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ʻO ka hāʻawi koko he hana maʻalahi a palekana kahi e hāʻawi ai ʻoe ma kahi o hoʻokahi pint o kou koko e kōkua i ka hoʻopakele ʻana i nā ola. Hoʻāʻo ʻia kou koko i hāʻawi ʻia a hoʻokaʻawale ʻia i nā ʻāpana like ʻole e like me nā cell koko ʻulaʻula, plasma, a me nā platelets e hiki ke kōkua i ka mālama ʻana i nā maʻi me nā maʻi like ʻole.
I kēlā me kēia lā, he mau tausani o nā kānaka e pono ai i nā transfusions koko ma muli o nā ʻokiʻoki, nā ulia, nā mālama ʻana i ka maʻi kanesa, a i ʻole nā maʻi maʻi. Hiki i kāu hāʻawi hoʻokahi ke hoʻopakele i ʻekolu ola, e lilo ia i kekahi o nā makana waiwai loa hiki iā ʻoe ke hāʻawi i kou kaiāulu.
ʻO ka hāʻawi koko he hana manawaleʻa kahi e hāʻawi ai nā kānaka olakino i ke koko e kōkua i nā maʻi e pono ai. Aia ke kaʻina hana i ka hōʻiliʻili ʻana ma kahi o 450 milliliters (ma kahi o hoʻokahi pint) o ke koko mai kou lima me ka hoʻohana ʻana i kahi nila sterile a me ka ʻeke hōʻiliʻili.
Hoʻololi maoli kou kino i kēia koko i hāʻawi ʻia i loko o 24 a 48 mau hola no ka plasma a i loko o 4 a 6 mau pule no nā cell koko ʻulaʻula. ʻO ke kaʻina hana hāʻawi holoʻokoʻa e lawe ma kahi o 45 mau minuke a i hoʻokahi hola, ʻoiai ʻo ka hōʻiliʻili koko maoli e lawe wale ana i 8 a 10 mau minuke.
Ke hilinaʻi nei nā panakō koko a me nā halemai i nā mea hāʻawi maʻamau e mālama i nā lako kūpono no nā ʻokiʻoki pilikia, nā hihia trauma, nā maʻi maʻi kanesa, a me nā kānaka me nā maʻi koko. Me ka ʻole o nā mea hāʻawi e like me ʻoe, ʻaʻole hiki ke loaʻa nā mālama ola ola.
Hāʻawi ke koko i nā pono olakino koʻikoʻi ʻaʻole hiki ke hoʻokō ʻia ma kekahi ʻano ʻē aʻe. ʻAʻole like me nā lāʻau lapaʻau he nui i hiki ke hana ʻia, hiki ke hele mai ke koko mai nā mea hāʻawi kanaka, e waiwai ʻole ai kāu hāʻawi.
Pono nā halemai i nā ʻāpana koko like ʻole no nā kūlana olakino like ʻole. Kōkua nā cell koko ʻulaʻula i nā maʻi me ka anemia a i ʻole ka poʻe i nalowale ke koko i ka wā o ke ʻoki. Kākoʻo ka plasma i nā mea i hōʻeha ʻia a me nā kānaka me nā maʻi clotting. Kōkua nā platelets i nā maʻi maʻi kanesa a me ka poʻe me nā maʻi koko.
Hoʻokumu nā kūlana pilikia i nā piʻi koke i ka noi koko. Hiki i nā ulia kaʻa, nā pōʻino kūlohelohe, a me nā hanana pōʻino nui ke hoʻopau koke i nā lako panakō koko. ʻO ka loaʻa ʻana o kahi kahawai paʻa o nā mea hāʻawi e hōʻoiaʻiʻo ana e hiki i nā halemai ke pane i kēia mau pono wikiwiki me ka lohi ʻole.
Hahai ka hana hāʻawi koko i kekahi mau ʻanuʻu mālama pono i hoʻolālā ʻia e mālama iā ʻoe i ka palekana a me ka ʻoluʻolu. Mai ka manawa āu e hōʻea ai a hiki i kou haʻalele ʻana, e alakaʻi nā limahana i hoʻomaʻamaʻa ʻia iā ʻoe ma kēlā me kēia pae.
Eia ka mea e hiki iā ʻoe ke manaʻo i ka wā o kāu ʻike hāʻawi:
I loko o ke kaʻina hana holoʻokoʻa, nānā nā poʻe loea lapaʻau i kou ʻoluʻolu a me ka palekana. Inā ʻoe e manaʻo i ka māmā a i ʻole ka ʻoluʻolu i kēlā me kēia manawa, e kōkua koke lākou iā ʻoe a hōʻoia ua maikaʻi ʻoe ma mua o kou haʻalele ʻana.
Kōkua ka hoʻomākaukau kūpono e hōʻoia i ka maʻalahi o kāu hāʻawi ʻana a maikaʻi ʻoe ma hope. ʻO ka hapa nui o nā ʻanuʻu hoʻomākaukau he mau koho ola maʻalahi hiki iā ʻoe ke hoʻokomo maʻalahi i kāu hana maʻamau.
E kōkua kēia mau ʻanuʻu hoʻomākaukau iā ʻoe e loaʻa ka ʻike hāʻawi maikaʻi loa:
E hoʻomanaʻo e lawe mai i kahi ID kiʻi kūpono a me kekahi kāleka mea hāʻawi āu i loaʻa mai nā hāʻawi mua. ʻO ka ʻaʻahu ʻana i nā lole ʻoluʻolu me nā lima e ʻōwili maʻalahi e maʻalahi ke kaʻina hana iā ʻoe.
Ma hope o kāu hāʻawi ʻana, e hele ana kou koko i nā hoʻokolohua nui e hōʻoia i ka palekana no ka hoʻoili. E loaʻa iā ʻoe nā hopena i loko o kekahi mau lā a i hoʻokahi pule, ma ka leka, kelepona, a i ʻole ma o ka puka mea hāʻawi pūnaewele.
Hoʻāʻo ke kaʻina hana i nā maʻi maʻi e like me ka HIV, hepatitis B a me C, syphilis, a me nā kūlana ʻē aʻe e hiki ke hoʻopilikia i ka palekana o ka hoʻoili. E hōʻoia ʻia kou ʻano koko (A, B, AB, a i ʻole O) a me ka Rh factor (maikaʻi a maikaʻi ʻole) inā ʻaʻole i ʻike ʻia.
Inā loaʻa nā hopena hoʻāʻo maikaʻi, e hoʻopili aku ke kikowaena koko iā ʻoe me ka hilinaʻi e kūkākūkā i nā hopena. ʻAʻole pono kēia e manaʻo he maʻi ʻoe, no ka mea, hiki i kekahi mau hoʻokolohua ke hōʻike i nā mea maikaʻi ʻole a i ʻole e ʻike i nā maʻi i hala ʻaʻole e hōʻike hou i nā pilikia olakino.
ʻO ka pae hemoglobin ou, i nānā ʻia ma mua o ka hāʻawi ʻana, e hōʻike ana i ka hiki o kou koko ke lawe i ka oxygen. ʻO nā pae maʻamau he 12.5-17.5 grams no ka deciliter no nā kāne a me 12.0-15.5 no nā wahine. Hiki i nā pae haʻahaʻa ke hoʻokaʻawale iā ʻoe mai ka hāʻawi ʻana a hiki i ka wā e hoʻomaikaʻi ai.
Hoʻomaka kou kino e pani i ke koko i hāʻawi ʻia koke, akā ʻo ka hahai ʻana i ka mālama ma hope o ka hāʻawi ʻana e kōkua iā ʻoe e manaʻo maikaʻi. ʻO ka hapa nui o nā kānaka e manaʻo maʻamau i loko o kekahi mau hola, akā hiki i kekahi ke ʻike i ka luhi māmā no hoʻokahi a ʻelua paha lā.
E kōkua kēia mau ʻanuʻu hoʻōla iā ʻoe e hoʻi koke a me ka ʻoluʻolu:
Inā ʻike ʻoe i nā hōʻailona maʻamau e like me ka ʻūlū mau, ka nausea, a i ʻole ka ʻeha nui ma ka wahi nila, e hoʻokaʻaʻike koke i ke kikowaena koko. He kakaikahi kēia mau pilikia, akā ua loaʻa mau nā limahana e kōkua i ka hoʻoponopono ʻana i nā hopohopo.
Hāʻawi ka hāʻawi koko i nā pōmaikaʻi olakino e kāhāhā ana no nā mea hāʻawi ma mua o ka uku maopopo o ke kōkua ʻana i nā poʻe ʻē aʻe. Hiki i ka hāʻawi mau ʻana ke kākoʻo i kou olakino cardiovascular a hāʻawi i nā ʻike waiwai i kou olakino holoʻokoʻa.
Hiki i ka hāʻawi koko ke kōkua i ka hoʻēmi ʻana i kou pilikia o ka maʻi puʻuwai ma ka hoʻohaʻahaʻa ʻana i nā pae hao i loko o kou koko. Hiki i ka hao nui ke kōkua i ke kaumaha oxidative a me nā pilikia cardiovascular, no laila ke kōkua nei ka hāʻawi mau ʻana i ka mālama ʻana i ke kaulike hao olakino i loko o kāu ʻōnaehana.
Loaʻa i kēlā me kēia hāʻawi kahi hoʻokolokolo kino mini manuahi kahi e nānā ai nā limahana i kāu mau hōʻailona ola, nā pae hemoglobin, a me nā pale no nā ʻano olakino like ʻole. Hiki i kēia mālama mau ke kōkua i ka ʻike ʻana i nā pilikia olakino i ka wā mua, i ka wā e hiki ai ke mālama.
He mea nui like nā pōmaikaʻi noʻonoʻo. Nui nā mea hāʻawi e hōʻike ana i ka manaʻo o ke kumu a me ka ʻoluʻolu i ka ʻike ʻana e kōkua pololei ana kā lākou hāʻawi i ka hoʻopakele ʻana i nā ola. Hiki i kēia hopena maikaʻi i ke olakino noʻonoʻo ke hoʻonui i kou maikaʻi o ke ola.
He palekana loa ka hāʻawi koko no ka hapa nui o nā mākua olakino, akā hiki i kekahi mau mea ke hoʻonui i kou pilikia o ka loaʻa ʻana o nā hopena ʻaoʻao. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia e kōkua iā ʻoe e hoʻomākaukau maikaʻi a ʻike i ka mea e manaʻo ai.
Hiki i kekahi poʻe ke ʻoi aku ka maʻalahi i nā pilikia e pili ana i ka hāʻawi ʻana ma muli o kā lākou ʻano pilikino:
ʻOiai me kēia mau mea pilikia, he kakaikahi loa nā pilikia nui. Ua aʻo ʻia nā limahana o ke kikowaena koko e ʻike a mālama i nā pilikia e kū mai ana, e hōʻoia ana i kou palekana i ke kaʻina hana.
Hāʻawi ka hāʻawi koko maʻamau i ka pōmaikaʻi nui loa no ka poʻe e loaʻa ana a no kou olakino ponoʻī. Eia naʻe, pili ka pinepine i kou kūlana olakino pilikino a me ke ʻano o ka hāʻawi āu e hana nei.
No ka hāʻawi koko holoʻokoʻa, hiki iā ʻoe ke hāʻawi palekana i kēlā me kēia 56 lā, a i ʻole ma kahi o 8 pule. Hāʻawi kēia manawa i kou kino e hoʻopiha piha i nā ʻulaʻula koko i hāʻawi ʻia a mālama i nā pae hao olakino. Nui nā mea hāʻawi maʻamau i ʻike i kēia papa manawa e kūpono i kā lākou hana maʻamau.
Hāʻawi ka hāʻawi platelet i ka hāʻawi pinepine ʻana, e like me kēlā me kēia 7 lā a hiki i 24 mau manawa i kēlā me kēia makahiki. Hoʻopuka hou nā platelets i ka wikiwiki ma mua o nā ʻulaʻula koko, e hiki ai ke hāʻawi pinepine ʻana me ka ʻole e hoʻopau i nā kumuwaiwai o kou kino.
ʻO ka hāʻawi ʻana i kekahi manawa e hana i kahi ʻokoʻa nui. Inā ʻaʻole hiki iā ʻoe ke hoʻokō i ka hāʻawi maʻamau ma muli o ka huakaʻi, nā loli olakino, a i ʻole nā kūlana ola, ʻo ka hāʻawi ʻana i ka wā e hiki ai iā ʻoe ke hāʻawi i ke kōkua nui i nā maʻi e pono ai.
ʻOiai palekana loa ka hāʻawi koko, hiki ke loaʻa nā hopena ʻaoʻao liʻiliʻi. ʻO ka hapa nui o nā pilikia he maʻalahi a me ka manawa, e hoʻoponopono wikiwiki me ka mālama kūpono a me ka nānā.
ʻO nā hopena ʻaoʻao maʻamau āu e ʻike ai, ʻo ia:
He kakaikahi loa nā pilikia koʻikoʻi, e hiki mai ana ma lalo o 1 i 10,000 mau hāʻawi. Hiki i kēia mau mea ke komo i ka hāʻule ʻana, nā hopena maʻi maʻi koʻikoʻi, a i ʻole ka huhū o ke aʻalolo. Hoʻomaʻamaʻa ʻia nā limahana o ke kikowaena koko e mālama i kēia mau kūlana a hāʻawi i ka mālama olakino koke inā pono.
Hoʻōla ka hapa nui o nā kānaka mai ka hāʻawi koko me ka ʻole o ka hana lapaʻau, akā pono kekahi mau hōʻailona i ka nānā ʻana i ka ʻoihana. ʻO ka ʻike ʻana i ka manawa e ʻimi ai i ke kōkua e hōʻoiaʻiʻo ana e loaʻa iā ʻoe ka mālama kūpono inā kū mai nā pilikia.
E kelepona i kāu mea mālama ola a i ʻole ke kikowaena koko inā ʻike ʻoe i kekahi o kēia mau hōʻailona:
Mai kānalua e hoʻopili inā hopohopo ʻoe e pili ana i kekahi mau hōʻailona, ʻoiai inā he mea liʻiliʻi lākou. Loaʻa i nā kikowaena koko nā poʻe lapaʻau i loaʻa 24/7 e pane i nā hopohopo o ka mea hāʻawi a hāʻawi i ke alakaʻi i ka mālama ma hope o ka hāʻawi ʻana.
Hiki i ka nānā ʻana i ka hāʻawi koko ke ʻike i kekahi mau maʻi maʻi, akā ʻaʻole i hoʻolālā ʻia ma ke ʻano he hoʻāʻo olakino diagnostic. ʻO ke kumu nui ka hōʻoia ʻana i ka palekana o ka hoʻoili ʻana, ʻaʻole ka hāʻawi ʻana i ka nānā olakino piha no nā mea hāʻawi.
Hiki i nā hoʻāʻo i hana ʻia ma ke koko i hāʻawi ʻia ke ʻike i ka HIV, hepatitis B a me C, syphilis, a me nā maʻi hiki ke hoʻoili ʻia. Eia naʻe, loaʻa i kēia mau hoʻāʻo nā manawa puka makani kahi e ʻike ʻole ʻia ai nā maʻi hou, a ʻaʻole lākou e nānā i nā kūlana olakino ʻē aʻe.
Inā hopohopo ʻoe e pili ana i kou kūlana olakino, ʻoi aku ka maikaʻi o ka ʻike ʻana i kāu mea mālama ola kino no ka hoʻāʻo kūpono ma mua o ka hilinaʻi ʻana i ka nānā ʻana i ka hāʻawi koko. Hāʻawi nā loiloi olakino maʻamau i nā loiloi olakino piha i hoʻopili ʻia i kāu mau pono pilikino.
ʻAe, e pale ana nā pae hemoglobin haʻahaʻa iā ʻoe mai ka hāʻawi koko no kekahi manawa. Pono nā kikowaena koko i nā pae hemoglobin liʻiliʻi o 12.5 g/dL no nā wahine a me 13.0 g/dL no nā kāne e hōʻoia i ka palekana o ka mea hāʻawi.
Mālama kēia koi iā ʻoe mai ka lilo ʻana i anemia ma hope o ka hāʻawi ʻana. Inā haʻahaʻa loa kāu hemoglobin, hiki i ka hāʻawi ʻana ke hoʻonui i kekahi hemahema hao e kū nei a e nāwaliwali ai ʻoe, luhi, a maikaʻi ʻole paha.
Inā hoʻokaʻawale ʻia ʻoe no ka hemoglobin haʻahaʻa, e kālele ana i ka ʻai ʻana i nā meaʻai waiwai hao e like me ka ʻiʻo wīwī, ka pīkī, a me nā cereal i hoʻoikaika ʻia. Hiki iā ʻoe ke hoʻāʻo e hāʻawi hou i loko o 8 mau pule, a nui ka poʻe i ʻike ua hoʻomaikaʻi ʻia ko lākou pae me ka meaʻai maikaʻi.
ʻAʻole nui nā lāʻau lapaʻau e pale i ka hāʻawi koko, akā pono paha kekahi i nā hoʻokaʻawale manawa. Ke alakaʻi nei ka palekana o ka mea hāʻawi a me ka mea loaʻa i kēia mau hoʻoholo, no laila he mea nui e ʻoiaʻiʻo e pili ana i nā lāʻau lapaʻau a pau āu e lawe nei.
ʻAʻole maʻamau nā lāʻau lapaʻau maʻamau e like me nā pila koko, nā lāʻau cholesterol, a me ka hapa nui o nā antibiotics i nā mea hāʻawi. Eia naʻe, pono paha nā mea lahilahi koko, kekahi mau lāʻau acne, a me kekahi mau lāʻau hoʻokolohua i nā manawa kali.
E hōʻike mau i nā limahana screening e pili ana i nā lāʻau lapaʻau a pau, nā mea hoʻohui, a me nā lāʻau lapaʻau lāʻau āu e lawe nei. Hiki iā lākou ke loiloi i kēlā me kēia lāʻau lapaʻau a hoʻoholo inā pili ia i kou kūpono e hāʻawi palekana.
Loaʻa i nā ʻāpana koko like ʻole nā manawa hāʻawi like ʻole e pili ana i ka wikiwiki o kou kino e pani iā lākou. ʻO ke koko holoʻokoʻa ka mea e lōʻihi loa ai ke pani, ʻoiai e hoʻoponopono hou ʻia nā platelets.
Hiki iā ʻoe ke hāʻawi i ke koko holoʻokoʻa i kēlā me kēia 56 lā, nā keʻena ʻulaʻula pālua i kēlā me kēia 112 lā, nā platelets i kēlā me kēia 7 lā (a hiki i 24 mau manawa i kēlā me kēia makahiki), a me ka plasma i kēlā me kēia 28 lā. Hoʻopaʻa kēia mau manawa i ka manawa kūpono o kou kino e pani i ka mea āu i hāʻawi ai.
Ke mālama nei ke kikowaena koko i kāu mōʻaukala hāʻawi e hōʻoia ʻaʻole ʻoe e ʻoi aku i nā palena hāʻawi palekana. E hōʻike lākou iā ʻoe i ka wā e kūpono ai ʻoe e hāʻawi hou a e hoʻouna paha i nā mea hoʻomanaʻo i ka wā e pono ai ʻoe no kāu hāʻawi hou.
Hele kou koko i hāʻawi ʻia ma o ka hana nui a me ka hoʻāʻo ʻana ma mua o ka hiki ʻana i nā maʻi. I loko o nā hola o kāu hāʻawi ʻana, hoʻomaka ia i kahi huakaʻi mālama ma o nā ʻanuʻu hoʻomalu maikaʻi a me ka hoʻomākaukau.
Hoʻāʻo mua ʻia ke koko no nā maʻi maʻi a me ka hoʻohālikelike ʻana i ke ʻano koko. Inā hala ia i nā hoʻāʻo palekana a pau, ua hoʻokaʻawale ʻia i nā ʻāpana e like me nā ʻulaʻula koko, plasma, a me nā platelets e hiki ke kōkua i nā ʻano maʻi like ʻole.
A laila mālama ʻia kēia mau ʻāpana ma lalo o nā kūlana kikoʻī a hiki i ka wā e pono ai nā halemai iā lākou. Hiki ke mālama ʻia nā ʻulaʻula koko no 42 mau lā, nā platelets no 5 mau lā, a me ka plasma no hoʻokahi makahiki ke paʻa. ʻO kāu hāʻawi hoʻokahi e kōkua maʻamau i ʻekolu mau maʻi like ʻole.