Mea Kākau: Randy Alexander
Lā O Ka Hana: 28 Apelila 2021
HōʻAno Hou I Ka Lā: 21 Nowemapa 2024
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Anter

ʻO nā kino Heinz, i ʻike mua ʻia e Dr. Robert Heinz i ka makahiki 1890 a i kapa ʻia he mau kino Heinz-Erlich, he mau ʻōpuʻu o ka hemoglobin i hōʻino ʻia aia ma nā hunaola ʻulaʻula. Ke hele a hōʻino ʻia ka hemoglobin, hiki iā ia ke hoʻopau i ka hana ʻana o ke koko ʻulaʻula.

Pili nā kino Heinz i nā ʻano ʻelua a me nā ʻano o ka pili a pili i kekahi ʻano o ke koko, e like me ka hemolytic anemia.

Ma kēia ʻatikala, e ʻimi mākou i nā kumu, nā ʻōuli, a me nā koho lapaʻau no nā kūlana e pili ana i nā kino Heinz.

He aha nā kino Heinz?

E pili ana i ka hemoglobin

Loaʻa i nā hunaola ʻulaʻula āpau, i ʻike ʻia he erythrocytes, kahi protein i kapa ʻia hemoglobin. ʻO Hemoglobin ke kuleana no ka lawe ʻana i ka oxygen ma loko o nā hunaola ʻulaʻula a puni ke kino.

Ke hōʻike ʻia ka hemoglobin i nā mea ʻona, hiki ke lilo i "denatured," a i ʻole hōʻino ʻia. ʻAʻole hiki i nā proteins Denatured ka mea i hōʻino ʻia ke hana e like me nā protein āpau a he mea nui paha i ka hoʻomohala ʻana i kekahi mau maʻi.


E pili ana i nā kino Heinz

Kāhea ʻia ʻo hemoglobin i loko o nā hunaola ʻulaʻula i kapa ʻia he kino Heinz. Ke nānā ʻia ma lalo o kahi microscope i ka wā o ka hoʻāʻo ʻana i ke koko, ʻike ʻia lākou ma ke ʻano he mau puʻupuʻu ʻokoʻa e hoʻonui ʻia mai nā hunaola ʻulaʻula.

Nā maʻi koko pili

ʻOiai ua aʻo ʻia nā kino Heinz i loko o nā kānaka a me nā holoholona, ​​i loko o nā kānaka e pili pū ana lākou me ka nui o nā maʻi ʻulaʻula, e like me:

  • thalassemia
  • hemolytic anemia
  • glucose-6-phosphate dehydrogenase (G6PD) nele

ʻO ka hemolytic anemia ke ʻano maʻamau i hoʻokumu ʻia e nā kino Heinz, akā ʻaʻole ka poʻe i loaʻa nā kino Heinz e hoʻomohala iā ia. Hiki i nā kūlana ʻē aʻe i ʻōlelo ʻia ma luna ke hōʻike i nā kino Heinz e hōʻike i nā hopena hōʻike lab, ʻoiai me ka ʻole o ka hemolytic anemia.

He aha nā kumu Heinz?

Pili nā kino Heinz i nā ʻano kūlohelohe a me ke kaiapuni. ʻO kahi laʻana, hiki i nā kino Heinz i nā pēpē ke hōʻailona i nā maʻi o ke koko ʻulaʻula. Hiki ke kumu ʻia nā kino Heinz e ka hōʻike ʻana i kekahi mau mea ʻona.


I ke kakahiaka mai ka makahiki 1984, ua ʻike ka mea maʻi i ka Heinz-kino hemolytic anemia ma hope o ke komo ʻana i kahi aila i hoʻokumu ʻia me ka ʻaila i piha i ka cresol.

ʻO nā mea ʻona ʻino ʻē aʻe i hiki ke hoʻokumu i ke kino o Heinz ma hope o ka hōʻike ʻana a i ʻole ke komo ʻana i loko:

  • lau maple (ka mea nui i nā holoholona)
  • ʻakaʻaka (ʻano nui i nā holoholona)
  • kekahi mau lāʻau, e like me ka synthetic vitamin K, phenothiazines, methylene blue, a me nā mea hou aʻe
  • kekahi mau kala i hoʻohana ʻia no nā diaper
  • nā kemika i hoʻohana ʻia no ka hana mothballs

Aia kekahi mau hōʻailona e pili ana i nā kino Heinz?

ʻOiai ʻaʻohe mau hōʻailona kikoʻī no nā kino Heinz, aia kekahi mau hōʻailona e pili ana i nā kumu kumu a i kekahi mau hihia, ka hōʻike kumu.

Thalassemia

Pākuʻi ʻia paha nā ʻōuli o ka thalassemia:

  • lohi ka ulu ʻana
  • nā pilikia ulu
  • deformities iwi
  • luhi
  • ʻōmaʻomaʻo ʻōiwi
  • mimi ʻeleʻele

Hemolytic anemia

Hiki i nā ʻōuli o ka hemolytic anemia ke komo pū:


  • ʻoi aku ka pale o ka ʻili ma mua o ka maʻamau
  • nāwaliwali
  • ʻālohilohi
  • palpitations puʻuwai
  • hoʻonui ākea a i ʻole akepaʻa

Hema G6PD

Pākuʻi ʻia paha nā ʻōuli o ka hemahema G6PD:

  • ʻoi aku ka pale o ka ʻili ma mua o ka maʻamau
  • ʻūpā
  • luhi
  • pilikia hanu
  • hoʻonui ʻia ka helu o ka puʻuwai
  • ʻōmaʻomaʻo ʻōiwi

ʻOiai ʻo ka hōʻike ʻana i nā mea kanu ʻawahia he kumu ia o nā kino Heinz i loko o nā holoholona, ​​hiki i kekahi mau lāʻau ke kumu i ka hana ʻana o nā kino Heinz i nā kānaka.

Hoʻohana ʻia nā lāʻau i hiki ke hana i nā kino Heinz e mālama i nā ʻano ʻano like ʻole, e like me psychosis a me methemoglobinemia. ʻAʻohe paha hōʻailona o waho o ke kū ʻana o nā kino Heinz i kēia mau ʻano. Akā, ʻoi aku paha ka loaʻa ʻana iā lākou i ka wā o ka hoʻāʻo ʻana i ke koko.

Pehea e mālama ʻia ai nā kino Heinz?

ʻO nā koho lapaʻau no ka hemolytic anemia, thalassemia, a me ka hemahema G6PD like. Kaukaʻi ʻia i ke koʻikoʻi o ke ʻano, komo pū paha lākou:

  • nā lāʻau
  • pākuʻi
  • Laʻau IV
  • ʻōnaehana oxygen
  • hoʻoliʻiliʻi koko
  • ka hoʻoneʻe ʻana i ka palapū, i nā hihia koʻikoʻi

No nā kino Heinz i hoʻokumu ʻia e ka hōʻike ʻana i kekahi mau lāʻau, hiki i kāu kauka ke koho e hoʻohana i nā lāʻau ʻē aʻe no kāu kūlana.

I kekahi mau hihia, ʻaʻole hiki ke loaʻa nā koho lāʻau ʻē aʻe. I kēia hihia, hiki iā ʻoe ke kūkākūkā i ke ala maikaʻi loa e pale ai i ka ulu ʻana o ka hemolytic anemia.

He aha ka ʻokoʻa ma waena o nā kino Heinz a me nā kino o Howell-Jolly?

ʻOiai hiki ke loaʻa nā kino ʻelua ma nā hunaola ʻulaʻula, ʻaʻole like ke kino o Heinz me nā kino o Howell-Jolly.

Ke pau ke kō ʻana o nā hunaola ʻulaʻula i ka momona o ka iwi, hiki iā lākou ke komo i ke kaapuni e hoʻomaka e hāʻawi i ka oxygen i ke kino. Ke komo lākou i ke kaapuni, hoʻolei lākou i kā lākou nucleus.

Eia nō naʻe, i kekahi mau hihia, ʻaʻole e kiola loa ʻia ka nucleus. I kēia manawa, ʻanuʻu nā spleen i loko a hemo i nā koena i koe.

ʻO Howell-Jolly kino nā inoa no kēia koena DNA i koe i loko o nā ʻulaʻula koko oʻo. ʻO ke kū ʻana o nā kino o Howell-Jolly e hōʻike maʻamau ʻaʻole e hana ana ka ʻāpala i kāna hana a i ʻole loaʻa.

I kekahi mau hihia, pili pū nā kino o Howell-Jolly me ka anemia megaloblastic.

Nā lawe lawe kī

ʻO ke kū ʻana o nā kino Heinz ma kahi hoʻāʻo smear i ke koko e hōʻike ana i ka hōʻino ʻia o ka hemoglobin i nā hunaola ʻulaʻula.

ʻO nā kūlana e pili pū ana me nā kino Heinz me nā kūlana koko, e like me thalassemia a i ʻole hemolytic anemia. Hiki ke pili pū ʻia nā kino Heinz me ke komo ʻana o a i ʻole ka hōʻike ʻana i nā lāʻau ʻona.

Hoʻopili ka mālama ʻana no nā kino Heinz i ka diagnose a me ka mālama ʻana i ke kumu kumu.

Inā ua ʻike kāu kauka i nā kino Heinz ma kāu hoʻāʻo ʻana i ke koko, hiki iā ʻoe ke hana pū me lākou e ʻike i kahi ʻike kūhelu a me ka mālama ʻana no nā ʻano kumu āpau.

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