ʻO nā hanana maʻamau o ka hematopoiesis e hoʻokomo i ka erythrocytolysis, ka hematolysis a iʻole ka haemolysis. ʻO kēia keʻano o ka hoʻopihaʻana i ke ola o nā pūlaulaʻulaʻula, i kahi 120 mau lā. ʻO ka hemolysis o nā erythrocytes e mau ana i ke kino, me ka luku a me ka hoʻokuʻuʻana i ka hemoglobin hemoʻole, a laila lilo ia i bilirubin.
He aha ka hoʻonuiʻia o ka'ūpena o nā pūlaulaʻulaʻula?
ʻO ka maʻi hematolysis ka hopena o ka hoʻohālikelike o ke ola o nā kele uila. Ke emi nei kona lōʻihi ma muli o nā kumu likeʻole, a ua luku muaʻia nā erythrocytes. Ma muli o ka hopena, aia he ulu nui ma ka mahele o ka hemoglobin a me ka bilirubin, e lilo ka wai ola i loko o kaʻulaʻula'ōmaʻomaʻo a lilo i maʻalahi. ʻO kēiaʻanoʻikeʻia kekahi manawa i kapaʻiaʻo "ke koko koko".
Nā kumu o ka haʻalulu a iʻole ka luku erythrocyte
ʻO nā kumu e hoʻonāukiuki i ka erythrocytolysis pāhana e like paha:
1. ka nohona:
- kahi hapa ma ka hana o nā enzymes;
- ka hale i wāwahiʻia o ka membrane o nā pūpū koko koko, lipids a me nā proteins;
- ke kīpē hala o hemoglobin.
2. Kūʻaiʻia:
- nā lāʻauʻino a me ke kīponaʻole;
- nā hopena autoimmune;
- nā'ōpūʻona, nā mea kanu;
- nā pāpaʻi, ma keʻano o ka plasmodium malarial;
- ke kāpili hanaʻia;
- nā meaʻino make a me nā nahesa;
- lawe i kekahi mau lāʻau;
- hoʻokomo i ka pahuhopu naʻau;
- ka lāʻau ino lāʻau e ka lāʻau;
- ka transfusion o ke koko i loaʻaʻole.
Nā hōʻaiho o ka hoʻoheheʻeʻia o nā pūlaulaʻulaʻula
I nā wā mua o ka maʻi a inā he mālie,ʻaʻole kokoke i nā hōʻailona o ka maʻi. I kekahi manawa, aia ka nawaliwali, kekihueʻole, ke kani, e like me ke anuanu a me ke anu.
Laweʻia ka hemolysis nui o nā pūpū kokoʻulaʻula me nā hōʻike o ke kikowaena:
- nā maʻiʻeha;
- ka luhi, ka luhi;
- luaʻi;
- kaʻeha ma ka epigastrium, kaʻaoʻao'ākau ma lalo o ka'ūhāʻaoʻao, lalo lalo;
- ka hopuʻana i ka mimi ma kaʻulaʻula;
- piʻi ka mahana i 39 degrees;
- ʻikeʻia ka hoʻonuiʻana o ke ake, a hiki ke maʻalahi i kou mau manamana lima;
- ka hōʻanoʻana i kaʻili a me ka sclera;
- 'Olialio;
- nā hana kuʻi a me nā hana'ōkena;
- huhu;
- piʻi ka nui o ka naʻau;
- ka hana 'ana i ka thrombi a me ka maʻi maʻi pīpī;
- anemia.
No ka weheweheʻana i ka hematolysis ma muli o nā maʻi he hikiʻole, he mea pono ke hāʻawi i ke koko no ka hoʻoukaʻana, kahi i hoʻoholoʻia ai ka nui o ka hemoglobin a me bilirubin .