Hōʻike Hematocrit

Anter

• No ke aha e loaʻa ai kahi hōʻoia hematocrit?
• Pehea e hana ai i ka hoʻokolohua hematocrit?
• Laʻana koko
• Loiloi
• He aha ka pae hematocrit maʻamau?
• He aha inā inā haʻahaʻa loa kaʻu mau hematocrit?
• He aha inā kiʻekiʻe loa kaʻu mau hematocrit?
• He aha nā makaʻi o kahi hōʻike hematocrit?

He aha ka hematocrit?

ʻO Hematocrit ka pākēneka o nā hunaola ʻulaʻula i ka nui o ke kō. Pono nā hunaola ʻulaʻula i kou olakino. E noʻonoʻo iā lākou ma ke ʻano he subway pūnaewele o kou koko. Hāpai lākou i ka oxygen a me nā meaʻai i nā wahi like ʻole i kou kino. No ʻoe e noho olakino, pono i kou kino ke kaulike pololei o nā hunaola ʻulaʻula.

Hiki paha i kāu kauka ke kauoha aku i ka hematocrit, a i ʻole Hct, e hoʻāʻo inā manaʻo lākou he ʻuʻuku a ʻoi aku paha nā nui o ke koko ʻulaʻula.

No ke aha e loaʻa ai kahi hōʻoia hematocrit?

Hiki i kahi hoʻokolohua hematocrit ke kōkua i kāu kauka e kuhikuhi iā ʻoe me kahi ʻano kūikawā, a i ʻole hiki iā ia ke kōkua iā lākou e hoʻoholo i ka maikaʻi o ka pane ʻana o kou kino i kekahi ʻano lapaʻau. Hiki ke kauoha ʻia ka hōʻike no nā kumu like ʻole, akā hoʻohana pinepine ʻia e hoʻāʻo no:

• anemia
• maʻi leukemia
• hoʻomake wai
• nā hemahema papaʻai

Inā kauoha kāu kauka i kahi helu piha o ke koko (CBC), ua hoʻokomo ʻia ka hōʻoia hematocrit. ʻO nā hoʻokolohua ʻē aʻe i kahi CBC kahi helu hemoglobin a me retikulite. E nānā kāu kauka i kāu mau hopena hōʻike koko āpau e loaʻa ai ka ʻike i kāu helu o ke koko ʻulaʻula.

Pehea e hana ai i ka hoʻokolohua hematocrit?

ʻO ka mea mua e loaʻa iā ʻoe kahi hōʻoia koko. Ma hope, e hoʻouna ʻia i kahi hale hana no ka loiloi.

Laʻana koko

Pono kahi kauka lapaʻau i kahi laʻana o ke koko e hoʻāʻo i kāu hematocrit. Hiki ke huki i kēia koko mai kahi kuʻi lima a lawe ʻia paha mai kahi aa i kou lima.

Inā he mahele o ka CBC ka hoʻokolohua hematocrit, e huki kahi mea ʻenehana i ke koko mai kahi aa, mai ka loko o kou kuʻe lima a i ʻole ka hope o kou lima. E hoʻomaʻemaʻe ka mea loea i ka ʻili o kou ʻili me kahi antiseptic a hoʻonoho i kahi kāʻei elastis, a i ʻole ka hoʻokūkū, a puni kou lima o luna e kōkua i ke aʻa i pehu me ke koko.

A laila e hoʻokomo lākou i kahi nila i ke aa a hōʻiliʻili i kahi hāpana koko i hoʻokahi a ʻoi paha nā kīʻaha. E hoʻoneʻe ka mea ʻenehana i ke kāʻei lahilahi a uhi i ka wahi me kahi kapa e hoʻōki i ke kahe ʻana o ke kahe. Hiki ke hōʻoluʻolu iki kahi hōʻike koko. Ke kuʻi ke kui kele i kou ʻili, ʻike paha ʻoe i kahi prick a i ʻole pinching sensation. Maule nō a maʻalahi paha kekahi poʻe ke ʻike lākou i ke koko. E ʻike paha ʻoe i ka palapū liʻiliʻi, akā e holoi kēia i loko o kekahi mau lā. He mau minuke wale nō ka hoʻokolohua, a hiki iā ʻoe ke hoʻomaka hou i nā hana o kēlā me kēia lā ma hope o ka pau ʻana. E hoʻouna ʻia kāu laʻana i kahi lab no ka loiloi.

Loiloi

I ke keʻena hoʻokolohua, loiloi ʻia kāu hematocrit me ka hoʻohana ʻana i ka centrifuge, kahi mīkini e wili i kahi kiʻekiʻe e hoʻokaʻawale i nā ʻike o kou koko.E hoʻonui kahi loea loea i kahi anticoagulant kūikawā e mālama i kou koko mai ka hoʻopili ʻana.

Ke lawe ʻia ka pahu hoʻāʻo mai ka centrifuge, e noho i ʻekolu mau ʻāpana:

• ʻulaʻula koko
• lāʻau anticoagulant
• plasma, a i ʻole ka wai i kou koko

E noho kēlā me kēia mea i kahi ʻāpana ʻokoʻa o ka paipu, me nā neʻe o ke kokoʻulaʻula e neʻe ana i lalo o ka pahu. Hoʻohālikelike ʻia nā hunaola ʻulaʻula i kahi alakaʻi e haʻi i ka ʻāpana o kou koko e hana ai.

He aha ka pae hematocrit maʻamau?

ʻOiai ke keʻena hoʻokolohua e hoʻāʻo i ka hāpana o ke koko i kāna mau pae ponoʻī, nā laulā ʻae ʻia no ka hematocrit e pili ana i kāu kāne a me kou mau makahiki. Penei nā laulā maʻamau:

• kāne makua: 38.8 a 50 pakeneka
• wahine makua: 34.9 a 44.5 pakeneka

Loaʻa i nā keiki he 15 a ma lalo ke kaʻina o nā laulā ʻokoʻa, no ka mea, hoʻololi wikiwiki ko lākou pae hematocrit me ka makahiki. ʻO ke keʻena kikoʻī e kālailai i nā hopena e hoʻoholo i ka pae hematocrit maʻamau no kahi keiki o kekahi makahiki.

Inā haʻahaʻa a kiʻekiʻe paha kāu mau hematocrit, hiki iā ia ke hōʻike i nā pilikia like ʻole.

He aha inā inā haʻahaʻa loa kaʻu mau hematocrit?

ʻO nā pae hematocrit haʻahaʻa he hōʻailona paha o:

• maʻi maʻi iwi
• maʻi maʻi mau
• nā hemahema i nā meaola e like me ka hao, folate, a me ka wikamina B-12
• hoʻokahe kūloko
• hemolytic anemia
• hakuʻala ʻole
• maʻi leukemia
• lymphoma
• anemia maʻi ʻaʻai

He aha inā kiʻekiʻe loa kaʻu mau hematocrit?

Hiki i nā pae hematocrit kiʻekiʻe ke kuhikuhi:

• maʻi puʻuwai congenital
• hoʻomake wai
• ʻōpuʻu puʻuwai
• maʻi maʻi māmā
• polycythemia vera

Ma mua o ka loaʻa ʻana o ka hoʻāʻo, e hōʻike i kāu kauka inā ua loaʻa koke ʻoe i ke koko a hāpai paha. Hiki i ka hāpai ʻana ke hoʻoliʻiliʻi i kāu pae urea nitrogen (BUN) ma muli o ka hoʻonui ʻia o ka wai i kou kino. Hiki ke hoʻololi i ke koko i kāu hopena. Inā ʻoe e noho i kahi kiʻekiʻe, kiʻekiʻe ka nui o kāu mau hematocrit ma muli o ka hoʻemi ʻia o ka oxygen i ka lewa.

E hoʻohālikelike paha kāu kauka i nā hopena o kāu hōʻike hematocrit i nā ʻāpana ʻē aʻe o ka hōʻike CBC a me kāu mau hōʻailona holoʻokoʻa ma mua o ka hana ʻana i kahi hōʻailona.

He aha nā makaʻi o kahi hōʻike hematocrit?

ʻAʻole pili kahi hōʻike hematocrit me nā hopena ʻē aʻe a me nā hopena ʻē aʻe. Loaʻa paha iā ʻoe ke kahe ʻana a kahe paha i ka pūnaewele kahi e huki ʻia ai ke koko. E hoʻomaopopo i kāu kauka inā ʻike ʻoe i ka pehu a me ke kahe ʻole e kū ʻole i loko o kekahi mau minuke o ke kaomi i ka pūnaewele puncture.