Ke pehu koke nei kou kino? E aʻo kākou e pili ana i kēia Anasarca!

Ke manaʻo nei ʻoe i kekahi manawa e pehu ana kou kino ma nā ʻāpana like ʻole? Malia paha ʻo kou mau wāwae wale nō, kou mau lima, a i ʻole kou maka. Akā aia kekahi mau manawa e pehu koke ai kou kino holoʻokoʻa e like me ka pōpō pehu . ʻO ia ke ʻano o ke kūlana a mākou e kamaʻilio ai i kēia lā, i kapa ʻia ʻo Anasarca. He kūlana kēia e hiki ke ʻoi aku ka koʻikoʻi ma mua o ka pehu maʻamau. No laila he mea nui e ʻike pono i ke ʻano o ia mea.

He aha ʻo Anasarca? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo Anasarca kahi pehu maʻamau ('generalized edema'). Hoʻokumu ʻia kēia pehu e ka hōʻiliʻili nui ʻana o ka wai ma nā ʻāpana like ʻole o ko mākou kino, no ka laʻana, ka maka, ka ʻōpū, nā wahi genital, nā māmā, a me nā lālā.

E noʻonoʻo e pili ana i ia mea, neʻe nā wai i mua a i hope ma o nā kīʻaha koko i loko o ko kākou kino. Pono ke kaulike ma waena o ka nui o ka wai e kahe ana mai loko mai o kēia mau kīʻaha koko, i loko o nā ʻiʻo a puni, a me ka nui e komo hou ana i loko o nā kīʻaha koko. I ka wā e nalowale ai kēia kaulike, hoʻomaka nā pilikia.

I mea e pololei ai, hiki i nā kīʻaha koko lahilahi loa o ko mākou kino, i kapa ʻia ʻo nā capillaries, ke hoʻokahe i ka nui o ka wai i loko o nā ʻiʻo a puni. A i ʻole, ʻaʻole paha e hana pono ke kaʻina hana o ka wehe ʻana i kēia wai keu ma o kā mākou ʻōnaehana lymphatic. ʻO kēlā me kēia ʻaoʻao, ʻo ka hopena ka hōʻiliʻili ʻana o ka wai i loko o nā ʻiʻo, e hoʻoulu ai i ka pehu.

E noʻonoʻo e like me kāu māla e piha ana i ka wai i ka wā ua nui. Ke pulu loa ka lepo, piʻi aʻe ka wai, ʻeā? Pēlā nō ia. Ke piha loa ko kākou mau kīʻaha koko, kahe ka wai i loko o nā ʻiʻo a puni, e hoʻoulu ai iā lākou e pehu.

Ke hōʻiliʻili kēia wai nui i loko o kou kino, manaʻo paha ʻoe ua paʻa kou mau apo a paʻakikī ke kau i kou mau kāmaʻa . Eia naʻe, ʻaʻole e like me ka pehu maʻamau, ma Anasarca, hana ʻia kēia mau mea ma nā wahi he nui o kou kino i ka manawa hoʻokahi.

He aha nā hōʻailona o kēia? Loaʻa iā ʻoe kēia mau mea pū kekahi?

I ke kūlana o Anasarca, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• Aia kahi pehu a me ka pupuhi i ʻike ʻia ma kekahi mau wahi o ke kino. Hiki ke ʻike ʻia ka ʻili ma kēia mau wahi pehu me he ʻōniʻoniʻo a ʻālohilohi.
• Ka piʻi ʻana o ke kaumaha o ke kino ma muli o ka paʻa ʻana o ka wai nui.
• Hiki i ka pehu ke kumu o ka hiki ʻole ke hoʻoneʻe pono i nā lima a me nā wāwae, a me ka paʻakikī i ke kulou ʻana a me ka hoʻolōʻihi ʻana i nā hono.
• ʻO ka hōʻiliʻili ʻana o ka wai i loko o ka ʻōpū, i ʻike ʻia hoʻi he ascites, hiki ke hoʻoulu i ka ʻōpū e pehu.
• Manaʻo luhi loa a me ka luhi loa.
• Hōʻiliʻili ʻana o ka wai i loko o nā māmā (edema pulmonary). Hiki i kēia ke hoʻopilikia i ka hanu ʻana .
• Ka emi ʻana o ka mimi i hoʻopuka ʻia (oliguria) a i kekahi manawa ʻaʻohe mimi i hoʻopuka ʻia (anuria).

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​he mea nui loa ka mālama ʻana iā lākou.

He aha nā kumu o Anasarca?

ʻO ke kumu nui o ka Anasarca e kekahi mau pilikia i loko o ko kākou puʻuwai, akepaʻa, a i ʻole nā ​​puʻupaʻa . I kekahi manawa hiki ke hana ʻia kēia ʻano ma hope o ke ʻoki ʻana.

ʻO kekahi o nā kūlana e hoʻoulu ai i ka Anasarca:

• Ka hāʻule ʻana o ka puʻuwai .
• ʻO ka Glomerulonephritis kahi maʻi puʻupaʻa.
• ʻO ka maʻi Nephrotic , kahi pilikia e pili ana i ka puʻupaʻa.
• ʻO ka Cirrhosis o ke akepaʻa.
• Ka hāʻule ʻana o nā puʻupaʻa.
• Ka hemahema o ke akepaʻa .
• Nā lāʻau lapaʻau e like me kekahi mau hormones steroid a me nā lāʻau hoʻohaʻahaʻa koko (nā lāʻau antihypertensive).
• ʻAʻole pono ka meaʻai - ʻO ke ʻano kēia o ka ʻai ʻana i kahi meaʻai haʻahaʻa i nā calorie a me ka protein no ka manawa lōʻihi.
• Nā maʻi mumū e like me ka rheumatoid arthritis (RA).
• Nā pilikia o ka ʻōnaehana lymphatic.
• ʻO kekahi mau maʻi ʻōpū (nā maʻi GI), e like me ka maʻi celiac.
• Hoʻemi ʻia ka hana thyroid ('Hypothyroidism').
• Nā maʻi like ʻole.
• Nā hopena alerika .

Aia kekahi mau kumu e hiki ke kōkua i ke kūlana o Anasarca. ʻO ia ke kumu he mea nui e ʻimi i ke aʻo lapaʻau me ka nānā ʻole i ka pehu ʻana.

He aha nā pilikia e hiki ke loaʻa mai ka Anasarca?

Inā hoʻomau ke kūlana o ka anasarca, hiki iā ia ke alakaʻi i nā pilikia hou aʻe. Eia kekahi mau laʻana:

• Nā ʻeha ʻili a i ʻole nā ​​maʻi e like me ka cellulitis. Lilo ka ʻili pehu i lahilahi a hiki ke hōʻeha maʻalahi.
• ʻO nā ʻūpā koko i loko o nā aʻa hohonu ('Deep vein thrombosis').
• Ka hōʻiliʻili ʻana o ka wai i loko o ka ʻeke a puni ka puʻuwai (pericardial effusion).
• ʻO ka maʻi pilikia hanu koʻikoʻi.
• ʻAʻole hana pono nā ʻōpū o loko.

He mea maikaʻi ke mālama koke i ka Anasarca ma mua o ka hiki ʻana mai o nā pilikia e like me kēia.

Pehea e ʻike ai i ka maʻi Anasarca?

Inā loaʻa iā ʻoe kēia ʻano pehu, ke ʻike ʻoe i ke kauka, e nīnau lākou iā ʻoe e pili ana i kou mōʻaukala olakino , nā lāʻau lapaʻau āu e lawe nei , pehea ka lōʻihi o kou loaʻa ʻana o kēia mau hōʻailona, ​​a inā ua loaʻa iā ʻoe ma mua. A laila e hana lākou i kahi hoʻokolokolo kino .

I kekahi manawa, ʻo ka hoʻololi ʻana i ke kūlana o kou kino (no ka laʻana, ke hāpai ʻana i kou mau wāwae) hiki ke kōkua i ka hōʻemi ʻana i ka pehu. Eia kekahi, ke kaomi ke kauka i kahi ʻāpana pehu me kona manamana lima, e lilo ka ʻāpana i lua no kekahi manawa ('pitting edema'). ʻOiai nā mea liʻiliʻi e like me kēia hiki ke kōkua i ke kauka e ʻike i ke kumu o ka anasarca.

He aha nā hoʻokolohua e hana ʻia?

Ua kauoha nā kauka i nā hoʻokolohua like ʻole e hōʻoia i ke kūlana o Anasarca a ʻike i kona kumu. ʻO kekahi o lākou:

• Nā hoʻāʻo koko .
• Ka nānā ʻana i ka mimi .
• He kiʻi X-ray o ka umauma .
• ʻO kahi hoʻāʻo echocardiogram (Echo) (`Echocardiogram (Echo)`) - Nānā kēia i ka hana o ka puʻuwai.
• ʻImi CT ( ʻimi CT).
• ʻO kahi ultrasound o kou mau wāwae a i ʻole nā ​​​​puʻupaʻa .
• ʻO kahi hoʻāʻo MRI (Magnetic resonance imaging (MRI)) .
• Hoʻāʻo Lymphoscintigraphy - He ʻano hana kūikawā kēia e nānā ai i ka ʻōnaehana lymphatic.

Ma muli o ka ʻike i loaʻa mai kēia mau hoʻokolohua e hiki ai i ke kauka ke hoʻoholo e pili ana i kou kūlana a hoʻolālā i ka mālama ʻana.

Pehea e mālama ʻia ai ʻo Anasarca?

ʻO ka mea nui i ka mālama ʻana i ka anasarca, ʻo ia ka mālama ʻana i ke kūlana kumu i hoʻokumu ai.

Hoʻomaʻamaʻa pinepine ʻia ʻo Anasarca me nā lāʻau lapaʻau i kapa ʻia he diuretics . Kāhea pū kekahi poʻe i kēia mau "pills wai." Kōkua kēia mau lāʻau lapaʻau i kou kino e hoʻokuʻu i ka paʻakai a me ka wai keu ma o kou mimi. Ke lawe ʻoe i kēia mau lāʻau lapaʻau, pono paha ʻoe e mimi pinepine, ʻoiai i nā hola mua. Eia nō naʻe, hiki i kekahi poʻe ke loaʻa nā hopena ʻaoʻao e like me ka dehydration , nā pae potassium koko kiʻekiʻe (hyperkalemia), a i ʻole nā ​​​​pae cholesterol LDL (maikaʻi ʻole) kiʻekiʻe (hypercholesterolemia). No laila, pono e hoʻohana wale ʻia ma lalo o ke aʻo ʻana a ke kauka.

Ma muli o ke kumu o ke kūlana anasarca, aia kekahi mau lāʻau lapaʻau ʻē aʻe:

• Ke kaupalena nei i ka nui o ka wai a me ka paʻakai āu e hoʻopau ai.
• Hoʻohui i kekahi mau meaʻai i kāu meaʻai.
• Ke hāʻawi ʻana i ka wai albumin ma o kahi aʻa koko ma ka lima ('Albumin infusions').
• Dialysis - Hana ʻia kēia no nā poʻe i hana pono ʻole ko lākou mau puʻupaʻa.
• ʻO ka hoʻōla hoʻopili - ʻo ia hoʻi, ke komo ʻana i nā socks kūikawā (compression stockings) a i ʻole nā ​​​​bandage.
• Ke hoʻopaʻa nei i nā wāwae ʻelua i luna.
• Lomilomi hoʻokahe lymphatic.

Na ke kauka e hoʻoholo i ke ʻano lapaʻau e kūpono loa iā ʻoe.

He aha ka mea e hiki ai i kekahi me Anasarca ke manaʻo?

ʻOkoʻa ke ʻano o ka hoʻōla ʻana mai Anasarca mai kēlā me kēia kanaka. Aia ia i ke kumu o ke kūlana a me ka wikiwiki o ka holomua ʻana o ka lāʻau. Inā holomua ka lāʻau, hiki i ke kauka ke hoʻōla loa iā Anasarca.

Eia kekahi laʻana, ʻo ke kanaka i loaʻa i ka anasarca ma muli o ka lāʻau lapaʻau a i ʻole kahi maʻi he manawa kūpono e hoʻōla ai. Eia nō naʻe, no kekahi kanaka i loaʻa i ka anasarca ma muli o kahi maʻi lōʻihi , ʻaʻole paha e maikaʻi ka wānana.

Hiki ke pale ʻia kēia?

ʻAe, hiki ke pale aku i ka anasarca inā mālama pono ʻia ke ʻano olakino kumu e hoʻokumu ai. ʻO ke ʻano kēia he mea nui loa ka hahai ʻana i nā ʻōlelo a kāu kauka, inā paha e pili ana i ka hoʻololi ʻana i kāu mau hana o kēlā me kēia lā a i ʻole ka lawe pololei ʻana i kāu mau lāʻau lapaʻau.

Pehea wau e mālama ai iaʻu iho?

Ma waho aʻe o ka lawe ʻana i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka, hiki iā ʻoe ke hana i kēia mau mea:

• E hoʻokiʻekiʻe i kou mau wāwae i ka lōʻihi e hiki ai.
• E hana i nā hana kino maʻamau, e like me ka hele wāwae.
• E komo i nā kāʻei hoʻopaʻa (e like me ke kuhikuhi a kāu kauka).
• E hōʻemi i ka nui o ka paʻakai āu e hoʻohui ai i kāu meaʻai.

ʻOiai kēia mau mea liʻiliʻi e hiki ke lawe mai iā ʻoe i ka hōʻoluʻolu nui.

Āhea wau e ʻike ai i ke kauka?

Inā he pehu kou ma kekahi mau wahi o kou kino i ka manawa hoʻokahi , ʻoiai inā hele pū me ka paʻakikī o ka hanu ʻana , e ʻike koke i ke kauka. He mau hōʻailona paha kēia o ka hāʻule ʻana o ka puʻuwai.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

Ke hele ʻoe e ʻike i ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me:

• He aha ke kumu o kēia pehu?
• He aha ka lāʻau lapaʻau maikaʻi loa noʻu?
• Pehea e hiki ai iaʻu ke hōʻemi i ka nui o ka paʻakai i ka meaʻai aʻu e ʻai ai?
• Pehea ka lōʻihi e pono ai iaʻu ke komo i nā stocking compression?

Ua loaʻa paha iā ʻoe kahi pehu liʻiliʻi ma mua. Eia nō naʻe, ʻo ka pehu nui e hele pū me ka anasarca he hōʻailona ia e hana nei kekahi mea koʻikoʻi. ʻAʻole wale ia he mea ʻoluʻolu ʻole, hiki iā ia ke kaupalena i kou hiki ke neʻe a puni. ʻO ka wikiwiki o kou ʻike ʻana i ke kauka, ʻo ka wikiwiki o kou loaʻa ʻana o ke kumu a loaʻa ka hōʻoluʻolu. ʻO ka ʻike kikoʻī e like me ka hiki e pili ana i kāu mau hōʻailona hiki ke kōkua i kāu kauka e ʻike i ke kumu.

I ka hōʻuluʻulu manaʻo (Leka Lawe-Home)

He ʻano maʻi ʻo Anasarca e hoʻoulu ai i ka pehu ʻana o ke kino holoʻokoʻa, a he mea ia e makaʻala ai. Hiki iā ia ke hoʻopilikia nui i nā maʻi e pili ana i ka puʻuwai, ke akepaʻa, a me nā puʻupaʻa.

E hoʻomanaʻo, inā ʻike koke ʻoe i ka pehu ʻana ma kekahi mau wahi o kou kino, ʻoiai me ka paʻakikī o ka hanu ʻana, mai hoʻowahāwahā iā ia.

E ʻimi koke i ke kōkua lapaʻau. ʻO ka ʻike pololei a me ka mālama koke ʻana e hiki ke kōkua iā ʻoe e hoʻōla mai kēia maʻi a pale i nā pilikia e hiki mai ana. He mea nui e hahai pololei i nā ʻōlelo a kāu kauka.

ʻAnasarca , pehu ʻana, paʻa ʻana o ka wai i loko o ke kino, maʻi puʻuwai, maʻi puʻupaʻa, maʻi akepaʻa, nā pila wai