He aha ka MCH a he aha ke ʻano o nā waiwai kiʻekiʻe a haʻahaʻa?

Anter

• Pehea e hoʻoholo ai i ka pae MCH?
• Laulā maʻamau
• Nā kumu a me nā ʻōuli o MCH haʻahaʻa
• Nā Kumu
• Nā ʻōuli
• Nā kumu a me nā ʻōuli kiʻekiʻe MCH
• Nā Kumu
• Nā ʻōuli
• Lapaʻau no MCH haʻahaʻa a kiʻekiʻe paha
• Low MCH
• ʻO MCH kiʻekiʻe
• He aha ke kuanaʻike?

Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.

He aha ka MCH?

Kū ʻo MCH no “hemoglobin corpuscular.” ʻO kahi waiwai MCH e pili ana i ka awelika o ka hemoglobin i loko o kahi kōkō ʻulaʻula. ʻO Hemoglobin ka protein i loko o kou mau ʻulaʻula e lawe i ka oxygen i nā aʻa o kou kino.

Pili kāu waiwai MCH i nā waiwai ʻelua ʻē aʻe, ka manaʻo o ka nui o ka corpuscular volume (MCV) a me ka nui o ka hemoglobin corpuscular (MCHC). ʻO MCH, MCV, a me MCHC kekahi manawa i kapa ʻia he ʻulaʻula koko ʻulaʻula.

ʻO MCV kahi ana o ka awelika o ka nui o nā hunaola ʻulaʻula. Mālama nā hopena MCH i nā hopena MCV. ʻO kēia no ka mea ʻoi aku ka nui o nā hunaola ʻulaʻula i loko o ka nui o nā hemoglobin ʻoi aku ka liʻiliʻi o nā hunaola ʻulaʻula.

ʻO MCHC kahi helu o ka nui o ka hemoglobin no ka nui o ke anakahi i hoʻokahi keena ʻulaʻula. ʻO ka ʻokoʻa ma waena o MCH a me MCHC ka ana MCHC e lawe i ka nui a i ʻole ka nui o ke kele koko ʻulaʻula i ka helu ʻole o MCH.

Pehea e hoʻoholo ai i ka pae MCH?

Hoʻoholo ʻia kāu pae MCH me kahi panela helu piha o ke koko (CBC). E kauoha kāu kauka i kahi paneli CBC e nānā no nā ʻano nui, e like me ka anemia a me ka maʻi. Hoʻomaʻo ka CBC i nā ʻulaʻula a me keʻokeʻo o ke koko, a me nā platelet. Hoʻomaulia ʻia ʻo MCH me ka hoʻohana ʻana i ke kālailai ʻulaʻula.

Hoʻomaulia ʻia ʻo MCH ma ka hoʻokaʻawale ʻana i ka nui o ka hemoglobin i kahi nui o ke koko i hāʻawi ʻia e ka helu o nā hunaola ʻulaʻula e kū nei.

Laulā maʻamau

ʻO ka pae maʻamau no MCH ma waena o 27.5 a me 33.2 picograms (pg).

Nā kumu a me nā ʻōuli o MCH haʻahaʻa

Kuhi ʻia kahi waiwai MCH ma lalo o 27.5 pg i MCH haʻahaʻa. ʻO kēia ke kumu o ka liʻiliʻi o ka hemoglobin i loaʻa i kēlā me kēia ʻulaʻula.

Nā Kumu

Kuhi ka MCH haʻahaʻa haʻahaʻa i ka loaʻa ʻana o ka anemia hemahema o ka hao. He mea nui ka hao no ka hana ʻana o hemoglobin. Hoʻomoʻa kou kino i kahi hao liʻiliʻi āu e ʻai ai i mea e hua ai ka hemoglobin. ʻO kekahi o nā kumu nui o ka hemahema hao me ka ʻai ʻana i ka papaʻai i haʻahaʻa i ka hao, kahi ʻoki nui a i ʻole trauma, a i ʻole ke kahe o ke koko.

I nā hanana kakaikahi loa, hiki i ka MCH haʻahaʻa ke kumu ʻia e kahi ʻano genetical i kapa ʻia ʻo thalassemia. I kēia kūlana, kaupalena ʻia ka hana ʻana o hemoglobin. ʻO kēia ka manaʻo ʻaʻole nui nā hunaola ʻulaʻula e holo i kāu kahe koko.

Nā ʻōuli

Inā loaʻa iā ʻoe kahi waiwai MCH haʻahaʻa, ʻike paha ʻoe i nā ʻōuli penei:

• pokole o ka hanu
• ʻeha ka umauma
• puʻuwai wikiwiki
• luhi a nawaliwali paha
• ʻili loa a ʻili melemele paha
• ʻeha poʻo

Nā kumu a me nā ʻōuli kiʻekiʻe MCH

Kuhi ʻia kahi waiwai MCH ma luna o 33.2 pg i MCH kiʻekiʻe. ʻO ka manaʻo o kēia aia ka nui o ka hemoglobin i loaʻa i kēlā me kēia ʻulaʻula.

Nā Kumu

Hiki ke kumu pinepine ʻia ka waiwai MCH kiʻekiʻe e ka anemia ma muli o ka lawa ʻole o nā wikamina B, ʻoiai ʻo B-12 a me folate. Koi ʻia kēia mau wikamina e kou kino i mea e hana ai i nā ʻulaʻula koko. Hiki i kēia ʻano anemia ke hoʻomohala inā haʻahaʻa kāu papaʻai i nā wikamina B a i ʻole ʻaʻole e hānai maikaʻi kou kino i ka B-12 a i ʻole ka folate. He mea nui e makaʻala i nā ʻōuli o ka hemahema B-12.

Nā ʻōuli

Inā loaʻa iā ʻoe kahi waiwai MCH kiʻekiʻe, ʻike paha ʻoe i nā ʻōuli penei:

• pokole o ka hanu
• ʻeha ka umauma
• puʻuwai wikiwiki
• luhi a nawaliwali paha
• ʻili loa a ʻili melemele paha
• ʻeha poʻo

Inā loaʻa kahi anemia ma muli o ka hemahema B-12, ʻike paha ʻoe:

• tingling a i ʻole nā ​​"pin a me nā nila" i kou mau lima a i ʻole nā ​​wāwae
• nausea a luaʻi paha
• ʻōhū a me ke kōkō
• ʻōuli noʻonoʻo, e like me ke kaumaha a huikau paha

Inā loaʻa ʻoe i ka anemia ma muli o ka hemahema folate, hiki iā ʻoe ke ʻike i nā hōʻailona hou aʻe:

• pāhoehoe
• emi i ka makemake
• ukiuki
• he alelo laumania a maʻalahi paha

Lapaʻau no MCH haʻahaʻa a kiʻekiʻe paha

Low MCH

ʻO ka mālama ʻana no ka MCH haʻahaʻa i hoʻokumu ʻia e ka hemahema hao hiki ke hoʻopili i ka hoʻohui ʻana i nā meaʻai waiwai hao i kāu papaʻai (ʻoiai nā koho vegetarian) a me ka lawe ʻana i nā mea hoʻohui hao. I nā hihia maʻamau, e like me ke ʻano koʻikoʻi a i ʻole ke kahe o ke koko, pono paha ʻoe i kahi transfusion.

ʻAʻole koi ka poʻe me ka thalassemia haʻahaʻa i ka lāʻau. Eia nō naʻe, koi ʻia paha ke kahe ʻana o ke koko inā koʻikoʻi kāu mau ʻōuli.

ʻO MCH kiʻekiʻe

ʻO ka mālama ʻana no nā anemias i hoʻokumu ʻia e B-12 a i ʻole nā ​​hemahema folate e mālama pinepine ʻia e nā loli nohona, e like me ka hoʻohui ʻana i nā meaʻai momona i ka wikamina B-12 a me folate i kāu papaʻai. Koi paha kāu kauka i ka lawe ʻana i nā mea hoʻohui o kēia mau wikamina e hoʻonui hou ai i kāu B-12 a me nā pae folate a i ʻole, inā he pilikia ka omo, e kuhikuhi i nā injection B-12.

He aha ke kuanaʻike?

ʻO ka nānā aku no ka poʻe me nā waiwai MCH maʻamau kaukaʻi ʻia i ke ʻano o ke kumu e kū nei.

Hoʻokumu pinepine ʻia nā waiwai MCH haʻahaʻa e ka anemia hemahema o ka hao. ʻO ka maʻamau, hiki ke mālama ʻia kēia ʻano me nā loli o ke ola e like me ka ʻai ʻana i nā meaʻai i ka hao a me ka lawe ʻana i nā mea hoʻohui hao. I ka hihia maʻamau i hoʻokumu ʻia kāu waiwai MCH haʻahaʻa e ka thalassemia, koi paha ʻoe i nā transfusions o ke koko inā koʻikoʻi kāu mau ʻōuli.

ʻO nā waiwai MCH kiʻekiʻe i hoʻokumu ʻia e ka hemahema o nā huaora B-12 a i ʻole folate hiki ke mālama pinepine ʻia me nā loli i kou ʻano e hoʻopili ana i nā loli dietary a me nā mea hoʻopihapiha, a i ʻole B i ʻole e hoʻopili ʻia.

Inā hopohopo ʻoe i kāu mau hopena MCH, e kamaʻilio pono me kāu kauka e pili ana iā lākou. Hiki iā ʻoe ke hoʻoholo i ke ala ʻoi loa e neʻe ai i mua.