I kēia manawa,ʻaʻohe keiki e hiki ke hana me ka nānāʻole i nā polyclinic keiki. A, mai ka hānauʻana, hāʻawi nā keiki i nā hoʻokolohua likeʻole. Ua lōʻihi ka lōʻihi o nā kauka e hana ma o ka loiloiʻana eʻike pololeiʻia keʻano o ke ola o ke keiki. Hāʻawi mākou iāʻoe e hoʻomaʻamaʻa iāʻoe iho i nāʻano maʻamau o nā'ōhumu maʻamau a nā keiki e hele ai.
Ka ho'āʻo toto i nā keiki
No ka manawa mua e hāʻawi ka pēpē i ke koko no nā hoʻokolohua ma ka 3 mau mahina. No nā pēpē,ʻo ka hōʻoiaʻana o ke koko ka mea maʻalahi loa, no ia mea,'ōlelo ikaika nā kaukaʻaʻole e haʻalele i ia. ʻO ka makahiki 3 he mea nui i nā keiki. Aia i kēia manawa he pilikia ka hoʻomohalaʻana i kekahi maʻi e like me ka anemia. Hiki i kahi hōʻailona koko ke hoʻomaopopo i kekahi mea hōʻino a hoʻoponopono i ka manawa. I ke 3 mau mahina i loaʻa i ke keiki i nā maʻi mai ka poliomyelitis a me ka ASKD. Hoʻomaʻaʻia nā kuʻiʻana i nā keiki olakino maikaʻi wale nō, a he mea hiki nō iāʻoe ke hoʻoholo i ka hōʻoiaʻana o ke kauʻana o ka toto. Aia kekahi maʻamau maʻamau o ka ho'āʻo koko i nā keiki. Ke aʻoʻia nei nā mea maʻamau i loko o ke koko:
- erythrocytes. ʻO ko lākou nele i ke anemia i loko o ka pēpē;
- nā keʻokeʻo keʻokeʻo. Hōʻike lākou i ka heleʻana o ka hana i loko o ke kino;
- nā huaʻikuʻu. ʻO kā lākou nele e'ōlelo ana no ke kālaiʻiaʻana o ke koko;
- eosinophils (kahiʻano leukocytes). ʻO kā lākou hana nui e kamaʻilio ana no ka hikiʻana o nā ilo i ke kino a pili i nā maʻiʻaeʻa;
- hemoglobin. Hōʻike ka lawaʻana i ka anemia;
- ESR (hoʻonui i ka nui o nā erythrocytes). Hōʻike ka wikiwiki wikiwiki i ka hopena o ke kino.
Aia ma lalo kekahi papa e hōʻike ana i nā maʻamau o nā kumu koko i loko o nā keiki.
| Hōʻike | 3 mahina | 1-6 makahiki | 6-12 mau makahiki |
|---|---|---|---|
| 'Elethrocytes (x10 12 / l) | 3.3-4.1 | 3.6-4.7 | 3.6-5 |
| Hemoglobin (g / l) | 109-134 | 109-139 | 109-144 |
| Platelets (x10 9 / L) | 179-399 | 159-389 | 159-379 |
| ESR (mm / h) | 4-9 | 4-13 | 5-13 |
| Leukocytes (x10 9 / l) | 7-12 | 5-12 | 4.7-8.9 |
| 'Eosinophils (%) | 0.9-5.9 | 0.6-7.9 | 0.4-6.9 |
ʻO nā hopena maʻamau maʻamau wale nō i nā keiki e haʻi mai iā mākou i nā mea a pau i loko o ke kino.
Ka ho'āʻo toto no ke kō
Hāʻawiʻia ke koko no ke kōleʻa wale nō i ka'ōpū'ōpū. Me ke kōkuaʻana o kēia hoʻopauʻana, ua hoʻoholoʻia ka uluʻana o ka maʻi diabetes. ʻO ke kumu o ke kō i loko o ke koko i nā keiki he 3,3-5.5 mmol / l. Ināʻokoʻa ka nui o ke kō i loko o ke koko i loko o nā keiki mai kaʻoihana maʻamau, hiki i kēia ke hōʻike i kahi pilikia o ka hoʻokipaʻana i ka maʻi. Ma kēlā me kēia polyclinic, hāʻawiʻia ke koko no ke kōlani no ka manawa, no ka mea, ma mua o ka hāʻawiʻana i kēia ho'āʻo no 8 holaʻaʻole hiki iāʻoe keʻai a inu.
Ke ho'āʻoʻana i ka lāʻau biochemical
ʻO ka hoʻohālikelikeʻana i ke koko e hoʻoholo aiʻoe i keʻano o nā mea āpau a pau o ke keiki. Nā papahana o nā hōʻailona o ka hōʻano honua ma nā keiki:
- ʻo ka pilina piha. Nānā: 59-79 g / l. Ma hope o 4 mau makahiki, ua ho'ēmiʻia kaʻilikai aʻo: 60-70 g / l. Hōʻike ka haʻawina haʻahaʻa o ke kinona i ka heleʻana o nā hana inflammatory i loko o ke kino o ke keiki, a me nā maʻi pū nō hoʻi. ʻO ke kiʻekiʻe o kahi pānaʻi e hōʻike i kahi maʻi maʻi koko;
- urea. Kū ke kūlana o ka Ura ma muli o keʻano o ka'imipili. Hiki i nā haʻawina haʻahaʻa haʻahaʻa ke hōʻike i nā maʻi hōʻailona;
- bilirubin. ʻO ka kiʻekiʻe o bilirubin kahi hōʻailona o ka jaundice. Eia kekahi, aia nā bilirubin kiʻekiʻe i mālamaʻia i loko o nā maʻi lolo;
- ka puna. ʻO kahi haʻahaʻa haʻahaʻa o ka calcium kahi e hōʻike ai i nā alaiki a me ka dystrophy.
ʻIke i nā feces i nā keiki
ʻO ka weheweheʻana i nā feces i nā keiki he hana kūpono ia ma mua o ka komoʻana i ke kula kiʻekiʻe. Hoʻopukaʻia kēiaʻimi no ka huliʻana o nā ilo a me nā maʻi maʻiʻano'ē. Eia keʻano o ka hoʻolālāʻana o nā paepae o ka waihona i nā keiki:
- enterococcus. Nānā: 106-107;
- bifidobacteria. Nānā:ʻaʻole emi ma lalo o 108;
- nā mea lehua-like. Nānā:ʻaʻole iʻoi aku ma mua o 104;
- ka nui o E. coli. Nānā: 107-108;
- keʻano o ka genus Proteus. Nānā:ʻaʻole iʻoi aku ma mua o 104.
ʻO ka helu o ia mau hōʻailona e like me nā microbes pathogenic o kaʻohana'ōpū, he staphylococci hemolytic, he coliform hemolyzing, ponoʻole he zero.
Urinalysis i nā keiki
ʻO ka hōʻiliʻiliʻana i ka mimi i loko o nā keiki e hiki ai ke hoʻoholo i keʻano o nā puʻupaʻa a me nāʻano o ka pūnaha genitourinary. I ka wā o ka hōʻiliʻiliʻana i ka mimi, ke kinona o ka urine, ka helu o nā leukocytes a me nā pūpū koko keʻokeʻo, ka nui o ke kōpaʻa a me nā protein, ka māmā a me ka mimihema i ka pH. Inā hōʻoia nā mea hōʻailona o ka'ōnaehana i nā keiki, pono keʻano olakino ka pēpē.
He nui nā ho'āʻo a nā keiki e hana ai: he ho'āʻoʻana i ke koko no ka hoʻohuiʻana, ka mimikini hou a me kaʻike fees, ka hoʻopiliʻana o ka hormone thyroid, a me nā mea'ē aʻe.
Hoʻopaʻaʻia nā hoʻokolohua nui, ma keʻano he kaulike, no nā keiki a pau. ʻO nā kūlana paʻa o nā hōʻailona hōʻailona ma nā keiki e hoʻomaopopo i ka maʻi i ka wā mua a me ka manawa e pale ai i kona uluʻana. Ma ka hoʻohanaʻana i nā kūlana o ka hōʻailona'imipili ma nā keiki, hiki ke hoʻomaopopo i keʻano o nā'ōpū o loko o ke keiki me ka pololei.