I kēia lā, e kamaʻilio kākou e pili ana i kahi maʻi i kapa ʻia ʻo Vasculitis. ʻAʻole paha ʻoe i lohe i kēia inoa ma mua. Akā, he maʻi ia e hoʻopilikia ai i nā kīʻaha koko i loko o ko kākou kino a pono e nānā pono ʻia. No laila, mai hopohopo, e kamaʻilio wale kākou e pili ana i ke ʻano o ia mea, no ke aha e hana ʻia ai, pehea kākou e ʻike ai, a me nā mea ʻē aʻe e hiki ke hana ʻia.
He aha ka vasculitis? I ka ʻōlelo maʻalahi...
ʻO ka Vasculitis kahi mumū o kou mau kīʻaha koko, a i ʻole nā kīʻaha koko . ʻO ka mumū ke ʻano o ka pehu a me ka ʻulaʻula. E noʻonoʻo iā ia e like me nā paipu e lawe ana i ke koko ma o ko mākou kino. Ua like ia me ka pūnaewele o nā alanui ma ko mākou ʻāina. Hoʻomaka kēia mau kīʻaha koko ma ka puʻuwai, hoʻolaha i ke koko ma ke kino holoʻokoʻa, a laila hoʻihoʻi i ka puʻuwai e hoʻomaʻemaʻe ʻia.
ʻEkolu mau ʻano nui o nā kīʻaha koko i loko o ko kākou kino, e like me kāu i lohe ai:
- Nā ʻaʻa koko: ʻO kēia nā kīʻaha koko e lawe ana i ke koko maʻemaʻe (koko waiwai i ka oxygen) mai ka puʻuwai a i nā ʻōkana a me nā lālā ʻē aʻe.
- Nā aʻa koko: ʻO kēia nā kīʻaha koko e hoʻihoʻi mai i ke koko i hoʻohana ʻia (ke koko me ka nui o ke kalapona ʻokikene) i ka puʻuwai mai nā ʻāpana a pau o ke kino.
- Nā Capillaries: He mau kīʻaha koko lahilahi loa kēia, liʻiliʻi. Ua like lākou me nā kaula. Hoʻohui lākou i nā aʻa a me nā veins, e like me nā ala liʻiliʻi ma waena o ʻelua mau alanui nui. ʻO lākou kahi e hoʻololi ʻia ai ka oxygen a me nā meaʻai ma waena o nā cell.
I kēia manawa, inā loaʻa iā ʻoe ka vasculitis, e pehu a mānoanoa kou mau kīʻaha koko. He aha ka mea e hana ai? Lilo ke koko i mea emi ke kahe pono ʻana, e like me ka paipu wai i paʻa. I ka hala ʻana o ka manawa, hiki i kēia pehu ke hōʻino i kou mau kino (no ka laʻana, kou mau puʻupaʻa, māmā, ʻili). Hiki iā ia ke alakaʻi i nā pilikia koʻikoʻi, e like me nā aneurysms . ʻO ka aneurysm kahi ʻāpana nāwaliwali o ke kīʻaha koko, e hoʻoulu ai i waho e like me ka pōpō. He mea weliweli loa kēia, no ka mea hiki ke pahū.
Akā, ʻaʻohe pono e hopohopo. Hiki i ka hapa nui o ka poʻe ke kāohi i kēia kūlana o ka vasculitis me ka mālama olakino maikaʻi a me nā lāʻau lapaʻau a ola i kahi ola maʻamau . Eia nō naʻe, i kekahi manawa hiki ke lilo i mea koʻikoʻi a inā e hoʻopilikia ʻia ke kahe koko i nā ʻōpū koʻikoʻi, hiki ke hoʻoweliweli maoli i ke ola. ʻO ia ke kumu he mea nui e makaʻala i kēia.
Mea nui: Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni pinepine, a inā paha ʻoe e manaʻo i kekahi mea ʻē, e like me ka mae ʻole a i ʻole ka wela i kou mau lima a i ʻole kou mau wāwae, mai kānalua e ʻike i ke kauka. ʻOi aku hoʻi, inā pilikia ʻoe i ka hanu ʻana, ʻeha ka umauma, a i ʻole nā hōʻailona o ka hōʻeha puʻuwai, e hele koke i ka lumi pilikia o ka haukapila kokoke loa, a i ʻole e kelepona i kahi lawelawe ambulance pilikia e like me 1990.
Pehea ka hopena o ka vasculitis i ko mākou kino?
ʻO kēia maʻi hoʻonāukiuki i kapa ʻia ʻo vasculitis hiki ke hoʻopilikia i kekahi kīʻaha koko i loko o ko mākou kino. ʻO ia hoʻi, hiki iā ia ke hoʻopilikia i nā kīʻaha koko e pili ana i kēia mau ʻōkana a me nā ʻāpana kino:
- Hiki ke loaʻa kou ʻili (nā ʻeha ʻili, eczema, a me nā mea ʻē aʻe)
- Nā māmā (hiki ke ʻū, paʻakikī ka hanu ʻana)
- Puʻuwai (hiki ke hoʻonui i ka pilikia o ka hōʻeha puʻuwai)
- ʻŌnaehana nerve (mano, nāwaliwali i nā lālā)
- Nā maka (hiki ke hana i ka ʻike maka pōwehiwehi, nā maka ʻulaʻula)
- Nā puʻupaʻa (hiki ke hoʻopilikia ʻia ka hana o nā puʻupaʻa)
- ʻO ka lolo (hiki ke kumu i ka ʻeha poʻo, nā hahau)
- No nā sinuses (nā kūlana e like me ke anu pinepine)
- ʻŌpū a me nā ʻōpū (nā mea e like me ka ʻōpū ʻeha, ka maʻi kahe koko)
- Nā lima a me nā wāwae (ʻeha, pehu, ʻeha)
Pehea ka maʻamau o kēia ʻano? Hiki mai kēia i nā kānaka a pau?
ʻAʻole, he maʻi laha ʻole ka vasculitis. E noʻonoʻo wale, ʻoiai ma kahi ʻāina holomua e like me ʻAmelika, ʻōlelo nā hōʻike lapaʻau ʻaʻole i hiki i 50 mau hihia hou o kēia maʻi e ulu ana i hoʻokahi miliona mau kānaka i kēlā me kēia makahiki. ʻO ia hoʻi, he maʻi laha ʻole ia.
ʻOi aku ka maʻamau o ia ma waena o ka poʻe ma luna o 50 mau makahiki. Eia nō naʻe, he mea kakaikahi nō ia i loko o kēlā hui makahiki. ʻOiai ma waena o kēlā poʻe, ʻaʻole i hiki i ka 300 o ka miliona i ʻike hou ʻia me ka maʻi i kēlā me kēia makahiki. No laila, ʻaʻohe mea e makaʻu ai ke lohe ʻoe i kēia, ʻaʻole ia he maʻi e hoʻopilikia i nā mea āpau.
Aia kekahi mau ʻano like ʻole o ka vasculitis?
ʻAe, aia ma mua o 30 mau ʻano vasculitis like ʻole! E haʻi pololei kāu kauka iā ʻoe i ke ʻano o ka vasculitis āu. E hilinaʻi ia i ka nui o nā kīʻaha koko i loko o kou kino (nui, waena, liʻiliʻi) i hoʻopilikia ʻia, a me nā hopena o kekahi mau hoʻokolohua ʻē aʻe. Eia kekahi mau laʻana:
- ʻO ka vasculitis e pili ana iā ANCA (e komo pū ana kēia me nā ʻano kikoʻī i kapa ʻia ʻo granulomatosis me ka polyangiitis (GPA) , microscopic polyangiitis (MPA) , a me ka eosinophilic granulomatosis me ka polyangiitis (EGPA) )
- ʻO ka polyarteritis nodosa
- ʻO ka vasculitis IgA (Henoch-Schönlein purpura) (ʻoi aku ka maʻamau o kēia i nā keiki ʻōpio)
- ʻO ka vasculitis Rheumatoid (e pili ana i nā maʻi e like me ka arthritis)
- ʻO ka vasculitis o ka ʻōnaehana nerve waena (hoʻopilikia i nā kīʻaha koko o ka ʻōnaehana nerve waena, ʻo ia hoʻi, ka lolo a me ke kaula spinal)
- ʻO ka arteritis cell nui (ʻoi aku ka maʻamau o kēia i waena o ka poʻe ʻelemakule, a hoʻopilikia i nā kīʻaha koko ma ke poʻo)
- ʻO Takayasu arteritis (ʻoi aku ka maʻamau o kēia i nā wahine ʻōpio a hoʻopilikia i ke kīʻaha koko nui loa e alakaʻi ana mai ka puʻuwai)
- ʻO ka maʻi o Behçet(Hele mai me nā ʻeha ma ka waha a me nā ʻōpū)
- ʻO ka vasculitis Urticarial (hele mai me ka ʻulaʻula ʻili)
- ʻO ka maʻi Kawasaki ( he ʻano vasculitis hoʻi e pili nui ana i nā keiki ʻōpio)
- Aia kekahi ʻano vasculitis e loaʻa pinepine ana i nā keiki .
He aha nā hōʻailona e hiki i kekahi me ka vasculitis ke ʻike?
Eia kekahi o nā hōʻailona maʻamau o ka vasculitis:
- Paʻakikī ka hanu ʻana, ka paʻa ʻana o ka umauma
- ʻŪhū mau, me ke koko paha
- ʻO ka ʻeha, ke kuni, a me ke kani ʻana o nā lālā
- ʻUlaʻula, pehu, hoʻololi ʻili i kekahi mau wahi, a me nā ʻeha ma ka ʻili
- Kuni pinepine, me ke kumu ʻole
- Manaʻo luhi loa, me he mea lā ʻaʻohe mea e hana ana
- Pohō kaumaha i manaʻo ʻole ʻia
- Ka nāwaliwali o ke kino, ʻoiai hoʻi i nā ʻiʻo
- ʻEha hui, pehu
- ʻEha ʻōpū, nausea, luaʻi
- Nā pilikia puʻupaʻa (e like me ka mimi ʻeleʻele, ke koko i loko o ka mimi, nā wāwae pehu)
- Nā hahau a i ʻole nā hōʻailona like (paʻakikī ke ʻōlelo ʻana, ke kūlou ʻana o kekahi ʻaoʻao o ka maka)
Akā e hoʻomanaʻo, ʻo nā hōʻailona āu e ʻike ai e hilinaʻi wale ʻia ma ke ʻano o ka vasculitis āu e loaʻa ai, nā kīʻaha koko i hoʻopilikia ʻia, a me ke koʻikoʻi o ka mumū . ʻAʻole e ʻike nā kānaka a pau i nā hōʻailona like.
E hoʻolohe i kou kino, e hilinaʻi i kou naʻau. Inā ʻike ʻoe i kekahi mau loli hou, nā hōʻailona e hoʻoluhi a hopohopo paha iā ʻoe, mai manaʻo wale, "E nalo aku kēia," akā e ʻike i ke kauka.
No ke aha e kū mai ai kēia vasculitis? He aha ke kumu?
Eia kahi e lilo ai i mea paʻakikī iki. He maʻi autoimmune ka Vasculitis. I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o ka maʻi autoimmune. I ka ʻōlelo maʻalahi, he ʻōnaehana pale ko ko mākou kino. Ua like ia me ka pūʻali koa ma ko mākou ʻāina. ʻO ka hana a kēia ʻōnaehana ka pale ʻana iā mākou mai nā ʻenemi o waho (e like me nā germs, bacteria, viruses).
Akā, i loko o kahi maʻi autoimmune, hoʻomaka hewa kā mākou ʻōnaehana pale ponoʻī e hoʻouka i kā mākou mau hunaola maikaʻi a me nā ʻiʻo. Ua like ia me ko mākou pūʻali koa ponoʻī e hoʻouka ana i ko mākou poʻe ponoʻī. I ka vasculitis, hoʻouka kā mākou ʻōnaehana pale i ko mākou mau kīʻaha koko ponoʻī. ʻAʻole maopopo i nā loea lapaʻau ke kumu o kēia hana, no ke aha e hele hewa ai kēia ʻōnaehana.
Eia nō naʻe, ua ʻike ʻia he hiki i kekahi mau mea ke hoʻoulu , a i ʻole ke kumu, i kēia kūlana vasculitis:
- ʻO kekahi mau maʻi (e like me ka maʻi hepatitis B a i ʻole C)
- Nā maʻi autoimmune ʻē aʻe i loaʻa mua(e.g. rheumatoid arthritis, lupus (SLE))
- Ma ke ʻano he hopena ʻaoʻao o kekahi mau lāʻau lapaʻau
- ʻO kekahi mau ʻano maʻi kanesa ( ʻoi aku hoʻi nā maʻi kanesa e pili ana i ke koko)
- Hoʻomohala kekahi poʻe iā ia me ka idiopathically, ʻo ia hoʻi, ʻaʻole hiki ke loaʻa ke kumu.
Pehea e hoʻoholo pono ai i ka vasculitis?
Inā kānalua kāu kauka he vasculitis kou, e nānā pono mua ʻo ia iā ʻoe. E nīnau lākou iā ʻoe e pili ana i kāu mau hōʻailona - pehea ka lōʻihi o ko lākou ʻike ʻana, pehea lākou i holomua ai, he aha nā hōʻailona ʻē aʻe āu, a pēlā aku. E nīnau pū lākou inā ua loaʻa i kekahi o kou ʻohana nā maʻi like.
ʻIke pinepine ʻia ka Vasculitis ma ke ʻano he ʻāpana o kahi hōʻailona ʻokoʻa, ʻo ia hoʻi ka hoʻopau ʻana i nā kūlana ʻē aʻe . ʻO kēia no ka mea hiki ke ʻike ʻia kēia mau hōʻailona i nā maʻi ʻē aʻe. No laila, e kauoha kāu kauka i kekahi mau hoʻokolohua e ʻike i ke kumu pololei o kāu mau hōʻailona. A laila wale nō e hōʻoia lākou he vasculitis kou. ʻO kekahi o nā hoʻokolohua āu e loaʻa ai:
- Nā hoʻāʻo koko: Hiki i kēia ke nānā i nā māka o ka mumū (e like me ESR, CRP), kekahi mau ʻano antibodies (e like me ANCA), a me ka hana o ke kino.
- Nā hoʻāʻo mimi: E nānā e ʻike inā ua hoʻopilikia ʻia nā puʻupaʻa.
- Nā Biopsies: ʻO kēia ka hoʻāʻo koʻikoʻi loa e hōʻoia i ka vasculitis. Lawe ʻia kahi ʻāpana liʻiliʻi o nā ʻiʻo i hoʻopilikia ʻia (e.g., ʻili, puʻupaʻa, māmā) a nānā ʻia ma lalo o kahi microscope e ʻike inā he mumū i loko o nā kīʻaha koko.
- Nā hoʻāʻo kiʻi:
- X-ray, CT scan, MRI scan: Hiki ke hoʻohana ʻia kēia mau mea e ʻike i ke kūlana o nā ʻōpū i hoʻopilikia ʻia.
- Angiogram: He hoʻāʻo X-ray kūikawā kēia e hoʻohana ana i kahi dye e nānā ai i ka ʻūlū ʻana a i ʻole nā aneurysms i loko o nā kīʻaha koko.
- Nā hoʻokolohua kūikawā ʻē aʻe e nānā i ka hana o nā ʻōpū i hoʻopilikia ʻia.
E ʻike paha ʻoe i kahi rheumatologist , he kauka loea i nā maʻi hono a me nā maʻi autoimmune. ʻO ia ke kanaka maikaʻi loa e mālama i kēia mau kūlana.
He aha nā lāʻau lapaʻau no ka vasculitis? Hiki ke ho'ōla ʻia?
ʻElua mau pahuhopu nui i ka mālama ʻana i ka vasculitis:
1. Ke kāohi ʻana i ka mumū a me ka hōʻemi ʻana i nā hōʻailona.
2. Ke pale ʻana i ka hōʻino hou ʻana i nā kīʻaha koko a me nā ʻōpū ʻē aʻe.
E hoʻoholo kāu kauka i ka lāʻau lapaʻau e pili ana i ke ʻano o ka vasculitis āu e loaʻa nei, kona koʻikoʻi, a me kou olakino holoʻokoʻa. ʻO nā lāʻau lapaʻau i hoʻohana pinepine ʻia:
- Nā Corticosteroids:ʻO kēia nā ʻano lāʻau lapaʻau nui i hoʻohana ʻia e kāohi i ka mumū (e.g., Prednisolone). Hana wikiwiki lākou a hōʻemi i nā hōʻailona. Eia nō naʻe, no ka mea hiki i nā dosis kiʻekiʻe ke hana i nā hopena ʻaoʻao ke lawe ʻia no ka manawa lōʻihi, e hōʻemi mālie kāu kauka i ka nui.
- Nā Immunosuppressants: Hana kēia ma ka kaohi ʻana i ka hana o ka ʻōnaehana pale e hana hewa ana. ʻO nā laʻana e like me nā lāʻau lapaʻau e like me Methotrexate, Azathioprine, a me Cyclophosphamide.
- Nā Biologics: He mau lāʻau lapaʻau hou kēia, ʻoi aku ka kikoʻī. Hana lākou ma ke kikoʻī ʻana i nā ʻāpana kikoʻī o ka ʻōnaehana pale e hōʻemi i ka mumū. No ka laʻana, ʻo Rituximab.
- I kekahi manawa, hiki ke kuhikuhi ʻia nā lāʻau lapaʻau koko e like me nā mea hoʻopaʻa ACE , no ka mea he maikaʻi ia no nā kīʻaha koko.
ʻO ke ʻoki kino:
Inā ua hōʻino nui ʻia kou mau kīʻaha koko e ka vasculitis, e like me ka mea he haiki loa a he aneurysms paha, pono paha ʻoe i ke ʻoki ʻana. No ka laʻana, pono paha ʻoe i kahi angioplasty e hoʻonui i kahi kīʻaha koko i haiki a i ʻole ke ʻoki bypass e kāpae i kahi ʻāpana i hōʻino ʻia. E wehewehe kāu kauka a kauka ʻoki paha iā ʻoe i ke ʻano o ke ʻoki ʻana āu e pono ai a me ka mea e manaʻo ai.
Hiki ke ho'ōla loa ʻia ka Vasculitis?
Eia ka mea nui e ʻike ai: ʻAʻole hiki ke ho'ōla loa ʻia ka Vasculitis. He maʻi mau loa ia, ʻo ia hoʻi he lōʻihi kona mau.
Akā, mai hopohopo! Ma hope o ka hoʻomalu ʻia ʻana o ka maʻi me ka mālama maikaʻi ʻana, hiki iā ʻoe ke komo i kahi kūlana i kapa ʻia ʻo ke kala ʻana . ʻO ke kala ʻana kahi manawa e noho mālie ai ka maʻi a ʻaʻohe ona hōʻailona. No kekahi poʻe, hiki i kēia manawa kala ke mau no nā mahina a i ʻole nā makahiki. Eia nō naʻe, ʻoi aku ka maikaʻi o ka noho ʻana ma lalo o ka nānā ʻana o ke kauka, no ka mea hiki ke hoʻi hou mai nā hōʻailona.
Aia kekahi ala e pale aku ai i ka vasculitis?
ʻO ka mea pōʻino, ʻaʻole maopopo i nā kauka ke kumu o ka vasculitis, no laila ʻaʻohe ala maopopo e pale aku ai . He mea hiki ʻole ke wānana i ka mea e loaʻa a ʻo wai ka mea ʻaʻole.
He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka vasculitis?
Inā ua ʻike ʻia ʻoe me ka vasculitis, pono ʻoe e mākaukau e mālama a ola me ke ʻano no ka manawa lōʻihi, malia paha no ke koena o kou ola.ʻOiai inā ʻaʻole ʻoe e loaʻa i nā hōʻailona koʻikoʻi, pono ʻoe e ʻike mau i ke kauka e nānā i ke kūlana o kou mau kīʻaha koko a me nā ʻōpū, e like me ka loaʻa ʻana o nā hoʻokolohua koko. E nīnau i kāu kauka i ka pinepine o kou ʻike ʻana i ke kauka a me nā hoʻokolohua āu e pono ai.
E hoʻomanaʻo ʻoiai inā ʻoe e hele i ke kala ʻana, ʻo ia hoʻi kahi manawa me ka ʻole o nā hōʻailona, hiki ke hoʻi hou nā hōʻailona vasculitis i ka wā e hiki mai ana.
Pehea e hiki ai iaʻu ke mālama pono iaʻu iho?
- E makaʻala mau i kāu mau hōʻailona. Inā ʻike ʻoe i kekahi mau loli hou, nā hōʻailona hou, a i ʻole nā hōʻailona e ʻoi aʻe ana, e mālama i kahi puke moʻolelo.
- E kamaʻilio me kāu kauka a hahai i ka hoʻolālā lapaʻau kūpono iā ʻoe. E lawe i ka lāʻau lapaʻau i ka manawa kūpono a me ka nui kūpono.
- Mai hōʻalo i nā manawa i hoʻopaʻa ʻia e ke kauka.
- Inā manaʻo ʻoe ʻaʻole e holo pono ana kahi lāʻau lapaʻau, a i ʻole ʻaʻole i like ka maikaʻi me ka wā ma mua, mai kānalua e ʻike i kāu kauka a haʻi iā lākou e pili ana i ia mea .
- E hahai i kahi nohona olakino. Inā ʻoe e puhipaka ana, e hoʻōki, e ʻai i ka meaʻai kaulike, a e hoʻoikaika kino e like me ke kuhikuhi a kāu kauka.
Āhea wau e ʻike ai i ke kauka? I loko o nā kūlana hea?
- Inā loaʻa iā ʻoe nā ʻōuli hou , a i ʻole inā e ʻoi aku ka ʻino o kāu mau ʻōuli, e ʻike koke i ke kauka.
- E haʻi aku kāu kauka iā ʻoe i ka pinepine o kou pono e hele mai no nā manawa hoʻopaʻa, nā hoʻāʻo koko, a i ʻole nā hoʻāʻo hou aʻe. Mai hōʻalo i kēlā mau manawa.
Nā kūlana pilikia:
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, hiki i kēia ke lilo i mau kūlana pilikia. No laila e hele koke i ka haukapila kokoke loa, a i ʻole e kelepona i kahi lawelawe ambulance pilikia e like me 1990:
- Inā pilikia ʻoe i ka hanu ʻana , inā ua paʻa kou umauma.
- Inā manaʻo ʻoe e like me ʻoe e loaʻa ana i ka hōʻeha puʻuwai (ʻeha nui ma waenakonu o kou umauma, ka ʻeha e pālahalaha ana i kou lima hema, ʻāʻī, ʻāwae, hou, nausea).
- Inā e ʻino koke kou ʻike, a inā e nalowale koke kou ʻike .
- Inā ʻoe e ʻike nei i nā hōʻailona o ka hahau ʻana (e laʻa, ke kūlou ʻana ma kekahi ʻaoʻao o ka maka, ka mae ʻana o ka lima, ka paʻakikī i ka ʻōlelo ʻana).
He aha nā nīnau koʻikoʻi e pono iaʻu e nīnau aku i kaʻu kauka?
Ke ʻike ʻoe i kāu kauka, mai kānalua e nīnau i nā nīnau e like me kēia. E kōkua kēia iā ʻoe e hoʻomaopopo maikaʻi i kou kūlana:
- "He aha ke ʻano o ka vasculitis i loaʻa iaʻu, e ke kauka?"
- "ʻO wai nā kīʻaha koko/nā ʻōkana o koʻu kino i hoʻopilikia nui ʻia e kēia?"
- "He aha nā hoʻokolohua ʻē aʻe e pono ai iaʻu e hana?"
- "Pono anei au e hoʻomau i ka lawe ʻana i ka lāʻau lapaʻau? He aha ke ʻano o ka lāʻau lapaʻau?"
- "He aha nā hopena ʻaoʻao o kēia lāʻau lapaʻau?"
- "Pono anei au i ke ʻoki kino?"
- "He aha nā hoʻololi e pono iaʻu e hana i kaʻu meaʻai a me koʻu nohona?"
- "He aha nā hōʻailona mua aʻu e ʻike ai inā e ʻoi hou ka maʻi?"
ʻO ka mea hope loa, nā mea e pono ai ʻoe e hoʻomanaʻo (Leka Lawe-Home)
ʻAe, no laila, ʻo ka vasculitis kahi mumū, a i ʻole ka pehu ʻana, o kou mau kīʻaha koko. He kūlana paʻakikī ia, akā mai hopohopo. ʻOiai inā he mau hōʻailona iki wale nō kou, he mea nui e hahai i nā ʻōlelo a kāu kauka a loaʻa nā nānā maʻamau . ʻO ia ka manawa e hiki ai iā ʻoe ke nānā i kou mau kīʻaha koko no nā loli, e ʻike inā ke hōʻino nei ka vasculitis i kou mau kino koʻikoʻi, a pehea e pale aku ai iā ia mai ka hana ʻana.
ʻAʻole like ka hopena o ka Vasculitis i nā kānaka a pau, no laila i kekahi manawa hiki ke manaʻo iki he huikau a paʻakikī ke hoʻomaopopo. Akā e hilinaʻi i kou ʻōpū a me nā hōʻailona o kou kino. Mai hoʻowahāwahā a hoʻowahāwahā paha i nā hōʻailona hou a loli paha . Inā he mau nīnau, hopohopo, a makaʻu paha kāu, e kamaʻilio me kāu kauka. Hiki iā ia ke kōkua iā ʻoe e hoʻomaopopo pono i ka mea e hana nei i loko o kou kino, he aha ka lāʻau āu e pono ai, a pehea ʻoe e ola ai me ke kūlana. ʻAʻole ʻoe hoʻokahi, a aia nā kauka e hiki ke kōkua iā ʻoe ma kēia huakaʻi.
ʻO Vasculitis, ka mumū o nā kīʻaha koko, nā maʻi autoimmune, nā hōʻailona vasculitis, ka mālama ʻana i ka vasculitis, ka pehu ʻana o nā kīʻaha koko, rheumatology











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