E noʻonoʻo i ko kākou kino me he ʻāina i pale maikaʻi ʻia. Loaʻa iā kākou kahi 'pūʻali koa' ikaika loa i loko o ko kākou kino e kaua aku i nā ʻenemi e komo mai ana i kēia ʻāina, ʻo ia hoʻi, nā germs , nā virus , a me nā bacteria e hoʻoulu ai i nā maʻi. Kāhea mākou i kēia pūʻali koa ʻo ka ʻōnaehana pale . I ka hapa nui o ka manawa, ikaika loa kēia pūʻali koa a pale iā kākou mai nā maʻi. Eia naʻe, i kekahi manawa e emi ana ka mana o kēia pūʻali koa, ʻo ia hoʻi, lilo ia i nāwaliwali. ʻO ia ke kumu e kapa wale ai mākou he immunodeficiency . I ia mau manawa, emi iho ka hiki o ko kākou kino ke kaua aku i nā germs, a no laila hoʻomaka mākou e loaʻa pinepine i nā maʻi.
He aha nā kumu nui o ka palekana haʻahaʻa?
ʻAʻole hoʻokahi kumu e emi ai ka pale ʻana o ke kanaka, akā he mau kumu. E hoʻokaʻawale kākou iā lākou i ʻelua mau ʻano nui.
1. Nā kūlana i loaʻa: ʻO ke ʻano kēia, ʻoiai ua hānau ʻia mākou me ka palekana maikaʻi, nāwaliwali ko mākou palekana ma muli o kekahi kumu i ko mākou ola ʻana.
- Ma muli o nā lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau i hāʻawi ʻia no nā maʻi koʻikoʻi (no ka laʻana, ke kanesa a ma hope paha o nā hoʻoili ʻana o nā kino) e kāohi me ka manaʻo i ka ʻōnaehana pale. He ʻāpana kēia o ka lāʻau lapaʻau.
- Ma muli o nā maʻi ʻē aʻe: Hoʻouka kekahi mau maʻi, e like me ka maʻi HIV , i kā mākou ʻōnaehana pale a hoʻonāwaliwali iā ia.
2. Nā kūlana hānau: He ʻokoʻa iki kēia. ʻO ka mea e hana ʻia ma ʻaneʻi, ua hānau ʻia ke kanaka me kahi kīnā genetic e pale ai i kā lākou ʻōnaehana pale mai ka ulu pono ʻana. Kāhea mākou i kēia he Premier Immune Deficiency. He mea laha ʻole pinepine kēia.
ʻO ka mea nui loa, mai hopohopo ʻoe ua nāwaliwali kou ʻōnaehana pale ma muli wale nō o kou loaʻa pinepine ʻana i ke anu . Akā inā loaʻa iā ʻoe nā maʻi mau, koʻikoʻi, a hoʻi hou mai, he mea nui e kamaʻilio me ke kauka e pili ana i ia mea.
E aʻo kākou e pili ana i kekahi mau ʻano o nā immunodeficiencies.
ʻOiai he nui kēia mau kūlana, e hoʻomaopopo wale kākou i kekahi o nā ʻano i kūkākūkā pinepine ʻia. Mai hopohopo i kēia ʻike, he kakaikahi loa ka nui o kēia mau mea. Hāʻawi ʻia kēia ʻike no kāu ʻike wale nō.
| Kūlana | I ka ʻōlelo maʻalahi... | E pili ana i nā ʻano lapaʻau |
|---|---|---|
| ʻO ka hemahema pale kino i hui pū ʻia (SCID) | He maʻi hoʻoilina koʻikoʻi loa kēia e kū mai ana mai ka wā hānau mai. I kēia hihia, ʻaʻole hana iki kekahi mau ʻāpana o ka ʻōnaehana pale o ka pēpē. No laila, ʻoiai nā germs liʻiliʻi loa e hoʻolilo iā lākou i mea maʻalahi loa i nā maʻi koʻikoʻi. | He maʻi koʻikoʻi loa kēia. Inā ʻaʻole mālama ʻia, hiki ke hoʻoweliweli i ke ola o ka pēpē. I kekahi mau hihia, hiki i kahi hoʻoili iwi ke hoʻōla i kēia maʻi. |
| Ka hemahema o ka pale ʻana o ka maʻi maʻamau (CVID) | He kūlana nō hoʻi kēia i hoʻokumu ʻia e kahi kīnā hoʻoilina. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻaʻole lawa ka hana ʻana o ke kino i nā protein i kapa ʻia he antibodies e pono ai e hakakā i nā germs. ʻO ka hopena, loaʻa pinepine nā maʻi i nā pepeiao, nā māmā, ka ihu, nā maka, a me nā wahi ʻē aʻe. | ʻO ka mea nui ma ʻaneʻi, ʻo ia ka hāʻawi ʻana i ke kino i nā antibodies i nele mai waho. Kāhea mākou i kēia mau antibodies he immunoglobulins. Hāʻawi mau ʻia kēia mau mea ma o nā inikini. |
| Ke kūlana HIV/AIDS | ʻO ka Human Immunodeficiency Virus (HIV) kahi maʻi e hoʻouka pololei ana i nā pūnaewele o kā mākou ʻōnaehana pale. I ka hala ʻana o ka manawa, luku kēia maʻi i ka nui o nā pūnaewele pale. A laila luku loa kēia i nā pale o ke kino, e waiho ana iā mākou i mea palupalu i kekahi maʻi (AIDS). | ʻOiai ʻaʻohe lāʻau lapaʻau no ka maʻi HIV i kēia manawa, aia nā lāʻau lapaʻau kūpono loa (Antiretroviral Therapy) hiki ke kaohi i ka maʻi i loko o ke kino, pale i ka ʻōnaehana pale, a ʻae i nā kānaka e ola i ke ola maʻamau. |
| Ka hemahema o ka pale ʻana i hoʻoulu ʻia e ka lāʻau lapaʻau | He hopena ʻaoʻao kēia o ka lāʻau lapaʻau, ma mua o kahi maʻi. ʻO kekahi mau lāʻau lapaʻau (e laʻa me ka chemotherapy maʻi kanesa, nā lāʻau lapaʻau no nā maʻi autoimmune) e hōʻemi ana i ka hana o kā mākou ʻōnaehana pale kino no kekahi manawa. No laila, ʻoi aku ka kiʻekiʻe o ka pilikia o ka loaʻa ʻana o nā maʻi i ka wā e lawe ana i kēia mau lāʻau lapaʻau. | Nānā pono nā kauka i nā maʻi e lawe ana i kēia mau lāʻau lapaʻau, no ka mea, pono e ʻike ʻia a mālama ʻia kahi maʻi liʻiliʻi ma mua o ka lilo ʻana i mea koʻikoʻi. |
Āhea ʻoe e ʻike ai i ke kauka?
ʻO kēia ka ʻāpana koʻikoʻi loa. ʻO ka loaʻa ʻana o ke anu i ʻelua a ʻekolu paha manawa i ka makahiki, ʻaʻole ia he pilikia. Eia nō naʻe, inā loaʻa iā ʻoe a i ʻole kāu keiki kekahi a ʻoi aku paha o nā kumu pilikia ma lalo nei, he mea nui e kamaʻilio me ke kauka e pili ana i ia mea.
- Nā maʻi pinepine : Inā loaʻa iā ʻoe ma mua o 4 mau maʻi pepeiao, ʻoi aku ma mua o 2 mau maʻi sinus koʻikoʻi, a i ʻole ʻoi aku ma mua o 2 mau hihia o ka niumonia i hoʻokahi makahiki.
- ʻAʻole pane pono i nā lāʻau antibiotic: Inā pono ʻoe e lawe i nā lāʻau antibiotic no nā pule e ho'ōla ai i kahi maʻi.
- ʻO ka holomua ʻole o ka ulu ʻana: ʻOi aku hoʻi i nā keiki ʻōpio, inā ʻaʻole e piʻi maʻamau ko lākou kaumaha a me ke kiʻekiʻe.
- Nā maʻi fungal pinepine o ka waha a i ʻole ka ʻili: Inā loaʻa iā ʻoe nā ʻeha waha mau (thrush) a i ʻole nā maʻi fungal o ka ʻili.
- Moʻolelo ʻohana : Inā loaʻa i kekahi o ka ʻohana kahi maʻi pale mua.
- Nā maʻi koʻikoʻi a ʻano ʻē: Nā maʻi koʻikoʻi o kahi ʻano i maʻalahi ʻole ke loaʻa i kahi kanaka olakino (e.g., nā maʻi lolo, nā maʻi iwi).
Inā he kānalua kou e pili ana i kekahi mea e like me kēia, e ʻoluʻolu, mai hoʻoholo ʻoe iho a makaʻu paha i kāu mea e heluhelu ai ma ka pūnaewele. E kamaʻilio me kāu kauka ʻohana a i ʻole ke kauka kūpono kokoke iā ʻoe. E nīnau ʻo ia iā ʻoe, e nānā iā ʻoe, a inā pono, e kuhikuhi iā ʻoe no nā hoʻokolohua koko a me nā mea ʻē aʻe e ʻike pono ai.
Leka Lawe-Home
- ʻO ko kākou ʻōnaehana pale kino ka pūʻali koa pale o ke kino e pale iā kākou mai nā germs.
- I kekahi manawa hiki ke hoʻonāwaliwali ʻia kēia ʻōnaehana ma muli o kahi kumu hānau hou a i ʻole kahi maʻi ma hope a i ʻole ka lāʻau lapaʻau. Kāhea mākou i kēia immunodeficiency.
- ʻO kahi hōʻailona nui ka hiki ʻana mai o nā maʻi pinepine, paʻakikī ke mālama ʻia, koʻikoʻi, a i ʻole nā maʻi ʻē.
- Inā he kānalua kou e pili ana i kēia, mai makaʻu e nīnau i kāu kauka, ʻo ia ka mea kūpono e hana ai. Hiki ke mālama maikaʻi ʻia nā kūlana he nui me ka ʻike mua ʻana a me ka mālama kūpono.
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