He aha te hemoglobin (HB)?


He aha te hemoglobin (Hgb, Hb)?

Ko te Hemoglobin (Hgb, Hb) he pūmua i roto i ngā toto whero e kawe ana i te hāora mai i ngā pukahukahu ki ngā kiko o tō tinana, ā, e whakahoki ana i te hauhā waro mai i ngā kiko ki ō pukahukahu.

E whā ngā ngota pūmua (mekameka globulin) e honoa ana te hemoglobin ki ia mekameka globulin. Kei roto i ia mekameka globulin he matū porphyrin kei roto he rino, e kiia nei ko te heme. Kei roto i te matū heme he ngota rino e whai wāhi nui ana ki te kawe i te hāora me te hauhā waro i roto i ō tātou toto. Ko te rino kei roto i te hemoglobin te take o te tae whero o te toto.

He mea nui anō hoki te mahi a te hemoglobin ki te pupuri i te āhua o ngā toto toto whero. I roto i tō rātou āhua tūturu, he porowhita ngā toto toto whero, he whaiti ngā pokapū, he rite ki te tōneti, kāore he kōhao i waenganui. Nō reira, ka taea e te hanganga hemoglobin rerekē te whakararuraru i te āhua o ngā toto toto whero, me te aukati i tā rātou mahi me te rere i roto i ngā uaua toto.

 

He aha i oti ai

Tērā pea he maha ngā take e whai whakamātautau hemoglobin ai koe:

  • Hei tirotiro i tō hauora whānui.Ka whakamātautau pea tō tākuta i tō hemoglobin hei wāhanga o te tatau toto katoa i te wā o te whakamātautau hauora o ia rā hei aroturuki i tō hauora whānui me te tirotiro mō ngā momo mate, pērā i te anemia.
  • Hei tautuhi i tētahi mate hauora.Mena kei te ngoikore koe, kei te ngenge, kei te poto te manawa, kei te pōuri rānei, ka tūtohu pea tō tākuta kia whakamātauria te hemoglobin. Tērā pea ka tohu ēnei tohu ki te anemia, ki te polycythemia vera rānei. Tērā pea ka āwhina te whakamātautau hemoglobin ki te tautuhi i ēnei mate hauora, i ētahi atu mate hauora rānei.
  • Hei aroturuki i tētahi āhua hauora.Mena kua tāpaetia koe he anemia, he polycythemia vera rānei, ka whakamahia pea e tō tākuta he whakamātautau hemoglobin hei aroturuki i tō āhua me te ārahi i te maimoatanga.

 

He aha ngānoangā taumata o te hemoglobin?

Ko te taumata o te hemoglobin e whakaatuhia ana ko te nui o te hemoglobin i roto i te karamu (gm) mo ia teririta (dL) o te toto katoa, ko te teririta he 100 miririta.

Ko ngā awhe noa mō te hemoglobin e whakawhirinaki ana ki te tau, ā, mai i te taiohitanga, ki te ira tangata o te tangata. Ko ngā awhe noa ko:

微信图片_20220426103756

Tērā pea ka rerekē paku ēnei uara i waenga i ngā taiwhanga. Kāore ētahi taiwhanga e wehewehe i waenga i ngā uara hemoglobin pakeke me ngā uara hemoglobin "i muri i te pakeketanga". E taunakihia ana kia karohia e ngā wāhine hapū ngā taumata hemoglobin teitei me ngā taumata hemoglobin iti hei karo i te pikinga ake o ngā mōrearea o te whānautanga mate (hemoglobin teitei – kei runga ake i te awhe noa) me te whānautanga wawe, te pēpi iti rānei te taumaha i te whānautanga (hemoglobin iti – kei raro iho i te awhe noa).

Ki te kitea i roto i te whakamātautau hemoglobin he iti iho tō taumata hemoglobin i te mea noa, ko te tikanga he iti tō tatau toto whero (anemia). He maha ngā take o te anemia, tae atu ki te korenga o ngā huaora, te toto me ngā mate pūmau.

Mena ka whakaatuhia e te whakamātautau hemoglobin he taumata teitei ake i te tikanga, he maha ngā take pea — te mate toto polycythemia vera, te noho i te teitei, te momi hikareti me te matewai.

Ngā hua iti iho i te noa

Mena he iti iho tō taumata hemoglobin i te mea noa, he anemia tōu. He maha ngā momo anemia, he rerekē ngā take o ia momo, tae atu ki:

  • Te korenga o te rino
  • Te korenga o te huaora B-12
  • Te korenga o te folate
  • Te toto
  • Ngā mate pukupuku e pā ana ki te hinu wheua, pērā i te leukemia
  • mate whatukuhu
  • Mate ate
  • Te mate pūkahukahu
  • Thalassemia — he mate ira e hua ai te iti o te hemoglobin me ngā toto whero

Mena kua tāpaetia kētia koe he mate anemia, ko te taumata hemoglobin e iti iho ana i te tikanga he tohu pea me whakarerekē tō mahere maimoatanga.

Ngā hua teitei ake i te noa

Mena he nui ake te taumata o te hemoglobin i te mea noa, tera pea ko te hua o:

  • Polycythemia vera — he mate toto e nui rawa ai ngā toto whero e hangaia ana e tō hinu wheua
  • Mate pūkahukahu
  • Te maroketanga
  • Te noho i te teitei
  • Te kai paipa nui
  • Ngā wera
  • Ruaki nui rawa
  • Te whakakori tinana tino nui

Wā tuku: Paenga-whāwhā-26-2022