Loaʻa iā ʻoe ka maʻi diabetes, ka rumatika, ka maʻi puʻupaʻa, a i ʻole kekahi maʻi mau e hoʻoluhi a palaualelo ai ʻoe? Manaʻo paha ʻoe no kou maʻi ia. Aia kekahi ʻoiaʻiʻo i kēlā moʻolelo, akā aia paha kekahi kumu ʻē aʻe. ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā. Kāhea mākou i kēia ʻano ʻo 'Anemia of Chronic Disease' a i ʻole 'Anemia of Inflammation'. I ka ʻōlelo maʻalahi, he nele ia o ke koko i loaʻa mai kahi maʻi lōʻihi.
He aha maoli ke ʻano o ka 'Anemia o nā maʻi mau'?
ʻAe, e hoʻomaʻalahi kākou i kēia. ʻO ka anemia, a i ʻole ke koko haʻahaʻa, he ʻano ia kahi i loaʻa ai iā mākou ka helu haʻahaʻa o nā hunaola koko ʻulaʻula. Lawe kēia mau hunaola koko ʻulaʻula i ka oxygen ma o ko mākou kino. No laila, ke haʻahaʻa lākou, manaʻo mākou ua luhi a make mākou.
Ma ke ʻano i kapa ʻia ʻo 'Anemia of Chronic Disease', ʻo ka mumū mau i loko o ke kino i hoʻokumu ʻia e kahi maʻi i loaʻa no nā mahina ʻekolu a ʻoi e pale aku ai i ko mākou kino mai ka hoʻohana ʻana i ka hao e pono ai e hana i nā hunaola koko ʻulaʻula.
E noʻonoʻo i kēia ʻano. Loaʻa iā mākou nā sima, nā piliki, a me nā kaola hao e kūkulu ai i hale. Akā, he pilikia ko nā limahana a ʻaʻole hiki iā lākou ke hoʻohana i kēlā mau mea e hana ai. Pēlā nō hoʻi ka mea e hana ʻia ma ʻaneʻi. ʻOiai he hao ko mākou i loko o ko mākou kino, ma muli o ka mumū i hoʻokumu ʻia e ka maʻi lōʻihi, ʻaʻole hiki i ke kino ke hoʻohana i kēlā hao e hana i nā hunaola koko ʻulaʻula hou. ʻO ka hapa nui o ka manawa, he anemia iki kēia ʻaʻole i koʻikoʻi loa.
ʻO wai ka mea kūpono loa e loaʻa i kēia maʻi?
E like me ka inoa e hōʻike nei, hiki ke loaʻa kēia anemia i kekahi me kekahi maʻi lōʻihi (mau). Eia nō naʻe, he mea maʻamau ia i waena o ka poʻe ma luna o 65 mau makahiki. Aia kekahi mau maʻi lapaʻau nui e hiki ai ke hoʻoulu i kēia anemia. E nānā kākou i ke ʻano o lākou.
| Māhele maʻi | Nā laʻana a me ka wehewehe maʻalahi |
|---|---|
| Nā maʻi Autoimmune | He maʻi kēia kahi e hoʻouka hewa ai ka ʻōnaehana pale o ko mākou kino, ʻo ia hoʻi ka ʻōnaehana pale kino, i nā hunaola o ko mākou kino ponoʻī. Nā Laʻana: Rheumatoid Arthritis (kahi maʻi e hoʻoulu ai i ka pehu a me ka ʻeha i nā hono), Lupus (SLE) , Vasculitis (ka mumū ʻana o nā kīʻaha koko), Sarcoidosis, a me ka Inflammatory Bowel Disease (IBD) (nā kūlana e hoʻopilikia ai i nā ʻōpū, e like me ka maʻi Crohn a me Ulcerative Colitis). |
| Ka maʻi ʻaʻai | Hiki i kēlā me kēia ʻano maʻi kanesa ke hoʻoulu i ka mumū mau loa i loko o ke kino. |
| Maʻi puʻupaʻa mau loa | Hiki ke hana ʻia kēia anemia e ka maʻi puʻupaʻa lōʻihi. |
| Ka hāʻule ʻana o ka puʻuwai | Nā kūlana i hoʻokumu ʻia e ka hana puʻuwai kīnā. |
| Nā maʻi maʻi mau | Nā maʻi e mau ana i loko o ke kino no ka manawa lōʻihi, e like me ka maʻi puʻupuʻu. |
| Momona | ʻO ka hōʻiliʻili nui ʻana o ka momona i loko o ke kino hiki ke hoʻoulu i ka mumū iki e hoʻomau i loko o ke kino. |
ʻO ka mea nui, ʻo kēia ka lua o ke ʻano maʻamau o ka anemia ma hope o ka anemia nele i ka hao. No laila, ʻaʻole kēia he pilikia pili loa.
No ke aha i hoʻoulu ai kēia maʻi i ka anemia? He aha ka mea e hana maoli nei i loko o ke kino?
He moʻolelo hoihoi loa kēia. ʻO ke ola maʻamau o kahi hunaola koko ʻulaʻula i loko o ko kākou kino ma kahi o 120 mau lā. Ma hope o ka make ʻana o kēia mau hunaola koko ʻulaʻula kahiko, akamai loa ko kākou kino i ka hana hou ʻana i ka hao i loko o lākou e hana i nā hunaola koko ʻulaʻula hou. ʻO ko kākou iwi iwi ke kumu nui o kēia hana.
Akā ke loaʻa iā ʻoe kahi maʻi lōʻihi e like me ka mea i ʻōlelo ʻia ma luna, loli kekahi mau mea i loko o ko mākou kino ma muli o ka mumū e kū mai ana.
1. Ua paʻa ka hao:Mālama nā pūnaewele kūikawā i loko o kā mākou ʻōnaehana pale i kapa ʻia ʻo macrophages i ka hao mai nā hunaola koko ʻulaʻula kahiko no ka hoʻohana hou ʻana. Ua like ia me kekahi kanaka i waiho i kekahi mau mea e pono ai lākou i loko o kahi keʻena a nalowale ke kī. ʻOiai he hao ke kino, ʻaʻole hiki i ka iwi iwi ke hoʻohana iā ia e hana i nā hunaola koko ʻulaʻula hou.
2. Hoʻemi ʻia ka hana ʻana o nā hunaola koko ʻulaʻula: Ma muli o ke kūlana mumū, hiki ke emi iki ka wikiwiki o ka hana ʻana o nā hunaola koko ʻulaʻula hou e ka iwi iwi.
3. Hoʻopōkole ʻia ke ola o nā hunaola koko ʻulaʻula: I kekahi manawa, hiki ke emi mai ke ola o nā hunaola koko ʻulaʻula i hana hou ʻia ma mua o 120 mau lā.
Ke hui pū ʻia kēia mau kumu a pau, e emi mālie ana ka nui o nā hunaola koko ʻulaʻula olakino i loko o ko kākou kino, a e alakaʻi ana i ka anemia.
He aha nā hōʻailona? Ke kānalua nei ʻoe he maʻi kou?
Ua like loa nā hōʻailona o ka 'Anemia of Chronic Disease' me nā hōʻailona o ka anemia hao maʻamau. ʻAʻole paha i loaʻa i kekahi poʻe kekahi mau hōʻailona. Hiki i kekahi ke ʻike wale i kēia mau hōʻailona i ka wā o ke kaumaha, e like me ka hoʻoikaika kino. Hiki i ke kanaka me nā hōʻailona ke ʻike i:
- Manaʻo mau o ka luhi nui a me ka manaʻo o ka nāwaliwali. Hiki iā ʻoe ke manaʻo ua luhi loa ʻoe a hiki ʻole iā ʻoe ke hana i nā hana maʻamau o ka lā.
- Ka hanu pōkole i kekahi manawa, e like me ka hele wāwae iki a i ʻole ke piʻi ʻana i ke alapiʻi.
- Ke nānā aku nei kou ʻili, ʻoiai kou maka, nā poho lima, a me nā lehelehe, he keʻokeʻo.
- Ke hou nei no ke kumu ʻole.
- Manaʻo puni, maule.
- ʻEha pinepine ka ʻeha.
Inā loaʻa iā ʻoe nā hōʻailona e like me kēia me kahi maʻi lōʻihi, he mea nui loa ia e kamaʻilio me kāu kauka e pili ana i kēia.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke hele ʻoe e ʻike i kāu kauka, e nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a me nā maʻi ʻē aʻe āu e loaʻa ai, a e nānā iā ʻoe. A laila e kauoha ʻo ia i kekahi mau hoʻāʻo koko e hoʻoholo pono i ke ʻano o ka anemia āu e loaʻa nei. ʻO kēia mau hoʻāʻo koko ka mea maʻamau e hōʻoia i kēia maʻi.
| Hoʻāʻo koko | I ka ʻōlelo maʻalahi, he aha kāu e nānā nei? |
|---|---|
| Pae Hemoglobin | ʻO kēia ke ala nui e nānā ai no ka anemia. ʻO kēia ka protein e hāʻawi i nā hunaola koko ʻulaʻula i ko lākou kala ʻulaʻula. |
| Pae Hao Serum | Ana ʻia ka nui o ka hao manuahi a hiki ke hoʻohana ʻia i loko o kou koko. Ma kēia kūlana, haʻahaʻa paha kēia nui. |
| Pae Ferritin Serum | Ana kēia i ka nui o ka hao 'i mālama ʻia' i loko o kou kino. ʻO ka mea kupanaha, i loko o kēia maʻi, ʻo ka nui o ka hao i mālama ʻia i loko o ke kino (Ferritin) he mea maʻamau a i ʻole e hoʻonui ʻia. ʻO kēia no ka mea aia ka hao i loko o ke kino, akā ʻaʻole hiki ke hoʻohana ʻia. |
| Ka Mana Hoʻopaʻa Hao | He hoʻāʻo e ana i ka hiki o ke koko ke lawe i ka hao. He haʻahaʻa paha kēia waiwai ma kēia kūlana. |
| Helu o nā Reticulocyte | Pili kēia i nā hunaola koko ʻulaʻula ʻōpiopio. Inā haʻahaʻa kēia helu, ʻo ia hoʻi, ʻaʻole lawa ka hana ʻana o ka iwi iwi i nā hunaola koko ʻulaʻula hou. |
I kekahi mau hihia kūikawā, inā makemake ke kauka i ka ʻike hou aku, hiki iā ia ke ʻōlelo aku i kahi biopsy iwi iwi, e pili ana i ka lawe ʻana i kahi hāpana liʻiliʻi o ka iwi iwi a hoʻāʻo iā ia.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka mea nui a ʻoluʻolu hoʻi ma ʻaneʻi, ʻo ia ka mea i ka hapanui o nā hihia, hiki ke ho'ōla ʻia kēia anemia.
ʻO ka lāʻau lapaʻau maikaʻi loa a koʻikoʻi loa no kēia, ʻo ia ka mālama pono ʻana i kou maʻi maʻi mau loa (e laʻa me ka ʻāʻī, ka maʻi puʻupaʻa) e hoʻoulu ai i ka anemia. Ke mālama pono ʻia a kāohi ʻia kēlā maʻi kumu, e emi ana ka mumū i loko o ke kino a e hoʻomaikaʻi koke ʻia ka anemia.
Eia nō naʻe, i kekahi manawa inā koʻikoʻi ka anemia, a inā hele pū ʻia me nā kūlana e like me ke kanesa a i ʻole ka maʻi puʻupaʻa, hiki i ke kauka ke ʻōlelo i kekahi mau lāʻau lapaʻau hou aʻe.
- Hoʻoili koko: Hiki i nā hoʻoili koko ke lilo i hopena pōkole no ka poʻe nona ka anemia koʻikoʻi a ʻaʻole hiki iā lākou ke hoʻomanawanui i ke kaumaha. Eia naʻe, ʻaʻole kēia he mea hiki ke hana mau ʻia.
- Lapaʻau EPO Synthetic: Hoʻopuka ko mākou mau puʻupaʻa i kahi hormone i kapa ʻia ʻo `(Erythropoietin - EPO)`. ʻO kēia ka mea e hōʻailona ai i ka iwi iwi e "hana i nā hunaola koko ʻulaʻula hou". I kekahi mau maʻi, emi ka hana ʻana o kēia hormone. I kēlā hihia, hāʻawi ʻia kēia hormone ma waho e like me ka injection.
- Nā Mea Hoʻohui Hao: I kekahi manawa, ʻoiai me ka mālama ʻana iā EPO, hiki i kāu kauka ke hoʻoholo e hāʻawi iā ʻoe i nā mea hoʻohui hao a i ʻole nā inikini.
Akā e hoʻomanaʻo i kēia! Mai hoʻomaka e lawe i nā papa hao mai kahi hale kūʻai lāʻau me ka ʻole o ke kūkākūkā ʻana me ke kauka no ka mea ke manaʻo nei ʻoe he anemia kou. ʻO kēia no ka mea i ke ʻano o ka 'Anemia of Chronic Disease', loaʻa paha i ke kino ka hao, akā ʻo ka pilikia ʻaʻole hiki ke hoʻohana ʻia. I kēlā manawa, ʻo ka hoʻohui ʻana i ka hao hou aʻe i ke kino hiki ke hana i nā pilikia ʻē aʻe. No laila, e lawe mau i ka lāʻau e like me ke kauoha a kāu kauka.
He aha kā mākou e hana ai e hōʻemi i ka pilikia?
Inā loaʻa iā ʻoe kahi maʻi mau, ʻaʻole paha ʻoe e hiki ke pale loa i ka anemia mai ka hanana ʻana. Eia nō naʻe, ʻo ka mālama ʻana i ke olakino maikaʻi holoʻokoʻa e hiki ke kōkua i ka hōʻemi ʻana i kou pilikia a me ka hopena o ka anemia inā loaʻa. He mea nui ka ʻai ʻana i ka meaʻai momona no kēia.
- E ʻai i nā protein wīwī e like me ka moa, ka iʻa, nā pī, a me nā lentil.
- E hoʻokomo mau i nā mea kanu ʻōmaʻomaʻo ʻeleʻele a me nā mea kanu e like me ka spinach a me ka kale i kāu papaʻai.
- E koho i ka berena a me ka cereal i hoʻonui ʻia i ka hao.
- E ʻai i nā meaʻai waiwai i nā meaolaola e like me ka huaora B12 a me ka folate.
Mea nui: Mai lawe ʻoe i nā mea hoʻohui huaora a hao paha ma kāu iho ke ʻole i ʻōlelo ʻia e kāu kauka.
Inā ʻoe e noho nei me kahi maʻi mau loa, hiki ke manaʻo ʻia he kaumaha hou aʻe ka mālama ʻana i ka anemia. He mea maʻamau kēlā. Akā ʻo ka mea maikaʻi loa, he maʻalahi kēia ʻano a e hoʻomaikaʻi ke mālama ʻia ke ʻano kumu. Ma hope o ka mālama ʻana, e kamaʻilio me kāu kauka e pili ana i nā loli o ke ʻano o ka nohona, e like me ka ʻai a me ka hoʻoikaika kino, hiki ke kōkua i ka hōʻemi ʻana i ka pilikia o ka hoʻi hou ʻana o kēia ʻano.
Leka Lawe-Home
- ʻO ka 'Anemia o nā maʻi mau loa' he hemahema koko ia i hoʻokumu ʻia e kahi maʻi lōʻihi e like me ka maʻi diabetes, ka rheumatoid arthritis, a i ʻole ka maʻi puʻupaʻa.
- Ua like nā hōʻailona me nā hōʻailona o ka anemia laulā (luhi, keʻokeʻo).
- ʻO ka lāʻau lapaʻau nui, ʻo ia ka mālama pono ʻana i ka maʻi kumu i hoʻokumu ai i ka anemia.
- Inā loaʻa iā ʻoe nā hōʻailona e like me kēia me kahi maʻi lōʻihi, mai lawe wale i nā lāʻau hao ma kāu iho.E kamaʻilio pono me kāu kauka.
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