Hōʻoiaʻiʻo Serum Hemoglobin

Anter

• No ke aha e kauoha ʻia ai kahi Serum Hemoglobin Test?
• He aha ka hemolytic anemia?
• Anemia hemolytic Extrinsic
• Anemia hemolytic intrinsic
• Pehea e hoʻokau ʻia ai ka hōʻike?
• Nā hopena hōʻike o ka Serum Hemoglobin
• Nā hopena maʻamau
• Nā hopena kūpono ʻole
• Nā Pilikia o ka Serum Hemoglobin Test

He aha ka hōʻike Hemollobin Serum?

ʻO ke ana ʻana o ka hemoglobin serum ke ana i ka nui o ka hemoglobin e lana manuahi ana i kāu serum koko. ʻO ka serum ka wai i koe ke waiho ʻia nā hunaola ʻulaʻula a me nā mea hoʻohui. ʻO Hemoglobin kahi ʻano o ka protein e hāpai ana i ka oxygen i loaʻa i loko o kāu mau ʻulaʻula.

ʻO ka maʻamau, aia nā hemoglobin āpau i kou kino i loko o kāu mau ʻulaʻula. Eia nō naʻe, hiki i kekahi mau kūlana ke kumu i kekahi o ka hemoglobin i loko o kāu serum. Kapa ʻia kēia he hemoglobin manuahi. Ana ke ana o ka hemoglobin serum i kēia hemoglobin manuahi.

Hoʻohana maʻamau nā kauka i kēia hoʻokolohua e diagnose a nānā i ka haki maʻamau o nā hunaola ʻulaʻula. Inā ua loaʻa iā ʻoe kahi hoʻololi o ke koko i kēia manawa, hiki i kēia hoʻokolohua ke nānā no ka hopena transfusion. ʻO kekahi kumu aʻe he hemolytic anemia. Inā loaʻa iā ʻoe kēia ʻano anemia, haki koke nā hunaola koko ʻulaʻula. ʻO kēia ke alakaʻi i nā kiʻekiʻe kiʻekiʻe-ma mua o ka maʻamau o ka hemoglobin manuahi i kou koko.

Kapa ʻia ka hoʻāʻo i kekahi manawa he hōʻike hemoglobin koko.

No ke aha e kauoha ʻia ai kahi Serum Hemoglobin Test?

Hiki i kāu kauka ke kauoha i kahi hōʻike hemoglobin serum inā ʻoe e hōʻike nei i nā ʻōuli o ka hemolytic anemia. Hana ʻia kēia ʻano ke wāwahi koke kou mau ʻulaʻula a ʻaʻole hiki i kou iwi iwi ke pani koke iā lākou.

Hiki paha i kāu kauka ke kauoha i kēia hōʻike inā ua hōʻoia ʻia ʻoe me ka hemolytic anemia. I kēia hihia, hiki i ka hōʻoia ke kōkua i kāu kauka e nānā i kāu ʻano.

He aha ka hemolytic anemia?

Aia he ʻelua ʻano hemolytic anemia.

Anemia hemolytic Extrinsic

Inā loaʻa iā ʻoe kahi anemia hemolytic extrinsic, hana i kou kino i nā ʻulaʻula koko maʻamau. Eia naʻe, ua luku ʻia lākou ma muli o ka maʻi, kahi maʻi autoimmune, a i ʻole kekahi ʻano maʻi ʻaʻai.

Anemia hemolytic intrinsic

Inā loaʻa iā ʻoe kahi anemia hemolytic intrinsic, hewa kou mau ʻulaʻula a lākou a wāwahi koke. ʻO ka anemia cell Sickle, thalassemia, anemia spherocytic congenital, a me ka hemahema G6PD nā ʻano āpau e hiki ai ke alakaʻi i ka hemolytic anemia.

Hoʻokumu nā ʻano ʻelua o ka hemolytic anemia i nā ʻōuli like. Eia nō naʻe, loaʻa paha iā ʻoe kahi mau hōʻailona hou inā hoʻokumu ʻia kāu anemia e kahi ʻano paʻa.

I nā wā mua o ka hemolytic anemia, ʻike paha ʻoe:

• nawaliwali
• huʻihuʻi
• huikau
• mumū
• luhi

Hiki iā ʻoe ke ʻike i ka hōʻeha poʻo.

Ke holo nei ke kūlana, e lilo ana kāu mau hōʻailona i mea koʻikoʻi. E melemele a pale paha kou ʻili, a lilo ka keʻokeʻo o kou mau maka i polū a melemele paha. Hiki i nā ʻōuli ʻē aʻe ke:

• nā kui kuʻi
• nā pilikia puʻuwai (kahi hoʻonui o ka puʻuwai a i ʻole ka namunamu o ka puʻuwai)
• mimi ʻeleʻele
• he lola hoʻonui
• he ake hoʻonui
• ʻeha ke alelo

Pehea e hoʻokau ʻia ai ka hōʻike?

Pono kahi hoʻokolohua hemoglobin serum i kahi liʻiliʻi o ke koko e huki ʻia mai kou lima a i kou lima. Lawe wale kēia hana i mau minuke:

1. E hoʻopili kāu mea olakino i kahi antiseptic i kahi e huki ʻia ai kou koko.
2. E nakinaki ʻia kahi paʻa paʻa a puni kou lima luna e hoʻonui i ka nui o ke kahe o ke koko i nā veins, e pehu ana. Māmā kēia i ka loaʻa ʻana o kahi aa koko.
3. A laila, e hoʻokomo ʻia kahi nila i kou aa. Ma hope o ka puki ʻia ʻana o ka aa, e kahe ke koko ma o ka nila i loko o kahi ʻōpala liʻiliʻi e pili ana iā ia. Hiki paha iā ʻoe ke huhū iki i ka wā e hele ai ke nila, akā ʻaʻole ʻeha ka hoʻāʻo iho.
4. I ka manawa e hōʻiliʻili ʻia ai ke koko, e hoʻoneʻe ʻia ke kui kele a hoʻopili ʻia kahi kaula sterile ma luna o ka pūnaewele puncture.

Hoʻouna ʻia ke koko i hōʻiliʻili ʻia i kahi lab no ka hoʻāʻo ʻana.

Nā hopena hōʻike o ka Serum Hemoglobin

Nā hopena maʻamau

Ana ʻia ka hemoglobin serum i ka gram o ka hemoglobin no ka deciliter o ke koko (mg / dL). Hoʻololi nā hopena lab a no laila e kōkua kāu kauka i ka hoʻoholo inā maʻamau kāu mau hopena a ʻaʻole paha. Inā hoʻi maʻamau kāu mau hopena, makemake paha kāu kauka e hana hou i ka hoʻāʻo.

Nā hopena kūpono ʻole

ʻO nā kiʻekiʻe kiʻekiʻe o hemoglobin i kāu serum he hōʻailona o ka hemolytic anemia. Nā kūlana e hiki ai ke hoʻohiolo i nā hunaola ʻulaʻula i ka ʻole ke komo, akā ʻaʻole kau palena ʻia i:

• anemia ʻili maʻi: kahi maʻi genetical e kumu i kou mau ʻulaʻula koko e paʻakikī a ʻano maʻamau
• Ka nele o G6PD: ke lawa ʻole kou kino i ka enzyme e hoʻohua i nā hunaola ʻulaʻula)
• maʻi hemoglobin C: kahi maʻi genetical e alakaʻi i ka hana ʻana o hemoglobin abnormal
• thalassemia: kahi maʻi genetical e hoʻopili i ka hiki i kou kino ke hana i ka hemoglobin maʻamau
• congenital spherocytic anemia: kahi maʻi o kāu mau membrane ʻulaʻula koko

Inā kūpono ʻole nā ​​hopena o kāu hoʻokolohua, e hana paha kāu mea mālama ola i nā hoʻokolohua hou aku e hoʻoholo pono i ke kumu o ka hemolytic anemia. ʻO kēia mau hoʻokolohua hou aʻe he koko maʻalahi a i ʻole he mimi hoʻāʻo, a i ʻole pili lākou i ka hoʻāʻo ʻana i kou iwi iwi.

Nā Pilikia o ka Serum Hemoglobin Test

ʻO nā pilikia wale nō i pili i kēia hoʻāʻo ka mea pili mau i ka huki koko. ʻO kahi laʻana, e ʻike paha ʻoe i ka ʻeha iki ke hoʻokomo ʻia ka nila i ke kiʻi ʻana i kou koko. Hiki paha iā ʻoe ke kahe iki i ka wā e hemo ai ka nila.

Kākaʻikahi ka hopena o ke kaha kiʻi i nā hopena koʻikoʻi, e like me ke kahe nui ʻana o ka toto, maule ʻana, a i ʻole kahi maʻi i ka pūnaewele puncture.