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He aha ka hemoglobin (Hgb, Hb)?

ʻO ka Hemoglobin(Hgb, Hb) he pūmua i loko o nā pūnaʻi koko ʻulaʻula e lawe ana i ka oxygen mai ka māmā i nā ʻiʻo o kou kino a hoʻihoʻi i ke kalapona mai nā ʻiʻo i kou māmā.

Hoʻokumu ʻia ka Hemoglobin i ʻehā mau molekole protein (mau kaulahao globulin) i hoʻopili pū ʻia.Loaʻa i kēlā me kēia kaulahao globulin kahi pūhui porphyrin nui i loko o ka hao i kapa ʻia he heme.Hoʻokomo ʻia i loko o ka pūhui heme he ʻātoma hao i mea nui i ka lawe ʻana i ka oxygen a me carbon dioxide i loko o ko mākou koko.ʻO ka hao i loko o ka hemoglobin ke kuleana no ka ʻulaʻula o ke koko.

He kuleana koʻikoʻi nō hoʻi ʻo Hemoglobin i ka mālama ʻana i ke ʻano o ke koko ʻulaʻula.Ma ko lākou ʻano maoli, he poepoe nā ʻāpana koko ʻulaʻula me nā kikowaena haiki e like me ka donut me ka lua ʻole ma waena.No laila, hiki i ka hana hemoglobin kūpono ʻole ke hoʻopau i ke ʻano o nā keʻena koko ʻulaʻula a keʻakeʻa i kā lākou hana a kahe i loko o nā kīʻaha koko.

 

No ke aha i hana ʻia ai

Loaʻa paha iā ʻoe kahi hōʻike hemoglobin no nā kumu he nui:

  • E nānā i kou olakino holoʻokoʻa.Hiki i kāu kauka ke hoʻāʻo i kou hemoglobin ma ke ʻano he helu koko piha i ka wā o kahi hoʻokolohua lapaʻau maʻamau e nānā i kou olakino āpau a nānā i nā ʻano maʻi like ʻole, e like me ka anemia.
  • No ka ʻike ʻana i kahi maʻi maʻi.Hiki i kāu kauka ke hōʻike i ka hoʻāʻo hemoglobin inā loaʻa ʻoe i ka nāwaliwali, luhi, pōkole o ka hanu a i ʻole ʻūlū.Hiki i kēia mau hōʻailona a me nā hōʻailona ke kuhikuhi i ka anemia a i ʻole polycythemia vera.Hiki i ka ho'āʻo hemoglobin ke kōkua i ka hōʻoia ʻana i kēia a i ʻole nā ​​maʻi 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 ka hoʻāʻo hemoglobin e nānā i kou kūlana a alakaʻi i ka mālama ʻana.

 

He aha nāmaʻamauka pae hemoglobin?

Hōʻike ʻia ka pae hemoglobin e like me ka nui o ka hemoglobin i nā grams (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:

信图片_20220426103756

Hiki ke ʻokoʻa iki kēia mau waiwai a pau ma waena o nā laboratories.ʻAʻole hoʻokaʻawale kekahi mau hale hana ma waena o ke kanaka makua a me ka helu hemoglobin "ma hope o ka makahiki waena".Paipai ʻia nā wahine hāpai e pale i nā pae hemoglobin kiʻekiʻe a me ka haʻahaʻa no ka pale ʻana i ka piʻi ʻana o ka hānau ʻana (hemoglobin kiʻekiʻe - ma luna o ka pae maʻamau) a me ka hānau mua ʻana a i ʻole ka pēpē haʻahaʻa haʻahaʻa (hemoglobine haʻahaʻa - ma lalo o ka pae maʻamau).

Inā hō'ike ka ho'ā'o hemoglobin he ha'aha'a kou pae hemoglobin ma mua o ka mea ma'amau, 'o ia ho'i, he ha'aha'a kou helu koko 'ula'ula (anemia).Hiki i ka anemia ke loaʻa nā kumu like ʻole, me ka hemahema o ka huaora, ke koko a me nā maʻi maʻi.

Inā hōʻike ka hōʻike hemoglobin i kahi kiʻekiʻe ma mua o ka pae maʻamau, aia kekahi mau kumu kūpono - ka maʻi koko polycythemia vera, e noho ana ma kahi kiʻekiʻe, puhi a me ka wai maloʻo.

Haʻahaʻa ma mua o nā hopena maʻamau

Inā haʻahaʻa kou pae hemoglobin ma mua o ka maʻamau, he anemia kou.Nui nā ʻano anemia, ʻo kēlā me kēia me nā kumu like ʻole, hiki ke komo:

  • Ka nele i ka hao
  • Ka nele o ka Vitamin B-12
  • Ka nele o ka folate
  • Ke koko
  • ʻO nā maʻi maʻi e pili ana i ka iwi iwi, e like me ka leukemia
  • ʻO ka maʻi kīpē
  • ʻO ka maʻi ate
  • Hypothyroidism
  • ʻO Thalassemia - kahi maʻi genetic e hoʻohaʻahaʻa ai i ka pae o ka hemoglobin a me nā ʻulaʻula ʻulaʻula

Inā ua ʻike mua ʻia ʻoe me ka anemia, hiki i ka pae hemoglobin haʻahaʻa ma mua o ka maʻamau ke hōʻike i ka pono e hoʻololi i kāu hoʻolālā lapaʻau.

ʻOi aku ka kiʻekiʻe ma mua o nā hopena maʻamau

Inā ʻoi aku ka nui o ka hemoglobin ma mua o ka maʻamau, ʻo ia paha ka hopena o:

  • Polycythemia vera - he maʻi koko kahi e hana ai kou iwi iwi i nā ʻulaʻula he nui loa
  • ʻO ka maʻi māmā
  • Dehydration
  • Noho ma kahi kiʻekiʻe
  • Puhi nui
  • Puhi
  • Ka luaʻi nui
  • Hooikaika kino loa

Ka manawa hoʻouna: Apr-26-2022