Loaʻa iā ʻoe kēia mau hōʻailona? E aʻo kākou e pili ana i ka Anemia Hemolytic ma nā huaʻōlelo maʻalahi!

Ke luhi mau nei ʻoe, a luhi loa paha? I kekahi manawa, ke manaʻo nei ʻoe he paʻakikī iki kou hanu ʻana, a ke kuʻi wikiwiki nei paha kou umauma? Ua haʻi aku anei kekahi iā ʻoe ua melemele iki ke kala o kou ʻili a me ke keʻokeʻo o kou mau maka? Hiki i kēia mau mea ke lilo i mau hōʻailona o kahi maʻi i kapa ʻia ʻo Hemolytic Anemia, a mākou e kamaʻilio nei i kēia lā. Mai hopohopo, e kamaʻilio mākou e pili ana i kēia i kēia lā ma ke ʻano pololei a maʻalahi. No ka mea, he mea nui loa ka ʻike ʻana i kēia maʻi no ʻoe a me kou ʻohana.

He aha ka Anemia Hemolytic? I ka ʻōlelo maʻalahi...

Aia i loko o ko kākou koko kekahi ʻano o nā ʻāpana i kapa ʻia he mau ʻāpana koko ʻulaʻula. ʻO kēia ka mea a kākou e kapa aku nei he `(Nā ʻĀpana Koko ʻUlaʻula)`. Lawe kēia mau ʻāpana koko ʻulaʻula i ka oxygen ma loko o ko kākou kino. E noʻonoʻo, ua like lākou me nā kalaka liʻiliʻi e hāʻawi ana i ka oxygen i nā ʻāpana a pau o ko kākou kino. ʻO ka maʻamau, ola kahi ʻāpana koko ʻulaʻula i loko o ke kino o ke kanaka olakino no kahi o 120 mau lā. Ma hope o kēlā, make lākou, a hoʻokumu ʻia nā ʻāpana hou ma ko lākou wahi. ʻO kēia ke kaʻina hana maʻamau.

Eia nō naʻe, i loko o ke kūlana i kapa ʻia ʻo Hemolytic Anemia, haki kēia mau hunaola koko ʻulaʻula a luku ʻia paha ma mua o ko lākou manawa kūpono, ʻo ia hoʻi, ma mua o 120 mau lā. He aha ka mea e hana ai? ʻAʻole hiki i ko kākou iwi iwi (kahi i loko o nā iwi e hana ai i kēia mau hunaola) ke hana i nā hunaola koko ʻulaʻula hou e hoʻopiha ai i ka hemahema, ʻo ia hoʻi, ua luku koke ʻia nā hunaola ma mua o ka hana ʻia ʻana. ʻO ia ka manawa e emi ai ka helu o nā hunaola koko ʻulaʻula i loko o ke kino, a loaʻa ka anemia, ʻo ia hoʻi ka nele o ke koko i loko o ke kino. ʻO ka anemia hemolytic kahi ʻano anemia e kū mai ana ma muli o ka haki wikiwiki ʻana o nā hunaola koko ʻulaʻula.

Aia kekahi mau ʻano ʻē aʻe o ka anemia?

ʻAe, aia kekahi mau kumu o ka anemia, a i ʻole ka mea a mākou e kapa nei he "helu koko haʻahaʻa."

• I kekahi manawa, ke nalowale ke koko nui o ke kino ma muli o kahi ʻeha a maʻi paha, hiki ke emi nā hunaola koko ʻulaʻula.
• I nā manawa ʻē aʻe, hiki ke hana ʻia ka anemia ma muli o ka emi ʻana o ka hana ʻana o nā cell koko ʻulaʻula a i ʻole ke kūkulu kūpono ʻole ʻia, e like me ka nele o ka hao.

ʻOi aku ka liʻiliʻi o ka maʻamau o ka anemia hemolytic ma mua o nā anemia i hoʻokumu ʻia e kēia mau kumu ʻē aʻe, akā he kūlana nō hoʻi ia e pono ai mākou e hopohopo.

He aha ka mea e hana inā ʻaʻole mālama ʻia ka anemia hemolytic?

He mea nui loa kēia. Manaʻo paha kekahi poʻe, "Auē, he aha ka mea e hana inā emi iki ke koko i loko o kou kino?" Eia nō naʻe, inā lilo ka anemia hemolytic i mea koʻikoʻi a ʻaʻole mālama pono ʻia, hiki iā ia ke hana i nā pilikia puʻuwai koʻikoʻi.

ʻO ke ʻano kēia, hiki i kēia kūlana ke koʻikoʻi, a hiki ke alakaʻi i ka hāʻule ʻana o ka puʻuwai, e like me ka arrhythmia, cardiomyopathy, a me ka hāʻule ʻana o ka puʻuwai. ʻO ia ke kumu ʻaʻole ia he manaʻo maikaʻi e lawe māmā i kēia.

ʻO wai ka mea hiki ke hoʻomohala i kēia maʻi?

Aia kekahi mau ʻano o ka anemia hemolytic. Hiki i kekahi o kēia mau ʻano ke hoʻopilikia i kekahi, i kēlā me kēia makahiki, o kēlā me kēia lāhui, a me ka nānā ʻole i ke kāne.No laila, mai manaʻo ʻoe, "ʻAʻole ia e hiki mai iaʻu." He mea maikaʻi no kākou a pau e ʻike i kēia.

He aha ka ʻokoʻa ma waena o ka Anemia Hemolytic a me ka Anemia Hemolytic Autoimmune (AIHA)?

E wehewehe iki kākou i kēia. ʻO ka Autoimmune Hemolytic Anemia (AIHA) kahi kūlana kahi e kuhi hewa ai ko kākou ʻōnaehana pale ponoʻī (ka ʻōnaehana e pale aku iā kākou mai ka maʻi) i ko kākou mau hunaola koko ʻulaʻula ponoʻī he "ʻenemi". A laila hana ia i nā antibodies e luku i kēlā mau hunaola. ʻO kēia ke kumu o ka haki ʻana o nā hunaola koko ʻulaʻula a hoʻoulu i ka anemia.

I ka wā e pili ana i ka anemia hemolytic laulā, hiki ke hana ʻia e nā kumu like ʻole, me nā genetics, nā maʻi, a me kekahi mau lāʻau lapaʻau. ʻO ka `AIHA` kahi ʻano kikoʻī o ka anemia hemolytic.

He aha nā kumu o ka Anemia Hemolytic?

Aia kekahi mau kumu nui e kōkua ana i kēia kūlana. E nānā kākou iā lākou pākahi.

1. Nā Kūlana Hoʻoilina

I kekahi manawa hiki ke lilo kēia i mea hoʻoilina, ʻo ia hoʻi he mea ia e hele mai ana mai kēlā hanauna a i kēia hanauna.

• ʻO ka Anemia Kelepona Sickle: He ʻano kēia kahi i ʻole poepoe ai nā hunaola koko ʻulaʻula, akā, e like me ke ʻano sickle me ke ʻano ʻē. Hoʻopaʻa ʻia kēia mau hunaola ʻē i loko o nā kīʻaha koko liʻiliʻi o ka spleen a haki maʻalahi.
• Thalassemia: He maʻi koko hoʻoilina nō hoʻi kēia. I kēia hihia, hana pū ke kino i nā hunaola koko ʻulaʻula ʻē. Hoʻopau koke ʻia lākou. Ua ʻike paha ʻoe aia kekahi poʻe maʻi thalassemia ma ko mākou ʻāina.
• Ka hemahema o ka G6PD: He kūlana hoʻoilina kēia. ʻO ka G6PD kahi enzyme e pale ana i nā hunaola koko ʻulaʻula. Ke haʻahaʻa kēia enzyme, e haki maʻalahi nā hunaola koko ʻulaʻula ke hōʻike ʻia i kekahi mau maʻi a i ʻole nā ​​​​lāʻau lapaʻau.

2. Nā maʻi

Hiki ke hana ʻia ka anemia hemolytic e kekahi mau maʻi, e like me nā maʻi.

• Malaria: I loko o kēia maʻi i lawe ʻia e nā makika, komo nā parasites malaria i loko o ko kākou koko. Inā ʻaʻole mālama pono ʻia, hiki i ka malaria ke hana i ka anemia hemolytic.
• ʻO ka maʻi kuni mauna pōhaku: He maʻi bacteria kēia i lawe ʻia e nā ʻuku (Rickettsia rickettsii).
• ʻO ka maʻi Haemophilus influenzae: He maʻi kēia i hoʻokumu ʻia e ka bacteria H. influenzae.
• HIV (Human Immunodeficiency Virus): Hoʻoulu kēia maʻi i kahi maʻi i kapa ʻia ʻo AIDS (Acquired Immune Deficiency Syndrome). ʻO ka poʻe i loaʻa i ka maʻi HIV, aia pū kekahi i ka pilikia o ka loaʻa ʻana o ka anemia hemolytic.

3. Kekahi mau lāʻau lapaʻau

Hiki ke loaʻa ka anemia hemolytic ma ke ʻano he hopena ʻaoʻao o kekahi mau lāʻau lapaʻau. Eia naʻe, ʻaʻole nā ​​​​mea āpau e lawe i kēia mau lāʻau lapaʻau e loaʻa i kēia maʻi. E nānā kāu kauka i kāu mōʻaukala olakino a hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe.

ʻO kekahi mau laʻana:

• ʻO ka Penicillin (he lāʻau antibiotic)
• ʻO Quinine (he lāʻau lapaʻau no ka malaria)
• Methyldopa (he lāʻau lapaʻau no ke koko kiʻekiʻe)
• Sulfonamides (nā lāʻau antibacterial)

4. Nā kumu ʻē aʻe

Eia kekahi, i kekahi manawa hiki ke haki nā ʻāpana koko ʻulaʻula, e like me ka loaʻa ʻana o kahi hoʻoili koko mai kahi ʻano koko kūlike ʻole.

He aha nā hōʻailona o ka Anemia Hemolytic?

Hiki i kēia mau hōʻailona ke akahai loa no kekahi poʻe, a ʻoi aku ka ʻino no kekahi. Hiki iā lākou ke ʻike koke ʻia a ulu mālie paha i ka hala ʻana o ka manawa. ʻO nā hōʻailona nui e ʻike ʻia:

• Jaundice: He melemele kēia o ka ʻili, sclera, a me nā membrane mucous (e like me loko o ka waha). Hana ʻia kēia i ka wā e piʻi ai ke koko o kahi mea i kapa ʻia ʻo bilirubin, ka mea i hana ʻia i ka wā e haki ai nā hunaola koko ʻulaʻula.
• ʻO Dyspnea: Ke emi iho nā hunaola koko ʻulaʻula e lawe ana i ka oxygen ma ke kino holoʻokoʻa, hiki iā ʻoe ke manaʻo i ka hanu ʻole a manaʻo e like me ʻoe e hanu ana no ka ea.
• Luhi: Manaʻo luhi mau a hiki ʻole ke hana i kekahi mea. Hiki iā ʻoe ke manaʻo ua luhi loa ʻoe a hiki ʻole iā ʻoe ke hana i nā hana o kēlā me kēia lā.
• Tachycardia: He manaʻo e kuʻi wikiwiki ana ka puʻuwai. Ke kuʻi wikiwiki ka puʻuwai, ʻaʻohe ona manawa e hoʻopiha pono ai i ke koko, a ʻaʻole hiki ke hāʻawi i ke kino i ka oxygen e pono ai.
• Hypotension: Ke koko haʻahaʻa loa ma mua o ka mea i manaʻo ʻia.
• Hematuria: Koko i loko o ka mimi . He mea maʻamau kēia i nā poʻe me ka anemia cell sickle.
• Ka Hoʻonui ʻia ʻana o ka Spleen a i ʻole ke Ake: ʻO ka spleen a me ke akepaʻa ke kuleana no ka kānana ʻana a me ka luku ʻana i nā hunaola koko ʻulaʻula i haki a kahiko i loko o ko kākou kino. Ke wāwahi nui ʻia nā hunaola koko ʻulaʻula, hiki i kēia mau ʻōkana ke pehu a hoʻonui ʻia no ka mea pono lākou e hana ikaika.

Hiki i ka anemia ke lilo i pilikia olakino?

ʻAe, i kekahi manawa hiki i ka anemia ke lilo i pilikia. Kāhea mākou iā ia he anemia koʻikoʻi. Hana ʻia kēia ke nalowale koke ʻoe i ka nui o ke koko, a i ʻole ke hoʻomaka koke kāu mau hunaola koko ʻulaʻula e haki. ʻO kēia no ka poʻe e like me:

• E nāwaliwali loa paha ʻoe.
• Hiki i ka puʻuwai ke manaʻo e kuʻi nui ana a wikiwiki hoʻi .
• He mea paʻakikī paha ke hanu .

Inā hiki koke mai kēia mau hōʻailona, ​​​​hiki ke lilo i pilikia. I kēlā hihia, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻimi koke i ke kōkua lapaʻau.

Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe ka anemia hemolytic?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​ke ʻike ʻoe i ke kauka, e hana ʻo ia i kēia mau mea:

• Kou mōʻaukala lapaʻau pihaE nīnau e pili ana i ia mea. ʻOi aku hoʻi, e nīnau inā ua loaʻa kekahi o ka ʻohana i ka anemia.
• E nīnau lākou inā ua loaʻa iā ʻoe kekahi mau maʻi i hala koke aku nei a i ʻole nā ​​​​lāʻau lapaʻau āu e lawe nei , no ka mea hiki i kēia ke hana i ka anemia hemolytic.
• E hana ʻia kahi hoʻokolohua kino , kahi e nānā ai i nā hōʻailona o ka anemia, jaundice, a me ka spleen a me ke akepaʻa.

He aha nā hoʻokolohua diagnostics?

Hana pinepine nā kauka i kekahi mau hoʻāʻo koko e ʻike ai i ka anemia hemolytic. Hiki iā lākou ke hoʻāʻo no nā māka genetic e ʻike inā he hoʻoilina.

Nā Hoʻāʻo Koko Mua:

ʻO ka mea mua e hana ai, ʻo ia ke nānā inā he anemia maoli kāu mau hōʻailona.

• Helu Koko Piha (CBC): Nānā kēia i ka helu o nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets i loko o kou koko, ka nui o kou mau hunaola koko ʻulaʻula, ke kiʻekiʻe o ka hemoglobin, ka protein e lawe ana i ka oxygen, a me ka hematocrit, e ana ana i ka nui o ka hakahaka o kou mau hunaola koko ʻulaʻula i loko o kou koko.

Nā Hoʻāʻo Kūikawā ʻē aʻe:

Inā hōʻoia ka CBC i ka anemia, hana ʻia nā hoʻokolohua hou aʻe e hoʻoholo pono i ke ʻano o ka anemia, inā he anemia hemolytic.

• Hoʻāʻo Coombs (Hoʻāʻo Antiglobulin Kūlike): Nānā kēia no ka anemia hemolytic autoimmune (AIHA).
• Helu Reticulocyte: He mau hunaola koko ʻulaʻula ʻōpiopio nā Reticulocytes. Nānā kēia hoʻāʻo inā e hana ana ka iwi iwi i nā hunaola koko ʻulaʻula olakino.
• Hoʻāʻo Haptoglobin: ʻO ka Haptoglobin kahi protein i wehe ʻia mai nā hunaola koko ʻulaʻula i haki. ʻO nā pae haʻahaʻa o kēia protein e hōʻike ana e wāwahi ʻia ana nā hunaola koko ʻulaʻula.
• ʻO Lactate Dehydrogenase (LDH): ʻO LDH kahi enzyme i loaʻa i loko o nā hunaola koko ʻulaʻula. ʻO nā pae kiʻekiʻe o LDH e hōʻike ana ua luku ʻia nā hunaola koko ʻulaʻula hou aʻe.
• ʻO Bilirubin i hoʻohui ʻole ʻia: Hana ʻia ʻo Bilirubin ke wāwahi ʻia nā hunaola koko ʻulaʻula. Ana kēia hoʻāʻo i ka nui o ka bilirubin i hoʻohui ʻole ʻia i hana ʻia e ke akepaʻa. ʻO nā pae kiʻekiʻe o kēia he hōʻailona ia e wāwahi ʻia ana nā hunaola koko ʻulaʻula he nui loa.
• ʻO ka hoʻāʻo ʻana i ke koko peripheral: Pili kēia i ka lawe ʻana i kahi hāpana koko a nānā iā ia ma lalo o kahi microscope e ʻike ai inā he ʻano ʻē ke ʻano a me ka nui o nā keena koko ʻulaʻula.
• Hemoglobin Electrophoresis: Hoʻopili kēia i ka protein hemoglobin. Kōkua ia i ka ʻike ʻana i nā kūlana e like me ka thalassemia a me ka sickle cell.

Pehea e mālama ʻia ai ka Anemia Hemolytic?

Ua hoʻoholo ʻia nā ʻano lapaʻauAia nō ia i ke kumu o ka maʻi a me ke koʻikoʻi o kou mau hōʻailona.

Eia kekahi laʻana, inā manaʻo kāu kauka he anemia koʻikoʻi kou, hiki iā ia ke hāʻawi mua iā ʻoe i nā hoʻoili koko e hoʻopaʻa i kāu helu koko ʻulaʻula. A laila, e ʻimi a mālama lākou i ke kumu kumu o ka anemia (e.g., kahi maʻi, kahi hopena ʻaoʻao o ka lāʻau lapaʻau, kahi maʻi hoʻoilina).

Pehea e hōʻemi ai i ka pilikia o ka hoʻomohala ʻana i ka anemia hemolytic?

Nui nā kumu e hiki ai ke hoʻoulu i ka anemia hemolytic ʻaʻole hiki iā mākou ke kaohi. Eia kekahi laʻana, hiki ke hana ʻia e kahi ʻeha a i ʻole kahi maʻi hoʻoilina.

Eia nō naʻe, ʻo ka mea nui loa hiki iā ʻoe ke hana, ʻo ia ke kamaʻilio koke me ke kauka e pili ana i ia mea inā ʻike ʻoe i nā hōʻailona o ka anemia. Hiki i kēia ke kōkua iā ʻoe e ʻike i ke kūlana a hoʻomaka koke i ka mālama ʻana, e hōʻemi ana i ka pilikia o ka loaʻa ʻana o nā kūlana koʻikoʻi.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka Anemia Hemolytic?

Hiki ke ʻokoʻa kēia mai kēlā kanaka a kēia kanaka. I kekahi manawa hiki i ka anemia hemolytic ke lilo i hōʻailona o kahi maʻi koʻikoʻi e pono ai ka mālama ʻana i ka wā lōʻihi.

I kekahi manawa, hiki ke lilo i hopena i kahi maʻi a lāʻau lapaʻau paha. I ia mau hihia, hiki i ka mālama ʻana i ka maʻi a i ʻole ka hoʻololi ʻana i ka lāʻau lapaʻau ke ho'ōla loa i ke kūlana.

Pehea wau e mālama ai iaʻu iho? / Pehea wau e mālama ai i koʻu olakino?

Hiki i nā kauka ke mālama i kou anemia hemolytic. Ma hope o kou ho'ōla ʻana, hiki i kēia mau mea ke kōkua iā ʻoe e noho olakino a pale i ke ʻano mai ka hoʻi hou ʻana mai:

• E ʻai i ka meaʻai olakino i waiwai i nā wikamina B12, C, a me B9 (waikawa folic). Hiki iā ʻoe ke kamaʻilio me kahi meaʻai meaʻai e aʻo hou e pili ana i nā meaʻai e kōkua ai e hoʻoikaika i kou mau hunaola koko ʻulaʻula.
• E inu i ka wai e like me ka mea e pono ai kou kino.
• E hoʻoikaika kino mau. Eia nō naʻe, e kūkākūkā me kāu kauka e pili ana i ka pehea e hoʻoikaika kino ai me ka palekana.
• E pale i nā maʻi. E holoi pinepine i kou mau lima a e noho mamao aku mai ka poʻe maʻi.
• E mālama i kahi moʻolelo o kāu mau hōʻailona. Inā he loli i kāu mau hōʻailona, ​​e haʻi i kāu kauka.

I ka hōʻuluʻulu manaʻo, nā mea e pono ai mākou e hoʻomanaʻo (Leka Lawe-Home)

ʻO ka anemia hemolytic kahi maʻi e kū mai ana i ka wā e luku ʻia ai kāu mau hunaola koko ʻulaʻula. Hiki ke hana ʻia e nā kumu hoʻoilina, nā maʻi, a i ʻole kekahi mau lāʻau lapaʻau. ʻOiai ke kumu, e ʻike kāu kauka i ke kumu kumu a mālama iā ia. ʻO ka hoʻomaka mua ʻana i ka mālama ʻana hiki ke hana i ka ʻokoʻa ma waena o ka maikaʻi a i ʻole ka ʻino.

Hiki i nā hōʻailona o ka anemia hemolytic ke like me ka maʻi maʻamau, ʻaʻole koʻikoʻi loa. Akā, ʻike maikaʻi ʻoe i kou kino.Inā lōʻihi ka manawa e ho'ōla ai kahi maʻi maʻamau ma mua o ka maʻamau, a inā paha e loaʻa iā ʻoe nā hōʻailona hou a ʻano ʻē, ʻaʻole loa e lohi ke kamaʻilio me ke kauka. Hiki i ka lāʻau lapaʻau koke ke kōkua iā ʻoe e hoʻōla wikiwiki!

ʻO ka anemia hemolytic, anemia, nā hunaola koko ʻulaʻula, ke koko, nā hōʻailona, ​​​​ka lāʻau lapaʻau, nā kumu