Anemia (hōʻuluʻulu manaʻo)
Hāʻawi kēia pepa i ka ʻike e pili ana i ka anemia a me kāna mau ʻano like ʻole. No ka ʻike hou aku e pili ana i ka anemia deficiency iron (iron deficiency) a me ka anemia deficiency vitamin B12, e ʻike i kā mākou pepa ʻoiaʻiʻo ma ke kumuhana. |
kaanemia he pilikia olakino maʻamau i hōʻike ʻia e a nele i ke koko ʻulaʻula. ʻO ke koko ʻulaʻula nā pūpū i loaʻa i loko o ke koko. Hoʻohana ʻia lākou, ma waena o nā mea ʻē aʻe, e hāʻawi i ka oxygen i nā ʻiʻo a me nā ʻāpana.
Hiki i ka poʻe me ka anemia ke manaʻo ua luhi et pau ka mahu ʻoi aku ka maʻalahi ma mua o ka maʻamau, no ka mea, pono e hana ikaika ko lākou naʻau e hoʻolako i ko lākou kino me ka oxygen.
Wahi a ka World Health Organization, 25% o ka heluna kanaka o ka honua i loaʻa i ka anemia1. ʻO ka hapalua o kēia mau hihia i manaʻo ʻia e pili ana nele meaʻai i loko Ka hao. na wahine he mau manawa kaumaha, keiki a ʻO nā kamaliʻi liʻiliʻi a me nā wahine hāpai ka nui o ka pilikia o ka anemia.
Ke ola o ke koko ʻulaʻula Hoʻopuka nā puʻupaʻa i kahi hormone,erythropoietin, ka mea e hana ai ka iwi iwi i ke koko ʻulaʻula hou. Ke kaapuni nei keia mau globules i ke koko no 120 la. A laila, luku ʻia lākou i loko o ka spleen. I kēlā me kēia lā, hoʻololi hou ʻia ka 1% o nā ʻulaʻula. |
Nā kumu
Hiki i kekahi mau kūlana ke hoʻoulu i ka anemia.
- A pauʻa hao.
- A kakaumoa vitamin.
- A maʻi maʻi a i ʻole ka maʻi iwi iwi.
- A maʻi maʻi genetika, e alakaʻi ana i kahi laʻana i ka luku wikiwiki ʻana o nā ʻulaʻula ʻulaʻula.
- A ʻo ka hemorrhage, ʻo ia hoʻi, he kahe koko ma waho o nā kīʻaha koko.
ʻO ke koko ʻulaʻula, hao a me ka hemoglobin ʻO nā keʻena koko ʻulaʻula ka mea nui o ke kokohemoglobin. Hoʻokumu ʻia ka Hemoglobin me kahi protein (globin) a me kahi puaʻa (heme). ʻO ia ka mea e hāʻawi i ka ʻulaʻula i ke koko. He hao paa ka mea e lawe ai i ka oxygen mai nā akemāmā a i nā pūnaewele. Pono ka oxygen no ka hana ʻana i ka ikehu i loko o nā pūnaewele a hiki i nā kino ke hana i kā lākou mau hana. ʻO ka puaʻa i hoʻopaʻa ʻia i ka oxygen e lawe i kahi ʻulaʻula ʻulaʻula a kaʻapuni i ka nā kiʻi. Lawe pū ʻo Hemoglobin i ke kalapona ʻokikene (ka ʻōpala mai ka puhi ʻana o ka oxygen) mai nā cell a i ka māmā. A laila lilo ia i ʻulaʻula ʻulaʻula a kaʻapuni i ka ʻalalāʻau. |
ʻO nā ʻano nui o ka anemia
- Anemia hemahema hao. ʻO ia ke ʻano maʻamau o ka anemia. ʻO nā wā kaumaha a me ka ʻai haʻahaʻa i ka hao ke kumu maʻamau. Hoʻololi ka anemia deficiency i ka nui o nā keʻena koko ʻulaʻula, a lilo i mea liʻiliʻi ma mua o ka maʻamau (microcytic anemia). No ka ʻike hou aku, e ʻike i kā mākou Iron Deficiency Anemia fact sheet.
- Anemia ma muli o ka nele o ka huaora. ʻO kēia ʻano anemia e hoʻopuka ana i nā pūnaʻi koko ʻulaʻula nui loa (macrocytic anemia). ʻO ka mea maʻamau ka mea i loaʻa ma muli o ka nele o ka huaora B12 a i ʻole ka huaora B9 (ʻakika folic). Hiki ke hana mua ma muli o ka lawa ʻole o ka ʻai ʻana o kēia huaora, ka ʻai ʻole ʻana i ka ʻōpū, a i ʻole kahi maʻi i kapa ʻia he anemia pernicious. No ka ʻike hou aku, e ʻike i kā mākou B12 deficiency anemia fact sheet.
- Anemia ma muli o ka ma'i mau. ʻO nā maʻi maʻi mau loa (a i kekahi manawa kā lākou lapaʻau ʻana) hiki ke hōʻemi i ka nui o nā keʻena koko ʻulaʻula e holo ana i loko o ke koko. ʻO kēia ka hihia me ka maʻi kanesa, ka maʻi Crohn a me nā maʻi ʻeha e like me ka rheumatoid arthritis. Hiki ke hoʻoulu ʻia ka maʻi anemia no ka mea e hūnā ana nā puʻupaʻa i ka erythropoietin, ka hormone e hoʻoulu ai i ka hana ʻana o nā ʻāpana koko ʻulaʻula. Eia nō naʻe, paʻa kēia mau mea i ko lākou nui maʻamau a me nā hiʻohiʻona (normocytic anemia).
- Anemia hemorrhagic. ʻO ke kahe koko nui ma hope o kahi pōʻino koʻikoʻi, ʻokiʻoki a hānau keiki paha, no ka laʻana, hiki ke hoʻoulu koke i ka anemia. Hiki ke alakaʻi i kekahi pilikia o ka ʻōpū (ka maʻi peptic, polyps intestinal a i ʻole ka maʻi maʻi colorectal), akā i kēia manawa ke kumu o ka emi iki ʻana o ke koko i loko o ka waihona (i kekahi manawa ʻike ʻole ʻia), no ka manawa lōʻihi.
- Hemolytic anemia. Hōʻike ʻia kēia ʻano anemia e ka luku wikiwiki ʻana i nā ʻāpana koko ʻulaʻula. Hiki ia ma muli o ka hopena o ka ʻōnaehana pale (autoimmune a i ʻole ka maʻi maʻi), i ka loaʻa ʻana o nā toxins i loko o ke koko, i nā maʻi (no ka laʻana, malaria), a i ʻole he congenital (sickle cell anemia, thalassemia, etc.). Hoʻopilikia nui ka ʻano congenital i nā poʻe o ka ʻApelika.
- Anemia sideroblastic. Hoʻopili kēia huaʻōlelo i kahi pūʻulu o nā anemias loaʻa ʻole kahi hiki ʻole i ke koko ʻulaʻula ke hoʻoponopono i ka hao i loko o ka hemoglobin. He pilikia enzymatic kēia no ka hoʻoilina a i loaʻa paha. ʻOi aku ka liʻiliʻi o ke koko ʻulaʻula ma mua o ka maʻamau.
- Anemia anplastic (a i ʻole aplastic). Loaʻa kēia maʻi kakaʻikahi i ka wā ʻaʻole e hoʻohua hou ka iwi iwi i nā pūnaʻi koko. No laila, ʻaʻole wale ka nele o nā ʻulaʻula ʻulaʻula, akā pū kekahi o nā keʻokeʻo keʻokeʻo a me nā platelets koko. I ka 50% o nā hihia, hoʻokumu ʻia ka anemia aplastic e nā mea ʻawaʻawa, kekahi mau lāʻau lapaʻau a i ʻole ka ʻike ʻana i ka radiation. Hiki ke wehewehe ʻia e nā maʻi koʻikoʻi, e like me ke kanesa o ka iwi iwi (no ka laʻana, leukemia).
PalekanaEND_LINK
No ka mea ʻaʻole hiki i kekahi ke hilinaʻi i nā hōʻailona wale nō e hoʻokumu i kahi PalekanaEND_LINK, pono e hana i kahi hoʻokolohua hoʻokolohua o a hāpana koko. ʻO ka helu koko piha (helu koko piha) ke kauoha maʻamau e ke kauka.
Eia nō 3 mau palena nui :
- Hemoglobin pae : ke kuʻina o ka hemoglobin (ka puaʻa hanu i loko o ke koko ʻulaʻula) i loko o ke koko, i hōʻike ʻia ma ka grams o ka hemoglobin no ka lita o ke koko (g / l) a i ʻole 100 ml o ke koko (g / 100 ml a i ʻole g / dl ).
- pae hemacrit : ka lakio, i hōʻike ʻia ma ke ʻano pākēneka, o ka leo i noho ʻia e nā keʻena koko ʻulaʻula o kahi hāpana koko (i hele ma ka centrifuge) e pili ana i ka nui o ke koko holoʻokoʻa i loko o kēia hāpana.
- Helu koko ʻulaʻula : ka heluna o ke koko ʻulaʻula i loaʻa i loko o ka nui o ke koko, i hōʻike maʻamau ʻia i loko o nā miliona o ke koko ʻulaʻula ma ka microliter o ke koko (miliona / µl).
Nā waiwai maʻamau
kiko'î | Wahine makua | Kane makua |
Ka pae hemoglobin maʻamau (i ka g / l) | 138 ± 15 | 157 ± 17 |
ʻO ka pae hemaocrit maʻamau (i loko o%) | 40,0 ± 4,0 | 46,0 ± 4,0 |
Helu koko ʻulaʻula (ma miliona / µl) | 4,6 ± 0,5 | 5,2 ± 0,7 |
hoʻopuka. ʻO kēia mau waiwai no ka hemoglobin a me ka hematocrit ka mea maʻamau no 95% o nā kānaka. ʻO kēia ke ʻano he 5% o nā poʻe i loaʻa nā waiwai "non-standard" i ke olakino maikaʻi. Eia hou, hiki i nā hopena ma nā palena haʻahaʻa o ka maʻamau ke hōʻike i ka hoʻomaka ʻana o ka anemia inā ʻoi aku ka kiʻekiʻe.
kekahi nā ho'āʻo toto hiki ke koi ʻia i mea e wehewehe ai i kahi hōʻailona a e ʻike i ke kumu o ka anemia. Ma muli o ka hihia, ka nānā ʻana o ka decals ʻulaʻula ʻulaʻula, the dosage of Ka hao a i ʻole ʻokoʻa nā wikamina i ke koko, etc.