Mea Kākau: Judy Howell
Lā O Ka Hana: 3 Iulai 2021
HōʻAno Hou I Ka Lā: 1 Iulai 2024
Anonim
Hyperchromia | Hypochromia and Polychromasia | 3rd Video | Blood Smear Series
Wikiō: Hyperchromia | Hypochromia and Polychromasia | 3rd Video | Blood Smear Series

Anter

ʻO Polychromasia ka hōʻike o nā hunaola ʻulaʻula i multicolored i kahi hōʻike smear koko. He hōʻailona ia o nā hunaola ʻulaʻula e hoʻokuʻu ʻia ma mua o ka iwi o ka iwi i ka wā o ka hoʻokumu.

ʻOiai ʻaʻole kahi polychromasia ponoʻī i kahi kūlana, hiki ke kumu ʻia e kahi maʻi koko ma lalo. Ke loaʻa iā ʻoe ka polychromasia, he mea nui e ʻike i ke kumu i kumu e hiki ai iā ʻoe ke loaʻa i ka lāʻau lapaʻau koke.

Ma kēia ʻatikala, e kūkākūkā mākou he aha ka polychromasia, he aha nā maʻi o ke koko e hiki ai ke kumu iā ia, a he aha nā hōʻailona no kēlā mau kumu paʻa.

Ka hoʻomaopopo ʻana i ka polychromasia

I mea e maopopo ai i ka polychromasia, pono ʻoe e ʻike mua i ke kumumanaʻo ma hope o ka hoʻāʻo ʻana o ke koko, a ʻike ʻia ʻo ke kiʻi ʻoniʻoni koko peripheral.

Kiʻi koko peripheral

ʻO kahi kiʻiʻoniʻoni koko peripheral kahi mea hana diagnostic i hiki ke hoʻohana ʻia e hōʻoia a nānā i nā maʻi e pili ana i nā huna koko.

I ka wā o ka hoʻāʻo ʻana, hamo kahi pathologist i kahi pāheʻe me kahi hāpana o kou koko a laila stains ka paheʻe e ʻike i nā ʻano ʻokoʻa o nā pūnaewele i loko o ka hāpana.


ʻO ke kala i hoʻohui ʻia i ka hāpana koko i loko o kahi hiki ke kōkua i ka hoʻokaʻawale ʻana i nā ʻano o nā pūnaewele like ʻole. ʻO kahi laʻana, hiki i nā kala o ke kelepona maʻamau mai ka uliuli a i ka poni hohonu, a me nā mea hou aʻe.

ʻO ka maʻamau, hoʻohuli nā hunaola ʻulaʻula i kahi kala ʻulaʻula salmon ke hoʻohuʻu ʻia. Eia nō naʻe, me ka polychromasia, ʻike ʻia kekahi mau hunaola ʻulaʻula i kala ʻia i uliuli, i hina hina, a i poni.

No ke aha e uliuli ai nā hunaola ʻulaʻula

Hoʻokumu ʻia nā hunaola ʻulaʻula (RBC) i loko o kou iwi iwi. Hoʻokumu ʻia ʻo Polychromasia ke hoʻokuʻu ʻia nā RBC makua ʻole, i kapa ʻia ʻo retikulosit, mai ka momona o ka iwi.

Hōʻike kēia mau retikuleta ma kahi kiʻi ʻoniʻoni koko ma ke ʻano he bluish kala no ka mea aia nō i loko o lākou, ʻaʻole maʻa mau ma nā RBC makua.

ʻO nā kūlana e pili ana i ka huliau RBC ke kumu kumu o polychromasia.

Hiki i kēia mau ʻano ke hopena i ka hoʻonui ʻia o ke kahe o ke koko a me ka luku ʻia o nā RBC, kahi e hoʻonui ai i ka hana RBC. Hiki i kēia ke hoʻokuʻu i nā retikuleta i loko o ke koko ma mua o ka uku ʻana o ke kino no ka nele o nā RBC.


Nā kūlana kumu e kumu ai i polychromasia

Inā ua hoʻomaopopo kahi kauka he polychromasia ʻoe, aia kekahi mau kumu i lalo ke kumu ke kumu.

ʻO ka mālama ʻana i kekahi ʻano maʻi o ke koko (ʻo ka mea pili i ka hana o ka iwi iwi) hiki ke alakaʻi ʻia i ka polychromasia. I kēlā mau hihia, lilo ka polychromasia i ka hopena o ka lāʻau ma mua o kahi hōʻailona o ka maʻi.

Hōʻike ka papa ma lalo i nā kūlana maʻamau i hiki ke kumu i polychromasia. ʻO nā ʻike hou aʻe e pili ana i kēlā me kēia kūlana a pehea e pili ai i ka hana RBC ma hope o ka papa.

Kūlana paʻaHopenama ka hana RBC
hemolytic anemiakū ma muli o ka hoʻonui ʻana o ka luku ʻia o nā RBC, ke kumu o ka hoʻonui ʻia o ka huli o nā RBC
paroxysmal nocturnal hemoglobinuria (PNH)hiki iā ia ke hana i ka hememia hemonia, ka maʻi koko, a me ka iwi o ka iwi iwi - hiki i ka mea hope ke hoʻokuʻu mua i nā RBC.

Hemolytic anemia

ʻO ka hememia hememia kahi ʻano anemia e kū ana ke hiki ʻole i kou kino ke hoʻohua i nā RBC ke luku ʻia lākou.


Hiki i nā ʻano he nui ke kumu i ka luku ʻia ʻana o RBC a alakaʻi i ka hemolytic anemia. ʻO kekahi mau kūlana, e like me ka thalassemia, ke kumu i nā RBC kīnā ʻole, a hiki ke alakaʻi i ka hemolytic anemia. ʻO kēia mau ʻano ʻelua i kumu e hoʻonui ai i ka huli o nā RBC a me polychromasia.

ʻO Paroxysmal hemoglobinuria nocturnal (PNH)

ʻO Paroxysmal nocturnal hemoglobinuria (PNH) kahi maʻi koko laha ʻole e hiki ai i ka hemolytic anemia, ke kahe o ke koko, a me ka maikaʻi ʻole o ka iwi iwi.

Me kēia maʻi, ʻoi aku ka loli ʻana o RBC i ka hemolytic anemia. Hiki i ka iwi o ka iwi ka hana ke kumu e overcompensate a hoʻokuʻu i nā RBC i ka wanaʻao. Hiki i nā mea ʻelua ke alakaʻi i ka polychromasia ma nā hopena smear o ke koko.

Nā maʻi ʻaʻai ʻē aʻe

ʻAʻole pili nā maʻi āpau i ka huli RBC. Eia nō naʻe, hiki i nā maʻi maʻi koko ke hoʻololi nui i ke olakino o kāu mau huna koko.

ʻO kekahi mau maʻi maʻi koko, e like me ka leukemia, hoʻomaka ma ka iwi iwi a hiki ke hoʻohuli nui i ka hana RBC. Eia hou, ke pālahalaha ʻia kekahi ʻano maʻi ʻaʻai ma ke kino, hiki iā ia ke hoʻopau hou i nā RBC. Hōʻike paha kēia mau ʻano ʻohe i ka polychromasia i ka wā o ka hoʻāʻo ʻana i ke koko.

Lapaʻau hoʻomākala

ʻO ka radiation radiation kahi koho lapaʻau koʻikoʻi no ka maʻi ʻaʻai. Eia nō naʻe, ʻaneʻane pau loa nā ʻano o ka mālama ʻana i ka maʻi ʻaʻai i nā hunaola ʻelua a me nā ʻola olakino.

I kekahi mau hihia, hiki i ka radiation radiation ke hoʻololi i ke ʻano o nā huna koko. Hiki i kēia ke alakaʻi i ka polychromasia ke ho'āʻo hou ʻia kou koko.

Nā ʻōuli e pili pū me polychromasia

ʻAʻohe mau hōʻailona e pili pono me polychromasia. Eia nō naʻe, aia kekahi mau hōʻailona e pili ana i nā kūlana kumu e kumu ai ka polychromasia.

Nā ʻōuli o ka hemolytic anemia

ʻO nā ʻōuli o ka hemolytic anemia me:

  • ʻili mae
  • lightheadedness a ʻūpā paha
  • nāwaliwali
  • huikau
  • palpitations puʻuwai
  • hoʻonui ākea a i ʻole ʻūhā

Nā ʻōuli o paroxysmal nocturnal hemoglobinuria

Nā ʻōuli o paroxysmal nocturnal hemoglobinuria:

  • nā ʻōuli o ka hemolytic anemia (i helu ʻia ma luna)
  • nā maʻi hou
  • pili koko
  • huʻi koko

Nā ʻōuli o nā maʻi ʻaʻai koko

ʻO nā ʻōuli o nā maʻi ʻaʻai koko pū kekahi:

  • puhū pō
  • lilo kaumaha kaumaha ʻole
  • ʻeha iwi
  • pehu lymph node
  • hoʻonui ākea a i ʻole ʻūhā
  • fiva a me nā maʻi mau

Inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli, makemake paha kāu kauka e holo i kekahi mau hoʻokolohua koko e hoʻoholo inā aia kekahi o nā ʻano pili e pili ana.

I kēlā manawa, hiki iā lākou ke kuhikuhi i nā polychromasia ma ke kahe o ke koko inā aia. Eia nō naʻe, he mea nui e hoʻomanaʻo i ka polychromasia ʻaʻole wale ke ala e ʻike pono ai i kēia mau ʻano, a no laila ʻaʻole paha e haʻi aku kāu kauka iā ia ma ke kuhi.

Pehea e mālama ai i ka polychromasia

ʻO ka mālama ʻana no polychromasia kaukaʻi ʻia i ke ʻano o ka maʻi maʻi koko ke kumu iā ia. Hiki i nā koho lapaʻau ke hoʻopili ʻia:

  • hoʻoliʻiliʻi koko, hiki ke kōkua i ka hoʻihoʻi ʻana i ka helu RBC i nā ʻano e like me ka anemia
  • nā lāʻau, e like me nā mea ulu, hiki ke hoʻoulu i ka hana RBC
  • immunotherapy, e mālama i nā maʻi a me nā kūlana i hoʻopau i ka helu RBC
  • chemotherapy, no ka mālama ʻana i nā maʻi ʻaʻai e hoʻopili i ka helu RBC
  • hoʻoiho iwi, no nā kūlana koʻikoʻi e pili ana i ka hana ʻana o ka iwi iwi

Inā ua hōʻoia ʻia ʻoe me nā ʻano o nā kumu e hiki ai ke kumu i ka polychromasia, e kamaʻilio me kāu kauka e pili ana i nā koho ʻoi aku ka palekana, maikaʻi loa nāu.

Nā lawe lawe kī

Hiki i ka Polychromasia ke hōʻailona o kahi maʻi koko koʻikoʻi, e like me ka hemolytic anemia a i ʻole ke kanesa maʻi koko.

ʻO Polychromasia, a me nā maʻi koko kikoʻī e hoʻokumu iā ia, hiki ke ʻike ʻia ma o ka hoʻāʻo ʻana i ke koko. ʻAʻohe hōʻailona no polychromasia ponoʻī. Eia nō naʻe, hiki i nā kumu kumu i ka polychromasia ke hana i nā ʻano ʻokoʻa ʻokoʻa.

Inā loaʻa iā ʻoe ka polychromasia, he mea nui e hui me ke kauka e hōʻoia i ke ʻano o ke kumu a kūkākūkā i nā koho lapaʻau.

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