Loaʻa iā ʻoe i kekahi manawa nā palapū a me nā kiko polū ma kou ʻili? (Ke kahe ʻana o ke koko i loko o ka ʻili) E kamaʻilio kākou e pili ana i kēia!

Ua ʻike anei ʻoe ua lilo koke kou ʻili i polū, a i ʻole he mau kiko ʻulaʻula liʻiliʻi? I kekahi manawa hiki ke hana ʻia kēia me ka ʻole o kou hoʻopā ʻana i kekahi mea. ʻO kēia ka mea a mākou e kapa wale nei he kahe koko i loko o ka ʻili . He mea nui paha kēia, akā mai hopohopo, ʻo ka hapa nui o ka manawa ʻaʻole ia he mea koʻikoʻi. E kamaʻilio kākou e pili ana i kēia lā.

He aha kēia kahe ʻana o ke koko i loko o ka ʻili?

I ka ʻōlelo maʻalahi, ʻo ia ka wā e pohā ai kahi kīʻaha koko liʻiliʻi, a i ʻole ke kīʻaha koko , ma lalo o kou ʻili. A laila kahe kekahi koko mai loko mai o kēlā kīʻaha koko i loko o nā ʻiʻo a puni. E noʻonoʻo iā ia e like me ka paipu wai e kahe ana i ka wā e hou iki ʻia ai. Ke kahe ke koko ma kēia ʻano, ʻike mākou i kahi loli o ke kala o ka ʻili, ʻo ia hoʻi he palapū a he uliuli paha. ʻO ka hapa nui o ka manawa, hoʻōla nā palapū e like me kēia iā lākou iho i loko o kekahi mau lā a i ʻole nā ​​pule.

Aia kekahi mau ʻano kahe koko like ʻole i loko o ka ʻili?

ʻAe, hiki ke hana ʻia kēia ma kekahi ʻano a i ʻole. Ua lohe paha ʻoe i kēia mau inoa ma mua.

• Nā Palapū: ʻO kēia ke ʻano palapū maʻamau a mākou e ʻike nei. Loaʻa pinepine lākou i ka wā e paʻi ai kekahi a hōʻeha paha i kahi mea. Hiki iā lākou ke ʻike ʻia he ʻulaʻula, uliuli, ʻeleʻele, a poni paha. I ka hala ʻana o ka manawa, loli kēia kala a hoʻōla lākou.

I kēia manawa, e nānā kākou i nā ʻano kikoʻī loa:

• Petechiae: He liʻiliʻi loa kēia. E noʻonoʻo iā lākou he mau kiko ʻulaʻula e like me ka nui o ka piko penikala. Hana ʻia lākou i ka wā e pohā ai kekahi mau kīʻaha koko liʻiliʻi loa. He liʻiliʻi lākou ma mua o 2 millimeters (mm). I ka pololei, e like me ka laulā o ka piko o kāu crayon.

• Purpura: ʻO kēia ka wā e pohā ai kekahi mau kīʻaha koko, ʻoi aku ka nui ma mua o ka petechiae. ʻIke ʻia lākou he mau kiko ʻulaʻula-poni. Hiki i kēia mau kiko ke ʻokoʻa ka nui mai kahi o 4 millimeters a i kahi ʻīniha (ʻo ia ka nui o kahi mea holoi penikala a hiki i ka nui o kahi kālā ʻelima rupee).

• ʻEkkimosis: ʻO kēia ka wā e pohā ai nā kīʻaha koko he nui e kokoke loa ana kekahi i kekahi i ka manawa hoʻokahi. Hoʻoulu kēia i ke koko e hōʻiliʻili ma lalo o ka ʻili, e like me kahi palapū. Eia naʻe, ʻaʻole i hana mau ʻia kēia e kahi ʻeha.

• Hematoma: He kīʻaha koko liʻiliʻi kēia e pohā. A laila hōʻiliʻili ke koko a hiki i kekahi manawa ke manaʻo e like me kahi puʻupuʻu liʻiliʻi. ʻAʻole koʻikoʻi ka hapa nui o nā hematomas. Eia nō naʻe, inā loaʻa lākou i nā ʻōpū nui e like me ka lolo, ka umauma, a i ʻole nā ​​lua o ke kino , hiki iā lākou ke koʻikoʻi a hiki i ka hoʻoweliweli i ke ola.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ke kahe ʻana o ke koko i loko o ka ʻili?

ʻOiaʻiʻo, hiki i kekahi ke loaʻa i kahi palapū. Akā, ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi i kekahi poʻe. E nānā iā lākou:

• Nā kānaka ma luna o 65 mau makahiki: I kou wā ʻelemakule, e lahilahi kou ʻili a nāwaliwali kou mau kīʻaha koko, no laila hiki iā ʻoe ke ʻeha maʻalahi.
• Nā kānaka e lawe ana i nā lāʻau hoʻokahe koko (anticoagulants):Hoʻemi kēia lāʻau lapaʻau i ke kāpili ʻana o ke koko, no laila hiki i kahi ʻeha liʻiliʻi ke hoʻonui i ke kahe ʻana o ke koko.
• ʻO ka poʻe e lawe ana i nā mea hoʻopihapiha e hoʻonui ai i ka pilikia o ke kahe ʻana o ke koko, e like me ka huaora E.
• ʻO nā kānaka me nā ʻili māmā: ʻIke nui ʻia nā palapū ma nā ʻili māmā.
• ʻO ka poʻe e pāʻani ana i kekahi mau haʻuki pili: ʻOiai e pāʻani ana i nā haʻuki e like me ka rugby a me ka mokomoko, hiki ke loaʻa nā palapū ma muli o nā puʻupuʻu a me nā hāʻule.

Eia kekahi, hiki i kekahi mau kūlana olakino ke hoʻoulu i kekahi e ʻeha a kahe koko paha. Eia kekahi laʻana:

• Hemophilia
• Leukemia (maʻi ʻaʻai koko)
• Maʻi akepaʻa
• Lupus
• ʻO ka maʻi Marfan
• ʻO ka maʻi meningitis
• Nā maʻi platelet, no ka laʻana, thrombocytopenia (nā platelet koko haʻahaʻa)
• Ka nele o ka wikamina K

He aha ka ʻokoʻa ma waena o ke kahe ʻana o ke koko i loko o ka ʻili a me ka ʻulaʻula o ka ʻili?

He nīnau maikaʻi kēia. ʻOiai inā e kahe ke koko i loko o ka ʻili, hiki ke like me kahi kiko ʻulaʻula ma ka ʻili. Akā aia kahi ʻokoʻa koʻikoʻi . Inā ʻoe e kaomi ma kahi āu i kahe ai ke koko i loko o ka ʻili me kou manamana lima, ʻaʻole e lilo ke kiko i keʻokeʻo (blanch). ʻO ia hoʻi, e mau ana ke kala o ke kiko.

Eia nō naʻe, inā he ʻili ʻili kou e like me ka erythema, inā ʻoe e kaomi ma ia wahi, e mae wale ia no kekahi manawa. Ua maopopo iā ʻoe?

He aha ke kumu o ke kahe ʻana o ke koko i loko o ka ʻili?

ʻO nā ʻeha pinepine ke kumu nui. Inā ʻoe e kuʻi i kahi mea, hāʻule, a i ʻole e pā ʻia i ka wā e pāʻani ana i nā haʻuki (e kala mai, "paʻi" a i ʻole "collude" e ʻoi aku ka maikaʻi ma Sinhala), hiki iā ʻoe ke loaʻa nā palapū e like me kēia. Ua loaʻa iā mākou āpau nā ʻike e like me kēia. E hoʻomanaʻo i ka wā i loaʻa ai iā ʻoe nā kuli polū i ka pāʻani ʻana i kou wā kamaliʻi?

Aia kekahi mau kumu ʻē aʻe:

• Ke hoʻoluhi nei i ka wā e uē ana, e ʻū ana, a e luaʻi ana paha me ka leo nui: I loko o kēia manawa, piʻi aʻe ke kaomi i loko o ke kino, a hiki i nā kīʻaha koko liʻiliʻi i loko o ka ʻili ke pohā. Ua ʻike paha ʻoe i kekahi mau pēpē e uē nui ana a loaʻa nā kiko ʻulaʻula liʻiliʻi ma ko lākou mau helehelena.
• Hiki ke hana ʻia e ke kaomi mai ka hoʻohana ʻana i nā koʻokoʻo a i ʻole ke kau ʻia ʻana o kahi ʻōpala ma kou wāwae .
• Ke komo ʻana i nā kāmaʻa, nā lole, a i ʻole nā ​​​​aniani kūpono ʻole: Inā hamo mau kēia mau mea a kau paha i ke kaomi ma ka ʻili, hiki ke loaʻa nā kahe koko liʻiliʻi ma kēlā mau wahi.

He aha nā hōʻailona o ke kahe koko intradermal?

I kekahi manawa, ʻo ka hōʻailona wale nō ka loli o ke kala o ka ʻili . ʻO ke ʻano kēia, ʻike paha ʻoe i kahi kiko ʻulaʻula, ʻeleʻele, polū, a poni paha ma ka ʻili.

Eia nō naʻe, i kekahi manawa hiki ke hele pū ʻia nā palapū me kēia mau mea:

• ʻEhaʻeha
• Pehu (Pehu)
• Palupalu i ka pā ʻana

Pehea e ʻike ai ke kauka i ke kahe koko intradermal?

ʻO ka maʻamau, e nānā ke kauka i kēlā wahi o kou ʻili.Hoʻomaopopo ʻia kēia ma ka nānā kino ʻana iā ʻoe . Hiki iā ia ke nīnau iā ʻoe i nā nīnau e like me:

• I ka manawa hea ʻoe i ʻike mua ai i kēia mau hōʻailona?
• He mau hōʻailona ʻē aʻe kāu? (e like me ke kuni, ʻeha kino)
• He aha nā lāʻau lapaʻau āu e lawe nei? (ʻoi aku hoʻi nā lāʻau hoʻokahe koko)
• Hiki iā ʻoe ke haʻi mai iaʻu i ke kumu o ka ʻeha?
• Aia kekahi o kou ʻohana i loaʻa i kahi maʻi e hoʻoulu ai i ka maʻalahi o ka palapū a i ʻole ke kahe koko nui? (e.g., hemophilia)

Inā kānalua kāu kauka ua loaʻa kāu mau palapū i kahi maʻi olakino ma lalo, hiki iā lākou ke hana i nā hoʻokolohua e like me:

• Nā hoʻāʻo koko: E nānā i nā mea e like me ka helu platelet a me ka hiki ke kāpili koko.
• ʻO ka biopsy iwi: No ka ʻike ʻana inā he pilikia me kahi i hana ʻia ai nā hunaola koko.
• Hoʻāʻo mimi: E nānā i nā mea e like me nā pilikia puʻupaʻa.
• ʻO ke kiʻi ʻana o Ultrasound, CT scan, a i ʻole MRI scan: Lawe kēia i nā kiʻi o loko o ke kino.

He aha nā lāʻau lapaʻau no ke kahe koko intradermal?

I ka hapanui o nā hihia, hiki iā ʻoe ke mālama i kēia maʻi ma ka home. No nā palapū liʻiliʻi, e hoʻāʻo i kēia mau mea:

• E hoʻopili i kahi ʻeke hau ma ka ʻili no 10-15 mau minuke. E hana i kēia i nā manawa he nui i ka lā. Mai hoʻopili pololei i ka hau i ka ʻili, e ʻōwili iā ia i loko o kahi lole.
• E pale i ka wela pololei no nā hola 48 mua. ʻO ke ʻano kēia e pale i nā ʻōmole wai wela a me nā ʻauʻau wai wela.
• E hoʻokiʻekiʻe i ka wahi i ʻeha. Eia kekahi laʻana, inā he wāwae ʻeha kou, e kau i kahi uluna ma luna.
• E lawe i kahi lāʻau hoʻomaha ʻeha e like me ibuprofen (e.g. Advil®) a i ʻole acetaminophen (e.g. Tylenol®) e hōʻemi i ka ʻeha.

Eia nō naʻe, inā ʻaʻole e hoʻomaikaʻi ke kahe ʻana o ke koko ma lalo o ka ʻili a i ʻole e hana pinepine ʻia, hiki i ke kauka ke hoʻāʻo i nā lāʻau lapaʻau ʻē aʻe. Hiki iā ia ke kuhikuhi i kekahi mau lāʻau lapaʻau a noi paha iā ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau. Eia kekahi, inā he maʻi olakino ma lalo e hoʻoulu ai i ke kahe ʻana o ke koko, pono paha e mālama ʻia.

Pehea ʻoe e pale ai i ke kahe ʻana o ke koko i loko o ka ʻili?

ʻO ka hapa nui o ka manawa, hana ʻia kēia mau ʻeha ma hope o ka hahau ʻana i ke poʻo. No laila, ʻo ka hoʻopili ʻana i ka hau i ka wahi i hoʻopilikia ʻia a me ka mālama ʻana iā ia i luna e hiki ke kōkua i ka hōʻemi ʻana i ka pilikia o ka palapū. Inā ʻoe e pāʻani i nā haʻuki pili, e ʻaʻahu mau i nā mea pale.

Inā loaʻa iā ʻoe kahi maʻi e hoʻomaʻamaʻa maʻalahi ai ʻoe, e ʻimi pono i ke aʻo lapaʻau. Inā loaʻa iā ʻoe nā maʻi mau loa, ʻo ka mālama pono ʻana iā lākou hiki ke hōʻemi i ka pilikia o kēia mau pilikia.

He aha kā mākou e manaʻo ai mai ke kahe koko intradermal?

ʻO ka maʻamau, he mea liʻiliʻi ke kahe ʻana o ke koko i loko o ka ʻili.. Hoʻopau pinepine ia ma kāna iho ma kahi o ʻelua pule. Eia nō naʻe, hiki i kekahi mau lāʻau lapaʻau (e like me nā mea hoʻokahe koko) a i ʻole nā ​​​​maʻi maʻi mau ke hoʻomaʻamaʻa maʻalahi iā ʻoe. ʻO ka mālama ʻana i ke kūlana kumu e hiki ke kōkua i ka hōʻemi ʻana i kou pilikia o ka ʻeha. Hiki i kāu kauka ke ʻōlelo aku e hoʻōki i nā lāʻau lapaʻau e hoʻoulu ai i ke kahe koko. (Akā e hoʻomanaʻo, mai hoʻōki i ka lawe ʻana i kekahi lāʻau lapaʻau me ka ʻole o ka ʻōlelo aʻoaʻo a kāu kauka.)

Hiki ke koʻikoʻi ke kahe koko ma lalo o ka ʻili?

I ka hapa nui o ka manawa, he pilikia liʻiliʻi kēia. Eia nō naʻe, inā loaʻa pinepine nā hōʻailona ma kahi like, a inā ʻaʻole lākou e hoʻomaikaʻi no nā pule ʻelua a ʻoi aku, he hōʻailona paha ia o kahi maʻi koʻikoʻi.

Āhea mākou e ʻike ai i ke kauka e pili ana i kēia?

Inā he kahe koko kou ma lalo o ka ʻili no nā pule ʻelua a ʻoi, pono ʻoe e ʻike i ke kauka. Eia kekahi, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona me kou palapū, pono ʻoe e ʻike koke i ke kauka:

• Inā he koko kou i loko o kou mimi a i ʻole ka ʻōpala.
• Inā kahe ke koko o nā ʻāʻī (Bleeding gums).
• Inā ʻike ʻoe i nā kūlana e like me ka syncope a i ʻole ka dizziness.
• Inā he kuni kou.
• Inā loaʻa iā ʻoe ka nausea a i ʻole ka luaʻi ʻana.
• Inā he ʻeha nui a pehu paha.

E hoʻomanaʻo, ʻo ke kahe koko ma lalo o ka ʻili ke pohā kahi kīʻaha koko liʻiliʻi ma lalo o ka ʻili. Hoʻokahe kēia mau kīʻaha koko i ke koko i loko o nā ʻiʻo a puni. Hiki i kēia ke hoʻolilo i kou ʻili i ʻulaʻula, poni, uliuli, a ʻeleʻele paha. I kekahi manawa aia paha kahi loli o ke kala, a i ʻole e pehu a palupalu paha ka wahi i ka pā ʻana. ʻO ka hapa nui o ka manawa, he mea liʻiliʻi kēia a e ho'ōla ʻia ma kahi o ʻelua pule.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAe, no laila e hoʻomanaʻo aku kākou iā ʻoukou i kekahi o nā mea nui loa mai nā mea a kākou i kamaʻilio ai i kēia lā.

• ʻAʻohe mea e hopohopo ai ke kahe ʻana o ke koko ma lalo o ka ʻili, a i ʻole nā ​​palapū. He mea maʻamau ia a hiki ke hana mai nā ʻeha liʻiliʻi a i ʻole ka hāʻule ʻana.
• Aia nā ʻano like ʻole o ka petechiae, purpura, ecchymosis, a me ka hematoma. ʻOkoʻa kēia i ka nui o ke kahe ʻana o ke koko a me ke ʻano o ko lākou ʻike ʻia ʻana.
• Hiki i kekahi poʻe (ka poʻe ʻelemakule, ka poʻe e lawe ana i nā lāʻau hoʻokahe koko) ke maʻalahi i nā palapū.
• Hiki iā ʻoe ke mālama i kēia ma ka home ma ke kau ʻana i ka hau, ke kau ʻana ma ka ʻāpana i ʻeha, a me ka lawe ʻana i nā lāʻau ʻeha.
• Eia nō naʻe, inā pinepine nā palapū, nui, lōʻihi ka manawa e ho'ōla ai, a i ʻole e hele pū ʻia me nā hōʻailona koʻikoʻi ʻē aʻe (ke kuni, ke koko i loko o ka mimi, ka ʻeha nui), pono ʻoe e ʻike i ke kauka.
• Hiki ke kumu ʻia kēia mau palapū e kahi maʻi olakino maʻamau, no laila he mea nui e ʻimi i ke kōkua lapaʻau.

No laila, ke lana nei koʻu manaʻo he mea pono kēia ʻike iā ʻoe. E noho olakino!

`Nā palapū, nā palapū, ke kahe koko intradermal, petechiae, purpura, ecchymosis, hematoma, nā maʻi ʻili, kōkua mua.