Hematocrit - hoemiia kaʻilikai, a me ka mahuahua kōmi

Hematocrit o ka like ana (pakeneka) o erythrocytes mai ke koko ka leo (huina). Kēia 'inideka Hōʻike' o ka lākiō o ka wai koko ka leo a me kaʻulaʻula koko aeea ka leo. No ka laʻana, he ahonui i mea i loko o ka moku'āina o ka hawewe, ua hoʻemi hematocrit hiki ole lawe wahi, oiai i ka hopena o ke koko poino, hiki e hoemiia ka helu o kaʻulaʻula koko keena ma ka mau. No laila, i ka pakeneka hiki ole e ia, ke kālailaiʻana i ke degere o ka anaemia i loko o ka wā e hiki kokoke ma hope o ke koko transfusion a me ke koko me keia poho.

Hematocrit i e lalo, a, ina ma ka hoʻopio aku i mea o loko o ka hoʻomanawanui i loko o ka supine kulana. Hooloihi ae i compressive tourniquet aa koko hiki e malama wahahee ke kiekie hopena. Wahahee Low hematocrit hiki no hoi ia ma muli o ka dilution o ke koko. Kēia ka hana i ka wā i ke koko hāpana ua lawe mai ka hookahi lala, a uaʻano koke mua intravenous infusion.

Hoʻoholo 'ana o ka pakeneka o kaʻulaʻula koko keena ma ka wai koko buke, a me ka ano anakahi kōkua i loko o kaʻike, o ka maʻi he nui, o ka oi aku ina mea e pili i ka loli ma ka hemoglobin. Au e olelo aku i ka Ka Ikepili kaawale o ka hemoglobin pae e hoʻolako i ka nui o ka 'ike. Ke ana o keia anakahi i loko o ka huipūʻana me ke ano anakahi o kaʻulaʻula koko keena, a hematocrit 'oi aku ka nui piha nānaina o ke koko ke ano.

No ka laʻana, aia no he koko hoao me hoemiia hemoglobin. It E e kaulana ia ia he 'inideka i e ma muli o ia mau kumu. Nā kumumea ke hana a me ka hao deficiency anaemia, a me ka anaemia pili me ka occult koko a me ke kiekie hemolysis. Ma hope o Noho hou noiʻi, e hiki e hōʻike ana i ke kumu o ka anaemia i ia i ka lilo o kaʻulaʻula koko keena, a me kona no, niioaaonoaaiii, - he hoemiia hematocrit. Wā o ka waihoʻoluʻu 'inideka, kuhikuhi aʻe' ana i loko o ka hoʻololi kemikala o hemoglobin. Ua apono 'oe e hoʻoholo i ka mea a me kēia mea anaemia: hyperchromic, hypochromic paha normochromic.

Normal hematocrit i loko o nā mākua a me nā keiki, ua okoa na kanaka a me na wahine. No laila, no ka laʻana, ka mea, ua manaoia maʻamau 'inideka 33.0-44.5% i loko o nā kānaka, a 38.0-49.0% no ka wahine ma waena o nā makahiki o ka iwakalua a me ka iwakalua-kumamaiwa makahiki.

Hematocrit no ka anemia ua wehewehe aku ma ka ho'ēmi i kā i i kauoha ia e ke emi ma ka helu o nā erythrocytes. e pili mau Hawaii, e like me ka rula, me ke koko poho paha hemolysis. Hematocrit i e lalo, a ma na kumu a hoʻonāukiuki he mahuahua i loko o ke koko buke. Ua Ua hookahakaha i hāpai keiki giperalbunemii a me ka paʻakai hoʻohana i ka nui mea.

hiki e hoemiia ke ano hōʻike 'ia nei me ka emi ma ka hemoglobin hoʻololi kemikala. Ua hiki aku i ka emi i loko o ka lehulehu o ka hemoglobin i loko oʻulaʻula koko keena. Hoemiia ka waihoʻoluʻu 'inideka mea kekahi ano no ke ano ma i ka ka ho'ēmiʻana i ka nui o ka erythrocytes ia lŘlŘ (microcytosis). Ka hoʻomaikaʻi i ka waihoʻoluʻu 'inideka ua malamaia ma ka macrocytosis. Ma keia hihia, a mahuahua nui ulaula koko aeea a be oi hemoglobin. O kŰia ua malamaia ma folate deficiency anaemia, hypothyroidism, loaa cytotoxic ai '.