Loaʻa iā ʻoe nā kiko polū ma kou kino a puni? A i ʻole ke kahe koko nei ʻoe no ka manawa lōʻihi me ka ʻole o ka hoʻōki ʻana mai kahi ʻeha liʻiliʻi? Malia paha ua luhi mau ʻoe, make ola, a luhi loa hoʻi e hana i kekahi mea? Ma hope o kēia mau mea, aia paha kekahi pilikia me ke koko e kahe ana i loko o ko mākou kino, ʻo ia hoʻi, he maʻi koko. Mai makaʻu ke lohe ʻoe i kēia inoa. Hiki iā ʻoe ke kāohi i ka hapa nui o kēia mau mea a ola maikaʻi. I kēia lā, e kamaʻilio mākou e pili ana i nā mea āpau me ka maʻalahi, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
ʻO ka mea mua, e nānā kākou i ka hana a ke 'koko' i loko o ko kākou kino.
I ka ʻōlelo maʻalahi, ʻo ke koko ke wai e ola ai ko kākou kino. ʻEkolu ona ʻāpana nui, e like me ʻekolu poʻe ma ka hui hoʻokahi e hana ana i nā hana kūikawā.
- Nā Kelepona Koko ʻUlaʻula: ʻO kēia nā 'lawelawe lawe' o ko kākou kino. Lawe lākou i ka oxygen e komo mai ana i loko o nā māmā i ko kākou hanu ʻana i kēlā me kēia kihi o ke kino. Lawe pū lākou i ke kalapona ʻokikene i makemake ʻole ʻia e hōʻiliʻili ana i loko o ke kino i hoʻi i nā māmā e hoʻokuʻu ʻia.
- Nā Kelepona Koko Keʻokeʻo: ʻO kēia nā 'pūʻali koa pale' o ko mākou kino. ʻO kā lākou hana nui ka pale ʻana iā mākou mai nā maʻi ma ke kaua ʻana i nā germs, bacteria, a me nā virus mai waho mai.
- Nā Platelets: ʻO kēia nā 'kāne ho'ōla ʻeha'. Ke loaʻa iā mākou kahi ʻoki a ʻeha paha ma kekahi wahi o ko mākou kino, kōkua kēia mau platelets i ka hana ʻana i nā ʻūpā koko e hoʻōki i ke kahe ʻana o ke koko. Ua like ia me ke kau ʻana i kahi ʻāpana ma kahi paipu haki.
ʻO ka maʻi koko kahi kūlana kahi i hana pono ʻole ai nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a i ʻole nā platelets. Hiki i kēia mau maʻi ke lilo i maʻi kanesa a i ʻole ʻaʻole maʻi kanesa. Ma kēia ʻatikala, e kamaʻilio mākou e pili ana i nā maʻi koko ʻaʻole maʻi kanesa. Hoʻoilina ʻia kekahi mau maʻi koko, aʻo kekahi e ulu ma hope ma muli o kekahi kūlana olakino ʻē aʻe.
He aha ka mea e hana ʻia i ke kino me nā maʻi koko?
Ma keʻano laulā, hiki i nā maʻi koko ʻaʻole maʻi kanesa ke hoʻopilikia i ko mākou kino ma nā ʻano nui ʻelua.
1. Ke kāpili ʻana o ke koko nui: I kekahi mau maʻi, hoʻomaka ke koko e kāpili i loko o nā aa koko. Hiki ke lilo i mea weliweli kēia, no ka mea, hiki i kēia mau kāpili koko ke paʻa a hoʻoulu i nā maʻi koʻikoʻi e like me ka hōʻeha puʻuwai a me ka hahau.
2. ʻAʻole paʻa pono ke koko (ke kahe koko nui): I kekahi mau maʻi ʻē aʻe, ʻaʻole paʻa pono ke koko ke ʻeha. No laila, hiki i kahi ʻeha liʻiliʻi ke hoʻoulu i ka nui o ke kahe koko.
I kēia manawa, e nānā kākou i nā maʻi maʻamau e pili ana i kēlā me kēia ʻano.
Nā maʻi ʻaʻai koko
I loko o kēia mau kūlana, paʻa ko kākou koko i loko o nā aʻa koko ʻoiai ʻaʻole pono. Ua kapa ʻia kēia ma ke ʻano lapaʻau he "Hypercoagulable state" a i ʻole "Thrombophilia".
ʻŌlelo Aʻo: Inā ʻike ʻoe i ka pehu koke, ka ʻulaʻula, a me ka ʻeha ma kekahi o kou mau wāwae (hiki paha kēia ke hōʻailona o kahi ʻōpū koko i loko o kahi aʻa - 'Deep Vein Thrombosis') a i ʻole ka ʻeha koke o ka umauma a me ka paʻakikī o ka hanu ʻana (hiki paha kēia ke ʻōpū koko i loko o nā māmā - 'Pulmonary Embolism'), e hele koke i ka Emergency Department (ETU) o ka haukapila. He mau kūlana kēia e pono ai ke kōkua koke ʻia e ke kauka.
Aia ma lalo iho kekahi o nā maʻi maʻamau.
| Inoa o ka maʻi | I ka ʻōlelo maʻalahi... |
|---|---|
| Ka hoʻololi ʻana o ka gene prothrombin | He maʻi hoʻoilina kēia i hoʻoili ʻia mai ka hānau ʻana mai. Hoʻonui kēia i ka pilikia o nā ʻūpā koko i loko o nā aa koko o nā wāwae ('Deep Vein Thrombosis') a me nā māmā ('Pulmonary Embolism'). |
| ʻO ka maʻi Antiphospholipid | He maʻi ʻōnaehana pale maʻi laha ʻole kēia. Hana ko kākou ʻōnaehana pale ponoʻī e kūʻē i ko kākou kino ponoʻī. Hiki i kēia ke kumu i ka hana ʻana o nā ʻūpā koko ma nā wahi like ʻole o ke kino. |
| Nā hemahema o ka Protein S a me ka Protein C | ʻO Protein S a me C ʻelua mau protein kūlohelohe i loko o ko kākou koko e kaohi ana i ke kāpili ʻana o ke koko. Ke haʻahaʻa maoli kēia mau mea, piʻi aʻe ke kāpili ʻana o ke koko. |
| Hoʻolaha ʻia ka Coagulation Intravascular (DIC) | He kūlana kakaikahi loa kēia akā he koʻikoʻi loa kahi e puka koke ai nā ʻūpā koko ma ke kino holoʻokoʻa, e hoʻoulu ai i ke kahe koko i kāohi ʻole ʻia. |
Nā maʻi koko
I kēia mau kūlana, ua pilikia ke kaʻina hana koko, e hopena ana i ke kahe ʻana o ke koko ma mua o ka mea maʻamau.
| Inoa o ka maʻi | He aha ka mea e hana ʻia me kēia? |
|---|---|
| ʻO ka maʻi Von Willebrand | ʻO kēia ka maʻi kahe koko hānau maʻamau. Hoʻokumu ʻia ia e ka hemahema a i ʻole ke kīnā i ka von Willebrand factor, kahi protein kūikawā e kōkua ai i ke kāpili ʻana o ke koko. |
| Hemophilia | He maʻi hoʻoilina nō hoʻi kēia. Hoʻokumu ʻia ia e ka nele o nā 'kumu clotting' ʻē aʻe e pono ai no ke kāpili ʻana o ke koko. Aia nā ʻano hemophilia A, B, a me C. |
| ʻO ka thrombocytopenia | ʻO ke ʻano kēia, e emi ana ka helu o nā platelets i loko o ke koko. ʻO kēia ka mea e hana ʻia ke loaʻa iā ʻoe ka dengue. Ke emi nā platelets, lilo ia i mea paʻakikī ke hoʻōki i ke kahe ʻana o ke koko. |
ʻO ka maʻi koko maʻamau i waena o mākou: Anemia
ʻO ka anemia, a i ʻole 'ka hemahema o ke koko' e like me kā mākou e kapa pinepine nei, ʻo ia ka maʻi koko maʻamau. Hana ʻia ia i ka wā e nele ai ke koko i nā hunaola koko ʻulaʻula olakino e lawe i ka oxygen i ke kino. Nui nā kumu o ka anemia.
Pehea e hoʻokumu ʻia ai ka anemia?
Nā Anemia i loaʻa
He mau kūlana kēia e kū mai ana ma hope o ko kākou hānau ʻana no nā kumu like ʻole.
- ʻAneemia nele i ka hao: ʻO kēia ke ʻano maʻamau. He mea nui ka hao no ka hana ʻana i ka hemoglobin, ka protein i loko o nā hunaola koko ʻulaʻula e lawe ana i ka oxygen. Hiki mai kēia ʻano ke lawa ʻole ka hao i ka meaʻai. He mea maʻamau ia i nā wahine hāpai a me nā kaikamahine ʻōpio.
- ʻO ka Vitamin B12 a i ʻole Folate Deficiency Anemia: He mea nui kēia mau huaora no ka hana ʻana i nā hunaola koko ʻulaʻula olakino. ʻO ka anemia pernicious kahi maʻi autoimmune kahi hiki ʻole i ke kino ke omo i ka huaora B12.
- ʻAneemia aplastic: ʻO kēia ka manawa e pau ai ka hana ʻana o ka iwi iwi i nā hunaola koko hou (ʻulaʻula, keʻokeʻo, a me nā platelets).
- ʻO ka anemia hemolytic Autoimmune: Ma kēia, hoʻomaka hewa kā mākou ʻōnaehana pale ponoʻī e luku i kā mākou mau hunaola koko ʻulaʻula ponoʻī.
Nā Anemia Hoʻoilina
He mau maʻi kēia i hoʻoili ʻia i nā keiki ma o nā genes mai nā mākua mai.
- ʻO ka anemia cell sickle: Ma kēia, loli ke ʻano o nā hunaola koko ʻulaʻula. Ma kahi o ko lākou ʻano poepoe maʻamau, lilo lākou i ʻano sickle, a hiki iā lākou ke paʻa i loko o nā kīʻaha koko.
- Thalassemia: He inoa a mākou e lohe pinepine ai ma Sri Lanka. ʻO ka mea e hana ʻia ma kēia, ʻo ia ka emi ʻana o ka hana ʻana o ke kino i ka hemoglobin. Hoʻolilo kēia i nā hunaola koko ʻulaʻula e liʻiliʻi, e hoʻoulu ai i ka anemia. Aia nā hihia liʻiliʻi a me nā hihia nui o kēia.
Pehea e ʻike ai inā he maʻi koko koʻu? (Nā hōʻailona)
ʻOkoʻa nā hōʻailona o nā maʻi koko ma muli o ke ʻano o ka maʻi. E hoʻokaʻawale kākou iā lākou.
| Nā hōʻailona maʻamau o nā maʻi koko like ʻole | |
|---|---|
| Nā hōʻailona maʻamau o ka anemia | |
| |
| Nā hōʻailona maʻamau o nā maʻi kahe koko | |
| |
| Nā hōʻailona maʻamau o nā maʻi koko koko | |
|
Pehea e ʻike ai ke kauka i kēia maʻi?
Ke hoʻopiʻi ʻoe i nā hōʻailona i luna, e nānā mua kāu kauka iā ʻoe, e nīnau e pili ana i kāu mau hōʻailona, a nīnau inā ua loaʻa i kekahi o kou ʻohana kēia mau maʻi. A laila, e hana nui lākou i kekahi mau hoʻāʻo koko e hana i kahi hōʻailona pololei.
Hana pinepine ʻia ka helu koko piha (CBC) no ka loaʻa ʻana o kahi manaʻo maikaʻi o ka helu o nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets i loko o kou koko.
- Hoʻāʻo koko ʻulaʻula: Nānā kēia i nā mea e like me nā pae hemoglobin a me ka helu o nā koko ʻulaʻula. Inā haʻahaʻa kēia mau mea, hōʻoia ia he anemia kou.
- Ka helu o nā keʻokeʻo koko: Aia kekahi mau ʻano o nā keʻokeʻo koko (e like me 'Neutrophils', 'Lymphocytes', 'Eosinophils'). Ma ka nānā ʻana i ka nui o kēlā me kēia ʻano, hiki iā ʻoe ke hoʻoholo inā he maʻi kou, he maʻi allergy, a i ʻole kekahi maʻi koʻikoʻi ʻē aʻe.
- Helu platelet: Nānā ʻia ka helu platelet. Inā haʻahaʻa ka helu, aia ka pilikia o ke kahe ʻana o ke koko. Inā kiʻekiʻe ka helu, aia ka pilikia o ke kāpili ʻana o ke koko.
Ma hope o kēia mau hoʻokolohua mua, hiki ke hoʻouna ʻia ʻoe no nā hoʻokolohua kūikawā hou aʻe (e laʻa, ka hoʻāʻo ʻana i ke kumu clotting koko, ka hoʻokolokolo ʻana i ka iwi iwi) inā pono.
He aha nā lāʻau lapaʻau no kēia?
ʻO ke ʻano o ka mālama ʻana ma muli o ke ʻano o ka maʻi koko āu e loaʻa ai a me ke koʻikoʻi o ia mea.
- Ke kali makaʻala: No kekahi mau maʻi koko liʻiliʻi, inā ʻaʻohe hōʻailona nui, ʻaʻole paha e kuhikuhi kāu kauka i kekahi lāʻau lapaʻau a hiki ke nānā i kou kūlana ma ka hana ʻana i nā hoʻokolohua maʻamau.
- Nā lāʻau lapaʻau:
- Nā papa hao a i ʻole ka syrup no ka anemia deficiency hao.
- Nā huaora e pili ana i ka nele o nā huaora.
- Hāʻawi ʻia nā anticoagulants e pale i ke kāpili ʻana o ke koko i nā maʻi e hoʻonui ai i ke kāpili ʻana o ke koko.
- No nā maʻi e hoʻoulu ai i ke kahe koko nui, hāʻawi ʻia nā lāʻau lapaʻau e kōkua i ke kāpili ʻana o ke koko.
- No nā maʻi i hoʻokumu ʻia e nā pilikia me ka ʻōnaehana pale, hāʻawi ʻia nā lāʻau lapaʻau e like me corticosteroids e kaohi i kēlā ʻōnaehana.
- Nā hoʻoili koko a me nā platelet: Inā koʻikoʻi loa ka anemia a inā he nui ke kahe koko, hāʻawi ʻia ke koko a i ʻole nā platelets i waho.
- Hoʻopihapiha kumu ulu: Hāʻawi ʻia nā inikini e hoʻoulu ai i ka iwi iwi a kōkua iā ia e hana i nā hunaola koko hou aʻe.
Na kāu kauka e koho i ka lāʻau lapaʻau kūpono loa iā ʻoe. Hiki i kekahi lāʻau lapaʻau ke loaʻa nā hopena ʻaoʻao. Mai makaʻu e nīnau i kāu kauka e pili ana iā lākou.
Pehea e ola ai me kahi maʻi koko? Pehea e hōʻemi ai i ka pilikia?
ʻAʻole ka hopena o ke ola ka loaʻa ʻana o kahi maʻi koko. Me ka mālama pono ʻana, hiki i ka hapa nui o ka poʻe ke ola i kahi ola maʻamau.
- E kiʻi i ka meaʻai maikaʻi: E hoʻokomo i nā meaʻai waiwai i ka hao (e like me ka spinach, kale, spinach, pipi, a me ka pī), ka wikamina B12, a me ka folate i kāu papaʻai. E kūkākūkā me kāu kauka a i ʻole kekahi meaʻai meaʻai e pili ana i kēia.
- E mālama i ke kaumaha olakino: E hoʻoikaika kino mau.
- E pale iā ʻoe iho mai nā maʻi: E holoi pinepine i kou mau lima a e kiʻi i nā lāʻau pale e pono ai e like me ke kuhikuhi a kāu kauka.
- E makaʻala i nā ʻeha: Inā he maʻi kahe koko kou, e pale i nā haʻuki e hiki ai ke hāʻule a me nā palapū. E ʻaʻahu i ka mahiole inā ʻoe e holo paikikala. E ʻaʻahu mau i ke kāʻei noho i ka wā e holo ana i loko o ke kaʻa.
- E hoʻomaopopo i kou ʻohana a me kou mau hoaaloha: E haʻi iā lākou e pili ana i kou kūlana. He mea nui e ʻike lākou i ka mea e hana ai i kahi pilikia.
- E hahai i nā ʻōlelo aʻoaʻo lapaʻau: E lawe i kāu lāʻau lapaʻau i ka manawa kūpono. E hele i nā keʻena lapaʻau i nā lā i hoʻonohonoho ʻia. Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
Leka Lawe-Home
- ʻO nā maʻi koko he mau pilikia me ka hana o kā mākou mau hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a i ʻole nā platelets.
- ʻO nā hopena nui ʻelua, ʻo ke kāpili ʻana o ke koko pono ʻole a i ʻole ke kahe koko ʻana e pau ʻole ana.
- He maʻi koko maʻamau ka anemia. Mai hoʻowahāwahā i nā hōʻailona e like me ka luhi mau, ka mae, a me ka luhi.
- Inā loaʻa iā ʻoe nā kiko polū ma kou kino me ke kumu ʻole, inā ʻaʻole e pau ke kahe ʻana o ke koko i kahi ʻeha liʻiliʻi, a inā pehu koke kekahi wāwae, pono ʻoe e ʻike i ke kauka.
- Hiki ke kāohi ʻia nā maʻi koko he nui me ka mālama pono ʻana a me ka hoʻokele ʻana, e hiki ai iā ʻoe ke ola i kahi ola olakino a maʻamau. No laila, mai makaʻu, a e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau kūpono.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo