Ua loaʻa anei iā ʻoe ka maʻi diabetes, ka rumatika, ka maʻi puʻupaʻa, a i ʻole kekahi maʻi mau no nā mahina, a i ʻole he mau makahiki paha, a ke luhi nei ʻoe a palaualelo i nā manawa a pau? Ua haʻi aku paha kāu kauka iā ʻoe he haʻahaʻa kou helu koko. Hiki paha kēia ma muli o kahi hemahema koko kikoʻī i hoʻokumu ʻia e kou maʻi mau. ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā. Ua kapa ʻia kēia ma ke ʻano lapaʻau ʻo 'Anemia of Chronic Disease'.
He aha ka anemia i hoʻokumu ʻia e nā maʻi lōʻihi?
I ka ʻōlelo maʻalahi, he anemia nō hoʻi kēia. ʻO ia hoʻi, ua emi ka nui o nā hunaola koko ʻulaʻula e lawe ana i ka oxygen ma ke kino holoʻokoʻa. Akā, he ʻokoʻa iki kēia mai ka anemia a mākou e lohe pinepine ai ma muli o ka nele i ka hao. Hoʻokumu ʻia kēia ʻano ma muli o ka mumū i hoʻokumu ʻia e kahi ʻano olakino i loko o kou kino no nā mahina ʻekolu a ʻoi. I kekahi manawa, kapa pū nā kauka i kēia he "Anemia of Inflammation".
E noʻonoʻo ʻoe he maʻi mau kou e hoʻoulu ai i kou kino e loaʻa mau kahi "puhi" liʻiliʻi (muhū). Pale kēia i ko mākou kino mai ka hoʻohana pono ʻana i ka hao e pono ai e hana i nā hunaola koko ʻulaʻula. Ua like ia me ka loaʻa ʻana o nā meaʻai a pau no ka kuke ʻana ma ka home, akā ʻaʻole hiki ke kuke me ka ʻole o ke kinoea. Akā ʻo ka nūhou maikaʻi, ʻo ka hapa nui o ka poʻe me kēia maʻi he anemia iki, ʻaʻole ia he koʻikoʻi loa.
ʻO wai ka mea kūpono loa e loaʻa i kēia maʻi?
E like me ka inoa e hōʻike nei, hiki ke ulu ka anemia i loko o kekahi kanaka me kekahi ʻano maʻi mau. Eia nō naʻe, ʻoi aku ka maʻamau i ka poʻe ma luna o 65 mau makahiki. Aia kekahi mau ʻano maʻi nui e hiki ai ke hoʻoulu i ka anemia:
- Ka maʻi ʻaʻai
- Maʻi puʻupaʻa mau loa
- Ka hāʻule ʻana o ka puʻuwai
- Nā maʻi Autoimmune: ʻO kēia nā maʻi kahi e hoʻouka ai ka ʻōnaehana pale, ka mea i manaʻo ʻia e pale i ko mākou kino, i ke kino ponoʻī.
E nānā kākou pehea e hiki ai i kēia anemia ke hana ʻia e kekahi mau maʻi ʻōnaehana pale a me nā kūlana ʻē aʻe.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| ʻO ka ʻāʻī rheumatoid | Ka pehu lōʻihi a me ka ʻeha ma nā hono. |
| Lupus | Ka pōʻino i hana ʻia e ka ʻōnaehana pale e hoʻouka ana i nā ʻiʻo like ʻole o ke kino. |
| ʻO ka maʻi ʻaʻai | Ka mumū a i ʻole ka pehu ʻana o nā kīʻaha koko. |
| Maʻi ʻōpū mumū | Nā maʻi ʻōpū e like me ka maʻi a Crohn a me ka colitis ulcerative. |
| ʻO kēlā me kēia ʻano maʻi lōʻihi | ʻO kēlā me kēia maʻi e mau ana i loko o ke kino no ka manawa lōʻihi e hiki ke hana i kēia. |
| Momona | Hiki i ka momona ke hoʻoulu i ka mumū mau loa i loko o ke kino. |
No ke aha i hoʻohana ʻole ʻia ai ka hao i loko o ke kino i kēia maʻi?
He mea paʻakikī iki kēia e hoʻomaopopo, akā he mea nui loa ia. E noʻonoʻo e pili ana i kēia ʻano...
ʻO ka maʻamau, ola kahi hunaola koko ʻulaʻula i loko o ko kākou kino no kahi o 120 mau lā. Ma hope o ko lākou make ʻana, hana hou ke kino i ka hao i loko o kēlā mau hunaola e hana i nā hunaola koko ʻulaʻula hou.
Akā, ke loaʻa iā ʻoe ka mumū ma muli o kahi maʻi lōʻihi, kahi ʻano cell i loko o ko mākou kino i kapa ʻia ʻo macrophages e paʻa ana i ka hao e hele mai ana mai kēia mau hunaola koko ʻulaʻula kahiko. ʻO ia hoʻi, ʻaʻole lākou e hoʻokuʻu i kēlā hao. Me he mea lā e hoʻopaʻa ana lākou i ka hao.
No laila, ʻoiai ua mālama ʻia ka hao i loko o ke kino (ma ke ʻano he protein i kapa ʻia ʻo `Ferritin`), ʻaʻole i hoʻokuʻu ʻia ka hao i loko o ke koko, no laila ʻaʻole hiki ke hana ʻia nā hunaola koko ʻulaʻula hou. ʻO kēia ka mea nui e hana ʻia i kēia maʻi.
He aha nā hōʻailona o kēia?
Ua like loa kēia mau hōʻailona me nā hōʻailona o ka anemia i hoʻokumu ʻia e ka nele i ka hao. ʻAʻole paha i loaʻa i kekahi poʻe kekahi mau hōʻailona. Hiki i kekahi ke ʻike wale i kēia mau hōʻailona ke hoʻoikaika kino lākou. Hiki i ka poʻe i loaʻa nā hōʻailona ke ʻike i:
| Hōʻailona | Wehewehena |
|---|---|
| Luhi nui a me ka nāwaliwali | Ke nāwaliwali loa nei ʻoe a hiki ʻole iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā. |
| Paʻakikī ka hanu ʻana | Manaʻo puni ke poʻo ʻoiai ke hele iki a piʻi paha i ke alapiʻi. |
| Ke ʻano keʻokeʻo o ka ʻili | ʻIke ʻia ka ʻili, nā lehelehe, a me nā poho lima i ʻoi aku ka keʻokeʻo ma mua o ka maʻamau. |
| Ke hou nei me ke kumu ʻole | Ke anu nei a me ka hou ʻana me ke kumu ʻole. |
| Pōʻino a me ka nawaliwali | Manaʻo e like me ka uliuli ʻana o kou mau maka ke kū ʻoe a i ʻole ke ala koke ʻana. |
| ʻEha poʻo | ʻEha pinepine ka ʻeha. |
Pehea ʻoe e ʻike ai i kēia, e Kauka?
E nīnau aku kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona a me nā kūlana olakino ʻē aʻe āu e loaʻa ai, a inā manaʻo lākou he ʻoiaʻiʻo kēia, e kauoha lākou i kekahi mau hoʻāʻo koko. ʻO kēia mau hoʻāʻo koko wale nō ke ala e ʻike ai i kēia maʻi.
He aha nā hōʻike hoʻāʻo koko e hōʻike nei
| Hoʻāʻo | I ka ʻōlelo maʻalahi, he aha kāu e ʻike ai ma kēia? |
|---|---|
| Pae hemoglobin | ʻO ka protein e hāʻawi ana i nā hunaola koko ʻulaʻula i ko lākou waihoʻoluʻu ʻulaʻula a lawe i ka oxygen. Ke emi nei kona waiwai. |
| Pae hao serum | ʻO ka nui o ka hao manuahi i loko o ke koko. He waiwai haʻahaʻa kēia. |
| Helu o nā reticulocyte | Pili kēia i nā hunaola koko ʻulaʻula "pēpē". Inā haʻahaʻa kēia helu, ʻo ia hoʻi, ʻaʻole e hana mālie ana ka iwi iwi i nā hunaola hou. |
| Ka pae ferritin serum | ʻO kēia ka mea nui loa . He protein ka Ferritin e mālama i ka hao i loko o ke kino. ʻOiai he haʻahaʻa ia i ka hemahema hao maʻamau, he maʻamau a kiʻekiʻe paha kona waiwai i ka Anemia o nā maʻi maʻi . |
I ka manawa kākaʻikahi loa, hiki i ke kauka ke ʻōlelo aku i kahi biopsy iwi inā pono.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka lāʻau lapaʻau maikaʻi loa a koʻikoʻi hoʻi no kēia anemia, ʻo ia ka mālama pono ʻana i ka maʻi kumu i hoʻokumu ai i ka anemia.
E noʻonoʻo ʻoe ua loaʻa iā ʻoe kēia anemia ma muli o ka rheumatoid arthritis. Ke lawe ʻoe i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai e kāohi i kou arthritis, e emi ana ka mumū i loko o kou kino. A laila hoʻokuʻu ʻia ka hao i hoʻopaʻa ʻia, a aneane hoʻomaikaʻi koke ʻia ka anemia.
He mea nui loa: Mai lawe i nā mea hoʻohui hao ma kāu iho me ka ʻole o ke kūkākūkā ʻana me kāu kauka. ʻO kēia no ka mea ua mālama ʻia ka hao i loko o ke kino i ka wā o kēia maʻi, a ʻo ka hoʻohui ʻana i ka hao hou aku hiki ke hōʻino i ke kino.
ʻO ka poʻe me ka anemia koʻikoʻi e pono paha i kekahi mau lāʻau lapaʻau ʻē aʻe:
- Ka hoʻoili koko: He hoʻoponopono wikiwiki kēia, akā ʻaʻole ia he hopena lōʻihi.
- ʻO ka lāʻau lapaʻau EPO synthetic: ʻO ka EPO kahi hormone i hana ʻia e nā puʻupaʻa. Hōʻailona ia i ka iwi iwi e "hana i nā hunaola koko ʻulaʻula." Ke hāʻawi ʻia kēia inikini, hoʻonui ʻia ka hana ʻana o nā hunaola koko ʻulaʻula.
- Nā papa hao: I kekahi manawa, e hoʻoholo paha kāu kauka e hāʻawi iā ʻoe i nā papa hao me ka inikini EPO, akā pono e hana ʻia kēia ma lalo o ka nānā ʻana o ke kauka.
E luhi loa paha ʻoe a me ke kaumaha ma muli o kēia mau hōʻailona anemia, me kou kūlana olakino lōʻihi. Akā e hoʻomanaʻo, he ʻoluʻolu pinepine kēia kūlana a e hoʻomaikaʻi ke mālama ʻia ke kūlana kumu. He mea nui e kamaʻilio me kāu kauka e pili ana i nā loli o ka ʻai a me ke ʻano o ka nohona e kūpono iā ʻoe.
Leka Lawe-Home
- ʻAʻole ka anemia o nā maʻi mau ka nele o ka hao i kāu meaʻai. Hoʻokumu ʻia ia e ka mumū i loko o ke kino ma muli o kahi maʻi lōʻihi.
- ʻO ka lāʻau lapaʻau maikaʻi loa no kēia, ʻo ia ka mālama ʻana i ke kūlana kumu āu e loaʻa nei (e like me ka ʻāʻī, ka maʻi puʻupaʻa).
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka luhi nui, ka pōkole o ka hanu, a me ka mae, e haʻi i kāu kauka.
- Mai hoʻohana i nā papa hao me ke aʻo ʻole ʻia e ke kauka no kekahi kumu. I kēia hihia, hiki ke hōʻeha i ke kino.
- E kamaʻilio ākea me kāu kauka e pili ana i kāu mau pilikia olakino a me nā lāʻau lapaʻau.
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