Ka Waihona Corpuscular Hemoglobin (HCM): he aha ia a no ke aha he kiʻekiʻe a haʻahaʻa paha ia

Anter

• Hiki ke hoʻololi i ka HCM
• HCM kiʻekiʻe:
• Low HCM:
• Nā helu kūmole ʻo HCM a me CHCM
• Nā ʻano anemia

ʻO ke kumu ʻo Corpuscular Hemoglobin (HCM) kekahi o nā palena o ka hoʻokolohua koko e ana i ka nui a me ke kala o ka hemoglobin ma loko o ke kele koko, a hiki ke kapa ʻia ʻo hemoglobin globular (HGM).

Ua kauoha ʻia ʻo HCM, a me VCM, i kahi helu piha o ke koko i mea e ʻike ai i ke ʻano o ke anemia a ke kanaka, hyperchromic, normochromic a i ʻole hypochromic.

Hiki ke hoʻololi i ka HCM

No laila, nā hoʻololi kūpono i ka hopena o kēia hōʻike:

HCM kiʻekiʻe:

Ke piʻi ka waiwai ma luna o 33 picograms i loko o ke kanaka makua, hōʻike kēia i ka anemia hyperchromic, nā maʻi thyroid a i ʻole ka waiʻona.

ʻO nā kumu o ka kiʻekiʻe o ka HCM ma muli o ka hoʻonui ʻana o ka nui o nā hunaola ʻulaʻula i ʻoi aku ka nui ma mua o ka makemake, e alakaʻi ana i ka hoʻomaka o ka megaloblastic anemia ma muli o ka nele o ka wikamina B12 a me ka folic acid.

Low HCM:

Ke loaʻa nā waiwai ma lalo o 26 picograms i loko o nā mākua, hōʻike kēia i ka anemia hypochromic i hiki i ke anemia hemahema hao, ma muli o ka nele o ka hao, a me ka thalassemia, kahi ʻano anemia genetika.

Ke hoʻohaʻahaʻa ʻo HCM hōʻike kēia i ka liʻiliʻi o nā hunaola koko ʻulaʻula ma mua o ka maʻamau a ʻoiai he liʻiliʻi nā pūnaewele, haʻahaʻa ka awelika hemoglobin.

Nā helu kūmole ʻo HCM a me CHCM

ʻO nā waiwai maʻamau o ka hemoglobin corpuscular maʻamau i nā picogram no kēlā me kēia ʻulaʻula.

• Hānau: 27 - 31
• 1 a 11 mau mahina: 25 - 29
• 1 a 2 mau makahiki: 25 - 29
• 3 a 10 mau makahiki: 26 - 29
• 10 a 15 mau makahiki: 26 - 29
• Kāne: 26 - 34
• Wahine: 26 - 34

ʻO ke kumu hoʻohālikelike hemoglobin corpuscular (CHCM) ʻokoʻa ma waena o 32 a 36%.

Kuhi kēia mau waiwai i ke kala ʻana o ka huna o ke koko, no laila ke haʻahaʻa nā kumukūʻai, keʻokeʻo ke kikowaena o ke kikowaena a ke hoʻonui ʻia nā kumukūʻai, ʻoi aku ka pouli o ka pūnaewele ma mua o ka maʻamau.

Nā ʻano anemia

He ʻano like ʻole nā ​​ʻano anemia a ʻike i ke ʻano o ke kanaka e ʻike ai i ke kumu a pehea e hana ai i ka ʻoi loa o ka lāʻau. I ka hihia o ka anemia ma muli o ka nele o ka hao, lawe wale i nā mea hoʻohui hao a ʻai i nā meaʻai waiwai hao e hoʻōla ai i kēia anemia. Eia nō naʻe, ke loaʻa i ke kanaka ka thalassemia, kahi ʻano anemia ʻē aʻe, pono nō paha e loaʻa nā transfusions o ke koko. E aʻo i nā ʻano anemia, nā ʻōuli, nā mālama ʻana.