He aha ka hemoglobin (Hb, Hb)?
ʻO Hemoglobin (Hgb, Hb) kahi protein i loko o nā ʻāpana koko ʻulaʻula e lawe ana i ka oxygen mai nā māmā i nā ʻiʻo o kou kino a hoʻihoʻi i ke kalapona ʻokikene mai nā ʻiʻo i kou mau māmā.
Ua hana ʻia ʻo Hemoglobin me ʻehā mau molekala protein (mau kaulahao globulin) i hoʻopili ʻia. Loaʻa i kēlā me kēia kaulahao globulin kahi hui porphyrin hao koʻikoʻi i kapa ʻia ʻo heme. Hoʻokomo ʻia i loko o ka hui heme kahi ʻātoma hao he mea nui i ka lawe ʻana i ka oxygen a me ke kalapona ʻokikene i loko o ko kākou koko. ʻO ka hao i loko o ka hemoglobin ke kuleana no ke kala ʻulaʻula o ke koko.
He kuleana koʻikoʻi ko ka Hemoglobin i ka mālama ʻana i ke ʻano o nā hunaola koko ʻulaʻula. Ma ko lākou ʻano maoli, he poepoe nā hunaola koko ʻulaʻula me nā kikowaena haiki e like me ka donut me ka ʻole o ka lua ma waena. No laila, hiki i ke ʻano hemoglobin maʻamau ʻole ke hoʻopilikia i ke ʻano o nā hunaola koko ʻulaʻula a keakea i kā lākou hana a me ke kahe ʻana ma o nā kīʻaha koko.
No ke aha i hana ʻia ai
Hiki ke loaʻa iā ʻoe kahi hoʻāʻo hemoglobin no kekahi mau kumu:
- No ka nānā ʻana i kou olakino holoʻokoʻa.Hiki i kāu kauka ke hoʻāʻo i kou hemoglobin ma ke ʻano he ʻāpana o ka helu koko piha i ka wā o ka hoʻokolokolo lapaʻau maʻamau e nānā i kou olakino laulā a e nānā no nā ʻano maʻi like ʻole, e like me ka anemia.
- No ka ʻike ʻana i kahi maʻi.Hiki i kāu kauka ke kuhikuhi i kahi hoʻāʻo hemoglobin inā ʻoe e ʻike nei i ka nāwaliwali, ka luhi, ka pōkole o ka hanu a i ʻole ka poniuniu. Hiki i kēia mau hōʻailona a me nā ʻōuli ke kuhikuhi i ka anemia a i ʻole polycythemia vera. Hiki i kahi hoʻāʻo hemoglobin ke kōkua i ka ʻike ʻana i kēia mau maʻi a i ʻole nā kūlana olakino ʻē aʻe.
- No ka nānā ʻana i kahi kūlana olakino.Inā ua ʻike ʻia ʻoe me ka anemia a i ʻole polycythemia vera, hiki i kāu kauka ke hoʻohana i kahi hoʻāʻo hemoglobin e nānā i kou kūlana a alakaʻi i ka lāʻau lapaʻau.
He aha nāmaʻamaunā pae hemoglobin?
Ua hōʻike ʻia ka pae hemoglobin ma ke ʻano he nui o ka hemoglobin ma nā gram (gm) no ka deciliter (dL) o ke koko holoʻokoʻa, ʻo ka deciliter he 100 milliliters.
ʻO nā pae maʻamau no ka hemoglobin e pili ana i ka makahiki a, e hoʻomaka ana i ka wā ʻōpio, ke kāne o ke kanaka. ʻO nā pae maʻamau:
Hiki ke ʻokoʻa iki kēia mau waiwai a pau ma waena o nā keʻena hoʻokolohua. ʻAʻole hoʻokaʻawale kekahi mau keʻena hoʻokolohua ma waena o nā waiwai hemoglobin pākeke a me "ma hope o ka makahiki waena". Ua ʻōlelo ʻia nā wahine hāpai e pale i nā pae hemoglobin kiʻekiʻe a me haʻahaʻa e pale aku i ka hoʻonui ʻia o nā pilikia o ka hānau keiki make (hemoglobin kiʻekiʻe - ma luna o ka pae maʻamau) a me ka hānau mua ʻana a i ʻole ke kaumaha haʻahaʻa o ka pēpē hānau (hemoglobin haʻahaʻa - ma lalo o ka pae maʻamau).
Inā hōʻike kahi hoʻāʻo hemoglobin ua haʻahaʻa kou pae hemoglobin ma mua o ka maʻamau, ʻo ia hoʻi he haʻahaʻa kou helu koko ʻulaʻula (anemia). Hiki i ka anemia ke loaʻa nā kumu like ʻole, me ka nele o nā huaora, ke kahe koko a me nā maʻi maʻi mau.
Inā hōʻike kahi hoʻokolohua hemoglobin i kahi pae kiʻekiʻe ma mua o ka maʻamau, aia kekahi mau kumu kūpono - ka maʻi koko polycythemia vera, ke noho ʻana ma kahi kiʻekiʻe, ka puhipaka a me ka dehydration.
Nā hopena haʻahaʻa ma mua o ka maʻamau
Inā haʻahaʻa kou pae hemoglobin ma mua o ka maʻamau, loaʻa iā ʻoe ka anemia. Nui nā ʻano o ka anemia, kēlā me kēia me nā kumu like ʻole, hiki ke komo pū me:
- Ka nele i ka hao
- Ka nele o ka wikamina B-12
- Ka nele o ka folate
- Ke kahe ʻana o ke koko
- Nā maʻi ʻaʻai e hoʻopilikia ai i ka iwi iwi, e like me ka leukemia
- Maʻi puʻupaʻa
- Maʻi akepaʻa
- ʻO ka hypothyroidism
- ʻO Thalassemia - kahi maʻi genetic e hoʻoulu ai i nā pae haʻahaʻa o ka hemoglobin a me nā ʻula koko ʻulaʻula
Inā ua ʻike mua ʻia ʻoe me ka anemia, ʻo kahi pae hemoglobin i haʻahaʻa ma mua o ka maʻamau e hōʻike paha i ka pono e hoʻololi i kāu hoʻolālā lapaʻau.
Nā hopena kiʻekiʻe aʻe ma mua o ka maʻamau
Inā kiʻekiʻe aʻe kou pae hemoglobin ma mua o ka maʻamau, aia paha kēia mau hopena:
- ʻO ka Polycythemia vera - kahi maʻi koko kahi e hana ai kou iwi iwi i nā ʻula koko ʻulaʻula he nui loa
- Maʻi puʻupaʻa
- Ka maloʻo ʻana
- Ke noho nei ma kahi kiʻekiʻe
- Puhi nui
- Nā kuni
- Luaʻi nui
- Hoʻoikaika kino nui loa
Ka manawa hoʻouna: ʻApelila-26-2022