai i nā ʻano ʻokoʻa o ka hemoglobin i ke koko a hiki ke kōkua i ke kuhi ʻana i ke ʻano o ka anemia, ke hana nui ʻia nei e ʻike ai i ka anemia o ka maʻi maʻi maʻi. Hoʻomaopopo pehea e hana ai ka hemoglobin electrophoresis;
• Ke nānā ʻana i ke koko peripheral: loiloi i ke ʻano o nā hunaola ʻulaʻula ma lalo o kahi microscope e hoʻoholo ai i ka nui, ke ʻano, ka helu, a me nā helehelena, a hiki ke kōkua i ke kuhi ʻana i ka maʻi anemia, ka thalassemia, megaloblastic anemia a me nā hoʻololi hematological ʻē aʻe;
• Helu helu Retikulosit: Loiloi inā paha e hana ana ka momona o ka iwi i nā hunaola ʻulaʻula hou, e ʻae ana e ʻike i ka anemia aplastic;
• Ninaninau kino: hiki ke kōkua ʻike i ke kahe ʻana mai ka ʻōpū a i ʻole nā ​​ʻōpū, ʻo ia ke kumu o ka anemia;
• Nā pae o wikamina B12 i ka mimi: ka hemahema o kēia wikamina hiki ke hana i nā anemia pernicious;
• Nā pae Bilirubin: pono no ka hoʻoholo ʻana inā e luku ʻia nā hunaola ʻulaʻula i loko o ke kino, kahi e hiki ai ke hōʻailona o hemolytic anemia;
• Pae pae: ʻo ka lāʻau make kēpau kekahi kumu o ka anemia i nā keiki;
• Nā hoʻāʻo hana ate: e nānā i ka hana o ke ake, i hiki ke lilo i hoʻokahi o nā kumu o ka anemia;
• Nā hoʻāʻo hana hakuʻala: hiki ke kōkua i ka hoʻoholo inā aia kekahi mau pilikia o ke kīʻaha, e like me ka holo pono ʻole ʻana o ka puʻuwai, no ka laʻana, hiki ke hana i ka anemia;
• Biopsy iwi ʻōiwi: Loiloi i ka hana ʻana o nā hunaola ʻulaʻula a hiki ke hana ʻia ke manaʻo ʻia ka pilikia o ka iwi o ka iwi no ka maʻi anemia. E ʻike he aha ia a pehea e hana ʻia ai ka biopsy o ka iwi iwi.

ʻO nā hoʻokolohua ʻē aʻe e like me MRI, X-ray, CT scan, hoʻāʻo mimi, nā hoʻāʻo genetic, hiki ke hoʻohana ʻia nā hoʻokolohua serological a me nā biochemical e ʻike i ke ʻano o ka anemia, akā ʻaʻole lākou e noi pinepine ʻia.

He mea nui e loiloi ʻia nā hopena o nā hōʻike e ke kauka, no ka mea aia wale nō ka manawa e hoʻomaka ai ka lapaʻau kūpono no ke kūlana. ʻO ka loaʻa wale ʻana o ka hemoglobin ma lalo o ka helu kuhikuhi ʻaʻole lawa ia e hoʻoholo ai i ka anemia, a he mea nui ia e lawe hou i nā hoʻokolohua. E aʻo hou aʻe e pili ana i nā ʻano anemia like ʻole.

ʻO kekahi ala e pale ai i ka hemahema o ka hao a me ka anemia ʻinoʻino, i ala aʻe ma muli o ka hopena o ka ʻai ʻana, ma ka hoʻololi ʻana i nā ʻano ʻai. E nānā i kēia wikiō e ʻike pehea e pale ai i kēia ʻano anemia.