Hoʻokumu ʻia ko mākou koko i nā ʻāpana koko ʻulaʻula, nā keʻokeʻo keʻokeʻo, nā platelets a me kahi wai i kapa ʻia he plasma. ʻO ko mākou mau koko ʻulaʻula ke kumu i ʻulaʻula ai ko mākou koko, a loaʻa iā lākou ko lākou ʻulaʻula mai kahi protein i kapa ʻia he hemoglobin (Hb).
Hiki i ka anemia ke hōʻailona o nā maʻi maʻi koko, me kekahi mau subtypes o lymphoma. He hopena maʻamau nō hoʻi ia o ka mālama ʻana i ka maʻi maʻi e like me ka chemotherapy a me ka nui o ke kino irradiation (TBI). ʻO nā kumu ʻē aʻe o ka anemia ʻo ia ka haʻahaʻa haʻahaʻa o ka hao a i ʻole ka huaora B12, nā pilikia kīkī a i ʻole ke kahe koko.
ʻO ka maʻi anemia ka huaʻōlelo lapaʻau i hoʻohana ʻia inā ʻaʻole lawa nā ʻulaʻula ʻulaʻula a i ʻole hemoglobin i loko o kou koko.
He aha kāu e ʻike ai e pili ana i ke koko ʻulaʻula a me ka hemoglobin
Hana ʻia ke koko ʻulaʻula i loko o ko mākou iwi iwi - ʻo ka ʻāpana spongy waena o ko mākou mau iwi, a laila neʻe i loko o ko mākou kahawai koko.
ʻO ka Hemoglobin kahi pūmua ma ko mākou mau koko ʻulaʻula e ʻulaʻula.
Hoʻopili ka oxygen i ka hemoglobin ma ko mākou mau koko ʻulaʻula ke hele lākou i loko o ko mākou māmā. A laila hāʻule ke koko ʻulaʻula i ka oxygen i kēlā me kēia ʻāpana o ko mākou kino ke kahe ko mākou koko ma o lākou.
I ka hāʻule ʻana o ke koko ʻulaʻula mai ka oxygen, lawe pū lākou i nā ʻōpala e like me ke kalapona ʻokikene mai kēlā mau wahi. Lawe lākou i ka ʻōpala i ko mākou māmā i hiki iā mākou ke hanu.
Ke kahe ke koko i loko o ko mākou puʻupaʻa, ʻike ko mākou puʻupaʻa i ka nui o nā ʻulaʻula a me ka oxygen i loaʻa iā mākou. Inā hāʻule kēia pae, hoʻopuka ko mākou mau puʻupaʻa i kahi hormone i kapa ʻia he erythropoietin. A laila hoʻoulu kēia hormone i ko mākou iwi iwi e hana hou i nā ʻāpana koko ʻulaʻula.
ʻO kā mākou mau keʻena koko ʻulaʻula wale nō nā mea i loko o ko mākou kino ʻaʻohe nucleus. ʻO ka nucleus ka ʻāpana o kahi cell e lawe ana i kā mākou DNA a me RNA.
No ka mea, ʻaʻohe o lākou nucleus (a i ʻole ka DNA a me RNA i loko o lākou) ʻaʻole hiki iā lākou ke hana hou iā lākou iho (hana i kahi kelepona ʻē aʻe mai ka cell mua) a hoʻoponopono iā lākou iho i ka wā i poino.
Hana ko mākou iwi iwi ma kahi o 200 biliona mau ʻulaʻula i kēlā me kēia lā, a ola kēlā me kēia ma kahi o 3 mahina.
I ka wā e pono ai, hiki i kā mākou iwi iwi ke hoʻonui i ka nui o nā ʻulaʻula ʻulaʻula i hana ʻia i 8 mau manawa ʻoi aku ka nui ma mua o ka nui maʻamau.
He aha ka Anemia?
ʻO ka maʻi anemia ka huaʻōlelo lapaʻau no ke koko ʻulaʻula haʻahaʻa a me ka haemoglobin. ʻO Chemotherapy ke kumu nui o ka anemia ke mālama ʻoe i ka lymphoma. ʻO kēia ke kumu no ka hoʻopaʻa ʻana o ka chemotherapy i nā cell ulu wikiwiki, a ʻo ka mea pōʻino, ʻaʻole hiki iā ia ke haʻi i ka ʻokoʻa ma waena o nā pūnaewele olakino e ulu wikiwiki ana a me nā cell cancerous ulu wikiwiki.
E hoʻomanaʻo i luna, ua ʻōlelo mākou ua hana kā mākou iwi iwi i 200 biliona mau ʻulaʻula i kēlā me kēia lā? ʻO ia ka mea e lilo ai lākou i pahuhopu i manaʻo ʻole ʻia o ka chemotherapy.
Ke loaʻa iā ʻoe nā hōʻailona o ke koko haʻahaʻa ma muli o ka liʻiliʻi o nā sela i loko o kou koko, a me nā hōʻailona o Hypoxia (haʻahaʻa o ka oxygen pae). Pono ka oxygen e kēlā me kēia cell i loko o ko mākou kino e loaʻa ai ka ikehu e pono ai e hana.
Nā hōʻailona o ka anemia
- Ka luhi a me ka luhi - He ʻokoʻa kēia mai ka luhi maʻamau a ʻaʻole hoʻomaikaʻi ʻia me ka hoʻomaha a me ka hiamoe.
- Ka nele i ka ikehu a me ka nawaliwali ma na wahi a pau.
- ʻO ka pōkole o ka hanu ma muli o ka haʻahaʻa o ka oxygen.
- ʻO ka puʻuwai wikiwiki a me ka palpitations naʻau. Loaʻa kēia ma muli o ka hoʻāʻo ʻana o kou kino e loaʻa hou ke koko (a no laila ka oxygen) i kou kino. Pono kou puʻuwai e paʻi wikiwiki i ke koko a puni kou kino.
- Ke koko haʻahaʻa. E ʻoi aku ka lahilahi o kou koko no ka mea he liʻiliʻi kou mau sela, a ʻaʻohe manawa o kou puʻuwai e hoʻopiha piha ai i waena o nā kuʻi i ka wā e paʻi wikiwiki ana, e hāʻule ana ke koko.
- ʻO ka noʻonoʻo a i ʻole ke poʻo māmā.
- He wāwae.
- ʻEha ʻeha.
- Huikau a pilikia paha ka noonoo.
- ʻili haʻalulu. Hiki ke ʻike ʻia kēia ma loko o kou mau lihilihi.
- ʻO nā ʻiʻo ʻeha a i ʻole ka hui.
Ka mālama ʻana a me ka mālama ʻana i ka anemia
ʻO ka mālama ʻana i ka anemia ma muli o ke kumu. Inā ke kumu o kou anemia ma muli o:
- haʻahaʻa haʻahaʻa haʻahaʻa haʻahaʻa, pono paha ʻoe i nā mea hoʻohui hao e like me nā papa hao a i ʻole ka infusion hao - hāʻawi ʻia e kahi kulu i loko o kou kahe koko.
- haʻahaʻa haʻahaʻa o ka huaora B12, pono paha ʻoe i nā mea hoʻohui e like me ka papa a i ʻole ka injection.
- ʻAʻole hiki i kou mau puʻupaʻa ke lawa i ka hormone erythropoietin, a laila pono ʻoe i kahi injection me kahi ʻano synthetic o kēia hormone e hoʻoulu ai i kou iwi iwi e hoʻohua i nā ʻulaʻula hou aʻe.
Eia nō naʻe, inā loaʻa kāu anemia ma muli o kāu mālama ʻana i ka lymphoma he ʻokoʻa ka hoʻokele. ʻAʻole ke kumu no ka nele o kahi mea hiki ke hoʻololi. Ma muli o ka hoʻouka ʻia ʻana o kāu mau cell e kāu lapaʻau.
manawa
ʻAʻole pono ʻoe i kahi lapaʻau no kou anemia. Hāʻawi ʻia kāu chemotherapy i nā pōʻai me kahi manawa hoʻomaha ma waena o kēlā me kēia pōʻai, e hāʻawi i kou kino i ka manawa e hoʻololi ai i nā cell i luku ʻia.
Ke kahe koko
I kekahi mau hihia, pono paha ʻoe i ke kahe koko me packed red blood cell (PRBC). ʻO kēia ka wā e kānana ʻia ai ka hāʻawi koko o ka mea hāʻawi, a wehe ʻia nā keʻena koko ʻulaʻula mai ke koena o ke koko. A laila, loaʻa iā ʻoe kahi hoʻololi o ko lākou mau ʻulaʻula i loko o kou kahawai koko.
Lawe pinepine ʻia ka hoʻololi ʻana o PRBC ma waena o 1-4 mau hola. Eia naʻe, ʻaʻole loaʻa i nā halemai a pau kahi waihona koko ma ka pūnaewele, no laila hiki ke lohi ʻoiai ke hele mai ke koko mai kahi pūnaewele waho.
hōʻuluʻulu manaʻo
- ʻO ka anemia kahi hopena maʻamau o ka mālama ʻana i ka lymphoma, akā aia kekahi mau kumu ʻē aʻe.
- E pili ana ka lāʻau i ke kumu.
- Loaʻa i nā pūpū koko ʻulaʻula kahi protein i kapa ʻia he hemoglobin ma luna o lākou, e hāʻawi iā lākou i ko lākou ʻulaʻula.
- Hoʻopili ka oxygen i ka hemoglobin a lawe ʻia i nā wahi āpau o ko mākou kino ke kahe ke koko ma o lākou.
- Lawe pū nō hoʻi ke koko ʻulaʻula i nā mea ʻino e like me ka carbon dioxide mai ko mākou kino i ko mākou māmā e hanu ʻia.
- ʻO nā hōʻailona o ka anemia ma muli o ka loaʻa ʻana o ke koko ʻoi aku ka lahilahi, a ʻaʻole lawa ka oxygen e loaʻa ai nā sela i loko o ko mākou kino.
- Ke haʻahaʻa ko mākou ʻulaʻula a me ka oxygen, hoʻonui ko mākou mau puʻupaʻa i ka hormone erythropoietin e hoʻoulu i ko mākou iwi iwi e hana hou i nā ʻāpana koko ʻulaʻula.
- Pono paha ʻoe i ke kahe koko e hoʻonui i kāu mau ʻulaʻula.
- Inā he mau nīnau kāu e pili ana i ka anemia a i ʻole ka hoʻokahe koko, hiki iā ʻoe ke kelepona i kā mākou Lymphoma Care Nurses Monday-Friday 9am-4:30pm Easter Standard Time. Kaomi ma ke pihi hoʻokaʻaʻike mai iā mākou ma lalo o ka pale no nā kikoʻī pili.
