ʻEha a pehu paha kahi i inikini ʻia ai ke loaʻa iā ʻoe kahi inikini? E aʻo kākou e pili ana i ka Arthus Reaction.

Loaʻa iā ʻoe i kekahi manawa ka nui o ka ʻeha ma hope o ka loaʻa ʻana o kahi inikini? Malia paha ua like ka wahi me he mea lā ua pā ʻia e kahi pōhaku, pehu, a ʻulaʻula paha? A i ʻole ua like ka wahi me he mea lā ua nahu ʻia e kahi pepeke? Inā ua hana ʻia kēia iā ʻoe, he ʻano paha ia i kapa ʻia ʻo ka Arthus Reaction . E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā.

He aha ka hopena Arthus?

I ka ʻōlelo maʻalahi, ʻo ka Arthus Reaction he puʻupuʻu paʻakikī, ʻeha, a pehu e hana ʻia ma lalo o kou ʻili ma kahi i hoʻokomo ʻia ma hope o kou loaʻa ʻana o kahi mahele ʻē aʻe o kahi lāʻau pale i hāʻawi mua ʻia, kahi pana 'booster' . ʻIke pinepine ʻia kēia me nā lāʻau pale no nā maʻi e like me ka tetanus a me ka diphtheria (e like me ka pana Tdap). Eia nō naʻe, hiki ke hana me kekahi lāʻau pale āu i loaʻa ai i nā mahele he nui.

ʻO kēia ʻano pane ʻo Arthus he pane hypersensitivity ʻano III . ʻO ka pane hypersensitivity ka wā e pane nui ai ko mākou ʻōnaehana pale, a i ʻole pane kūpono ʻole, i kahi mea ma waho o ko mākou kino - e like me ka pollen a i ʻole kahi germ e hoʻoulu ai i ka maʻi. Hoʻokumu pinepine ʻia kahi ʻano hana ʻo Arthus e kahi mahele keu o kahi lāʻau pale i hāʻawi mua ʻia, i kapa ʻia ʻo 'booster dose'. Eia nō naʻe, manaʻo kekahi poʻe i kahi kūlana i kapa ʻia ʻo 'farmer's lung' (he ʻano 'hypersensitivity pneumonitis') a me nā ʻano hana hypersensitivity ʻano III kūloko ʻē aʻe he Arthus Reactions. I kekahi manawa, hiki i nā nahu pepeke ke hana i kēia ʻano hana Arthus.

He aha nā hōʻailona o kēia?

ʻIke pinepine ʻia nā hōʻailona o ka hopena Arthus i loko o ʻehā a ʻumikūmālua hola o ka hoʻokomo ʻana ma kahi i hoʻokomo ʻia ai. Eia nā hōʻailona maʻamau:

• Hoʻokumu ʻia kahi puʻupuʻu ʻeha loa ma ia wahi, me he mea lā ua kiola ʻia aku kahi pōhaku iā ia .
• Hiki iā ʻoe ke ʻike i ka pehu ʻana .
• Hiki ke ʻulaʻula ka wahi, a i ʻole he loli paha ke kala .
• I kekahi manawa hiki ke hana ʻia kahi ʻeha hāmama a i ʻole kahi ʻōpū .

No ke aha lā kēia e hana nei? (Pane ʻo Arthus) Nā kumu

ʻAe, i kēia manawa e nānā kākou i ke kumu o kēia mea i kapa ʻia ʻo Arthus Reaction. Penei ka pane ʻana o kou kino ke loaʻa iā ʻoe kahi mahele keu o kahi lāʻau pale, kahi mea hoʻoikaika. ʻO ka mea e hana ʻia, ʻo ia ka neʻe wikiwiki ʻana o nā cell a me nā wai i loko o kou kino i kahi o ka lāʻau pale.

E hoʻomaopopo iki kākou i ke ʻano o ka hana ʻana o kā kākou ʻōnaehana pale maʻi.

Hana kupaianaha loa kā mākou ʻōnaehana pale kino. Hoʻomaopopo ia i nā mea āpau e komo mai ana i loko o ko mākou kino ma ke ʻano he 'ʻiʻo' a i ʻole 'ʻaʻole pono'. Hana ia i kēia ma ke nakinaki ʻana i nā māka i kapa ʻia ʻo ' antigens ' . E noʻonoʻo, inā ʻike kāu ʻōnaehana pale kino i kahi antigen hou i ʻike ʻole ʻia ma mua, hana ia i nā 'antibodies' kūikawā e hiki ke hana kūʻē iā ia. Hana ʻia kēia mau antibodies e hoʻopili i kēlā antigen hou a haʻi aku i nā cell pale kino ʻē aʻe, 'Eia kahi pilikia, e hele mai a hoʻouka.' A laila, hoʻomanaʻo kā mākou ʻōnaehana pale kino i kēlā antigen i hiki iā ia ke hoʻouka koke iā ia inā ʻike hou ia.

Hoʻokomo nā lāʻau pale i ka antigen i loko o kou kino ma ke ʻano e pale ai iā ʻoe mai ka maʻi ʻana. A laila, ma hope o kou lāʻau pale ʻia ʻana, inā ʻoe e launa hou me kēlā antigen , hiki i kou kino ke hakakā koke aku. Ke loaʻa iā ʻoe kahi pana hoʻoikaika, hiki i nā antibodies IgG mai kāu pana mua ke hoʻāla i nā pūnaewele pale ma kahi o ka inikini. ʻO kēia ke kumu o kou mau kīʻaha koko e hoʻonui, e hoʻopiha ana i ka wahi me nā wai a me nā pūnaewele pale.

ʻO kēia ke kumu o ka puʻupuʻu a me ka pehu ʻana ma lalo o kou ʻili - ka Arthus Reaction - e hana. I kekahi manawa, hiki i nā 'immune complexes' ( nā antigens i hoʻopaʻa ʻia i nā antibodies) ke pipili i loko o kou mau kīʻaha koko, e hana ana i kahi maʻi i kapa ʻia ʻo 'vasculitis' , ʻo ia hoʻi ka mumū o nā kīʻaha koko. Ke hana ʻia kēia, ʻaʻole hiki i ke koko ke kahe pono a hiki i nā ʻiʻo ma ia wahi ke make ma muli o ka nele o ka oxygen.

He aha nā pilikia e hiki mai ana mai kēia?

ʻO ka hapa nui o ka manawa, ʻaʻole kēia he mea koʻikoʻi. Eia naʻe, i ka manawa kakaikahi loa , hiki i ka Arthus Reaction ke make i kou ʻiʻo (necrosis). Inā ʻaʻole mālama pono ʻia kēia, hiki i ka ʻeha ke lilo i maʻi (maʻi ʻeha). No laila, ʻoiai he mea liʻiliʻi paha ia, i kekahi manawa he mea ia e hopohopo ai.

Pehea ʻoe e ʻike pono ai inā he hopena Arthus ia? (Diagnosis)

Hoʻomaopopo nā kauka i kēia hopena Arthus ma ka hoʻolohe ʻana i kāu mau hōʻailona a me ka nānā ʻana i kahi i inikini ʻia. I kekahi manawa, lawe paha lākou i kahi hāpana o ka ʻiʻo a i ʻole ka wai mai ka wahi o ka hopena, a i ʻole e hana paha lākou i kahi hoʻāʻo koko e kōkua i ka hōʻoia ʻana i ka hōʻailona.

He aha nā lāʻau lapaʻau no kēia?

ʻO ka maʻamau, e hoʻomaikaʻi hou ka hopena Arthus iā ia iho i loko o kekahi mau lā., ʻaʻole ia e koi i kekahi lāʻau lapaʻau kūikawā. Eia nō naʻe, inā ʻoi aku ka koʻikoʻi o ka hopena, a i ʻole e mau ana ma mua o kekahi mau lā , hiki i kāu kauka ke ʻōlelo i nā lāʻau lapaʻau e like me:

• Hiki ke hāʻawi ʻia nā lāʻau lapaʻau e like me corticosteroids e hōʻemi i ka mumū .
• No ka hōʻemi ʻana i ka ʻeha, hiki ke hāʻawi ʻia iā ʻoe i nā painkillers over-the-counter .
• Hiki ke hāʻawi ʻia nā antihistamines e ālai i kekahi o nā kemika e hoʻoulu ai i ka hopena.
• E noi ʻia paha ʻoe e kau i ka hau i ka wahi e hōʻemi ai i ka pehu .

E noʻonoʻo, inā he pilikia e like me ka make ʻana o nā ʻiʻo (necrosis) e like me ka mea i ʻōlelo ʻia ma mua, hiki i ke kauka ke wehe i nā ʻiʻo make (debridement), mālama i nā maʻi, a i ʻole e kuhikuhi i nā lāʻau antibiotic e pale aku i nā maʻi.

Pehea ka lōʻihi o ka hopena o Arthus?

ʻO ka maʻamau, e hoʻomaikaʻi ka Arthus Reaction iā ia iho i loko o kekahi mau lā . Eia nō naʻe, inā koʻikoʻi kāu hopena a i ʻole e mau ana no ka manawa lōʻihi, pono paha ʻoe i ka lāʻau lapaʻau e hoʻomaikaʻi ai a i ʻole e pale i nā pilikia.

Āhea mākou e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kahi puʻupuʻu paʻakikī a ʻeha hoʻi ma hope o ka lāʻau pale ʻana, kahi nahu pepeke, a i ʻole kahi ʻeha i hoʻōla ʻole ʻia , e ʻike pono i ke kauka. Hiki iā ia ke ʻike i ke ʻano o ia mea a hoʻoholo i ka lāʻau lapaʻau (inā loaʻa) ʻoi aku ka maikaʻi.

I ka manawa hea ʻoe e hele ai i kahi Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe kahi pehu a ʻeha paha, me kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei, e hele koke i ka ʻOihana Hoʻopilikia kokoke loa (ETU) , a i ʻole e ʻimi i ke kōkua lapaʻau pilikia :

• Inā he ʻeha nui .
• Inā he mau ʻūlū wai kona .
• Inā he ʻala ʻino .
• Inā ua ʻeleʻele .
• Inā wela loa ke pā aku.
• Inā e liki ana kahi wai hina a keʻokeʻo paha .

Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, hiki ke lilo i maʻi koʻikoʻi, no laila he mea nui loa e ʻike koke i ke kauka!

Nā nīnau e nīnau aku ai i ke kauka/kauka

Ke hele ʻoe e ʻike i ke kauka, he mea maikaʻi ke nīnau i kekahi mau nīnau e like me kēia:

• "He hopena Arthus anei kēia, a i ʻole he hopena maʻamau o ka lāʻau pale?"
• "Pehea ka lōʻihi e pono ai kēia?"
• "Pehea lā e hiki ai iaʻu ke mālama i kēia ma ka home?"
• "Aia kekahi ala e pale aku ai i kekahi mea e like me kēia mai ka hiki ʻana mai i ka wā e hiki mai ana?"
• "Āhea wau e hele hou aku ai e ʻike iā ʻoe?"

Hiki ke pale ʻia ka hopena Arthus?

ʻAe, hiki iā ʻoe ke pale aku i ka Arthus Reaction ma ka pale ʻana i ke kumu. No ka laʻana, inā hōʻoia ke kauka ua loaʻa iā ʻoe kahi Arthus Reaction mai kahi lāʻau pale diphtheria a tetanus paha ma mua, hiki iā ia ke kuhikuhi iā ʻoe e kali lōʻihi ma mua o ka manawa maʻamau ma waena o nā pana hoʻoikaika. Eia nō naʻe, ʻaʻole maikaʻi ka haʻalele ʻana i nā pana i hoʻonohonoho ʻia me ka ʻole o ka ʻōlelo aʻoaʻo lapaʻau. No laila e kamaʻilio mau me kāu kauka ma mua o ka hoʻoholo ʻana i kekahi mau hoʻoholo.

He mea maʻamau ka loaʻa ʻana o kahi hopena Arthus mai nā lāʻau pale?

ʻOiaʻiʻo, he mea kakaikahi loa ka hopena Arthus ma muli o ka lāʻau pale. Hoʻokahi wale nō i loko o ka miliona mau kānaka e hōʻike ana i kēia ʻano hopena. ʻO ia hoʻi, e noʻonoʻo i kona liʻiliʻi. No laila, ʻaʻohe mea e hopohopo ai.

He aha ka ʻokoʻa ma waena o (Arthus Reaction) a me (Serum Sickness)?

ʻO ka Arthus Reaction a me ka Serum Sickness ʻelua mau kūlana like ʻole e hoʻopilikia i kou kino a kū mai ma nā ʻano like ʻole. Hoʻopilikia wale ka Arthus Reaction i kahi i hoʻokomo ʻia ai ʻoe . Hoʻoulu ka Serum Sickness i ka mumū ma loko o kou kino . Hiki ke hana ʻia kēia i kekahi manawa me nā lāʻau lapaʻau e like me nā monoclonal antibodies ( kahi wai i hoʻopaʻa ʻia, a i ʻole serum, e kōkua iā ʻoe e hakakā i kahi maʻi), kahi e hoʻoulu ai i kāu ʻōnaehana pale e hoʻouka hewa i ka serum.

Leka Lawe-Home

ʻAe, ʻo ka Arthus Reaction a mākou i kamaʻilio ai i kēia lā he ʻano kakaikahi, ʻeha iki, akā ʻaʻole weliweli loa, hiki ke hana ma hope o kekahi mau lāʻau pale. ʻO ka hapa nui o ka manawa, e hoʻomaikaʻi ia iā ia iho i loko o kekahi mau lā, me ka ʻole o nā hopena lōʻihi.

Eia nō naʻe, inā manaʻo ʻoe e loaʻa ana iā ʻoe kahi Arthus Reaction, pono ʻoe e ʻike i ke kauka . Hiki iā ia ke haʻi iā ʻoe i nā hōʻailona koʻikoʻi e makaʻala ai a pehea e pale aku ai i ka wā e hiki mai ana. E hoʻomanaʻo, inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi (e like me kā mākou i kūkākūkā ai ma mua), he mea naʻauao ke ʻimi koke i ka ʻōlelo aʻoaʻo lapaʻau.

ʻO ka hopena Arthus, nā hopena ʻaoʻao o ka lāʻau pale, ka pehu ʻana o ka ʻili, ka hypersensitivity, ka lāʻau pale hoʻoikaika, ka immunization, nā maʻi ʻili