Nā Papa Hemoglobin: He aha ka mea maʻamau i manaʻo ʻia?
Anter
- He aha ka hemoglobin?
- He aha ka pae hemoglobin maʻamau?
- Nā mākua
- Nā keiki
- He aha ke kumu o ka pae hemoglobin kiʻekiʻe?
- Nā kumu weliweli
- He aha nā pae hemoglobin haʻahaʻa?
- Nā kumu weliweli
- Pehea e pili ana i ka hemoglobin A1c?
- Ke laina lalo
He aha ka hemoglobin?
ʻO Hemoglobin, hoʻopokole ʻia i kekahi manawa me Hgb, kahi protein i loko o nā hunaola ʻulaʻula e lawe i ka hao. Mālama kēia hao i ka oxygen, e hana ana i ka hemoglobin i mea nui o kou koko. Ke lawa ʻole ka hemoglobin o kou koko, ʻaʻole i loaʻa i kāu mau hunaola ka nui o ka oxygen.
Hoʻoholo nā kauka i kou pae hemoglobin ma ke kālailai ʻana i kahi laʻana o kou koko. Hoʻopili nā ʻano like ʻole i kāu pae hemoglobin, me kāu:
- makahiki
- kāne kāne
- moʻolelo mōʻaukala
E hoʻomau i ka heluhelu ʻana e aʻo hou aʻe e pili ana i ka mea i manaʻo ʻia he pae hemoglobin maʻamau, kiʻekiʻe, a haʻahaʻa.
He aha ka pae hemoglobin maʻamau?
Nā mākua
I ka poʻe mākua, ʻoi aku ka kiʻekiʻe o ka pae hemoglobin no nā kāne ma mua o ka wahine. Ana ʻia ia i ka gram i kēlā me kēia deciliter (g / dL) o ke koko.
| Moekolohe | Kūlana hemoglobin maʻamau (g / dL) |
| Wahine | 12 a ʻoi paha |
| Kāne kāne | 13 a ʻoi aku paha |
Hoʻokomo pū nā mākua makua i nā pae hemoglobin haʻahaʻa. Pili paha kēia i kekahi mau kumu, e like me:
- nā pae hao haʻahaʻa ma muli o ka mumū mau a i ʻole ka meaʻai maikaʻi ʻole
- nā hopena ʻaoʻao lāʻau
- nā helu kiʻekiʻe o nā maʻi maʻi mau, e like me ka maʻi kidney
Nā keiki
Loaʻa i nā pēpē ke kiʻekiʻe o ka pae hemoglobin ma mua o nā mākua. ʻO kēia no ka mea he ʻoi aku ko lākou kiʻekiʻe o ka oxygen i loko o ka ʻōpū a pono i nā hunaola ʻulaʻula e lawe i ka oxygen. Akā hoʻomaka kēia pae e iho i lalo ma hope o kekahi mau pule.
| Makahiki | Laulā wahine (g / dL) | Laulā kāne (g / dL) |
| 0-30 mau lā | 13.4–19.9 | 13.4–19.9 |
| 31-60 mau lā | 10.7–17.1 | 10.7–17.1 |
| 2-3 mahina | 9.0–14.1 | 9.0–14.1 |
| 3-6 mau mahina | 9.5–14.1 | 9.5–14.1 |
| 6-12 mahina | 11.3–14.1 | 11.3–14.1 |
| 1-5 mau makahiki | 10.9–15.0 | 10.9–15.0 |
| 5-11 mau makahiki | 11.9–15.0 | 11.9–15.0 |
| 11-18 makahiki | 11.9–15.0 | 12.7–17.7 |
He aha ke kumu o ka pae hemoglobin kiʻekiʻe?
Hele pū nā pae hemoglobin kiʻekiʻe me nā helu o ke koko ʻulaʻula kiʻekiʻe. Hoʻomanaʻo, loaʻa ka hemoglobin i nā hunaola ʻulaʻula, no laila ke kiʻekiʻe o ka helu o kou ʻulaʻula koko, ʻo ke kiʻekiʻe kou pae hemoglobin a ʻo ia hoʻi.
Hiki i kahi helu ʻulaʻula koko kiʻekiʻe a me ka pae hemoglobin ke kuhikuhi i kekahi mau mea, e like me:
- Maʻi maʻi ʻōpū. Hiki i kēia ʻano paʻakikī ke paʻakikī i kou puʻuwai e hoʻomaʻemaʻe pono i ke koko a hāʻawi i ka oxygen ma loko o kou kino. I ka pane, hana i kou kino i kekahi manawa i nā hunaola ʻulaʻula.
- Make wai. ʻO ka lawa ʻole o ka wai e hiki ke hana i nā helu o ke koko ʻulaʻula e ʻike kiʻekiʻe aʻe no ka mea ʻaʻohe nui o ka wai e kaulike iā lākou.
- Nā tumora ʻāʻī. Hoʻoulu kekahi mau puʻupaʻa puʻupaʻa i kou mau puʻupaʻa e hana i ka erythropoietin nui, kahi hormone e hoʻonāukiuki i ka hana ʻana o ke koko ʻulaʻula.
- Maʻi lolo. Inā ʻaʻole e holo pono kāu mau māmā, e hoʻāʻo paha kou kino e hana i nā hunaola ʻulaʻula nui e kōkua i ka lawe ʻana i ka oxygen.
- ʻO Polcythemia vera. Hoʻokumu kēia ʻano i kou kino e hoʻohua i nā hunaola ʻulaʻula keu.
Nā kumu weliweli
E loaʻa paha iā ʻoe nā pae hemoglobin kiʻekiʻe inā ʻoe:
- he moʻolelo ʻohana ko nā maʻi e pili ana i nā helu o ke koko ʻulaʻula, e like me ka lohe ʻana i ka oxygen
- noho i kahi kiʻekiʻe
- ua loaʻa i kēia manawa ka hoʻokaʻa koko
- puhipaka
He aha nā pae hemoglobin haʻahaʻa?
ʻO kahi pae hemoglobin haʻahaʻa e ʻike mau ʻia me nā helu o ke koko ʻulaʻula haʻahaʻa.
ʻO kekahi mau kūlana olakino i hiki ke kumu i kēia:
- Nā maʻi pūpū iwi. ʻO kēia mau kūlana, e like me ka leukemia, lymphoma, a i ʻole anemia aplastic, hiki i nā mea āpau ke hōʻemi i nā helu o ke koko haʻahaʻa.
- Hewa ʻole nā hakuʻala. Ke holo pono ʻole kou mau puʻupaʻa, ʻaʻole lākou e hana lawa i ka erythropoietin hormone e hoʻoulu ai i ka hana ʻana o ke koko ʻulaʻula.
- Nā fibroids o ka uterus. ʻO kēia nā tumors ʻaʻole maʻamau i ka maʻi ʻaʻai, akā hiki iā lākou ke kumu i ke kahe nui ʻana, e alakaʻi ana i nā helu o ke koko ʻulaʻula haʻahaʻa.
- Nā kūlana e luku ai i nā hunaola ʻulaʻula. Hoʻopili kēia i ka anemia cell sickle, thalassemia, deficit G6PD, a me herherary spherocytosis.
Nā kumu weliweli
E loaʻa paha iā ʻoe nā pae hemoglobin haʻahaʻa inā ʻoe:
- he kūlana e kumu ai ke kahe mau o ke kahe, e like me nā maʻi kōpū, nā polyps kolona, a me nā wā paʻahana kaumaha
- Loaʻa ka hemahema folate, hao, a i ʻole ka wikamina B-12
- hāpai keiki
- ua komo i loko o kahi ulia pōpilikia, e like me kahi ulia kaʻa
E aʻo pehea e hāpai ai i kou hemoglobin.
Pehea e pili ana i ka hemoglobin A1c?
Ke hana ʻia ke hana koko, ʻike paha ʻoe i nā hopena no hemoglobin A1c (HbA1c), i kekahi manawa i kapa ʻia he hemoglobin glycated. Ana kahi HbA1c i ke ana o ka hemoglobin glycated, ʻo ia ka hemoglobin i pili ka glucose iā ia, i kou koko.
Kauoha pinepine nā kauka i kēia hoʻāʻo no ka poʻe me ka maʻi kō. Kōkua ia i ka hāʻawi ʻana i ke kiʻi mōakāka o ka pae awelika o ke kō pae ma luna o 2 a 4 mau mahina paha. ʻO Glucose, i kapa ʻia he kō kō, holo a puni kou koko a pili i ka hemoglobin.
ʻO ka nui o ka glucose i loko o kou koko, ʻoi aku ka nui o kāu kiʻekiʻe o ka hemoglobin glycated. Hoʻopili ka glucose i ka hemoglobin ma kahi o 120 mau lā. Kuhi kahi pae HbA1c kiʻekiʻe e hōʻike ana ua kiʻekiʻe ke kō kō o kekahi no kekahi mau mahina.
I ka hapanui o nā hihia, pono i kekahi me ka maʻi diabetes ke ʻimi no kahi pae HbA1c o 7 pākēneka a ʻoi iki paha. ʻO ka poʻe me ka maʻi ʻole e loaʻa ka pae HbA1c ma kahi o 5.7 pakeneka. Inā loaʻa ʻoe i ka maʻi diabetes a me kahi pae HbA1c kiʻekiʻe, pono paha ʻoe e hoʻoponopono i kāu lāʻau.
E aʻo hou aʻe e pili ana i ka kaohi ʻana i nā pae HbA1c.
Ke laina lalo
Hiki ke hoʻololi i nā pae Hemoglobin e ka wahine, ka makahiki, a me ke kūlana olakino. Hiki i kahi pae hemoglobin kiʻekiʻe a haʻahaʻa paha ke hōʻike i nā ʻano mea like ʻole, akā ʻoi aku ka kiʻekiʻe a i ʻole ka pae haʻahaʻa o kekahi poʻe.
E nānā kāu kauka i kāu mau hopena i ka pōʻaiapili o kou olakino holoʻokoʻa e hoʻoholo ai inā hōʻike kāu mau pae i kahi ʻano kumu.
Kaulana
Nā ʻano maʻamau o ke Kale a pehea e kuke ai me lākou