I kekahi manawa, loaʻa iā mākou nā palapū polū a poni paha ma ko mākou kino me ka ʻike ʻole. ʻAʻole mākou e hoʻomanaʻo inā ua paʻi mākou i ke kihi o ka papa ʻaina a i ʻole ua kuʻi ʻia i ka puka. Akā, ua palapū maikaʻi lākou. I kekahi manawa, hiki i kahi palapū liʻiliʻi ke hana i kahi palapū nui. No laila he aha kēia mau palapū, a i ʻole ka mea a mākou e kapa aku nei he `(Ecchymosis)` ma nā ʻōlelo lapaʻau? No ke aha lākou e hana ai? I kēia lā, e kamaʻilio maʻalahi mākou a ma ke ʻano e hiki ai iā ʻoe ke hoʻomaopopo inā he mea maʻamau kēia a i ʻole he mea e makaʻu ai.
I ka ʻōlelo maʻalahi, he aha kēia palapū?
ʻO ka palapū ka wā e hōʻino ʻia ai nā kīʻaha koko liʻiliʻi ma lalo o ko kākou ʻili, e hoʻokahe ana i kekahi koko a hōʻiliʻili ma lalo o ka ʻili. E noʻonoʻo e like me ka paipu wai e pohā ana a kahe ana i waho. Akā no ka mea ʻaʻohe ʻeha ma ko kākou ʻili, ʻo ia hoʻi, ʻaʻohe ʻoki ma ka ʻili o ka ʻili, ʻaʻole e puka mai kēia koko. Akā, hōʻiliʻili kēlā koko ma lalo o ka ʻili, ʻo ia ka mea a kākou e ʻike ai he uliuli, poni, a ʻeleʻele paha.
ʻO ka huaʻōlelo lapaʻau no kēia ʻo Ecchymosis (puana ʻia "e-ka-mo-sis"). He huaʻōlelo paʻakikī iki ia, akā ʻo ia hoʻi ke ʻano o ka "bruise" like a mākou e ʻike nei. Hoʻohui pū nā hunaola koko i loko o ko kākou kino, hoʻoponopono i nā kīʻaha koko i hōʻino ʻia, a hoʻōla ʻia ka bruise i loko o kekahi mau lā.
Aia kekahi mau kahe koko ʻē aʻe e like me nā palapū?
ʻAe, aia kekahi mau ala ʻē aʻe e hiki ai i ke koko ke hōʻiliʻili ma lalo o ka ʻili a hoʻololi i ke kala. He ʻokoʻa iki kēia mau mea kekahi i kekahi. E nānā kākou i ke ʻano o lākou. E nānā i kēia papa, a e maʻalahi iā ʻoe ke hoʻomaopopo i ka ʻokoʻa.
| ʻAno o ke kahe ʻana o ke koko | Ka wehewehe maʻalahi |
|---|---|
| ʻEha (Ecchymosis) | ʻO kēia ka palapū a mākou e ʻike pinepine ai. He pālahalaha ka ʻili. Hiki ke ʻokoʻa nā kala. |
| Hematoma | He ʻohi koko nui kēia ma mua o kahi palapū. Hiki ke hana ʻia e kahi ulia kaʻa, kahi hāʻule nui, a pēlā aku. Ua like ia me kahi puʻu e puka mai ana mai ka ʻili, a ʻeha ia ke hoʻopā ʻoe iā ia. Pēlā nō hoʻi ke kuʻi ʻia ʻoe i ke poʻo. |
| Petekiae | He liʻiliʻi loa kēia, ʻaʻole i ʻoi aku ma mua o 2 milimita e pololei ai, a ua like lākou me nā kiko ʻulaʻula liʻiliʻi. ʻAʻole lākou e lilo i keʻokeʻo ke kaomi ʻia ma ka ʻili me ka manamana lima. Hiki ke ʻike ʻia kēia mau mea i nā maʻi e like me ka dengue. |
| Poni (Purpura) | ʻOi aku ka nui o kēia ma mua o kēlā mau kiko liʻiliʻi (petechiae), akā ʻoi aku ka liʻiliʻi ma mua o kahi palapū maʻamau. He kahe koko nō hoʻi kēia ma lalo o ka ʻili. |
No ke aha i ʻoi aku ka maʻalahi o ka ʻeha ʻana o kekahi poʻe ma mua o kekahi?
He mea maʻamau loa nā palapū. Loaʻa i nā kānaka a pau kahi palapū i kekahi manawa o ko lākou ola. Akā loaʻa i kekahi poʻe kahi palapū nui ma hope o kahi puʻupuʻu liʻiliʻi, a loaʻa paha iā lākou kahi puʻu palapū. Aia kekahi mau kumu e hiki ai i kēia ke hana.
- Ka ʻelemakule ʻana: I ko kākou ʻelemakule ʻana, e lahilahi ana ko kākou ʻili, a e emi ana ka papa momona ma lalo o ka ʻili. ʻOi aku ka maʻalahi o nā kīʻaha koko i ka hōʻino ʻia.
- Moʻolelo ʻohana: I kekahi manawa he hoʻoilina kēia. Inā ua maʻalahi ka ʻeha o kou makuahine a makuakāne paha, loaʻa paha iā ʻoe ke ʻano like.
- ʻO kekahi mau kūlana olakino: ʻO nā kūlana e like me ke kanesa a me nā maʻi akepaʻa hiki ke hana maʻalahi i ka palapū.
- Nā maʻi ʻaʻai koko: ʻO ka poʻe me nā maʻi e paʻakikī ai ke hoʻōki i ke kahe ʻana o ke koko, e like me ka hemophilia a me ka maʻi von Willebrand, pinepine lākou i ka palapū.
- Ka helu platelet haʻahaʻa: ʻO nā platelets kahi ʻano cell e kōkua i ke kāpili ʻana o ke koko. Ke haʻahaʻa lākou, e palaho maʻalahi lākou i kahi kūlana i kapa ʻia ʻo thrombocytopenia.
- Nā Wikamina ʻAʻole: ʻO ka Wikamina C a me ka Wikamina K he ʻelua mau wikamina e pono ai no ka ikaika o nā kīʻaha koko a me ke kāpili ʻana o ke koko. ʻO ka nele o kēia mau mea hiki ke alakaʻi i ka palapū.
- Nā lāʻau lapaʻau: He mea nui loa kēia. Hiki i kekahi mau lāʻau lapaʻau ke hana maʻalahi i ka palapū.
- Nā lāʻau hoʻokahe koko (e.g., aspirin, warfarin)
- Nā lāʻau hoʻopau ʻeha, ʻoiai ke ʻano i kapa ʻia ʻo "NSAIDs" (e.g., ibuprofen, naproxen)
- Nā steroid
ʻO ka mea nui loa, inā loaʻa pinepine iā ʻoe nā palapū nui me ke kumu ʻole, mai hoʻowahāwahā iā ia. E ʻike pono i kāu kauka a kamaʻilio e pili ana i ia mea.
No ke aha e loli ai ke kala o ke alanui tarmac i ka hala ʻana o ka manawa?
Ua ʻike paha ʻoe ʻaʻole like ke kala o ka palapū me kona ʻano mua, akā ma hope o ʻelua a ʻekolu paha lā. Hoʻololi ia i ke kala a ho'ōla.
1. I ka hoʻomaka ʻana (i loko o kekahi mau hola): E ʻike ʻia ka ʻulaʻula a poni paha ka palapū no ka mea aia ka oxygen i loko o ke koko i puka mai mai loko mai o ke aʻa.
2. Ma hope o hoʻokahi a ʻelua paha lā: Ke nalowale ke koko i ka oxygen, lilo ia i polū a poni ʻeleʻele paha . I kekahi manawa hiki ke ʻike ʻia he ʻeleʻele.
3. Ma waena o 5-10 mau lā: Hoʻomaka ke kino e wāwahi a wehe i kēia koko i hōʻiliʻili ʻia. Ke wāwahi ka hemoglobin i loko o ke koko, lilo ia i mau mea ʻōmaʻomaʻo i kapa ʻia ʻo biliverdin a me nā mea melemele i kapa ʻia ʻo bilirubin. ʻO ia ke kumu e lilo ai ka ʻōmaʻomaʻo i ʻōmaʻomaʻo, a laila melemele .
4. Ma hope o 10-14 mau lā: Ma hope o ka omo ʻana o ke kino i kēia mau mea a pau, e ʻeleʻele ka palapū a mae mālie.
No laila, ʻo kēlā loli kala ke ʻano o kou kino e ho'ōla ana i ka ʻeha. He hōʻailona maikaʻi kēlā!
He aha nā lāʻau lapaʻau home no ka ʻeha?
ʻAʻole pono ka hapa nui o nā palapū i ka mālama nui. Hoʻōla lākou iā lākou iho i loko o hoʻokahi a ʻelua paha pule. Akā aia kekahi mau mea maʻalahi hiki iā ʻoe ke hana e kōkua iā lākou e ho'ōla wikiwiki a hōʻemi i ka ʻeha.
- Hoʻomaha a me ke Kiʻekiʻe ʻana: E hoʻomaha i ka ʻāpana i ʻeha (e.g., lima, wāwae) i ka hiki. I ka wā e noho ana a moe paha, e hoʻokiʻekiʻe iki i ka ʻāpana i ʻeha ma luna o kou puʻuwai me kahi uluna. E kōkua kēia i ka hōʻemi ʻana i ka pehu.
- Ka hoʻopili ʻana i ka hau (nā lā 1-2 mua): ʻOi aku ka maikaʻi o ka hoʻopili ʻana i ka hau ma hope koke o ka ʻeha, a i ʻole i loko o nā hola 24-48 mua . E hoʻopili kēia i nā kīʻaha koko a hōʻemi i ke kahe hou ʻana.
- Pehea e hana ai? Mai kau pololei i nā ʻāpana hau ma kou ʻili. E ʻōwili iā lākou i loko o kahi lole maʻemaʻe a i ʻole kāwele a paʻa iā lākou ma kahi palapū no kahi o 15 mau minuke . E hana i kēia i nā manawa he nui i ka lā.
- Nā ʻūmiʻi mehana (ma hope o 2 lā): Ma hope o ʻelua lā, e kau i kahi mea mehana. Hiki iā ʻoe ke hoʻohana i kahi ʻōmole wai wela a i ʻole kahi lole i hoʻomehana ʻia. E hoʻonui kēia i ke kahe koko i ka wahi a kōkua i ke kahe koko i hōʻiliʻili ʻia e wikiwiki.
- Nā lāʻau hoʻopau ʻeha: Inā ʻoe e ʻeha ana, hiki iā ʻoe ke lawe i kahi lāʻau lapaʻau e like me ka paracetamol (Acetaminophen). Eia nō naʻe, pono ʻoe e nīnau i kāu kauka ma mua o ka lawe ʻana i nā lāʻau hoʻopau ʻeha e like me NSAID (e.g., Ibuprofen), no ka mea, hiki i kēia mau lāʻau ke hoʻonui i ke kahe ʻana o ke koko i kekahi manawa.
Āhea ʻoe e ʻike ai i ke kauka?
ʻAʻohe mea e makaʻu ai i kahi palapū maʻalahi. Eia nō naʻe, i kekahi manawa hiki i kahi palapū ke hōʻailona o kahi pilikia koʻikoʻi i loko o ke kino. No laila, inā loaʻa iā ʻoe kekahi o nā hōʻailona ma lalo nei, e ʻimi pono i ke kōkua lapaʻau.
| Hiʻohiʻona e hoʻolohe ai | Wehewehena |
|---|---|
| Nā palapū me ke kumu ʻole | Inā pinepine ʻoe e loaʻa nā palapū ma kou kino me ka ʻole o ke kuʻi ʻana i kahi. |
| Nā palapū nui a ʻeha hoʻi | Inā pā ʻia ʻoe e kahi mea liʻiliʻi, e ʻeha nui ia a ʻeha loa. |
| Nā palapū olakino ʻole | Hoʻōla pinepine ʻia kahi palapū i loko o ʻelua pule, inā lōʻihi ka manawa. |
| He puʻupuʻu me kahi palapū (Hematoma) | Inā manaʻo ka wahi i ʻeha e like me kahi puʻupuʻu paʻa. |
| Ke kahe koko ʻē aʻe | Inā he pinepine kou kahe koko i ka ihu, nā ʻāʻī koko, a i ʻole ke koko i loko o kou mimi a i ʻole ka ʻōpala. |
| ʻO ka palapū a puni ka maka | Inā he ʻeha o ka maka, he palapū a puni ka maka, he loli o ka ʻike, a me ka ʻeha nui. |
| ʻO ka ʻeha pinepine ʻana ma kahi hoʻokahi | Inā ua paʻi pinepine ʻia ka ʻāpana like o ke kino me ke kumu ʻole. |
Leka Lawe-Home
- ʻO ka ecchymosis ka wā e hōʻino ʻia ai nā kīʻaha koko ma lalo o ka ʻili a hōʻiliʻili kekahi koko ma lalo o ka ʻili.
- ʻO ka hapa nui o ka manawa, ʻaʻole kēia mau mea e hōʻino a e ho'ōla wale ʻia i loko o ʻelua pule.
- ʻO ka hoʻopili ʻana i ka hau no nā lā ʻelua mua ma hope o kahi palapū, a ukali ʻia e ka hoʻopili ʻana i kahi mea mehana, e wikiwiki ai ke kaʻina hana ho'ōla.
- Inā loaʻa iā ʻoe nā ʻeha pinepine a kaumaha me ke kumu ʻole, a i ʻole kekahi kahe koko ʻē aʻe, mai hoʻowahāwahā iā ia. He hōʻailona paha ia o kahi maʻi koʻikoʻi, no laila e ʻike pono i kāu kauka.
- Hiki i kekahi mau lāʻau lapaʻau āu e lawe ai ke hana iā ʻoe i ka palapū maʻalahi. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai.
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