He mīkini kupaianaha ko kākou kino. Ua like ia me kahi pā kaua i pale maikaʻi ʻia. Loaʻa i kēia pā kaua kona pūʻali koa ponoʻī e ʻike a luku i nā ʻenemi e like me nā germs a me nā maʻi. Kāhea mākou i kēia ʻōnaehana pale. Akā, e noʻonoʻo i ka mea e hana ʻia inā huikau iki kekahi o nā koa o kā mākou pūʻali koa ponoʻī, ʻaʻole hiki ke ʻike i ka hoaaloha a i ʻole ka ʻenemi, a hoʻomaka e hoʻouka i nā cell olakino o ko mākou kino ponoʻī? ʻO ia ke ʻano o kēia mau 'autoantibodies'.
I ka ʻōlelo maʻalahi, he aha nā antibodies a me nā autoantibodies?
E hoʻomaopopo kākou i kēia penei.
- Nā Antibodies: ʻO kēia nā "koa" akamai a hoʻomaʻamaʻa ʻia o kā mākou ʻōnaehana pale. Ke komo kahi mea i makemake ʻole ʻia, e like me ka germ, virus, a bacteria paha, i loko o ke kino, ʻike kēia mau koa i ka ʻenemi, kuhikuhi iā ia, a luku iā ia. ʻO kēia ka mea e pono e hana i loko o ke kino olakino.
- Nā Autoantibodies: ʻO kēia nā koa kuhihewa a huikau i waena o kēlā mau koa akamai. Ma kahi o ka luku ʻana i nā ʻenemi o waho, manaʻo hewa lākou i ko kākou mau pūnaewele olakino a me nā ʻiʻo he "ʻenemi" a hoʻomaka e hoʻouka iā lākou. Ua like ia me ka hoʻolei ʻana i nā pōhaku i ko kākou hale ponoʻī.
Ke hoʻomaka ka hōʻino ʻia ʻana o nā ʻāpana o ko mākou kino ponoʻī ma kēia ʻano, hiki iā ia ke alakaʻi i nā maʻi autoimmune like ʻole.
He aha nā maʻi e hiki ke hana ʻia e nā autoantibodies?
Ma muli o ka hoʻouka ʻana o nā autoantibodies i nā ʻāpana like ʻole o ke kino, hiki ke loaʻa nā maʻi like ʻole ma muli o kahi i loaʻa ai ka pōʻino. Ua lohe paha ʻoe i kekahi o kēia mau mea.
| Inoa o ka maʻi (Maʻi) | He wehewehe maʻalahi |
|---|---|
| ʻAno 1 Diabetes | Ka hōʻino ʻana i nā pūnaewele e hana ana i ka insulin i loko o ka pancreas. |
| ʻO ka ʻāʻī rheumatoid | ʻEha, pehu, a me ka ʻoʻoleʻa o nā hono. |
| Lupus | He maʻi e hiki ke hoʻopilikia i nā ʻōkana he nui, e like me ka ʻili, nā hono, nā puʻupaʻa, a me ka lolo. |
| Sclerosis lehulehu (MS) | Ka hōʻino ʻana i nā aʻalolo ma ka lolo a me ke kaula kuamoʻo. |
| ʻO ka psoriasis | Nā wahi ʻulaʻula a unahi ma ka ʻili ma muli o ka ulu wikiwiki ʻana o nā hunaola ʻili. |
| Maʻi Graves | ʻO ka hyperthyroidism. |
He mau laʻana wale nō kēia papa inoa. Eia kekahi, he nui nā maʻi ʻē aʻe i hiki ke hana ʻia e kēia ʻano.
No ke aha lā e hana hewa ai ko kākou kino i kēia mea?
ʻAʻole hiki i nā kauka a me nā ʻepekema ke ʻōlelo me ka maopopo 100% i ke kumu pololei o kēia. Eia nō naʻe, aia kekahi mau kumu koʻikoʻi i manaʻo ʻia e kōkua i ka hoʻokumu ʻia ʻana o kēia mau autoantibodies.
- Nā maʻi: Hiki i kekahi mau maʻi viral a bacteria paha ke kau i ka nui o ke kaumaha ma luna o kā mākou ʻōnaehana pale, e hana hewa ai. I nā manawa e like me kēia, hiki i nā autoantibodies ke hoʻomaka e hana ʻia.
- Nā kumu o ke kaiapuni: Ua manaʻo ʻia he mau kumu paha ke kaiapuni a mākou e noho nei, ka ʻike ʻana i ka haumia o ka ea, a me ka ʻike ʻana i kekahi mau kemika.
- ʻO ke kūlana hoʻoilina: Inā loaʻa i kou makuahine, makuakāne, a i ʻole kekahi lālā o ka ʻohana pili kahi maʻi autoimmune, loaʻa paha iā ʻoe kahi kūlana, a i ʻole ka pilikia, no ka loaʻa ʻana o ke kūlana. Akā, ʻaʻole ia he manaʻo e loaʻa maoli nō iā ʻoe. He pilikia wale nō ia.
I kekahi manawa, hiki ke ulu nā autoantibodies me ke kumu ʻole.
Pehea ʻoe e ʻike ai inā he mau autoantibodies kou? He aha nā lāʻau lapaʻau?
ʻO ka mea nui ma ʻaneʻi, ʻo ka loaʻa ʻana o nā autoantibodies i loko o kou kino ʻaʻole ia he manaʻo he maʻi kou. Loaʻa i kekahi poʻe kēia i loko o ko lākou kino akā ola olakino me ka ʻole o nā hōʻailona.
ʻAʻole maʻi nā Autoantibodies, akā he "clue" wale nō e kōkua ai i ka ʻike ʻana i kahi maʻi.
Inā loaʻa iā ʻoe kekahi mau hōʻailona (e like me ke ʻeha hui, ka luhi nui, nā loli ʻili), hiki i kāu kauka ke hana i kekahi mau hoʻāʻo koko e nānā i kēia mau ʻano autoantibodies.
ʻo kahi laʻana:
- Inā loaʻa iā ʻoe nā hōʻailona o ka rheumatoid arthritis, e nānā kāu kauka i kou koko no kahi autoantibody i kapa ʻia ʻo '(Rheumatoid factor)'.
- Inā loaʻa iā ʻoe nā ʻūpā koko koke a i ʻole nā pilikia i ka wā hāpai, hiki ke hoʻāʻo ʻia ʻoe no nā autoantibodies e like me ka "Lupus anticoagulant".
I ka wā e pili ana i ka lāʻau lapaʻau, ʻaʻole no nā autoantibodies ponoʻī ka lāʻau lapaʻau. No ka maʻi autoimmune a me kāna mau hōʻailona āu e ʻike nei ma muli o kēlā mau autoantibodies.
He mau loa nā maʻi autoimmune he nui. ʻO ia hoʻi, mau lākou no ke ola holoʻokoʻa. Akā, mai hopohopo. Me ke aʻo lapaʻau kūpono a me ka mālama ʻana, hiki i nā poʻe he nui ke kāohi i ko lākou mau hōʻailona a ola i ke ola maʻamau. Pono paha ʻoe e ʻike i ke kauka loea i kēia mau maʻi (he rheumatologist).
Āhea wau e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe kekahi mau hōʻailona i loko o kou kino āu e manaʻo nei he mea hou a ʻano ʻē paha (ʻeha, pehu, loli o ka ʻili) e hoʻomau nei, a inā e ʻoi mālie aʻe ka ʻino, e ʻike pono i ke kauka.
ʻAʻohe mea i ʻike maikaʻi i kou kino ma mua o ʻoe. No laila, mai hoʻowahāwahā i kou mau manaʻo, a i ʻole kekahi mau manaʻo ʻē. Inā ʻike mua ʻoe he maʻi autoimmune kou a manaʻo ʻoe e ʻoi aku ka ʻino o kāu mau hōʻailona, e kamaʻilio pū me kāu kauka e pili ana i kēlā.
Leka Lawe-Home
- ʻO nā autoantibodies kekahi ʻāpana o kā mākou ʻōnaehana palekana ponoʻī e hoʻouka hewa ana i kā mākou mau hunaola olakino.
- ʻOiai he mau autoantibodies kou i loko o kou kino, ʻaʻole ia he manaʻo he maʻi kou. He hōʻailona wale nō ia e kōkua ai i nā kauka e ʻike i kahi maʻi.
- ʻOiai ʻaʻohe kumu kikoʻī no kēia ʻano, hiki i nā maʻi, ke kaiapuni, a me nā kumu genetic ke kuleana.
- ʻAʻole no nā autoantibodies ka lāʻau lapaʻau, akā no ka maʻi kumu.
- Inā loaʻa iā ʻoe nā hōʻailona ʻē a lōʻihi, e ʻike koke i kāu kauka no ka ʻōlelo aʻo. Mai hoʻowahāwahā iā ia.
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