Ua loaʻa anei iā ʻoe kahi puʻupuʻu liʻiliʻi, kahi puʻupuʻu puʻupuʻu, i kou ʻauʻau ʻana a i ʻole e pā wale ana i kou ʻāʻī? Ke loaʻa iā ʻoe kekahi, hiki ke ʻeha iki ke ʻomi ʻoe iā ia. He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke ʻike ʻoe i kahi mea e like me kēia. Akā ma mua o kou hopohopo ʻana, e hoʻomaopopo pono kākou i kēia.
He aha kēia puʻupuʻu ma kou ʻāʻī?
I ka ʻōlelo maʻalahi, ʻo kēia mau glands kekahi hapa o ka ʻōnaehana pale o ko mākou kino. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia mau lymph nodes . E noʻonoʻo iā lākou he mau wahi nānā palekana liʻiliʻi i loko o ko mākou kino. ʻO ka hana nui o kēia mau lymph nodes ka kānana a hoʻomaʻemaʻe i ka wai lymph i loko o ko mākou kino i kona hele ʻana ma o lākou.
ʻO ia hoʻi, hopu a luku kēia mau wahi nānā i nā huakini ʻino a me nā ʻāpana i hōʻino ʻia. ʻAe lākou i nā mea maikaʻi, e like me nā meaʻai, e hele ma waena me ke keakea ʻole. Hoʻolaha ʻia kēia mau lymph node ʻaʻole wale ma ko mākou ʻāʻī, akā ma nā haneli o nā ʻāpana ʻē aʻe o ke kino, e like me nā armpits a me ka groin.
Ke pehu kēia mau lymph nodes ma muli o kahi kumu e like me ka maʻi, kapa mākou i kēlā ʻano ʻo Lymphadenopathy . ʻO ka inoa kikoʻī no nā lymph nodes pehu i ka ʻāʻī ʻo Cervical Lymphadenopathy .
ʻO ka hapa nui o ka manawa, he manawa pōkole kēia ʻano pehu ma ka ʻāʻī. ʻO ia hoʻi, ke hakakā nei kou kino i kahi mea liʻiliʻi, e like me ke anu a i ʻole ka maʻi ʻāʻī. No laila, ʻaʻole ia he mea weliweli.
He aha nā kumu nui o nā ʻōpū ʻāʻī pehu?
Nui nā kumu e pehu ai kahi puʻupuʻu ma ka ʻāʻī. He mea liʻiliʻi loa kekahi o lākou, akā i nā hihia kakaikahi, hiki iā lākou ke lilo i hōʻailona o kahi maʻi koʻikoʻi. E nānā pono kākou i kēia mau kumu.
| Māhele o nā kumu | Nā laʻana a me ka wehewehe maʻalahi |
|---|---|
| Nā maʻi | ʻO kēia ke kumu maʻamau. Ke komo kahi maʻi viral a bacteria paha i ke kino, hoʻāla ʻia nā lymph nodes a pehu. • Nā maʻi ʻāʻī (Strep throat) • Anu maʻamau • Maʻi puʻupuʻu • Nā ʻūpā ʻO ka maʻi puʻupuʻu (TB) • Ka maʻi HIV |
| Nā maʻi kanesa | ʻOiai he kumu kakaikahi kēia, he mea nui e makaʻala i ia mea. Inā komo nā hunaola kanesa i loko o ka ʻōnaehana lymphatic, hiki i ka puʻupuʻu ke pehu. • Lymphoma • Leukemia • Ka maʻi ʻaʻai thyroid |
| Nā maʻi Autoimmune | I loko o kēia mau maʻi, hoʻouka ko kākou ʻōnaehana pale ponoʻī i ko kākou mau hunaola olakino ponoʻī. Hiki i kēia hakakā ke hoʻoulu i nā lymph nodes e pehu. • ʻO ka ʻāʻī rumatika • Lupus |
| Nā hopena i kekahi mau lāʻau lapaʻau | Hiki i nā lymph nodes ke pehu ma muli o ka hopena o kekahi mau lāʻau lapaʻau. • Kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe (e.g. Atenolol) • Kekahi mau lāʻau lapaʻau i hoʻohana ʻia no nā hopu ʻana (e.g. Phenytoin) • Kekahi mau lāʻau antibiotic |
He puʻupuʻu anei kēlā me kēia puʻupuʻu ma ka ʻāʻī?
ʻAʻole. He mea nui nō hoʻi kēlā e hoʻomaopopo. ʻAʻole nā puʻupuʻu a pau ma ka ʻāʻī he lymph node. Hiki ke loaʻa nā puʻupuʻu no nā kumu ʻē aʻe.
- Nā puʻupuʻu thyroid
- Nā ʻōkole ʻili
- Nā ʻōpū
- Nā maʻi parotid
No laila, inā ʻike ʻoe i kahi puʻupuʻu ma kou ʻāʻī, ʻoi aku ka maikaʻi o ke kipa ʻana i ke kauka e ʻike pono ai i ke ʻano o ia mea.
Pono anei au e ʻike i ke kauka inā he anu koʻu?
Inā loaʻa iā ʻoe kahi ʻulaʻula e hele mai me kahi maʻi liʻiliʻi, e like me ke anu, a nalowale i ka wā e hoʻomaikaʻi ai kou maʻi, ʻaʻohe mea e hopohopo ai. Eia nō naʻe, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, pono ʻoe e ʻike i kāu kauka:
- Inā hoʻomau ka ʻōhū no nā pule ʻelua a ʻekolu paha.
- Inā e nui aʻe a nui aʻe.
- Inā paʻakikī ia e like me ka pōhaku ke hoʻopā ʻoe, a inā noho ia ma kahi hoʻokahi me ka neʻe ʻole.
- Inā ʻoe e emi ana ke kaumaha me ke kumu ʻole, e hou ana i ka hou i ka pō, e luhi mau ana, a i ʻole ke kuni.
- Inā he mau ʻuku kou ma nā wahi ʻē aʻe, e like me kou mau armpits a me ka ʻūhā.
Ke ʻike ʻoe i ke kauka, e nānā ʻo ia iā ʻoe, e nānā i ke ʻano o nā puʻupuʻu, a e nīnau iā ʻoe e pili ana i kāu mau hōʻailona. Inā pono, hiki iā lākou ke hana i kekahi mau hoʻokolohua ʻē aʻe e ʻike ai i ke kumu pololei.
- Nā hoʻāʻo koko: E ʻike i nā maʻi a i ʻole nā pilikia ʻē aʻe.
- Nā scan (nā kukuna X a i ʻole nā hoʻāʻo kiʻi ʻē aʻe): E nānā i loko o nā puʻupuʻu.
- ʻO ka biopsy o ke kiko lymph: Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ke kiko pehu a nānā iā ia ma lalo o kahi microscope. ʻO kēia wale nō ke ala e hoʻoholo ai i ke kumu 100% o ka manawa.
Pehea e mālama ʻia ai kēia?
Hoʻopili wale ʻia ka lāʻau lapaʻau ma ke kumu.
- Inā he maʻi bacteria ia, e kuhikuhi ke kauka i nā antibiotics nou.
- Inā he maʻi viral ia, hiki ke ho'ōla ʻia ma ka hoʻomaha nui ʻana a me ka inu ʻana i nā wai.
- Inā he maʻi koʻikoʻi e like me ke kanesa, e hoʻomaopopo kāu kauka iā ʻoe e pili ana i nā koho lapaʻau kikoʻī a kuhikuhi iā ʻoe i nā loea e pono ai.
Hiki ke pale ʻia kēia kūlana?
ʻOiai ʻaʻole he maʻi nā ʻōpū lymph pehu, akā he hōʻailona ia o kahi maʻi, ʻaʻole hiki ke pale loa ʻia. Eia nō naʻe, hiki iā mākou ke pale iā mākou iho mai nā maʻi, ʻo ia ke kumu nui o kēia.
- E holoi pinepine i kou mau lima me ke kopa a me ka wai, ʻoiai ma hope o ka mālama ʻana i kahi mea maʻi a ma hope paha o ka noho ʻana ma nā wahi lehulehu.
- E ʻai i nā meaʻai momona, e hiamoe pono , a e hoʻoikaika i ka ʻōnaehana pale o kou kino.
- E kiʻi i nā lāʻau pale i ʻōlelo ʻia e kāu kauka i ka manawa kūpono.
E hoʻomanaʻo, he mea maʻamau ka makaʻu ke ʻike ʻoe i kahi loli i kou kino. Eia nō naʻe, mai hopohopo nui, me ka manaʻo he maʻi kanesa paha kahi puʻupuʻu ma kou ʻāʻī. ʻO ka hopena pinepine ia o kahi maʻi liʻiliʻi.
Leka Lawe-Home
- He mea maʻamau loa nā ʻōpū ʻāʻī pehu (puʻupuʻu). ʻO ka hapa nui o ka manawa, ʻo ke kumu he maʻi liʻiliʻi, e like me ke anu.
- He hōʻailona kēia e hana maikaʻi ana ka ʻōnaehana pale o kou kino.
- Eia nō naʻe, inā ua lōʻihi ka manawa e noho ai kahi puʻupuʻu, manaʻo ʻia he paʻakikī, ke ulu nui nei, a i ʻole e hele pū ʻia me nā hōʻailona ʻē aʻe e like me ka pohō kaumaha a i ʻole ke kuni, mai hoʻonele i ka manawa a ʻike i ke kauka.
- Mai hoʻāʻo e nānā ponoʻī iā ʻoe iho a hopohopo paha ma ka nānā ʻana i ka ʻike ma ka pūnaewele. He mea nui e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau e loaʻa ai ke kumu kūpono a me ka lāʻau lapaʻau.
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