Ke manaʻo nei ʻoe i kekahi manawa he ʻūlū, ʻulaʻula, a he mau pehu liʻiliʻi ma kou kino? I ka manawa like, ke manaʻo nei ʻoe he ola ʻole a luhi i nā manawa a pau? Malia paha ke kumu o kēia, ʻo ia ka nele o ke koko i loko o kou kino, ʻo ia hoʻi ka anemia. I kēia lā e kamaʻilio mākou e pili ana i nā pilikia ʻili e hele mai me kēia anemia, ʻoiai ke kūlana a mākou e kapa nei ʻo 'Anemia Rash'. Mai hopohopo, e hoʻomaopopo maʻalahi kākou i kēia.
He aha ka Anemia? E ʻike kākou maʻalahi!
ʻO ka mea mua, e nānā kākou i ke ʻano o ka anemia. I ka ʻōlelo maʻalahi, ʻo ka anemia ka emi ʻana o ka nui o nā hunaola koko ʻulaʻula i loko o kou kino. ʻO kēia mau hunaola koko ʻulaʻula ka mea e lawe ai i ka oxygen ma o ko kākou kino. E noʻonoʻo wale, pono kēlā me kēia ʻāpana liʻiliʻi o ko kākou kino i ka oxygen e hana ai. No laila, i ka wā e emi ai kēia mau hunaola koko ʻulaʻula, ʻaʻole lawa ka oxygen i nā ʻāpana o ke kino. ʻO ia ka manawa e ʻike ʻia ai nā hōʻailona e like me ka luhi mau, ke anu, a i kekahi manawa pilikia ka hanu ʻana . I kekahi manawa hiki iā ʻoe ke loaʻa i kahi ʻulaʻula ʻili e like me kēia. Maopopo iā ʻoe?
He aha nā ʻano anemia e pili ana me nā ʻulaʻula ʻili?
ʻAʻole nā ʻano anemia āpau ke kumu o kēia ʻano ʻulaʻula ʻili. Eia nō naʻe, aia ʻelua ʻano nui o ka anemia e pili ana i kēia ʻulaʻula ʻili.
1. ʻAnemia Aplastic
He ʻano paʻakikī kēia. ʻO ka mea e hana ʻia ma kēia , ʻo ko kākou iwi iwi - ka ʻāpana nui o ka iwi e hana koko ai - ʻaʻole lawa nā hunaola. Hiki i kēia ke alakaʻi i ka emi ʻana o nā hunaola koko ʻulaʻula, akā, ʻo nā hunaola koko keʻokeʻo hoʻi e hakakā ana i nā maʻi, a me nā platelets e kōkua ana i ke kāpili ʻana o ke koko. Hiki i kēia ke lilo i maʻi koʻikoʻi loa.
2. Anemia nele i ka hao
Ua lohe paha ʻoe i kēia. He ʻano maʻamau kēia o ka anemia e hoʻopilikia ana i nā kānaka he nui, ʻoiai nā wāhine a me nā kamaliʻi. Pono ko kākou kino i kahi meaʻai i kapa ʻia ʻo ka hao e hana i ka hemoglobin. ʻO ka Hemoglobin ka protein i loko o nā hunaola koko ʻulaʻula e lawe ana i ka oxygen. No laila, inā ʻaʻole lawa ka hao, ʻaʻole hiki i ke kino ke hana i ka hemoglobin lawa, a emi pū ka helu o nā hunaola koko ʻulaʻula.
Pehea ka maʻamau o kēia ʻulaʻula anemia?
ʻOkoʻa ka maʻamau o kēia ʻōhū anemia ma ke ʻano o ka anemia e kumu ai.
- He mea kākaʻikahi loa ka Anemia Aplastic . Manaʻo kekahi mau noiʻi e hoʻopilikia wale ia i hoʻokahi a ʻeono mau kānaka i hoʻokahi miliona ma ka honua holoʻokoʻa i kēlā me kēia makahiki. No laila he maʻi kākaʻikahi loa ia.
- ʻO ka anemia nele i ka hao ke ʻano maʻamau o ka anemia. Ua manaʻo ʻia aia ma kahi o 13% o ka heluna kanaka o ka honua i loaʻa iā ia, ʻoi aku hoʻi ma nā ʻāina e ulu ana.
Akā, hoʻokahi mea e hoʻomanaʻo ai, ʻaʻole e loaʻa i nā kānaka a pau me kēia mau ʻano anemia ʻelua kēia ʻano ʻili. Hiki ke ʻokoʻa mai kēlā kanaka a kēia kanaka.
He aha nā hōʻailona o ka Anemia Rash? Pehea ʻoe e ʻike ai?
I kēia manawa, e nānā kākou i nā hōʻailona o kēia ʻōhū anemia. ʻOkoʻa kēia mau hōʻailona ma muli o ke ʻano o ka anemia i hoʻokumu maoli i ka ʻōhū.
- ʻO ka poʻe me ka anemia nele i ka hao e ʻike pinepine i ka maneʻo nui (pruritus) . Hiki i kēia maneʻo ke hoʻolilo i ka ʻili i ʻulaʻula, e like me ka pehu, a i kekahi manawa e haki a lilo i ʻeha. Hiki ke loaʻa kēia maneʻo ma nā wahi āpau o ke kino.
- ʻO ka ʻōhū e hele mai me ka anemia aplastic e ʻike pinepine ʻia me he mau kiko liʻiliʻi ʻulaʻula a poni paha (petechiae) e ʻike ʻia ma lalo o ka ʻili . He mau kiko liʻiliʻi kēia e like me ka mea i kaha ʻia me ka wēlau peni. Hiki i kēia mau kiko ke hui pū e hana i nā kiko nui aʻe. Eia naʻe, ʻaʻole kēia mau mea he ʻānai a ʻeha paha .
Hiki i kēia mau loli ʻili ke hana ma nā wahi āpau o ke kino, me nā lima, nā wāwae, ka umauma, ka ʻōpū, a ma nā wahi ʻē aʻe.
No ke aha e loaʻa ai kēia ʻulaʻula anemia? He aha nā kumu?
ʻAe, no ke aha lā e ʻike ʻia ai nā ʻōhū ʻili e like me kēia? E nānā kākou i kekahi o nā kumu no ia mea.
- Anemia Hao ʻAʻole maopopo i nā kānaka noiʻi pehea e hiki mai ai kēia maneʻo. Akā, ʻo kekahi manaʻo nui, ʻo ia ka wā e haʻahaʻa ai nā pae hao, e lahilahi ka ʻili, a laila e mahu ai ka nui o ka wai mai ka ʻili. Hiki i kēia ke hoʻomaloʻo a maneʻo ka ʻili . Aia kekahi mau manaʻo e hiki ke hopena i nā aʻalolo i loko o ka ʻili.
- I loko o ka Anemia Aplastic: ʻO ke kumu nui o nā loli o ka ʻili, ʻo ia hoʻi, nā kiko ʻulaʻula/poni (Petechiae), ʻo ia ka emi ʻana o nā platelets . ʻO nā platelets kahi ʻano o ke koko e kōkua i ke kāpili ʻana o ke koko. Kāhea pū mākou i kēia ʻano ma nā huaʻōlelo lapaʻau ʻo `(Thrombocytopenia). No laila, ke haʻahaʻa kou pae platelet, hoʻomaka kekahi koko e kahe mai nā kīʻaha koko liʻiliʻi ma lalo o ka ʻili. ʻO ia ke ʻano o kēlā mau kiko ʻulaʻula (Petechiae). I kēia hihia, hiki iā ʻoe ke palapū maʻalahi, loaʻa ke kahe koko ihu, a i ʻole he mau hōʻailona kahe koko ʻē aʻe e like me ke kahe koko ʻana o nā ʻāʻī i ka wā e palaki ai i kou mau niho .
Pehea ʻoe e ʻike pono ai he ʻulaʻula anemia kēia? (Diagnosis)
ʻAe, i kēia manawa ua loaʻa iā ʻoe kēia mau hōʻailona, pehea ʻoe e ʻike pono ai inā he ʻulaʻula anemia? Pono ʻoe e ʻike i ke kauka no kēia.
Ke ʻike ʻoe i ke kauka, e nānā pono mua lākou iā ʻoe. E nīnau lākou e pili ana i kou ʻulaʻula a me nā hōʻailona ʻē aʻe āu e loaʻa ai (e like me ka luhi, ka maeʻele). A laila e hana paha lākou i kekahi mau hoʻokolohua hou aʻe e ʻike pono ai i ke kumu o ka ʻulaʻula:
- Helu Koko Piha (CBC): ʻO kēia ka hoʻāʻo koʻikoʻi a maʻalahi hoʻi e nānā ai no ka anemia.Me ka `CBC`, ua aʻo nā kauka i nā mea he nui i loko o kou koko, e like me ke kiʻekiʻe o ka hemoglobin, ka helu o nā hunaola koko ʻulaʻula, ka helu o nā hunaola koko keʻokeʻo, a me ka helu o nā platelets. Hiki i kēia ke hāʻawi i kahi manaʻo maʻamau inā he anemia kou a he aha kona ʻano.
- Biopsy ʻIwi Momona: Inā kānalua kāu kauka he anemia aplastic kou, hiki i kēia hoʻāʻo ke hōʻoia iā ia. I loko o kahi biopsy ʻiwi momona, lawe ke kauka i kahi hāpana liʻiliʻi o kou iwi momona, maʻamau mai kou iwi ʻūhā, me ka hoʻohana ʻana i kahi nila liʻiliʻi, a nānā iā ia ma lalo o kahi microscope. He hoʻāʻo ʻoluʻolu ʻole kēia, akā he mea nui loa ia no ka ʻike ʻana i ka maʻi.
Pehea e mālama ʻia ai kēia?
I ka mālama ʻana i kēia, e mālama ke kauka i kou ʻōhū a me ka anemia nāna i hoʻokumu , no ka mea, i ka wā e mālama ʻia ai ka anemia e hoʻōla piha ai ka ʻōhū.
- No ka maneʻo i hoʻokumu ʻia e ka anemia nele i ka hao:
- Hiki i kāu kauka ke kuhikuhi i nā corticosteroids topical e hōʻemi i ka maneʻo.
- I nā kūlana ʻē aʻe, hiki ke hāʻawi ʻia nā antihistamines waha .
- Paipai ʻia nā mea hoʻohui hao a me nā meaʻai waiwai i ka hao (e like me ka spinach, ka ʻiʻo, a me nā legumes) e like me nā lāʻau lapaʻau no ka anemia.
- I kekahi mau hihia koʻikoʻi , hiki ke hana ʻia kahi hoʻoili koko .
- No ka ʻulaʻula "Petechiae" i hoʻokumu ʻia e ka anemia aplastic:
- ʻAʻohe lāʻau lapaʻau kūikawā no ka ʻulaʻula e like me ke kiko i kapa ʻia ʻo "Petechiae". Akā, mālama nā kauka i ka anemia aplastic i hoʻokumu ai.
- ʻO ka lāʻau lapaʻau nui a kūleʻa loa no ka anemia aplastic he hoʻoili iwi iwi . Pili kēia i ka wehe ʻana i nā hunaola iwi iwi i hōʻino ʻia a hoʻololi iā lākou me nā hunaola olakino (mai kahi mea hāʻawi kūpono).
- Kahi mea hou aʻe,
- Nā mea hoʻouluulu iwi: Hana kēia ma ka hoʻoulu ʻana i ka iwi iwi e hana i nā hunaola koko hou aʻe.
- Nā Hoʻoili Koko: E nānā i ka pae o nā keena koko ʻulaʻula a me nā platelet.
- Nā Immunosuppressants: Hāʻawi ʻia kēia mau lāʻau lapaʻau no ka mea i kekahi manawa hoʻouka ka ʻōnaehana pale ponoʻī o ke kino i ka iwi iwi.
Hiki ke pale ʻia kēia ʻulaʻula anemia?
He mea nui nō hoʻi kēia.
- Hiki ke pale nui ʻia ka anemia nele i ka hao ma ka ʻai ʻana i ka meaʻai kaulike i waiwai i ka hao . Pono nā makuahine hāpai a me nā keiki e ulu ana e makaʻala i kēia.
- ʻO ka mea pōʻino, ʻaʻohe ala maopopo e pale aku ai i ka anemia aplastic no ka mea he paʻakikī loa nā kumu e hoʻokumu ai.
He aha ka wānana no kēia mau kūlana? (Wānana)
E hōʻoluʻolu paha ʻoe i ka lohe ʻana i kēia. Hiki ke mālama ʻia a hoʻōla ʻia ka anemia hemahema hao a me ka anemia aplastic, ʻoiai inā ʻike ʻia a mālama ʻia i ka wā mua. Ke hoʻomaikaʻi ʻia kēia mau anemia, e hoʻomaikaʻi pū ʻia kāu ʻulaʻula anemia. No laila, mai hopohopo, e ʻike koke i ke kauka.
I ka manawa hea ʻoe e pono ai e ʻike i ke kauka?
ʻAe, e kamaʻilio kākou e pili ana i ka wā e pono ai ʻoe e ʻike i ke kauka. Pono ʻoe e ʻike i ke kauka inā ʻike ʻoe i kekahi mau loli i kou ʻili, ʻoiai he ʻulaʻula, e like me kēia:
- Inā hiki koke mai me ke kumu ʻike ʻole ʻia.
- Inā ua pālahalaha ʻia ma luna o kahi ʻāpana nui o ke kino.
- Inā ua hala ma mua o ʻelua pule a ʻaʻole lawa ka mālama home (e.g., ka hoʻopili ʻana i ka lotion calamine).
- I ka manawa like, inā he mau hōʻailona hou e like me ka luhi pinepine, ka maeʻele, ka paʻakikī o ka hanu ʻana, ka maʻalahi o ka palapū, a me ke kahe pinepine ʻana o ka ihu a i ʻole ke kahe ʻana o ka ʻāʻī.
He mea nui: E hoʻomanaʻo, i kekahi manawa ʻo kēia ʻūlū ʻili, a me ke ʻano o kēlā mau ʻūlū e like me ka pinpoint (petechiae), hiki ke lilo i mau hōʻailona o nā kūlana koʻikoʻi. No laila, inā loaʻa iā ʻoe kahi ʻūlū me nā hōʻailona ʻē aʻe o ka anemia hemahema hao a i ʻole ka anemia aplastic, mai lawe māmā a haʻi i kāu kauka . A laila hiki i kāu kauka ke ʻike i ke kumu pololei a hāʻawi iā ʻoe i ka hoʻolālā lapaʻau kūpono loa.
ʻO ka mea hope loa, e hoʻomanaʻo i kēia ! (Leka Lawe-Home)
ʻO kēia ka leka koʻikoʻi loa hiki iā ʻoe ke lawe i ka home mai ka mea a mākou i kamaʻilio ai.
Inā he ʻōhū ma kou kino a ke ʻike nei hoʻi i nā hōʻailona e like me ka luhi, ka maeʻele, ka pōkole o ka hanu, a me ka palapū, mai hoʻokuʻu wale iā ia he pilikia ʻili. Hiki ke lilo i hōʻailona waho o kahi maʻi ma lalo, e like me ka anemia. I kēia manawa ua ʻike ʻoe hiki ke loaʻa nā ʻōhū ʻili me nā kūlana e like me ka anemia hemahema hao a me ka anemia aplastic, a mākou i kūkākūkā ai ma mua.
No laila, inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ʻoi aku ka maikaʻi o ka hopohopo ʻole a makaʻu paha, akā e ʻike koke i ke kauka a ʻimi i ka ʻōlelo aʻo . A laila hiki iā ia ke hana i kahi hōʻailona pololei a hoʻomaka i ka lāʻau lapaʻau āu e pono ai. E hoʻomanaʻo, hiki ke ho'ōla ʻia ka hapa nui o kēia mau kūlana me ka lāʻau lapaʻau kūpono. He waiwai nui kou olakino iā ʻoe!
ʻAʻohe maʻi ʻōpū, Anemia, ʻŌhūhū ʻili, Anemia ʻŌhūhū, nele i ka hao, Anemia Aplastic, Petechiae, Nā ʻulaʻula koko











💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo